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The effects of environmental factors in waiting rooms on anxiety among patients undergoing coronary angiography: A randomized controlled trial
Author(s) -
Pouyesh Vahideh,
Amaniyan Sara,
Haji Mohammad Hoseini Mahsa,
Bashiri Yousef,
Sieloff Christina,
Griffiths Pauline,
Vaismoradi Mojtaba
Publication year - 2018
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12682
Subject(s) - anxiety , medicine , randomized controlled trial , psychological intervention , coronary angiography , angiography , anxiety score , intervention (counseling) , physical therapy , surgery , nursing , myocardial infarction , psychiatry
Background According to Florence Nightingale's hypothesis, the environment can play a central role in the healing of the patient's body and mind. The nurse should, therefore, strive to provide a healing and stress‐reducing environment for patients about to undergo invasive procedures. Aims This study aimed to investigate the effects of environmental factors on anxiety as experienced by patients in waiting rooms prior to coronary angiography. Methods In this randomized controlled trial, 200 patients undergoing coronary angiography in an urban area of Iran were assigned randomly to the following intervention groups: (1) nature sounds; (2) nature sounds and daylight; (3) nature sounds, daylight, and colour enhancements; and (4) control. Portable monitors were used to measure the patients' physiological indices upon admission and 30 and 60 minutes thereafter. Results Patients who experienced environmental affecting interventions had significantly lower physiological indices of anxiety than the control group ( P < 0.001). Some significance was demonstrated between the three interventions groups, with patients in the intervention group that experienced maximum environmental interventions demonstrating the most overall reduction in anxiety indices. Conclusion Environmental factors were shown to have a positive effect on the indices of anxiety experienced by patients waiting for the procedure of coronary angiography; this is therefore an area of study and practice worthy of further development.