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Park and Choi: Factors Predicting Patient Discomfort after Coronary Angiography
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2009; 39(6): 860-867.

Published online: 31 December 2009

DOI: https://doi.org/10.4040/jkan.2009.39.6.860

Factors Predicting Patient Discomfort after Coronary Angiography

Ae Ran Park1, Ja Yun Choi2

1Head Nurse, St. Garollo Hospital, Suncheon, Korea.

2Associate Professor, College of Nursing, Chonnam National University · Chonnam Research Institute of Nursing Science, Gwangju, Korea.

Address reprint requests to: Choi, Ja Yun. College of Nursing, Chonnam National University, 5 Hak-dong, Dong-gu, Gwangju 501-190, Korea. Tel: 82-62-220-4343, Fax: 82-62-225-3307, Choijy@jnu.ac.kr

Received 11 March 2009       Accepted 24 November 2009

Copyright © 2009 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to identify the factors that predict discomfort after coronary angiography or percutaneous coronary intervention (PCI) among hospitalized patients.

Methods

A total of 203 patients who underwent coronary angiography or PCI were recruited from C hospital located in S city, J province, from June through August 2008. The level of discomfort was measured and standardized by two instruments, discomfort questionnaire and the Visual Analogue Scale (VAS).

Results

Stepwise multiple regression showed that the factors predicting the level of discomfort were type of angiography, gender, previous angiography, dysuria, pre-information, and sleep satisfaction, which together explained 30.6% of the total variance of the level of discomfort.

Conclusion

Patients who had previous experience with these procedures, received a pre-information about the upcoming procedure, had no dysuria, and had slept well after the procedure were less likely to complain discomfort. Pre-informed education should be given by nurses to patients who will have an angiography or PCI to reduce their physical and emotional discomforts.

Keywords: Affective symptoms, Precipitating factors, Coronary angiography

Figures and Tables

Table 1
Level of Discomfort according to Discontinuous Variables (N=203)
jkan-39-860-i001

BMI=body mass index; MI=myocardiac infarction; AP=angina pectoris; UAP=unstable angina pectoris; CAG=coronary angiography; PTCA= percutaneous coronary angioplasty; ABR=absolute bed rest.

Table 2
Correlation of Discomfort with Continuous Variables (N=203)
jkan-39-860-i002

ABR=absolute bed rest.

Table 3
Factors Predicting Discomfort after Coronary Angiography (N=203)
jkan-39-860-i003

Notes

This article is based on a part of the first author's master's thesis from Chonnam National University.

This study was financially supported by Chonnam Research Institute of Nursing Science.

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