The effect of personnel primary communication on the pre-operative anxiety of patients admitted to operating room
Abstract
Background & Aim: Operation as a stressor can induce physical and psychological negative reactions. Considering the anxiety prevalence as the most important sign and symptoms before surgery, on one hand, and the necessity of patients’ mental preparation as the most essential care before surgery, on the other hand, the importance of primary communication of medical centers’ staff would be determined. Hence, this study was conducted to evaluate primary communication with personnel on the pre-operative anxiety of patients in operating rooms of Al-Zahra hospital in Isfahan city in 2014.
Methods & Materials: This study is a two-group, two stages clinical trial. Participants were selected by convenience sampling from male and female patients who were candidated for general surgery and then allocated to the control (n = 43) and intervention (n = 43) group based on odd or even number of patients record. In the intervention group, researcher introduced herself/himself and then patients were allowed to speak out about their surgery-related stresses and worries until 10 minutes. But in the control group, researcher conducted no intervention and just stayed in the room for 10 minutes. Data were gathered through the demographic characteristics checklist and the Amsterdam pre-operative anxiety questionnaire and analyzed using descriptive and inferential statistics with SPSS version 18.
Results: Results showed no significant difference between the score of score in the control group and the intervention group before the intervention (P > 0.050). However, results of paired t-test showed that in the intervention group, the mean score of anxiety in patients after the intervention was significantly lower than before the intervention (P < 0.050).
Conclusion: Personnel primary communication can reduce pre-operative anxiety of patients admitted to operating room.
Esmaeeli Douk Z, Vaezzadeh N, Shahmohammadi S, Shahhosseini Z, Ziabakhsh Tabary S, Mohammadpour RA, et al. Anxiety before and after coronary artery bypass grafting surgery: relationship to QOL. Middle-East J Sci Res 2011; 7(1): 103-8.
Ebirim L, Tobin M. Factors responsible for preoperative anxiety in elective surgical patients at a university teaching hospital: a pilot study. The Internet Journal of Anesthesiology 2010; 29(2): 1-6.
Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev 2013; 6: CD006908.
Fathi M, Alavi SM, Joudi M, Joudi M, Mahdikhani H, Ferasatkish R, et al. Preoperative anxiety in candidates for heart surgery. Iran J Psychiatry Behav Sci 2014; 8(2): 90-6.
Ali A, Altun D, Oguz BH, Ilhan M, Demircan F, Koltka K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. J Anesth 2014; 28(2): 222-7.
Wetsch WA, Pircher I, Lederer W, Kinzl JF, Traweger C, Heinz-Erian P, et al. Preoperative stress and anxiety in day-care patients and in patients undergoing fast-track surgery. Br J Anaesth 2009; 103(2): 199-205.
Madarshahian F, Hasanabadi M, Khazaei S. The effect of preoperative cares with holistic approach prior to surgical procedure on the patient's anxiety and fulfillment. Holist Nurs Midwifery 2015; 25(1): 45-53. [In Persian].
Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients- experience of a single unit. Acta Anaesthesiol Taiwan 2012; 50(1): 3-6.
Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia. BMC Surgery 2014; 14: 67.
Lim L, Chow P, Wong CY, Chung A, Chan YH, Wong WK, et al. Doctor-patient communication, knowledge, and question prompt lists in reducing preoperative anxiety: a randomized control study. Asian J Surg 2011; 34(4): 175-80.
Nikandish R, Anvar M, Avand A, Habibi N, Gahramani N, Dorri R. Translation and validation of the Amsterdam Preoperative Anxiety and Information Scale (APAIS) for Iranian population. Pajouhesh Dar Pezeshki 2007;31(1): 79-84. [In Persian].
Bahrami N, Soleimani MA, Sharifnia H, Shaigan H, Sheikhi MR, Mohammad-Rezaei Z. Effects of anxiety reduction training on physiological indices and serum cortisol levels before elective surgery. Iran J Nurs Midwifery Res 2013; 18(5): 416-20.
Vaezzadeh N, Douki ZE, Hadipour A, Osia S, Shahmohammadi S, Sadeghi R. The effect of performing preoperative preparation program on school age children's anxiety. Iran J Pediatr 2011; 21(4): 461-6.
Ezadi Tame A, Sadeghi R, Safari M, Esmaeili Douki Z. Effect of verbal and audio methods of training on pre-surgery anxiety of patients. J Qazvin Univ Med Sci 2011; 15(1): 21-5. [In Persian].
Shahmansouri N, Janghorbani M, Salehi OA, Karimi AA, Noorbala AA, Arjmandi A, et al. Effects of a psychoeducation intervention on fear and anxiety about surgery: randomized trial in patients undergoing coronary artery bypass grafting. Psychol Health Med 2014; 19(4): 375-83.
Pinar G, Kurt A, Gungor T. The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study. World J Surg Oncol 2011; 9: 38.
Ting KEL, Ng MSS, Siew WF. Patient perception about preoperative information to allay anxiety towards major surgery. International eJournal of Science, Medicine & Education 2013; 7(1): 29-32.
Sadegh Tabrizi J, Seyedhejazi M, Fakhari A, Ghadimi F, Hamidi M, Taghizadieh N. Preoperative education and decreasing preoperative anxiety among children aged 8 - 10 years old and their mothers. Anesth Pain Med 2015; 5(4): e25036.
Dizaniha M, Yaghoubi S, Yazdi Z, Mahdipour H. Effects of verbal communication before elective hernia operation on the prevention of anxiety patients in the operating room. Edrak Journal 2013; 8(32):35-42. [In Persian].
Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Educ Couns 2004; 53(1): 65-70.
Files | ||
Issue | Vol 2 No 4 (2015): Autumn | |
Section | Original Article(s) | |
Keywords | ||
communication medical staff anxiety pre-operative |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |