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Kartal M, Altan Sarikaya N. Sociodemographic and Psychosocial Factors Affecting the Psychological Well-Being of Preoperative Surgical Patients. J Perianesth Nurs 2024; 39:533-539. [PMID: 38054913 DOI: 10.1016/j.jopan.2023.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/18/2023] [Accepted: 10/13/2023] [Indexed: 12/07/2023]
Abstract
PURPOSE This study aimed to determine the subjective psychological well-being levels and sociodemographic and psychosocial factors affecting the psychological well-being of preoperative surgical patients. DESIGN This was a cross-sectional study. METHODS This study was conducted between January 15, 2021 and July 15, 2021. The sample consisted of 236 surgical patients in a public hospital in the Thrace region of Turkey. Data were collected using a personal information form and the five-item World Health Organization Well-Being Index (WHO-5). The data were analyzed using numbers, percentages, mean, standard deviation, independent samples t test, one-way analysis of variance, Tukey's multiple comparison test, and linear regression analysis. FINDINGS Participants had a mean WHO-5 score of 10.76 ± 6.21, indicating low subjective psychological well-being. Economic status, chronic disease status, history of surgery, having been on psychiatric medication or receiving professional psychological support, tobacco use, experiencing a significant life change in the last 3 months, and reporting experiencing frequent stress in everyday life were significant predictors of WHO-5 scores. CONCLUSIONS Preoperative surgical patients have low subjective psychological well-being, and their sociodemographic and psychosocial factors affect their psychological well-being.
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Affiliation(s)
- Mevlude Kartal
- Department Operating Room, Kesan State Hospital, Keşan, Edirne, Turkey
| | - Nihan Altan Sarikaya
- Department of Mental Health and Disease Nursing, Faculty of Health Science, Trakya University, Merkez, Edirne, Turkey.
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Lau J, Khoo AMG, Luo N, Tan KK. Health-related quality of life thresholds of clinical importance at diagnosis can predict longitudinal post-operative health functioning in colorectal cancer patients: A prospective multicentre observational study. EUROPEAN JOURNAL OF SURGICAL ONCOLOGY 2024; 50:107291. [PMID: 38064864 DOI: 10.1016/j.ejso.2023.107291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/15/2023] [Accepted: 11/17/2023] [Indexed: 01/16/2024]
Abstract
BACKGROUND Health-related quality of life (HRQOL) is an increasingly important outcome in colorectal cancer (CRC) treatment. Established thresholds for clinical importance (TCI) permit an absolute interpretation of HRQOL scores but less emphasis has been placed on whether these can be used in a predictive manner. This study aimed to examine if patients' baseline HRQOL functioning scores, subgrouped based on TCI, would significantly predict HRQOL over time. METHODS 211 CRC patients were prospectively followed up from diagnosis to 18 months after surgery. Patients were administered the EORTC Core Quality of Life Questionnaire (EORTC QLQ-C30) at each timepoint. Baseline demographic and clinical data were extracted from electronic medical records. RESULTS Only the physical and emotional functioning scales of the EORTC QLQ-C30 were utilised with their respective TCIs (score of ≤83 for physical; ≤71 for emotional). Physical functioning was below-threshold for most patients at pre-discharge (81.77 %) and 1-month (56.48 %) before stabilising to baseline proportions by 6-month. For emotional functioning, 22.04 %-30.98 % of patients were below-threshold between baseline to 3-month, stabilising to approximately 14.00 % after 6-month. Baseline TCI subgrouping was significantly associated with change in HRQOL scores over time for both the physical (β = 14.09, 95 % CI: 8.22, 19.97) and emotional (β = 25.66, 95 % CI: 18.79, 32.53) functioning scales (p < 0.01). CONCLUSION EORTC QLQ-C30 TCIs can be utilised not just to concretely identify clinically significant impairments in presenting CRC patients, but also as potential predictive tools towards more value-driven delivery of pre- and post-surgical supportive and allied healthcare.
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Affiliation(s)
- Jerrald Lau
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | | | - Nan Luo
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore
| | - Ker-Kan Tan
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore; Department of Surgery, National University Hospital, Singapore.
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Kang HW, Kim HJ, Kim WY, Min WK, Min TJ, Lee YS, Kim JH. Effects of cranial electrotherapy stimulation on preoperative anxiety and blood pressure during anesthetic induction in patients with essential hypertension. J Int Med Res 2020; 48:300060520939370. [PMID: 32865096 PMCID: PMC7469723 DOI: 10.1177/0300060520939370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objective Cranial electrotherapy stimulation (CES) is a non-invasive treatment that improves symptoms such as anxiety and pain. The purpose of this study was to analyze the effect of CES pretreatment on levels of preoperative anxiety, pain, and hemodynamic responses—especially changes in blood pressure—during anesthetic induction in patients with essential hypertension. Methods Eighty patients undergoing general anesthesia were randomly assigned to receive either no pretreatment (control group, n = 40) or CES pretreatment (CES group, n = 40). Anxiety scores, systolic and diastolic blood pressures, mean arterial pressure, and heart rate were measured in the general ward the evening before surgery, as well as in the preoperative holding area, operating room, and after intubation. Withdrawal responses to rocuronium injection were also measured. Results Anxiety scores in the operating room were significantly lower in the CES group. Withdrawal responses to rocuronium injection were also significantly lower in the CES group. There were no significant differences in hemodynamic values between the two groups. Conclusions CES pretreatment reduces both preoperative anxiety levels and withdrawal responses to rocuronium injection. However, it does not have a significant effect on hemodynamic responses.
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Affiliation(s)
- Hee Won Kang
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Hyun Joong Kim
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Woon Young Kim
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Won Kee Min
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Too Jae Min
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Yoon Sook Lee
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
| | - Jae Hwan Kim
- Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Gyeonggi-do, Republic of Korea
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Eun J, Tiwari V, Sandberg WS. Predicting Daily Surgical Volumes Using Probabilistic Estimates of Providers’ Future Availability. DECISION SCIENCES 2020. [DOI: 10.1111/deci.12478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Joonyup Eun
- Graduate School of Management of TechnologyKorea University Seoul 02841 South Korea
| | - Vikram Tiwari
- Departments of Anesthesiology, Biomedical Informatics, and Biostatistics, School of MedicineVanderbilt University Medical Center Nashville TN 37212 USA
- Owen Graduate School of ManagementVanderbilt University Nashville TN 37212 USA
| | - Warren S. Sandberg
- Departments of Anesthesiology, Surgery, and Biomedical Informatics, School of MedicineVanderbilt University Medical Center Nashville TN 37212 USA
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Tong B, Wang M, Yu J, Feng S. Perioperative nursing care of a patient with urogenital sinus malformation who underwent vaginal calculus removal and correction: a case report. J Int Med Res 2020; 48:300060520931319. [PMID: 32552122 PMCID: PMC7303782 DOI: 10.1177/0300060520931319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Cases of urogenital sinus malformation with a huge calculus are complex and rare.
Improper nursing care of these cases can lead to a series of problems. We report here a
23-year-old married woman who was admitted to hospital because of primary amenorrhea and
failed sexual intercourse for 5 years. Through combined diagnosis and treatment of
radiology, ultrasound, urology, gynecology, and other disciplines, the patient was
diagnosed with urogenital sinus malformation, a vaginal calculus, and primary amenorrhea.
After full preparation, the patient underwent an operation for extraction of the vaginal
calculus, urethroplasty, vaginoplasty, and hysteroscopy. The calculus of the patient was
removed and the vagina was returned to its normal anatomy. Patients with urogenital sinus
malformation and a huge calculus have complex care requirements and experience a
particular state of vulnerability during the diagnostic phase. By establishing good
communication with patients and providing proper perioperative nursing, physiological and
psychological rehabilitation of these patients can be achieved.
