Ongun Pinar, Yurdakul Yaren, Karaca Sivrikaya Sibel, Cay Ferhat
Department of Nursing, Faculty of Health Sciences, Balıkesir University, Balıkesir, Turkey.
Institute of Health Sciences, Kocaeli University, Kocaeli, Turkey.
J Eval Clin Pract. 2025 Apr;31(3):e14164. doi: 10.1111/jep.14164. Epub 2024 Oct 7.
To investigate the effect of preadmission education given to laparoscopic sleeve gastrectomy patients on preoperative and postoperative anxiety, postoperative pain, and patient vital signs.
The study was designed as randomized, controlled, experimental, and single-blind. This study was conducted with 68 patients who met the inclusion criteria and underwent laparoscopic sleeve gastrectomy in the general surgery clinic of a university hospital between December 2022 and October 2023. Data were collected using the 'Perioperative Form,' 'Visual Analog Scale,' and 'State Anxiety Scale I-II.' Intervention group patients were informed and educated about the surgical process in the outpatient clinic. The anxiety levels of all patients were determined with the State Anxiety Scale the day before surgery. In the postoperative period, vital signs (once), anxiety (on the first day after surgery), and pain levels (eight times during 48 h) were measured.
In the analysis between the groups, the difference between the duration of postoperative hospital stay (p = 0.007), pain (p = 0.000 for all measured), and anxiety levels (p = 0.000) was statistically significant. There were also significant differences in the diastolic blood pressure (p = 0.007), body temperature (p = 0.000), and saturation values (p = 0.000). Patients' readiness level for surgery was the most influential factor in postoperative pain levels (p = 0.000).
The education given to the patients before hospitalization decreased preoperative and postoperative anxiety levels, postoperative hospital stay and pain levels, and positively affected diastolic blood pressure, body temperature and saturation levels. One-to-one education given to patients in the outpatient clinic also contributes positively to their readiness for surgery. This study provides valuable evidence to the wider global clinical community by demonstrating the important benefits of preadmission education for patients undergoing bariatric surgery. Implementation of similar educational interventions in diverse healthcare settings worldwide may lead to increased postoperative recovery and improved overall patient well-being after bariatric surgery.
探讨对腹腔镜袖状胃切除术患者进行入院前教育对其术前及术后焦虑、术后疼痛和患者生命体征的影响。
本研究设计为随机、对照、实验性单盲研究。本研究纳入了68例符合纳入标准且于2022年12月至2023年10月期间在某大学医院普通外科门诊接受腹腔镜袖状胃切除术的患者。使用“围手术期表格”“视觉模拟量表”和“状态焦虑量表I-II”收集数据。干预组患者在门诊接受了关于手术过程的告知和教育。所有患者在手术前一天使用状态焦虑量表测定焦虑水平。术后测量生命体征（一次）、焦虑（术后第一天）和疼痛水平（48小时内八次）。
在组间分析中，术后住院时间（p = 0.007）、疼痛（所有测量时间点p = 0.000）和焦虑水平（p = 0.000）的差异具有统计学意义。舒张压（p = 0.007）、体温（p = 0.000）和饱和度值（p = 0.000）也存在显著差异。患者的手术准备程度是术后疼痛水平的最有影响因素（p = 0.000）。
患者住院前接受的教育降低了术前和术后焦虑水平、术后住院时间和疼痛水平，并对舒张压、体温和饱和度水平产生了积极影响。在门诊对患者进行一对一教育也对其手术准备产生了积极作用。本研究通过证明入院前教育对接受减肥手术患者的重要益处，为更广泛的全球临床社区提供了有价值的证据。在全球不同医疗环境中实施类似的教育干预措施可能会促进减肥手术后的术后恢复并改善患者的整体健康状况。
