Effect Of Preoperative Education Research Articles

The Effect of Preoperative Education Regarding Intraoperative Care on a Patient's Level of Fear of Surgery: A Randomized Controlled Study.

This randomized controlled study aimed to investigate the effect that preoperative education provided by the perioperative nurse about the OR environment and intraoperative care has on surgical fear in patients who come to the OR for surgical intervention. The study involved 92 patients undergoing elective abdominal surgery who were randomly assigned to the intervention or routine care group. Preoperatively, patients in the intervention group received education via a form that described the OR environment, the surgical process, and intraoperative care. The patients' surgical fear levels were assessed in the patients' rooms, in the clinic before education, and on arrival to the OR after education. The results showed that preoperative education about the OR environment and intraoperative processes significantly reduced patients' surgical fears.

The Effect of Preoperative Education on Preoperative Anxiety in Patients Waiting for Surgery: A literature Review

Context: Among patients undergoing surgery, preoperative anxiety (PA) is one of the most common psychological problems that can negatively impact the patient's physical health and the operation's outcome. Preoperative patient education (PPE) is a way to reduce PA, which has many advantages over pharmaceutical methods. Therefore, this study aimed to evaluate the effectiveness of PPE on PA in patients who are candidates for surgery by reviewing similar previous studies. Evidence Acquisition: The data in this narrative review were collected by searching past studies in reliable international databases, including Web of Science, Science Direct, Scopus, PubMed, and Google Scholar, in the last two decades. In the first stage of the search, 248 articles and scientific reports were received, and then 30 articles were selected as final studies by considering the inclusion and exclusion criteria. Results: In most previous similar studies, PPE significantly reduced PA in patients who are candidates for surgery. However, the findings of a small number of studies also showed that PPE had little positive effect, no effect, or negative effect on PA control. There were different methods to provide information to patients before surgery, and the efficiency and application of each were different based on the demographic characteristics of the patients. Conclusions: Based on the findings, appropriate training methods can reduce the level of PA in patients who are candidates for surgery. However, in some past studies, providing information about the surgical procedure may increase patients' PA. Therefore, nurses or medical staff with more contact with patients are suggested to have sufficient experience and knowledge in providing information and choosing the training method for patients before surgery.

Effect of Preoperative Education about Spinal Anaesthesia on Anxiety and Postoperative Outcomes in Parturients undergoing Elective Caesarean Section: An Interventional Study

Effect of Preoperative Education about Spinal Anaesthesia on Anxiety and Postoperative Outcomes in Parturients undergoing Elective Caesarean Section: An Interventional Study

The Effect of Preoperative Education Given to Patients Who Will Have a Mastectomy: A Randomized Controlled Trial

The aim of this study was to determine the effect of the education provided to patients who would undergo mastectomy on psychological well-being and quality of recovery. The study had a randomized controlled trial design. The study was completed with 62 patients (30 in the experimental group and 32 in the control group). The experimental group received education the day before the operation, and the applications were made 3 days after the operation. A questionnaire form, the psychological well-being scale, and the quality of recovery questionnaire-40 (QoR-40) were used to collect the study data. The mean total score of the final measurement of the psychological well-being scale was higher in the experimental group than in the control group, and the difference was statistically significant. The difference between the final measurement total score average of QoR-40 and the final measurement point average of the subdimensions of the patients in the experimental and control groups was measured. The difference was statistically significant and the mean score of the experimental group was higher. Education can increase the level of psychological well-being and quality of recovery in patients who undergo mastectomy. Physiological and psychological education can be used as a tool in nursing practice to improve the level of psychological well-being and quality of recovery in postoperative patients.

