A comparison of two methods of delivering presurgical instructions
A 2×2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for...
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| Veröffentlicht in: | Patient counselling and health education 1980, Vol.2 (1), p.6-13 |
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| container_title | Patient counselling and health education |
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| creator | Klos, Don Cummings, K. Michael Joyce, Jan Graichen, Janet Quigley, Anne |
| description | A 2×2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for cholecystectomies. Patients were given information on the expected sequence of events on the day of surgery and instructions in postoperative self-care activities. Findings indicate that a differential effect of providing information was dependent on the patient's level of preoperative fear, with high-fear patients benefiting most from information. Patients in the high preoperative-fear group who received either the pamphlet or the pamphlet and a nurse visit had shorter postoperative hospitalizations, switched from injected to oral medication sooner, scored higher on an index of energy and movement, and rated their appetites as better when compared with patients in either the nurse-visit or control groups. However, among those who scored low in preoperative fear, patients in the control group had better recoveries from surgery than patients who received preoperative information. The study points out the need to perform an educational assessment of patients before information is provided. |
| doi_str_mv | 10.1016/S0738-3991(80)80023-1 |
| format | Article |
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Michael ; Joyce, Jan ; Graichen, Janet ; Quigley, Anne</creator><creatorcontrib>Klos, Don ; Cummings, K. Michael ; Joyce, Jan ; Graichen, Janet ; Quigley, Anne</creatorcontrib><description>A 2×2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for cholecystectomies. Patients were given information on the expected sequence of events on the day of surgery and instructions in postoperative self-care activities. Findings indicate that a differential effect of providing information was dependent on the patient's level of preoperative fear, with high-fear patients benefiting most from information. Patients in the high preoperative-fear group who received either the pamphlet or the pamphlet and a nurse visit had shorter postoperative hospitalizations, switched from injected to oral medication sooner, scored higher on an index of energy and movement, and rated their appetites as better when compared with patients in either the nurse-visit or control groups. However, among those who scored low in preoperative fear, patients in the control group had better recoveries from surgery than patients who received preoperative information. The study points out the need to perform an educational assessment of patients before information is provided.</description><identifier>ISSN: 0190-2040</identifier><identifier>EISSN: 2352-8842</identifier><identifier>DOI: 10.1016/S0738-3991(80)80023-1</identifier><identifier>PMID: 10246465</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Analysis of Variance ; Cholecystectomy - psychology ; Fear ; Female ; Health administration ; Hospital Bed Capacity, 500 and over ; Humans ; Male ; Michigan ; Middle Aged ; Nursing Care ; Outcome and Process Assessment (Health Care) ; Patient Education as Topic - methods ; Postoperative Care - psychology ; Preoperative Care - psychology ; Stress, Psychological</subject><ispartof>Patient counselling and health education, 1980, Vol.2 (1), p.6-13</ispartof><rights>1980 Excerpta Medica</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c276t-fbee8cdd5745ff31fdd306575cbf674907d7d35dd56143476a63569b1c87c4893</citedby><cites>FETCH-LOGICAL-c276t-fbee8cdd5745ff31fdd306575cbf674907d7d35dd56143476a63569b1c87c4893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10246465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klos, Don</creatorcontrib><creatorcontrib>Cummings, K. Michael</creatorcontrib><creatorcontrib>Joyce, Jan</creatorcontrib><creatorcontrib>Graichen, Janet</creatorcontrib><creatorcontrib>Quigley, Anne</creatorcontrib><title>A comparison of two methods of delivering presurgical instructions</title><title>Patient counselling and health education</title><addtitle>Patient Couns Health Educ</addtitle><description>A 2×2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for cholecystectomies. Patients were given information on the expected sequence of events on the day of surgery and instructions in postoperative self-care activities. Findings indicate that a differential effect of providing information was dependent on the patient's level of preoperative fear, with high-fear patients benefiting most from information. Patients in the high preoperative-fear group who received either the pamphlet or the pamphlet and a nurse visit had shorter postoperative hospitalizations, switched from injected to oral medication sooner, scored higher on an index of energy and movement, and rated their appetites as better when compared with patients in either the nurse-visit or control groups. However, among those who scored low in preoperative fear, patients in the control group had better recoveries from surgery than patients who received preoperative information. The study points out the need to perform an educational assessment of patients before information is provided.</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Cholecystectomy - psychology</subject><subject>Fear</subject><subject>Female</subject><subject>Health administration</subject><subject>Hospital Bed Capacity, 500 and over</subject><subject>Humans</subject><subject>Male</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Nursing Care</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patient Education as Topic - methods</subject><subject>Postoperative Care - psychology</subject><subject>Preoperative Care - psychology</subject><subject>Stress, Psychological</subject><issn>0190-2040</issn><issn>2352-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1980</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EouXxCaCsECwC4_iZFSqIl4TEAlhbqT0pRklc7KSIvyelLNixGo3m3BnNIeSIwjkFKi-eQTGds7KkpxrONEDBcrpFpgUTRa41L7bJFGgJeQEcJmQvpXcAScfBLplQKLjkUkzJ1SyzoV1W0afQZaHO-s-Qtdi_BZfWrcPGrzD6bpEtI6YhLrytmsx3qY-D7X3o0gHZqasm4eFv3Sevtzcv1_f549Pdw_XsMbeFkn1ezxG1dU4oLuqa0do5BlIoYee1VLwE5ZRjYgQk5YwrWUkmZDmnVivLdcn2yclm7zKGjwFTb1qfLDZN1WEYklECVCGkHkGxAW0MKUWszTL6topfhoJZyzM_8sxantFgfuQZOuaOfw8M8xbdn9TG1ghcbgAc31x5jCZZj51F5yPa3rjg_znxDfFkfsA</recordid><startdate>1980</startdate><enddate>1980</enddate><creator>Klos, Don</creator><creator>Cummings, K. 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| fulltext | fulltext |
| identifier | ISSN: 0190-2040 |
| ispartof | Patient counselling and health education, 1980, Vol.2 (1), p.6-13 |
| issn | 0190-2040 2352-8842 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Analysis of Variance Cholecystectomy - psychology Fear Female Health administration Hospital Bed Capacity, 500 and over Humans Male Michigan Middle Aged Nursing Care Outcome and Process Assessment (Health Care) Patient Education as Topic - methods Postoperative Care - psychology Preoperative Care - psychology Stress, Psychological |
| title | A comparison of two methods of delivering presurgical instructions |
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