THE EFFECT OF SUPPORTIVE CARE PLAN: A NEW PROCESS OF NURSING CARE DELIVERY ON PHYSIOLOGICAL INDICATORS OF PATIENTS UNDERGOING CARDIAC CORONARY ANGIOGRAPHY

Admission to the hospital and waiting for the invasive procedures like coronary
angiography is an extraordinary source of anxiety that causes detrimental behavioral and cognitive
effects. This study aimed to determine the effect of pre-operative supportive care plan on physiological
indicators of patients undergoing coronary angiography in Urmia Seyed-Alshohada university hospital.
Materials & Methods: In this experimental study with pretest-posttest design, 124 patients undergoing
coronary angiography in Urmia Seyed-Alshohada university hospital who met the inclusion criteria
were randomly allocated into two groups as control and experimental. The control group received
conventional routine care but the experiment group received interventions based on nursing care plan
before angiography in addition to the normal cares. The patients’ anxiety score was measured through
Amsterdam Preoperative Anxiety and Information Scale (APAIS), their blood pressure measured by a
Richter mercury sphygmomanometer and a Litman stethoscope and their heart rate measured by a digital
pulse oximetry (Bitmos-Sat 805 Model). The collected data was analyzed by SPSS v.13 software using
descriptive and inferential statistics (independent t-test and Mann-Whitney U test).
Results: The results showed that the physiological indicators (anxiety scores, heart rate and blood
pressure of patients undergoing coronary angiography) in the experimental group was significantly less
than the control group (P<0.001).
Conclusion: It seems that supportive care plan before coronary angiography has considerable clinical
advantages and reduces the level of anxiety in patients undergoing coronary angiography significantly.
Therefore, it is recommended to apply the holistic nursing developed supportive care plan presented in
this study as a key to reduce the level of anxiety in patients undergoing coronary angiography