Ayyadhah Alanazi Alaa
Charge Nurse in Day Surgery Unit at King Abdul-Aziz Medical City, Riyadh-Saudi Arabia.
Br J Nurs. 2014;23(7):387-93. doi: 10.12968/bjon.2014.23.7.387.
There are still uncertainties regarding the appropriateness and effectiveness of various modes of delivering preoperative education. Hence, this systematic review was conducted to investigate the effectiveness of various preoperative educational interventions in reducing preoperative anxiety. Fourteen interventional trials (12 randomised controlled trials and two pre/post test trials) involving a total of 1752 participants were included in the review. Four studies used audiovisual; two trials used visual; two trials used multimedia-supported education; one trial used a website; two trials involved verbal education delivered by a psychologist or a nurse facilitator coupled with leaflets; and one trial involved informational leaflets only. Eight of the 14 trials demonstrated that preoperative education intervention reduced preoperative anxiety significantly (P<0.05). It can be concluded that preoperative education interventions are promising in reducing preoperative anxiety in patients scheduled for surgical procedures.
关于各种术前教育方式的适宜性和有效性仍存在不确定性。因此，进行了这项系统评价，以调查各种术前教育干预措施在减轻术前焦虑方面的有效性。该评价纳入了14项干预试验（12项随机对照试验和2项前后测试试验），共涉及1752名参与者。四项研究使用了视听资料；两项试验使用了视觉资料；两项试验使用了多媒体辅助教育；一项试验使用了网站；两项试验涉及由心理学家或护士协调员进行的口头教育并辅以传单；一项试验仅涉及信息传单。14项试验中的8项表明，术前教育干预显著降低了术前焦虑（P<0.05）。可以得出结论，术前教育干预措施在减轻计划接受手术的患者的术前焦虑方面很有前景。
