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Preoperative Educational Package in Cholecystectomy Patients on Anxiety and Return to Normal Activity—a Randomized Controlled Clinical Trial

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Abstract

It is well-known that preoperative education has a positive effect on patient recovery. The study was conducted to evaluate the impact of structured education given by a multidisciplinary team (surgeon, anesthesiologist, and nurse) on pain, anxiety, and activities of daily living in patients undergoing laparoscopic cholecystectomy. This randomized controlled study was conducted with 60 patients undergoing elective laparoscopic cholecystectomy in a training and research hospital in Turkey between March and August 2019. The participants were divided into two equal groups. Verbal structured education and written documents were given to the education group before surgery by a multidisciplinary team. The control group had the routine education. Data were collected using a Patient Information Form, the State Anxiety Inventory, a Visual Analog Scale, and the Barthel Index for Activities of Daily Living. The mean ages of the education group and control group were 47.7 SD 9.55 years and 50.63 SD 10.50 years. The majority (66.7%) of the patients were women. A statistically significant difference was found between the education and control groups in terms of postoperative pain, anxiety, and activities of daily living (p = 0.01, p < 0.001, p < 0.001, respectively). It was found that structured education given by a multidisciplinary team to patients undergoing surgery had a positive effect on pain, anxiety, and activities of daily living.

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References

  1. Zelenikov R, Homzova P, Homza M, Buzgova R (2017) Validity and reliability of the Czech Version of the Amsterdam preoperative anxiety and information scale (APAIS). J Perianesth Nurs 32:429–437

    Article  Google Scholar 

  2. Zemła AJ, Nowicka-Sauer K, Jarmoszewicz K, Wera K, Batkiewicz S, Pietrzykowska M (2019) Measures of preoperative anxiety. Anaesthesiol Intensive Ther 51(1):64–69. https://doi.org/10.5603/AIT.2019.0013

    Article  PubMed  Google Scholar 

  3. Ingadóttir B, Zoëga S (2017) Role of patient education in postoperative pain management. Nurs Stand 32(2):50–63. https://doi.org/10.7748/ns.2017.e10939

    Article  PubMed  Google Scholar 

  4. Jeon S, Park H (2016) Effect of preoperative education using multimedia on pain, uncertainty, anxiety and depression in hysterectomy patients. Korean J Women Health Nurs 22(1):39–47. https://doi.org/10.4069/kjwhn.2016.22.1.39

    Article  Google Scholar 

  5. Lee CH, Liu JT, Lin SC, Hsu TY, Lin CY, Lin LY (2018) Effects of educational intervention on state anxiety and pain in people undergoing spinal surgery: a randomized controlled trial. Pain Manag Nurs 19(2):163–171. https://doi.org/10.1016/j.pmn.2017.08.004

    Article  PubMed  Google Scholar 

  6. Allvin R, Ehnfors M, Rawal N, Idvall E (2008) Experiences of the postoperative recovery process: an interview study. Open Nurs J 2:1–7. https://doi.org/10.2174/1874434600802010001

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Goktas SB, Yildiz T, KosucuNargiz S (2015) The evaluation of nursing care satisfaction and patient learning needs in day case surgery. Indian J Surg 77:1172–1179

    Article  Google Scholar 

  8. Epstein NE (2014) Multidisciplinary in-hospital teams improve patient outcomes: a review. Surg Neurol Int 5(7):295–303

    Article  Google Scholar 

  9. Francis NK, Walker T, Carter F, Hübner M, Balfour A, Jakobsen DH et al (2018) Consensus on training and implementation of enhanced recovery after surgery: a Delphi study. World J Surg 42(7):1919–1928. https://doi.org/10.1007/s00268-017-4436-2

    Article  PubMed  Google Scholar 

  10. Guo P, East L, Arthur A (2012) Preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud 49(2):129–137

    Article  Google Scholar 

  11. Kizil Togaç H, Yılmaz E (2021) Effects of preoperative individualized audiovisual education on anxiety and comfort in patients undergoing laparoscopic cholecystectomy: randomised controlled study. Patient Educ Couns 104(3):603–610

    Article  Google Scholar 

  12. Amini K, Alihossaini Z, Ghahremani Z (2019) Randomized clinical trial comparison of the effect of verbal education and education booklet on preoperative anxiety. J Perianesth Nurs 34(2):289–296

    Article  Google Scholar 

  13. Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S (2013) Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand J Caring Sci 27(4):994–998. https://doi.org/10.1111/scs.12022

    Article  PubMed  Google Scholar 

  14. Wongkietkachorn A, Wongkietkachorn N, Rhunsiri P (2018) Preoperative needs-based education to reduce anxiety, increase satisfaction, and decrease time spent in day surgery: a randomized controlled trial. World J Surg 42(3):666–674

    Article  Google Scholar 

  15. Bagheri H, Ebrahimi H, Ali A, Atashsokhan G, Salmani Z, Zamani M (2019) Effect of preoperative visitation by operating room staff on preoperative anxiety in patients receiving elective hernia surgery. J Perianesth Nurs 34(2):272–280. https://doi.org/10.1016/j.jopan.2018.04.005

