Effect of Preoperative Counseling on Anxiety and Satisfaction among Women Undergoing Hysterectomy

Abstract

This study aimed to investigate the effect of preoperative counseling on anxiety and satisfaction among women undergoing hysterectomy. Design: A quasi-experimental design was used. Sample type: Purposive sampling was applied. Setting: The study was conducted at the Gynecological department in Mansoura University Hospital, Egypt. Subjects: One hundred women undergoing laparoscopic hysterectomy and fulfilled the criteria, they randomly assigned into intervention group: Consist of 50 women who were given preoperative counseling and control group: Consist of 50 women who were given routine hospital care. Tools: An interviewing questionnaire schedule, Beck Anxiety Inventory, Satisfaction Likert scale. Results: The present study findings revealed that, mean of anxious score among studied groups before and after intervention was nearly the same before intervention, while there was highly statistically significantly different between studied groups after intervention (16.14 ± 9.75) in the intervention group compared to (30.82 ± 7.96) in the control group . Also, there was a significant decrease in average anxious score after intervention (P= 0.001), while it is not a significant decrease in the control group (P= 0.176). About 74.0% of women were satisfied by pre-operation counseling. Conclusion: It was evident from the present study findings that women undergoing laparoscopic hysterectomy who received preoperative counseling demonstrated lower anxiety levels of statistical significance and higher satisfaction postoperative when compared with women who received only the routine hospital care.Therefore, it is recommended that nurses should receive training so as to integrate preoperative counseling into the routine hospital care.

The Effect of Information and Coping with Anxiety Training Given to Women before Hysterectomy on their Level of Anxiety: A Post-Test Randomized Controlled Experimental Study

“…In the present study, some socio-demographic and clinical characteristics of the participants in the experimental and control groups were consistent with those found in the literature (Erdoğan et al 2020;Cheung et al 2003;El-Sayed et al 2017). In the Binary Logistic Regression analysis, having a high school or higher education increased trait anxiety, while income equal to or more than expenditure had a decreasing effect over anxiety levels.…”

“…The participants' anxiety levels increased as their education levels increased, which was probably due the fact that their knowledge and awareness of the surgery increased in parallel with their education levels. In the study of El-Sayed et al ( 2017), the education and working status of the participants did not lead to a statistically significant difference in the participants' anxiety levels (El-Sayed et al 2017). Pınar et al (2011) determined that there was an inverse correlation between the education levels of women and their anxiety levels; however, it was not statistically significant.…”

“…Burma and Kaylak (2021) recommend that nurses who are in constant communication with the patients should detect whether patients who will undergo hysterectomy have anxieties about the surgery and in the case if they have such anxieties, the nurses should try to eliminate their anxieties. On the other hand, Özdemir and Pasinlioğlu (2009) recommend that nurses should investigate whether patients who will undergo hysterectomy have false beliefs about the surgery, and they should make an attempt to eliminate their hysterectomy-related false beliefs (Taşkın 2020;Yıldız et al 2015;Burma and Kavlak 2021;El-Sayed et al 2017;Patil et al 2017;Özdemir and Pasinlioğlu 2009).…”