Background: Despite progress in surgery and anaesthesia
techniques, anxiety remains an important problem that
imposes tremendous barriers to postoperative recovery for
surgery patients.
Aims: In this study, we investigated the effects of preoperative
nursing visits on anxiety and postoperative complications
in candidates for laparoscopic cholecystectomy.
Methods: One hundred consecutive patients were randomly
assigned into two equal groups of 50 patients
each. Anxiety was evaluated in both groups using a
translated and validated Spielberger State–Trait Anxiety
Inventory. Patients in the control group received routine
nursing care. Patients in the intervention group received
two preoperative interviews, one on the day before
surgery and one just before entering the operating room.
Pain, nausea, vomiting and other postoperative
complications were compared. Pain was measured using
a visual analogue scale.
Findings: All patients were women with a mean standard
deviation age of 46.8 10.6 years. At admission,
state and trait anxiety measurements in the intervention
and control groups were approximately 56 and 55 in both
groups. Just before entering the operating room, these values
reduced to 40.30 and 39.04 in the intervention group,
with no significant change in the control group
(p > 0.05). Mean time to reach an Aldrete consciousness
score of 9, frequency of nausea and vomiting in the recovery
room, level of postoperative pain, vital sign stabilization
and time interval to get out of bed all improved
significantly in the intervention group.
Conclusions: Our study showed that preoperative nursing
visits could decrease the level of preoperative anxiety and
postoperative complications in this patient population.
Background: Despite progress in surgery and anaesthesiatechniques, anxiety remains an important problem thatimposes tremendous barriers to postoperative recovery forsurgery patients.Aims: In this study, we investigated the effects of preoperativenursing visits on anxiety and postoperative complicationsin candidates for laparoscopic cholecystectomy.Methods: One hundred consecutive patients were randomlyassigned into two equal groups of 50 patientseach. Anxiety was evaluated in both groups using atranslated and validated Spielberger State–Trait AnxietyInventory. Patients in the control group received routinenursing care. Patients in the intervention group receivedtwo preoperative interviews, one on the day beforesurgery and one just before entering the operating room.Pain, nausea, vomiting and other postoperativecomplications were compared. Pain was measured usinga visual analogue scale.Findings: All patients were women with a mean standarddeviation age of 46.8 10.6 years. At admission,state and trait anxiety measurements in the interventionand control groups were approximately 56 and 55 in bothgroups. Just before entering the operating room, these valuesreduced to 40.30 and 39.04 in the intervention group,with no significant change in the control group(p > 0.05). Mean time to reach an Aldrete consciousnessscore of 9, frequency of nausea and vomiting in the recoveryroom, level of postoperative pain, vital sign stabilizationand time interval to get out of bed all improvedsignificantly in the intervention group.Conclusions: Our study showed that preoperative nursingvisits could decrease the level of preoperative anxiety andpostoperative complications in this patient population.
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