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Affiliation(s)
- Baoqin Tong
- Department of Gynaecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Meili Wang
- Department of Gynaecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Jieqiong Yu
- Department of Gynaecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
| | - Suwen Feng
- Department of Gynaecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China
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Ko SY, Leung DY, Wong EM. Effects of easy listening music intervention on satisfaction, anxiety, and pain in patients undergoing colonoscopy: a pilot randomized controlled trial. Clin Interv Aging 2019; 14:977-986. [PMID: 31213784 PMCID: PMC6549755 DOI: 10.2147/cia.s207191] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 04/09/2019] [Indexed: 01/31/2023] Open
Abstract
Purpose: The purpose of this study was to examine the effects of an easy listening music intervention on satisfaction, anxiety, pain, sedative and analgesic medication requirements, and physiological parameters in Chinese adult patients undergoing colonoscopy in Hong Kong. Patients and methods: Patients undergoing colonoscopy, aged 45 or older, able to communicate in Chinese, and hemodynamically stable were invited for the study. A randomized controlled trial was adopted. Eligible patients were randomly assigned either to a music group, which received standard care and additional easy listening music (a series of 15 popular non-rock Chinese songs) through earphones and MP3 for 20 mins before and during the procedure, or to a control group which received standard care only. Standard care comprised of all nursing and medical care provided for patients undergoing colonoscopy. Measures comprised of the State-Trait Anxiety Inventory, visual analog scales of pain level, procedure satisfaction and satisfaction with pain management, the use of sedative and analgesic drugs, heart rate, and blood pressure data were collected at baseline (T0), during (T1) and 30 mins after the procedure (T2). Results: Eighty participants (40 music vs 40 control) completed the study with no attrition. Participants in the music group reported significantly higher levels in both procedure satisfaction (p=0.043) and satisfaction with pain management (p=0.045) than those in the control group. No significant difference was found between groups on anxiety, pain, additional sedative and analgesic use, heart rate, and systolic and diastolic blood pressure (p>0.05). Nevertheless, most participants appreciated the songs provided in MP3 and found it helpful for relaxation during the procedure and would prefer it again (p<0.001). Conclusion: Easy music listening can enhance patients' satisfaction in both procedure and pain management for adults undergoing a colonoscopy procedure.
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Affiliation(s)
- Shuk Yee Ko
- Accident and Emergency Department, Tuen Mum Hospital, Tuen Mun, NT, Hong Kong
| | - Doris Yp Leung
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
| | - Eliza Ml Wong
- School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
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Goebel S, Mederer D, Mehdorn HM. Surgery-Related Coping in Surgery Patients with Intracranial Tumors. World Neurosurg 2018; 116:e775-e782. [DOI: 10.1016/j.wneu.2018.05.091] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 05/13/2018] [Accepted: 05/14/2018] [Indexed: 01/10/2023]
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Mavridou P, Manataki A, Arnaoutoglou E, Damigos D. A Survey of Patients' Preoperative Need for Information About Postoperative Pain—Effect of Previous Surgery Experience. J Perianesth Nurs 2017; 32:438-444. [DOI: 10.1016/j.jopan.2015.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Revised: 05/26/2015] [Accepted: 06/05/2015] [Indexed: 10/20/2022]
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Aust H, Rüsch D, Schuster M, Sturm T, Brehm F, Nestoriuc Y. Coping strategies in anxious surgical patients. BMC Health Serv Res 2016; 16:250. [PMID: 27406264 PMCID: PMC4941033 DOI: 10.1186/s12913-016-1492-5] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Accepted: 06/29/2016] [Indexed: 11/18/2022] Open
Abstract
Background Anaesthesia and surgery provoke preoperative anxiety and stress. Patients try to regain control of their emotions by using coping efforts. Coping may be more effective if supported by specific strategies or external utilities. This study is the first to analyse coping strategies in a large population of patients with high preoperative anxiety. Methods We assessed preoperative anxiety and coping preferences in a consecutive sample of 3087 surgical patients using validated scales (Amsterdam Preoperative Anxiety and Information Scale/Visual Analogue Scale). In the subsample of patients with high preoperative anxiety, patients’ dispositional coping style was determined and patients’ coping efforts were studied by having patients rate their agreement with 9 different coping efforts on a four point Likert scale. Statistical analysis included correlational analysis between dispositional coping styles, coping efforts and other variables such as sociodemographic data. Statistical significance was considered for p < 0.05. Results The final analysis included 1205 patients with high preoperative anxiety. According to the initial self-assessment, about two thirds of the patients believed that information would help them to cope with their anxiety (“monitors”); the remainder declined further education/information and reported self-distraction to be most helpful to cope with anxiety (“blunters”). There was no significant difference between these two groups in anxiety scores. Educational conversation was the coping effort rated highest in monitors whereas calming conversation was the coping effort rated highest in blunters. Coping follows no demographic rules but is influenced by the level of education. Anxiolytic Medication showed no reliable correlation to monitoring and blunting disposition. Both groups showed an exactly identical agreement with this coping effort. Demand for medical anxiolysis, blunting or the desire for more conversation may indicate increased anxiety. The use of the internet was independent of the anxiety level and the demand of information. Conclusion Conversation with medical staff proved to be the most popular coping strategy. Acknowledgment of the division between information-seeking and blunting-like personalities is central to supporting the patient’s individual coping efforts. Internet access may be the easiest way to support coping today. Electronic supplementary material The online version of this article (doi:10.1186/s12913-016-1492-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Hansjoerg Aust
- Department of Anesthesiology and Intensive Care; Philipps-University of Marburg, Baldingerstrasse, D-35033, Marburg, Germany.
