Cho Youn Hee, Chun Nami
Uijeongbu St. Mary's Hospital, Uijeongbu, Korea.
Korean J Women Health Nurs. 2015 Dec;21(4):321-331. doi: 10.4069/kjwhn.2015.21.4.321. Epub 2015 Dec 25.
Purpose of this study was to identify the effect of structured information on immediate preoperative anxiety and uncertainty for women undergoing total laparoscopic hysterectomy.
Sixty women who were admitted for total laparoscopic hysterectomy were recruited at a university hospital in Gyeonggi-do from June to October 2014. Thirty women were assigned to either the experimental or the control group. Women in the experimental group were provided structured information, which consisted of visual and auditory materials about surgical preparation and process, practical experience on devices such as IV-PCA pump and Inspiro-meter and actual experience on route to go to the operating room. State-anxiety, uncertainty, and blood pressure and pulse rate as biological indicators were measured before and after the intervention to examine the effect.
Significant group differences were found on state anxiety, uncertainty, including ambiguity, inconsistency, and unpredictability at the holding area. There was a significant difference on pulse rate in the operating room between the two groups.
Findings demonstrated that the structured information provided for women undergoing laparoscopic hysterectomy preoperatively was effective on immediate preoperative anxiety and uncertainty. Nurses may contribute to decreasing patients' anxiety and uncertainty by utilizing this structured information preoperatively.
本研究旨在确定结构化信息对接受全腹腔镜子宫切除术的女性术前即刻焦虑和不确定性的影响。
2014年6月至10月，在京畿道的一家大学医院招募了60名因全腹腔镜子宫切除术入院的女性。30名女性被分配到实验组或对照组。实验组的女性被提供结构化信息，包括有关手术准备和过程的视觉和听觉材料、关于静脉自控镇痛泵和肺量计等设备的实践经验以及前往手术室路线的实际体验。在干预前后测量状态焦虑、不确定性以及作为生物学指标的血压和脉搏率，以检验效果。
在状态焦虑、不确定性（包括在等候区的模糊性、不一致性和不可预测性）方面发现了显著的组间差异。两组在手术室的脉搏率存在显著差异。
研究结果表明，术前为接受腹腔镜子宫切除术的女性提供的结构化信息对术前即刻焦虑和不确定性有效。护士可通过术前利用这种结构化信息来帮助减轻患者的焦虑和不确定性。
