Fasa University of Medical Sciences, Fasa, Iran.
School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Biomed Res Int. 2020 Apr 26;2020:3629782. doi: 10.1155/2020/3629782. eCollection 2020.
Coronary artery angiography using radial artery is one of the methods used for diagnosis of coronary artery disease, which causes physical and psychological problems in patients despite its precise and definite diagnosis. The present study is aimed at investigating the effect of peer group-based education on physical and psychological outcomes of patients undergoing coronary artery angiography through the radial artery. . The present clinical study was conducted on 60 patients undergoing coronary angiography through the radial artery in Vali-e-Asr educational hospital of Fasa during 2018 to 2019. The participants were divided into peer training and control groups ( = 30 in each group) using permutated block randomization. In the peer training group, the patients received the necessary precare training through peer training during and after angiography care. In the control group, the patients received the routine care by the nurse of the related ward. The peer group's stress, anxiety, and depression levels were evaluated before and after the training. Indeed, their comfort, tolerance, satisfaction, and pain levels were measured by a nurse after angiography at the time of entering the ward. . The results indicated no significant difference between the two groups regarding the mean scores of stress, anxiety, and depression before the intervention ( > 0.05). After the intervention, however, there was a significant difference between the two groups concerning the mean score of anxiety ( < 0.05). Nonetheless, no significant difference was found between the two groups in terms of tolerance, comfort, satisfaction, and pain levels ( > 0.05). Finally, the level of pain decreased in both groups over time ( < 0.001).
Peer group-based training was effective in decreasing the mean score of anxiety in the patients undergoing coronary angiography. Thus, this method is recommended to be utilized alongside other methods to train patients before coronary angiography due to its inexpensiveness and lack of side effects as well as not increasing the nurses' workload.
经桡动脉行冠状动脉造影术是诊断冠状动脉疾病的方法之一，尽管其诊断准确，但会给患者带来身心问题。本研究旨在探讨基于同伴小组教育对经桡动脉行冠状动脉造影患者生理和心理结果的影响。本临床研究于 2018 年至 2019 年在法萨瓦利-埃斯尔教育医院对 60 名经桡动脉行冠状动脉造影的患者进行，采用随机区组随机分组，将患者分为同伴培训组和对照组（每组 30 例）。在同伴培训组中，患者在接受造影护理期间和之后通过同伴培训接受必要的预护理培训。在对照组中，患者接受相关病房护士的常规护理。在培训前后评估同伴组的应激、焦虑和抑郁水平。实际上，在进入病房后，由护士评估他们的舒适度、耐受性、满意度和疼痛程度。结果表明，两组患者在干预前的应激、焦虑和抑郁的平均得分无显著差异（>0.05）。然而，干预后，两组患者的焦虑平均得分存在显著差异（<0.05）。但是，两组患者在耐受性、舒适度、满意度和疼痛水平方面无显著差异（>0.05）。最后，两组患者的疼痛水平随时间的推移而降低（<0.001）。结论：基于同伴小组的培训可有效降低行冠状动脉造影患者的焦虑平均得分。因此，由于其廉价、无副作用、不会增加护士的工作量，建议在冠状动脉造影前与其他方法一起使用这种方法对患者进行培训。
