Effect of the preparation program on the anxiety of candidate patients for cardiac electrophysiological interventions: A randomized clinical trial

authors:

avatar Zohreh Kalani , avatar Seyed Mostafa Seyed Hossaini , avatar Maryam Dadmehr , *

Koomesh: Vol.21, issue 4; 661-666
published online: December 01, 2019
article type: Research Article
received: June 02, 2018
accepted: May 01, 2019

how to cite: Kalani Z, Seyed Hossaini S M, Dadmehr M. Effect of the preparation program on the anxiety of candidate patients for cardiac electrophysiological interventions: A randomized clinical trial. koomesh. 2019;21(4):e153129. 

Abstract

Introduction: Patients;#39 anxiety in cardiac electrophysiological studies (EPS) and ablation due to its unknown aspects needs more attention and the necessary measures to reduce it. The aim of this study was to determine the effect of the preparation program on patients;#39 anxiety waiting for these interventions. Materials and Methods: This clinical trial was carried out in parallel with the participation of 51 hospitalized patients which is purposefully selected and randomly divided into two groups, intervention (n = 25) and control (n = 26). The anxiety of the patients in both groups was measured by the Spielberger State Anxiety inventory, and then the program of preparation, including the show of the film, oral explanations and educational pamphlet, were presented to the patients in the intervention group. In the day of EPS and ablation, the anxiety of the patients was measured in both groups. Results: In the day of EPS and ablation, the mean anxiety score of the intervention group (43.20±12.21) and control group (56.87±7.17) were significantly different (p=0.000). Importantly, in the intervention group, the mean of anxiety score was significantly decreased after the preparation program (p=0.000). The mean anxiety score in the all women before the intervention (58.77 ± 9.97) was significantly higher than the anxiety in the all men (46.58±8.88) (p=0.000). Conclusion: The preparation program can significantly reduce the level of anxiety in patients undergoing EPS and ablation. Therefore, implementation of this program is recommended to reduce patients;#39 anxiety and create the suitable conditions for the success of these interventions

References

  • 1.

    Hall JE. Guyton and Hall textbook of medical physiology. 12th ed. Philadelphia: Saunders Elsevier; 2011.

  • 2.

    Diener HC, Easton JD, Hankey GJ, Hart RG. Novel oral anticoagulants in secondary prevention of stroke. Best Pract Res Clin Haematol 2013; 26: 131-139.

  • 3.

    Lindberg T, Bohman DM, Elmsthl S, Jogrus C, Berglund JS. Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG. Clin Interv Aging 2016; 11: 1083.

  • 4.

    Thomas W, Johnson PA-C Jadick EA, Knippers L. Atrial Fibrillation Ablation. Am J Nurs 2011; 111: 58-60.

  • 5.

    American Heart Association. Electrophysiology Studies (EPS). Available from: http://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/ electrophysiology-studies-eps.

  • 6.

    Bonow R, Mann DL, Zipes DP, Libby P. Braunwalds Heart Disease. 9th Ed. USA: Elsevier; 2012.

  • 7.

    Quattrin R, Zanini A, Buchini S, Turello D, Annunziata MA, Vidotti C, et al. Use of reflexology foot massage to reduce anxiety in hospitalized cancer patients in chemotherapy treatment: methodology and outcomes. J Nur Manag 2006; 14: 96-105.

  • 8.

    Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery-A cross-sectional study. Int J Afr Nurs Sci 2017; 7: 31-36.

  • 9.

    Wilber DJ, Pappone C, Neuzil P, De Paola A, Marchlinski F, Natale A, et al. Comparison of Antiarrhythmic Drug Therapy an Radiofrequency Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation. JAMA 2010; 303: 333-340.

  • 10.

    Eyre-Brook SN, Rajappan K. Catheter ablation for atrial fibrillation: who, why and does it work? Postgrad Med J 2012; 88: 604-611.

  • 11.

    Crawford MH, Dimarco JP, Paulus WJ. Cardiology. Philadelphia: Mosby; 2004.

  • 12.

    Ozl MF, Yldrm O, Erdem A, Oztrk S, Ayhan SS, Canan F. Anxiety levels and quality of life assessment in patients that underwent an electrophysiologic study due to unexplained palpitations. Turk Kardiyol Dern Ars 2013; 41: 136-140.

  • 13.

    Khan H, Kalia S, Itrat A. Prevalence and demographics of anxiety disorders: snapshot from a community health center in Pakistan. Ann Gen Psychiatry 2007; 6: 1-6.

  • 14.

    Raiesdana N, Kamali E, Soleimani M. Assessment of situational and heart focused anxiety in patients with coronary artery disease before angiography. Koomesh 2017; 19: 199-206. (Persian).

