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Showing 5 results for Coronary Angioplasty
Fatemeh Bahramnezhad, , , , , ,
Volume 1, Issue 2 (9-2012)
Abstract
Aim. The aim of this study was to compare the quality of life (QOL) in patients after coronary artery bypass graft surgery (CABG) and percutaneous transluminal coronary angioplasty(PTCA), before surgery and three, six and twelvemonths after surgery. Background.CABG and PTCA are common treatments in coronary artery disease(CAD). After PTCA the patient is hospitalized only for one day and pays less than CABG,but it is not obviouswhether there is any difference between the quality of life in these two groups. Method.This prospective cohort study was conducted on 241 patients (115 PTCA and 126 CABG patients) who were hospitalized in Tehran University of Medical Sciences hospitals between 2004-2006. The data were collected by questionnaire including 40 questions regarding demographic data, disease information and quality of life. The data were analyzed by statistical tests including T- test, Fisher's exact test, Wilcoxon and Friedman. Findings.The findings showed that both groups hadreduction in the quality of life(P≤0.001), but the QOL had statistically significant difference in both groups three, six and twelve months after surgery (P≤0.001). Conclusion.Patients and their families need to be supported and trained by health care team after performing each of these surgeries and encouraged to follow up their disease status.
Atefeh Allahbakhshian, Hadi Hasankhani, Eesa Mohammadi, Vahid Zamanzadeh, Samad Ghafari, ,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study is to clarify the perception and experience of life in Iranian patients after angioplasty. Background.Regarding the high prevalence of coronary artery disease and increasing number of patients in Iran, and widespread use of medical procedures such as angioplasty for the treatment and due to multiple challenges during the post-treatment which affect different dimensions of lives of patients, an in-depth understanding of the experiences of patients plays a significant role in improving the quality of their lives. Method. Qualitative approach with content analysis method was used to conduct the study. Purposeful sampling was used to recruit 20 patients who had experienced angioplasty. Data were collected through semi-structured interviews. The interviews were analyzed using qualitative content analysis method. Findings. During the process of data analysis, four themes reflected the experience and dimensions of life in patients after angioplasty, which included “rebirth, another opportunity”, “revising lifestyle”, “deciding to modify lifestyle” and “the use of available social support resources”. Conclusion.The results of this study will enhance our understanding of patients' experiences and this, in turn, can guide health care system to support patient care and planning to promote care and unique counseling programs along with understanding of the real needs of the patients.
Zhra Yousefi, Kobra Rahzani, Korosh Rezaei, Kianoosh Hoseini,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. This study was conducted to examine the effect of deep and slow breathing on pain and pain outcomes during arterial sheath removal after undergoing coronary angioplasty.
Background. During the last 30 years, coronary angioplasty has been the most common method for management of coronary artery stenosis. Lack of control or treatment of the pain caused by arterial sheath removal may have some consequences, most notably increased heart rate and blood pressure in patients.
Method. This is a clinical trial study conducted on 60 patients undergoing coronary angioplasty, hospitalized between April and August 2015 in the catheterization laboratory of Shariati hospital, Tehran, Iran. Patients were divided into two groups using random number table. The intervention was slow, deep breathing techniques by inhale and exhale ratio of 4 to 6. Data were analyzed using SPSS.
Findings. Immediately and 5 minutes after sheath removal, the average pain score in the intervention group was significantly lower rather than control group (P<0.05). There was no statistically significant difference between groups in terms of blood pressure and heart rate average. The average number of vasovagal attack was significantly different between the groups. The average number of vascular complications was not significantly different between intervention and control group.
Conclusion. The use of slow and deep breathing and relaxation technique is effective on pain management and the incidence of vasovagal attacks after arterial sheath removal, and can be used as an easy and safe method to decrease patients’ discontent caused by pain.
Mehdi Ghanbari, Mohammad Iraj Bagheri Saveh, Daem Roshani, Kamal Salehi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of self-management program on major advers cardiac complications of coronary angioplasty in patients referred to Tohid Hospital in Sanandaj, Iran, in 2018.
Background. Coronary artery disease is the leading cause of death in people over 35 years of age in Iran. Coronary angioplasty is one of the most successful treatment techniques in people with coronary artery disease with some unwanted cardiac complications. Reducing these complications is one of the important goals of health care systems.
Method. This was a quasi-experimental study that was conducted on 101 people with coronary artery disease undergoing angioplasty. The samples were selected by convenience sampling method based on inclusion criteria, and then randomly assigned to the experimental (n=51) and control (n=50) group. Data collection tools included a demographic information questionnaire and a checklist of coronary angioplasty complications. The intervention was implemented in sessions of 45 to 60 minutes duration three times per week in the presence of a family member and a copy was handed in. This intervention was continued for six months in the experimental group. During intervention period, the patient’s condition and the implementation of the self-management program were followed up by phone. The control group received only routine care and the experimental group received both routine care and self-management program. Cardiac complications were assessed in the first, third and sixth months following intervention. Data were analyzed in SPSS version 21 using Chi-square, t-test and generalized estimation equations.
Findings. The groups were homogenous in terms of age, gender, marital status, level of education, place of residence, employment status, body mass index, number of children, history of hyperlipidemia, history of diabetes, history of hypertension, history of alcohol consumption, history of heart attack, and type of artery involved. Generalized estimation equations showed that after intervention, the rate of complications of target vessel revascularization (P=0.04), second coronary angioplasty, (P=0.005) and coronary artery bypass graft surgery (P=0.003) were significantly different between the control and experimental groups. However, there were no statistically significant difference between groups in terms of recurrent angina complications (P=0.066), myocardial infarction (P=0.069) and death (P=0.019).
Conclusion. The implementation of self-management program can reduce complications after coronary artery angioplasty. It is recommended for nurses to apply self-management programs and follow-up after discharge for this group of patients.
Farzaneh Mehrvarz, Shiva Khaleghparast, Majid Maleki, Dr. Ali Zahedmehr, Saeideh Mazloomzadeh, Bahram Mohebbi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study aimed to examine the effect of education about anti-platelet drugs consumption through telephone follow-up on medication adherence in patients with coronary angioplasty.
Background. Regarding the necessity of proper use of antiplatelet drugs after coronary angioplasty, adherence to treatment is of great importance, and it is considered as one of the major concerns.
Method. This quasi-experimental study was conducted on 392 patients with percutaneous coronary intervention. The patients were divided into two experimental (telephone fallow-up) and control (without telephone fallow-up) group for one year. Adherence to treatment was assessed using the Morisky Medication Adherence Scale before and after percutaneous coronary intervention. Data were analyzed using t-test, chi-square and linear regression model in SPSS software.
Findings. The mean age of patients was 61.71±10.28 years in the experimental group and 60.72±11.14 years in the control group. Changes in the mean score of medication adherence was 53.09±1.37 in the experimental group and 18.09±1.30 in the control group, indicating a statistically significant increase in medication adherence in the experimental group compared with the control group (P=0.001). Non-use of anticoagulants in the experimental group increased until the end of the sixth month of telephone follow-up and then, decreased until the end of the twelfth month of follow-up.
Conclusion. Since changes in the mean score of adherence to medication in the experimental and control groups was significant, it is recommended that follow-up interventions in patients be continued continuously for at least one year.
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