Wang Yuewei, Huang Xueqin, Liu Zhili
Central Sterile Supply Department (CSSD), The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Cardiac Care Unit (CCU), The First Affiliated Hospital of Shantou University Medical College, Shantou, China.
Front Psychol. 2022 May 6;13:881799. doi: 10.3389/fpsyg.2022.881799. eCollection 2022.
This article explores the effect of preoperative health education, in the form of animation videos, on postoperative self-reported pain levels and anxiety in femoral fractures.
Ninety cases of femoral fracture were divided at random into the oral instruction group, the recorded video group, and the animation video group, with 30 cases in each group. Sociodemographic data were collected the day before surgery. Health education was then offered in one of three ways: orally, using a recorded video, or using an animation video. On days 2, 4, and 7 after surgery, the state-trait anxiety inventory (STAI) and the visual analog scale (VAS) were used to assess postoperative anxiety and pain levels, respectively, in the participants.
At different time points during the evaluation, total anxiety scores in the animation and recorded video groups were significantly lower than in the oral instruction group ( < 0.01), and the pairwise comparisons indicated statistically significant differences ( = 11.04, 10.06, 10.37, < 0.01). However, the levels of postoperative pain in the animation and recorded video groups were not significantly different ( > 0.05). STAI scores in the three groups were found to have significant interactions with the measurement time ( = 6.74, < 0.01). However, there were no apparent interactions between the VAS score and the measurement time ( = 1.31, > 0.05) in the three groups.
Preoperative health education with the aid of multimedia is more effective than oral instruction in lowering patients' postoperative anxiety and pain levels. In addition, animation videos are superior to recorded videos in mitigating postoperative anxiety. Whether the two approaches differ in reducing postoperative pain in bone fractures remains to be further tested.
本文探讨以动画视频形式进行的术前健康教育对股骨骨折患者术后自我报告的疼痛程度及焦虑情绪的影响。
90例股骨骨折患者被随机分为口头指导组、录像组和动画视频组,每组30例。在手术前一天收集社会人口学数据。然后以三种方式之一进行健康教育:口头、使用录像或使用动画视频。在术后第2天、第4天和第7天,分别使用状态-特质焦虑量表(STAI)和视觉模拟量表(VAS)评估参与者术后的焦虑和疼痛程度。
在评估的不同时间点,动画组和录像组的总焦虑得分显著低于口头指导组(<0.01),两两比较显示差异有统计学意义(=11.04、10.06、10.37,<0.01)。然而,动画组和录像组的术后疼痛程度差异无统计学意义(>0.05)。发现三组的STAI得分与测量时间有显著交互作用(=6.74,<0.01)。然而,三组中VAS得分与测量时间之间没有明显的交互作用(=1.31,>0.05)。
借助多媒体进行术前健康教育在降低患者术后焦虑和疼痛程度方面比口头指导更有效。此外,动画视频在减轻术后焦虑方面优于录像。这两种方法在减轻骨折术后疼痛方面是否存在差异仍有待进一步验证。