Designing and evaluating a mobile app to assist patients undergoing coronary angiography and assessing its impact on anxiety, stress levels, and self-care.
Angiography
Anxiety
Mobile application
Self-care
Stress
Journal
BMC medical informatics and decision making
ISSN: 1472-6947
Titre abrégé: BMC Med Inform Decis Mak
Pays: England
ID NLM: 101088682
Informations de publication
Date de publication:
08 Oct 2024
08 Oct 2024
Historique:
received:
24
09
2023
accepted:
30
09
2024
medline:
9
10
2024
pubmed:
9
10
2024
entrez:
8
10
2024
Statut:
epublish
Résumé
Coronary artery disease is one of the leading causes of death and disability worldwide. Coronary angiography is a diagnostic procedure used to detect atherosclerosis. Patients typically experience anxiety and stress before and during the angiography procedure. Furthermore, self-care ability is crucial following angiography. This study aims to describe the design and evaluation of a mobile application focusing on stress, anxiety, and self-care abilities in patients undergoing coronary angiography. The researchers developed a mobile application for patients undergoing angiography. The application provides information about angiography and tips for enhancing self-care following the procedure. An interventional study was conducted on 70 patients admitted to the angiography ward in hospitals in Kerman, Iran, between 2022 and 2023. The participants were randomly divided into two groups: control and intervention. The interventional group received the intervention application the night before angiography. Two groups completed the Anxiety and Stress Questionnaire (DAS) and Kearney-Flescher Self-Care Survey before the intervention. The researchers used questionnaires that had been prepared and previously utilized in other studies. The two groups completed the anxiety and stress questionnaire within three to six hours and the self-care questionnaire one month after angiography. SPSS 15 software was used for data analysis, with a significance level set at 0.05. The study found that the majority of participants were women. Before the study, there was no significant difference between the two groups in terms of anxiety, stress, and self-care scores. However, after the study, the intervention group showed a significant decrease in average anxiety and stress scores (p < 0.001). Additionally, compared to the control group, the intervention group demonstrated significant improvement in average self-care score (p < 0.001). According to this study, AP can be effective in influencing the anxiety, stress levels, and self-care ability of patients who undergo coronary angiography. It can help to reduce stress and anxiety while increasing self-care. Instructive software is user-friendly, cost-effective, and can be recommended by nurses and doctors.
Sections du résumé
BACKGROUND
BACKGROUND
Coronary artery disease is one of the leading causes of death and disability worldwide. Coronary angiography is a diagnostic procedure used to detect atherosclerosis. Patients typically experience anxiety and stress before and during the angiography procedure. Furthermore, self-care ability is crucial following angiography.
AIM
OBJECTIVE
This study aims to describe the design and evaluation of a mobile application focusing on stress, anxiety, and self-care abilities in patients undergoing coronary angiography.
METHOD
METHODS
The researchers developed a mobile application for patients undergoing angiography. The application provides information about angiography and tips for enhancing self-care following the procedure. An interventional study was conducted on 70 patients admitted to the angiography ward in hospitals in Kerman, Iran, between 2022 and 2023. The participants were randomly divided into two groups: control and intervention. The interventional group received the intervention application the night before angiography. Two groups completed the Anxiety and Stress Questionnaire (DAS) and Kearney-Flescher Self-Care Survey before the intervention. The researchers used questionnaires that had been prepared and previously utilized in other studies. The two groups completed the anxiety and stress questionnaire within three to six hours and the self-care questionnaire one month after angiography. SPSS 15 software was used for data analysis, with a significance level set at 0.05.
RESULTS
RESULTS
The study found that the majority of participants were women. Before the study, there was no significant difference between the two groups in terms of anxiety, stress, and self-care scores. However, after the study, the intervention group showed a significant decrease in average anxiety and stress scores (p < 0.001). Additionally, compared to the control group, the intervention group demonstrated significant improvement in average self-care score (p < 0.001).
