Effects of extended preoperative information on perioperative stress : an anaesthetic nurse intervention for patients with breast cancer and total hip replacement

• An anaesthetic nurse intervention was performed in order to evaluate the effects of extended preoperative information, given by anaesthetic nurses, on perioperative stress in patients operated on for breast cancer or total hip replacement (THR). Forty-six consecutive patients scheduled for surgery for breast cancer, and 55 for THR, were randomized into two groups which were given different modes of preoperative information. Patients in the control group were informed about pre-and postoperative routines by a ward nurse. Patients in the intervention group were given extended formalized information by an anaesthetic nurse. Wilcoxon rank sum test was used to show relations between variables. There were no significant differences between the intervention group and control group for patients with breast cancer or for patients with THR. Breast cancer patients in the intervention group were significantly more anxious than THR patients in the intervention group (P<0.01). Breast cancer patients in the intervention group showed the highest anxiety scores on the Hospital Anxiety and Depression Scale (HADS) scale on the day of surgery. This information may reflect an increased level of anxiety due to the extended information given preoperatively. The information may thus have had a negative effect on breast cancer patients, resulting in an increased state of anxiety. The result indicates a need for individualized modes of information to provide a proper balance between enough and too much information. © 1998 Harcourt Brace & Co. Ltd.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

hydrocortisone

aged

article

blood

clinical trial

controlled clinical trial

controlled study

female

hip arthroplasty

human

male

mastectomy

mental stress

methodology

middle aged

nurse anesthetist

nursing

nursing evaluation research

patient education

postoperative pain

preoperative care

psychological aspect

randomized controlled trial

Aged

Arthroplasty

Replacement

Hip

Female

Humans

Hydrocortisone

Male

Mastectomy

Middle Aged

Nurse Anesthetists

Nursing Evaluation Research

Pain

Postoperative

Patient Education

Preoperative Care

Stress

Psychological

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