The effect of pain before and after the procedure on anxiety (anxiety) and vital findings in patients undergoing percutaneous coronary intervention

Objective: This thesis study was conducted as a descriptive and correlational study in order to determine the relationship between the pain score of patients before and after the procedure, and anxiety and vital signs in patients who underwent percutaneous coronary intervention. Method: The sample of the study consisted of 185 patients, 131 men and 54 women, who underwent percutaneous coronary intervention and whose pain persisted after the procedure. Data were analyzed using the SPSS 22.0 statistical program. The results were evaluated at a 95% confidence interval and significance level of p<0.05. Frequency and percentage analyzes were used to determine the descriptive characteristics of the patients participating in the study, and mean and standard deviation statistics were used in the analysis of the scale. Anova, Independent Groups T-Test was used to compare the data. The values of Kurtosis and Skewness were examined to see whether the research variables showed a normal distribution. Results: While 66.5% (n=123) of the participants did not have an angio procedure, 35.5% (n=62) people had the procedure; While stent was placed in 58 patients before, stent was not placed in 127 patients. Nrs score was 7.065 before the procedure and 3.210 after the procedure (p<0.05); The State Anxiety Score was 61,568 before the procedure and 32.362 after the procedure (p<0.05), and the pre-procedural scores were higher and more significant than the post-procedure scores. Pain before the procedure caused a 78.7% change in the anxiety score, and post-procedure pain caused a 29.8% change in the anxiety score. The effect size of pain was calculated as 2,906 and the effect size of anxiety as 3,101. There was no significant difference (p>0.05) in the age, gender, marital status, chronic disease pre- and post-procedure pain, anxiety and life follow-ups of the patients. A significant (p=0.00 p<0.05) correlation was found between patients' prior hospitalization and stenting, and pain, anxiety, and vital signs measurements. A positive correlation (p<0.05) was found between Nrs and NSAI inventory. While there were significant (p<0.05) changes in pre-procedural pain score and post-procedural pain, and pre- and post-procedural anxiety, heart rate, blood pressure, respiratory rate, there was no significant change in saturation and body temperature (p> 0.05). Conclusion: As a result of the research, the increase in pain caused an increase in the anxiety level and vital signs of the patients, while the decrease in the pain score resulted in an improvement in the anxiety level and vital signs follow-up. According to the results of the study, different studies can be suggested to provide education for patients to define pain and to apply to the hospital early without increasing the pain score. Key Words:Percutaneous Coronary Intervention, Pain, Anxiety,Vital Signs.