Abstract
In this study, it was aimed to determine how the postoperative pain level, state-trait anxiety level, and respiratory function were affected by the health education given through a patient education booklet to patients with lung cancer, in comparison with control group, before pulmonary resection through thoracotomy. The 60 patients (n = 60) having pulmonary resection indication because of lung cancer were recruited in the present study. The patients were separated as control (n = 30) and experimental groups (n = 30). The patient education was applied to patients in the experimental groups via the education booklet 24 h before the surgery. Patients in the control groups received only usual clinical nursing information. The pain was evaluated via visual analog scale (VAS). The State-Trait Anxiety Scale (STAS) was used for evaluating the anxiety level. The evaluated pulmonary functions were peak expiratory flow (PEF), forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and forced expiratory flow 25–75 (FEF25–75). The pain level of the experimental group was statistically lower than control group (p < 0.05). The state anxiety level of experimental group received education was statistically lower than control group (p < 0.05). There was no any statistical difference in trait anxiety levels between control and experimental groups (p > 0.05). The FEV1 and FEF25–75 values in experimental group were statistically higher than control group. A planned health education applied via the thoracotomy patient education booklet has a positive effect on clinical recovery process by affecting postoperative pain, state anxiety, and FEV1 and FEF25–75 values.
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References
Pallis AG (2012) A review of treatment in non-small cell lung cancer. Eur Oncol Haematol 8:208–212
Siegel RL, Kimberly MD, Jemal A (2017) Cancer statistics. Cancer J Clin 67:7–30
Murthy S, Rice TW (2004) Thoracic incisions. In: Little AG (ed) Complications in cardiothoracic surgery: avoidance and treatment. Bleckwell, New York, pp 120–138
Gerner P (2008) Post-thoracotomy pain management problems. Anesthesiol Clin 26:355–vii
White PF (1986) Pharmacologic and clinical aspects of preoperative medication. Anesth Analg 65:963–974
Kiyohara LY, Kayano LK, Oliveira LM, Yamamoto MU, Inagaki MM, Ogawa NY, Gonzales PE, Mandelbaum R, Okubo ST, Watanuki T, Vieira J (2004) Surgery information reduces anxiety in the pre-operative period. Rev Hosp Clin Fac Med S Paulo 59:51–56
Tang J, Gibson SJ (2005) A psychophysical evaluation of the relationship between trait anxiety, pain perception, and induced state anxiety. J Pain 6:612–619
Santos EB, Genz ICH, Longo AF, Hayahsi D, Gonçalves CG, Bellinetti LM, Thomson JC (2012) Pulmonary function, respiratory muscle strength and quality of 53 pulmonary function, respiratory muscle strength and quality of life in patients submitted to elective thoracotomies. Rev Col Bras Cir 39:4–9
Win T, Groves AM, Ritchie AJ, Wells F, Cafferty F, Laroche CM (2007) The effect of lung resection on pulmonary function and exercise capacity in lung cancer patients. Respir Care 52:720–726
Oshodi TO (2007) The impact of preoperative education on postoperative pain. Part 2. Br J Nurs 16:790–797
Arthur HM, Daniels C, McKelvie R, Hirsh J, Rush B (2000) Effect of a preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. Ann Intern Med 133:253–262
Shuldham CM, Fleming S, Goodman H (2002) The impact of preoperative education on recovery following coronary artery bypass surgery. Eur Heart J 23:666–674
Whyte RI, Grant PD (2005) Preoperative patient education in thoracic surgery. Thorac Surg Clin 15:195–201
Naing L, Winn T, Rusli BN (2006) Practical issues in calculating the sample size for prevalence studies. Arch Orofac Sci 1:9–14
DeLoach LJ, Higgins MS, Caplan AB, Stiff JL (1998) The visual analog scale in the immediate postoperative period: Intrasubject variability and correlation with a numeric scale. Anesth Analg 86:102–106
Spielberger CD, Gorsuch RL, Lushene RE (1970) Test manual for the state trait anxiety inventory. In: Palo Alto. Consulting Psychologists Press, California
Öner N, Le Compte AW (1985) Manual for the state trait anxiety inventory. Boğaziçi University, Istanbul
Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J, ATS/ERS Task Force (2005) Standardisation of spirometry. Eur Respir J 26:319–338
Rega MD (1993) A model approach for patient education. Medsurg Nurs 2:477–495
King J, Chamberland P, Rawji A, Ager A, Léger R, Michaels R, Poitras R, Skelton D, Warren M (2014) Patient educational needs of patients undergoing surgery for lung cancer. J Canc Educ 29:802–807
Karabulut N, Cetinkaya F (2011) The impact on the level of anxiety and pain of the training before operation given to adult patients. Surg Sci 2:303–311
Sjöling M, Nordahlc G, Olofssond N, Asplunda K (2003) The impact of preoperative information on state anxiety, postoperative pain and satisfaction with pain management. Patient Educ Couns 51:169–176
Martin D (1996) Preoperative visits to reduce patient anxiety: a study. Nurs Stand 10:33–38
Guo P, East L, Arthur A (2012) A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud 49:129–137
Asilioglu K, Celik SS (2004) The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Educ Couns 53:65–70
Kol E, Alpar ŞE, Erdoğan A (2014) Preoperative education and use of analgesic before onset of pain routinely for postthoracotomy pain control can reduce pain effect and total amount of analgesics administered postoperatively. Pain Manag Nurs 15:331–339
Madani A, Fiore JF, Wang Y, Bejjani J, Sivakumaran L, Mata J, Watson D, Carli F, Mulder DS, Sirois C, Ferri LE, Feldman LS (2015) An enhanced recovery pathway reduces duration of stay and complications after open pulmonary lobectomy. Surgery 158:899–908
Nugent AM, Steele IC, Carragher AM, McManus K, McGuian JA, Gibbons JRP, Riley MS, Nicholls DP (1999) Effect of thoracotomy and lung resection on exercise capacity in patients with lung cancer. Thorax 54:334–338
Kim HK, Lee YJ, Han KN, Choi YH (2016) Pulmonary function changes over 1 year after lobectomy in lung cancer. Respir Care 61:376–382
Chumillas S, Ponce JL, Delgado F, Viciano V, Mateu M (1998) Prevention of postoperative pulmonary complications through respiratory rehabilitation: a controlled study. Arch Phys Med Rehabil 79:5–9
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Prior to the study, permission was obtained from the Sanko University Clinical Research Ethics Board (protocol number 03.2016/4, date 21 October 2016) and from the chief physician of the hospital. Patients were informed about the purpose and method of the study, and their written consents regarding their voluntary participation were obtained.
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Cetkin, H.E., Tuna, A. How Does Health Education Given to Lung Cancer Patients Before Thoracotomy Affect Pain, Anxiety, and Respiratory Functions?. J Canc Educ 34, 966–972 (2019). https://doi.org/10.1007/s13187-018-1401-1
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DOI: https://doi.org/10.1007/s13187-018-1401-1