Abstract
Purpose
To investigate the influence of additional postoperative individualized teaching on the anxiety levels and self-care compliance of postoperative care in patients after one-day cataract surgery.
Methods
The present study included 80 cataract patients who underwent phacoemulsification and posterior intraocular lens insertion performed by a single operator between January 2011 and February 2011. The control group consisted of patients who received postoperative education from an ophthalmology coordinator based on previous hospital policy. The experiment group consisted of patients who received additional individualized postoperative education from an operator in the recovery room. Trait anxiety on operation day, state anxiety on postoperative day 1, and self-care compliance and postoperative satisfaction at postoperative 1 month were evaluated.
Results
There were no significant differences of trait anxiety levels on operation day or state anxiety on postoperative day 1 between the control and experiment groups. The experiment group revealed a higher score on the postoperative self-care compliance questionnaire, especially regarding care of the operation site.
References
1. Gilmartin J, Wright K. Day surgery: patient's felt abandoned during the preoperative wait. J Clin Nurs. 2008. 17:2418–2425.
2. Steelman VM. Intraoperative music therapy. Effects on anxiety, blood pressure. AORN J. 1990. 52:1026–1034.
3. Foggitt PS. Anxiety in cataract surgery: pilot study. J Cataract Refract Surg. 2001. 27:1651–1655.
4. Cohen J. A power primer. Psychol Bull. 1992. 112:155–159.
5. Spielberger CD. Spielberger CD, Barratt ES, editors. Florida State University. Current trends in theory and research on anxiety. Anxiety: Current Trends in Theory and Research. 1972. v.1. New York: Academic Press;chap. 1.
6. Kim JT, Shin DG. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978. 21:69–75.
7. Kim SJ. The effect of intraoperative psychological care for the patient with spinal anesthesia on the level of intraoperative anxiety [dissertation]. 1984. Seoul: Seoul National University;Korean.
8. Nijkamp MD, Kenens CA, Dijker AJ, et al. Determinants of surgery related anxiety in cataract patients. Br J Ophthalmol. 2004. 88:1310–1314.
9. Lee YJ. The effect of discharge education program on compliance with sick-role behavior in cerebrovascular surgery patients [dissertation]. 2000. Gwangju: Chonnam National University;Korean.
10. Kim OS. The effect of structured nursing intervention program on self-care knowledge and self-care performance and quality of life in lung cancer patients with surgery [dissertation]. 2010. Busan: Kosin University;Korean.
11. Koo EJ, Kim JS. Effects of structured education program using CD-ROM on anxiety and self-care compliance in patients undergoing orthopedic spinal surgery. J Muscle Joint Health. 2011. 18:39–49.
12. Park MJ. The effects of structured information on self-care behavior and education satisfaction of clients with coronary artery bypass graft [dissertation]. 2007. Seoul: Yonsei University;Korean.
13. Ryoo YH. Effects of preoperative nursing information on knowledge and self-efficacy regarding to self-nusing care in open heart surgery patients [dissertation]. 2004. Busan: Kosin University;Korean.
14. Bea HO, Suh SR. Effect of structured information provided on knowledge and self care behavior of liver cirrhosis patients. J Korean Acad Adult Nurs. 2001. 13:476–485.