[ effect of orientation tour with angiography procedure on anxiety and satisfaction of patients undergoing coronary angiography]

Recently, coronary angiography has become the largest interventional diagnostic test in cardiac patients worldwide having large effects on anxiety and satisfaction of patients in treatment and care. This study aimed to study the effect of orientation tour on anxiety and satisfaction of patient candidates for coronary angiography procedures. In this randomized control trial study, 148 patients were recruited by random allocation. Patients were divided into two groups with block randomization. Patients in Intervention group, in addition to routine training, orientation tour in the angiography unit was taken too. Anxiety was measured in all patients during admission, before surgery and discharge time; the satisfaction was measured in discharge time too. Collection instruments were according to demographic data, Spielberger state trait anxiety inventory and the Visual Analogue Scale. The Information was obtained by t-test, chi-square and repeated measured were analyzed by SPSS. After the orientation tour, anxiety scores significantly in the intervention group [39.5] compared with the control group [48.26] which decreased [P<0.001]. Anxiety scores at discharge decreased in the intervention group [33.24] compared with the control group [41.22] which was significant [P<0.001]. The mean patient satisfaction score at discharge in the intervention group [9.77] compared to control group [6.11] was statistically significance [P<0.001]. Orientation tour in patient candidates to angiography, reduces anxiety and increases satisfaction, therefore, use of this educational approach in patients undergoing coronary angiography is recommended

[Quality of life in burn disfigurement individuals as life in suffocation - a qualitative study]

Nowadays with improving the taking care of the burnt patients, mortality rate decreased. With the increased survival of these patients, the number of the survivors with complications increased. Among these consequences, disfigurement is the most important ones. So recently, psychosocial problems of burnt patients and their rehabilitation have been deeply paid attention to. Therefore, a qualitative study was conducted so as to obtain information concerning quality of life with burn disfigurement after being discharged from the hospital, in order to devise psycho-social support programs based on this evidence. This article reports part of a greater qualitative study. Purposive sampling and theoretical sampling was used to selecting the participants. The main data collecting tool was in-depth interviews. Thirty-four individual in-depth interviews were performed with 22 participants. The interviews were analyzed by the content analysis method and constant comparative method. After analyzing, for quality of life with burn disfigurement theme's "life in suffocation" with three core category "ruin lives", "to get tired" and "slavery disfigurement" appeared. Despite the severity of suffocation for different people was different, but it was for all participants. The evidences indicate quality of life with disfigurement even in people who few years living with problem, in a way that is inappropriate and uncomfortable as life is suffocating. Hence there exists a need to devise a proper supportive plan to enhance quality of life for these people