Pre-operative education and counselling are associated with reduced anxiety symptoms following carotid endarterectomy: a randomized and open-label study

Yang, Chunling; Tan, Yanhua; Jiang, Xiu-Xia; Meng, Feng-Ying; Wu, Yumin; Ma, Lei; Wang, Lexin

doi:10.1177/1474515111435608

Cited by 18 publications

(22 citation statements)

References 13 publications

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“…This study found a significant difference in anxiety and depressive symptoms scores between the intervention and the control group. The current findings are consistent with those of a previous study in which 120 patients undergoing carotid endarterectomy (an invasive procedure) were randomized to receive structured information and counseling the day before surgery or standard preintervention counseling [24]. Adequate information regarding the procedure and counseling effectively reduced the level of anxiety.…”

Section: Discussionsupporting

confidence: 87%

“…Additionally, we offered a single education and counseling session. However, several studies have shown that brief counseling appeared as effective in reducing anxiety as longer treatments [24, 38–40]. Notwithstanding, further research with longer duration of education and counseling, together with a cost effectiveness analysis, may be needed to better elucidate the effect of information and counseling for reducing anxiety in women undergoing HSG.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

Fianza

Dellafiore

Travaini

et al. 2014

The Scientific World Journal

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Hysterosalpingography (HSG) is generally considered a stressful and painful procedure; we aimed to evaluate whether a single education and counseling intervention could reduce women's distress and pain after undergoing HSG for infertility. Patients were randomized into control group (n = 108) and intervention group (n = 109). All patients filled the following questionnaires before and after HSG: Zung self-rating anxiety scale (Z-SAS), Zung self-rating depression scale (Z-SDS), and an ad hoc questionnaire designed to evaluate HSG procedure knowledge. Pain was scored using a visual analog scale. The intervention consisted in a 45-minute individualised session 48 h before HSG. We observed a reduction of anxiety and depression scores in the intervention arm compared to the control group. After controlling for potential confounding variables, intervention was an independent predictor of the difference of Z-SAS score before and after HSG. This is the first randomised controlled trial to assess the potential effectiveness of a single education and counseling intervention to lower anxiety in a diagnostic setting.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

Fianza

Dellafiore

Travaini

et al. 2014

The Scientific World Journal

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“…The September issue of the European Journal of Cardio vascular Nursing was focused entirely on psychosocial topics, with papers addressing depression and anxiety [1][2][3][4] ; coping 5 ; quality of life 1,[6][7][8] ; personality 7,9 ; and psychological adjustment. 10 Since psychosocial consequences of cardiac disease and treatment are so important, this previous issue of the journal formed a timely and much needed collection of articles.…”

mentioning

confidence: 99%

How meaningful is sense of coherence to cardiovascular nursing?

Apers

Luyckx

Moons

2012

European Journal of Cardiovascular Nursing

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“…The importance and efficacy of preoperative counseling has been similarly signified by previous trials on various ethnic groups. [1213] This study highlights the augmented anxiolytic effect with flupirtine reflected as lower VAS scores of various anxiety variables, measured on the evening before surgery.…”

Section: Discussionmentioning

confidence: 79%

Role of flupirtine in reducing preoperative anxiety of patients undergoing craniotomy procedure

2017

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Background:Kv7 neuronal channels are recognized as a potential drug target for anxiolytic effects. We hypothesize that flupirtine as a potassium channel opener would effectively reduce the preoperative anxiety of patients undergoing craniotomy procedure.Methods:In prospective-double-blinded fashion, 124 counseled patients were randomized to receive 5 sequential doses of capsule flupirtine 100 mg (F Group) or physically similar starch capsules (C Group), at 12 h intervals during preoperative hospitalization. Primary outcome included various aspects of patient anxiety measured by visual analog scale (VAS) just before preoperative counseling and 2 h after the completion of drug regimen under trial. Statistical tool included Mann–Whitney U-test and Wilcoxon signed rank test.Results:Baseline VAS scores were higher for fear of surgical harm, being at the mercy of medical staff, and not awakening after surgery. A significant decline in VAS scores was observed after the completion of drug regime, but to a higher extent in flupirtine-treated patients; it achieved statistical significance in comparison to Group C. No side effects were observed in any patient.Conclusion:Flupirtine is a useful premedication in conjunction with behavioral therapy to alleviate patient anxiety during the preoperative period.

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Pre-operative education and counselling are associated with reduced anxiety symptoms following carotid endarterectomy: a randomized and open-label study

Abstract: Pre-operative visits and counselling by ICU nurses could reduce patient's anxiety levels following carotid endarterectomy.

Cited by 18 publications

References 13 publications

Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

Effectiveness of a Single Education and Counseling Intervention in Reducing Anxiety in Women Undergoing Hysterosalpingography: A Randomized Controlled Trial

How meaningful is sense of coherence to cardiovascular nursing?

Role of flupirtine in reducing preoperative anxiety of patients undergoing craniotomy procedure

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