Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization

A rapid review

Diane L. Carroll, Alison Malecki-Ketchell, Felicity Astin

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient's perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data were synthesized as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the three interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization.

Original languageEnglish
Pages (from-to)92-103
Number of pages12
JournalEuropean Journal of Cardiovascular Nursing
Volume16
Issue number2
DOIs
Publication statusPublished - 16 Sep 2017

Fingerprint

Cardiac Catheterization
Psychology
Relaxation Therapy
Education
Libraries
Coronary Disease
Research Design
Language
Anxiety
Research Personnel
Depression
Pain
Health
Research

Cite this

@article{4999630dfd584a41b4453a44788e2028,
title = "Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization: A rapid review",
abstract = "Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient's perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data were synthesized as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the three interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization.",
keywords = "cardiac catheterization, procedural education, psychological distress, psychological preparation, Rapid review, relaxation techniques",
author = "Carroll, {Diane L.} and Alison Malecki-Ketchell and Felicity Astin",
year = "2017",
month = "9",
day = "16",
doi = "10.1177/1474515116670596",
language = "English",
volume = "16",
pages = "92--103",
journal = "European Journal of Cardiovascular Nursing",
issn = "1474-5151",
publisher = "Elsevier",
number = "2",

}

Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization : A rapid review. / Carroll, Diane L.; Malecki-Ketchell, Alison; Astin, Felicity.

In: European Journal of Cardiovascular Nursing, Vol. 16, No. 2, 16.09.2017, p. 92-103.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Non-pharmacological interventions to reduce psychological distress in patients undergoing diagnostic cardiac catheterization

T2 - A rapid review

AU - Carroll, Diane L.

AU - Malecki-Ketchell, Alison

AU - Astin, Felicity

PY - 2017/9/16

Y1 - 2017/9/16

N2 - Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient's perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data were synthesized as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the three interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization.

AB - Background: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient's perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. Aims: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization. Methods: Published, peer-reviewed, English-language intervention studies from 1981 to 2014 were identified in a search of CINAHL, Medline, and Cochrane Library. Eligible studies included adults undergoing cardiac catheterization. Studies included in this review used experimental and quasi-experimental designs and assessed at least one primary outcome: anxiety, depression, and pain to test non-pharmacologic interventions pre and post-cardiac catheterization. Researchers independently extracted data from included studies and completed a quality assessment using a published tool. Data were synthesized as a narrative. Results: There were 29 eligible experimental and quasi-experimental studies that tested the three interventions (n=2504). Findings suggest that non-pharmacologic interventions were able to effectively reduce psychological distress in some patients undergoing cardiac catheterization. Conclusion: Evidence is stronger in recent studies that non-pharmacologic interventions of procedural education and psychological preparation can reduce psychological distress in patients undergoing cardiac catheterization. Further research is needed to define the various relaxation techniques that can be effectively implemented for patients undergoing cardiac catheterization.

KW - cardiac catheterization

KW - procedural education

KW - psychological distress

KW - psychological preparation

KW - Rapid review

KW - relaxation techniques

UR - http://www.scopus.com/inward/record.url?scp=85011629683&partnerID=8YFLogxK

U2 - 10.1177/1474515116670596

DO - 10.1177/1474515116670596

M3 - Review article

VL - 16

SP - 92

EP - 103

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 2

ER -