Study the Effect of Planned and Writing Training on the Anxiety of Patients Undergoing Orthopedic Surgery
Mohammadreza ShakeriDepartment of Orthopaedic and Trauma Surgery, Birjand University of Medical Sciences, Birjand, Iran
Abstract: Surgery process is a diagnostic and therapeutic process in many diseases which increases the psychological and physiological reactions in some patients, that among them, anxiety and depression are considered as the most significant complications resulted from surgery. Given the importance of reducing anxiety in patients undergoing surgery, various methods are used for this purpose, which patient training is one of them. The study was aimed to study the effect of planned and writing training on the anxiety of patients undergoing orthopedic surgery. In this study, 81 patients scheduled for orthopedic surgery were selected by convenience sampling method, and then randomly divided into 3 groups of planned, pamphlet and control. All patients filled out Spielberger’s 40-question anxiety questionnaire on the day before surgery, and then intervention was done in two planned and pamphlet groups. Then the patient's anxiety was re-evaluated in three groups about a half hour before surgery after training. In addition to calculating the mean, standard deviation, independent t test and variance were used with software Spss16 to analyze the data. Comparison of the mean anxiety scores before and after training in the three showed that the mean of total anxiety score is reached from 93.37 to 81.37in planned group, from 99.74 to 88.07 in pamphlet group and from 85.63 to 96.33in control group. Using analysis of variance for comparing the three groups shows a significant difference. The results of Tukey test showed that the patients’ mean anxiety score in planned and pamphlet groups was significantly lower than that in control group patients (P<0.05). Based on the findings, planned training had a more effect on patients’ anxiety reduction in compared to pamphlet group before orthopedic surgery. Therefore, since nurses have an important role in investigating and relieving anxiety and take more time with patients undergoing surgery than other members of therapeutic team, they must consider the planned training methods to support their patients more to reduce preoperative anxiety.
Keywords: Writing Training; Panned Training; Anxiety Back to TOC