| | - Dirk Rüsch
- Department of Anesthesiology and Intensive Care; Philipps-University of Marburg, Baldingerstrasse, D-35033, Marburg, Germany
| | - Maike Schuster
- Philipps-University of Marburg (UKGM StO Marburg), Marburg, Germany
| | - Theresa Sturm
- Philipps-University of Marburg (UKGM StO Marburg), Marburg, Germany
| | - Felix Brehm
- Philipps-University of Marburg (UKGM StO Marburg), Marburg, Germany
| | - Yvonne Nestoriuc
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany
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Kipnis G, Tabak N, Koton S. Background Music Playback in the Preoperative Setting: Does It Reduce the Level of Preoperative Anxiety Among Candidates for Elective Surgery? J Perianesth Nurs 2016; 31:209-16. [DOI: 10.1016/j.jopan.2014.05.015] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2013] [Revised: 03/25/2014] [Accepted: 05/28/2014] [Indexed: 10/22/2022]
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Piredda M, Biagioli V, Giannarelli D, Incletoli D, Grieco F, Carassiti M, De Marinis MG. Improving cancer patients' knowledge about totally implantable access port: a randomized controlled trial. Support Care Cancer 2015. [PMID: 26201750 DOI: 10.1007/s00520-015-2851-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
PURPOSE Providing patients with written information about totally implantable access ports (TIAPs) is recommended during the pre-implantation period to reduce anxiety and to help recalling information. No study tested the effectiveness of information about TIAP neither with oral communication nor with booklets. This study aimed at evaluating the effectiveness of an information booklet, alone or together with answers to clarification questions, both in improving patients' short- and long-time knowledge about TIAP and in decreasing patients' physiological indicators of anxiety immediately after TIAP implantation. METHODS This is a randomized controlled trial with three parallel groups: group A (n = 34) receiving only the booklet, group B (n = 34) receiving the booklet with answers to clarification questions, and group C (n = 37) receiving routine care. RESULTS After 3 months, pair comparisons revealed a significant improvement in knowledge of TIAP in each group (p < 0.001), together with a significant difference in group C compared with groups A (p < 0.001) and B (p < 0.001), similar to each other. Physiological indicators of anxiety decreased in the intervention groups compared to control group immediately after TIAP implantation. CONCLUSIONS The interventions provided resulted effective in decreasing patients' physiological indicators of anxiety immediately after TIAP implantation and improving patients' knowledge about TIAP immediately and at 3 months. Adding answers to clarification questions to the booklet was not more effective than the booklet alone. A well-designed booklet with attention both to scientific content and to communication techniques is useful in improving patients' knowledge about TIAP and reducing anxiety.
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Affiliation(s)
- Michela Piredda
- Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo, 21-00128, Rome, Italy.
| | - Valentina Biagioli
- School of Nursing, Faculty of Medicine, Department of Biomedicine and Prevention, Tor Vergata University, Via Montpellier, 1-00133, Rome, Italy
| | - Diana Giannarelli
- Biostatistical Unit, Regina Elena National Cancer Institute, Via Elio Chianesi, 53-00144, Rome, Italy
| | - Daniele Incletoli
- Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo, 21-00128, Rome, Italy
| | - Francesca Grieco
- Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo, 21-00128, Rome, Italy
| | - Massimiliano Carassiti
- Department of Anesthesia Intensive Care and Pain Management, Campus Bio-Medico University Hospital, Via Alvaro del Portillo, 21-00128, Rome, Italy
| | - Maria Grazia De Marinis
- Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Alvaro del Portillo, 21-00128, Rome, Italy
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Renouf T, Leary A, Wiseman T. Do psychological interventions reduce preoperative anxiety? ACTA ACUST UNITED AC 2015; 23:1208-12. [PMID: 25492436 DOI: 10.12968/bjon.2014.23.22.1208] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The systematic review investigates whether, during preoperative assessments, nurse-delivered psychological interventions reduce anxiety levels preoperatively for patients undergoing elective surgery. Seventeen studies met the inclusion criteria for data extraction and in-depth critiquing. Of these, two were discarded due to lack of validity, while the remaining studies were organised thematically in a narrative synthesis, generating two principal results: patients' preoperative anxieties were lowered by nurse-delivered general preoperative psychological interventions; and patients valued individualised preoperative interventions delivered by nurses. However, the single oncology study in the review showed an elevation in preoperative anxiety, regardless of intervention, and highlights the need for more research in this under-reviewed area. In the meantime, the authors believe that service improvements should be implemented to ensure that, where possible, psychological preoperative interventions are individualised.
