ABSTRACT
Objective: This study was conducted to determine the status of nurses’ practice of preoperative patient education in surgical clinics. Materials and methods: A descriptive, cross-sectional study was conducted which consisted of 80 nurses employed in surgical clinics of a state hospital and a university hospital in Nicosia. Data were collected with a questionnaire prepared based on a literature review and was analyzed using descriptive statistics. Results: The study was conducted on the nurses, out of whom 70% had a bachelor’s degree, 88.8% provided patients with teaching before the operation, 62.5% offered patients with this education at the time of hospitalization for surgery and 88.7% of those who offered education preferred verbal explanation and 67.6% used print training materials. It was determined that 72.5% included the patient’s family and relatives to the education process, 71.2% considered cultural characteristics and habits while offering education to the patient and patient’s family, 62.5% were able to determine the suitable time and duration while offering education to the patient, 72.5% paid attention to not use medical terms in education and 81.2% allowed the patient and patient’s family to ask questions. About 82.5% of the nurses provided patients with information about tests and examinations, 88.8% intestines and skin preparation, 83.8% postoperative pain and management, 73.8% deep breathing, cough extremity and rotation exercises. Conclusion: It was determined that the nurses mostly provided teaching before the operation but there were some deficiencies in the realization of education. It is recommended to develop education materials/brochures and suitable tools and equipment for surgical nurses to offer comprehensive and effective preoperative education.
ABSTRACT
Abstract: Surgeries are seen as stressors that trigger preoperative anxiety. Preparing the patients for surgery through preoperative teaching becomes crucial to allay anxiety level. In a cross sectional descriptive study conducted on eighty patients (age: 18–65 yr) who had undergone open abdominal surgery, 78.8% (n=63) stated that they experienced anxiety prior to surgery. Among these anxious respondents, 47.5% (n=38) experienced high state anxiety. Three of the top information that patients perceived as important to allay anxiety towards major surgery were: details of surgery, details of nursing care to surgery and information on anaesthesia. Nurses working in the surgical wards need to proactively address patients’ psychological concerns towards surgery and provide preoperative information based on patients’ needs to allay anxiety.
ABSTRACT
The purpose of this study was to examine the effect of preoperative teaching as a nursing intervention on the emotional status of the patients prior to surgery. The method of this study was Nonequivalent Control Group Non-Synchronize Design. The data were selected from H universuty hospital in Seoul, and they consisted of an experimental group-30patients, and a control group-30 patients. The questionnaire consisted of 28 Preoperative Stress Inventory(Kang, 1998), and 16 State-Trait Anxiety Inventory(Spielberger, 1972). The collected data were analized by means of frequency, percentage, x2 test, t-test and paired t-test with SPSS WIN. The results of this study were as follows: 1. The level of stress prior to surgery was significantly lower for the preoperative teaching group than for the control group(t=2.61, p< .01). 2. The level of anxiety prior to surgery was not significantly lower for the preoperative teaching group than for the control group. 3. The difference level of the anxiety level the prior to surgery was significantly higher for the preoperative teaching group than for the control group(t=2.82, p< .01). In conclusion, preoperative teaching is a beneficial nursing intervention that has a positive effect on the stress and anxiety of patients prior to surgery. Therefore it is recommended to use the preoperative teaching program as a nursing intervention for patients prior to surgery.