A Program to Educate Patients undergoing Renal tumors by Robot-Assisted Surgery on Knowledge, Skills, Anxiety, and Pain
Keywords:
Information Program, Knowledge and Skills, Anxiety, PainAbstract
This research is a quasi-experimental research design using a one-group pre-posttest model to study the outcomes of an information program for patients undergoing robot-assisted surgery for renal tumors. The program’s effects were assessed on knowledge, skills, anxiety, and pain. The statistical analysis was performed using the SPSS 30 program (Licensed Mahidol University), employing descriptive statistics, the Wilcoxon signed-rank test, the Friedman test, and the Paired t-test. The research findings revealed the following: The mean knowledge score of the sample group was significantly higher after receiving the program (M=21.24,SD=6.14) compared to before the program (M=13.24,SD=5.34). The mean score for wound cleaning skills was lower at the first measurement after the program (M=8.80,SD=1.35) than at the second measurement (M=10.84,SD=0.43). The mean anxiety score before receiving the program (M=6.64,SD=1.52) was significantly higher than the score after receiving the program (M=2.28,SD=1.17).Post-operative pain scores were highest at 24 hours (M=6.16, SD=2.08) and lowest at 72 hours (M=2.16, SD=1.41), with statistical significance at the .01 level. This study demonstrates the effectiveness of the program in increasing knowledge and wound cleaning skills, reducing anxiety, and managing pain.
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References
Choi JE, You JH, Kim DK, Rha KH, & Lee SH. Comparison of Perioperative Outcomes between Robotic and Laparoscopic Partial Nephrectomy: A Systematic Review and Meta-Analysis. European Urology. 2015; 67(5):891-901.
Gul ZG, Tam A, & Badani KK. Robotic Partial Nephrectomy: The Current Status. Indian Journal of Urology. 2020;36(1):16-20.
Kijvikai K, editor. Textbook of Laparoscopic and Robotic Kidney Surgery. 1st ed. Bangkok: Ideas. Instant Printing; 2018. (in Thai).
Daniels R, Grendell RN, & Wilkins FR. Nursing fundamentals: Caring & Clinical Decision Making. 2nd ed. Clifton Park, NY: Delmar Cengage Learning; 2010.
Senadisai S, editor. Basic Nursing: Concepts and Practice. 13th ed. Bangkok: Judthong; 2011. (in Thai).
W P. Care of the Surgical Patient. In: W P. Fundamental Concepts and Skills for Nursing. 6th ed. St. Louis: Elsevier; 2022.
Chansom S. The Development of an Information Program for Preparing Patients for Abdominal Surgery in the Surgical Ward, Nong Bua Lamphu Hospital (thesis). Khon Kaen: Khon Kaen University; 2011. (in Thai).
Hnucharoenkul S. Medical Nursing volume 1. 11th ed. Bangkok: Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University; 1994. (in Thai).
Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates; 1988.
Satanarak S, & Tonsuk P. The Effect of a Self-Care Promotion Program using Video Media on Knowledge and Self-Management among Benign Prostatic Hyperplasia Patients after Transurethral Resection of the Prostate. Medical Journal Region 11. 2018;32(4):1283-96. (in Thai).
Deelertpipatkul N, & Boonthum C. The Effects of using Video Media for Pre and Post-Operative Preparation on Knowledge and Satisfaction in Patients with Cardiac Implantable Electronic Devices. Vajira Nursing Journal. 2023;25(2):1-16. (in Thai).
Anonjarn K, Boonkerd S, Sukrueangkul A, & Panthonglang W. The Effect of Program to Reduce Blood Sugar on Knowledge Motivation and Food Selective Skill in Women with Diabetic Mellitus Patients with Uncontrolled Blood Sugar. Journal of The Royal Thai Army Nurses. 2023;24(2):364-71. (in Thai).
Haranda B, & Phinyo K. Effects of The Empowerment Program on Knowledge, Attitude and Skills of Caregivers in Caring for Dependent Older Adults. Journal of The Royal Thai Army Nurses. 2024;25(2):112-20. (in Thai).
Ko HF, Wu MF, & Lu JZ. A Randomized Control Study: The Effectiveness of Multimedia Education on Self-care and Quality of Life in Patients with Enterostomy. International Wound Journal. 2023;20(10):4244–52.
Somjit S, Kulpijit N, & Sittisombut S. The Effect of a Preparatory Information Program on Anxiety and Self-care Behaviors among Patients undergoing Abdominal Surgery. Thai Journal of Nursing Council. 2020;35(2): 98-112. (in Thai).
Tuna A, & Karadeniz G. The Effect of Preoperative Education on Anxiety and Postoperative Pain in Patients undergoing Abdominal Surgery. Journal of Perianesthesia Nursing. 2020;35(3):284-90.
Suksri S, & Meeboon Y. The Effect of Structured Information on Anxiety and Pain in Patients undergoing Laparoscopic Hysterectomy. Songklanagarind Journal of Nursing. 2022; 42(2):78-89. (in Thai).
Pile JC. Evaluating Postoperative Fever: A Focused Approach. Cleveland Clinic Journal of Medicine. 2021;88(9):505-13.
Mazzone PJ. Preoperative Evaluation of the Patient with Pulmonary Disease. American Journal of Respiratory and Critical Care Medicine. 2022;205(11):1278-86.
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