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SYSTEMATIC PERIOPERATIVE INSTRUCTION AND ANXIETY IN HYSTERECTOMY WOMEN

Thilagavathi Krishnasamy

Abstract


Background: Uterus is the symbolic organ of womanhood. Hysterectomy is the second most common surgery done next to caesarean section. This surgery has a direct impact on psychological and emotional issues among women. Anxiety is a common manifestation. Studies indicate that systematic perioperative instruction helped them to cope with surgery and decreased levels of anxiety aided to a faster postoperative recovery, without complications. In the present clinical study we evaluated the effect of systematic perioperative instruction on the level of anxiety among women who undergo hysterectomy.
Methods: Women who undergo hysterectomy admitted to the Gynecological department of District Headquarter Government Hospital, Salem from September 2012 to January 2014 were selected to either study group (n=184) or a control group (n=95) by convenience sampling. Women’s levels of anxiety were assessed in the preoperative period, discharge and at 4 months after surgery with State-Trait Anxiety Inventory. Study group received systematic perioperative instruction and control group had routine nursing care. Descriptive and Inferential statistics applied in analysis.
Results: It was found that the anxiety level were similar in both groups in the preoperative period. However, in discharge and at 4 months after surgery there was a significant reduction in anxiety levels in study group as compared to control group (p˂0.05). There was a significant association found between level of preoperative anxiety with their age, preoperative diagnosis and type of surgery undergone (p˂0.05).
Conclusion: Providing systematic perioperative instruction was found to be beneficial in reducing anxiety levels in the postoperative period. It is highly recommended in all surgical settings as a mandatory.
Keywords: Hysterectomy, Anxiety, systematic perioperative instruction, routine nursing care.

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References


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DOI: https://doi.org/10.37628/jopnn.v2i2.189

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