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Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease.
- Source :
-
Australian Journal of Rural Health . Apr2020, Vol. 28 Issue 2, p124-131. 8p. - Publication Year :
- 2020
-
Abstract
- Objective: To study the effect of nurse-led counselling on the anxiety symptoms and the quality of life following percutaneous coronary intervention for stable coronary artery disease. Design: Randomised control trial. Setting: Rural and remote China. Participants: Rural and remote patients were consecutively recruited from a medical centre located in China between January and December 2014. Interventions: The control group received standard pre-procedure information from a ward nurse on the processes of the hospitalisation and percutaneous coronary intervention, and post-procedural care. The intervention group received a structured 30-minute counselling session the day before and 24 hours after the percutaneous coronary intervention, by nurse consultants with qualifications in psychological therapies and counselling. The health outcomes were assessed by a SF-12 scale and the Seattle Angina Questionnaire at 6 and 12 months after percutaneous coronary intervention. The anxiety and depression symptoms were evaluated by a Zung anxiety and depression questionnaire. Main outcome measures: Cardiac outcomes, quality of life and mental health status. Results: Eighty patients were randomly divided into control (n = 40) and intervention groups (n = 40). There was a significant increase in the scores of the three domains of Seattle Angina Questionnaire 12 months after percutaneous coronary intervention in the intervention group (P < .01). The mental health and physical health scores also increased (P < .01). In the control group, the mean scores of Zung self-rating anxiety scale 12 months following percutaneous coronary intervention were higher than the baseline scores, and higher than in the intervention group (P < .01). Conclusions: Counselling by a clinician qualified in psychological therapies and counselling significantly reduces anxiety symptoms and improves quality of life. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CORONARY heart disease surgery
*ANALYSIS of variance
*ANXIETY
*CHI-squared test
*COUNSELING
*ENDOSCOPIC surgery
*PSYCHOLOGY of cardiac patients
*INTERVIEWING
*MULTIVARIATE analysis
*POSTOPERATIVE care
*QUALITY of life
*QUESTIONNAIRES
*RURAL health clinics
*RURAL population
*STATISTICAL sampling
*MULTIPLE regression analysis
*RANDOMIZED controlled trials
*PREOPERATIVE education
*TREATMENT effectiveness
*PRE-tests & post-tests
*DESCRIPTIVE statistics
*PERCUTANEOUS coronary intervention
*NURSING interventions
Subjects
Details
- Language :
- English
- ISSN :
- 10385282
- Volume :
- 28
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Australian Journal of Rural Health
- Publication Type :
- Academic Journal
- Accession number :
- 143806709
- Full Text :
- https://doi.org/10.1111/ajr.12587