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- Title
Pre-operative education and counselling are associated with reduced anxiety symptoms following carotid endarterectomy: a randomized and open-label study.
- Authors
Yang, Chun-Ling; Tan, Yan-Hua; Jiang, Xiu-Xia; Meng, Feng-Ying; Wu, Yu-Ling; Chen, Qiu-Lan; Ma, Long-Le; Wang, Le-Xin
- Abstract
Background: Post-operative anxiety is common and may have significant impact on the post-operative recovery of the patients. Theatre nurse visits before surgery has been shown to reduce patient's anxiety levels following general surgery. Aim: To investigate the effect of pre-operative visits and counselling by intensive care unit (ICU) nurses on patient's anxiety levels following carotid endarterectomy. Methods: This is an open-label and randomized clinical trial. Patients undergoing carotid endarterectomy were divided into study (n =60) and control group (n =60). For the study group, in addition to routine pre-operational counselling by the surgeons, ICU nurses visited the patients and provided a structured counselling the day before surgery. For the control group, only routine pre-operative counselling was provided. Anxiety levels were assessed by Zung self-rating anxiety scale (SAS) the day before surgery and on the day after being discharged from ICU to the ward. Results: The two groups were comparable in age, sex, surgical methods, and duration of ICU stays. Following the surgery, the mean SAS score in the control group increased from 50.5±5.4 to 58.5±7.3 (p =0.03), whereas the mean SAS score in the study group reduced from 51.5±4.3 to 45.1±6.5 (p =0.02). The proportion of patients with anxiety symptoms in the control group was higher than in the study group following the surgery (58.3% vs. 33.3%, p =0.001). Conclusions: Pre-operative visits and counselling by ICU nurses could reduce patient's anxiety levels following carotid endarterectomy.
- Subjects
CHINA; ANXIETY prevention; PREOPERATIVE care; EVALUATION of medical care; COUNSELING; INTENSIVE care nursing; CAROTID endarterectomy; RANDOMIZED controlled trials; T-test (Statistics); PSYCHOLOGICAL tests; POSTOPERATIVE period; DESCRIPTIVE statistics; CHI-squared test; PATIENT education; STATISTICAL sampling; DATA analysis software; EVALUATION
- Publication
European Journal of Cardiovascular Nursing, 2012, Vol 11, Issue 3, p284
- ISSN
1474-5151
- Publication type
Article
- DOI
10.1177/1474515111435608