بررسی نتایج آنژیوگرافی عروق کرونر و عوامل مرتبط با آن در مراجعین به مرکز قلب و عروق امام علی (ع) کرمانشاه 1392

نوع مقاله : مقاله پژوهشی

نویسندگان

1 عضو هیئت علمی گروه رادیولوژی و پزشکی هسته‌ای دانشکدة پیراپزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

2 کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

چکیده

زمینه و هدف: بیماری‌های عروق کرونر قلبی در حال حاضر از مهم‌ترین عوامل مرگ‌و‌میر در جهان هستند. آنژیوگرافی روش تشخیصی کم‌خطر و با هزینة منفعت مناسب در شناسایی زود‌هنگام مشکلات عروق کرونری است. حتیبیماران بدون علامت در معرض خطر نیز این روش را پذیرفته‌اند. لذا هدف این مطالعه بررسی نتایج آنژیوگرافی عروق کرونر و عوامل مرتبط با آن در مراجعین به مرکز قلب و عروق امام علی (ع) کرمانشاه در سال 1392 بود.
مواد و روش کار: در این مطالعة توصیفی- تحلیلی به روش نمونه‌گیری در دسترس و با استفاده از چک‌لیست مشخصات دموگرافیک و اطلاعات بیماری 415 نفر از مراجعه‌کنندگان برای انجام آنژیوگرافی عروق کرونر به مرکز قلب و عروق امام علی(ع) کرمانشاه در سال 1392 ثبت شد. سپس تجزیه‌و‌تحلیل داده‌ها به کمک بستة آماری SPSS نسخة 16 و آزمون کای اسکوئر در سطح معناداری 05/0 صورت گرفت.
یافته‌ها: نتایج نشان داد 7/47 درصد از افراد درگیری یک رگ کرونری داشتند. بین پرفشاری خون (05/0p=) و سطح تحصیلات (02/0p=) با تعداد رگ مبتلا رابطة معناداری یافت شد. بیشترین شدت درگیری (4/56 درصد) نیز مربوط به شاخة کرونری نزولی چپ بود.
نتیجه‌گیری: براساس یافته‌های این پژوهش پرفشاری خون و سطح تحصیلات افراد را می‌توان به‌عنوان عوامل تأثیرگذار بر درگیری عروق کرونر دانست. لذا بررسی راه‌های پیشگیری و آموزش جامعه به‌منظور کاهش ضایعات انسدادی عروق کرونر به مسئولین پیشنهاد می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Evaluation of the results of coronary arteries angiography and the related risk factors in the patients referred to Imam Ali Cardio Vascular Center, Kermanshah, 2013

نویسندگان [English]

  • Mohammad-Rasoul Tohidniya 1
  • Maziyar Jalalvandi 2
  • Yaser Azizi 2
  • Milad Moradi 2
  • Siyamak Mohebi 2
1 Faculty of Department of Radiology and Nuclear Medicine of Paramedicine School , Kermanshah University of Medical Sciences , Kermanshah , Iran. (Corresponding Author)
2 Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

 
Background & Objectives: Visual acuity has an important role in the elderly’s communication with the environment. Cataract is a major cause of reduced visual acuity in the elderly, which can be treated only through surgery. Like in any other surgery, the elderly who should undergo cataract surgery experience a lot of anxiety. Relaxation techniques are of the procedures that can lead to stress reduction and create comfort and relaxated people. Therefore, the present study was conducted to determine the effect of guided imagery on pre-operation anxiety and hemodyna mic factors in the elderly undergoing cataract surgery.
Materials & Methods: The present randomized clinical trial recruited 50 elderly patients undergoing cataract surgery who met the inclusion criteria in the period of August to December 2014 through purposive sampling from patients at Vasei Hospital in Sabzevar, Iran, and randomly assigned them to the case and control groups. The control group received routine care and the case group received guided imagery using an audio file. Spielberger’s anxiety inventory and checklist of physiological changes were used to collect data. The data were analyzed using statistical tests by SPSS 16 software at a desirable significance level, independent t tests, chi-square test, fisher exact test and ANOVA.
Result: The mean of hemodynamic factors did not significantly differ in the two groups before intervention (p>0.05), but significantly reduced systole blood pressure (p<0.001), diastole blood pressure (p<0.01) and respiration (p<0.001).
Conclusion: Guided imagery can effectively reduce physiological responses of anxiety before surgery in the elderly. Hence, it is suggested that clinical nurses and nursing students use it for better nursing services.

کلیدواژه‌ها [English]

  • angiography
  • coronary arteries
  • coronary disease
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