Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography

authors:

avatar Nayyereh Raies dana , avatar Elahe Kamali , avatar Mohsen Soleimani ORCID , avatar majid mirmohammadkhani

Warning: No corresponding author defined!

how to cite: Raies dana N, Kamali E, Soleimani M, mirmohammadkhani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography. koomesh. 2017;19(1):e151337. 

Abstract

Introduction: Coronary angiography is an invasive procedure for diagnosis of coronary artery diseases, which can be a source of anxiety for patients. The aim of this study was to evaluate the situational anxiety and heart focused anxiety in patients undergoing coronary angiography. Materials and Methods: This descriptive study was done on 92 patients before angiography in Kowsar hospital of Semnan. Data was gathered with demographic questionnaire, measurement of physiologic parameters, cardiac anxiety questionnaire (CAQ), and Spielberg state anxiety questionnaire. Results: All subjects (44 men and 48 women) with a mean age 55±8 years completed the study. The majority of cases (59/8%) had moderate situational anxiety and score of 30 or higher from total of 62 score of CAQ. Majority of score was in avoidance, fear and attention domains. Conclusion: High prevalence of moderate anxiety in these patients and it,s impact on treatment and recovery course, necessitate special attention to this issue and establishment of strategies for reducing patients anxiety.

References

  • 1.

    Trotter R, Gallagher R, Donoghue J. Anxiety in patients undergoing percutaneous coronary interventions. Heart Lung 2011; 40: 185-192.

  • 2.

    Alwan A. Global status report on noncommunicable diseases 2010; World Health Organization; 2011.

  • 3.

    Beyranvand M, Asadpour PM. Dyslipidemia in acute coronary syndrome. J Shahid Beheshti Univ Med Sci 2007; 11: 377-384 (Persian).

  • 4.

    Black JM, Matassarin-Jacobs E, Luckmann J. Medical-surgical nursing: Clinical management for continuity of care: Saunders; 1997.

  • 5.

    Tahmasebi H, khazari P, Asghari N. Aromatherapy and relaxation effect on physiological parameters and anxiety in patients undergoing coronary angiography. J Urmia Nurs Midwifery 2015; 12: 1094-1103 (Persian).

  • 6.

    Lewis SL, Dirksen SR, Heitkemper MM, Bucher L. Medical-surgical nursing: assessment and management of clinical problems. Elsevier Health Sci 2014.

  • 7.

    Wetsch WA, Pircher I, Lederer W, Kinzl J, Traweger C, Heinz-Erian P, Benzer A. Preoperative stress and anxiety in day-care patients and inpatients undergoing fast-track surgery. Br J Anaesth 2009; 103:199-205.

  • 8.

    Aviles RJ, Messerli AW, Askari AT, Penn MS, Topol EJ. Introductory Guide to Cardiac Catheterization. 1st ed. Philadelphia: Lippincott Williams & Wilkins, 2004.

  • 9.

    Sadefi M. Complication of prolonged intubation in patients with coronary artery bypass graft. Fifteenth Congress of Cardiology News; Tehran: Razi International Conference Center; 2013 (Persian).

  • 10.

    Woods SL, Froelicher ESS, Motzer SA, Bridges EJ. Cardiac nursing: Lippincott Williams & Wilkins Philadelphia; 2005.

  • 11.

    Ali-Remayy N. Depression after stroke. Medical research, proceedings of the second congress of prevention of non communicable diseases. Shiraz 2003. (Persian).

  • 12.

    Majidi A. Quran recitation impact on anxiety levels of patients before coronary angiography. J Guilan Univ Med Sci 2005; 13: 61-67. (Persian).

  • 13.

    Roh-afza H, Saidi M, Sadeghi M, Bashtam M, Rabii K. Effect of cardiac rehabilitation on a period of psychological stress. J Res Med Scien 2003; 8: 94-97. (Persian).

  • 14.

    Uzun S, Vural H, Uzun M, Yokusoglu M. State and trait anxiety levels before coronary angiography. J Clin Nurs 2008; 17: 602-607.

  • 15.

    Ezadi tame A, Sadeghi R, Safari M, Esmaeili -douki Z. Effect of Verbal and audio methods of training on pre-surgery anxiety of patients. J Qazvin Univ Med Sci 2011; 15: 21-25. (Persian).

  • 16.

    Bagheri M, Talepasand S, Rahimian Booger I. Comparison of psychological risk factors among patients with and without myocardial infarctionrelapses. Koomesh 2014; 15: 154-161. (Persian).

