Abstract
The purpose of this study was to examine the effects of a video education program in women receiving high-intensity focused ultrasound (HIFU) treatment. This was a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 54 patients who had benign uterine tumors and adenomyosis. The data were collected from June to August 2018. A 10-minute video education program on HIFU and post-procedural care was developed based on the literature. The experimental group was provided the video education program with a question-and-answer session for 10 minutes after viewing the video. The control group received usual care (i.e., verbal instructions on post-procedural self-care). The questionnaire survey was conducted twice: before the educational program and before being discharged from the hospital. Differences in uncertainty, emotions, and self-efficacy among patients were analyzed. Data were analyzed using the chi-square test, Shapiro-Wilk test, paired t-test, and t-test with SPSS version 23.0. The participants in the experimental group showed a decrease in uncertainty(t=4.33, p<.001), improvements in anxiety(t=-4.07, p<.001) and depression (t=-3.55,p<.001), and an enhancement ofself-efficacy (t=-4.39,p<.001) compared to the control group. This nursing intervention was effective at reducing uncertainty, improving emotions, and enhancing self-efficacy. This intervention is feasible for use in nursing practice as an aid for patients when considering treatment methods.
Highlights
연구 필요성 한국 여성의 자궁절제술은 연간 총 4만 5천건으로 여성 생식기 질 환 수술 중 1위를 차지하고 있으며[1], 세계경제협력개발기구(Organization for Economic Cooperation and Development, OECD)의 건 강 통계자료에 의하면 OECD 평균 건수보다 3배나 많아 아시아 국 가 중 1위를 기록하고 있다[2]. 자궁절제술을 받은 여성 환자들은 수 술 후 월경이 없어지고 임신이 불가능해지는 것을 여성성의 상실로 받아들여 수술 후 불안과 우울, 성 역할 정체성 및 삶의 질 변화에 따른 정서적인 반응장애 등의 다양한 어려움을 경험한다[3]
What is already known about this topic? High-intensity focused ultrasound (HIFU) treatment is a non-operative treatment for benign uterine tumors
Implications for practice, education, and/or policy This 10-minute video educational program was found to be an effective support for benign uterine tumor patients preparing for HIFU, and can be feasibly used in clinical practice
Summary
What is already known about this topic? High-intensity focused ultrasound (HIFU) treatment is a non-operative treatment for benign uterine tumors. The development of related nursing intervention programs is insufficient. What this paper adds The video-based educational program was an effective nursing intervention that reduced uncertainty and improved mood and self-efficacy in patients receiving HIFU treatment. Implications for practice, education, and/or policy This 10-minute video educational program was found to be an effective support for benign uterine tumor patients preparing for HIFU, and can be feasibly used in clinical practice
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