Coronary Artery Disease, Muscle Relaxation
Conditions
Keywords
Anxiety, coronary angiography, patient comfort, progressive relaxation exercise, vital signs
Brief summary
This study aimed to examine the effect of relaxation exercise applied to patients who will undergo elective coronary angiography (CAG) for the first time, on their vital signs, anxiety and comfort levels. The main questions it aims to answer are: 1. Does progressive relaxation exercises affect CAG patients' vital signs. 2. Does progressive relaxation exercises affect CAG patients' anxiety levels. 3. Does progressive relaxation exercises affect CAG patients' comfort levels. Researchers will compare the intervention group with the control group to see if relaxation exercise is effective. Before coronary angiography, patients will undergo a relaxation exercise once. Vital signs, comfort and anxiety level will be evaluated before and after angiography.
Detailed description
Coronary angiography (CAG) is considered the gold standard in determining coronary anatomy. And it is used very frequently in the diagnosis and treatment of coronary artery disease. CAG, which is an invasive procedure, causes anxiety in patients undergoing the procedure. Anxiety leads to negative consequences in vital signs such as increased blood pressure, pulse and respiration rate, and pain intensity. Pain, anxiety and many factors that develop due to invasive procedures such as angiography also reduce the comfort level of patients. Reducing anxiety and pain, preventing negativities in vital signs, and increasing comfort contribute to the success of the procedure, the patient's level of well-being, and satisfaction with health care services. This study aimed to determine the effect of progressive relaxation exercise on patients' vital signs, anxiety and comfort levels in patients undergoing angiography.
Interventions
BEHAVIORALProgressive muscle relaxation
This intervention consists of two parts. The first part gives short information about the content and how exercises should be done. It consists of information about deep relaxation. In the second part, there are relaxation exercises accompanied. Both the briefing and the intervention lasted 30 minutes for each patient.
Sponsors
Ankara Yildirim Beyazıt University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* undergo CAG for the first time * has a chest score of 5 or less on the pain scale * has no history of mental disorder according to medical records * is able to communicate
Exclusion criteria
* Admission to the intensive care unit after the CAG procedure * starting analgesic or perlinganit infusion * wanting to quit the research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State Anxiety Scale | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The State Anxiety Scale (SAS) shows how an individual feels under certain circumstances at certain times. It consists of 20 items rated on a four-point Likert-type scale (1: none to 4: all). The total score ranges from 20 to 80, with higher scores indicating more anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Vital Signs Follow-up (for blood pressure) | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Vital Signs Follow-up Chart was developed by the researchers to record the parameters of blood pressure. |
| The Vital Signs Follow-up (for pulse) | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Vital Signs Follow-up Chart was developed by the researchers to record the parameters of pulse. |
| The Vital Signs Follow-up (for respiration) | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Vital Signs Follow-up Chart was developed by the researchers to record the parameters of respiration. |
| The General Comfort Scale Short Form | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The General Comfort Scale Short Form assesses how comfortable an individual feels at the moment. The form consists of 28 items rated on a six-point Likert-type scale (1=strongly disagree to 6=strongly agree). The total score ranges from 28 to 168, with higher scores indicating higher levels of comfort. |
| The Vital Signs Follow-up (for body temperature) | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Vital Signs Follow-up Chart was developed by the researchers to record the parameters of body temperature. |
| The Visual Analog Scale | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Visual Analog Scale (VAS) is a 10 cm long horizontal or vertical line with anchor statements no pain or pain at its least at the left-most end and unbearable pain or worst pain imaginable at the right-most end. The VAS is scored on a scale of 0 to 10 (0 = no pain, 1-3 = mild pain, 4-7 moderate pain, 8-10 = severe pain). |
| The Vital Signs Follow-up (saturation) | First assessment; before intervention. Second assessment; immediately after the muscle exercise, immediately before the angiography. Third assessment; approximately 30 minute after the angiography. | The Vital Signs Follow-up Chart was developed by the researchers to record the parameters of saturation. |
Countries
Turkey (Türkiye)
Outcome results
None listed