Effect of pre-operative education on post-operative pain management among adult patients undergoing elective surgery: An integrative review

Effect of pre-operative education on post-operative pain management among adult patients undergoing elective surgery: An integrative review

A Study to Evaluate the Effects of Pre Operative Education and Ventilatory Exercises Training in Reducing Anxiety and Improvement in Recovery among Cardiac Patients

A Study to Evaluate the Effects of Pre Operative Education and Ventilatory Exercises Training in Reducing Anxiety and Improvement in Recovery among Cardiac Patients

"Effect Of Preoperative Education On Length Of Stay Of Patients Undergoing Abdominal Surgeries: An Experimental Study." In A Tertiary Care Hospital In Northern India

The health care system has received much attention in recent years as efforts are made to reduce costs while maintaining or improving the quality of care. Studying outcomes has been one method of evaluating health care delivery. One commonly measured outcome of interest is length of stay (LOS). Objectives: To determine the effectiveness of video assisted education on length of stay of patients undergoing abdominal surgeries. Materials and methods: An experimental study was undertaken to assess the effect of video assisted education on length of stay on patients undergoing abdominal surgeries. Total 63 samples in the control group and 63 in the experimental group aged 18 years and above were selected by random sampling from all surgical wards (male and female wards) where patients were admitted for surgery. Patients in the intervention group were prepared for surgery one day prior to the surgery in the surgical wards during preoperative period by showing them videos on what to expect before, during and after surgery and were monitored for performing exercises regularly every three to four hours post operatively. The length of stay in the hospital was marked including the day of surgery and days spent in ICU and post operative wards by an observational checklist. Descriptive and inferential statistics was used for the analysis of the tabulated data. Results: Out of 63 in experimental group respondents’ maximum respondents 16 (25%) were from age group of 38-47 years. Majority of the respondents 33 (52%) were male, 57(90%) were married, 20 (32%) of the participants were Graduates. In control group, majority 17 (27%) of the participants were in the age group 48-57 years. 36 (57%) were male and 55 (87%) were married, 26 (41%) of the participants educational status were less than 10th standard. In the experimental group 45 (72% i.e majority of the participants stayed 5-8 days in hospital and in the control group also majority of the participants 41(65%) stayed 5-8 days in hospital. There was no significant difference in the length of stay in the hospital for surgery in both the groups The video assisted education did not show any significant effect on the length of stay of patients admitted for abdominal surgeries. Our study results is consistent with the study findings by (Kalogianni, et al,216) indicated "the preoperative teaching minimize the postoperative complication but did not affect the effectiveness on length" of hospital stay. From a time where a postoperative stay of 10 days was not uncommon, patients are now routinely discharged on postoperative day

P80. Effect of preoperative education on length of stay after elective spinal fusion: a prospective comparative cohort study

<h3>BACKGROUND CONTEXT</h3> Length of stay (LOS) is a major component of hospital cost of inpatient care. Preoperative surgical education has shown to reduce length of stay and overall hospital cost in the orthopedic literature. This same benefit has not been widely studied in patients undergoing spine surgery. <h3>PURPOSE</h3> We sought to demonstrate that preoperative spine surgery education decreases LOS and time-to-first-ambulation after elective spinal fusion. <h3>STUDY DESIGN/SETTING</h3> This is a prospective observational cohort study. We prospectively followed consecutive patients who underwent elective minimally invasive spinal fusion in two hospitals under multiple surgeons from May 2021 through September 2021. The patient population we pulled from was all patients who underwent elective lumbar and cervical fusion including patients with auto or worker's compensation. Patients were excluded if they underwent kyphoplasty or had surgery in the thoracic, C1, pelvis or sacroilliac joint regions. <h3>PATIENT SAMPLE</h3> Four hundred and twelve patients were included. <h3>OUTCOME MEASURES</h3> Our primary outcome for this study was length of stay. Our secondary outcomes were postoperative-day-0 ambulation (POD#0) and first-ambulation distance. <h3>METHODS</h3> Multidisciplinary meetings were held to develop the preoperative spine surgery education material which included a hardcopy booklet, a video embedded in an online quiz and a designated webpage (spineclass.michiganspineandbrainsurgeons.com). This component was part of our institutional Enhanced Recovery After Surgery (ERAS) protocol. During surgical scheduling, patients viewed the video on a tablet. They were given the booklet followed by an email with links to the webpage and pdf booklet. The process measures were compliance with completing the video/quiz and a quiz score with >50% as the passing score. Patient demographics, particularly types of insurance were collected. Univariate analyses were used to compare the compliance groups and multivariable analysis was done to identify factors independently associated with length of stay; p<0.05 was considered significant. <h3>RESULTS</h3> Four hundred and twelve patients were included. Sixty-eight (16.5%) patients viewed the video and completed the online quiz. Average quiz score 79.7 ± 10.8 with a 100% passing rate. There was no significant difference in patient and operative characteristics between the two groups. Compliant patients had a significantly shorter LOS (1.4 ± 1.3, 2.1 ± 2.7, p = 0.45). Preop spine video (B: -0.64, 95% CI: -1.29 - 0, p = 0.050) education was independently associated with a significant decrease in LOS; the converse was true for age (B: 0.05, 95% CI: 0.03 - 0.07, p = <.001). <h3>CONCLUSIONS</h3> We demonstrated that preoperative spine education significantly decreased LOS. Further study to improve compliance is necessary. <h3>FDA DEVICE/DRUG STATUS</h3> This abstract does not discuss or include any applicable devices or drugs.

