@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(3):147-153
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(3):147-153
Effect of Guided Visualization on Anxiety of Patients with Acute Coronary Syndrome Admitted to the Cardiac Intensive Care Unit
ARTICLE INFO
Article Type
Original ResearchAuthors
Tavakolizadeh J. (1)Kianmehr M. (2)
Basiri Moghadam M. (3)
Pahlavan M. (*)
(*) Surgery Unit, Baydokht Hospital, Gonabad University of Medical Sciences, Gonabad, Iran
(1) “Social Development & Health Promotion Research Center” and “Basic Sciences Department, Medicine Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(2) Medical Physics Department, Medicine School, Gonabad University of Medical Sciences, Khorasan-e-Razavi, Gonabad, Iran
(3) Nursing Department, Nursing & Midwifery School, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Baydokht 15th of Khordad Hospital, Parastar Square, Baydokht, Iran. Postal Code: 9694149884Phone: +985157231112
Fax: +985157231116
pahlavanvije1390@gmail.com
Article History
Received: December 16, 2014Accepted: June 22, 2015
ePublished: September 20, 2015
ABSTRACT
Aims
Anxiety is a common phenomenon in cardiovascular diseases and its control is very important. This study aimed to investigate the effect of guided imagery on anxiety in hospitalized patients with acute coronary syndrome in the cardiac intensive care unit.
Materials & Methods In this clinical trial in 2014, 50 patients with acute coronary syndrome in the cardiac intensive care unit of 22 Bahman Hospital in Gonabad City, Iran, were selected by convenience sampling method and were randomly divided into two control and experimental groups. At first, all the samples completed the Spielberger State Anxiety Inventory questionnaire and Visual Analog Scale of anxiety. In addition to usual care, experimental group listened to the CD of guided imagery 2 times a day, morning and night for 16 minutes and the control group received only routine care. At the end, the mentioned questionnaires were filled again and the data were analyzed in SPSS 14.5 software by independent T-test, Chi-square and Fisher exact tests.
Findings The mean of pretest and posttest scores of total anxiety and hidden anxiety in the experimental group decreased significantly compare with the control group (p<0.05), but mean score decreasing of the pretest and posttest of clear anxiety in the experimental group was not significant compare with the control group (p>0.05).
Conclusion Guided imagery can reduce the total anxiety and hidden anxiety of heart patients with acute coronary syndrome hospitalized in cardiac intensive care unit.
Materials & Methods In this clinical trial in 2014, 50 patients with acute coronary syndrome in the cardiac intensive care unit of 22 Bahman Hospital in Gonabad City, Iran, were selected by convenience sampling method and were randomly divided into two control and experimental groups. At first, all the samples completed the Spielberger State Anxiety Inventory questionnaire and Visual Analog Scale of anxiety. In addition to usual care, experimental group listened to the CD of guided imagery 2 times a day, morning and night for 16 minutes and the control group received only routine care. At the end, the mentioned questionnaires were filled again and the data were analyzed in SPSS 14.5 software by independent T-test, Chi-square and Fisher exact tests.
Findings The mean of pretest and posttest scores of total anxiety and hidden anxiety in the experimental group decreased significantly compare with the control group (p<0.05), but mean score decreasing of the pretest and posttest of clear anxiety in the experimental group was not significant compare with the control group (p>0.05).
Conclusion Guided imagery can reduce the total anxiety and hidden anxiety of heart patients with acute coronary syndrome hospitalized in cardiac intensive care unit.
CITATION LINKS
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[6]Jong M, Pijl A, De Gast H, Sjöling M. P02.128. The effects of guided imagery on preoperative anxiety and pain management in patients undergoing laparoscopic cholecystectomy in a multi-centre RCT study. BMC Complement Altern Med. 2012;12 Suppl 1:184.
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[14]Christakou A, Zervas Y. The effectiveness of imagery on pain, edema, and range of motion in athletes with a grade II ankle sprain. Phys Ther Sport. 2007;8(3):130-40.
[15]Halpin LS, Speir AM, CapoBianco P, Barnett SD. Guided imagery in cardiac surgery. Outcomes Manag. 2002;6(3):132-7.
