The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients

Neziha Karabulut,Funda Cetinkaya

doi:10.4236/ss.2011.26065

Abstract

Aim: The aim oh this study was to detrmine the effects of different training programs implemented before inguinal hernia operation on the pre- and post-operation anxiety level of and pain level the patient. Material and method: This quasi experimental study was carried out with inguinal hernia patients 18 - 60 years who were hospitalized in the General Surgery Clinic of Hospital of Ataturk University and Suleyman Demirel Medical Centre in Erzurum for inguinal hernia operation. The study data were collected between November 2007-May 2008 from a total of 90 patients. 30 patients were in the control group, 30 were in the video (VCD) training group, and 30 were in the booklet training group. Data were collected by means of a questionnaire about the patients and the inventory of state anxiety fort he adult. In collecting data, patient introduction form and Spielberger’in State-Trait Anxiety Inventory, and visual analogue scale (VAS) were used. In data assessment, T-test, Pearson correlation test, Mauchly’s variance analysis, Anova for repeated measures tests and Bonferroni Correction Analysisi were used. Results: In control, booklet and VCD groups, In group Situational Constant Anxiety score average was found significant in each three time periods (p < 0.001). When the pain situations of the patients after operation was considered, the distinction in Visual Analogue Scale and Verbal Rating Scala values of two groups in all measurement times was found significant (p<0.001). Conclusion: In the conclusion of the study, it was found out that the given education effective on level of pain and anxiety score for experimental groups of patients.

Highlights

Being healthy is defined as the absence of disease and disability, and as a complete well being in terms of physical, social and mental state
The patient feels anxiety as a result of the physical effects imposed by the disease as well by the change of environment imposed by hospitalization
The study was conducted between November 2007 and May 2009. It was carried out quasi-experimentally on patients between 18 - 60 years, who were hospitalized for inguinal hernia operation in the General Surgery Clinic of Research Hospital of Atatürk University and Süleyman Demirel Medical Centre in Erzurum

Summary

Introduction

Being healthy is defined as the absence of disease and disability, and as a complete well being in terms of physical, social and mental state. The process of hospitalization, regardless of the reason, causes different reactions in different people, including adverse reactions such as anxiety, fear, and depression. The patient feels anxiety as a result of the physical effects imposed by the disease as well by the change of environment imposed by hospitalization. These factors, which may cause anxiety in the hospitalized individual, include the anxiety of receiving painful treatment, being away from his/her family, losing his/her job, being in an alien environment, and encountering unknown devices and procedures. An operation implies pain, loss of independence, and distortion of body image, and each of these factors is perceived as a threat. The individual feels anxiety when he/she faces this type of threat that is rected to the order of his/her body or life [7,8]

Objectives

Methods

Results

Conclusion