Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery-A Single Center, Open-Label, Randomized Controlled Trial.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_555C17414DFB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery-A Single Center, Open-Label, Randomized Controlled Trial.
Journal
Journal of clinical medicine
Author(s)
Dias P., Clerc D., da Rocha Rodrigues M.G., Demartines N., Grass F., Hübner M.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Publication state
Published
Issued date
29/03/2022
Peer-reviewed
Oui
Volume
11
Number
7
Pages
1895
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient's anxiety, satisfaction and early postoperative outcomes.
This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0-10), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS).
Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total n = 70). The median score of preoperative anxiety was 40 (IQR 33-55) in the IG vs. 61 (IQR 52-68) in the CG (p < 0.001). Postoperative anxiety levels were comparable 34 (IQR 25-46) vs. 32 (IQR 25-44) for IG and CG, respectively (p = 0.579). The IG did not present higher overall satisfaction (90 ± 15 vs. 82.9 ± 16, p = 0.057), and pain at Day 2 was similar (1.3 ± 1.7 vs. 2 ± 1.9, p = 0.077), while opiate consumption, PONV levels and LOS were comparable.
A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery.
Keywords
General Medicine, perioperative nurse dialogue, perioperative nursing, postoperative outcomes, preoperative anxiety, surgery outcomes
Pubmed
Web of science
Open Access
Yes
Create date
09/04/2022 21:23
Last modification date
23/04/2022 6:35
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