    Article  PubMed  Google Scholar 

  16. Yang CL, Tan YH, Jiang XX, Meng FY, Wu YL, Chen QL, Ma LL et al (2012) Pre-operative education and counselling are associated with reduced anxiety symptoms following carotid endarterectomy: a randomized and open-label study. Eur J Cardiovasc Nurs 11(3):284–288

    Article  Google Scholar 

  17. Klaiber U, Stephan-Paulsen LM, Bruckner T, Müller G, Auer S, Farrenkopf I, Fink C et al (2018) Impact of preoperative patient education on the prevention of postoperative complications after major visceral surgery: the cluster randomized controlled PEDUCAT trial. Trials 19(288):1–12. https://doi.org/10.1186/s13063-018-2676-6

    Article  Google Scholar 

  18. Spielberger CD, Gorsuch RL, Lushene RE (1970) Test manual for the State Trait Anxiety Inventory, 1st edn. Consulting Psychologists Press, California

    Google Scholar 

  19. Öner N, Le Compte A (1983) Durumluk ve Sürekli Kaygı Envanteri El Kitabı. 1. Baskı.  Boğaziçi Üniversitesi Yayını, İstanbul,  p 1–26

  20. Mahoney FL, Barthel DW (1965) Functional evaluation: the Barthel index. Md State Med J 14:61–65

    CAS  PubMed  Google Scholar 

  21. Küçükdeveci AA, Yavuzer G, Tennant A, Süldür N, Sonel B, Arasıl T (2000) Adaptation of modified Barthel Index for use in physical medicine and rehabilitation in Turkey. Scand J Rehabil Med 32(2):87–92

    Article  Google Scholar 

  22. Work Group of the Clinical Practice Guidelines on Perioperative Care in Major Abdominal Surgery. Clinical Practice Guidelines on Perioperative Care in Major Abdominal Surgery. Ministry of Health, Social Services, and Equality. Health Sciences Institute in Aragon (IACS); 2016 Clinical Practice Guidelines of the NHS

  23. Ljungqvist O (2014) ERAS-enhanced recovery after surgery: moving evidence-based perioperative care to practice. J Parenter Enteral Nutr 38(5):559–566. https://doi.org/10.1177/0148607114523451

    Article  Google Scholar 

  24. Diez-Alvarez E, Arrospide A, Mar J, Alvarez U, Belaustegi A, Lizaur B, Larrnaga A, Arana JM (2012) Effectiveness of pre-operative education in reducing anxiety in surgical patients. Enferm Clin 22(1):18–26. https://doi.org/10.1016/j.enfcli.2011.09.005

    Article  PubMed  Google Scholar 

  25. Yeh M, Chen H, Liu P (2005) Effects of multimedia with printed nursing guide in education on self-efficacy and functional activity and hospitalization in patients with hip replacement. Patient Educ Couns 57:217–224

    Article  Google Scholar 

  26. Vermisli Peker S, Yılmaz E, Baydur H (2020) The effect of preoperative video-assisted patient education on postoperative activities of daily living and quality of life in patients with femoral fracture. J Clin Exp Invest 11(2):2–9. https://doi.org/10.5799/jcei/7844

    Article  Google Scholar 

  27. Zieren J, Menenakos C, Mueller JM (2007) Does an informative video before inguinal hernia surgical repair influence postoperative quality of life? Results of a prospective randomized study. Qual Life Res 16(5):725–729. https://doi.org/10.1007/s11136-007-9171-y

    Article  PubMed  Google Scholar 

  28. McNaught J, Paul L (2015) The use of adaptive equipment following total knee replacement. Br J Occup Ther 78(3):187–195. https://doi.org/10.1177/0308022614562797

    Article  Google Scholar 

  29. Meissner W, Coluzzi F, Fletcher D, Huygen F, Morlion B, Neugebauer E, Perez AM, Pergolizzi J (2015) Improving the management of post-operative acute pain: priorities for change. Cur Med Res Opin 31(11):2131–2143. https://doi.org/10.1185/03007995.2015.1092122

    Article  Google Scholar 

  30. Craig-Schapiro R, DiBrito SR, Overton HN, Taylor JP, Fransman RB, Haut ER, Sacks BC (2018) Meet your surgical team: the impact of a resident-led quality improvement project on patient satisfaction. Am J Surg 216(4):793–799

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgical Nursing, Hamidiye Faculty of Nursing, University of Health Sciences Turkey, Istanbul, Turkey

    Sonay Goktas & Elif Gezginci

  2. Department of Education and Research Development, Taksim Training and Research Hospital, Istanbul, Turkey

    Yıldız Tosun

  3. Department of Anesthesia and Reanimation, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey

    Ebru Onuk

  4. Department of General Surgery, Gaziosmanpaşa Training and Research Hospital, Istanbul, Turkey

    Murat Keğin

Authors
  1. Sonay Goktas
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  2. Yıldız Tosun
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  3. Elif Gezginci
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  4. Ebru Onuk
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  5. Murat Keğin
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Correspondence to Sonay Goktas.

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Goktas, S., Tosun, Y., Gezginci, E. et al. Preoperative Educational Package in Cholecystectomy Patients on Anxiety and Return to Normal Activity—a Randomized Controlled Clinical Trial. Indian J Surg 84 (Suppl 1), 139–146 (2022). https://doi.org/10.1007/s12262-021-02983-z

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  • DOI: https://doi.org/10.1007/s12262-021-02983-z

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