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Affiliation(s)
- Tessa Renouf
- Lead Sister, Admissions and Preassessment Units, Royal Marsden Hospital
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Abstract
This study aims to report the analysis of the concept of perioperative vulnerability. Literature searches were conducted in databases CINAHL, Medline, PsychINFO, OVID, InterNurse, as well as a manual library search from article reference lists. Search terms were restricted to 'concept analysis', 'vulnerability', 'perioperative', 'patient' and 'perioperative patient'. Retrieved literature was analysed using the Walker & Advant (2005) concept analysis framework. Based on the concept analysis, vulnerability can be seen as having both physical and psychological elements and can be influenced by personal traits. Vulnerability is affected by previous experiences, perceptions of life, disease and ultimately the level of control an individual has over a given situation. The study concludes that inclusion of the concept of vulnerability within both pre- and post-registration training programmes would facilitate awareness of the issues surrounding perioperative vulnerability and the need to plan individualised care accordingly. It is hoped that this analysis will inspire further research and theoretical underpinning of perioperative practice, facilitating the development of new ways to manage vulnerability that will benefit individual patients, develop practice and promote positive patient outcomes.
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Ayyadhah Alanazi A. Reducing anxiety in preoperative patients: a systematic review. ACTA ACUST UNITED AC 2014; 23:387-93. [PMID: 24732993 DOI: 10.12968/bjon.2014.23.7.387] [Citation(s) in RCA: 85] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
There are still uncertainties regarding the appropriateness and effectiveness of various modes of delivering preoperative education. Hence, this systematic review was conducted to investigate the effectiveness of various preoperative educational interventions in reducing preoperative anxiety. Fourteen interventional trials (12 randomised controlled trials and two pre/post test trials) involving a total of 1752 participants were included in the review. Four studies used audiovisual; two trials used visual; two trials used multimedia-supported education; one trial used a website; two trials involved verbal education delivered by a psychologist or a nurse facilitator coupled with leaflets; and one trial involved informational leaflets only. Eight of the 14 trials demonstrated that preoperative education intervention reduced preoperative anxiety significantly (P<0.05). It can be concluded that preoperative education interventions are promising in reducing preoperative anxiety in patients scheduled for surgical procedures.
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Affiliation(s)
- Alaa Ayyadhah Alanazi
- Charge Nurse in Day Surgery Unit at King Abdul-Aziz Medical City, Riyadh-Saudi Arabia
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Angioli R, Plotti F, Capriglione S, Aloisi A, Aloisi ME, Luvero D, Miranda A, Montera R, Gulino M, Frati P. The effects of giving patients verbal or written pre-operative information in gynecologic oncology surgery: a randomized study and the medical-legal point of view. Eur J Obstet Gynecol Reprod Biol 2014; 177:67-71. [DOI: 10.1016/j.ejogrb.2014.03.041] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2013] [Revised: 12/20/2013] [Accepted: 03/31/2014] [Indexed: 10/25/2022]
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Ko YL, Wu HF, Lin PC. A survey of patients' quality of life and health-care needs prior to undergoing total joint replacement surgery. Int J Nurs Pract 2013; 19:415-22. [PMID: 23915411 DOI: 10.1111/ijn.12081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The objective of this study was to identify patients' quality of life (QOL) and health-care needs before undergoing total joint replacement surgery. This study used a cross-sectional descriptive survey approach. Data were collected in 2007. The results for role limitations because of physical functioning were the lowest. Health-care needs for exercise guidance were the highest. Male participants experienced superior QOL for the physical components (t = 2.379, P < .05). Participants who were single (F = 3.804; F = 4.539) and employed full time (F = 4.961; F = 3.994) had superior QOL for both the physical and mental components (P < .05). The predictive factors for physical components of QOL included occupational status, the previous total joint replacement and other health problems. The predictive factor for the mental components of QOL was marital status. Because role performance is limited by physical functioning, the participants experienced a poor QOL for the physical components. The participants had substantial health-care needs before surgery, particularly for rehabilitation exercise guidance and pain management.
