This study was conducted to examine the effects of non-pharmacological interventions applied before coronary angiography in cardiology patients. Specifically, the study focused on the use of music listening and lavender oil inhalation and their potential impact on patients' psychological and physical states prior to the procedure. The research was designed as a randomized controlled experimental study, in which participants were assigned to intervention and control groups for comparison. Within the scope of the study, pain, anxiety, fear, and comfort levels were evaluated using standardized measurement tools, and data were collected through pre- and post-intervention assessments. The study emphasizes the importance of integrating complementary methods into clinical practice within a holistic nursing care approach. Overall, the study aims to provide scientific evidence regarding the applicability of music therapy and aromatherapy as supportive, non-pharmacological interventions in the pre-angiography care of cardiology patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
139
Patients in the aromatherapy group received lavender essential oil inhalation therapy, in which three drops of lavender oil were applied to a sterile sponge and held approximately 5 cm from the patient's nose for 5 minutes.
Patients in the music intervention group listened to relaxing classical music through headphones for 10 minutes in the waiting area before the angiography procedure.
Routine care before angiography includes patient assessment, ensuring fasting, establishing intravenous access, adjusting medication, and preparing the patient physically and psychologically for the procedure.
Istanbul Aydin University
Istanbul, Istanbul, Turkey (Türkiye)
Patient Information Form
The Patient Information Form was developed by the researchers based on an extensive review of the literature. The form included questions designed to collect information about the socio-demographic and clinical characteristics of the participants. The variables included in the form were age, gender, education level, marital status, place of residence, income level, smoking status, presence of chronic disease, previous angiography experience, and other relevant health-related information.
Time frame: First day
General Comfort Scale
The scale is designed based on a taxonomic structure that includes three levels and four dimensions forming the theoretical components of comfort, and is used to determine needs and to evaluate the extent to which comfort-providing nursing interventions lead to an increase in expected comfort. The scale is a four-point Likert type and contains a total of 48 items. The response patterns of the scale, which consists of positive and negative items, are given in a mixed order. Accordingly, a high score (4) in positive items indicates high comfort, and a low score (1) indicates low comfort. In the evaluation of the scale, the obtained negative scores are reverse-coded and added to the positive items. The highest total score that can be obtained from the scale is 192, and the lowest total score is 48.
Time frame: First day
General Comfort Scale
The scale is designed based on a taxonomic structure that includes three levels and four dimensions forming the theoretical components of comfort, and is used to determine needs and to evaluate the extent to which comfort-providing nursing interventions lead to an increase in expected comfort. The scale is a four-point Likert type and contains a total of 48 items. The response patterns of the scale, which consists of positive and negative items, are given in a mixed order. Accordingly, a high score (4) in positive items indicates high comfort, and a low score (1) indicates low comfort. In the evaluation of the scale, the obtained negative scores are reverse-coded and added to the positive items. The highest total score that can be obtained from the scale is 192, and the lowest total score is 48.
Time frame: Second day
Visual Analog Scale for Pain
The VAS, developed by Price et al. (1983), is commonly used in research to assess the intensity of pain as experienced by patients. It is a reliable and valid instrument. The scale consists of a 10-cm line, which can be either horizontal or vertical, with one end marked as "No Pain" (0) and the other as "Worst Pain" (10). Patients are given clear instructions on how to use the VAS and are asked to mark the point on the line that best represents their level of pain. The distance from the "No Pain" end to the patient's mark is then measured in centimeters and recorded. The scale ranges from 0 to 10, where 0 indicates no pain and 10 represents the worst possible pain.
Time frame: First day
Visual Analog Scale for Pain
The VAS, developed by Price et al. (1983), is commonly used in research to assess the intensity of pain as experienced by patients. It is a reliable and valid instrument. The scale consists of a 10-cm line, which can be either horizontal or vertical, with one end marked as "No Pain" (0) and the other as "Worst Pain" (10). Patients are given clear instructions on how to use the VAS and are asked to mark the point on the line that best represents their level of pain. The distance from the "No Pain" end to the patient's mark is then measured in centimeters and recorded. The scale ranges from 0 to 10, where 0 indicates no pain and 10 represents the worst possible pain.
Time frame: Second day
Visual Analog Scale for Fear
Fear levels were measured using a similar Visual Analog Scale, ranging from 0 to 10, where 0 indicates "no fear" and 10 represents "extreme fear". Participants were asked to mark the point on the scale that best represented their fear level before the angiography procedure.
Time frame: First day
Visual Analog Scale for Fear
Fear levels were measured using a similar Visual Analog Scale, ranging from 0 to 10, where 0 indicates "no fear" and 10 represents "extreme fear". Participants were asked to mark the point on the scale that best represented their fear level before the angiography procedure.
Time frame: Second day
Visual Analog Scale for Anxiety
Participants' anxiety levels were also measured using a Visual Analog Scale ranging from 0 (no anxiety) to 10 (extreme anxiety). The scale allows patients to subjectively evaluate the severity of their anxiety at the time of assessment.
Time frame: First day
Visual Analog Scale for Anxiety
Participants' anxiety levels were also measured using a Visual Analog Scale ranging from 0 (no anxiety) to 10 (extreme anxiety). The scale allows patients to subjectively evaluate the severity of their anxiety at the time of assessment.
Time frame: Second day
State-Trait Anxiety Inventory
The State Anxiety Scale is a highly sensitive tool for assessing rapidly changing emotional reactions. It provides information about an individual's operational anxiety. It is a four-point scale ranging from "none" to "completely." The Trait Anxiety Scale, on the other hand, requires the individual to describe how they generally feel. The State Anxiety Scale includes both direct and inverted statements. Direct statements indicate negative emotions, while inverted statements indicate positive emotions. The final value obtained is the individual's anxiety score. In interpreting the scores, the total score obtained from both inventories ranges from 20 to 80. A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety.
Time frame: First day
State-Trait Anxiety Inventory
The State Anxiety Scale is a highly sensitive tool for assessing rapidly changing emotional reactions. It provides information about an individual's operational anxiety. It is a four-point scale ranging from "none" to "completely." The Trait Anxiety Scale, on the other hand, requires the individual to describe how they generally feel. The State Anxiety Scale includes both direct and inverted statements. Direct statements indicate negative emotions, while inverted statements indicate positive emotions. The final value obtained is the individual's anxiety score. In interpreting the scores, the total score obtained from both inventories ranges from 20 to 80. A high score indicates a high level of anxiety, while a low score indicates a low level of anxiety.
Time frame: Second day
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