The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients
Neziha Karabulut, Funda Cetinkaya
DOI: 10.4236/ss.2011.26065   PDF    HTML     4,699 Downloads   9,056 Views   Citations


Aim: The aim oh this study was to detrmine the effects of different training programs implemented before inguinal hernia operation on the pre- and post-operation anxiety level of and pain level the patient. Material and method: This quasi experimental study was carried out with inguinal hernia patients 18 - 60 years who were hospitalized in the General Surgery Clinic of Hospital of Atatürk University and Süleyman Demirel Medical Centre in Erzurum for inguinal hernia operation. The study data were collected between November 2007-May 2008 from a total of 90 patients. 30 patients were in the control group, 30 were in the video (VCD) training group, and 30 were in the booklet training group. Data were collected by means of a questionnaire about the patients and the inventory of state anxiety fort he adult. In collecting data, patient introduction form and Spielberger’in State-Trait Anxiety Inventory, and visual analogue scale (VAS) were used. In data assessment, T-test, Pearson correlation test, Mauchly’s variance analysis, Anova for repeated measures tests and Bonferroni Correction Analysisi were used. Results: In control, booklet and VCD groups, In group Situational Constant Anxiety score average was found significant in each three time periods (p < 0.001). When the pain situations of the patients after operation was considered, the distinction in Visual Analogue Scale and Verbal Rating Scala values of two groups in all measurement times was found significant (p<0.001). Conclusion: In the conclusion of the study, it was found out that the given education effective on level of pain and anxiety score for experimental groups of patients.

Share and Cite:

