Factors Predicting Patient Discomfort after Coronary Angiography

PURPOSE: The purpose of this study was to identify the factors that predict discomfort after coronary angiography or percutaneous coronary intervention (PCI) among hospitalized patients. METHODS: A total of 203 patients who underwent coronary angiography or PCI were recruited from C hospital located in S city, J province, from June through August 2008. The level of discomfort was measured and standardized by two instruments, discomfort questionnaire and the Visual Analogue Scale (VAS). RESULTS: Stepwise multiple regression showed that the factors predicting the level of discomfort were type of angiography, gender, previous angiography, dysuria, pre-information, and sleep satisfaction, which together explained 30.6% of the total variance of the level of discomfort. CONCLUSION: Patients who had previous experience with these procedures, received a pre-information about the upcoming procedure, had no dysuria, and had slept well after the procedure were less likely to complain discomfort. Pre-informed education should be given by nurses to patients who will have an angiography or PCI to reduce their physical and emotional discomforts.

[Study of mental health of the patients who need coronary angiography and its relationship with drug abuse]

Coronary heart disease as a reason for mortality is occurring with psychiatric disorders. This descriptive- analytic study aims at assess mental health of patients who need to perform coronary angiography and its relationship with drug abuse. Sampling was done by census and data was collected using General Health Questionnaire and clinical interview. At first, all the patients who needed coronary angiography completed questionnaire and after calculating the patients' score, psychiatrist visited the patients with score more than 28. Data showed that from 200 patients surveyed in this search, 49.5 percent had mental disorders; specially physical signs, distress and sleep disorders, but they were healthy from view point of social functioning and depression. Also, drug abuse is known as an effective factor of mental disorder and rises the chance of mental disorders, so the drug abusers are susceptible to mental disorders 7 times more than the patients with no drug abuse. This study proved that being married plays a positive role on mental health, so the risk of mental disorders in divorcees and widows are 20 times greater than in married patients. Consequently we prefer that patient with coronary heart disease who needs angiography get psychiatric cares and consultation