ABSTRACT
Introduction: Post-coronary angiography vascular complications [PCAVC] may cause serious life threats, thus recognition of related factorse is needed to prevente complication
Objective: This study was conducted to determine correlation between hypertension and vascular complications after coronary artery angiograph among hospitalized patients therapeutic- educational center in Rasht
Methods: This descriptive analytical correlational study was performed on 400 patients admitted in angiography wards at Dr Heshmat therapeutic- educational centers by sequential sampling method in 2013. Data were gathered by a 3-part tool including; demographic information questionnaire, blood pressure recording forms and PCAVC occurance [Hematoma, ecchymosis and bleeding] during 24h after angiography until heet removal through interview and observation methods. Data were analyzed by using descriptive and analytic X[2], independent T and ANOVA] statistics tests
Results: Majority of samples [56.2%] had history of Hypertension. Mean of pre-angiographic systolic and diastolic blood pressure were 129.46 +/- 21.63 and 76.85 +/- 1.15 and pre-sheat extraction were 132.96 +/- 18.02 and 78.85 +/- 1.02mmHg. Vascular complications were observed in 24 percents of samples that majority of them were ecchymosis [71.4%]. A significant relationship was seen between history of HTN and overall PCAVC [p<0.005], ecchymosis [p<0.006] and hematoma [p<0.046]. The statistical tests showed a significant relation between mean of systolic BP before sheet removal with overall PCAVC [p<0/003] and ecchymosis [p<0.004] and diastolic BP with overall PCAVC [p<0.0006], ecchymosis [p<0.0009]
Conclusion: Screen of high occurance of PCAVC among patients after angiography with history of hypertension and systolic and diastolic BP before sheet removal is required to diagnose high risk patients who need special and highy quality of care
ABSTRACT
Introduction: anxiety is a common psychological reaction in invasive diagnostic and therapeutic such as interventions electrophysiological, that requires nursing care management for assessment and application of effectiveness to reduce it
Objective: the present study has been conducted to determine the effect of Benson relaxation on anxiety in patients waiting for electrophysiological diagnostic and therapeutic interventions
Methods: this is a clinical trial study on 72 patients waiting for electrophysiological interventions, admitted in Heshmat Hospital - Rasht. Samples selected through convenience sampling method, and were allocated to intervention [usual care and relaxation] and control [usual care only] groups through Random Block method. Data were collected using the 2- part questionnaire include personal - clinical data and hospital anxiety and depression scale [only anxiety part] through interview and document records information. Data were gathered in 2 stages, first before 60-15 minutes and second 5-3 hours before electrophysiology intervention [personal-clinical characteristics and level of anxiety]. Intervention group encouraged to listen to audio instructions Benson relaxation for 10 minutes using headphones, and then exercise for at least 3 times between two steps of study. Data were analyzed by X2, paired t- test and independent t-test
Results: the results showed that the mean and standard deviation of anxiety score in the intervention group after the intervention has been much lower than before [3/11 +/- 3/43] compared to [7/91 +/- 6/70]. Paired t-test between the mean scores before and after relaxation in the intervention [P <0. 0001] and control group [P <0. 0001] was significant. Finally, independent test showed a significant difference [p<0. 0001] between the mean and standard deviation of anxiety score in the second step in two groups, which indicate the effect of relaxation on anxiety patients
Conclusion: according to the results of this study, Benson relaxation significantly reduced the anxiety level in these groups of study. Therefore nurses could use this method to reduce the level of anxiety in these patients