Browse > Article
http://dx.doi.org/10.4069/kjwhn.2020.03.31

Effects of a video education program for patients with benign uterine tumors receiving high-intensity focused ultrasound treatment  

Hong, Mi Suk (Division of Nursing, Changwon Jeil General Hospital)
Park, Hyoung Sook (College of Nursing, Pusan National University)
Cho, Young Suk (Korean Nursing Educational Credentialing Center)
Publication Information
Women's Health Nursing / v.26, no.2, 2020 , pp. 151-160 More about this Journal
Abstract
Purpose: The purpose of this study was to examine the effects of a video education program in women receiving high-intensity focused ultrasound (HIFU) treatment. Methods: This was a quasi-experimental study with a nonequivalent control group non-synchronized design. The participants were 54 patients who had benign uterine tumors and adenomyosis. The data were collected from June to August 2018. A 10-minute video education program on HIFU and post-procedural care was developed based on the literature. The experimental group was provided the video education program with a question-and-answer session for 10 minutes after viewing the video. The control group received usual care (i.e., verbal instructions on post-procedural self-care). The questionnaire survey was conducted twice: before the educational program and before being discharged from the hospital. Differences in uncertainty, emotions, and self-efficacy among patients were analyzed. Data were analyzed using the chi-square test, Shapiro-Wilk test, paired t-test, and t-test with SPSS version 23.0. Results: The participants in the experimental group showed a decrease in uncertainty (t=4.33, p<.001), improvements in anxiety (t=-4.07, p<.001) and depression (t=-3.55, p<.001), and an enhancement of self-efficacy (t=-4.39, p<.001) compared to the control group. Conclusion: This nursing intervention was effective at reducing uncertainty, improving emotions, and enhancing self-efficacy. This intervention is feasible for use in nursing practice as an aid for patients when considering treatment methods.
Keywords
Emotions; Self efficacy; Uncertainty; Uterine neoplasms;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 OECD.Stat. Health Care Utilisation [Internet]. Paris: Organization for Economic Cooperation and Development; 2017 [cited 2017 Dec 9]. Available from: https://stats.oecd.org/In-dex.aspx?DataSetCode=HEALTH_PROC
2 Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: a comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc. 1999;38(2):289-296.
3 McCorkle R, Dowd M, Ercolano E, Schulman-Green D, Williams AL, Siefert ML, et al. Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. Psychooncology. 2009;18(1):62-70. https://doi.org/10.1002/pon.1365   DOI
4 Kang GS, Jun EM The effects of the video education program on the residual urine, gas passing and state anxiety of hysterectomy patients. Korean J Women Health Nurs. 2010;16(4):409-418. http://dx.doi.org/10.4069/kjwhn.2010.16.4.409   DOI
5 Eo YS, Lee NY, Lee JW, Cha HJ. The effects of supportive nursing intervention using video-program of operating room nurses before operation on laparoscopic hysterectomy patient's anxiety. J Korea Academia-Industrial Cooperation Soc. 2015;16(4):2639-2646. https://doi.org/10.5762/KAIS.2015.16.4.2639   DOI
6 OECD.Stat. Health Care Utilisation [Internet]. Paris: Organization for Economic Cooperation and Development; 2017 [cited 2017 Dec 9]. Available from: https://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_PROC
7 Lee HR, Kim JS, Cho SM. Effects of shoulder rehabilitation exercise convergence program on pain, range of motion and exercise self-efficacy after shoulder surgery. J Korea Converg Soc. 2018;9(4):409-421. https://dx.doi.org/10.15207/JKCS.2018.9.4.409   DOI
8 Couling R. The nurse's role in HIFU therapy for prostate cancer. Cancer Nurs Pract. 2006;5(7):35-39. https://doi.org/10.7748/cnp2006.09.5.7.35.c7583   DOI
