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Effectiveness of structured pre operative education on anxiety level of patients undergoing elective orthopaedic surgery

Lookup NU author(s): Melvin JoyORCiD

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Abstract

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.


Publication metadata

Author(s): Christal Vimala TJ, Martin R, Rao AS, Joy M

Publication type: Article

Publication status: Published

Journal: Indian Journal of Continuing Nursing Education

Year: 2021

Volume: 22

Issue: 2

Pages: 200-206

Print publication date: 31/12/2021

Online publication date: 31/01/2022

Acceptance date: 26/11/2021

Date deposited: 20/06/2024

ISSN (print): 2230-7354

ISSN (electronic): 2666-8246

Publisher: Wolters Kluwer - Medknow

URL: https://doi.org/10.4103/ijcn.ijcn_110_20

DOI: 10.4103/ijcn.ijcn_110_20


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