  • 17.

    Parsa-Yekta Z, Sharifi-Neiestanak N, Mehran A, Imani-Pour M. Quasi experimental research on anxiety and satisfaction of patients undergoing open cardiac surgery having intubation. Hayat 2002; 8: 5-12. (Persian).

  • 18.

    Heikkil A, Paunonen M, Laippala P, Virtanen V. Nurses ability to patients fears related coronary arteriography. J Adv Nurs 1998; 28: 1225-1235.

  • 19.

    Dragioti E1, Vitoratou S, Kaltsouda A, Tsartsalis D, Gouva M. Psychometric properties and factor structure of the Greek version of the Cardiac Anxiety Questionnaire (CAQ). Psychol Rep 2011; 109: 77-92.

  • 20.

    Eifert GH, Thompson RN, Zvolensky MJ, Edwards K, Frazer NL, Haddad JW, Davig J. The cardiac anxiety questionnaire: development and preliminary validity. Behav Res Ther 2000; 38: 1039-1053.

  • 21.

    Hoyer J, Eifert GH, Einsle F, Zimmermann K, Krauss S, Knaut M, Matschke K, Kllner V. Heart-focused anxiety before and after cardiac surgery. J Psychosom Res 2008; 64: 291-297.

  • 22.

    Fleet RP, Dupuis G. Marchand A, Burelle D, Arsenault A, Beitman BD. Panic disorder inemergency department chest pain patients: prevalence, comorbidity, suicidal ideation, and physician recognition. Am J Med 1996; 101: 371-380.

  • 23.

    Eifert GH, Zvolensky MJ, Lejuez CW. Heartfocused anxiety and chest pain: A conceptual and clinical review. Clin Psychol Sci Pract 2000; 7: 403-407.

  • 24.

    Mahram B. Guide Trait anxiety test eshpil berger. J Psychol Educ Sci Ferdowsi Univ 1995. (Persian).

  • 25.

    Adib-Hajbaghery M, Rajabi-Beheshtabad R, Abasi A, Azizi-Fini E. The effect of massage therapy by a nurse and the patients companion on the anxiety of male patients hospitalized in CCU: A clinical trial. Iran J Nurs 2012; 25: 72-83. (Persian).

  • 26.

    Akbarzadeh F, Ranjbar Kouchaksaraei F, Bagheri Z, Ghezel M. Effect of preoperative informative information and reassurance in decreasing anxiety of patients who are candidate for coronary artery bypass graft surgery. J Cardovasc Thorac Res 2009; 1: 25-28. (Persian).

  • 27.

    Heart focused anxity questionnaire.mobinshop.blogseir.ir/post1025.php.retrieved at January 2014.

  • 28.

    Hosseini SA, Abdollahi AA, Behnam Pour N, Salehi A. The relationship between coronary artery involvement based on angiography findings. Koomesh 2012; 14: 7-12. (Persian).

  • 29.

    Hanser SB. Music therapy in cardiac health care: current issues in research. Cardiol Rev 2014; 22: 37-42.

  • 30.

    Jamshidi N, Abaszadeh A, Najafi M. Stress, anxiety and depression in patients before coronary angiography. Zahedan J Res Med Sci 2013; 13: 29. (Persian).

  • 31.

    Reed T. Reducing patient anxiety pre-cardiac catheterization through education. Cath Lab Digest June 2008; 16.

  • 32.

    Hamang A, Eide GE, Rokne B, Nordin K, yen N. General anxiety, depression, and physical health in relation to symptoms of heart-focused anxiety-a cross sectional study among patients living with the risk of serious arrhythmias and sudden cardiac death. Health Qual Life Outcomes 2011; 9: 1-10.

  • 33.

    Lewinsohn PM, Gotlib IH, Lewinsohn M, Seeley JR, Allen NB. Gender differences in anxiety disorders and anxiety symptoms in adolescents. J Abnorm Psychol 1998; 107: 109-117.

  • 34.

    Fakhr-Movahedi A, Abbasali Ebrahimian A, Mirmohammadkhani M, Ghasemi S. Relationship between chest pain severity and physiological indexes in patients with coronary artery disease. Tehran Univ Med J 2016; 74: 140-145. (Persian).

  • 35.

    Zakerimoghadam M, Shaban M, Mehran A, Hashemi S. Effect of musclerelaxation on anxiety of patients undergo cardiac catheterization. Hayat 2010; 16: 64-71. (persian).##.