Journal List > Korean J Women Health Nurs > v.22(1) > 1089553

Jeon and Park: Effect of Preoperative Education using Multimedia on Pain, Uncertainty, Anxiety and Depression in Hysterectomy Patients

Abstract

Purpose

The purpose of this study was to examine the effect of preoperative education using multimedia on level of pain, uncertainty, anxiety and depression in hysterectomy patients.

Methods

A non-equivalent control group, with a pretest-posttest design was used in this study. The level of post operation pain, pre and post operation uncertainty, anxiety and depression of both the groups was measured. The experimental group was provided with preoperative education using multimedia on the preoperative day at the hospital. The control group was only given usual care. Data were analyzed using SPSS/WIN version 22.0 program.

Results

Experimental group showed lower level of post-operation pain in 1 hour (t=-5.08, p<.001) and 24 hours (t=-5.20, p<.001) but not 48 hours (t=-0.91, p=.368). Uncertainty showed significant interaction effect of Group by Time (F=4.16, p=.018).

Conclusion

Preoperative education using multimedia for patients with hysterectomy would be effective in lowering patients' level of pain, uncertainty, anxiety and depression.

Figures and Tables

Table 1

Homogeneity Test of Characteristics between Two Group (N=60)

kjwhn-22-39-i001
Characteristics Categories Exp. (n=30) Cont. (n=30) x2 or t p
n (%) or M±SD n (%) or M±SD
Age (year) 49.3±4.4 48.0±3.7 1.24 .221
Type of operation TAH 1 (3.3) 6 (20.0) 4.04 .103
TLH 29 (97.7) 24 (80.0)
Education High school 22 (73.3) 23 (76.7) 0.09 .766
≥University 8 (26.7) 7 (23.3)
Occupation Have 15 (50.0) 15 (50.0) 0.00 1.000
Do not have 15 (50.0) 15 (50.0)
Marital status Married 27 (90.0) 29 (96.7) 1.07 .301
Other 3 (10.0) 1 (3.3)
Religion Christianity 8 (26.7) 8 (26.7) 1.22 .814
Buddhism 3 (10.0) 5 (16.7)
Catholic 1 (3.3) 2 (6.7)
None 18 (60.0) 15 (50.0)
Hospitalization experience No 1 (3.3) 1 (3.3) -0.65 .519
Once and more 29 (96.7) 29 (96.7)
Surgery experience No 9 (30.0) 5 (16.7) -0.92 .364
Once and more 21 (70.0) 25 (83.3)
Past history No 23 (76.7) 20 (62.5) 3.88 .567
Yes 7 (23.3) 10 (37.5)

Fisher's exact test; Exp.=experimental group; Cont.=control group; TAH=total abdominal hysterectomy; TLH=total laparoscopic hysterectomy.

Table 2

Homogeneity Test of Dependent Variable between Two Group (N=60)

kjwhn-22-39-i002
Variables Exp. (n=30) Cont. (n=30) t p
M±SD M±SD
Uncertainty 83.00±12.78 80.00±15.21 0.81 .422
Anxiety and depression 12.73±05.96 13.77±07.85 -0.57 .568

Exp.=experimental group; Cont.=control group.

Table 3

Comparison and Difference of Pain between the Experimental and Control Group (N=60)

kjwhn-22-39-i003
Pain Exp. (n=30) Cont. (n=30) t p
M±SD M±SD
Postoperative pain 1 hour 5.87±1.46 7.87±1.59 -5.08 .001
24 hours 2.03±0.93 3.73±1.53 -5.20 .001
48 hours 1.77±0.86 1.97±0.85 -0.91 .368

Exp.=experimental group; Cont.=control group.

Table 4

Comparison and Difference of Uncertainty between the Experimental and Control Group (N=60)

kjwhn-22-39-i004
Uncertainty Exp. (n=30) Cont. (n=30) F (p)
M±SD M±SD
Pretest Admission day 80.53±12.21 77.80±14.75 Group 0.06 (.814)
Posttest Operation day 7AM 76.87±12.49 81.00±13.73 Time 6.34 (.002)
Post operation 2nd day 74.97±12.23 75.80±14.07 Group·Time 4.16 (.018)

Exp.=experimental group; Cont.=control group.

Table 5

Comparison and Difference of Anxiety and Depression between the Experimental and Control Group (N=60)

kjwhn-22-39-i005
Anxiety and depression Exp. (n=30) Cont. (n=30) F (p)
M±SD M±SD
Pretest At admission day 12.73±5.96 13.77±7.85 Group 1.43 (.237)
Posttest Operation day 7AM 12.47±5.41 15.77±6.35 Time 7.06 (.001)
Post operation 2nd day 11.17±5.22 12.07±7.26 Group·Time 1.99 (.141)

Exp.=experimental group; Cont.=control group.

Notes

This article is a condensed form of the first author's master's thesis from Ewha Womans University.

Summary Statement

▪ What is already known about this topic?
Women who underwent hysterectomy have faced various psychological challenges such as anxiety and depression, because for women, historically; the uterus is regarded as the symbol of women-hood.
▪ What this paper adds?
Preoperative education using multimedia is an effective method in alleviating postoperative pain and pre and post operation uncertainty in patients with hysterectomy.
▪ Implications for practice, education and/or policy
Preoperative education using multimedia may be a useful educational method in hospital.

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