Does Preoperative Orientation and Education Alleviate Anxiety in Posterior Spinal Fusion Patients? A Prospective, Randomized Study

Rhodes, Leslie N.; Nash, Cassie; Moisan, Alice; Scott, Donna C.; Barkoh, Kaku; Warner, William C.; Sawyer, Jeffrey R.; Kelly, Derek M.

doi:10.1097/bpo.0000000000000260

Cited by 41 publications

(37 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In turn, presence of postoperative anxiety turned out to be a significant predictor of less satisfaction with analgesia. However, Rhodes et al 29 showed that patients who were given preoperative education -the intervention group -reported higher anxiety levels during the postoperative interval and higher satisfaction at discharge than patients from the control group. Royse et al 30 observed that only the nociceptive domain (pain or nausea) influenced satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Tomaszek¹,

Cepuch²,

Fenikowski³

2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

View full text Add to dashboard Cite

Aims/Background. The proportion of patients who experience anxiety prior to planned surgery, even a minimally invasive one, is estimated at 50-70%. Thoracic surgery, causes significant preoperative anxiety, especially in children. The aim of this study was to determine the effect of an important component of psychological preparation for a surgery as information support on levels of anxiety, pain and satisfaction with postoperative analgesia. Methods. The randomized double blind study including patients aged 9-18 years qualified for lateral thoracotomy or Ravitch procedure. The subjects were randomized to the control group (n=56) provided with a routine preoperative information by a nurse, and the experimental group (n=56) offered additional psychological consultation. Data were collected via the State-Trait Anxiety Inventory. Results. In the experimental group, the level of state anxiety at 48 h post-surgery was significantly lower than prior to the procedure, but only in subjects with preoperative trait anxiety <7/10 sten. In the control group, the level of postoperative anxiety was significantly higher than prior to the surgery; this effect was observed irrespectively of preoperative trait anxiety level. Lack of preoperative psychological consultation (β=-0.23), trait anxiety ≥7 sten (β=0.25), and higher level of preoperative state anxiety (β=0.65) were independent predictors of greater state anxiety at 48 h post-surgery. Patients from the experimental group did not differ significantly from the controls in terms of their median pain scores and satisfaction with postoperative analgesia. Greater state anxiety was associated with 22% lesser likelihood of complete satisfaction with the analgesia. Conclusion. Information support from a psychologist offered prior to a thoracic surgery decrease the level of postoperative state anxiety solely in children with lower levels of trait anxiety. Higher level of postoperative state anxiety negatively affect patients' satisfaction with post-surgical analgesia.

show abstract

Section: Discussionmentioning

confidence: 99%

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Tomaszek¹,

Cepuch²,

Fenikowski³

2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

View full text Add to dashboard Cite

show abstract

“…Research examining education interventions prior to surgery indicate that delivery of education alone without providing coping skills may actually increase anxiety and distress 23 . Limited research has examined interventions providing coping strategies for adolescents undergoing major surgery.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Pain and Recovery After Major Pediatric Surgery: A Qualitative Study With Teens, Parents, and Perioperative Care Providers

Rabbitts

Aaron

Fisher

et al. 2017

The Journal of Pain

View full text Add to dashboard Cite

Research developing targeted treatment focused on coping with children’s long-term pain after surgery is needed due to the high prevalence of chronic pain after surgery. This qualitative study aimed to 1) understand the child’s and family’s experiences of pain over the course of their surgical experience, and 2) gather stakeholder input regarding potential barriers and facilitators of perioperative intervention delivery. Fifteen children ages 10–18 years who underwent recent major surgery, their primary caregivers, and 17 perioperative healthcare providers were interviewed. Interviews were coded using semantic thematic analysis. The perioperative period presented emotional challenges for families. Families felt unprepared for surgery and pain. Recovery and regaining physical functioning at home was challenging. Families struggled to return to valued activities. Families reported interest in a perioperative psychosocial intervention. Providers endorsed that families would benefit from enhanced coping skills. They emphasized that families would benefit from more detailed preparatory information. Providers suggested that flexible intervention delivery at home would be ideal. Research developing interventions addressing pain and anxiety in children undergoing major surgery is critically needed. The findings of the present study can inform intervention development with the aim of improving both short and long-term recovery in children undergoing major surgery.

show abstract

“…Unlike other studies, the correlation between the information and anxiety variables was negative and weak but not statistically significant in this study. Rhodes et al (2015) concluded that patients required age-appropriate information and educational strategies to minimize preoperative anxiety. The results obtained in this study may be explained by the fact that most of the sampled patients had undergone previous surgeries, increasing the likelihood of having a higher level of knowledge.…”

Section: Discussionmentioning

confidence: 99%

The influence of the information provided by nurses on preoperative anxiety

Gonçalves¹,

Cerejo²,

Martins³

2017

Rev. Enf. Ref.

View full text Add to dashboard Cite

show abstract

Does Preoperative Orientation and Education Alleviate Anxiety in Posterior Spinal Fusion Patients? A Prospective, Randomized Study

Abstract: Level I study.

Cited by 41 publications

References 9 publications

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Influence of preoperative information support on anxiety, pain and satisfaction with postoperative analgesia in children and adolescents after thoracic surgery: A randomized double blind study

Long-Term Pain and Recovery After Major Pediatric Surgery: A Qualitative Study With Teens, Parents, and Perioperative Care Providers

The influence of the information provided by nurses on preoperative anxiety

Contact Info

Product

Resources

About