A Review: The Effect of Need-Based Individual Education on Depression and Anxiety in Patients with Coronary Artery Disease following Transition from the Cardiac Care Unit (CCU) Download PDF

Introduction and Purpose: Coronary artery diseases are the most common cardiovascular diseases and the most common causes of death in the world. Anxiety and depression are of psychological problems after heart surgery and hospitalization and also are the underlying factors and outcomes of coronary artery disease. Hence in line with reducing anxiety and depression, presenting information and educating the patients can be considered as the critical components of nursing care. Patient education is done through various processes that individual and face-to-face modes are of the most effective methods in this field. This study was conducted in order to determine the effectiveness of need-based individual education on anxiety and depression in patients with coronary artery disease during transition from the cardiac care unit in the selected hospitals of Isfahan University of Medical Sciences. Materials and Methods: This research study is a clinical trial that is derived from the nursing master's thesis. Sixty four patients with coronary artery disease, who were hospitalized in the cardiac care unit of Isfahan Shahid Chamran hospital, were randomly divided into two experimental and control groups. Data collection was carried out before and immediately after the intervention. Data collection tools were demographic characteristics and patients’ information questionnaire, Cardiac Patients’ Learning Needs Inventory and Hospital Anxiety and Depression Scale. Findings: The results revealed that patients’ extensive need of education and their high levels of anxiety and depression before education, that these factors can exacerbate the disease symptoms and make their future care harder. After the intervention, scores of need and the level of anxiety and depression in the experimental group were significantly lower than the control group. Conclusion: Due to the beneficial results of the educational intervention on reducing anxiety and depression in patients with coronary artery disease, this case should be treated as the objectives of caring staff, thereby the length of hospitalization will be reduced and patients’ rehospitalization will be prevented and their life quality will be increased.