Effect of preoperative preparatory information on anxiety and procedural adherence among patients undergoing permanent vascular access at a tertiary hospital in Northeastern Thailand
Keywords:
preparatory information, anxiety, procedural adherence permanent vascular access, end-stage renal diseaseAbstract
This quasi-experimental research aimed to investigate the effects of providing preoperative preparatory information for vascular access for dialysis on anxiety levels and procedural adherence among patients during surgery in the operating room at the tertiary hospital northeast. A total of 72 participants were selected according to specified criteria and divided equally into a control group and an experimental group, with 36 participants in each group. The control group received standard nursing care, while the experimental group received a preoperative preparation information for vascular access for dialysis. Data were collected from June to September 2024. The research instruments included: 1) Data collection instruments consisted of a demographic questionnaire, the Thai version of the Spielberger State-Trait Anxiety Inventory (STAI) Form, and a procedural adherence questionnaire and 2) The research instruments were video clips providing preoperative preparatory information for vascular access for hemodialysis. Data were analyzed using descriptive statistics, Paired t-test, Independent t-test and Chi-square test. The results indicated that after the experiment, both groups experienced a statistically significant reduction in anxiety mean scores (p<0.001). There was no significant difference in anxiety mean scores between the experimental and control groups after the experiment (p=0.2768). However, the experimental group demonstrated greater procedural adherence compared to the control group (100% vs. 77.78%, respectively) (p<0.001). It can be concluded that providing preoperative preparation information for vascular access for dialysis helps reduce anxiety and improve procedural adherence, ultimately minimizing postoperative complications. Therefore, the research findings should be utilized in the preparation for surgery in end-stage renal disease patients undergoing hemodialysis
References
GBD Chronic Kidney Disease Collaboration. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Lond Engl 2020;395:709–33.
Ministry of Public Health. Number of chronic kidney disease cases, fiscal year 2020 [Internet]. 2021 [cited 2021 Apr 15]. Available from: https://hdc.moph.go.th/plk/public/standard-report-detail/47a33f6886e36962dec4bb578819ba64 (in Thai)
Kidney disease improving global outcomes. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl 2013;3(1):1–150.
Dirkx TC, Woodell T. Kidney disease. In: Papadakis MA, McPhee SJ, Rabow MW, editors. Current medical diagnosis & treatment 2019. 5th ed. New York: McGraw-Hill Education; 2019:p. 926–65.
Na Takuatung R. Effect of a day surgery pre-operative preparation program on self-care of patients undergoing arteriovenous fistula (AVF) formation for hemodialysis [dissertation]. Songkhla: Prince of Songkla University;2014. (in Thai)
Kochasenee P, Jittinan A. Chronic kidney disease and initiation of dialysis. In: Kochasenee P, Chanchairujira T, Trakanwanich T, Pajareya T, Vareesangthip K, editors. Essential in hemodialysis. Bangkok: Text and Journal Publication;2014:p.1–17. (in Thai)
Sangsee P, Tanatwanit Y, Kunsongkeit W, Moungkum S. Factors related to self-determination to select dialysis modalities in patients with end-stage renal diseases. Journal of Faculty of Nursing Burapha University 2020;28(3):53–65. (in Thai)
Surgery Unit 5, Srinagarind Hospital. Statistics 2021-2023. Khon Kaen: Srinagarind Hospital;2024. (in Thai)
Pituksung A, Tanterothum J, Supharerx S, Waranukulsak O. The study of anxiety, stress and information required of the preoperative outpatients. Nurs Sci J Thai 2011;4(1):35–42. (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 & nursing theory. St. Louis: Mosby;1983:p. 189–262.
Mesuwun P, Naka N. Perception of severity of the illness, information required, and anxiety among preoperative ENT patients in Songklanagarind Hospital. Songklanagarind Med J 2008;26(2):185–93. (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. Journal of the Phrae Hospital 2021;29(1):50–64. (in Thai)
Ladasoontorn S, Kanogsunthorntra T, Chaiviboontham S. The effect of video assisted teaching program on ostomy care knowledge and skills among new ostomate’s caregivers. Rama Nurs J 2562;25(1):43–57. (in Thai)
Choowong J, Sophonsuksathit J. Effects of health education on self-care behaviors of chronic renal failure with hemodialysis patients. J Health Sci Res 2011;5(2):41–50. (in Thai)
Spielberger CD. Cross-cultural anxiety. In: Spielberger CD, Díaz Guerrero R, Strelau J, editors. The nature and measurement of anxiety. Washington: Hemisphere;1976: p. 3–12.
Kotchapakdi N, Vorakitphokathon S, Nissaisuk M. Anxiety disorder. Nonthaburi: Department of Mental Health;1998. (in Thai)
Sriboonlert J. The effect of preparatory information on anxiety and compliance in patients with hepatocellular carcinoma undergoing transarterial oily chemoembolization [dissertation]. Khon Kaen: Faculty of Nursing, Khon Kaen University;2011. (in Thai)
Srimeaung C. Effect of the combination program of structured information and video media on knowledge and anxiety among patients during thyroid surgery preparation phase, ENT Department, Udonthani hospital. Udonthani Hospital Medical Journal 2022;30(3):387–98. (in Thai)
Leemapongpas B, Kokeeranan K, Thitipaisan N, Sirisakulwaeroj M, Yamsipee W, Waipurintha N, et al. Effects of preoperative instruction using multimedia in patients receiving spinal anesthesia. J Hlth Sci Res 2015;9(1):1–7. (in Thai)
Ngampit T. The effect of preparatory information regarding CAPD catheter insertion and music therapy on anxiety and patient satisfaction, Srinagarind hospital [dissertation]. Khon Kaen: Khon Kaen University;2008. (in Thai)
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