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Affiliation(s)
- Yi-Li Ko
- Department of Nursing, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan
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Ko YL, Lin PC. The effect of using a relaxation tape on pulse, respiration, blood pressure and anxiety levels of surgical patients. J Clin Nurs 2011; 21:689-97. [DOI: 10.1111/j.1365-2702.2011.03818.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lin PC, Lin ML, Huang LC, Hsu HC, Lin CC. Music therapy for patients receiving spine surgery. J Clin Nurs 2011; 20:960-8. [DOI: 10.1111/j.1365-2702.2010.03452.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lin PC. An evaluation of the effectiveness of relaxation therapy for patients receiving joint replacement surgery. J Clin Nurs 2011; 21:601-8. [DOI: 10.1111/j.1365-2702.2010.03406.x] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wertigkeit von 5 Kernaspekten der Prämedikationsvisite. Anaesthesist 2010; 60:414-20. [DOI: 10.1007/s00101-010-1828-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2010] [Revised: 10/25/2010] [Accepted: 11/02/2010] [Indexed: 10/18/2022]
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Hughes C, Knibb W, Allan H. Laparoscopic surgery for endometrial cancer: a phenomenological study. J Adv Nurs 2010; 66:2500-9. [PMID: 20825515 DOI: 10.1111/j.1365-2648.2010.05438.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
AIM This paper is a report of a study of women's perspectives on the experience of laparoscopic surgery for endometrial cancer. BACKGROUND Laparoscopic surgery is increasingly used to treat early endometrial cancer. It is associated with low levels of morbidity and is considered safe as cancer surgery, but research on quality of life and women's experiences is limited. METHOD Heideggerian hermeneutic phenomenology was used to explore the experiences of 14 women who had undergone the procedure in two English cancer centres between February 2008 and July 2009. In-depth interviews were taped, transcribed and analysed using Colaizzi's framework. FINDINGS A phenomenological description was produced from five identified themes: having cancer, transfer of responsibility to the surgeon, information and support, independence, and normality. The experience of laparoscopic surgery was overshadowed by the presence of cancer. Fear and lack of knowledge played an important role in entrusting the surgeon with the responsibility for decision-making. Individual, unmet information needs focused on the practicalities of treatment and being in an unfamiliar situation and environment. Loss of control and vulnerability were associated with illness and surgery, but early postoperative mobility and reduced pain, facilitated rapid return to independence and maintained a sense of normality. CONCLUSION Healthcare professionals should deliver care in early endometrial cancer in a way that recognizes the significance of the cancer diagnosis, the role of the surgeon in decision-making and the need for practical information. Women with endometrial cancer should have access to treatments that reduce dependency and maintain normality.
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Affiliation(s)
- Cathy Hughes
- Patient Safety Lead (Cancer) National Patient Safety Agency, London, UK.
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Relationship Between Patient Trust of Nursing Staff, Postoperative Pain, and Discharge Functional Outcomes Following a Total Knee Arthroplasty. Orthop Nurs 2009; 28:295-301. [DOI: 10.1097/nor.0b013e3181c015df] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Haugen AS, Eide GE, Olsen MV, Haukeland B, Remme AR, Wahl AK. Anxiety in the operating theatre: a study of frequency and environmental impact in patients having local, plexus or regional anaesthesia. J Clin Nurs 2009; 18:2301-10. [PMID: 19583663 DOI: 10.1111/j.1365-2702.2009.02792.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIMS To estimate the frequency of intraoperative anxiety, the influence of environmental factors on intraoperative anxiety and to study the relationship between intraoperative anxiety and generalised anxiety and depression. BACKGROUND Previous research has documented that surgery is associated with increased stress and anxiety, which have an adverse effect on patient outcomes. Few studies have been conducted to obtain patients' perspectives about the influence of the operating theatre environment on anxiety. DESIGN The study used a survey design including questionnaires. METHOD Clinical variables were noted from the anaesthesia medical records. The sample (n = 119) comprised patients undergoing elective surgery and emergency operations within 24 hours of admission. Anxiety was assessed by the Jakobsen's questionnaire and the Hospital Anxiety and Depression scale. RESULTS Twenty-three per cent felt anxious on arrival at the operating theatre, 35% were anxious at induction of anaesthesia, while 12% felt anxious after induction. At start of surgery 15% experienced anxiety and during surgery 9% were anxious. Continuous information reduced the experience of anxiety in 49% of the patients and the opportunity to ask questions during the intraoperative period reduced anxiety in 55%. The sight of technical equipment and surgical instruments was reported to increase anxiety in 9% and 6% of the sample, respectively. Patients with higher levels of general anxiety and depression also experienced significantly higher levels of anxiety in the intraoperative period. CONCLUSIONS In this study patients experience highest level of anxiety at induction of anaesthetics. The operating theatre environments impact on patients' anxiety are in less degree influenced by the sight and hearing of the technical equipment and the surroundings. Continuous information and opportunity to ask questions reduces patients' anxiety. Results indicate that there is a significant positive relationship between generalised anxiety and depression prior to admission and anxiety experienced during the intraoperative period. RELEVANCE TO CLINICAL PRACTICE Generalised anxiety and depression prior to surgery should be identified to implement nursing interventions to reduce anxiety in the operating theatre.
