October 1, 2002European Journal of Cardiovascular Nursing
Anxiety and Well-Being in First-Time Coronary Angioplasty Patients and Repeaters
Key result
Repeat PTCA shows no significant increase in pre-procedural anxiety compared to first-time PTCA.
- P=0.25
- n=86
Why the study?
Does anxiety and well-being differ between patients undergoing their first PTCA and those undergoing a repeat PTCA?
Population
86 patients undergoing percutaneous transluminal coronary angioplasty, comprising first-time PTCA patients…
Comparison
Repeat percutaneous transluminal coronary… vs First-time percutaneous transluminal coronary…
Design
Cross-sectional
Follow-up
1 day (for interviews)
Authors
Discussion
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Implication
Non-significant anxiety trend in repeat PTCA should not change practice; leaves open need for larger studies on tailored preparation.
Study Design
Type
Observational (n=86)
Structured PICO
Does anxiety and well-being differ between patients undergoing their first PTCA and those undergoing a repeat PTCA?
P
Population
86 patients undergoing either their first (n=46) or a repeat (n=40) percutaneous transluminal coronary angioplasty, assessed for pre-procedural anxiety and well-being.
E
Exposure
Repeat percutaneous transluminal coronary angioplasty (re-PTCA)
C
Comparator
First-time percutaneous transluminal coronary angioplasty (PTCA)
O
Outcome
Anxiety and well-being measured by HADS, HPPQ, and VAS before the procedurepatient reported
Main Result
Absolute Event Rate: 6.5% vs 5%
p-value: p=0.25
Patients undergoing repeat PTCA show a non-significant trend toward higher anxiety compared to first-time patients, suggesting a need for tailored preparatory information addressing recurrent symptoms.
Cite This Study
Lenzen et al. (2002) conducted an observational in Coronary artery disease requiring PTCA (n=86). Repeat PTCA vs. First-time PTCA was evaluated on Anxiety score (HADS) (p=0.25). Repeat PTCA patients had higher pre-procedural anxiety scores (HADS 6.5 vs 5.0; P=0.25) compared to first-time PTCA patients, though the difference was not statistically significant.