The Effect of Pre-operative Information through Audiovisual Media on Self-Care Knowledge, Self-Efficacy, and State Anxiety of Patients before Bariatric Surgery

Abstract

This study aimed to examine the effect of pre-operative information by audiovisual media on patients before bariatric surgery. Methods: This study was conducted from July 4 to October 25, 2019 at Busan city in South Korea. Non-equivalent control groups with quasi-experimental design were used. A total of 24 patients were assigned to the experiment group (n=12) and the control group (n=12). Experimental tools provided information using audiovisual media, including a seven-step introduction of video contents. After that, the investigator used a Universal Serial Bus (USB) to transmit the "Obesity Escape" program to the electronic devices (smartphones, laptops, etc.) belonging to the patient or guardian, and then provided a self-learning checklist. The subjects self-learned through reviewing the items in the checklist at least three times each day at home for a total of two weeks until the day of re-admission until discharge. The investigator provided encouragement and counseling by phone once a week (every Friday). Results: There were significant differences between the two groups in the preoperative self-care (p<.001) and preoperative self-efficacy (p=.001), and preoperative state anxiety (p=.036). Conclusion:The results of this study suggest that the use of audiovisual media can be actively used in the nursing practice field to increase preoperative self-care and preoperative self-efficacy and reduce preoperative state anxiety in patients before bariatric surgery.

Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review

“…Studies were conducted in Australia and New Zealand (n 5 4) [42][43][44][45], Canada (n 5 4) [46][47][48][49], Europe (n 5 3 studies, reported across 5 publications) [50][51][52][53][54], the United States (n 5 2 studies, reported across 3 publications) [55][56][57], and Korea (n 5 1) [58]. Among the studies, 10 were conducted as RCTs (reported across 13 publications) [43][44][45][46][47]49,[51][52][53][54][55][56][57], 3 were controlled before and after studies [42,48,50], and 1 was a quasi-experimental design [58]. The majority of the study settings were tertiary or public hospitals (n 5 8 studies, reported across 9 publications) [42][43][44][48][49][50]52,53,58].…”

“…Among the studies, 10 were conducted as RCTs (reported across 13 publications) [43][44][45][46][47]49,[51][52][53][54][55][56][57], 3 were controlled before and after studies [42,48,50], and 1 was a quasi-experimental design [58]. The majority of the study settings were tertiary or public hospitals (n 5 8 studies, reported across 9 publications) [42][43][44][48][49][50]52,53,58]. Two were conducted in a medical or local center (reported across 4 publications) [51,[54][55][56], 1 in a public health service [47], 1 study was not sitespecific and recruited via social media [45], and 2 studies did not report the setting [46,57].…”

“…Two were conducted in a medical or local center (reported across 4 publications) [51,[54][55][56], 1 in a public health service [47], 1 study was not sitespecific and recruited via social media [45], and 2 studies did not report the setting [46,57]. In all but 2 studies (reported across 3 publications) [51,54,58], the predominant patient sex was female. The mean age ranged from 40 to 53 years.…”

“…BMI at baseline (preoperative) ranged from 42 to 53 kg/m 2 and was not detailed in 3 studies [45,49,57]. Samples contained mostly mixed bariatric surgeries (n 5 6 studies, reported across 8 publications) [49][50][51][52][53][54][55]58], or laparoscopic sleeve gastrectomy (n 5 2) [44,57], along with waitlist samples in preoperative interventions (n 5 5) [42,43,46,47,56], and 2 not reporting detail [45,48].…”

“…Intervention characteristics are tabulated in Table S2. Six interventions were delivered preoperatively [42,43,46,47,56,58], and Kalarchian et al [55] also delivered a postoperative intervention to the same sample. Four studies delivered the postoperative intervention without usual care [45,48,49,51,54], and 4 were in addition to usual care [44,50,52,53,57].…”