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Affiliation(s)
- Arvid S Haugen
- Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway.
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Clifford W, Sharpe H, Khu KJ, Cusimano M, Knifed E, Bernstein M. Gamma Knife patients’ experience: lessons learned from a qualitative study. J Neurooncol 2009; 92:387-92. [DOI: 10.1007/s11060-009-9830-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2008] [Accepted: 02/23/2009] [Indexed: 10/20/2022]
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Gouin JP, Kiecolt-Glaser JK, Malarkey WB, Glaser R. The influence of anger expression on wound healing. Brain Behav Immun 2008; 22:699-708. [PMID: 18078737 PMCID: PMC2502071 DOI: 10.1016/j.bbi.2007.10.013] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2007] [Revised: 10/08/2007] [Accepted: 10/17/2007] [Indexed: 10/22/2022] Open
Abstract
Certain patterns of anger expression have been associated with maladaptive alterations in cortisol secretion, immune functioning, and surgical recovery. We hypothesized that outward and inward anger expression and lack of anger control would be associated with delayed wound healing. A sample of 98 community-dwelling participants received standardized blister wounds on their non-dominant forearm. After blistering, the wounds were monitored daily for 8 days to assess speed of repair. Logistic regression was used to distinguish fast and slow healers based on their anger expression pattern. Individuals exhibiting lower levels of anger control were more likely to be categorized as slow healers. The anger control variable predicted wound repair over and above differences in hostility, negative affectivity, social support, and health behaviors. Furthermore, participants with lower levels of anger control exhibited higher cortisol reactivity during the blistering procedure. This enhanced cortisol secretion was in turn related to longer time to heal. These findings suggest that the ability to regulate the expression of one's anger has a clinically relevant impact on wound healing.
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Affiliation(s)
- Jean-Philippe Gouin
- Department of Psychology, The Ohio State University, Columbus, OH 43210, USA.
| | - Janice K. Kiecolt-Glaser
- Department of Psychology, The Ohio State University, USA, Institute for Behavioral Medicine Research, Ohio State University College of Medicine, USA, Department of Psychiatry, Ohio State University College of Medicine, USA
| | - William B. Malarkey
- Institute for Behavioral Medicine Research, Ohio State University College of Medicine, USA, Department of Psychiatry, Ohio State University College of Medicine, USA, Department of Internal Medicine, Ohio State University College of Medicine, USA
| | - Ronald Glaser
- Institute for Behavioral Medicine Research, Ohio State University College of Medicine, USA, Department of Molecular Virology, Immunology, and Medical Genetics, Ohio State University College of Medicine, USA
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Abstract
This article, the first of two parts, explores the general concept of preoperative education through a literature review. The relatively complex relationships between the ways people perceive a threatening situation, their levels of anxiety, coping styles and postoperative pain is explored. In dealing with these complex relationships, teaching strategies and forms of presentation of preoperative education are also discussed. The second part will examine the impact of preoperative education on postoperative anxiety, pain and recovery. This will be achieved by analysing the evidence available to provide a rigorous appraisal of the literature.
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Abstract
The aim of this literature review is to examine the relationship between the provision of written information given to patients' preoperatively and their postoperative recovery following elective surgery. It is not currently apparent which is the most effective method of delivering preoperative information, or at what stage of the preoperative phase is the optimum time to deliver such important information. The purpose of this review is to briefly outline the affiliation between anxiety experienced by surgical patients and the information received preoperatively and to examine the relationship between the provision of written information given to patients preoperatively and their postoperative recovery following elective surgery. Research findings are contradictory with respect to the effect of preoperative information on postoperative pain and patient satisfaction. However, research does indicate that the provision of good-quality preoperative information facilitates patients' active involvement in their care, and therefore may contribute to an overall increase in satisfaction. There remains a need for rigorous research that identifies the optimum timing and method of delivering preoperative information to maximize their positive effects on patients undergoing elective surgery.