  • 15.

    Woods SL, Sivarajaan Froelicher ES. Cardiac Nursing. 6th Ed. New York: Lippincott Williams & Wilkins; 2010.

  • 16.

    Medi C, Kalman JM, Freedman SB. Supraventricular tachycardia. JAMA 2009; 190: 255-260.

  • 17.

    Jafari H, Baghaei Lake M, Sedghisabet M, Kazemnejadleili E. Benson muscle relaxation effect on patients anxiety undertake diagnostic and treatment within electrophysiological interventions. J Holist Nurs Midwifery 2015; 25: 37-44. (Persian).

  • 18.

    Abdi N, Mohamadi K, Bashti S, Zaj P. The effect of eye movement desensitization and reprocessing on patient anxiety while waiting cardiac catheterization. Iran J Nurs 2016; 28: 21-30. (Persian).

  • 19.

    Hindoyan A, Cao M, Cezario DA. Impact of relaxation training on patient-perceived measures of anxiety, pain, and outcomes after interventional electrophysiology procedures. Pacing Clin Electrophysiol 2011; 34: 821-826.

  • 20.

    Hamel WJ. The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs 2001; 17: 279-285.

  • 21.

    Higgins M. Preparing for coronary angiography: the patients experience. J Cardiovasc Nurs Res 2001; 2: 58-74.

  • 22.

    Chan D, Cheung H. The effects of education on anxiety among Chinese patients with heart disease undergoing cardiac catheterization in Hong Kong. Contemp Nurs 2003; 15: 310-320.

  • 23.

    Johansson K, Salanter S, Heikkinen K, Kuusisto A, Virtanen H, Leino-Kilpi H. Surgical patient education: assessing the interventions and exploring the outcomes from experimental and quasiexperimental studies from 1990 to 2003. Clin Eff Nur 2004; 8: 81-92.

  • 24.

    Khodayari-Fard M, Lavasani M, Akbari_Zardkhane SE, Liaghat S. Psychomertic properties spielberger's state-trait anger expression inventory-2 among of Iranian students. Arch Rehab 2010; 11: 47-56. (Persian).

  • 25.

    Shamsizadeh, M. The effect of orientation tour with angiography procedure on anxiety and satisfaction of patients undergoing coronary angiography. Iran J Psychiatr Nurs 2013; 1: 1-10. (Persian).

  • 26.

    Babaei M, Mohammad Khan Kermanshahi S, Alhani F. Influence of discharge planning on anxiety levels in patients with myocardial infarction. Koomesh 2011; 12: 272-278. (Persian).

  • 27.

    Jamshidi N, Abbaszadeh A, Najafi Kalyani M. Comparison of video & verbal education on satisfaction and post operative complications of patients undergoing coronary angiography. J Fasa Univ Med Sci 2012; 1: 233-237. (Persian).

  • 28.

    Moradi T, Adib-Hajbaghery M. The effect of a multi-modal preparation package on anxiety in patients undergoing coronary angiography. Int Cardiovasc Res J 2015; 9: 10-16.

  • 29.

    Hanifi N, Bahraminejad N, Dadgaran I, Amane S, Ahmadi F, Khani M, Haghdoost Oskouie S. Effect of orientation program on hemodynamic variables of patients undergoing heart catheterization. Hayat 2011; 17: 38-48. (Persian).

  • 30.

    Hanifi N, Bahraminejad N, Mirzaei KA, Ahmadi F, Khani M, Taran L. The effect of orientation program on stress, anxiety and depression of patients undergoing coronary angiography. Iran J Nurs Res 2012; 7: 1-8. (Persian).

  • 31.

    Moradi A. Effect of music on anxiety managementin patients undergoing mechanical ventilation. Pouyesh 2012; 3: 11-14. (Persian).

  • 32.

    Cortes I, Artazcoz L, Rodriguez-Sanz M, Borrel C. Inequalities in mental health in the working population. Gac Sanit 2004; 18: 321-329.

  • 33.

    Kawada T, Ooya M. Workload and health complaints in overtime workers: a survey. Arch Med Res 2005; 36: 594-597.

  • 34.

    Ercan S, Unal A, Altunbas G, Kaya H, Davutoglu V, Yuce Murat, Ozer O. Anxiety score as a risk factor for radial artery vasospasm during radial interventions. A Pilot Study. Angiology 2014; 65: 67-70.

  • 35.

    Pajk A, Jankowski P, Kotseva K, Heidrich J, De Smedt D, De Bacquer D. Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III Study. Eur J Prev Cardiol 2013; 20: 331-340.##.