Effects of pre-operative education tailored to information-seeking styles on pre-operative anxiety and depression among patients undergoing percutaneous coronary intervention: A randomized controlled trial

Zhuo, Qiqi; Ma, Fang; Cui, Changsheng; Bai, Yangjuan; Hu, Qiulan; Hanum, Ardani Latifah; Wei, Wei; Liang, Hongmin

doi:10.1016/j.ijnss.2023.03.015

Cited by 2 publications

(7 citation statements)

References 42 publications

(61 reference statements)

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“…Notably, in the present study, the nurses prioritized the personalization of their interventions for the target population, stating that the sessions should be individual and mostly face-to-face, favoring the establishment of effective communication that supports the development of a therapeutic and trusting relationship between the nurse and the recipient of care. This is corroborated by other studies ( 13 , 53 ), which state that people experience surgery differently, so individualized care based on the needs and personal characteristics of the patients is essential and should be considered when selecting the methods to manage anxiety and the quantity and quality of information and ways of providing this information ( 30 ).…”

Section: Discussionsupporting

confidence: 66%

“…Research shows that providing information can reduce the patient’s anxiety, and nurses play a crucial role in advising and informing; thus, these professionals need appropriate knowledge and skills ( 54 , 55 ). In addition, preoperative education should be adapted to each person’s information-seeking styles since the evidence shows that individualized adaptation effectively reduces preoperative anxiety ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, the scoping review by Oliveira and colleagues ( 3 ) showed variations in the frequency, duration, and periodicity of sessions in international psychoeducation programs. Also, some studies applied a single-session intervention lasting on average less than 30 min ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…The same author ( 18 ) also developed the STAI (State–Trait Anxiety Inventory), which is referred to as the gold standard for measuring anxiety levels in the surgical context ( 3 , 7 , 12 , 13 ), validated for the Portuguese population by McIntyre and McIntyre ( 19 ). Notably, using anxiety assessment instruments on admission to the surgical service allows identifying people with high anxiety levels and developing preventative mitigation interventions ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

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Design of a nursing psychoeducation program to reduce preoperative anxiety in adults

Oliveira,

Pires,

Silva

et al. 2024

Front. Public Health

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IntroductionPreoperative anxiety, with its multifactorial origins, affects a wide range of surgical patients, leading to adverse physiological and psychological effects in the perioperative period. Customized, autonomous nursing interventions are needed to address individual person needs. The shift toward outpatient surgery emphasizes the need for restructured nursing approaches. Existing literature suggests that preoperative nursing consultations offer opportunities for assessing needs, providing information, and prescribing anxiety-reduction strategies. Psychoeducation, a specialized skill within mental health and psychiatric nursing, has proven effective in alleviating preoperative anxiety and reducing postoperative complications. The aim is to obtain and analyze the information reflecting nurses’ understanding of the design, structure, and operationalization of a psychoeducation program to reduce preoperative anxiety in adults.MethodsA qualitative, exploratory, descriptive study was conducted. Data were collected through a 90-min focus group session held online via Zoom Meetings videoconferencing platform. Inclusion criteria for the participant’s selection were established. The focus group was guided to deliberate on potential strategies for crafting effective psychoeducational interventions. Data collection ceased upon reaching theoretical saturation and gathered information was submitted for content analysis. Ethical procedures were ensured.ResultsOf the participants, 10 were specialist nurses (7 working in mental health and psychiatric nursing and the remaining in medical-surgical nursing), with an average age of 41 and an average of 15 years working in surgical services. The nurses selected the target population, the structure and content of the psychoeducation sessions, and the resources and addressed the perceived importance, effectiveness, and feasibility of the designed psychoeducation program.DiscussionThe study revealed the nurses’ understanding of the design of a psychoeducation program potentially effective in reducing preoperative anxiety in adults, in an outpatient surgery context. This result will allow the transfer of the produced knowledge to nurses’ professional practice reflecting lower levels of anxiety and promoting a better surgical recovery. This is an unprecedented study conducted in Portugal, adding substantial knowledge to the nursing discipline. However, further research into implementing psychoeducation in a surgical context is suggested aiming to consolidate the results of research already carried out internationally.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Design of a nursing psychoeducation program to reduce preoperative anxiety in adults

Oliveira,

Pires,

Silva

et al. 2024

Front. Public Health

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“…The result might be explained by the ‘Blunting Hypothesis’, which suggests that individuals were categorized into monitoring information‐seeking styles (monitors) and blunting information‐seeking styles (blunters) with respect to cancer information 32 . Monitors were dissatisfied with information provision and constantly sought cancer information from friends and family, health professionals, the Internet, printed materials and other sources, while blunters benefit from avoiding cancer‐related information; only information provision tailored to the individual's information‐seeking styles will make them better off psychologically, behaviourally and physiologically 32–35 . Hence, healthcare professionals should provide information about diagnosis and prognosis to people with cancer at the appropriate time and in the proper way, and deliver information tailored to the different information needs of individuals.…”

Section: Discussionmentioning

confidence: 99%

‘Only to reconcile with it’. The coping experience amongst middle‐aged and older cancer survivors: A qualitative study

He,

Zhao,

Duan

et al. 2024

Health Expectations

Self Cite

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BackgroundCancer threat is relevant to age, and the threat of a foreshortened life coupled with a lengthy treatment process negatively affects middle‐aged and older adults. Understanding the coping throughout the cancer experience in middle‐aged and older cancer survivors will help develop supportive care to promote their physiological and psychological coping effects.ObjectivesTo explore the cancer coping experiences of middle‐aged adults aged 40–59 and older adults over 60.DesignA descriptive phenomenological study was employed.MethodsFace‐to‐face, in‐depth, semistructured interviews were conducted with 22 oncology patients in a tertiary university hospital aged 40 or above from August to October 2023. The interview data were analyzed using thematic analysis procedures.ResultsFive themes and 13 subthemes were formed through analysis: acceptance of cancer (considering cancer as chronic, believing in fate and attributing cancer to karma); having different information needs (desired to be truthfully informed, information‐seeking behaviour, information avoidance behaviour); getting families involved (developing dependent behaviours, feeling emotional support, family members suffering worse); striving to maintain positive psychological state (positive thinking, seeking peer support) and negative experience (undesirable, low self‐esteem).ConclusionOur study reveals that cancer survivors' attitudes towards having cancer have changed from a death sentence to a more positive perception of a chronic disease. Supportive programmes for developing coping strategies should consider the cultural traditions and religious beliefs, different information needs, involvement of family and promoting a positive psychological state while avoiding negative factors.Patient or Public ContributionParticipants with experience of coping with cancer were involved in the semistructured interview.

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Effects of pre-operative education tailored to information-seeking styles on pre-operative anxiety and depression among patients undergoing percutaneous coronary intervention: A randomized controlled trial

Cited by 2 publications

References 42 publications

Design of a nursing psychoeducation program to reduce preoperative anxiety in adults

Design of a nursing psychoeducation program to reduce preoperative anxiety in adults

‘Only to reconcile with it’. The coping experience amongst middle‐aged and older cancer survivors: A qualitative study

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