Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease : a quasi-experimental study
Joint Authors
Sulaymani, Muhsin
Ghazvininejad,/Ghazvininejad, Razeyeh
Mahir, Muhammad Kazim
Ghorbani, Rahib
Muhidi, Ali Fakhr
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 17, Issue 9 (30 Sep. 2015), pp.1-10, 10 p.
Publisher
Publication Date
2015-09-30
Country of Publication
United Arab Emirates
No. of Pages
10
Main Subjects
Topics
Abstract EN
Background : Coronary artery diseases (CAD) are associated with psychological problems such as anxiety and depression in patients.
Thus, management of these problems can consider as an important intervention by health care workers, especially nurses.
Objectives : The purpose of this study was to investigate the effectiveness of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with CAD.
Patients and Methods: In this quasi-experimental study, 138 patients suffering from CAD in a coronary care unit of a referral teaching hospital affiliated to Semnan University of Medical Sciences in Semnan, Iran, were recruited using a convenience sampling method.
The participants were assigned to two groups: Clinical pathway (CP) and routine (RUT) care.
The level of anxiety and depression of patients were measured in admission and discharge in both groups.
Also, the level of patients’ satisfaction was measured at the time of discharge.
Data were analyzed using descriptive and inferential statistics.
Results : Prevalence rates of anxiety and depression in total of patients were 7.2% and 8.7%, respectively.
In terms of anxiety, the mean of difference between pretest and posttest scores in the CP group (0.52 ± 1.39) was higher compared to the RUT group (-0.17 ± 1.69) and there was a significant difference between the two group (P = 0.009).
In terms of depression, the mean of this difference in the CP group (0.75 ± 2.05) was higher compared to the RUT group (0.00 ± 1.08), as there was a significant difference between the two group (P = 0.024).
Also, the mean of patients’ satisfaction scores in the CP group (3.69 ± 0.39) was higher compared to the RUT group (3.45 ± 0.47) and there was a significant difference between the two groups (P = 0.002).
Conclusions : According to the positive effects of CP on patients with CADs, it can be considered as a useful, safe and simple instrument for the improvement of patients’ outcomes.
Thus, the findings of this study can provide a new insight in patient care for clinical nurses.
American Psychological Association (APA)
Muhidi, Ali Fakhr& Sulaymani, Muhsin& Ghazvininejad,; Ghazvininejad, Razeyeh& Mahir, Muhammad Kazim& Ghorbani, Rahib. 2015. Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease : a quasi-experimental study. Iranian Red Crescent Medical Journal،Vol. 17, no. 9, pp.1-10.
https://search.emarefa.net/detail/BIM-618662
Modern Language Association (MLA)
Sulaymani, Muhsin…[et al.]. Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease : a quasi-experimental study. Iranian Red Crescent Medical Journal Vol. 17, no. 9 (Sep. 2015), pp.1-10.
https://search.emarefa.net/detail/BIM-618662
American Medical Association (AMA)
Muhidi, Ali Fakhr& Sulaymani, Muhsin& Ghazvininejad,; Ghazvininejad, Razeyeh& Mahir, Muhammad Kazim& Ghorbani, Rahib. Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease : a quasi-experimental study. Iranian Red Crescent Medical Journal. 2015. Vol. 17, no. 9, pp.1-10.
https://search.emarefa.net/detail/BIM-618662
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 8-10
Record ID
BIM-618662