Effects of a Preparatory Information Program on Reducing Anxiety among Patients Undergoing Uretero – Renoscopic Litholapaxy
Keywords:
preoperative information, uretero-renoscope litholapaxy, anxietyAbstract
This Quasi-experimental research aimed to examine the effects of a preoperative information program on anxiety reduction in patients undergoing Uretero-Renoscopic Litholapaxy at Yasothon Hospita between August and October 2024. The sample consisted of 40 patients undergoing Uretero-Renoscopic Litholapaxy who were divided into a control group and an experimental group with 20 participants in each group. The participants were selected by simple random sampling using the self-regulation theory. The experimental group received 1. A pre-operative information program consisting of 1) procedural information, 2) pensory information, 3) pehavioral Information, and 4) information on coping with problems; and 2. assessment for their anxiety using the State-Trait Anxiety Inventory of Spielberger, which had a Cronbach alpha coefficient of 0.88. The duration of the program was one day. The control group received routine care. Data were analyzed using frequencies, percentages, means, standard deviations, Chi-square tests, Fisher's exact tests, independent t-tests, and Paired t-tests.
The results of the study found that the control group had a mean anxiety score of 62.95 (S.D.= 4.80) before the experiment, which was at a high level, and that their mean anxiety score was 64 (S.D.= 4.76) after the experiment, remaining in the high level. The experimental group had a mean anxiety score of 62.10 (S.D.= 4.72) before the experiment, which was at a high level, but after the experiment, their mean anxiety score fell to 39.10 (S.D.= 2.74), dropping to a low level. The t-test analysis confirmed that the experimental group had a significantly lower mean anxiety score after the experiment than before the experimental (t =0.56, p <.05) and a significantly lower mean anxiety score than the control group after the experiment (t =20.78, p <.05). The results of this study demonstrate the usefulness of the preoperative preparation information program for reducing anxiety in patients undergoing Uretero-Renoscopic Litholapaxy.
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Maruekhatat M, Apiwattanakarun A, Paripatananont C. Study on the recurrence of kidney stones in patients treated with extracorporeal shock wave lithotripsy. The Thai Journal of Surgery. 2002;23 (3):105-11. (in Thai)
Kotchabhakdi N, Vorakitphokatorn S, Nissaisuk M. The State-Trait Anxiety Inventory Form X-1. Nonthaburi: Department of Mental Health, Ministry of Public Health; 1983. (in Thai)
Dhondup T, Kittanamongkolchai W, Vaughan LE, Mehta RA, Chhina JK, Enders FT, et al. Risk of ESRD and mortality in kidney and bladder stone formers. American Journal of Kidney Diseases. 2018;72(6):790-7. doi:10.1053/j.ajkd.2018.05.017.
Ladawan S. Comparison of ureteroscopy versus extracorporeal shockwave lithotripsy in the treatment of distal ureteral stones. Region 4 Medical Journal. 2018;37(2):103–12. (in Thai)
Operating room. Surgical service statistics data. Yasothon Hospital; 2023.
Manit S. Effects of herbal tea on stone excretion in patients with kidney stones. Journal of Thai Traditional and Alternative Medicine. 2021;17(2):85-92. (in Thai)
Ossai EN, Uwakwe KA, Anyanwagu UC, Ezeala-Adikaibe BA, Iloghalu EI, Ndu AC, et al. Prevalence and clinical patterns of urolithiasis in sub-Saharan Africa: A systematic review and meta-analysis. BMC Nephrology. 2023;24(1):44. doi:10.1186/s12882-023-03101-9
Spielberger CD. State-Trait Anger Expression Inventory-2 (STAXI-2) Professional Manual. 2nd ed. Lutz, FL: Psychological Assessment Resources; 1999.
Sanguanwongwan S, Unratana K. Effect of providing information via video media, operating room tour series on anxiety levels prior to administration of anesthesia in elective surgical patients at pre-anesthetic evaluation clinic, Sunpasitthiprasong Hospital, Ubon Ratchathani Province, Thailand. Journal of Health Science. 2022;31(1):80–8. (in Thai)
Leventhal H, Johnson JE. Laboratory and field experimentation: Development of a theory of self-regulation. In: Wooldridge PJ, Schmitt MH, Skipper JK, Leonard RC, editors. Behavioral Science and Nursing Theory. St. Louis: Mosby; 1983. p. 189-262.
Phasatanung W, Puthikhamin N, Juntapim S. Anxiety in patients undergoing brain tumor: Nursing management. The Southern College Network Journal of Nursing and Public Health. 2020;7(2):330–42. (in Thai)
Seetan R, Nateetanasombat K, Punthasee P. Effects of concrete-objective information program based on self-regulation theory on anxiety and duration of colonoscopy. Journal of The Police Nurses. 2017;9(2):142–53. (in Thai)
Phatthanajak C, Ruaysungnern W. Preparatory information on anxiety and procedural adherence among patients undergoing coronary angiogram. Nursing Administration and Health Management Journal. 2018;22(2):47–59. (in Thai)
Thuchart S, Asdornwised U, Pinyopasakul W, Trakarnsanga A. The effects of concrete-objective information program on pre-operative anxiety in abdominal surgery patients. Nursing Science Journal of Thailand. 2019;37(2):78–91. (in Thai)
Dumkoengtham S, Honsamsijad Y, Thungjaroenkul P. Effect of using video media to prepare the patient before undergone anesthesia on knowledge and anxiety in orthopedic surgery patients, Phrae Hospital. JPPH J Public Health. 2021;14(1):68–81. (in Thai)
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates; 1988.
Polit DF, Beck CT. The content validity index: Are you sure you know what is being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489–97. doi:10.1002/nur.20147.
Polkaew J, Rodpal J. Result of preparation program of knee replacement surgery to an anxiety of the elderly patients with knee osteoarthritis. Journal of the Police Nurses and Health Science. 2018;29(1):50–64. (in Thai)
Sanckamanee Y, Ruisungnoen W. Effects of preparatory information intervention on knowledge, anxiety, and self-care practice among patients underwent coronary artery bypass graft surgery. Journal of Nursing Science. 2012;30(1):15-21. (in Thai)
Chanburee S, Pakanta I, Wannapornsiri C, Toolyodpun S. Effects of self-regulation program on anxiety, pain, and postoperative practice among patients with abdominal hysterectomy. Nursing Journal. 2019;46(2):65-75. (in Thai)
Tawatwattananun A, Binhosen V. The outcome of use video for pre-operation on anxiety in non-admission patient cataract surgery. Maejo Nursing and Health Science Journal. 2020;8(2):28-36. (in Thai)
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