DOI QR코드

DOI QR Code

The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty

시각적 정보제공이 슬관절 전치환술 노인 환자의 수술 후 불안과 불확실성에 미치는 효과

  • Ryu, Kyung (Director of Nursing Service, Gwangju 21st Hospital) ;
  • Cho, Sook-Hee (Department of Nursing, Mokpo National University)
  • 류경 (광주 21세기병원) ;
  • 조숙희 (국립목포대학교 간호학과)
  • Received : 2014.11.24
  • Accepted : 2015.03.04
  • Published : 2015.04.30

Abstract

Purpose: The purpose of this study was to verify the effects of visual information on nursing management to elderly total knee arthroplasty (TKA) patients. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used in this study. Participants of this study were 60 elderly patients with TKA admitted to one hospital: the control group (30) between July and September, 2013, and the experimental group (30) between April and July, 2013. Anxiety and uncertainty were determined at baseline and at 3 days after TKA in both groups. Results: Two days after the visual information, the experimental group showed a significant decrease in anxiety and uncertainty compared with the control group. Conclusion: The results of this study show that providing visual information was effective in decreasing postoperative patient anxiety and uncertainty in elderly TKA patients. Therefore, when an elderly patient is hospitalized for TKA, positive and systematic provision of visual information may provide a positive effect by reducing postoperative patient anxiety and uncertainty.

Keywords

References

  1. Arthur, H. M., Daniels, C., Mckelvie, R., Hirsh, J., & Rush, B. (2000). Effect of preoperative intervention on preoperative and postoperative outcomes in low-risk patients awaiting elective coronary artery bypass graft surgery. Annals of Internal Medicine, 133(4), 253-262.
  2. Cho, M. H. (2002). The effect of providing a visual information on anxiety and pain in patients with artificial joint replacement. Unpublished master's thesis. Chungnam national University, Daejeon.
  3. Cho, O. H. (2000). Uncertainty, anxiety and coping with mastectomy for breast cancer. Journal of Korean Academy of Nursing, 30(4), 1006-1017. https://doi.org/10.4040/jkan.2000.30.4.1006
  4. Cho, Y. H. (2004). Pain, depression and anxiety of the older adults with operation. Unpublished master's thesis. Daejeon University, Daejeon.
  5. Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
  6. Cohen, M. H. (1993). Diagnosis closure and the spread of uncertainty. Issues in Comprehensive Pediatric Nursing, 16(3), 135-146. http://dx.doi.org/10.3109/01460869309078270
  7. Collette, C. L. (2000). Understanding patient's needs is the foundation of perioperative nursing. Journal of Association of Perioperative Registered Nurses (AORN), 71(3), 629-630. http://dx.doi.org/10.1016/s0001-2092(06)61584-6
  8. Duivenvoorden, T., Vissers, M. M., Verhaar, J. A., Busschbach, J. J., Gosens, T., Bloem, R. M., et al. (2013). Anxiety and depressive symptoms before and after total hip and knee arthroplasty: A prospective multicentre study. Osteoarthritis and Cartilage, 21(12), 1834-1840. http://dx.doi.org/10.1016/j.joca.2013.08.022
  9. Giraudet-Le, Quintrec, J. S., Coste, J., Vastel, L., Pacault, V., Jeanne, L., Lamas, J. P., et al. (2003). Positive effect of patient education for hip surgery: A randomized trial. Clinical Orthopaedics and Related Research, 414, 112-120. http://dx.doi.org/10.1097/01.blo.0000079268.91782.bc
  10. Hanusch, B. C., O'Connor, D. B., Ions, P., Scott, A., & Gregg, P. J. (2014). Effects of psychological distress and perceptions of illness on recovery from total knee replacement. The Bone and Joint Journal, 96-B(2), 210-216. http://dx.doi.org/10.1302/0301-620X.96B2.31136
  11. Jang, Y. J. (2005). Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control. Unpublished master's thesis. Chonbuk University, Jeonju.
  12. Joo, H. S. (2005). A study on the effects of pre-surgery information services on relief of patients' anxiety and stress depending on patients' type. Unpublished master's thesis. Hanyang University, Seoul.
  13. Kim, E. Y. (2010). The Effects of preoperative nursing information on post operative uncertainty and anxiety of patients with chronic otitis media. Unpublished master's thesis, Eulji University, Daejeon.
  14. Kim, J. T., & Shin, D. G. (1978). A study based on the standardization of the STAI for Korea. New Medical Journal, 21(11), 69-75.
  15. Kim, M. G. (2008). Effect of preoperative information on preoperative anxiety of female aged patients before total knee arthroplasty. Unpublished master's thesis. Kosin University, Busan.
  16. Kim, S. E. (2006). The influence of preoperative uncertainty upon anxiety on orthopedic surgical patients and their family members. Unpublished master's thesis, Hanyang University, Seoul.
  17. Kwon, O. J. (2007). The effect of providing a visual information and touch on anxiety and pain in patients with total replacement arthroplasty. Unpublished master's thesis. Kongju National University, Gongju.
  18. Mishel, M. H. (1981). The measurement of uncertainty and stress in illness. Nursing Research, 30(5), 258-263. http://dx.doi.org/10.1097/00006199-198109000-00002
  19. Mishel, M. H. (1998). Uncertainty in illness. Journal of Nursing Scholarship, 20(4), 225-23. http://dx.doi.org/10.1111/j.1547-5069.1988.tb00082.x
  20. Mitchell, M. (2008). Conscious surgery: Influence of the environment on patient anxiety. Journal of Advanced Nursing, 64(3), 261-271. http://dx.doi.org/10.1111/j.1365-2648.2008.04769.x
  21. Park, E. S. (2011). The effect of comprehensive information program on pain, anxiety and vital sign on older adults who have received total knee arthroplasty. Unpublished master's thesis. Daejeon University, Daejeon.
  22. Song, E. K., Seon, J. K., Park, K. S., & Yoon, T. R. (2011). The evaluation of total knee and hip joint arthroplasty. Journal of Korean Medical Association, 54(3), 313-324. http://dx.doi.org/10.5124/jkma.2011.54.3.313
  23. Spielberger, C. D. (1972). Anxiety on emotional state, anxiety current trends in theory and research. New York: Academics Press.
  24. Statistics Korea. (2012). Population projections. Retrieved February 1, 2013, from http://kosis.kr/gen-etl/start.jsp?orgId=101&tblId=DT_1B01B09&conn_path.=I2& path

Cited by

  1. Effect of Preoperative Education using Multimedia on Pain, Uncertainty, Anxiety and Depression in Hysterectomy Patients vol.22, pp.1, 2016, https://doi.org/10.4069/kjwhn.2016.22.1.39
  2. The Effects of Comprehensive Education Program on Anxiety, Uncertainty and Athletic Performance of Patients undergo Spinal Nerve Block vol.29, pp.2, 2017, https://doi.org/10.7475/kjan.2017.29.2.143