The efficacy of nursing intervention to reduce preoperative anxiety in patients with total knee arthroplasty

Abstract

Background: Some patients undergoing the total knee arthroplasty (TKA) have suboptimal postoperative results, and preoperative anxiety may be one of the reasons for these unsatisfactory results. We perform this randomized control study protocol to determine the effectiveness of nursing intervention, on the basis of motivational interview, to decrease the preoperative anxiety in patients receiving TKA. Methods: This is a double-blinded, single-center, placebo-controlled and randomized trial, which will be conducted from December 2020 to June 2021. The protocol of this study was approved by the West China Hospital of Sichuan University (W20200803-28). Sixty patients who will undergo TKA are included in our study. Patients are randomly divided into experiential group (with 30 patients) and the control group (with 30 patients). The control group and experimental group receive an informative and separate session via nursing about the operation preparation and operation process. Both the control group and the experimental group are given habitual treatment, but the experimental group need to receive additional motivational interviews. The primary outcomes are the Hospital Anxiety and Depression Scale and the Amsterdam Preoperative Anxiety and Information Scale. Secondary outcome is postoperative pain, which is assessed by visual analogue scale . Results: Figure 1 will display the comparison of preoperative and postoperative total average anxiety scores in control group and the experimental group. Conclusion: Preoperative psychological distress is familiar in our patients. We hypothesized that nursing intervention may be associated with reduced preoperative anxiety in the patients receiving TKA.

Transtorno De Ansiedade No Período Pré-Operatório: Uma Revisão Integrativa

“…Em relação à caracterização dos participantes, prevaleceram, segundo a classificação de ciclo de vida, crianças entre sete a doze anos (n=3) 13,0% (BARTIK; TORUNER, 2018;AKCA;GOZEN;AKPINAR, 2015;FRANZOI et al, 2016), adultos acima de dezoito anos (n=12) 52,0% (BIZZIO et al, 2020;GONG et al, 2018;BAYRAKTAR et al, 2018;PEREIRA;FIGUEIREDO-BRAGA;CARVALHO, 2016;GRANZIERA et al, 2013;YANG et al, 2012;GUO;EAST;ARTHUR, 2012;KO;LIN, 2012;ASSIS et al, 2014;BENEVIDES et al, 2020;FELIX et al, 2018;ALMEIDA et al, 2013) e idosos entre sessenta a setenta e cinco anos (n= 8) 34,0% (FU et al, 2020;XU;WANG;YANG, 2020;GARZON, 2019;MOUSAVI MALEK et al, 2018;HEILMANN et al, 2016;KALOGIANNI et al, 2016;ARAÚJO;HENRIQUE, 2012;COSTA;SAMPAIO, 2015). Nota-se que três artigos não aludem à faixa etária (THOMASGAARD;LOHNE;VALEBERG, 2021;GONÇALVES;MEDEIROS, 2016;DINIZ et al, 2019).…”

“…Os procedimentos cirúrgicos aplicados com mais prevalência durante o intraoperatório foram de ordem cardiovascular, sendo revascularização do miocárdio, troca valvar, correção de aneurisma de aorta, endarterectomia carotídea (n=9) 27,0%, seguidos de colecistectomia e correção de hérnia umbilical e inguinal (n=8) 24,0% e, ainda, ortopédico, compondo artroplastia total de joelho, fraturas, hérnia de disco intervertebral, substituição articular: de aparelho reprodutor, prostatectomia, correção São utilizadas onze tipos diferentes de escalas sendo as três mais predominantes: -STAI-State Trait Anxiety Inventory (n=15) 52,0% (KALOGIANNI et al, 2016;GRANZIERA et al, 2013; PEREIRA; FIGUEIREDO-BRAGA; CARVALHO, 2016;HEILMANN et al, 2016;KO;LIN, 2012;FELIX et al, 2018;DINIZ et al, 2019;BAYRAKTAR et al, 2018;BARTIK;TORUNER, 2018;MOUSAVI MALEK et al, 2018;COSTA;SAMPAIO, 2015;GONÇALVES;MEDEIROS, 2016;AKCA;GOZEN;AKPINAR, 2015;XU;WANG;YANG, 2020;ALMEIDA et al, 2013), -VAS-Visual Analogue Scale (n=4) 14,0% (HEILMANN et al, 2016;DINIZ et al, 2019;GONG et al, 2018;XU;WANG;YANG, 2020) e -APAIS-Amsterdam Preoperative Anxiety and Information Scale (n=2) 7,0% (GARZON, 2019;FU et al, 2020).…”

“…Responder a essas questões de forma individual, empática e de fácil compreensão ajuda muito (PEREIRA; FIGUEIREDO-BRAGA; CARVALHO, 2016). Em outros estudos, a entrevista também tinha como objetivo levar os participantes a delimitarem suas metas e considerarem as mudanças a serem realizadas lentamente nos seus hábitos de vida (FU et al, 2020) explorando o nível de ansiedade e suas possíveis causas (GARZON, 2019). Também foi estudada a abordagem psico-oncológica integrada que investiga reação emocional, estilo de enfrentamento cognitivo e o tipo de estratégia comunicativa a ser adotada (GRANZIERA et al, 2013).…”

“…No que concerne à apresentação dos resultados da pesquisa, alguns periódicos não os demonstram de forma clara: ou a exposição de tabelas não traz informações ou as mostram de maneira completa (XU;WANG;YANG, 2020;FU et al, 2020) dificultando, pois, a avaliação da eficácia das intervenções propostas.…”

Nursing Intervention Countermeasures of Robot-Assisted Laparoscopic Urological Surgery Complications

“…The advent of the da Vinci robot-assisted system has made a qualitative leap in laparoscopic surgery for prostate cancer, and its operation is stable and dexterous, showing obvious advantages [ 5 ]. At present, robot-assisted laparoscopic radical prostatectomy has accounted for about 80% of radical prostatectomy in European and American countries with high incidence of prostate cancer [ 6 ]. Compared with open and traditional laparoscopic surgery, robotic surgery has the advantages of less bleeding, fewer complications, faster postoperative recovery, and shorter hospital stay and can achieve the same or better oncology and functional results [ 7 ] although the operation time is longer and the cost is higher.…”