CONCLUSION
CONCLUSIONS
According to this study, AP can be effective in influencing the anxiety, stress levels, and self-care ability of patients who undergo coronary angiography. It can help to reduce stress and anxiety while increasing self-care. Instructive software is user-friendly, cost-effective, and can be recommended by nurses and doctors.
Identifiants
pubmed: 39379898
doi: 10.1186/s12911-024-02703-z
pii: 10.1186/s12911-024-02703-z
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
292Informations de copyright
© 2024. The Author(s).
Références
Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. J Am Coll Cardiol. 2020;76(25):2982–3021.
doi: 10.1016/j.jacc.2020.11.010
pubmed: 33309175
pmcid: 7755038
Khan MA, Hashim MJ, Mustafa H, Baniyas MY, Al Suwaidi SKBM, AlKatheeri R et al. Global epidemiology of ischemic heart disease: results from the global burden of disease study. Cureus. 2020;12(7).
Garavand A, Rabiei R, Emami H. Design and Development of a Hospital-Based Coronary Artery Disease (CAD) Registry in Iran. BioMed Research International. 2023;2023.
Mobini-Bidgoli M, Taghadosi M, Gilasi H, Farokhian A. The effect of hand reflexology on anxiety in patients undergoing coronary angiography: a single-blind randomized controlled trial. Complement Ther Clin Pract. 2017;27:31–6.
doi: 10.1016/j.ctcp.2017.01.002
pubmed: 28438277
Kolkailah AA, Alreshq RS, Muhammed AM, Zahran ME, El-Wegoud MA, Nabhan AF. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Reviews. 2018(4).
He CJ, Zhu CY, Han B, Hu HZ, Wang SJ, Zhai CL, et al. Association between anxiety and clinical outcomes in Chinese patients with myocardial infarction in the absence of obstructive coronary artery disease. Clin Cardiol. 2020;43(7):659–65.
doi: 10.1002/clc.23386
pubmed: 32515510
pmcid: 7368297
Lieber AC, Bose J, Zhang X, Seltzberg H, Loewy J, Rossetti A, et al. Effects of music therapy on anxiety and physiologic parameters in angiography: a systematic review and meta-analysis. J Neurointerventional Surg. 2019;11(4):416–23.
doi: 10.1136/neurintsurg-2018-014313
Chandrababu R, Rathinasamy EL, Suresh C, Ramesh J. Effectiveness of reflexology on anxiety of patients undergoing cardiovascular interventional procedures: a systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2019;75(1):43–53.
doi: 10.1111/jan.13822
pubmed: 30109722
Bidgoli MM, Taghadosi M, Gilasi H, Farokhian A. The effect of sukha pranayama on anxiety in patients undergoing coronary angiography: a single-blind randomized controlled trial. J Cardiovasc Thorac Res. 2016;8(4):170.
doi: 10.15171/jcvtr.2016.34
Barari L, Darabiyan M, Eskandarian R, Ghods A. Anxiety levels in patients candidate for coronary artery angiography. Koomesh. 2024;21(3):437–43.
Assari S, Zandi H, Ahmadi K, Saleh DK. Extent of coronary stenosis and anxiety symptoms among patients undergoing coronary angiography. J Tehran Univ Heart Cent. 2017;12(4):155.
Keshvari M, Yeganeh MR, Paryad E, Roushan ZA, Pouralizadeh M. The effect of virtual reality distraction on reducing patients’ anxiety before coronary angiography: a randomized clinical trial study. Egypt Heart J. 2021;73:1–8.
doi: 10.1186/s43044-021-00224-y
Riegel B, Moser DK, Buck HG, Dickson VV, Dunbar SB, Lee CS, et al. Self-care for the prevention and management of cardiovascular disease and stroke: a scientific statement for healthcare professionals from the American Heart Association. J Am Heart Association. 2017;6(9):e006997.
