Preoperative patient education for open-heart patients: A source of anxiety?
Preoperative patient education for open-heart patients: A source of anxiety?
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DOI：
10.1016/j.pec.2005.06.014
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发表时间：
2006-07-01
影响因子：
3.5
通讯作者：
Salameh, Pascale
中科院分区：
文献类型：
--
作者：
Deyirmenjian, Mary;Karam, Nadim;Salameh, Pascale
目的：本研究的目的是评估术前患者教育对接受心脏直视手术的黎巴嫩患者的焦虑和恢复的影响。方法：这项准实验研究在贝鲁特的一家大医院进行，该医院是一所大学医院。所有进入心脏外科病房并符合入选标准的患者被随机分配为实验组或对照组。实验组患者（n = 57）在入院当天接受了特殊教育，并参观了心脏外科病房。对照组（n = 53）按常规住院方案治疗。几乎不包括术前教育或参观。焦虑使用贝克焦虑量表进行评估，而恢复则通过生理结果进行测量。住院天数和并发症的存在。A多元协方差分析（MANCOVA）进行调整潜在的混杂variables.Results：边界的统计学意义，指出实验组的术前和术后焦虑。实验组有一个较短的时间从觉醒到拔tube.Conclusion：不像大多数研究以前发表的，其中指出的好处，术前患者教育，这项研究与黎巴嫩客户，未能支持早期findings.Practice的影响：结果表明，病人的教育不应该开始之前，评估病人的文化和社会背景。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Objective: The purpose of this study was to assess the impact of preoperative patient education on anxiety and recovery of the Lebanese patients undergoing open-heart surgery.Methods: This quasi-experimental study was conducted at a large hospital in Beirut, which is a university hospital. All patients who were admitted to the cardiac surgery unit and who met the inclusion criteria were randomly assigned to as experimental or a control group. The patients in the experimental group (n = 57) received a special educational session on their admission day and had a tour of the cardiac surgery unit. The control group (n = 53) followed the routine hospital protocol. which encompassed almost no preoperative education or a tour. Anxiety was assessed using the Beck Anxiety Inventory while recovery was measured by physiological outcomes. days of hospital stay, and presence of complications. A Multivariate Analysis of Covariance (MANCOVA) was performed with adjustment for potential confounding variables.Results: Borderline statistical significance was noted for the experimental group in terms of preoperative and postoperative anxiety. The experimental group had a shorter time from awakening to extubation.Conclusion: Unlike most studies published previously, which noted the benefits of preoperative patient education, this study with the Lebanese clients, failed to support earlier findings.Practice implications: The results suggest that patient education should not be initiated before assessing the patient's cultural and social background. (c) 2005 Elsevier Ireland Ltd. All rights reserved.