N. Karabulut and F. Cetinkaya, "The Impact on the Level of Anxiety and Pain of the Training before Operation Given to Adult Patients," Surgical Science, Vol. 2 No. 6, 2011, pp. 303-311. doi: 10.4236/ss.2011.26065.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] L. Birol, “Period of Nursery Izm?r,” 7th Edition, Etki Press, 2005, pp. 14-15.
[2] T. Sanli, “The Dimensios of ?nterpersonal Reletion Ships in Nursey,” Open Education Faculty Publications, Eskise hir, 1991, pp. 20-40.
[3] R. Yardakci and N. Akyolcu, “The Effect of the Visits Made Preoperation on the Pat?ents’ Anxiety Level,” The Turkish Journal of Research and Development in Nursing, Vol. 1, No. 2, 2004, pp. 7-14.
[4] F. Erdil and N. Ozhan Elbas, “Medical-Surgical Nursing,” Desing Ofset, Ankara, 2001, pp. 98-136.
[5] M. Mitchell, “Anxiety Management: A Distinct Nursing Role in Day Surgery,” Ambulatory Surgery, Vol. 8, No. 3, 2000, pp. 119-127. doi:10.1016/S0966-6532(99)00061-X
[6] M. K. Elkin, A. G. Perry and P. A. Potter, “Nursing Interventions & Clinical Skills,” 3rd Edition, Mosby, St. Louis, 2004, pp. 491-507.
[7] C. Cimilli, “Anxiety in Surgery,” The Journal of Clinical Psychiatry, No. 4, 2001, pp. 182-186.
[8] N. Kugu, O. Berkan, G. Akyüz and O. Dogan, “The Anxiety and Depression Levels of Operated and Non-operated Patients with Chronic Peripheric Vascular Disease,” Anatolian Journal of Psychiatry, Vol. 2, No. 4, 2001, pp. 213-221.
[9] N. Oner and A. Le Compt, “State Trait Inventory in Handbook,” Bogazici University Publication, Istanbul, Vol. 333, 1985, pp. 1-26.
[10] G. Kocaman, “Nursing Process in Pain,” Saray Medical Bookstore, Izmir, 1994, pp. 175-196.
[11] B. L. Christensen, “Pain Management, Comfort, Rest, and Sleep,” In: B. L. Christensen and E. O. Kockrow, Eds., Mosby, St. Louis, 2003, pp. 308-324.
[12] J. H. Watt-Watson and M. I. Donovan, “Pain. Management-Nursing Perpective,” Mosby Year Book, Inc., St. Louis, 1992, pp. 401-409.
[13] M. Mc Caffery, “Nurses Lead the Way to New Priorites,” American Journal of Nursing, No. 10, 1990, pp. 45-49.
[14] B. K. Timby, “Fundamental Skills and Concepts in Patient Care,” 6th Edition, Lippincott Williams & Wilkins, Philedelphia, 1996.
[15] H. M. Rahman and J. Beattie, “Managing Post-operative Pain,” The Pharmace?tical Journal, Vol. 275, No. 30, 2005, pp. 145-146.
[16] F. V. Abbott, K. Gray-Donald, M. J. Sewitch, C. C. Johnston, Linnda, M. E. Jeans, “The Prevalence of Pain in Hospitalized Patients and Resolution over Six Months,” Pain, Vol. 50, No. 1, 1992, pp. 15-28. doi:10.1016/0304-3959(92)90108-N
[17] E. C. J. Carr, “Postoperative Pain: Patients’ Expectations and Experiences,” Journal of Advanced Nursingm, Vol. 15, No. 1, 1990, pp. 89-100. doi:10.1111/j.1365-2648.1990.tb01677.x
[18] M. F. Walding, “Pain, Anxiety and Powerlessness,” Journal of Advanced Nursing, Vol. 16, No. 4, 1991, pp. 388-397. doi:10.1111/j.1365-2648.1991.tb03427.x
[19] G. Ozalp, R. Sarioglu, G. Tuncel, K. Aslan and N. Kadiogullari, “Preoperative Emotional Satates in Aptients with Breast Cancer and Posoperative Pain,” Acta Ana- esthesiol Scand, Vol. 47, No. 1, 2003, pp. 26-29.
[20] W. Couma, A. P. Schmidt, C. N. Schneider, J. Bergmann, C. W. Iwamoto, D. Bende?re and M. B. C. Ferre?re, “Risk Factors for Preorerative Anxiety in Adults,” Acta Anaesthesiol Scand, Vol. 45, No. 3, 2001, pp. 298-307.
[21] M. Lepczyk, “Timing of Preoperative Patient Teaching,” Journal of Advanced Nursing. Vol. 15, No. 3, 1990, pp. 300-306. doi:10.1111/j.1365-2648.1990.tb01817.x
[22] S. O’Conner-Von, “Preparation of Adolescents for Outpatient Surgery: Using an Internet Program,” AORN Journal, Vol. 87, No. 2, 2008, pp. 374-378. doi:10.1016/j.aorn.2007.07.024
[23] N. Karabulut and D. Arikan, “The Ifluence of Different Education Programmes Applied before Abdomen Operation on the Anxiety Level of the Child and the Mother. II,” National/?nternational TSK Nursing of Congress Papers, 25-27 May 2005.
[24] D. Miner, “Preoperative outpatient education,” Nursing Management, Vol. 21, No. 12, 1990, pp. 27-29. doi:10.1097/00006247-199012000-00015
[25] N. Bolükbas, “The Expectations of Surgical Patients from Nurses,” Journal of Nursing, No. 20, 1991, pp. 81-86.
[26] A. Luck, S. Pearson, G. Maddern and P. Hewett, “Effect of Video ?nformation on Precolonoscopy Anxiety and Knowledge: A Randomised Trial,” The Lancet, Vol. 354, No. 9195, 1999, pp. 2032-2035. doi:10.1016/S0140-6736(98)10495-6
[27] O. Karayurt, “Effects of Different Preoperative Teaching Programmes on the State Anxiety and Pain Level,” Journal of Cumhuriyet University Nursing School, Vol. 2, No. 1, 1998, pp. 20-26.
[28] K. Sümbüloglu and V. Sümbüloglu, “Biostatistics,” ?ahin Press, Ankara, 1997.
[29] G. Aksakoglu, “Data Analysis: According to Data Ana- lysis Methods for the Selection of the Average Compa- rison of Measurement,” Health Research Methods and Analysis Methods, Dokuz Eylül University Publisher, Izm?r, 2001, pp. 212-284.
[30] S. Erdine, “Pain,” Nobel Medical Bookstore, Istanbul, Alemdar Offset Sava? Bindery, 2000, pp. 37-40.
[31] J. F. Cassady, T. T. Wysocki, K. M. Miller, D. D. Cancel and N. Izenberg, “Use of Preanesthetic Video for Faci- litation of Parental Education and Anxiolysis before Pediatric Ambulatory Surgery,” Anesthesia and Analgesia, Vol. 88, No. 2, 1999, pp. 246-250.
[32] P. A. Potter and A. G. Perry, “Basic Nursing,” 3th Edition, Mosby Year Book, St. Louis, 1995, pp. 3-24.
[33] O. Ergin, “Instructional Technolog and Communication,” Tegem Publication, Ankara, 1995, p. 102.
[34] A. Akkas, “Determinibg the Anxiety Levels of Patients during the Pre-operative Period and the Factors Which May Cause Anxiety,” The Turkish Journal of Research and Development in Nursing, No 1, 2001, pp. 23-29.
[35] K. Asilioglu and S. S. Celik, “The Effect of Preoperative Education on Anxiety of Open Cardiac Surgery Patients,” Patient Education and Counseling, Vol. 53, No. 1, 2004, pp. 65-70. doi:10.1016/S0738-3991(03)00117-4
[36] L. Yorulmaz and T. Ozbayir, “The Pre-operative and Post-perative Anxiety Level of Patients Who Would Undergo Laparoscopic Cholecystectomy,” National Surgery Congress, Congress book for surgical nursing section of panels and papers, Antalya, 2002, pp. 319-324.
[37] A. Roth-Isigkeit, E. Ocklitz, S. Brückner, A. Ros, L. Dibbelt, J. H. Friedrich, et al., “Development and Eva- luation of a Video Program for Presentation Prior to Elective Cardiac Surgery,” Acta Anaesthesiologica Scan- dinav?ca, Vol. 46, No. 4, 2002, pp. 415-423.
[38] S. Doering, H. Behensky, G. Rumpold, D. S. Schatz, S. R?ssler, B. Hofst?tter, et al., “Videotape Preparation of Patients before Hip Replacement Surgery ?mproves Mobility after Three Months,” Zeitschrift Für Psycho- somatische Medizin Und Psychotherapie, Vol. 47, No. 2, 2001, pp. 140-152.
[39] A. Ozberksoy and T. Ozbayir, “The Effect of ?nformative and Educative Nursing Approaches on Postoperative Anxiety and Pain in Patients with Breast Cancer,” Surgical and Operating Room Nurse in Congress Papers, Ege Universty Press, Izmir, 2007, p. 211.
[40] M. Sjoling, G. Nordahl, N. Olofsson and K. Asplund, “The Impact of Preoperative Information on State Anxiety, Postoperative Pain and Satisfaction with Pain Management,” Patient Education and Counseling, Vol. 51, No. 2, 2003, pp. 169-176. doi:10.1016/S0738-3991(02)00191-X

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.