Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease.

Abstract

OBJECTIVE:

To study the effect of nurse-led counselling on the anxiety symptoms and the quality of life following percutaneous coronary intervention for stable coronary artery disease.

DESIGN:

Randomised control trial.

SETTING:

Rural and remote China.

PARTICIPANTS:

Rural and remote patients were consecutively recruited from a medical centre located in China between January and December 2014.

INTERVENTIONS:

The control group received standard pre-procedure information from a ward nurse on the processes of the hospitalisation and percutaneous coronary intervention, and post-procedural care. The intervention group received a structured 30-minute counselling session the day before and 24 hours after the percutaneous coronary intervention, by nurse consultants with qualifications in psychological therapies and counselling. The health outcomes were assessed by a SF-12 scale and the Seattle Angina Questionnaire at 6 and 12 months after percutaneous coronary intervention. The anxiety and depression symptoms were evaluated by a Zung anxiety and depression questionnaire.

MAIN OUTCOME MEASURES:

Cardiac outcomes, quality of life and mental health status.

RESULTS:

Eighty patients were randomly divided into control (n = 40) and intervention groups (n = 40). There was a significant increase in the scores of the three domains of Seattle Angina Questionnaire 12 months after percutaneous coronary intervention in the intervention group (P < .01). The mental health and physical health scores also increased (P < .01). In the control group, the mean scores of Zung self-rating anxiety scale 12 months following percutaneous coronary intervention were higher than the baseline scores, and higher than in the intervention group (P < .01).

CONCLUSIONS:

Counselling by a clinician qualified in psychological therapies and counselling significantly reduces anxiety symptoms and improves quality of life.

• Authors: Zongxia Chang, Ai-Qing Guo, Ai-Xia Zhou, Tong-Wen Sun, Long-le Ma, Fergus W Gardiner, Le-Xin Wang
• Journal: The Australian journal of rural health (Aust J Rural Health) Vol. 28 Issue 2 Pg. 124-131 (Apr 2020) ISSN: 1440-1584 [Electronic] Australia
• PMID: 31960537 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: © 2020 National Rural Health Alliance Ltd.

Topics

• Aged
• Anxiety (nursing)
• China (epidemiology)
• Coronary Artery Disease (surgery)
• Depression (nursing)
• Female
• Health Status
• Humans
• Male
• Mental Health
• Middle Aged
• Percutaneous Coronary Intervention (psychology)
• Psychosocial Intervention
• Quality of Life
• Rural Population
• Surveys and Questionnaires