Sharif Farkhondeh, Moshkelgosha Fariba, Molazem Zahra, Najafi Kalyani Majid, Vossughi Mehrdad
Shiraz Geriatric Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Department of Postgraduate Studies, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Int J Community Based Nurs Midwifery. 2014 Apr;2(2):60-8.
Angioplasty is one of the most common methods for treating coronary artery diseases. However, a large number of those undergoing this treatment face psychological problems that negatively affect the quality of their life and recovery. We aimed to determine the effects of discharge planning on stress, anxiety, and depression in patients undergone percutaneous transluminal coronary angioplasty (PTCA).
In this randomized controlled trial, 80 candidates for PTCA during January to April 2013 were randomly assigned to equal experimental and control groups. The patients in the experimental group participated in two training sessions before and after the procedure and an informative booklet was used for their training. These patients were followed by phone during the two weeks after discharge. The depression anxiety stress scale (DASS-21) was completed by all subjects upon admission, at discharge, and one month after discharge. Data were analyzed using SPSS software, version 18. t test was used as appropriated.
The experimental group showed a statistically significant decrease in their stress, anxiety and depression a month after receiving the planned discharge (P<0.001). Although scores of stress (P=0.696), anxiety (P=0.110), depression (P=0.073) of the experimental group did not differ significantly on the day of discharge, the decrease was considerable compared with that of the control group.
Using a planned discharge program in patients undergoing PTCA lowered their stress, anxiety, and depression.
IRCT201302182812N12.
血管成形术是治疗冠状动脉疾病最常用的方法之一。然而，大量接受这种治疗的患者面临心理问题，这些问题会对他们的生活质量和康复产生负面影响。我们旨在确定出院计划对接受经皮腔内冠状动脉成形术（PTCA）患者的压力、焦虑和抑郁的影响。
在这项随机对照试验中，2013年1月至4月期间的80名PTCA候选患者被随机分为人数相等的实验组和对照组。实验组的患者在手术前后参加了两次培训课程，并使用一本信息手册进行培训。这些患者在出院后的两周内通过电话进行随访。所有受试者在入院时、出院时和出院后一个月完成抑郁焦虑压力量表（DASS-21）。使用SPSS软件18版进行数据分析。适当情况下使用t检验。
实验组在接受计划出院一个月后，其压力、焦虑和抑郁水平在统计学上有显著下降（P<0.001）。尽管实验组出院当天的压力（P=0.696）、焦虑（P=0.110）、抑郁（P=0.073）得分与对照组相比无显著差异，但与对照组相比下降幅度相当大。
对接受PTCA的患者采用计划出院方案可降低他们的压力、焦虑和抑郁水平。
IRCT201302182812N12。