[16]Quek KF, Low WY, Razack AH, Loh CS, Chua CB. Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: A Malaysian study. Med J Malaysia. 2004;59(2):258-67.
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[2]Ghaleheiha A, Emami F, Naghsh Tabrizi B, Ali Hasani R. A Survey on the frequency of depression and anxiety in the patients with acute coronary syndrome, Ekbatan Hospital of Hamadan. J Hamadan Univ Med Sci Health Serv. 2010;17(4):43-9. [Persian]
[3]Savard J, Laberge B, Gauthier JG, Ivers H, Bergeron MG. Evaluating anxiety and depression in HIV-infected patients. J Pers Assess. 1998;71(3):349-67.
[4]Thomas KM, Sethares KA. Is guided imagery effective in reducing pain and anxiety in the postoperative total joint arthroplasty patient?. Orthop Nurs. 2010;29(6):393-9.
[5]Afzali S, Masoudi R, Etemadifar S, Moradi MT, Moghaddasi J. The effect of progressive muscle relaxation program (PMR) on anxiety of patients undergoing coronary heart angiography. J Shahrekord Univ Med Sci. 2009;11(3):77-84.
[6]Jong M, Pijl A, De Gast H, Sjöling M. P02.128. The effects of guided imagery on preoperative anxiety and pain management in patients undergoing laparoscopic cholecystectomy in a multi-centre RCT study. BMC Complement Altern Med. 2012;12 Suppl 1:184.
[7]Bassampoor SS. The effect of relaxation techniques on anxity of patients with myocardial inferction. Qazvin Univ Med Sci. 2005;9(35):53-8. [Persian]
[8]Bernstein DA, Borkovec TD, Hazlett Stevens H. New directions in progressive relaxation training: A guidebook for helping professionals. New York: Prager Publishing; 2000.
[9]Hajian S, Mirzaei Najmabadi Kh, Keramat A, Mirzaei HR. Systematic review of the effect of muscle relaxation techniques, guided imagery to reduce pain and distress caused by disease or treatment complications in women with breast cancer during 1998-2007. Iran J Breast Dis. 2008;1(3):32-44. [Persian]
[10]Sadock BJ, Sadock VA. Kaplan and Sadock's Pocket Handbook of Clinical Psychiatry. 10th edition. Tehran: Shahrab; 2011.
[11]Antall GF, Kresevic D. The use of guided imagery to manage pain in an elderly orthopedic population. Orthop Nurs. 2004;23(5):335-40.
[12]Rees BL. Effect of relaxation with guided imagery on anxiety, depression, and self-esteem in primiparas. J Holist Nurs. 1995;13(3):255-67.
[13]Hart J. Guided imagery. Altern Complement Ther. 2008;14(6):295-9.
[14]Christakou A, Zervas Y. The effectiveness of imagery on pain, edema, and range of motion in athletes with a grade II ankle sprain. Phys Ther Sport. 2007;8(3):130-40.
[15]Halpin LS, Speir AM, CapoBianco P, Barnett SD. Guided imagery in cardiac surgery. Outcomes Manag. 2002;6(3):132-7.
[16]Quek KF, Low WY, Razack AH, Loh CS, Chua CB. Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: A Malaysian study. Med J Malaysia. 2004;59(2):258-67.
[17]Nazemian F, Ghafari F, Poorghaznein T. Evaluation of depression and anxiety in hemodialysis patients. J Med Sci Mashhad. 2008;3(51):171-6. [Persian]
[18]Zakerimoghadam M, Shaban M, Mehran A, Hashemi S. Effect of muscle relaxation on anxiety of patients undergo cardiac catheterization. Hayat. 2010;16(2):64-71. [Persian]
[19]Gonzales EA, Ledesma RJ, McAllister DJ, Perry SM, Dyer CA, Maye JP. Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: A randomized, single-blind study. AANA J. 2010;78(3):181-8.
[20]Davis M, Eshelman ER, McKay M. The Relaxation and Stress Reduction Workbook. 6th edition. Oakland, California: New Harbinger Publications; 2008.
[21]Gaylord C, Orme-Johnson D, Travis F. The effects of the transcendental mediation technique and progressive muscle relaxation on EEG coherence, stress reactivity, and mental health in black adults. Int J Neurosci. 1989;46(1-2):77-86.