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The Effectiveness of Peer Group-Based Training on the Outcomes of Patients Undergoing Transradial Coronary
Ahmad Reza Dehghan1, Zhila Fereidouni1, Majid Najafi Kalyani2
1Fasa University of Medical Sciences, Fasa, Iran.
Insights
Peer group education effectively reduced anxiety in patients undergoing coronary angiography. This inexpensive, side-effect-free method is recommended for patient training alongside standard care.
Area of Science:
- Cardiology
- Patient Education
- Psychological Interventions
Background:
- Coronary artery disease diagnosis often involves radial artery angiography.
- This procedure can cause significant physical and psychological distress for patients.
- Effective patient education is crucial for managing procedural outcomes.
Purpose of the Study:
- To evaluate the impact of peer group-based education on physical and psychological outcomes.
- To compare patient-centered care via peer training versus standard nursing care.
- To assess anxiety, stress, depression, comfort, tolerance, satisfaction, and pain levels.
Main Methods:
- A clinical study involving 60 patients undergoing radial artery coronary angiography.
- Participants were randomized into peer training and control groups (n=30 each).
- Peer group education provided pre-care, during, and post-angiography training; control group received routine care.
Main Results:
- No significant pre-intervention differences in stress, anxiety, or depression.
- Post-intervention, the peer training group showed significantly lower anxiety scores (p < 0.05).
- No significant differences in tolerance, comfort, satisfaction, or pain levels; pain decreased in both groups over time.
Conclusions:
- Peer group-based training is effective in reducing anxiety for patients undergoing coronary angiography.
- This method is cost-effective, has no side effects, and does not increase nursing workload.
- Recommended as an adjunct to traditional patient training methods before angiography.
Introduction:
Coronary artery angiography using radial artery is one of the methods used for diagnosis of coronary artery disease, which causes physical and psychological problems in patients despite its precise and definite diagnosis. The present study is aimed at investigating the effect of peer group-based education on physical and psychological outcomes of patients undergoing coronary artery angiography through the radial artery. Methodology. The present clinical study was conducted on 60 patients undergoing coronary angiography through the radial artery in Vali-e-Asr educational hospital of Fasa during 2018 to 2019. The participants were divided into peer training and control groups (n = 30 in each group) using permutated block randomization. In the peer training group, the patients received the necessary precare training through peer training during and after angiography care. In the control group, the patients received the routine care by the nurse of the related ward. The peer group's stress, anxiety, and depression levels were evaluated before and after the training. Indeed, their comfort, tolerance, satisfaction, and pain levels were measured by a nurse after angiography at the time of entering the ward. Findings. The results indicated no significant difference between the two groups regarding the mean scores of stress, anxiety, and depression before the intervention (p > 0.05). After the intervention, however, there was a significant difference between the two groups concerning the mean score of anxiety (p < 0.05). Nonetheless, no significant difference was found between the two groups in terms of tolerance, comfort, satisfaction, and pain levels (p > 0.05). Finally, the level of pain decreased in both groups over time (p < 0.001).
Conclusion:
Peer group-based training was effective in decreasing the mean score of anxiety in the patients undergoing coronary angiography. Thus, this method is recommended to be utilized alongside other methods to train patients before coronary angiography due to its inexpensiveness and lack of side effects as well as not increasing the nurses' workload.
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