Birjand University of Medical Sciences.
Hormozgan University of Medical Sciences.
Nurs Ethics. 2024 Nov;31(7):1315-1329. doi: 10.1177/09697330231197705. Epub 2024 Jul 23.
Quality nursing care and ethical responses to patient pain and suffering are very important in the preoperative period. However, few studies have addressed these variables.
This study aimed to examine the relationship between compassionate care and preoperative anxiety from the perspective of hospitalized patients.
The current study was a cross-sectional descriptive one. The participants were selected using convenience sampling. The data were collected using a demographic questionnaire, Burnell Compassionate Care Tool, and Amsterdam Preoperative Anxiety and Information Scale (APAIS). The collected data were analyzed with SPSS software (version 22) through descriptive and inferential statistics at a significance level of 0.05 ( < .05).
This study was conducted on 704 candidates for surgery in the internal and surgical wards of a large teaching hospital located in the south of Iran from December 2022 to March 2023.
The protocol for this study was reviewed and approved by the University Ethics Committee.
The patients' average age was 36.61 ± 13.07. The average preoperative anxiety and need for information scores were 13.80 ± 2.66 and 7.44 ± 1.47, respectively. The average score of importance was 3.03 ± 0.19, and the average score of the extent of compassionate care provision was 1.22 ± 0.15. There was a significant relationship between preoperative anxiety with importance and the extent of compassionate care provision (r = 0.68, < .001), r = -0.72, < .001, respectively). A comparison of the demographic characteristics, need for information, importance, and provision of compassionate care showed that the extent of compassionate care provision had the greatest contribution in explaining preoperative anxiety (β = 0.50; < .001).
Even though patients' preoperative anxiety was high and providing compassionate care in the preoperative period had a great role in relieving their anxiety, many participants appear to have received little compassionate care. To this end, nursing managers should pay attention to the quality of compassionate care in the preoperative stage. Besides, healthcare staff should receive the necessary training in compassionate nursing care.
在术前阶段，提供优质护理和对患者疼痛和痛苦做出合乎伦理的反应非常重要。然而，很少有研究涉及这些变量。
本研究旨在从住院患者的角度探讨关怀护理与术前焦虑之间的关系。
本研究为横断面描述性研究。采用便利抽样法选取研究对象。使用人口统计学问卷、Burnell 关怀护理工具和阿姆斯特丹术前焦虑和信息量表（APAIS）收集数据。使用 SPSS 软件（版本 22）通过描述性和推断性统计分析收集的数据，显著性水平为 0.05（<0.05）。
本研究于 2023 年 3 月在伊朗南部一所大型教学医院的内科和外科病房对 704 名手术候选人进行。
本研究方案经大学伦理委员会审查批准。
患者的平均年龄为 36.61±13.07 岁。术前焦虑和信息需求评分分别为 13.80±2.66 和 7.44±1.47，重要性评分为 3.03±0.19，关怀护理提供程度评分为 1.22±0.15。术前焦虑与重要性和关怀护理提供程度呈显著正相关（r=0.68，<0.001），r=-0.72，<0.001）。对人口统计学特征、信息需求、重要性和关怀护理提供程度进行比较后发现，关怀护理提供程度对术前焦虑的解释贡献最大（β=0.50；<0.001）。
尽管患者术前焦虑较高，在术前阶段提供关怀护理对缓解焦虑有很大作用，但许多患者似乎得到的关怀护理较少。为此，护理管理人员应关注术前阶段关怀护理的质量。此外，医护人员应接受关怀护理方面的必要培训。
