This research; The aim of this study was to evaluate the effect of the pre-procedural
      education given to the patients undergoing coronary angiography on the anxiety level and
      vital signs of the patients.

Effect of the Education Given to the Patients Who Will Be Applied Coronary Angiography

Coronary Angiography

Anxiety

Vital Signs

Education

Nursing

Nursing Care

Coronary Artery Disease is a vascular disease in the category of atherosclerosis, which is
      characterized by complete or partial occlusion of the arteries, providing oxygen-rich blood
      to meet the metabolic needs of the heart. It was shown as the top 10 causes of death
      worldwide in 2017 by the World Health Organization. According to the 2018 data of the Turkish
      Statistical Institute (TUIK), it has been reported that 39.7% of the deaths caused by the
      circulatory system in Turkey are due to heart diseases. Coronary angiography, which is among
      the diagnostic methods of coronary artery disease; It is the process of evaluating the
      coronary arteries by making them visible by administering radiopaque material to the femoral,
      brachial, radial and axillary arteries during cardiac catheterization. One of the basic roles
      of nursing is to provide education for the recovery of the individual and the maintenance of
      health. In this context, it is thought that nurses' caring about the role of educator in
      patient care will contribute to reducing the patient's anxiety.

      Research; This study was planned to evaluate the effect of pre-procedural education on
      patients undergoing coronary angiography on their anxiety level and vital signs.

      The research was planned as a quasi-experimental study with pretest-posttest control group
      design between November 2021 and June 2022. The population of all patients who underwent
      coronary angiography in the Cardiology Service of Eskişehir City Hospital, the sample was
      calculated using the G-Powr 3.1 program and it was found appropriate to include 79 people in
      each group with a 95% CI 90% power. The "Simple Randomization Method" will be used to divide
      the individuals who agree to participate in the research into the experimental and control
      groups. Since the individuals in the sample group will share the same environment, the
      experimental group will be included in data collection on even days and the control group on
      odd days. A "Diagnostic Form" will be filled in for all patients in the sample, their vital
      signs will be evaluated, and the "State-Trait Anxiety Inventory" will be administered. For
      the patients in the experimental group; Before the coronary angiography procedure, training
      will be given by using the "Training Booklet" prepared by the researchers in line with the
      literature and the opinion of the specialist physician. After the coronary angiography
      procedure, the "State-Trait Anxiety Inventory" will be re-administered to the patients and
      their vital signs will be followed. In the control group; Before the coronary angiography
      procedure, verbal information will be given for the coronary angiography procedure within the
      scope of the routine procedure in the clinic, in line with the information in the patient
      consent form. After the procedure, the State-Trait Anxiety Inventory will be applied again.
      Vital signs will be monitored. The obtained data will be evaluated with appropriate
      statistical methods.

      As a result of the research, it is thought that the questions of whether the education given
      to the patients who will undergo coronary angiography have an effect on reducing the anxiety
      levels of the patients and have a positive effect on the vital signs values will be answered.

      Keywords: Coronary angiography, anxiety, vital signs, education, nursing, nursing care

      This research; The aim of this study was to evaluate the effect of the pre-procedural
      education given to the patients undergoing coronary angiography on the anxiety level and
      vital signs of the patients.

      Research Questions;

        -  Does the training given to the patients who will undergo coronary angiography have an
           effect on the anxiety level of the patients?

        -  Does the training given to the patients who will undergo coronary angiography have a
           positive effect on the vital signs of the patients?

The Anxiety Level and the Effect on Vital Signs of the Education Given to the Patients Who Will Be Applied Coronary Angiography

"State-Trait Anxiety Inventory" will be applied to the patient in the experimental group before the coronary angiography procedure. Then, coronary angiography information training will be given using the Coronary Angiography Training Guide tool. After the angiography procedure, "State-Trait Anxiety Inventory" will be applied again. State-Trait Anxiety Inventory: The inventory includes two separate scales consisting of a total of forty items (twenty items in each scale). For both scales; 0-19 points (absent), 20-39 points (mild), 40-59 points (moderate), 60-79 points (severe), 80 points and above are considered as very severe panic. Both scales have direct and reversed statements. In the State Anxiety Inventory, there are ten in total (1, 2, 5, 8, 10, 11, 15, 16, 19, 20) and in the Trait Anxiety Inventory seven (21, 26, 27, 30, 33, 36, 39) There are reversed statements.

The blood pressure (mm-Hg) of the patient in the experimental group before the coronary angiography procedure will be measured and recorded by the nurse. Afterwards, coronary angiography information training will be given audio-visual using the Coronary Angiography Training Guide tool. The patient will be prepared for the coronary angiography procedure. After the coronary angiography procedure, the patient's blood pressure (mm-Hg) will be measured and recorded by the nurse. Pre- and post-procedure scores will be evaluated using appropriate statistical methods. The blood pressure value that is considered normal is 120/80 mm-Hg, with an upper limit of 139/89 mm-Hg.

Before the coronary angiography procedure of the patient in the experimental group, the heart rate (beats/min) will be measured and recorded by the nurse. Afterwards, coronary angiography information training will be given as audio-visual using the Coronary Angiography Training Guide tool. The patient will be prepared for the coronary angiography procedure. After the coronary angiography procedure, the patient's heart rate (beats/min) will be measured and recorded by the nurse. Pre- and post-procedure scores will be evaluated with appropriate statistical methods. The normal range of pulse rate; 60-100 beats/min.

The respiratory rate (respiratory rate/min) of the patient in the experimental group before the coronary angiography procedure will be measured and recorded by the nurse. Later, coronary angiography information training will be given audio-visual using the Coronary Angiography Training Guide tool. The patient will be prepared for the coronary angiography procedure. After the coronary angiography procedure, the patient's respiratory rate (respiratory rate/min) will be measured and recorded by the nurse. Pre- and post-procedure scores will be evaluated using appropriate statistical methods. The normal range of respiratory rate; 12-20 ventilation/min.

Before the coronary angiography procedure of the patient in the experimental group, the body temperature (°C) will be measured and recorded by the nurse. Afterwards, coronary angiography information training will be given as audio-visual using the Coronary Angiography Training Guide tool. The patient will be prepared for the coronary angiography procedure. After the coronary angiography procedure, the patient's body temperature (°C) will be measured and recorded by the nurse. Pre- and post-procedure scores will be evaluated using appropriate statistical methods. The range of body temperature considered normal; 36°C - 38°C

Before the coronary angiography procedure of the patient in the experimental group, the oxygen saturation (SpO2) will be measured and recorded by the nurse. Afterwards, coronary angiography information training will be given as audio-visual using the Coronary Angiography Training Guide tool. The patient will be prepared for the coronary angiography procedure. After the patient's coronary angiography procedure, the oxygen saturation (SpO2) will be measured and recorded by the nurse. Pre- and post-procedure scores will be evaluated using appropriate statistical methods. Oxygen saturation (SpO2) is within the considered normal range; 93-100 SpO2.

Asst.Prof.Dr.

It is the form prepared by the researchers in line with the literature information and the opinion of the specialist physician was taken. It contains information about coronary artery disease, what to do before coronary angiography procedure and what kind of situations await individuals after the procedure.

Effect of the Education Given to the Patients Who Will Be Applied Coronary Angiography

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status