Effects of a peer- led group education on fear, anxiety and depression levels of patients undergoing coronary angiography


  • Zahra Molazem Nurse, Ph.D. Associate Professor, Community Based Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. email: molazem@sums.ac.ir
  • Zahra Shahabfard Nurse, M.Sc. Researcher, Student Research Committee, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. email: shahabfard59@gmail.com
  • Alireza Askari Physician, M.D. Assistant Professor, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. email: aaskari60@yahoo.com
  • Majid Najafi Kalyani Nurse, Ph.D. Assistant Professor, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. email: majidnajafi5@yahoo.com




Coronary angiography, control groups, peer group, anxiety, depression, fear.


Objective. To investigate the effect of the peer group education on the fear, anxiety and depression levels of the patients undergoing angiography.

Methods. In this clinical trial, 70 patients referred to Vali-E-Asr clinic of Fasa (Iran) for undergoing coronary angiography were selected by random sampling and divided into experimental and control groups. The experimental group (n=35) received the necessary instructions about coronary angiography by those in a trained peer group (Two former patients, having experienced in the procedure), while in the control group (n=35) the routine instructions were presented by the department’s nurses. The levels of fear, anxiety and depression of the patients were measured both before and after conducting this intervention.

Results. The mean score of the patients’ fear and anxiety after the intervention of the peers in the experimental group was reduced compared to that of the control group (p<0.05). But for the mean of the score of the depression test, no statistically significant differences were found between the two groups after the intervention.

Conclusion. The results of this study showed that utilizing the peer group education is effective for reducing the fear and anxiety of patients undergoing coronary angiography.


How to cite this article: Molazem Z, Shahabfard Z, Askari A, Kalyani MN. :  Effects of a peer-led group education on fear, anxiety and depression levels of patients undergoing coronary angiography. Invest. Educ. Enferm. 2018; 36(1):e13.

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How to Cite

Molazem, Z., Shahabfard, Z., Askari, A., & Najafi Kalyani, M. (2018). Effects of a peer- led group education on fear, anxiety and depression levels of patients undergoing coronary angiography. Investigación Y Educación En Enfermería, 36(1). https://doi.org/10.17533/udea.iee.v36n1e13




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