THE EFFECT OF PREOPERATIVE EDUCATION ON SELF EFFICACY AND BEHAVIOR OF POST OPERATIVE PATIENTS OF LOWER EXTREMITY FRACTURES

Preoperative education is a form of education given before surgery patients, education contains things that patients will do after surgery. Preoperative education can improve self-efficacy and patient behavior. Objectives: To investigate whether there is an effect of preoperative education on self-efficacy and behavior in lower extremity fracture patients; Methods: This study used a quantitative method with a Quasi Experimental design with a pretest and posttest control group approach. The sample used was 52 respondents who were diagnosed as lower extremity fractures. Respondents were divided into 2 groups: intervention (provided education in the form of videos) and control (given verbal education); Results: after the study was completed and the score was calculated, there was an increase in the two control and intervention groups in the self-efficacy questionnaire scores but there was a significant increase in self-efficacy and exercise behavior in the intervention group who were given preoperative education via video for 15 minutes, namely 53.84 % self efficacy scores and 21 behavioral scores; Conclusion: In this study it was found that preoperative education is important in patient care, education provided through video is proven to be more effective in increasing self-efficacy and improving postoperative exercise behavior in lower extremity fracture patients compared to preoperative education given verbally.

Effects of preoperative physiotherapy on signs and symptoms of pulmonary collapse and infection after major abdominal surgery: secondary analysis of the LIPPSMAck-POP multicentre randomised controlled trial

BackgroundPreoperative education and breathing exercise training by a physiotherapist minimises pulmonary complications after abdominal surgery. Effects on specific clinical outcomes such as antibiotic prescriptions, chest imaging, sputum cultures, oxygen requirements, and diagnostic coding are unknown.MethodsThis post hoc analysis of prospectively collected data within a double-blinded, multicentre, randomised controlled trial involving 432 participants having major abdominal surgery explored effects of preoperative education and breathing exercise training with a physiotherapist on postoperative antibiotic prescriptions, hypoxemia, sputum cultures, chest imaging, auscultation, leukocytosis, pyrexia, oxygen therapy, and diagnostic coding, compared to a control group who received a booklet alone. All participants received standardised postoperative early ambulation. Outcomes were assessed daily for 14 postoperative days. Analyses were intention-to-treat using adjusted generalised multivariate linear regression.ResultsPreoperative physiotherapy was associated with fewer antibiotic prescriptions specific for a respiratory infection (RR 0.52; 95% CI 0.31 to 0.85, p = 0.01), less purulent sputum on the third and fourth postoperative days (RR 0.50; 95% CI 0.34 to 0.73, p = 0.01), fewer positive sputum cultures from the third to fifth postoperative day (RR 0.17; 95% CI 0.04 to 0.77, p = 0.01), and less oxygen therapy requirements (RR 0.49; 95% CI 0.31 to 0.78, p = 0.002). Treatment effects were specific to respiratory clinical coding domains.ConclusionsPreoperative physiotherapy prevents postoperative pulmonary complications and is associated with the minimisation of signs and symptoms of pulmonary collapse/consolidation and airway infection and specifically results in reduced oxygen therapy requirements and antibiotic prescriptions.Trial registrationANZCTR 12613000664741; 19/06/2013.

