ABSTRACT
PURPOSE: Pain, sleep problems, and anxiety due to all these are common problems in patients who have had herniated disk surgery. This study aims to analyze the effect of the guided imagery technique on the patients' pain, anxiety, and sleep levels before and after a lumbar disk herniation (LDH) operation. DESIGN: This study was conducted as a prospective randomized controlled clinical trial. METHODS: The research was conducted with 60 patients who underwent LDH surgery and met the inclusion criteria. Patients were divided into experimental and control groups according to a computer-generated randomization list. The treatment group (n = 31) applied guided imagery techniques twice, once in the preoperative and postoperative periods. The control group (n = 29) was provided with routine care. "Introductory Information Form," "Surgery-Specific Anxiety Scale," "Richard-Campbell Sleep Questionnaire," and "Visual Analogue Scale (VAS)" were used. The data were analyzed using the Shapiro-Wilk test, paired sample t test, independent sample t test, Pearson chi-square exact test, and repeated measures two-way analysis of variance. In all results, P < .05 was considered statistically significant. FINDINGS: The preoperative anxiety level of the treatment group was lower compared to the anxiety level of the control group (P < .05). The sleep score of the treatment group in the preoperative period was higher than the sleep score of the control group (P < .05). The sleep score of the treatment group in the postoperative period was found to be higher than the sleep score of the control group (P < .05). The pain average of the treatment group in the postoperative period was lower than the pain average of the control group (P < .05). CONCLUSIONS: Our study results revealed that guided imagery applied in the preoperative and postoperative periods effectively decreased pain and anxiety levels and increased the sleep quality of patients with LDH.
ABSTRACT
PURPOSE: This study aimed to evaluate the effect of education before rhinoplasty surgery on patients' anxiety, pain, and satisfaction levels. DESIGN: This was a randomized controlled experimental study. METHODS: Of the 90 patients who underwent rhinoplasty surgery at Kayseri City Hospital, Turkey between October 2017 and December 2018, 79 were included in the study. The patients were assigned to an experimental or control group according to a computer-generated randomization list. The experimental group (n = 36) was educated using a rhinoplasty training guide prior to routine plastic surgery procedures. The control group (n = 35) received only routine plastic surgery procedures. A patient identification form, State-Trait Anxiety Inventory, Newcastle Satisfaction with Nursing Care Scale, and Visual Analog Scale were used to collect data. Data analysis included the Shapiro-Wilk normality test, Q-Q plot, two-way analysis of variance, Friedman and Mann-Whitney U tests, and Pearson's chi-square. FINDINGS: In the postoperative period, the mean state anxiety inventory score of the experimental group (36.25 ± 9.78) was found to be significantly lower than that of the control group (42.28 ± 9.42) (P < .05). There was no statistically significant difference between the trait anxiety inventory scores of the experimental (39.63 ± 10.20) and control (38.77 ± 6.16) (P > .05) groups. The mean Newcastle Satisfaction with Nursing Care Scale score of the experimental group (71.01 ± 14.65) was significantly higher than the control group (62.93 ± 16.36) (P < .05). There was no significant difference between the pain scores of experimental and control groups postoperatively at 6, 12, and 24 hours (P > .05). CONCLUSIONS: Based on the results of our study, we conclude that it would be beneficial to educate patients before rhinoplasty surgery in line with their needs and aesthetic concerns.
