Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

Ramesh, C.; Nayak, Baby S; Pai, Vasudev Baburaya; Patil, Nitin; George, Anice; George, Linu Sara; Devi, Elsa Sanatombi

doi:10.1016/j.jopan.2016.11.011

Cited by 79 publications

(95 citation statements)

References 30 publications

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“…There were no significant differences between the SG and the CG with regards to mean morphine intake (83 mg, 95% confidence interval [CI] = [52-115] vs. 94 mg 95% CI [51-137], p = .7) and length of stay (26 hours, 95% CI [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] vs. 27 hours, 95% CI [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34], p = .8).…”

Section: Resultsmentioning

confidence: 99%

“…Only three trials were included in the meta-analysis that measured the level of postoperative pain. [20] According to another review that included orthopedic patients, there was no statistically significant difference between the groups with regards to postoperative pain. However, there was a statistically significant difference in the level of preoperative anxiety.…”

Section: Introductionmentioning

confidence: 97%

“…[21] The conclusion of the three reviews with regards to postoperative pain, were based on low quality evidence. [19][20][21] A newly published randomized controlled trial that included 82 patients undergoing spinal surgery found a significant difference in the level of anxiety and postoperative pain. In this study, anxiety was measured using the STAI score and pain was measured on a visual analog scale (VAS).…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of preoperative individual information on reducing anxiety and pain after hysterectomy: A randomized controlled trial

Thorn

Uhrenfeldt²

2019

JNEP

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Background and objective: Preoperative anxiety among gynecological patients is well-known and has a direct correlation with postoperative pain. By minimizing preoperative anxiety, the level of postoperative pain may decrease. The purpose of this study was to evaluate the effect of preoperative structured information and dialogue on patients' anxiety and postoperative pain.Methods: A single-center non-blinded randomized controlled trial. Forty-six women scheduled for hysterectomy were allocated either to the study group or the control group. The study group was given individual information at a preoperative consultation while the control group was given information at admittance. The main outcome was anxiety level and postoperative pain.Results: Forty participants (study group = 20; control group = 20) were analyzed. No statistically significant difference was found in anxiety level within the first 24 h postoperatively or in postoperative pain within four weeks between the groups.Conclusions: Preoperative individual information and dialogue did not result in significant effects in reducing anxiety level nor did it result in lower postoperative pain score.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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The effectiveness of preoperative individual information on reducing anxiety and pain after hysterectomy: A randomized controlled trial

Thorn

Uhrenfeldt²

2019

JNEP

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“…It is a disorder involving about one out of every 300 elderly people and usually needs urgent surgery to prevent permanent and severe visual impairment (17). Surgery contributes to other problems because it is itself a factor for increasing postoperative depression and anxiety (18). In this regard, preoperative knowledge and self-efficacy have been suggested as predictive factors of postoperative patients' psychological health and visionrelated quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…Education and preparation of patients before surgery have positive effects on the care of patients after the surgery (19). It can also decrease patients fear and anxiety (20,21) and it has been beneficial for enhancing the patients' status and surgery consequences (18,22). The improvement of patients' knowledge of macular degeneration and considering the symptoms of the disease could affect their self-efficacy and vision-related quality of life (23).…”

Section: Introductionmentioning

confidence: 99%

The Role of Preoperative Knowledge and Self-Efficacy in Predicting Postoperative Anxiety, Depression, and Vision-Related Quality of Life in Elderly Patients with Macular Degeneration Undergoing Retinal Surgery in Shiraz, Iran, 2016

2018

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Background: Age-related macular degeneration (AMD) and subsequent retinal detachment are one of the most common disorders in the elderly, which are treated with surgery. Performing eye surgery leads to psychological distress and affects the lives of the patients. The current study was an attempt to determine the predicting role of preoperative knowledge and self-efficacy in postoperative anxiety, depression, and vision-related quality of life among elderly patients with macular degeneration undergoing retinal surgery in Shiraz, Iran. Methods: In this cross-sectional cohort study, 168 elderly patients with AMD who were candidates for retinal surgery were selected to be studied using purposive sampling. The study tools include the Persian version of HADS questionnaire, visual function index (VFQ-14), and self-efficacy and knowledge questionnaire, which were filled out by the elderly patients in three stages: before the surgery, after the surgery, and at follow-up. Partial correlation coefficient and General Linear Model analysis were used to achieve the objectives of the study. Results:The results revealed that there was a significant relationship between preoperative self-efficacy and depression (P = 0.01) and vision-related quality of life (P = 0.05), as well as between preoperative knowledge and depression (P = 0.05) at follow-up (two months after the surgery). According to the general linear regression analysis, preoperative self-efficacy was identified as the predictor of depression and vision-related quality of life at follow-up. In addition, preoperative knowledge was recognized as the predictor of depression. Conclusions: Based on the results, in designing training interventions, self-efficacy and knowledge need to be considered as the important predictors of patients' psychological outcomes after the surgery.

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The Effect of Preoperative Education Regarding Intraoperative Care on a Patient's Level of Fear of Surgery: A Randomized Controlled Study

Özkan,

Yıldızelı Topçu

2024

AORN Journal

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This randomized controlled study aimed to investigate the effect that preoperative education provided by the perioperative nurse about the OR environment and intraoperative care has on surgical fear in patients who come to the OR for surgical intervention. The study involved 92 patients undergoing elective abdominal surgery who were randomly assigned to the intervention or routine care group. Preoperatively, patients in the intervention group received education via a form that described the OR environment, the surgical process, and intraoperative care. The patients' surgical fear levels were assessed in the patients’ rooms, in the clinic before education, and on arrival to the OR after education. The results showed that preoperative education about the OR environment and intraoperative processes significantly reduced patients’ surgical fears.

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Effect of Preoperative Education on Postoperative Outcomes Among Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-Analysis

Cited by 79 publications

References 30 publications

The effectiveness of preoperative individual information on reducing anxiety and pain after hysterectomy: A randomized controlled trial

The effectiveness of preoperative individual information on reducing anxiety and pain after hysterectomy: A randomized controlled trial

The Role of Preoperative Knowledge and Self-Efficacy in Predicting Postoperative Anxiety, Depression, and Vision-Related Quality of Life in Elderly Patients with Macular Degeneration Undergoing Retinal Surgery in Shiraz, Iran, 2016

The Effect of Preoperative Education Regarding Intraoperative Care on a Patient's Level of Fear of Surgery: A Randomized Controlled Study

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