The Effects of Comprehensive Education Program on Anxiety, Uncertainty and Athletic Performance of Patients undergo Spinal Nerve Block

Abstract

Purpose: Purpose of the study was to identify the effect of the Comprehensive Education Program (CEP) on intraprocedure anxiety, post-procedure uncertainty and athletic performance of back strengthening of patients undergo spinal nerve block (SNB). Methods: The participants (experimental group=33, control group=33) were recruited from a university hospital in G metropolitan city. Data were collected from July to November 2015. The experimental group was individually provided with a booklet/motion picture about the SNB and back strengthening exercise training before the SNB. This group also received a leaflet about back strengthening exercise post SNB. The Anxiety-Visual Analog Scale (A-VAS), the Mishel adapted uncertainty scale and newly created knowledge scale/athletic performance checklist were utilized as our study tools. Results: Intra-procedure anxiety score (F=25.70, p<.001), post-procedure uncertainty score (F=82.56, p<.001), post-procedure knowledge score (F=14.63, p<.001) and athletic performance rate of back strengthening (p=.003) of the experimental group showed statistically significant differences in comparison with the control group. Conclusion: This CEP is a cost and time-effective intervention for patients who undergo spinal injections, so it should be actively utilized as an educational management strategy in outpatient.

Effects of Video-Based Information Provision Using a Smart Pad on Patients Undergoing Bone Marrow Biopsy

“…This finding corresponds with those of previous studies on the patient with thyroid cancer undergoing radioiodine treatment (Jung et al, 2015) and patients undergoing gastroscopy (Kwon & Kim, 2013). However, several studies found that this same method of information provision proved effective in alleviating anxiety among patients undergoing bone marrow biopsy in pediatric patients (Wantanakorn et al, 2018), spinal nerve block (Kim & Lee, 2017), laparoscopic hysterectomy (Eo et al, 2015), and transrectal prostate biopsy (Tarhan et al, 2014). The reason for the discrepant results for anxiety might be attributed to the different intervention methods.…”

“…This study was conducted to develop video-based informational materials on bone marrow biopsy to deliver to patients hospitalized for this procedure, as well as test those materials in practice to verify their effect. We found that video-based information provision was effective in lowering patients' uncertainty, which aligns with the findings of past studies indicating that patients undergoing spinal nerve block (Kim & Lee, 2017) and kidney dialysis (Chiou & Chung, 2012) experienced less uncertainty after being provided with videobased educational materials. However, the findings do not correspond to those of , who found an exceedingly small reduction in uncertainty among patients with early gastric cancer who were about to undergo endoscopic submucosal dissection.…”

“…The studies that found no reductions in anxiety (including our own) provided information in single-sessions prior to the procedure: in our study, the video was 6 min long, while in Jung et al (2015) and Kwon and Kim (2013), the videos were 8 min and 10 min long, respectively. By contrast, studies that found a reduction in anxiety provided education in three 20to 30-min sessions using booklets, videos, and leaflets (Kim & Lee, 2017); repeatedly employed 10-to 15-min-long education sessions using booklets, videos, and a supportive intervention (Eo et al, 2015); or delivered written and video education materials multiple times (Tarhan et al, 2014). One reason for the insufficient effect on the anxiety may be that the chance of unfavorable biopsy results and the prognosis remained even after the procedure.…”

“…To effectively limit such anxiety and uncertainty, many healthcare professionals utilize structured information provision, which can improve subjects' concentration, understanding, and memory retention by stimulating their auditory and visual senses (Mason et al, 2003;Salonen et al, 2014). Video-based information provision has been proved to be an effective intervention to reduce anxiety and uncertainty among surgical patients undergoing spinal anesthesia (Kim & Lee, 2017), and it has worked in lowering the pain of patients receiving lower extremities surgery with spinal anesthesia (Kim & Park, 2017). Furthermore, it has been shown to improve the educational satisfaction of patients receiving coronary artery bypass surgery or pneumonectomy (Denny et al, 2017).…”