Effect of a structured educational information program on patients anxiety before Cystoscopy at a Surat Thani Hospital
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Abstract
Introduction: Providing patients with structured information with a pre-urinary tract examination guide is a preparation for both physical and mentally, resulting in patients behaving correctly and preventing complications after cystoscopy, as well as reducing anxiety.
Methods: This research was a quasi-experimental design with two groups pretest-posttest design. The objective was to compare the structured information provision with the manual on anxiety of patients before cystoscopy at Surat Thani Hospital with the group receiving normal information. The sample consisted of 60 patients receiving services at the urology clinic, divided into an experimental group of 30 patients and a control group of 30 patients. The samples were selected by purposive sampling. The tools used in this research were.1) Guidelines for conduct before cystoscopy, 2) Personal data questionnaire, and 3) Anxiety questionnaire before cystoscopy, which had a content validity index of 0.98 and a reliability value by Cronbach's alpha coefficient of 0.96. Data were analyzed using descriptive statistics, mean, percentage, standard deviation, and inferential statistics, including Chi-square test, Fisher exact test, Paired t-test, and independent t-test.
Results: After participating in the structured information provision program. The results showed that the experimental group had moderate anxiety ( = 38.10, SD = 6.14), while the control group had moderate anxiety ( = 41.00, SD = 3.59). The difference was statistically significant at (p-value < 0.05).
Conclusions: The structured information program can reduce the anxiety of patients before cystoscopy. Therefore, this program should be used in patients before cystoscopy.
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References
Lotan Y, Trinity JB, William D. Blue light flexible cystoscopy with hexaminolevulinate in non-muscle- invasive bladder cancer: review of the clinical evidence and consensus statement on optimal use in the USA — update 2018. Nature Reviews Urology. 2019;16(6),377–386.
Lee J, Heo JE, Kang SK, Lee KS, Han H, Jang WS, Choi YD. Noninvasive studies may have potential to replace cystoscopy in non-muscle invasive bladder cancer follow-up. Scientific reports. 2022;12(1):21677.
Kawnaul W, Choowattanapakorn T. The effect of education and movement mindfulness meditation program on anxiety among older persons before cystoscopy .Journal of The Police Nurses. 2016;9(2):33-42. (in Thai)
Ministry of Public Healt ,Information Divission. Summary of the report of illnesses 2019.2019.85
Medical record information. Medical record information for the year 2022. Surat Thani Hospital. 2022.
Somburus D,Nursing care for patients with obstructive uropathy under cystoscopy and double J stent placement: a case study. Journal of Health and Environmental Eucation. 2023;8 (4):285-294. (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)
Luicharorn P, Normsars R, Chityen T. The Effect of the nursing care program for the pre-ronchoscopic patients on their anxiety level at the central chest Institute of thailand. Journal of the Department of Medical. 2018;43(1):85-89. (in Thai)
Gleason JL. Cystoscopy and other urog ynecologic procedures. Obstetrics and Gynecology Clinics of North America. 2013;40(4):773-785
Sapworarit O. Effect of Structured Health Education to decrease Anxiety and Satisfaction of Patient with Extra Corporeal Shock Wave Lithotripsy: ESWL) at Suratthani Hospital. 2017;31(4):639-648
Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2010.
Spielberger C, Sydeman S, Maruish MJH, NJ, US: Lawrence Erlbaum Associates, Inc. State-trait anxiety inventory and state-trait anger expression inventory. The use of psychological testing for treatment planning and outcome assessment. 1994:292-321.
Thapinta D. Reduction of anxiety of staff nurses working with aids patients through cognitive recon structuring and mindfulness. Bangkok: Graduate School of Chulalongkorn University; 1992. (in Thai)
Johnson JE. Self-regulation theory and coping with physical illness. Res Nurs Health. 1999;22(6):435-48
Sowat C, Yotkhamlue K, Sumridpeam P, Promsombut A. Effect of a planned Information provision program on the anxiety levels of persons with hypertension receiving ambulatory anesthesia. Journal of Health and Nursing Education. 2021;27(1):122-136. (in Thai)
Nilsson, U., Dalhberg, K., & Jaensson, M. Low preoperative mental and physical. health is associated with poorer postoperative recovery in patients undergoing day surgery: A secondary analysis from randomized controlled study. Journal of Advanced Nursing, 2019;50(12):1630-1638
