Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients

Hyang Hee Jeon; Soo Jin Lee

doi:10.7475/kjan.2018.30.5.482

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Jeon and Lee: Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients

Original Article

Korean Journal of Adult Nursing 2018; 30(5): 482-492.

Published online: 25 October 2018

DOI: https://doi.org/10.7475/kjan.2018.30.5.482

Effects of Video-centered Nursing Education Program on Anxiety, Uncertainty, and Self-care among Cataract Surgery Patients

Hyang Hee Jeon¹

, Soo Jin Lee²

¹Surgical Nurse, Bundang Jesaeng Hospital, Seongnam, Korea.

²Assistant Professor, Department of Nursing, Korea National Open University, Seoul, Korea.

Corresponding author: Lee, Soo Jin. Department of Nursing, Korea National Open University, 86 Daehak-ro, Jongno-gu, Seoul 03087, Korea. Tel: +82-2-3668-4703, Fax: +82-2-3673-4274, syjlee@knou.ac.kr

Received 4 June 2018 Revised 25 July 2018 Accepted 16 August 2018

Korean Society of Adult Nursing

(open-access):

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

This study aimed to investigate the effects of a video-centered nursing education program on anxiety, uncertainty, and self-care in patients undergoing cataract surgery.

Methods

A video-centered nursing education program was developed. The program consisted of a video and leaflet. The video was in 4 sections (introduction, pre-operation examination, operation, and post-operation self-care) for a total of 8 minutes. The leaflet included information on cataracts and self-care. The program was performed from January to April 2017. The participants were scheduled to undergo cataract surgery. The experimental group (n=26) underwent the program before the operation and the control group (n=30) received usual care at Bundang Jesaeng Hospital. In the pre-test, general characteristics, trait-state anxiety, and uncertainty were measured. The state anxiety, uncertainty, and self-care were evaluated as post-test. Data were analyzed using Kolmogorov-Smirnov, Shapiro-Wilk, χ², Fisher's exact, t-, and Mann-Whitney U tests and covariance analysis.

Results

In the post-test, there were significant differences between groups on uncertainty (F=8.10, p=.006) and self-care (F=11.06, p=.002).

Conclusion

The program was effective in reducing uncertainty and improving self-care in patients undergoing cataract surgery. These results will help to reduce nurse shortages and excessive workload and enable efficient clinical practice.

Keywords: Education, Cataract, Anxiety, Uncertainty, Self-care

Figures and Tables

Figure 1

Research design.

Table 1

Video Contents for Cataract Surgery Patients

I.O.L=lntra-ocular lens.

Table 2

Homogeneity Test of the General Characteristics and the Study Variables (N=56)

Exp.=experimental group; Cont.=control group; SE=standard error; ^†Fisher's exact test; ^‡Mann-Whitney U-test.

Table 3

Comparison of Anxiety and Uncertainty between the Groups (N=56)

Exp.=experimental group; Cont.=control group; SE=standard error; ^†No. 6, 7, 10, 11, 15, 18, and 19 were reverse-scored; ^‡Analysis of covariance with the covariates of pretest trait anxiety, state anxiety, and uncertainty.

Table 4

Comparison of the Self-care Item Scores between the Groups (N=56)

Exp.=experimental group; Cont.=control group; SE=standard error; ^†Analysis of covariance with the covariates of pre-test trait anxiety, state anxiety, and uncertainty.

ACKNOWLEDGEMENT

This article is based on a part of the first author's master's thesis from Korea National Open University.

Notes

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

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ORCID iDs

Hyang Hee Jeon
https://orcid.org/0000-0002-2546-9679

Soo Jin Lee
https://orcid.org/0000-0003-4796-8070

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