9 National Health Insurance Service. 2015 Major Surgery Statistical Yearbook [Internet]. Seoul: Author; 2016 [cited 2017 Jun 12]. Available from: https://www.nhis.or.kr/bbs7/boards/B0079/22272
10 O'Connor TG, Heron J, Golding J, Beveridge M, Glover V. Maternal antenatal anxiety and children's behavioural/emotional problems at 4 years. Report from the Avon Longitudinal Study of Parents and Children. Br J Psychiatry. 2002;180:502-508. https://doi.org/10.1192/bjp.180.6.502   DOI
11 US Food and Drug Administration (FDA). Premarket approval(PMA FDA)-ablation system, high intensity focused ultrasound (HIFU), MR-guided [Internet]. Silver Spring: Author; 2004 [cited 2017 Jun 12]. Available from: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P040003
12 Ministry for Health; Welfare and Family Affairs. Partial revision of the safety and effectiveness evaluation results of new medical technology [Internet]. Seoul: Author; 2008 [cited 2017 May 10]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp? PAR_MENU_ID=03&MENU_ID=030406&CONT_SEQ=320375
13 Ji Y, Hu K, Zhang Y, Gu L, Zhu J, Zhu L, et al. High-intensity focused ultrasound (HIFU) treatment for uterine fibroids: a meta-analysis. Arch Gynecol Obstet. 2017;296(6):1181-1188. https://doi.org/10.1007/s00404-017-4548-9   DOI
14 Chung CW, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean J Women Health Nurs. 2005;11(1):58-66. https://doi.org/10.4069/kjwhn.2005.11.1.58   DOI
15 Park SA, Kim HY. Experiences of high intensity focused ultrasound (HIFU) treatment in benignuterus neoplasms. J Korea Academia-Industrial Cooperation Soc. 2018;19(4):403-411. https://doi.org/10.5762/KAIS.2018.19.4.403   DOI
16 Kang YD, Park CH. Spontaneous uterine rupture during second trimester pregnancy after high-intensity focused ultrasound. Korean J Perinatol. 2015;26(4):373-376. https://doi. org/10.14734/kjp.2015.26.4.373   DOI
17 Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. https://doi.org/10.1037/0033-295X.84.2.191   DOI
18 Mishel MH. Uncertainty in illness. Image J Nurs Sch. 1988;20(4):225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x   DOI
19 Kim SM, Lee SJ. The development and effect of a video education program on uncertainty and educational satisfaction among spinal surgery patients. J Muscle Joint Health. 2018;25(3):187-195. https://doi.org/10.5953/JMJH.2018.25.3.187
20 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. ActaPsychiatr Scand. 1983;67(6):361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x   DOI
21 Hong MH. Relationship between family support, self-efficiency, and health-promoting life styles for middle-aged women [master's thesis]. Pusan: Kosin University; 2000. 63 p.
22 Park KA. Effect of the nursing information on the hysterectomy patients in anxiety and knowledge and self-efficacy [master's thesis]. Seoul: The Catholic University of Korea; 2005. 22 p.
23 Carr E, Brockbank K, Allen S, Strike P. Patterns and frequency of anxiety in women undergoing gynaecological surgery. J ClinNurs. 2006;15(3):341-352. https://doi.org/10.1111/j.1365-2702.2006.01285.x
24 Jeon SR, Park HJ. Effect of preoperative education using multimedia on pain, uncertainty, anxiety and depression in hysterectomy patients. Korean J Women Health Nurs. 2016;22(1):39-47. https://doi.org/10.4069/kjwhn.2016.22.1.39   DOI
25 Haifu Healthcare. Focused ultrasound tumor therapeutic system. Seoul: Haifu Healthcare; 2016. 114 p.
26 Korean Society of Obstetrics and Gynecology. Guidelines and summary. 5th ed. Seoul: Koonja Publishing; 2015. p. 85-104.
27 Jeon HH, Lee SJ. Effects of video-centered nursing education program on anxiety, uncertainty, and self-care among cataract surgery patients. Korean J Adult Nurs. 2018;30(5):482-492. https://doi.org/10.7475/kjan.2018.30.5.482   DOI
28 Huang X, Yu D, Zou M, Wang L, Xing HR, Wang Z. The effect of exercise on high-intensity focused ultrasound treatment efficacy in uterine fibroids and adenomyosis: a retrospective study. BJOG. 2017;124 Suppl 3:46-52. https://doi.org/10.1111/1471-0528.14748