title: Effects of a multimodal preparation package on vital signs of patients waiting for coronary angiography.
abstract: BACKGROUND
  Patients waiting for coronary angiography are often anxious and worried, experiencing considerable emotional problems before the procedure, which can result in an increase in blood pressure (BP), heart rate, respiratory rate and the myocardial oxygen demand. Such maladaptive responses may not only increase the patients need for sedative drugs, but also could increase the length of post angiography hospitalization. Therefore, it is important to implement some supportive actions to decrease the patients' anxiety and to stabilize their vital signs before coronary angiography.
  
  
  OBJECTIVE
  This study aimed to investigate the effects of a multimodal preparation package on vital signs of patients undergoing coronary angiography.
  
  
  METHODS
  A matched trial was conducted on 66 patients waiting for coronary angiography. Patients were assigned in intervention (n = 33) and control (n = 33) groups. A multimodal preparation package was implemented in intervention group, two hours before angiography. The data collection instrument consisted of questions on demographic characteristics and a table for recording the patients' vital signs including systolic BP (SBP) and diastolic BP (DBP), heart rate, respiratory rate and body temperature. Vital signs were measured three times, the day before angiography, 30 minutes before and 30 minutes after the angiography, using a thermometer and a monitoring device. Data analysis was performed using the Kolmogo-Smirnov test, t test and Mann-Whitney U test.
  
  
  RESULTS
  From the total number of 66 patients, the 63.3% were male and married. No significant differences were observed between the mean of SBP and DBP and also the heart rate in the intervention and control groups, on the day before angiography. However, the mean SBP and DBP and heart rate of the intervention group were significantly lower compared to the control group, both 30 minutes before and 30 minutes after angiography. The intervention did not significantly change the respiration rate and temperature in the intervention group.
  
  
  CONCLUSIONS
  The study showed that preparation package was effective in decreasing SBP and DBP, as well as heart rate. Therefore, using multimodal comprehensive preparation packages, such as the package used in the present report, is suggested.
authors.affiliation: Trauma Nursing Research Center, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Adib Hajbaghery
authors.affiliation: Department of Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Tayebeh
authors.initials: T
authors.lastname: Moradi
authors.affiliation: Department of Medical Surgical Nursing, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Raheleh
authors.initials: R
authors.lastname: Mohseni
keywords: Coronary Angiography; Patient Education; Vital Signs