doi: 10.1161/JAHA.117.006997
Peiris D, Praveen D, Mogulluru K, Ameer MA, Raghu A, Li Q, et al. SMARThealth India: a stepped-wedge, cluster randomised controlled trial of a community health worker managed mobile health intervention for people assessed at high cardiovascular disease risk in rural India. PLoS ONE. 2019;14(3):e0213708.
doi: 10.1371/journal.pone.0213708
pubmed: 30913216
pmcid: 6435227
Coran P, Goldsack JC, Grandinetti CA, Bakker JP, Bolognese M, Dorsey E, et al. Advancing the use of mobile technologies in clinical trials: recommendations from the clinical trials transformation initiative. Digit Biomarkers. 2020;3(3):145–54.
doi: 10.1159/000503957
Beatty AL, Magnusson SL, Fortney JC, Sayre GG, Whooley MA. VA FitHeart, a mobile app for cardiac rehabilitation: usability study. JMIR Hum Factors. 2018;5(1):e8017.
doi: 10.2196/humanfactors.8017
Khodaminasab A, Reisi M, Vahedparast H, Tahmasebi R, Javadzade H. Utilizing a health-promotion model to predict self-care adherence in patients undergoing coronary angioplasty in Bushehr, Iran. Patient preference and adherence. 2019:409 – 17.
Kolahi Z, Zandi M, Esmaeili R, Khoob MK. Effect of Angiography Room Orientation Tour on anxiety of patients awaiting cerebrovascular angiography. Adv Nurs Midwifery. 2020;29(2).
Salari A, Ashouri A, Moghtader AJ, Ahmadnia Z, Alizadeh I. The relationship between depression symptoms and severity of coronary artery disease in patients undergoing angiography. Iran J Psychiatry. 2020;15(4):370.
pubmed: 33240388
pmcid: 7610074
Mei Z, Lei K. Angina self-management plan and quality of life, anxiety and depression in Post Coronary Angioplasty patients. Ethiop J Health Dev. 2023;37(1).
Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression anxiety stress scales (DASS) with the Beck Depression and anxiety inventories. Behav Res Ther. 1995;33(3):335–43.
doi: 10.1016/0005-7967(94)00075-U
pubmed: 7726811
Allabadi H, Alkaiyat A, Alkhayyat A, Hammoudi A, Odeh H, Shtayeh J, et al. Depression and anxiety symptoms in cardiac patients: a cross-sectional hospital-based study in a Palestinian population. BMC Public Health. 2019;19:1–14.
doi: 10.1186/s12889-019-6561-3
Shea TL, Tennant A, Pallant JF. Rasch model analysis of the Depression, anxiety and stress scales (DASS). BMC Psychiatry. 2009;9(1):1–10.
doi: 10.1186/1471-244X-9-21
Su JJ, Yu DSF. Effectiveness of eHealth cardiac rehabilitation on health outcomes of coronary heart disease patients: a randomized controlled trial protocol. BMC Cardiovasc Disord. 2019;19(1):1–10.
doi: 10.1186/s12872-019-1262-5
Li X, Shek DT, Shek EY. Psychological morbidity among university students in Hong Kong (2014–2018): psychometric properties of the depression anxiety stress scales (DASS) and related correlates. Int J Environ Res Public Health. 2021;18(16):8305.
doi: 10.3390/ijerph18168305
pubmed: 34444053
pmcid: 8393391
Lovell GP, Huntsman A, Hedley-Ward JJN, Sciences H. Psychological distress, depression, anxiety, stress, and exercise in a ustralian and N ew Z ealand mothers: a cross‐sectional survey. 2015;17(1):42–8.
