Alikhah, Omeleila (2016) The effect of supportive nursing intervention on the pain and anxiety levels of paist with acute coronary syndrome on their arrival at CCU. Masters thesis, Sabzevar university of medical medicine.
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Abstract
The effect of supportive nursing intervention on the pain and anxiety levels of patients with Acute coronary syndrome on their arrival at CCU Purpose and Field of the Study: Chest pain is the commonest cause for the patients with coronary Atherosclerosis to come to the hospital. If the pain is not controlled properly, the patient's pain threshold is lowered, causing him to feel (experience) a higher level of pain. These two factors have an adverse effect on the cardiovascular system. Therefore, taking due on-time measures to control the pain and anxiety of the patient can reduce the adverse effects or repercussions for the patient. Hence, the purpose of the present study was to study the effect of the supportive nursing care (intervention) provided for the patients with Acute coronary syndrome on the level of pain and Anxiety they experienced at the beginning of their stay at CCU. Method: the present study is a randomized clinical trial with a control and an experimental group on 74 subjects. The necessary data for the present study were collected by means of a demographic form, an anxiety questionnaire, and a pain level scale. From among the patients suffering from Acute coronary syndrome transferred to CCU, those who met the inclusion criteria were asked to show their formal written consent to be included in the study. Then, the anxiety and pain levels of each participant were measured and recorded. Then, the participants were randomly assigned either to the control or experimental group. The participants in the control group received normal nursing care while those in the experimental group received an emotional-informational supportive nursing care for 20 minutes. The pain and anxiety levels of the participants were measured twice more, once two hours after their transferring to the CCU and the other after 4 hours, with all the necessary forms being filled. The collected data were analyzed using STATA (version 12). Findings: The results of the analyses showed that the pain level experienced by the control and experimental groups at the beginning of their stay at CCU were 94/2±91/6, and 31/2±32/8 respectively, which showed no statistically meaningful difference. Moreover, the results showed there was no statistically significant difference between the two groups in terms of the pain level experienced two hours after their arrival at CCU, with the average pain level experienced in the control and experimental groups being 25/2±18/3, and 86/1±75/3, respectively. However, after 4 hours, there was observed a meaningful difference between the two groups in terms of the pain level the subjects experienced. More specifically, the average pain level for the control group was 19/2±18/2 while that for the experimental group, who received supportive nursing care, was 40/1±43/1 . Similar results were obtained for the anxiety level of the patients. Although there was no statistically significant difference between the experimental and the control groups concerning the anxiety level they suffered (22/14±33/21 and 21/13±05/17 , respectively), the anxiety levels experienced by the experimental group (90/3±05/3) was meaningfully lower than that experienced by the subjects in the control group (48/7±16/5) 4 hours after they were transferred to the CCU ward. Conclusion: The results of the present study suggested that the provision of supportive nursing care for the patients with coronary Atherosclerosis at CCU had a positive effect on the reduction of pain and anxiety levels they felt four hours after they were transferred to the CCU. Key Words: supportive nursing care, pain, anxiety, Acute coronary syndrome, CCU
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | supportive nursing care, pain, anxiety, Acute coronary syndrome, CCU |
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | Saeed Shoja |
| Date Deposited: | 15 May 2018 07:13 |
| Last Modified: | 15 Jan 2019 03:59 |
| URI: | http://eprints.medsab.ac.ir/id/eprint/408 |
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