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Dissertation
Anxiety trends in patients awaiting invasive cardiac procedures in the outpatient preprocedural unit
Doctor of Nursing Practice (D.N.P.), Drexel University
Mar 2013
DOI:
https://doi.org/10.17918/etd-6142
Abstract
BACKGROUND: Cardiovascular disease (CVD) is associated with life threatening conditions. Invasive cardiac procedures that are used for diagnosis and treatment of CVD provoke anxiety. Hence, individuals waiting to undergo invasive cardiac procedures may experience cardiac anxiety (CA), state anxiety (SA), and/or trait anxiety (TA). A high level of anxiety exemplifies the complexity of psychosomatic and physiological effects that influence the outcome of cardiac procedures and the treatment and prognosis of CVD. This study addressed the gap in evaluating the level of the preprocedural anxiety (CA, SA, and TA) and determined the difference in CA, SA, and TA in male and female patients admitted for invasive cardiac procedures so that the specific anxiety could be identified and properly treated and managed. DESIGN: A cross-sectional descriptive study design was used. A study sample of 92 patients who met the inclusion criteria were recruited from 113 consecutive patients admitted in an outpatient preprocedural unit for invasive cardiac procedure. METHODS: On procedure day, the participants filled out the Cardiac Anxiety Questionnaire-Revised (CAQ-R), Spielberger State-Trait Anxiety Inventory form -Y (STAI-Y), and the Demographic Data Form while waiting in the outpatient preprocedural unit. RESULTS: ANCOVA analysis revealed that there was no significant difference in CA, SA, or TA between male and female patients. A significant difference was found in SA in participants with and without heart disease and in CA in patients with and without a history of HTN. However, Pearson correlation (r) analyses showed significant correlation among the three variables: A moderate correlation between SA and TA (r = 0.55; p < .05); and a fair correlation between CA and SA (0.22) and between CA and TA (0.25). A stepwise regression analysis revealed that annual income was the most significant predictor of CA, a history of heart disease of SA, and no predictors contributed to TA. CONCLUSION: Participants with TA demonstrated significant SA, and those with low income and a diagnosis of heart disease had significant CA.
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Details
- Title
- Anxiety trends in patients awaiting invasive cardiac procedures in the outpatient preprocedural unit
- Creators
- Binu Shajimon - DU
- Contributors
- Heyward Michael Dreher (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6142; 991014632694704721