Effects of preoperative individualized audiovisual education on anxiety and comfort in patients undergoing laparoscopic cholecystectomy: randomised controlled study |
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| Authors: | Hülya Kizil Toğaç Emel Yılmaz |
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| Institution: | 1. Univ. Lille, CNRS, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives, F-59000 Lille, France;2. Department of Human and Social Sciences, Centre Léon Bérard, Lyon, France;3. Department of Digestive and Oncological Surgery, University of Lille, Claude Huriez University Hospital, Lille, France;4. Department of General Oncology, Centre Oscar Lambret, Lille, France;5. Department of Medical Oncology, University of Lille, Claude Huriez University Hospital, Lille, France;6. University of Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, UMR9020 – UMR-S 1277 – Canther – Cancer Heterogeneity, Plasticity and Resistance to Therapies, F-59000, Lille, France;7. Jean-Pierre Aubert Research Center, Neurosciences and Cancer, University of Lille, IMR-S 1172-JPArc, Lille, France;1. School of Nursing, University of Minnesota, Minneapolis, USA;2. Pediatric Cardiology, University of Minnesota, Minneapolis, USA;3. College of Nursing, Chamberlain University, Downers Grove, USA;4. Department of Pediatrics and Bioethics, Children’s Wisconsin Clinics, Medical College of Wisconsin, Milwaukee, USA;1. Huntsman Cancer Institute, 2000 Circle of Hope Dr, Salt Lake City, UT, USA;2. New York University School of Global Public Health, 715 Broadway, New York, NY, USA;3. Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, USA;4. Department of Communication, University of Utah, 255 Central Campus Dr, Salt Lake City, UT, USA;1. Science in the Public Sphere Program, RTI International, Research Triangle Park, NC, USA;2. School of Public Health, University of Minnesota, Minneapolis, MN, USA;3. Russell Herder, Minneapolis, MN, USA;1. The Univeristy of Alabama, Tuscaloosa, AL 35487;2. HudsonAlpha Institute for Biotechnology, 800 Hudson Way, Huntsville, AL, 35806, United States |
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| Abstract: | ObjectiveThe study aimed to determine the effects of preoperative individualized audiovisual education for laparoscopic cholecystectomy patients on postoperative anxiety and comfort (pain, nausea, and vomiting).MethodThis study was a randomized clinical trial on 124 patients undergoing laparoscopic cholecystectomy. Patients were randomized into an intervention group (individualized audiovisual education) or a control group (standard education). The primary outcome was change in anxiety and comfort levels between the intervention and control groups at baseline and follow-up. Secondary outcomes were change between groups in Patient Learning Needs Scale scores and vital signs.ResultsAlthough the preoperative visual analog scale (VAS)-pain and VAS-nausea scores of the patients in both groups were similar, the postoperative VAS-pain and VAS-nausea levels of the intervention group were significantly lower than that of the control group (p < 0.05). The anxiety levels of the intervention group were also lower both before (42.79 ± 4.29) and after (39.08 ± 3.49) surgery than that of the control group (50.98 ± 5.45 and 44.41 ± 4.77, respectively).ConclusionThis study showed that preoperative individualized audiovisual education was effective in reducing anxiety and improving patient comfort.Practice implicationsPreoperative individualized audiovisual education is crucial for clinical care and can be integrated into other patients because of its positive effects on postoperative recovery outcomes. |
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| Keywords: | laparoscopic cholecystectomy patient education anxiety comfort |
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