Volume 27, Issue 5 (3-2019)                   Avicenna J Nurs Midwifery Care 2019, 27(5): 335-343 | Back to browse issues page


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Ansari Jaberi A, Zarei Fathabadi A, Mehdipour A, Negahban Bonabi T. The Effect of Trained Family Presence on Patient's Anxiety During Invasive Procedures in the Emergency Department: A Randomized Clinical Trial. Avicenna J Nurs Midwifery Care 2019; 27 (5) :335-343
URL: http://nmj.umsha.ac.ir/article-1-2014-en.html
1- Department of Psychiatric and Mental Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical sciences, Rafsanjan, Iran
2- Department of Medical Surgical Nursing, School of Nursing and Midwifery; Student Research Committee, Rafsanjan University of Medical sciences, Rafsanjan, Iran
3- Department of Radiology, school of Paramedicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
4- Department of Community Health Nursing, School of Nursing and Midwifery; Social Determinants of Health Research Center, Rafsanjan University of Medical science, Rafsanjan, Iran , negahbant@yahoo.com
Abstract:   (14577 Views)

Introduction: Today, despite of the emphasis on family-based care strategies, there is little understanding of the adult patient's perception of the presence of family members during emergency care and invasive procedures. The aim of this study was to compare the effect of family presence and their training before the presence on the anxiety of patients undergoing invasive nursing procedures in the emergency department.
Methods: In this randomized clinical trial, 90 patients undergoing invasive nursing procedures and their family members were selected based on inclusion criteria and allocated randomly in three groups of 30 (with the presence of trained family members, with the presence of untrained family members and without the presence of family members) by minimization method. The data was analyzed by SPSS 16 using Kolmogorov-Smirnov test, Chi-square test, Kruskal Wallis Independent-sample, paired sample t-test, and ANOVA at the significance level of 0.05.
Results: The three groups were similar in terms of demographic variables. All three groups had significantly lower anxiety scores in the post-intervention phase than before the intervention (P=0.001). There was no significant difference between the mean and the standard deviation of the patient's anxiety scores before (P=0.131) and after the intervention (P=0.309) in the intergroup comparison.
Conclusion: The presence of family members and their training before presence did not reduce the anxiety of patients under nursing invasive procedures. It's necessary that other aspects of family members’ presence during invasive procedures to be considered in future studies.

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The presence of family members and their training before presence did not reduce the anxiety of patients under nursing invasive procedures. It's necessary that other aspects of family members’ presence during invasive procedures to be considered in future studies.


Type of Study: Original Research | Subject: Nursing
Received: 2019/03/16 | Accepted: 2019/04/22 | Published: 2019/04/22

