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Kim and Lee: The Effects of Comprehensive Education Program on Anxiety, Uncertainty and Athletic Performance of Patients undergo Spinal Nerve Block
Original Article

Korean J Adult Nurs 2017;29(2):143-153.

Published online: 9 April 2017

DOI: https://doi.org/10.7475/kjan.2017.29.2.143

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

Seon Hee Kim, MSN, RN1, Eun Sook Lee, Ph.D., RN2,

1Doctoral Student, College of Nursing, Chonnam National University, Gwangju, Korea

2Professor, College of Nursing, Chonnam National University, Gwangju, Korea

Corresponding author: Lee, Eun Sook College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-530-4965, Fax: +82-62-225-3307, E-mail: - gounbabo@hanmail.net

- This manuscript is a revision of the first author's master's thesis from Chonnam National University.

Received 9 February 201720 April 2017       Accepted 25 April 2017

Copyright © 2017 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Purpose of the study was to identify the effect of the Comprehensive Education Program(CEP) on intra-procedure 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 check-list 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.

Keywords: Education program, Spinal nerve block, Anxiety, Uncertainty, Athletic performance

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Table 1.
Homogeneity Test for General and Disease related Characteristics (N=66)
Characteristics Categories Exp. (n=33) Cont. (n=33) x2 or t p
n (%) or M± SD n (%) or M± SD
Age (year) ≤59 9 (27.3) 12 (36.4) -1.37 .175
60~69 13 (39.4) 14 (42.4)
≥70 11 (33.3) 7 (21.2)
63.2±10.3 62.1±8.8 1.35 .508
Gender Male 9 (27.3) 9 (27.3) 0.00 .999
Female 24 (72.7) 24 (72.7)
Education level ≤ Junior high school 16 (48.5) 14 (42.4) 0.24 .621
≥ High school 17 (51.5) 19 (57.6)
Religion No 14 (42.4) 7 (21.2) 3.42 .064
Yes 19 (57.6) 26 (78.8)
Job status Unemployed 23 (69.7) 19 (57.6) 1.05 .306
Employed 10 (30.3) 14 (42.4)
Spouse No 8 (24.2) 6 (18.2) 0.36 .547
Yes 25 (75.8) 27 (81.8)
Awareness of diagnosis No 3 (9.1) 5 (15.2) .708†
Yes 30 (90.9) 28 (84.8)
Awareness of procedure name No 24 (72.7) 25 (75.8) 0.08 .778
Yes 9 (27.3) 8 (24.2)
Experience of spinal nerve block No 13 (39.4) 21 (63.6) 6.63 .085
1 time 11 (33.3) 6 (18.2)
≥2 times 9 (27.3) 6 (18.2)
Decision-maker for procedure Patient 8 (24.2) 9 (27.3) .904†
Doctor 21 (63.6) 21 (63.6)
Family 4 (12.2) 3 (9.1)
Recognizing risk of procedure Not at all risk 4 (12.1) 5 (15.2) .935†
Little risk 22 (66.7) 24 (63.6)
A little risk 7 (21.2) 8 (21.2)

Exp.=experiment group; Cont.=control group;

† Fisher's exact test.

Table 2.
Homogeneity Test for Research Variables (N=66)
Variables Exp. (n=33) Cont. (n=33) x2 or t p
n (%) or M± SD n (%) or M± SD
Anxiety 3.42±1.75 3.15±1.42 0.70 .489
Uncertainty 28.88±3.45 27.82±2.84 1.36 .178
Knowledge 3.36±1.27 2.58±1.06 2.73 .008
Athletic performance of back strengthening (Yes) 2 (6.1) 1 (3.0) .555†

Exp.=experiment group; Cont.=control group;

† Fisher's exact test.

Table 3.
Effects of Comprehensive Education Program on Patients' Outcomes (N=66)
Variables Groups Pretest Posttest Difference x2 or F p
n (%) or M± SD n (%) or M± SD n (%) or M± SD
Anxiety Exp. (n=33) 3.42±1.75 2.12±0.89 -1.30±1.63 25.70 ＜.001
Cont. (n=33) 3.15±1.42 4.03±1.74 0.88±1.27
Uncertainty Exp. (n=33) 28.88±3.45 22.58±1.77 -6.30±2.80 82.56 ＜.001
Cont. (n=33) 27.82±2.84 27.91±3.08 0.09±1.67
Knowledge Exp. (n=33) 3.36±1.27 8.00±1.03 4.64±1.48 14.63 ＜.001
Cont. (n=33) 2.58±1.06 2.67±1.08 0.09±0.80
Athletic performance of back strengthening (Yes) Exp. (n=33) 10 (30.3) .003†
Cont. (n=33) 1 (3.0)

Exp.=experiment group; Cont.=control group;

† Fisher's exact test.

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