Author Details

Background : The nurse plays an integral role as a member of the multidisciplinary team to provide education and orientation to patients regarding surgery and intensive therapy units which relieves anxiety. The surgery, whether elective or emergent, is a stressful and complex event. Pre-operative anxiety adversely effects the postoperative outcomes of patients undergoing cardiac surgery. The present study aimed at assessing the anxiety of pre-operative cardiac surgery patients and evaluating the effect of pre-operative orientation programme on level of anxiety among cardiac surgery patients in selected hospital of Delhi. Material and Methods: This was a quantitative study with pre-experimental (one group pre-test post-test) research design. Sample consisted of 60 pre-operative cardiac surgery patients selected by purposive sampling technique. Tools consisted of demographic profile, state trait anxiety inventory and basic human physiological parameter. Pre-operative orientation programme was administered by the researcher and post-test was taken one day before cardiac surgery. Analysis was done by SPSS 20. Result: Pre-test level of state anxiety showed that out of 60 patients, 15 were having greater anxiety and 45 were having severe anxiety. Regarding trait anxiety, in pre-test, 11 were having greater anxiety, 44 were having severe anxiety and 5 were having moderate anxiety. Regarding basic human physiologic parameter, 32 were having mild anxiety and 28 were having moderate anxiety. There was significant decrease in state anxiety from a mean score of 53.75 to 34.53 (p<0.05) and in trait anxiety from a mean score of 50.65 to 34.28 (p<0.05). Regarding basic human physiological parameter, also, there was a significant decrease in mean anxiety score form 8.46 to 4.28 respectively (p<0.05). Conclusion: This study proved the effectiveness of preoperative orientation programme on level of anxiety among pre-operative cardiac surgery patients. Hence, such programmes should be routinely used in cardiac surgery wards to lessen the anxiety of patients and improve the surgical outcome as anxiety adversely effects post-operative outcomes.

Keywords

Anxiety, Effectiveness, Pre-Operative, Orientation Programme, Cardiac Surgery Patients.

Full Text

References

Okrainec K, Banerjee DK, Eisenberg MJ. Coronary artery disease in the developing world. American heart journal. 2004 Jul 1; 148(1):7-15.

Nuttall SL, Kendall MJ, Martin U. Antioxidant therapy for the prevention of cardiovascular disease. QJM. 1999 May 1; 92(5):239-44. wHO | Strategic priorities [Internet]. WHO. [cited 2019 May 16].Availablefrom:http://www.who.int/cardiovascular_diseases/pri orities/en/.

Schneiderman N, Ironson G, Siegel SD. Stress and health: psychological, behavioral, and biological determinants. Annu. Rev. Clin. Psychol.. 2005 Apr 27; 1:607-28.

Antai-Otong D. The neurobiology of anxiety disorders: Implications for psychiatric nursing practice. Issues in mental health nursing. 2000 Jan 1; 21(1):71-89.

Van der Kolk BA, McFarlane AC, Weis^th L, editors. Traumatic stress: The effects of overwhelming experience on mind, body, and society. Guilford Press; 2012 Mar 12.

Asilioglu K, Celik SS. The effect of preoperative education on anxiety of open cardiac surgery patients. Patient education and counseling. 2004 Apr 1; 53(1):65-70.

Ng SK, Chau AW, Leung WK. The effect of pre-operative information in relieving anxiety in oral surgery patients. Community dentistry and oral epidemiology. 2004 Jun; 32(3):227-35.

Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences. 2007 Apr 1; 12(2): 145-8.

Fugate MW. The Effects of Preoperative Education on the Reduction of Pre-anesthesia Anxiety.

Lamarche D, Taddeo R, Pepler C. The preparation of patients for cardiac surgery. Clinical Nursing Research. 1998 Nov; 7(4):390-405.

Username
Password
Remember me