Effectiveness of Structured Pre operative Education on Anxiety Level of Patients Undergoing Elective Orthopaedic Surgery

The prevention of anxiety is of prime importance for patients undergoing surgeries. This experimental study was designed to find out the effectiveness of preoperative education on anxiety of patients undergoing orthopaedic surgeries. In this study, 46 patients who fulfilled the inclusion criteria were recruited and randomly allocated to experimental and control groups. On the previous day of surgery, the demographic and clinical data were collected with a specially designed pro forma, the pre- and post-operative anxiety level was assessed by using the state-trait anxiety inventory form Y-1 questionnaire and factors influencing anxiety were assessed by a self-developed questionnaire. The mean change in the level of anxiety from pre-operative to the post-operative period in the control group was 8.10 (standard deviation [SD] = 11.12). Whereas in the experimental group this was 9.08 (SD = 15.28). The difference in change of anxiety level from control to experimental group is −0.98 (95% confidence interval:-8.94, 6.98), which is not statistically significant (P = 0.805). There is no significant association between the level of anxiety and demographic variables. The fear about post-operative pain was the factor experienced by most of the patients (78.3%) both in the control and experimental group to cause anxiety. The study concluded that almost all the patients had one or more reasons for anxiety in the pre-operative period. Both control and experimental groups had reduction in anxiety level from pre-intervention to post-intervention. However, the difference in mean anxiety scores was not significant between control and experimental group. Most of the patients in both groups gave positive feedback on teaching, which made them feel at ease and was helpful in overcoming anxiety. The structured education did not produce any unique impact on the post-operative anxiety in patients undergoing orthopaedic surgery. Other factors related to perioperative anxiety warrants exploration.

Assess the effectiveness of preoperative education on postoperative outcome among the patients undergoing major Gynecological surgery admitted at Pravara Rural Hospital, Loni (Bk)

Assess the effectiveness of preoperative education on postoperative outcome among the patients undergoing major Gynecological surgery admitted at Pravara Rural Hospital, Loni (Bk)

Nursing Implication of People Treated by Radical Cystectomy Postsurgery and Rehabilitation.

The purpose of this paper is to summarize existing evidence about nursing interventions to selected symptoms experienced by patients undergoing radical cystectomy (RC) to maintain or return to their daily life activities. A non-systematic narrative review was conducted. A search in PubMed and CINAHL was conducted eliciting evidence about frequent symptoms experienced after RC. The following search terms were used: radical cystectomy and/or nursing interventions, pain, distress, fatigue, urinary dysfunction, sexual dysfunction, loss of appetite, sleep disturbance, and enhanced recovery after surgery (ERAS). Evidence in the ERAS pathway is still lacking regarding the effect of preoperative education and counseling of the patient and the most difficult part to implement is related to preoperative optimization of the patient such as lifestyle changes. Most nursing interventions to alleviate symptoms in the rehabilitation period after RC are still practice based. Priority should be given to implementation of the ERAS protocol. To improve the management of symptoms experienced by patients in the RC rehabilitation period it is essential that validated screening tools to identify the symptoms be used. Accepted and effective strategies for treating the individual symptoms should be initiated and clear treatment outcomes should be defined. Urology nurse researchers should investigate the concept of symptom clusters to clarify whether there are more efficient methods to identify symptoms or symptom clusters and if so would the use of symptom clusters knowledge improve patient care.

