The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study

Abstract

BackgroundThis is a quasi-experimental case control research focusing on the impact of systematic preoperative instruction on the level of postoperative anxiety in gyneoncologic patients. The population studied consists of the gyneoncologic surgery patients admitted to the Gynecologic Oncology Service at Zekai Tahir Burak Gynecology Training and Research Hospital from May to September 2010.Patients and methodsThrough a random sampling, 60 patients were recruited in each group. The study group was given a systematic preoperative instruction while the control group was given routine nursing care. Patients were interviewed in the postoperative period and anxiety was measured. The data-collecting tool consisted of the Individual Information Form and the State-Trait Anxiety Inventory. The collected data were analyzed by using the SPSS Program to find the frequency, the percentage, the mean and the standard variables, and the hypothesis was tested with Chi-square, variance, and t-independent test.ResultsIt was found that the incidence rates from the post-operative anxiety score of the study group were lower than those of the control group (p < .05). The results of this research demonstrated that gyneoncologic surgery patients who were given systematic preoperative instruction felt less anxious than the ones who were given merely a routine nursing care.ConclusionsResults of this study suggest that preoperative instruction programs aiming at informing gyneoncologic surgery patients at the preoperative stage should be organized in hospitals and have an essential role.

Preoperative Stress: An Operating Room Nurse Intervention Assessment

“…18,19 Some studies conclude that preoperative anxiety levels are high, but a nurse's approach and patient education effectively reduce anxiety levels. 9,16 Surgical nursing is not always considered ''real'' nursing care by other nurses. OR nurses are sometimes called names, such as technician and robot, which imply that they are not responsible for patient care.…”

“…11,12 Studies of the effect of preoperative information or education on the patient's emotional state are available in the literature. 6,16 Previous studies suggest that preoperative education reduces anxiety and pain levels, postoperative complications, and delays in surgery. 17,18 Nurses play a key role in perioperative patient care.…”

“…Wade et al 21 found that the provision of information to patients affected postoperative complications and reduced anxiety and pain. 16,21 Many studies in Turkey and other countries have investigated the causes and consequences of stress and anxiety during the perioperative period. However, studies showing an effect of OR nurse visits on stress are limited, and these studies are not available in Turkey.…”

Emotions of Gynecologic Cancer Patients Dealing with Permanent Colostomy: A Qualitative Interview Study

“…In 2010, an estimated 83,750 new cases of gynecologic malignancies will be diagnosed, and almost 27,710 women will die [1]. Gynecological cancer may be prone to an increased risk of psychological distress [2][3][4]. The effectiveness of modern methods of treatment and detection in oncology have contributed to the popular interest in emotional issues among survivors [5,6].…”

A influência da escuta terapêutica sobre a ansiedade e os medos relacionados à cirurgia em pacientes no pré-operatório de cirurgia colorretal: um ensaio clínico aleatorizado

“…Pós Pré Pós Moda 98 46 263 ---Média (dp) 137 (146,5) 123 (143) 174 ( ansiedade (BEAVER et al, 2012;FOJI et al, 2015;HAN;CHUNG, 2014;KARKUCAK et al, 2016;KAZANCIOGLU et al, 2015;KURT;GUNGOR, 2011;QUATTRIN et al, 2006;RAHEEM et al, 2015) afinal, além de ser um instrumento reconhecido no meio científico, o IDATE permite, diferentemente de outros instrumentos que também se propõe a medir a ansiedade, avaliar as variações desta em um curto espaço de tempo por meio de seu componente estado. Os valores de moda, média e mediana do IDATE-E e IDATE-T estão apresentados na tabela 13.…”