EFFECTIVENESS OF ORIENTATION PROGRAM ON PRE AND POST PROCEDURE ANXIETY AMONG PATIENTS UNDERGOING PTCA AT SELECTED HOSPITAL OF CITY.

Abstract

Background: Coronary artery disease (CAD), also known as ischemic heart disease (IHD) and Atherosclerotic Cardiovascular Disease (ACD), CAD clinically presents as myocardial infarction (MI) and ischemic cardiomyopathy, with atherosclerosis. The incidence of CAD rises due to a significant increase in risk factors such as smoking, diabetes, metabolic disorders, and behavioural changes associated with urbanization and globalization. Percutaneous transluminal coronary angioplasty (PTCA), also called as percutaneous coronary intervention (PCI). Is a minimally invasive technique, restores blood flow to the heart by opening blocked or narrowed coronary arteries. Blockages are caused by lipid-rich plaque, which reduces blood flow and leads to atherosclerosis. Percutaneous Transluminal Coronary Angioplasty (PTCA), also known as coronary balloon angioplasty, it involves using a catheter with an inflatable balloon to open narrowed or blocked coronary arteries.3 Pre and post procedure anxiety which causes several complications. recovery, delayed wound healing, also effect cause on outcomes, an orientation program, offering comprehensive procedure information and addressing patient concerns, can reduce anxiety, enhance satisfaction, and improve overall clinical outcomes. Objectives: a) To assess the pre and post procedure anxiety among patients undergoing PTCA at selected hospital of city. b) To determine the effectiveness of orientation program on level of anxiety among patients undergoing PTCA at selected hospital of city. c) To find association of study findings with selected demographic variables. Methodology: The research design used for this study was Quasi Experimental, non-equivalent control group post-test only design adopted among 50 samples focusing on the Patients undergoing PTCA at selected hospital of city. A standardize open assess scale was used to Beck Anxiety Inventory (BAI) is a self-report questionnaire used to measure the severity of anxiety symptoms. The questionnaire consisted of demographic details and multiple-choice questions measure the severity of anxiety symptoms. Results: The study evaluated the effectiveness of an orientation program in reducing anxiety among PTCA patients. Results showed a significant anxiety reduction in the experimental group (mean drop of 25.1), while the control group saw a slight increase. Statistical analysis confirmed the program's impact (t = 7.72, p < 0.05). These findings align with Trotter et al. (2011), who also reported a significant post-procedure anxiety reduction. Overall, the orientation program proved beneficial in managing patient anxiety. Conclusion: Findings of the study stated that orientation program was effective on pre and post procedure anxiety among patients undergoing PTCA thus study suggest that orientation program is the most effective intervention that help the nurses to reduce the pre and post procedure anxiety among patients of PTCA which prevent further complication in this patient with easy and cost-effective way.