Effect of Kolcaba's Comfort Intervention on Perceived Stress and Tolerance in Coronary Angiography: A Quasi-Experimental Study
| Author | Elham Eyvazi | en |
| Author | Rahim Sheykhi | en |
| Author | Ali Hassanpour Dehkordi | en |
| Author | Shahriyar Salehitali | en |
| Author | Arsalan Khaledifar | en |
| Orcid | Rahim Sheykhi [0000-0002-6191-5744] | en |
| Orcid | Ali Hassanpour Dehkordi [0000-0002-3010-9838] | en |
| Orcid | Arsalan Khaledifar [0000-0003-2323-171X] | en |
| Issued Date | 2026-12-31 | en |
| Abstract | Background: Coronary angiography is a common procedure for the diagnosis and treatment of cardiovascular diseases; however, it often causes substantial stress and anxiety among patients. These psychological responses can reduce patient comfort and procedural tolerance, underscoring the need for nursing strategies to improve the quality of care. Objectives: This study investigated the effects of a nursing intervention based on Kolcaba's Comfort Theory on perceived stress, comfort, and tolerance in patients undergoing coronary angiography at a hospital affiliated with Shahrekord University of Medical Sciences in 2024. Methods: In this two-group quasi-experimental study, conducted over 6 months in the cardiology department and angiography unit of Hajar Educational Hospital, affiliated with Shahrekord University of Medical Sciences, 80 participants were selected using convenience sampling and then allocated to the intervention and control groups using a computer-generated random sequence. Data were collected using four instruments: a demographic questionnaire, the Perceived Stress Scale, the Visual Analogue Scale (VAS) to measure patient comfort, and a tolerability assessment scale. The intervention, based on Kolcaba's Comfort Theory, consisted of four 30-minute sessions addressing the physical, psychospiritual, sociocultural, and environmental dimensions of comfort. Data were analyzed using descriptive and inferential statistics with SPSS version 22. Results: After the care intervention and coronary angiography, the mean perceived stress scores were 48.6 ± 5.76 in the control group and 45.28 ± 6.06 in the intervention group. An independent t-test indicated a statistically significant difference between the groups (P < 0.01). After the care intervention and coronary angiography, the mean comfort scores were 2.9 ± 0.55 in the control group and 3.65 ± 1.01 in the intervention group. An independent t-test indicated a statistically significant difference between the groups (P < 0.01). The mean ± standard deviation (SD) tolerance score during the procedure was 10.80 ± 0.73 in the intervention group and 8.77 ± 1.61 in the control group. After the procedure, the mean ± SD tolerance score was 10.78 ± 2.17 in the intervention group and 8.86 ± 2.00 in the control group. An independent t-test demonstrated a statistically significant difference between the groups at both time points (P < 0.001). Conclusions: Nursing interventions for patients undergoing invasive procedures, such as angiography, based on Kolcaba’s nursing model facilitate greater acceptance of the procedure, thereby providing a foundation for reduced stress and improved comfort during the procedure. | en |
| DOI | https://doi.org/10.5812/jnms-167804 | en |
| URI | https://brieflands.com/journals/jnms/articles/167804 | en |
| Keyword | Coronary Angiography | en |
| Keyword | Perceived Stress | en |
| Keyword | Comfort | en |
| Keyword | Tolerability | en |
| Keyword | Patient Tolerability | en |
| Publisher | Brieflands | en |
| Title | Effect of Kolcaba's Comfort Intervention on Perceived Stress and Tolerance in Coronary Angiography: A Quasi-Experimental Study | en |
| Type | Research Article | en |
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