Abstract
Background and aims: Anxiety is a major problem among the candidates for surgery. This study aimed at investigating the effects of preoperative nursing visit (PNV) on anxiety and hemodynamic parameters among the candidates for general surgeries. Methods: This quasi-experimental study was conducted in 2018 on 104 candidates for general surgeries conveniently recruited from Imam Khomeini hospital, Islamabad-e Gharb, Iran. Participants were randomly assigned to a control and an intervention group. Participants in the control group received routine car services, while participants in the intervention group received both routine care services and a 30–60-minute PNV one day before surgery. Their anxiety and hemodynamic parameters were assessed before the intervention and before surgery. Data were collected using a demographic questionnaire, a data sheet for hemodynamic parameters, and Spielberger State-Trait Anxiety Inventory, and were analyzed using the SPSS software (v. 22.0). Results: There were no significant between-group differences regarding the pretest mean values of state and trait anxiety, heart rate (HR), and systolic blood pressure (SBP) and diastolic blood pressure (DBP) (P>0.05). However, the posttest mean values of state and trait anxiety, HR, and systolic and diastolic blood pressures in the intervention group were significantly less than the control group (P<0.05). Moreover, all these mean values significantly decreased in the intervention group (P<0.05). Conclusion: PNV is effective in significantly reducing state and trait anxiety and hemodynamic parameters among the candidates for general surgeries and hence, can be used to minimize preoperative physiological and psychological problems.
Highlights
Despite great advances in surgical procedures and anesthesia techniques, anxiety is still a major problem among the candidates for surgery so that 60%–80% of them experience considerable preoperative anxiety [1]
This study investigated the effects of preoperative nursing visit (PNV) on anxiety and hemodynamic parameters among the candidates for general surgeries
Our findings indicated the significant positive effects of PNV on heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP)
Summary
Despite great advances in surgical procedures and anesthesia techniques, anxiety is still a major problem among the candidates for surgery so that 60%–80% of them experience considerable preoperative anxiety [1]. This study aimed at investigating the effects of preoperative nursing visit (PNV) on anxiety and hemodynamic parameters among the candidates for general surgeries. Participants in the control group received routine car services, while participants in the intervention group received both routine care services and a 30–60-minute PNV one day before surgery Their anxiety and hemodynamic parameters were assessed before the intervention and before surgery. The posttest mean values of state and trait anxiety, HR, and systolic and diastolic blood pressures in the intervention group were significantly less than the control group (P < 0.05). Conclusion: PNV is effective in significantly reducing state and trait anxiety and hemodynamic parameters among the candidates for general surgeries and can be used to minimize preoperative physiological and psychological problems.
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