The Effect of Cold Spray Applied Before Local Anesthesia on Anxiety and Pain in Coronary Angiography Procedure: A Randomized Controlled Study.

IF 1.6 4区 医学 Q2 NURSING Journal of Perianesthesia Nursing Pub Date : 2024-12-20 DOI:10.1016/j.jopan.2024.09.001
Özkan Sir, Ebubekir Kaplan, Tayyar Akbulut
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Abstract

Purpose: Cardiovascular diseases are a leading cause of morbidity and mortality worldwide. Clinically, various techniques are used to diagnose coronary artery diseases. Coronary angiography is considered the gold standard for the diagnosis of coronary artery disease. The aim of this study is to determine the effect of cold spray applied before local anesthesia on pain and anxiety during coronary angiography procedures.

Design: The study was designed as a randomized controlled trial.

Methods: The study was conducted in the angiography unit of a training and research hospital between January and March 2023. Data collection tools included a patient information form, Visual Analog Scale, and State-Trait Anxiety Inventory.

Results: When the total mean scores of the Visual Analog Scale of the individuals in the intervention and control groups were examined, a statistically significant difference was found between the mean scores of the patients in the intervention group and the control group (P < .05). A significant difference was found between the individuals in the intervention and control groups in terms of the total scores of the state anxiety scale after cold spray (P < .001), with the mean scores of the control group higher than the intervention group.

Conclusions: The application of cold spray before local anesthesia in coronary angiography significantly reduced pain and anxiety levels.

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局麻前冷喷雾对冠状动脉造影焦虑和疼痛的影响:一项随机对照研究。
目的:心血管疾病是世界范围内发病率和死亡率的主要原因。临床上,各种技术被用于诊断冠状动脉疾病。冠状动脉造影被认为是诊断冠状动脉疾病的金标准。本研究的目的是确定局部麻醉前使用冷喷雾对冠状动脉造影过程中疼痛和焦虑的影响。设计:本研究设计为随机对照试验。方法:研究于2023年1 - 3月在某培训研究型医院血管造影科进行。数据收集工具包括患者信息表、视觉模拟量表和状态-特质焦虑量表。结果:干预组患者与对照组患者的视觉模拟量表总平均分比较,干预组患者的平均分与对照组患者的平均分差异有统计学意义(P)。结论:局部麻醉前应用冷喷雾可显著降低冠状动脉造影患者的疼痛和焦虑水平。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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