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经皮冠状动脉介入治疗术患者的教育对生命体征的影响。

The Effect of Providing Education to Patients Undergoing Coronary Angiography on Vital Signs.

机构信息

Eskişehir Osmangazi University/Institute of Health Sciences, Department of Fundamentals of Nursing, Eskişehir, Turkey.

Eskişehir Osmangazi University/Faculty of Health Sciences, Department of Fundamentals of Nursing, Eskişehir, Turkey.

出版信息

J Perianesth Nurs. 2024 Oct;39(5):824-830. doi: 10.1016/j.jopan.2023.12.017. Epub 2024 May 22.

DOI:10.1016/j.jopan.2023.12.017
PMID:38775769
Abstract

PURPOSE

This study was conducted to determine the effect of providing preprocedural education to patients undergoing coronary angiography on their vital signs.

DESIGN

The study was a randomized controlled experimental study with a pretest/post-test control group design.

METHODS

The study was conducted in the Cardiology Service of a hospital in Eskişehir between November 2021 and April 2022. Power analysis identified that it was appropriate to include 79 individuals in the experimental group, 79 individuals in the control group, and a total of 158 individuals. The experimental group was trained using the "Structured Education Manual" prepared by the researchers.

FINDINGS

The education had an influence on the stabilization of vital signs after the procedure compared to preprocedure. When the comparison of vital signs before and after the education was analyzed, systolic blood pressure and diastolic blood pressure differed significantly between 11 measurements in both groups (P < .05). The systolic and diastolic blood pressure of the experimental group measured before the procedure was higher than their other measurements after the procedure. Heart rate, respiratory rate, and saturation value in both groups displayed a statistically significant difference between 11 measurements (P < .05). In the experimental group, heart rate and respiratory rate before the procedure were higher than the postprocedure measurements. The saturation value of the experimental group at 150 minutes after the procedure was higher than the other measurements.

CONCLUSIONS

Education given to patients before undergoing a coronary angiography procedure had a positive effect on the patients' vital signs. It is recommended that patients undergoing a coronary angiography procedure be provided with audio-visual training by nurses before the procedure.

摘要

目的

本研究旨在确定在冠状动脉造影术前向患者提供术前教育对其生命体征的影响。

设计

该研究是一项随机对照实验研究,采用了预测试/后测试对照组设计。

方法

该研究于 2021 年 11 月至 2022 年 4 月在埃斯基谢希尔的一家医院的心脏病科进行。通过功率分析,确定在实验组纳入 79 例,对照组纳入 79 例,总共纳入 158 例是合适的。实验组采用研究人员编写的“结构化教育手册”进行培训。

结果

与术前相比,术后教育对生命体征的稳定有影响。当分析教育前后生命体征的比较时,两组的 11 项测量中收缩压和舒张压均有显著差异(P<0.05)。实验组术前测量的收缩压和舒张压均高于术后其他测量值。两组的心率、呼吸率和饱和度值在 11 项测量中均有统计学差异(P<0.05)。实验组术前的心率和呼吸率高于术后测量值。实验组在术后 150 分钟的饱和度值高于其他测量值。

结论

在进行冠状动脉造影术前向患者提供教育对患者的生命体征有积极影响。建议在进行冠状动脉造影术前由护士为患者提供视听训练。

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