Effects of Clinical Nursing Practice Guideline for Nursing Care of Patients with Coronary Artery Disease: Undergone Coronary Angiography on Complications and Anxiety Levels in Medical Unit, Thammasat University Hospital
Keywords:
Clinical Nursing Practice Guideline, coronary artery disease, coronary artery angiography, complications, anxiety levelsAbstract
A coronary angiography is an important tool for diagnosing coronary artery disease. The purpose of this quasi-experimental research was to explore the effects of a clinical nursing practice guideline on complications and anxiety levels in patients with coronary artery disease who undergo coronary angiography. The participants were 52 coronary artery disease patients who were admitted to the Medical Unit at Thammasat University Hospital in March-August, 2016. Participants were randomly assigned to the experimental and control groups (26 people per group). The experimental group received nursing care according to the clinical nursing practice guideline by the Registered Nurses Association of Ontario, whereas the control group received usual nursing care. The number of patients who had complications from coronary angiography was recorded and the anxiety score was assessed using the Zung Self-Rating Anxiety Scale. Data were analyzed using descriptive statistics, Chi-square test, and independent t-test.
The experimental group had incidence rates of complications significantly lower than the control group (11.5 % and 38.5 %, p< 0.05) and lower anxiety than those the control group (M = 31.5 ± 5.37 vs M = 47.0 ± 9.11, p< 0.001).
Results from this study suggest that the clinical nursing practice guideline for coronary artery disease used in this study could reduce complications and anxiety following coronary artery angiography. A further study should be replicated using a larger participant pool to verify the effectiveness of this guideline on complications.
References
Centers for Disease Control [CDC]. (2015). Coronary Artery Disease (CAD). From http://www.cdc.gov/heartdisease/coronary_ad.htm
Cochran, W.G.(1997). Sampling Techniques.UnitedStetes of America,John Wiley & Sons, Inc.Doyle, B. J., Konz, B. A., Lennon, J. R., Bresnahan, J. F., Rihal, C. S., & Ting, H. H. (2006).
Jurairat Wainwan. (2012). Effectiveness of implementing clinical practice guidelines for pulmonary rehabilitation among persons with chronic obstructive pulmonary rehabilitation among persons with chronic obstructive pulmonary disease, Mae Sai hospital, Chiang Rai province. Master of Nursing Science (Adult Nursing) Chiang Mai University. (In Thai)
Medical record and statistics Thammasat University Hospital (2015) (In Thai)
McCabe, P. J., McPherson, L. A., Lohse, C. M., & Weaver, A. L. (2001).Evaluation of nursing care after diagnostic coronary angiography [Electronic version].American Journal Critical Care, 10(5), 330-40.
Nakia Merriweather & Linda M. Sulzbach-Hoke. (2012). Managing Risk of Complications at Femoral Vascular Access Sites in Percutaneous Coronary Intervention. Critical Care Nurse.32, (5), 16-30
Pirawan Tongjan. (2015). Anxiety, Satisfaction, and Complication in Patients Receiving Nursing Practice Guideline for Coronary Angiography. Journal of Nursing and Health Care Vol 33 No 1, 34-40 (In Thai)
Prapada Watchanat. (2010). Effect of infection control on incidence rate of nosocomial urinary tract infection. Journal of HRH Princess Maha Chakri Sirindhorn Medical Center-MSMC Hospital. (In Thai)
Registered Nurses Association of Ontario [RNAO]. (2009). Nursing best practice guideline: Nursing management of hypertension. Retrieved April 6, 2010, from http://www.rnao.org/Storage/58/5296_FINAL_BPG_Hypertension ANDSupplement_FA[1].pdf
Strategy and Planning Division. (2014). Bureau of Non Communicable Diseases: Statistic Number and death rate, non-communicable diseases and injuries 2017. Form
http://www.thaincd.com/2016/mission/documents.php?tid=32&gid=1-020 (In Thai)
Suchada Boonnayun. (2009). Development of clinical practice guidelines for vascular complications prevention among elders with coronary artery disease undergone coronary angiography cardiac catheterization unit Maharaj Nakorn Chiang Mai Hospital. Master of Nursing Science (Adult Nursing) Chiang Mai University. (In Thai)
The Heart Association of Thailand under the Royal Patronage. (2009). Percutaneous Coronary Intervention, PCI. From http://www.thaiheart.org/images/column_1291454908/PCIGuideline.pdf (In Thai)
Waraporn Guppradit. (2001). Anxiety and Information Need in Pre-Operative Patient, Nongkhai Hospital. Master Thesis, Master of Faculty of Social Administration,
Thammasat University (In Thai)
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