Effects of Self-regulation Program on Anxiety, Pain, and Postoperative Practice among Patients with Abdominal Hysterectomy
Keywords:
Self-regulation Program, Anxiety, Pain, Postoperative Self-Practice, Abdominal hysterectomyAbstract
The objective of this quasi-experimental research was to study the effects of a Self-regulation Program on the anxiety, pain, and postoperative practice among patients with abdominal hysterectomy. The sample was composed of patients who were admitted to the Naresuan University Hospital, Phitsanulok, Thailand. A total of 46 patients were recruited, 23 patients were assigned in the control group who received routine nursing care, and 23 patients were assigned in the experimental group who received the Self-regulation Program based on the Self-regulation theory of Leventhal and Johnson (1983). The instruments consisted of 1) personal record,2) anxiety assessment form, 3) pain assessment form and 4)postoperative practice assessment form. Data were analyzed by using Chi-square test,Mann-Whitney Utest, paired t-test, independent t-test, and Two-way Repeated measures ANOVA The findings showed as follows: 1) After receiving the self-regulation program, the mean score of anxiety in the experimental group was lower than before the program with a statistical significance level of .001. 2) The mean score of anxiety in the experimental group was lower than that in the control group with a statistical significance level of .001. 3) The mean score of pain after abdominal hysterectomy at 48, and 72 hours in the experimental group was lower than that in the control group with a statistical significance level of .01. However, at 24 hours after operation, the mean scores of pain of both groups were not significantly different (p > .05). 4) The mean score of postoperative abdominal hysterectomy practice at 48 hours and 72 hours in the experimental group was higher than that in the control group with a statistical significance level of .05.
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