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[The evaluation of discomfort and anxiety in the patient undergoing coronary angioplasty].

UNLABELLED
Coronary heart disease is now the leading cause of death in the world and in Poland. Every year, the acute coronary syndromes (ACS) falls over a hundred thousand people, of whom the vast majority are treated invasively. Percutaneous coronary intervention (PCI) carries a possible complication. The possibility of their occurrence is one of the reasons to feel fear and discomfort prior to the study.


THE AIM OF STUDY
Was to assess of the level of discomfort and anxiety experienced by those undergoing percutaneous coronary intervention.


MATERIAL AND METHODS
The study included 100 consecutive patients undergoing percutaneous coronary intervention for ACS or stable angina. The research method used in the survey was a questionnaire form, includes a total of 23 questions. The survey was carried out 24 hours after the execution diagnostic procedure or therapy.


RESULTS
PCI was performed significantly more often with radial access--65%, than femoral--35%. People undergo PCI in 77% had knowledge of it. The main source of information was the hospital staff (48%), GPs (20%) and to a lesser extent, the Internet (16%) and friends (12%). To assess the discomfort uses a linear scale of points. Depending on the vascular access was obtained an average of 5.7 points for radial access and 8.8 points for femoral access, corresponding to moderate and very large intensity of discomfort. The degree of discomfort was lower (42%) or compatible (27%) of the representations before the treatments. The intensity of the perceived fear determined the 53% of the very large, and 21% as large. On average, a 10-point scale, respondents have identified him at 7.9 points. Significantly negatively correlated on the level of education (r = -0.421, P < 0.05) and with the degree of knowledge of the declared procedure (r = -0.519, P < 0.01) and positively correlated with the intensity of reported discomfort (r = 0.497 p < 0.05).


CONCLUSIONS
Reducing discomfort and anxiety in patients undergoing PCI is very important. This affects the success of the procedure and for appropriate treatment and rehabilitation. Active detection of factors affecting these phenomena and their reduction should be one of the tasks of the personnel involved in the treatment. It is necessary to proper education, including get familiar with the methods of endovascular interventions.