The Effects of an Educational Program on Managing Pain and Anxiety of Patient with Extra Corporeal Shock Wave Lithotripsy, Lamphun Hospital

Abstract

Urolithiasis is a health problem that greatly affects the quality of life of the Thai population. Most patients require shock wave lithotripsy. While breaking up the stones, the patient will feel uncomfortable from the pain while breaking up the stones. This research is quasi-experimental to compare pain scores, anxiety scores and satisfaction levels of patient. The sample group is the patient altering extra corporeal shock wave lithotripsy at Lamphun Hospital during the period from March 1, 2024 to April 30, 2024, it was divided into two groups: the experimental group 40 people and control group 40 people. The tools used in this study were educational program on managing pain and anxiety of patient by applying the self-care concept of Orem (2001) to teach, guide and support patient to be able to managing pain and anxiety. The tools for collecting the data are personal data recording forms, pain assessments, anxiety assessments, and patient satisfaction assessments. Data analysis with descriptive statistics and inferential statistics

The results showed that the experimental group received educational program on managing pain and anxiety of patient with extra corporeal shock wave lithotripsy had lower average scores of pain (t=6.800, p-value=0.000) and anxiety (t=2.968, p-value=0.000) than the control group statistically significant at the level of 0.05. And were more satisfied with the shock wave lithotripsy service than the control group statistically significant at the 0.05 level (t=-7.162, p-value=0.000).

Therefore; this program helps patients undergoing shock wave lithotripsy, manage their pain and anxiety and create satisfaction in the service of extra corporeal shock wave lithotripsy.