The Effect of Preoperative Nursing Visit on Anxiety and Pain Level of Patients After Surgery

NCT ID: NCT05169749

Last Updated: 2021-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2019-10-01

Brief Summary

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A nursing visit is a method used for psychological preparation and information of patients. During nursing visits, the operating room nurse visits the patient before the surgery, informs the patient about the surgical process and nursing care practices and gives education. The study was conducted to determine the effect of nursing visit before laparoscopic surgery on the anxiety and pain level of the patient in the postoperative period.

Detailed Description

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In this study, a structured education program was created, the visiting nurse was ensured to be the nurse who is involved in the patient's surgery, and the levels of anxiety and pain were evaluated according to objective criteria in the postoperative period on the patient group planned for laparoscopic surgery.

The study was conducted with 135 patients, 72 in the experimental group and 63 in the control group. The website https://www.randomlists.com/random-letters was used during the randomization of the patients. The patients were randomly assigned to the experimental and control groups according to their sequence numbers.

For the standardization of patient education, an education booklet was prepared in line with the literature, and the final version was prepared by consulting experts. The experimental group was educated by visits of the operating room nurse. The control group was educated by the service nurse. Data were collected with state-trait anxiety inventory and visual analog scale.

Visual analog scale (VAS)- The scale, which is used to evaluate the pain intensity, aims to explain the patient's pain in numbers. The scale requires the patient to score the pain as the absence of pain starting from 0 (zero) and unbearable pain to be evaluated over 10 (ten) points Spielberger State-Trait Anxiety Inventory - Anxiety inventory was developed by Spielberg et al. in 1970 and adapted into Turkish by Oner and Le Compte in 1977. This inventory is a four-degree Likert type scale ranging from "Almost never" to "Almost always". In the state anxiety scale, the individual evaluates how he/she feels "right now". The total score obtained from each scale varies between 20 and 80. A high score indicates a high anxiety level, a low score indicates a low anxiety level The State-Trait Anxiety Inventory was applied before the patient education and the State Anxiety Inventory after the education. The pain was monitored in accordance with the surgical patient follow-up protocol for 24 hours postoperatively, and the State Anxiety Inventory was applied again 24 hours after surgery.

Conditions

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Nurse-Patient Relations

Keywords

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Operating room nurse Nursing visit Laparoscopic surgery Patient education

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Control-Service Nurse Group

Patient education lasting 20-30 minutes was provided by the nurse who gives care in the surgical inpatient floor before the surgery. The nurse provided the patient's admission to the postoperative surgical inpatient floor and follow-up.

Group Type OTHER

Control-Service Nurse Group

Intervention Type PROCEDURE

Processing Steps

* The State-Trait Anxiety Inventory was applied before the patient education
* The State Anxiety Inventory was applied after the education.
* The pain was monitored in accordance with the surgical patient follow-up protocol for 24 hours postoperatively
* The State Anxiety Inventory was applied again 24 hours after surgery.

Experimental-Nursing Visiting Group

The nursing visit was done by the operating room nurse who will be involved in the patient's surgery, and the patient education lasted 20-30 minutes. The nurse, who carried out the nursing visit, welcomed the patient in the operating room, was next to the patient before anesthesia, and followed the patient to the recovery room after surgery.

Group Type EXPERIMENTAL

Nursing Visiting Group

Intervention Type PROCEDURE

Processing Steps

* The State-Trait Anxiety Inventory was applied before the patient education
* The State Anxiety Inventory was applied after the education.
* The pain was monitored in accordance with the surgical patient follow-up protocol for 24 hours postoperatively
* The State Anxiety Inventory was applied again 24 hours after surgery.

Interventions

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Control-Service Nurse Group

Processing Steps

* The State-Trait Anxiety Inventory was applied before the patient education
* The State Anxiety Inventory was applied after the education.
* The pain was monitored in accordance with the surgical patient follow-up protocol for 24 hours postoperatively
* The State Anxiety Inventory was applied again 24 hours after surgery.

Intervention Type PROCEDURE

Nursing Visiting Group

Processing Steps

* The State-Trait Anxiety Inventory was applied before the patient education
* The State Anxiety Inventory was applied after the education.
* The pain was monitored in accordance with the surgical patient follow-up protocol for 24 hours postoperatively
* The State Anxiety Inventory was applied again 24 hours after surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who were 18 years old and above
* who could speak Turkish and who were able to communicate
* underwent laparoscopic general surgery (such as laparoscopic cholecystectomy, colon, inguinal hernia, appendectomy, incisional hernia, sleeve gastrectomy) were included in the study.

Exclusion Criteria

* Emergency and unplanned cases,
* patients transferred to the intensive care unit after surgery,
* patients with neurological or psychological problems were excluded from the research.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Acibadem University

OTHER

Sponsor Role lead

Responsible Party

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Yasemin Uslu

Asisst. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yasemin Uslu, Asisst Prof

Role: PRINCIPAL_INVESTIGATOR

Acıbadem Mehmet Ali Aydınlar Üniversitesi

Locations

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Yasemin Uslu

Istanbul, Ataşehir, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Carter L, Evans T. Preoperative visiting: a role for theatre nurses. Br J Nurs. 1996 Feb 22-Mar 13;5(4):204, 206-7. doi: 10.12968/bjon.1996.5.4.204.

Reference Type RESULT
PMID: 8704447 (View on PubMed)

Coll AM, Ameen JR, Mead D. Postoperative pain assessment tools in day surgery: literature review. J Adv Nurs. 2004 Apr;46(2):124-33. doi: 10.1111/j.1365-2648.2003.02972.x.

Reference Type RESULT
PMID: 15056325 (View on PubMed)

Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud. 2012 Feb;49(2):129-37. doi: 10.1016/j.ijnurstu.2011.08.008. Epub 2011 Sep 22.

Reference Type RESULT
PMID: 21943828 (View on PubMed)

Marcus C. Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model. Health Psychol Behav Med. 2014 Jan 1;2(1):482-495. doi: 10.1080/21642850.2014.900450. Epub 2014 Apr 28.

Reference Type RESULT
PMID: 25750796 (View on PubMed)

Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci. 2013 Dec;27(4):994-8. doi: 10.1111/scs.12022. Epub 2013 Jan 28.

Reference Type RESULT
PMID: 23350886 (View on PubMed)

Aydal P, Uslu Y, Ulus B. The Effect of Preoperative Nursing Visit on Anxiety and Pain Level of Patients After Surgery. J Perianesth Nurs. 2023 Feb;38(1):96-101. doi: 10.1016/j.jopan.2022.05.086. Epub 2022 Aug 13.

Reference Type DERIVED
PMID: 35970660 (View on PubMed)

Other Identifiers

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ATADEK 2018-16/33

Identifier Type: -

Identifier Source: org_study_id