Journal List > Korean J Women Health Nurs > v.16(4) > 1037256

Kang and Jun: The Effects of the Video Education Program on the Residual urine, Gas Passing and State Anxiety of Hysterectomy Patients



The purpose of this study was to identify the effects of a pre-operation video assisted education program on residual urine, gas passing and state anxiety in women undergoing hysterectomy.


Nonequivalent control group non-synchronized design was used for the study. In the research, video assisted education program was applied to the experimental group while a similar conventional education was done to the control group. The pre-operation state anxiety and post-operation residual urine and gas discharge of both the groups were measured. The data were analyzed using SPSS.


The experimental group was significantly higher than control group on gas passing (t=3.04, p=.00). However the residual urine (t=0.34, p=.73) and state anxiety (t=0.81, p=.82) did not make significant differences.


This study is very meaningful in that it developed and provided a nursing intervention can positively affect hysterectomy patients. The pre-operation video assisted education program may be an effective nursing intervention that is clinically practical and useful to reduce time of the gas passing of hysterectomy patients after the operation.

Figures and Tables

Table 1
Homogeneity Test of Characteristics between Two Groups (N=50)

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

Fisher's exact test.

Table 2
Homogeneity Test of Operational Variables and State Anxiety between Two Groups (N=50)

Exp.=experimental group; Cont.=control group; PCA =patient controlled analgesia.

Table 3
Comparison of Residual Urine and Gas Passing between the Two Groups (N=50)

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

Table 4
Comparison of State Anxiety between the Two Groups (N=50)

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


This article is a condensed form of the first author's master's thesis from Dong-Eui University.


1. Andrews G. Can HRT relieve premenstrual syndrome symptoms? Community Nurse. 1997. 3(9):33–34.
2. Campbell M.F. Urologic complications of anorectal and colon surgery. American Journal of Proctology. 1961. 12:43–51.
3. Choi H.J. The effects of preoperative education using movies on anxiety in the patients undergoing total hysterectomy. 2006. Seoul: Dongguk University;Unpublished master's thesis.
4. Chu M.H., Jung J.D., Jin K.S., Lee S.G., Kim S.B., Lee J.H. Invasive carcinoma of uterine cervix. Korean Journal of Obstetrics and Gynecology. 1995. 38(8):1471–1479.
5. Cohen J. Statistical power analysis for the behavioral sciences. 1988. Hillsdale, New Jersey Hove and London: Lawrence Erlbaum Associates.
6. Gosling J.A., Dixon J.S., Lendon R.G. The autonomic innervation of the male and female bladder neck and proximal urethra. The Journal of Urology. 1977. 118(2):302–305.
7. Hwang Y.J., Park Y.H., Park I.S., Kim N.I., Kim J.M., Kim J.Y. The effects of nursing education using CD ROM on the anxiety and knowledge of patients having minor surgery. Journal of Korean Academy of Adult Nursing. 2004. 16(1):82–89.
8. Johnson Casto C., Krammer J., Drake J. Postoperative feeding: A clinical review. Obstetrical & Gynecological Survey. 2000. 55(9):571–573.
9. Kim J.H. The effects of pre-operational education using audio-visual medium on the state anxiety, sleeping satisfaction, momentum and amount of residual urine of hysterectomy patients. 2005. Seoul: Yonsei University;Unpublished master's thesis.
10. Kim J.H., Kim K.H. The effect of morphine on painand bowel function after colonic surgery; Epidural bupivacaine-morphine versus intravenous patient-controlled analgesia with morphine. Korean Journal of Anesthesiology. 2000. 38(5):845–853.
11. Kim J.T., Sin D.G. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978. 21(11):69–75.
12. Kim K.S., Kang J.Y. The effect of preparatory audiovisual information with videotape influencing on sleep and anxiety of abdominal surgical patients. Journal of Korean Academy of Fundamentals Nursing. 1994. 1(1):19–36.
13. Kim M.O. The Effect of Sp-6 Acupressure on First Residual Urine Amount in Abdominal Hysterectomy patients. 2005. Seoul: Yonsei University;Unpublished master's thesis.
14. Kim S.K. The influence on reducing anxiety of patients who will have gastric polypectomy by producing informative computer animation. 2003. Seoul: Kyung Hee University;Unpublished master's thesis.
15. King I., Tarsitano B. Effect of structured and unstructured pre-operative teaching: A replication. Nursing Research. 1982. 31(6):324–329.
16. Health Insurance Statistics of Major Operation. Korean Statistical Information Service. 2010. Retrieved May, 10, 2010. from
17. Lee G.O. The effect of gas passing of Sp6 acupressure with patient for laparotomy. 2003. Seoul: Yonsei University;Unpublished master's thesis.
18. Croft P., Lewis M., Wynn Jones C., Coggon D., Cooper C. Health status in patients awaiting hip replacement for osteoarthritis. Rheumatology (Oxford). 2002. 41(9):1001–1007.
19. Liu H.E., Ya S.F. The immediate and short-term effects of an education program for post radical hysterectomy self-care of the lower urinary tract. Chang Gung Medical Journal. 2001. 24(7):440–445.
20. Ming J.L., Kuo B.I.T., Lin J.G., Lin L.C.. The efficacy of acupressure to prevent nausea and vomiting in post-operative patients. Journal of Advanced Nursing. 2002. 39(4):343–351.
21. Mott A.M. Psychologic preparation to decrease anxiety associated with cardiac catheterization. Journal of Vascular Nursing. 1999. 17(2):41–49.
22. National Health Insurance Corporation. 2005. National health insurance statistical yearbook.
23. Noh G.O. Critical pathway development for the hysterectomy patients and its applied effect. Journal of Korean Academy of Women's Health Nursing. 2000. 6(2):234–257.
24. Park I.O. The effect of preoperative teaching on the stress and adaptation of the patients in prior to surgery. 2000. Seoul: Hanyang University;Unpublished master's thesis.
25. Roach J.A., Temblay L.M., Bowers D.L. A operative assessment and education program: Implementation and outcomes. Patient Education and Counseling. 1995. 25(1):83–88.
26. Spielberger C.D. Anxiety on emotional state, anxiety, current trends in theory and research 1. 1972. New York: Academic Press.
27. Steed H.L., Capstick V., Flood C., Schepansky A., Schulz J., Mayes D.C. A randomized controlled trial of early versus "traditional" postoperative oral intake after major abdominal gynecologic surgery. American Journal of Obstetrics and Gynecology. 2002. 186(5):861–865.
28. Yoo H.S. The effects of informing of the procedures of operation and anesthesia, and providing warmer therapy on the preoperative anxiety of surgical patients. 2003. Seoul: The Hanyang University;Unpublished master's thesis.
Similar articles