The Effect of Preoperative Educational Intervention on Preoperative Anxiety And Postoperative Outcomes In Patients Undergoing Open Cholecystectomy
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5
Abstract
Despite progress in surgery, anxiety remains an important problem, which may affect the surgical outcomes; one cause of anxiety might be due to lack of information about what will happen before, during or after the procedure. Aim: to examine the effect of preoperative educational intervention on preoperative anxiety and postoperative outcomes for patients undergoing open cholecystectomy. A quasi-experimental research design was utilized in the current study. The study was conducted in General Surgical Unit of Menoufia University Hospital, Egypt. Tools: An interviewing questionnaire sheet for demographic data, Beck Anxiety Inventory (BAI), Amsterdam Preoperative Anxiety and Information Scale (APAS), Visual analogue pain scale and Postoperative patient's outcome sheet. Results: No statistically significant differences were existed between both study and control groups in relation to scores of BAI and APAIS pre-intervention. While there were a significant decrease in the scores of BAI and APAIS in the study group compared to control group postintervention. There were significant differences existed between both groups regarding to nausea and vomiting, stability of vital sings, postoperative pain, and postoperative mobility. Conclusion: The planned educational intervention preoperatively diminished preoperative anxiety and leads to better surgical outcome as early recovery, effective pain control and early mobility. Recommendations: planned preoperative educational intervention and supply of knowledge through illustrated material such as simple booklet about preoperative preparation, surgery, anesthesia, postoperative practice, nutrition and life style modifications should be offered to patients preoperatively.
Authors and Affiliations
Dr. Rahma Abd El Gwad Elkalashy, Dr. Samah E. Masry
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