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Keywords

Angina pectoris, self-management, randomized controlled trial

 

Authors

  1. Kimble, Laura P. PhD, RN, FAHA, FAAN

Abstract

Purpose: The aim of this study was to test the effect of a psychoeducational intervention to enhance angina pectoris (AP) symptom self-management.

 

Design: A two-group, single-blind, randomized controlled trial.

 

Methods: Following institutional review board approval, a convenience sample of cardiac inpatients was recruited. Within 2 weeks following discharge, the Angina Self-Management (ASM) intervention group (n = 39) received a nurse-delivered, telephone intervention focused on AP symptom monitoring and management. The control group (n = 41) received an attention-control telephone call. Physical function, anxiety, and angina frequency were assessed between 3 and 6 months postintervention.

 

Findings: Men in the ASM group (n = 24) reported better physical function and lower anxiety than men in the control group (n = 26). Women in the ASM group (n = 15) reported worse physical function and higher anxiety than women (n = 15) in the control group.

 

Conclusions: Angina symptom monitoring may be more difficult for women. Rehabilitation nurses should be proactive in addressing issues associated with women's AP symptom management.