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

Authors

  • ลดาวัลย์ ฤทธิ์กล้า Professional nurse, ThammasatUniversity hospital
  • ดิลก ภิยโยทัย Associate professor, Faculty of Medicine, Thammasat University

Keywords:

Clinical Nursing Practice Guideline, coronary artery disease, coronary artery angiography, complications, anxiety levels

Abstract

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.

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Published

2019-12-19

How to Cite

ฤทธิ์กล้า ล., & ภิยโยทัย ด. (2019). 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. Nursing Journal CMU, 46(4), 149–157. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/230352