Carroll, DL, Malecki-Ketchell, A and Astin, F (2017) Non-pharmacological interventions to reduce psychological distress in patients undergoing cardiac catheterization and coronary angiography: a rapid review. European Journal of Cardiovascular Nursing, 16 (2). pp. 92-103. ISSN 1474-5151
Abstract
Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient’s perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data were synthesized as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the three interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The European Society of Cardiology 2016. This is an author produced version of a paper published in European Journal of Cardiovascular Nursing. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Rapid review; Cardiac catheterization; Psychological distress; Procedural education; Relaxation techniques; Psychological preparation |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 16 Nov 2016 15:36 |
Last Modified: | 12 Apr 2017 06:02 |
Published Version: | https://doi.org/10.1177/1474515116670596 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/1474515116670596 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:107467 |