Preprocedural concerns and anxiety assessment in patients undergoing coronary angiography and percutaneous coronary interventions

Elsevier Inc
Publication Type:
Journal Article
European Journal of Cardiovascular Nursing, 2010, 9 (1), pp. 38 - 44
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Background Patients with anxiety prior to coronary angiography and percutaneous coronary intervention (PCI), may have negative physical and psychological consequences. Aim To identify patients factors associated with anxiety and assess the validity of the Faces Anxiety Scale (FAS) in this sample. Methods Patients (n = 159) were surveyed preprocedure using the Spielberger State Anxiety Inventory (SAI) and the FAS and asked to identify their major concern. Results The sample was aged an average 66.73 years (sd 10.12) and predominantly male (72%). Anxiety was low to moderate (SAI mean 36.44, sd 11.23; FAS median 2, range 15). There was a moderate correlation between the SAI and the FAS (r = .521, p = < .001), with the FAS having low sensitivity (27%) and high specificity (95%). Patients' most common concern (37%) was uncertainty about the outcome from the procedure. Predictors of higher anxiety were taking medication for anxiety or depression (ß = 5.84), experiencing angina (ß = 4.96) or having a major concern about the procedural outcome (ß = 4.00). Conclusions Many patients have moderate anxiety before coronary angiography and PCI; therefore, routine assessment and management of anxiety are justified. The FAS is not as useful as the SAI for this purpose.
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