Marijanović I, Kraljević M, Buhovac T, Cerić T, Abazović AM, Alidžanović J, et al. Use of the Depression, anxiety and stress scale (DASS-21) questionnaire to assess levels of depression, anxiety, and stress in healthcare and administrative staff in 5 oncology institutions in Bosnia and Herzegovina during the 2020 COVID-19 pandemic. Med Sci Monitor: Int Med J Experimental Clin Res. 2021;27:e930812–1.
doi: 10.12659/MSM.930812
Kearney BY, Fleischer BJ. Development of an instrument to measure exercise of self-care agency. Res Nurs Health. 1979;2(1):25–34.
doi: 10.1002/nur.4770020105
pubmed: 254279
Yildiz FT, Kaşikçi M. Impact of training based on Orem’s theory on self-care agency and quality of life in patients with coronary artery disease. J Nurs Res. 2020;28(6):e125.
doi: 10.1097/JNR.0000000000000406
Tabas EE, Sarani H, Faghihi H, Nezamjoo Z. Comparing the impact of three follow-up methods (telephone, educational booklet, and SMS) on self-care ability of patients with acute coronary syndrome: a quasi-experimental study. Medical-Surgical Nurs J. 2020;9(1).
Moradi A, Moeini M, Sanei H. The effect of interactive text message follow-up on health promoting lifestyle of patients with acute coronary syndrome. Iran J Nurs Midwifery Res. 2017;22(4):287.
doi: 10.4103/ijnmr.IJNMR_89_16
pubmed: 28904541
pmcid: 5590358
Karakurt P, Kasimoğlu N, Bahçeli A, Başkan SA, Ağdemir B. The effect of activities of daily living on the self-care agency of patients in a cardiovascular surgery clinic. J Vasc Nurs. 2017;35(2):78–85.
doi: 10.1016/j.jvn.2016.10.004
pubmed: 28527731
Gökçe E, Arslan S. Possible effect of video and written education on anxiety of patients undergoing coronary angiography. J PeriAnesthesia Nurs. 2019;34(2):281–8.
doi: 10.1016/j.jopan.2018.06.100
Hu J, Ren J, Zheng J, Li Z, Xiao XJCN. A quasi-experimental study examining QR code-based video education program on anxiety, adherence, and satisfaction in coronary angiography patients. 2020;56(5–6):428–40.
Torabizadeh C, Rousta S, Gholamzadeh S, Kojouri J, Jamali K, Parvizi MM. Efficacy of education delivery through multimedia and text messaging on the psychological parameters of patients scheduled for coronary angiography: a single-blind randomized controlled clinical trial. BMC Cardiovasc Disord. 2021;21(1):1–9.
doi: 10.1186/s12872-020-01820-7
Sajadi SA, Farsi Z. Comparing the effect of peer education and orientation tour on the stress of patients candidate for coronary angiography in selected hospital of Aja University of Medical Sciences. Nurs Midwifery J. 2015;12(12):1119–27.
Sayadi L, Varaei S, Faghihzadeh E, Ahmadkhani Z. The effects of multimedia education on anxiety and physiological status among patients with cerebral angiography: a randomized controlled clinical trial. Nurs Pract Today. 2018;5(4):375–84.
Khademian F, Aslani A, Bastani P. The effects of mobile apps on stress, anxiety, and depression: overview of systematic reviews. Int J Technol Assess Health Care. 2021;37(1):e4.
doi: 10.1017/S0266462320002093
Kawadler JM, Hemmings NR, Ponzo S, Morelli D, Bird G, Plans D. Effectiveness of a smartphone app (BioBase) for reducing anxiety and increasing mental well-being: pilot feasibility and acceptability study. JMIR Formative Res. 2020;4(11):e18067.
doi: 10.2196/18067
Paalimäki-Paakki K, Virtanen M, Henner A, Nieminen MT, Kääriäinen M. Effectiveness of digital counseling environments on anxiety, depression, and adherence to treatment among patients who are chronically ill: systematic review. J Med Internet Res. 2022;24(1):e30077.
doi: 10.2196/30077
pubmed: 34989681
pmcid: 8778552
Shohani M, Amoozadeh MH. The effect of educational program on self-care behaviors of candidates for coronary artery angiography. J Nurs Midwifery Sci. 2021;8(3):171.
doi: 10.4103/JNMS.JNMS_100_20