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ARTICLE
Year : 2015  |  Volume : 16  |  Issue : 2  |  Page : 36-41

Effectiveness of instructional video on preoperative anxiety of patients undergoing orthopedic surgery


1 Junior Lecturer (At the time of submission), College of Nursing, CMC, Vellore, India
2 Professor, College of Nursing, CMC, Vellore, India
3 Professor (Rtd), College of Nursing, CMC, Vellore, India
4 Professor, Department of Orthopedics, CMC, Vellore, India

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Anxiety is very common among patients undergoing orthopedic surgery. Adequate preoperative information reduces anxiety and enhances quick recovery of patients. Structured surgical orientation video has gained more attention as a mode of education facilitating information provision, possibly anxiolytic, and less costly than many other procedures. A quasi experimental study using a pre-test, post-test control group design was conducted to assess the effectiveness of video instruction about perioperative care on preoperative anxiety of patients undergoing orthopedic surgery in selected orthopedic wards of Christian Medical College, Vellore. Cluster randomization of the wards to the experimental and control group was done and 35 subjects in experimental and 35 in control group were selected by total enumeration technique. An instructional video was developed and validated with content validity index of .85. The intervention was carried out on the day before surgery for experimental group. Anxiety was measured using State-Trait Anxiety Inventory on the day before and after surgery. The post intervention anxiety score was significantly reduced in the experimental group (t = 2.07, p = .05) with a mean difference of 2.23 and increased in control group (t = -6.18, p < .001) with a mean difference of 3.94. There was no significant association between the preoperative anxiety levels and the demographic variables such as age, sex, education, and occupation (p = >.05). The preoperative anxiety of patients if intervened, significant reduction is possible. Structured video teaching is found to reduce anxiety in this study and can be recommended for regular preoperative education of patients undergoing orthopedic surgery.


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