The Effect of Preparatory Information Program on Anxiety in Patients undergoing Open Heart Surgery
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Abstract
This quasi-experimental research aimed to study the effect of preparatory information program on anxiety in patients undergoing open heart surgery. The participants were heart disease patients, both male and female, aged 18 - 59 years, received for open heart surgery at the Vajira Hospital. The participants were assigned to the control and experimental groups (22 for each group) with matched pair technique by age, types of disease and anxiety levels. The control group was received conventional nursing care, while the experimental group received the preparatory information program. Research instruments were composed of preparatory information program, including lesson plans, power point presentation, Handbook for preparation and video interviewing of models on Preparation of patients receiving open heart surgery. demographic information, The State Anxiety Inventory: from X-I (Spielberger) and a test of knowledge about the practice before and after open heart surgery. Two instruments were validated by 5 experts with the content validity indexes of .92 and .86, respectively. The internal consistency reliability of the two instruments were .86 and .81, respectively. Descriptive statistics and t-test were used to analyze the data.
The results revealed as the followings. The mean score of anxiety after receiving the preparatory information program was significantly lower than that before receiving the program at the significant level of .05. The mean score of anxiety after receiving the preparatory information program in experimental group was significantly lower than that in the control group at the significant level of .05. In conclusion, patients undergoing open heart surgery after receiving the preparatory information program, anxiety was less than before the program and the group who received normal nursing care. The recommendations from this study is nurses can implement an informational preparation program in the care of patients undergoing open heart surgery to reduce anxiety and reduce post-operative complications.
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References
World Health Organization. Top 10 causes of death [Internet]. 2016 [cited 2017 Apr 10]. Available from: http://www.who.int/mediacentre/factsheets/fs310/en/
World Heart Federation. About world heart day 2016 [Internet]. 2016 [cited 2017 Apr 10]. Available from: http://www.world-heart-federation.org/index.php?id=123
The Society of Thoracic Surgeons of Thailand. Statistics of heart surgery in Thailand [Internet]. 2016 [cited 2017 Apr 10]. Available from: http://thaists.org/news_detail.php?news_id=212 (in Thai)
Khuwatsamrit K, Masnaragorn P. Nursing of coronary artery disease patients and receiving coronary artery bypass surgery. In: Chinnorot S, Narasan S, editors. Surgical nursing 4. 2nd ed. Bangkok: Thai Press Dance Printing; 2016. p. 1-27. (in Thai)
Aspinall MJ. Nursing the open-heart surgery patient. New York: McGraw-Hill; 1973.
Fitzsimons D, Parahoo K, Richardson SG, Stringer M. Patient anxiety while on a waiting list for coronary artery bypass surgery: a qualitative and quantitative analysis. Heart & Lung 2003;32(1):23-31.
Lesak A. Evidence review on anxiety reduction among patients undergoing open heart surgery [Dissertation]. Chiang Mai: Chiang Mai University; 2013. (in Thai)
Krannich JH, Weyers P, Lueger S, Herzog M, Bohrer T, Elert O. Presence of depression and anxiety before and after coronary artery bypass graft surgery and their relationship to age. BMC Psychiatry 2007;7:47.
Contrada RJ, Boulifard DA, Hekler EB, Idler EL, Spruill TM, Labouvie EW, et al. Psychosocial factors in heart surgery: presurgical vulnerability and postsurgical recovery. Health Psychology 2008;27(3):309-19.
Navarro-García MA, Marín-Fernández B, Carlos-Alegre VD, Martínez-Oroz A, Martorell-Gurucharri A, Ordoñez-Ortigoza E, et al. Preoperative mood disorders in patients undergoing cardiac surgery: risk factors and postoperative morbidity in the intensive care unit. Revista Española de Cardiología 2011;64(11):1005-10.
Watada N. Effects of giving planned information combined with music listening program on anxiety after cardiac catheterization among acute myocardial infarction patients [Dissertation]. Bangkok: Chulalongkorn University; 2017. (in Thai)
Johnson JE, Lauver DR. Alternative explanations of coping with stressful experiences associated with physical illness. Advances in Nursing Science 1989;11(2):39-52.
Arunyavas D, Tribuddharat S, Sathitkarnmanee T, Palachewa K. The effect of systematic anesthetic informed consent on anxiety level in patients undergoing general anesthesia. Thai Journal of Anesthesiology 2012;38(2):102-8. (in Thai)
Leventhal H, Johnson JE. Laboratory and field experiment of a theory self-regulation. In: Wooldridge PT, editor. Behavioral science and nursing theory. St. Louis: C.V. Mosby Publishing Company; 1983. p.189-262.
Spielberger CD, Gorsuch RL, Lushene PR, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory. Palo Alto, California: Consulting Psychologists Press; 1983.
Burns N, Grove SK. The practice of nursing research: appraisal, synthesis, and generation of evidence. 6th ed. St. Louis, Missouri: Elsevier Saunders; 2009.
Tri-ngern J. The effectiveness of the health education program by video and about pre-operation of heart disease patients in the institute of cardiovascular diseases at Rajavithi Hospital [Dissertation]. Bangkok: Srinakharinwirot University; 2001. (in Thai)
Charoenchai U. Effects of preparatory information about procedures, sensations, and behavioral instructions on anxiety, pain, and distress in cardiac valvular replacement patients [Dissertation]. Khon Kaen: Khon Kaen University; 1998. (in Thai)
Sangkhamanee Y. The effects of preparatory information on knowledge, anxiety, and self-care practice among patients underwent coronary artery bypass graft surgery [Dissertation]. Khon Kaen: Khon Kaen University; 2011. (in Thai)
Jungul S. The effect of instruction in pre opened heart patients by video compact disc on knowledge regarding health practice and anxiety level. Nursing Journal of the Ministry of Public Health 2015;25(1):157-66. (in Thai)
Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient Education and Counseling 2004;53(1):65-70.
Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. International Journal of Nursing Studies 2012;49(2):129-37.
Hoseini S, Soltani F, Babaee Beygi M, Zarifsanaee N. The effect of educational audiotape programme on anxiety and depression in patients undergoing coronary artery bypass graft. Journal of Clinical Nursing 2013;22(11-12):1613-9.