Park Ae Ran, Choi Ja Yun
St. Garollo Hospital, Suncheon, Korea.
J Korean Acad Nurs. 2009 Dec;39(6):860-7. doi: 10.4040/jkan.2009.39.6.860.
The purpose of this study was to identify the factors that predict discomfort after coronary angiography or percutaneous coronary intervention (PCI) among hospitalized patients.
A total of 203 patients who underwent coronary angiography or PCI were recruited from C hospital located in S city, J province, from June through August 2008. The level of discomfort was measured and standardized by two instruments, discomfort questionnaire and the Visual Analogue Scale (VAS).
Stepwise multiple regression showed that the factors predicting the level of discomfort were type of angiography, gender, previous angiography, dysuria, pre-information, and sleep satisfaction, which together explained 30.6% of the total variance of the level of discomfort.
Patients who had previous experience with these procedures, received a pre-information about the upcoming procedure, had no dysuria, and had slept well after the procedure were less likely to complain discomfort. Pre-informed education should be given by nurses to patients who will have an angiography or PCI to reduce their physical and emotional discomforts.
本研究旨在确定住院患者冠状动脉造影或经皮冠状动脉介入治疗（PCI）后预测不适的因素。
2008年6月至8月，从J省S市的C医院招募了总共203例接受冠状动脉造影或PCI的患者。通过两种工具，即不适问卷和视觉模拟量表（VAS）来测量和标准化不适程度。
逐步多元回归显示，预测不适程度的因素包括血管造影类型、性别、既往血管造影史、排尿困难、术前信息以及睡眠满意度，这些因素共同解释了不适程度总方差的30.6%。
有这些操作既往经验、收到即将进行操作的术前信息、无排尿困难且术后睡眠良好的患者抱怨不适的可能性较小。护士应向即将进行血管造影或PCI的患者提供术前告知教育，以减轻他们的身体和情绪不适。