The Effects of Preoperative Education, Marking and Adequate Positioning of Stoma on Self-Esteem and The Quality of Life of Patients with Intestinal Ostomy and Their Families

Aim. The purpose of this systematic review is to examine all available research studies on quality of life of ostomy patients and their families, which is contingent upon the effects of adequate preoperational education, the best and most acceptable ostomy site marking on the patients’ abdomen, and subsequently, the effect on the ostomy patients’ self-esteem. Methods. A literature search was carried out using scientific electronic databases - Science Direct, PubMed and Medline. Analysed period was from 2010 to 2016 in order to get insight into the most recent findings. Search terms included preoperative education, stoma marking, quality of life, self-esteem, influence on family life. Overview of articles was made in three stages. Results. We found 1440 scientific articles. In the first stage, we eliminated 1271 articles because they were unsuitable. In the second stage, we analysed 34 articles and made a conclusion based on 13 full text available articles. Conclusion. The patient is content while being treated in the hospital; however, only after the patient has been released do the hardships occur, which are often the main cause of discontent, isolation, anxiety, and fear – thus resulting in diminished quality of life. Preoperational education and marking the most acceptable place for ostomy procedure significantly affect the self-esteem and the quality of life of ostomy patients and their families. Ostomy patients need to be followed up, and the home care system, as well as the support systems of public health care for patients with a gastrointestinal ostomy, need to be strengthened.

The Effects of Preoperative Education for Patients With Cancer: A Systematic Review and Meta-analysis.

The results of previous experimental studies have been inconsistent in the effect of preoperative education on postoperative outcomes, and there have been no meta-analyses focusing solely on preoperative education for patients with cancer. To identify the magnitude and direction of the effects of preoperative education and to investigate the influence of moderators on postoperative outcomes for patients undergoing cancer-related surgery. A systematic review and meta-analysis was conducted following the Cochrane guidelines. Electronic databases were searched until October 2019 using Cochrane database, MEDLINE, EMBASE, and CINAHL for randomized controlled trials and quasi-experimental studies on preoperative education interventions. Ten studies with 45 effect sizes were analyzed in this meta-analysis, and the standardized mean difference was calculated based on Hedges' g as an effect size. Meta-analysis showed that the overall effect size of preoperative education was moderate. Preoperative education improved cancer patients' knowledge and satisfaction and reduced pain. The effects of preoperative education were greater in younger age groups when delivered using verbal or combined educational methods. This meta-analysis demonstrated the importance of preoperative educational interventions not only in terms of their surgery-related cognitive aspects but also in terms of the physical and psychological aspects linked to the cancer surgery. Interventions to provide the most effective preoperative education for patients with cancer in the hospital setting are required, and this information can be used to develop evidence-based education strategies for patients undergoing cancer-related surgery.

The effect of preoperative education on opioid consumption in patients undergoing arthroscopic rotator cuff repair: a prospective, randomized clinical trial—2-year follow-up

With the recent opioid epidemic in the United States, measures by both government and medical providers are being taken to decrease the opioid dependence rate. Different methods have been proposed, including patient education and multimodal pain therapies. The purpose of this study was to determine whether preoperative opioid education reduces the risk of opioid dependence at 2 yearsfollowing arthroscopic rotator cuff repair (ARCR). This study was a 2-year follow-up of the 2018 Neer Award study that demonstrated the use of preoperative opioid education as a means to reduce postoperative opioid consumption after ARCR at 3-month follow-up. This was a prospective, single-center, single-blinded, parallel-group, 2-arm, randomized clinical trial with a 1:1 allocation ratio. To study the effect of preoperative opioid education on opioid dependence at 2 years, we randomized patients into 2 cohorts, a study cohort and a control cohort. Data were obtained with a review of prescription data-monitoring software and a patient telephone interview. Opioid education (P = .03; odds ratio, 0.37; 95% confidence interval, 0.14-0.90) was found to be an independent factor that is protective against opioid dependence. Study patients had a lower rate of opioid dependence (11.4%, 8 of 50) than control patients (25.7%, 18 of 50) (P = .05). Significantly fewer prescriptions were filled by study patients (mean, 2.9) than by control patients (mean, 6.3) (P = .03). Additionally, fewer pills were consumed by study patients (median, 60; interquartile range [IQR], 30, 132) than by control patients (median, 120; IQR, 30, 340) (P = .10). Finally, fewer morphine milligram equivalents were consumed by study patients (median, 375; IQR, 199, 1496) than by control patients (median, 725; IQR, 150, 2190) (P = .27). Our study found that patients who were preoperatively educated on opioid use were less likely to become opioid dependent at 2-year follow-up. Therefore, we demonstrated that opioid education does impart significant long-term benefits to patients undergoing ARCR.

Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: a randomised controlled trial

BackgroundPreoperative education may help participants to psychologically prepare themselves for surgery, but the outcomes of such preparation have rarely been assessed in patients requiring postoperative care in the intensive care...

The impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery

Introduction: The effectiveness of preoperative education in postoperative course of cardiac surgery patients has been questioned. Aim: To estimate the impact of preoperative education in satisfaction and postoperative outcomes of patients undergoing cardiac surgery. Material and Method: A quasi-experimental trial was conducted. Sixty nine patients who admitted for elective cardiac surgery were divided randomly in intervention (34) and control group (35). Intervention group received written and verbal education based on patient centered communication by specially trained nurses. Patients’ satisfaction, postoperative complications and hospital length of stay (LOS) was measured. Results: Scores on all dimensions of satisfaction were greater for intervention group (p&lt;0,001).No difference found for complications in intensive care unit (ICU) (p=0,150) in both groups. The total complications was lower (p=0,028) in intervention group with a lower proportion of arrhythmia (p=0,011). The median LOS in ICU was shorter for intervention group (p=0,035). No difference found in median hospital LOS in either group. Conclusions: Nurse-led preoperative education increases satisfaction of patients undergoing cardiac surgery and may have an effect on LOS shortening and complications control.

Effect of preoperative education on anxiety in children undergoing day-care surgery.

Background and Aims:There have been various methods tested for reducing preoperative anxiety in children, but very limited literature is available in the Indian scenario. Our aim was to analyse the effect of an informative video about the anaesthetic technique on preoperative anxiety in children.Methods:In all, 94 children were randomly allotted into two groups. Children in the study group were shown a peer modelling video depicting induction of general anaesthesia and recovery during the preanaesthetic check (PAC). Patients in the control group were given only verbal information during PAC. Anxiety was assessed on visual analog scale (VAS) for anxiety at two times. Baseline VAS score was recorded during PAC and preoperative VAS score was assessed prior to induction of anaesthesia. The VAS score was represented as median value. Data were analysed using the Mann–Whitney U-test for ordinal data and skewed quantitative data. Categorical data was analysed by using Chi-square test and t-test was applied for quantitative data. The significance threshold of P value was set at <0.05.Results:The median (interquartile range) preoperative VAS score was significantly lower in the study group [1 (0–1.3)] when compared with the control group [5 (3–5)] (P < 0.001). The mean preoperative pulse rate, mean preoperative systolic blood pressure and mean preoperative diastolic blood pressure were significantly lower in the study group when compared with the control group (P < 0.001).Conclusion:Multimedia information in the form of a peer modelling video helped reduce preoperative anxiety in children between 7 and 12 years of age.

Effect of preoperative education about spinal anesthesia on anxiety and postoperative pain in parturients undergoing elective cesarean section: A randomized controlled trial

Background: Preoperative anxiety is a common problem in all patients. The reason could be incomplete information regarding the anesthesia and surgical procedure. Cesarean section (CS) is a common surgery and treatment of postoperative pain after CS continues to be an ongoing challenge. Aim: The present study was carried out to assess if preoperative education with a handout about spinal anesthesia can reduce anxiety and postoperative pain in parturients undergoing CS under spinal anesthesia. Methods and Materials: We randomized 64 parturients into two equal groups; study (Group A) and control group (Group B). The study group was given a handout and a structured education about spinal anesthesia. The control group was given routine preoperative information. The Amsterdam preoperative anxiety and information scale (APAIS) was used to measure anxiety preoperatively and visual analogue scale (VAS) for pain at 5 h and 24 h postoperatively. Statistical Analysis: The two groups were compared using Student's t test and non-parametric Wilcoxon-Mann-Whitney U test. Result: The median difference in preoperative anxiety scores (APAIS) in the two groups was found to be 8.00 (P