Abstract
Introduction and objectives: The prevalence of preoperative state anxiety is an unavoidable complication. Aside from its type and scope, the surgical operation is considered as a severe stressful situation for patients. Considering the importance of reducing the state anxiety in patients undergoing surgery, there are different methods, one of which is patient education; therefore the aim of the current study was compare the effect of written and planned training on the state anxiety among patients undergoing orthopedic surgery.Method: In this study, 81 patients candidate for orthopedic surgery were selected using convenience sampling and were randomly divided into 3 groups, including planned training, pamphlet and control groups. All patients answered 20 questions-State-Traits Anxiety Inventory (STAI) Questionnaire the day before surgery and the intervention was later carried out in the planned training and pamphlet groups. Then the effect of preoperative state anxiety was re-evaluated about half an hour after training in three groups. For data analysis, in addition to mean and standard deviation, independent t-test and ANOVA were used in Spss16.Results: The results of comparing pre- and post-training mean score of the state anxiety in three groups showed that the mean score of state anxiety reached from 50.41 to 41.03, 52.41 to 44.37 and 45.04 to 50.56 in planned, pamphlet and control groups, respectively. ANOVA test showed that there is a significant difference in this comparison. The results of Tukey's test also revealed that the mean score of state anxiety in the planned and pamphlet groups was lower significantly than the control group (p<0.05).Conclusion: Based on research findings, the planned training method was more effective in decreasing state anxiety among patients compared to the pamphlet group before orthopedic surgery. Therefore, considering the fact that nurses play an important role in examining and relieving the state anxiety among patients and spend more time with patients undergoing surgery compared with other members of the healthcare team, therefore, the planned training method must be considered to ensure effective support to reduce the preoperative state anxiety among patients.
Highlights
Surgery is a diagnostic and therapeutic process in many diseases, which causes an increase in the incidence of many different psychological and physiological reactions in some patients, among which anxiety and depression are considered as the most important complications (1)
Considering the fact that nurses play a major role in examining and relieving the anxiety among patients and spend more time with patients undergoing surgery compared with other members of the healthcare team, the planned training method must be considered to ensure effective support to reduce the preoperative anxiety among patients
The results of comparing anxiety scores showed a significant difference among the three groups regarding preoperative anxiety scores, which were lower in the control group
Summary
Surgery is a diagnostic and therapeutic process in many diseases, which causes an increase in the incidence of many different psychological and physiological reactions in some patients, among which anxiety and depression are considered as the most important complications (1). Considering the importance of reducing anxiety in patients undergoing surgery, there are different methods for this purpose (1). These methods include a visit to the patient by the nurse, building trust in the patients towards medical staff and training techniques to reduce anxiety, use of therapeutic touch, use of music and recitation of the Qur’an and patient education (2). Among these methods, the use of preoperative patient education, to ensure that the patient has a positive experience of surgery, will be effective in reducing his/her state anxiety (4). Considering the fact that nurses play a major role in examining and relieving the anxiety among patients and spend more time with patients undergoing surgery compared with other members of the healthcare team, the planned training method must be considered to ensure effective support to reduce the preoperative anxiety among patients
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