A Mixed Method Study to Evaluate the Impact of nurse led intra operative video therapy on anxiety and to explore lived experience among patients undergoing Spinal anesthesia in selected hospitals at Erode

Abstract

Context: The peri-operative period is not only physically traumatic, but is also a source of significant fear and anxiety to patients. Methods: Quantitatively, after obtaining written informed consent, patients undergoing spinal anesthesia who fulfilled the inclusion criteria was recruited and enrolled in this study, in selected hospitals at Erode. The design used for the present study was mixed method design. The total sample size was 60 subjects out of which 30 in experimental group and 30 in control group. Pretest and posttest was conducted by using Spielberger State Anxiety Inventory in experimental and control group. Experimental group received nurse led intra operative video therapy for the duration of 20-30 minutes. Control group received standard methods of care. Qualitatively, process consent was obtained from the participants. The sample size was 8 participants, determined by adopting data saturation. Colaizzi analytic method was adopted to analyse the gathered data. Results: Wilcoxon signed-rank test showed statistical significance among patients undergoing spinal anaesthesia in experimental group, whereas control group portrayed statistical non significance. Mann-Whitney U test depicted statistical significance. Qualitative results were organized into three themes viz perplexity related to appropriate selection of video, limited time duration for watching intra operative video and the time does not have seem to pass. Conclusion: The quantitative study findings revealed that administration of intra operative video therapy was significant in reducing the level of anxiety among patients undergoing spinal anesthesia. Qualitatively, three themes were identified.