The interactive effect of preoperative consultation and operating room admission by a counselor on anxiety level and vital signs in patients undergoing Coronary Artery Bypass Grafting surgery. A clinical trial study

Abstract

Objective. The purpose of this study was to provideappropriate preoperative supportive conditions to improveanxiety and vital signs for patients undergoing CoronaryArtery Bypass Grafting -CABG- surgery. Methods. This clinical trial study was performed on 90 patients undergoingCABG surgery in Farshchian Hospital of Hamadan, Iranin 2019. Sample was selected by convenience and wererandomly divided into three groups: control (n=30),intervention1 (n=30), and intervention2 (n=30). Thecontrol group received only the routine preoperativecounseling of ward and admitted to the operating roomas usual; the intervention1 and intervention2 groups inaddition received another two counseling sessions, thenthe intervention1 group was admitted in the operating room as usual, but the intervention2 group was admitted by the counselor in the operatingroom. Data were collected using a three-part questionnaire including demographiccharacteristics, vital signs chart, and the Spielberger’s State-Trait Anxiety Inventory. Results. The results showed that there was a significant difference in the meananxiety of the three groups after admission in the operating room (intervention2 waslower than intervention1 and control groups, p<0.001; and intervention 1 groupwas lower than control group, p<0.001) and also there was a significant differencebetween the mean systolic blood pressure, heart rate and respiratory rate of thethree groups (p<0.001) but the mean of the variables of temperature and diastolicblood pressure in the three groups were not significantly different (p=0.59 andp=0.225, respectively). Conclusion. Our results revealed preoperative consultationand admission in the operating room by the consultant can reduce the level ofanxiety and stability of vital signs of patients undergoing CABG.