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Affiliation(s)
- Jennie April Walker
- Department of Orthopaedic and Accident Surgery, Queen's Medical Centre, Nottingham
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Selhub E. Toward Optimal Health: Eva Selhub, M.D., Discusses Mind-Body Medicine for Women. J Womens Health (Larchmt) 2006; 15:1111-5. [PMID: 17199451 DOI: 10.1089/jwh.2006.15.1111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Majeed MA, Nayeemuddin M, Christie M. Ward nurses' knowledge of computed tomography scanning. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2006; 15:825-7. [PMID: 16936607 DOI: 10.12968/bjon.2006.15.15.21690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Patients benefit from and are reassured by advance information on procedures that they are to undergo. Ward nurses should have adequate knowledge of radiological investigations to ensure proper patient preparation and good interdepartmental communication to avoid delays and cancellations. This study was conducted to assess the ward nurses' knowledge of the process of computed tomography (CT) scanning. One hundred and twenty qualified nurses were asked to complete a questionnaire regarding CT scanning. The findings revealed a suboptimal level of awareness about the process. This is probably due to lack of formal teaching for nurses on the wards in regards the different radiological procedures and patient preparation. There is a strong case for better educational talks on rapidly changing radiological techniques for ward staff to ensure high-quality patient care.
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Affiliation(s)
- M A Majeed
- Walsgrave Hospital, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry
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Abstract
Day Surgery (DS) and prehospitalization emerged in Italy--as it had previously in the United States and other European countries--as able to improve healthcare and reduce costs. The purpose of this study was to evaluate the impact of the Nurse Case Manager (NCM) Model on patients undergoing DS procedures. The study assessed the intensity of pain, anxiety, and stress factors, and the level of discomfort experienced. The quasi-experimental study design involved two groups of patients (at two different DS hospital centers): one using the NCM model (Ward A) the other based on team nursing (Ward B). All patients undergoing DS for (a) varicose veins, (b) inguinal hernia, (c) breast biopsy, and (d) hemorrhoids were included. A valid questionnaire interview based on 22 questions was used (1) the morning before surgery, (2) the evening after surgery, and (3) 48 hr after the operation, by telephone. Of the 145 patients that were involved, 66 were from Ward A (45.5%) and 79 from Ward B (54.5%). When patient care was based on the NCM Model (Ward A), it seemed that (a) the pathway before DS was more efficient; (b) they perceived lower levels of perioperative anxiety and pain; and (c) they recognized the DS center as a unique point of reference for all postoperative problems.
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Affiliation(s)
- Alvisa Palese
- School of Nursing, Udine University, 33100 Udine, Italy.
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Abstract
AIM This paper reports an investigation into the effects of increased information for patients treated for intracranial aneurysm rupture. BACKGROUND Intracranial aneurysm rupture is a grave condition that requires immediate care. It can be treated in two different ways, by surgery or by endovascular procedure. Intracranial aneurysm rupture can mean great changes in life, both for the patient and their spouse or relatives. METHODS An intervention study was conducted using a quasi-experimental design. Participants were recruited consecutively over a period of 12 months and consisted of 62 patients treated for intracranial aneurysm rupture at a Swedish neurosurgical clinic. They were divided into two groups: an intervention group, who received written and oral information, and a comparison group, who received only oral information. INSTRUMENTS Self-report questionnaires were sent to patients' homes 1-3 months after the aneurysm rupture. The questionnaires consisted of one study-specific instrument with questions about understanding of the information given and the State-Trait Anxiety Inventory, which measures worry or anxiety. FINDINGS The intervention group considered that the information that they received was somewhat easier to understand and that it corresponded more closely to their needs, compared with the comparison group. The majority of patients in both groups expressed a need for more and improved information. Levels of anxiety were high for the majority of patients, but no significant difference was evident between groups. Furthermore, the results showed that the majority of patients were given information without their spouse or relatives being present. CONCLUSION Increased information seems to be needed for these patients. There is a need to continue the work to improve information-giving to them and their relatives.
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Abstract
Older clients are at increased risk during surgical intervention because of age-related system changes and comorbid conditions. However, recent advances in surgical and anaesthetic techniques, together with modern monitoring technology and the proliferation of ambulatory surgery, have reduced mortality in older patients undergoing surgery. Nevertheless, inadvertent hypothermia in older clients remains problematic. Therefore, an understanding of specific diseases prevalent in old age, coupled with a comprehensive knowledge of the physiological impact of ageing in all body systems, underpins the role of the anaesthetic nurse.
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Affiliation(s)
- Una Ayres
- Waterford Regional Hospital, Republic of Ireland
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