SYSTEMATIC PERIOPERATIVE INSTRUCTION AND ANXIETY IN HYSTERECTOMY WOMEN
Abstract
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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Neefus MS, Taylor ME. Educational needs of hysterectomy patients. Patient Couns Heal Educ. 1982;3(4):150-5.
Kantar B, Sevil .The analysis of depression and despair in women who underwent hysterectomy operation. J Obstet Gynecol. 2004;18:17-24.
Jawor M, Dimter A, Marek K, Dudek D, Wojtys A, Szproch A, et al. Anxiety-depressive disorder in women after hysterectomy. Psychiatr Pol. 2001;35:771-80.
Shaheen Shah, Mahboob Ahmed, Syed Saud, Fareeda. Incidence of anxiety and depression in women undergoing hysterectomy. Pak J Pharm Sci. 2007;24(2):23-8.
Priya P, Roach EJ. Effect of perioperative instruction on anxiety among women undergoing abdominal hysterectomy. Nurs J India. 2013;104(6):245-48.
Kelly Ee Lu Ting, Maria Sau Sim Ng, Wei Fern Siew .Patient perception about perioperative information to allay anxiety towards major surgery. IeJSME. 2013 7(1):29-32.
Fen Wang, Chun-Bo Li, Shanghai Li, Quan Li. Integrated interventions for improving negative emotions and stress reactions of young women receiving total hysterectomy. Int J Clin Exp Med. 2014;7(1):331-36.
Gul Pinar, Ayten Kurt, Tayfun Gungor. The efficacy of perioperative instruction in reducing anxiety following gynecological surgery: a case control study. World J Surg Oncol. 2011; 9:38.
Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of perioperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anesthesia. Brit J Anesth. 2010;104(3):369-74.
Kezban Asilioglu, Sevilay Senol Celik. The effect of perioperative education on anxiety of open cardiac surgery patients. Patient Edu Couns. 2004;53(1):65-70.
DOI: https://doi.org/10.37628/jopnn.v2i2.189
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