References
1. Gullich I, Ramos A, Zan T, Scherer C, Mendoza-Sassi R. Prevalence of anxiety in patients admitted to a university hospital in southern Brazil and associated factors. Brazilian Journal of Epidemiology. 2013; 16(3):644-57. [DOI:10.1590/S1415-790X2013000300009] [PMID]
2. Chhari N, Mehta SC. Stress among Patients during Hospitalization: A Study from Central India National Journal of Community Medicine. 2016; 7(4):274-7.
3. Fajemilehin, B.R. and Fabayo, A.O Perception of situational stress associated with hospitalization among selected Nigerian patients. Journal of advanced nursing. 1991; 16(4):469-74. [DOI:10.1111/j.1365-2648.1991.tb03437.x] [PMID]
4. Williams JB, Alexander KP, Morin JF, Langlois Y, Noiseux N, Perrault LP, et al. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged> 70 years undergoing cardiac surgery. The American Journal of Cardiology. . 2013; 111(1):137-42. [DOI:10.1016/j.amjcard.2012.08.060] [PMID] [PMCID]
5. Abu Ruz ME. Persistent anxiety and in-hospital complications after acute coronary syndrome. International Journal of Health Sciences. . 2018; 12(2):50-6.
6. Dahlén I, Janson C. Anxiety and depression are related to the outcome of emergency treatment in patients with obstructive pulmonary disease. Chest. 2002; 122(5):1633-7. [DOI:10.1378/chest.122.5.1633] [PMID]
7. Gouin JP, Kiecolt-Glaser JK. The impact of psychological stress on wound healing: methods and mechanisms. Critical Care Nursing Clinics of North America. . 2012; 24(2):201-13. [DOI:10.1016/j.ccell.2012.03.006] [PMID] [PMCID]
8. Woo AK. Depression and anxiety in pain. Reviews in Pain. 2010; 4(1):8-12. [DOI:10.1177/204946371000400103] [PMID] [PMCID]
9. Gudmundsson G, Gislason T, Janson C, Lindberg E, Hallin R, Ulrik CS, et al. Risk factors for rehospitalisation in COPD: role of health status, anxiety and depression. European Respiratory Journal. . 2005; 26(3):414-9. [DOI:10.1183/09031936.05.00078504] [PMID]
10. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. Association of periOperative Registered Nurses journal. . 2010; 92(4):445-60. [DOI:10.1016/j.aorn.2010.04.017] [PMID]
11. Wingo AP, Gibson G. Blood gene expression profiles suggest altered immune function associated with symptoms of generalized anxiety disorder. Brain, Behavior, and Immunity. 2015; 43:184-91. [DOI:10.1016/j.bbi.2014.09.016] [PMID] [PMCID]
12. Kidd T, Poole L, Leigh E, Ronaldson A, Jahangiri M, Steptoe A. Attachment anxiety predicts IL-6 and length of hospital stay in coronary artery bypass graft surgery (CABG) patients. Journal of Psychosomatic Research. 2014; 77(2):155-7. [DOI:10.1016/j.jpsychores.2014.06.002] [PMID] [PMCID]
13. Reavell J, Hopkinson M, Clarkesmith D, Lane DA. Effectiveness of cognitive behavioral therapy for depression and anxiety in patients with cardiovascular disease: a systematic review and meta-analysis. Psychosomatic Medicine. . 2018; 80(8):742-53. [DOI:10.1097/PSY.0000000000000626] [PMID]
14. Toronto CE, LaRocco SA. Family perception of and experience with family presence during cardiopulmonary resuscitation: An integrative review. Journal of clinical nursing. . 2018; 28(1-2):32-46. [DOI:10.1111/jocn.14649] [PMID]
15. Twibell RS, Siela D, Neal A, Riwitis C, Beane H. Family Presence During Resuscitation: Physicians' Perceptions of Risk, Benefit, and Self-confidence. Dimensions of Critical Care Nursing. . 2018; 37(3):167-79. [DOI:10.1097/DCC.0000000000000297] [PMID]
16. Twibell R, Siela D, Riwitis C, Neal A, Waters N. A qualitative study of factors in nurses' and physicians' decision‐making related to family presence during resuscitation. Journal of clinical nursing.. 2018; 27(1-2):e320-e34. [DOI:10.1111/jocn.13948] [PMID]
17. Basal A, Ebrahim A, Sai A. Perception of health care providers, patient's families and patients towards family presence during invasive procedures in emergency care units. Journal of American Science . 2012; 8(11):152-61.
18. Twibell RS, Craig S, Siela D, Simmonds S, Thomas C. Being there: inpatients' perceptions of family presence during resuscitation and invasive cardiac procedures. American Journal of Critical Care. . 2015; 24(6):e108-e15. [DOI:10.4037/ajcc2015470] [PMID]
19. Guzzetta CE, Clark AP, Wright JL. Family presence in emergency medical services for children. Clinical Pediatric Emergency Medicine. 2006; 7(1):15-24. [DOI:10.1016/j.cpem.2006.01.002]
20. İşlekdemir B, Kaya N. Effect of family presence on pain and anxiety during invasive nursing procedures in an emergency department: A randomized controlled experimental study. International emergency nursing. 2016; 24:39-45. [DOI:10.1016/j.ienj.2015.05.008] [PMID]
21. Kim K, Lee S. Effects of family presence intervention on anxiety, delirium, pain and length of time in recovery room of post-operative elderly patients in post-anesthesia care units Journal of Korean Academy of Fundamental Nursing 2015; 22(2):149-57. [DOI:10.7739/jkafn.2015.22.2.149]
22. Egging D, Crowley M, Arruda T, Proehl J, Walker-Cillo G, Papa A, et al. Emergency nursing resource: family presence during invasive procedures and resuscitation in the emergency department. Journal of Emergency Nursing. 2011; 37(5):469-73. [DOI:10.1016/j.jen.2011.04.012] [PMID]
23. Hoseini Azizi T, Masoudynia M, Ehsaee M, Esmaily H, Hasanzadeh F. The effect of family's supportive presence on the recovery of patients with brain injury in intensive care unit: A randomized clinical trial. . Journal of Urmia Nursing And Midwifery Faculty. .2014; 11(12):977-87.
24. Goldfarb M, Bibas L, Bartlett V, Jones H, Khan N. Outcomes of Patient-and Family-Centered Care Interventions in the ICU: A Systematic Review and Meta-Analysis Critical Care Medicine. 2017; 45(10):1751-61. doi: 10.1097/CCM.0000000000002624 [DOI:10.1097/CCM.0000000000002624] [PMID]
25. Vincent C, Lederman Z. Family presence during resuscitation: extending ethical norms from paediatrics to adults. Journal of medical ethics. . 2017; 43(10):676-8. [DOI:10.1136/medethics-2016-103881] [PMID]
26. Brasel KJ, Entwistle JW, Sade RM. Should family presence be allowed during cardiopulmonary resuscitation? The Annals of Thoracic Surgery 2016; 102(5):1438-43. [DOI:10.1016/j.athoracsur.2016.02.011] [PMID] [PMCID]
27. Bell L. Family presence during invasive procedures. American Journal of Critical Care. . 2015; 24(6):539. [DOI:10.4037/ajcc2015868] [PMID]

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