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Year : 2021  |  Volume : 22  |  Issue : 2  |  Page : 200-206

Effectiveness of structured pre operative education on anxiety level of patients undergoing elective orthopaedic surgery

1 Professor, College of Nursing, Christian Medical College, Vellore, Tamil Nadu, India
2 Deputy Nursing Superintendent, Scudder Memorial Hospital, Ranipet, Tamil Nadu, India
3 Medical Superintenednt, Scudder Memorial Hospital, Ranipet, Tamil Nadu, India
4 Research Officer, Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. T Jeni Christal Vimala
College of Nursing, Christian Medical College, Vellore - 632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijcn.ijcn_110_20

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The prevention of anxiety is of prime importance for patients undergoing surgeries. This experimental study was designed to find out the effectiveness of preoperative education on anxiety of patients undergoing orthopaedic surgeries. In this study, 46 patients who fulfilled the inclusion criteria were recruited and randomly allocated to experimental and control groups. On the previous day of surgery, the demographic and clinical data were collected with a specially designed pro forma, the pre- and post-operative anxiety level was assessed by using the state-trait anxiety inventory form Y-1 questionnaire and factors influencing anxiety were assessed by a self-developed questionnaire. The mean change in the level of anxiety from pre-operative to the post-operative period in the control group was 8.10 (standard deviation [SD] = 11.12). Whereas in the experimental group this was 9.08 (SD = 15.28). The difference in change of anxiety level from control to experimental group is −0.98 (95% confidence interval:-8.94, 6.98), which is not statistically significant (P = 0.805). There is no significant association between the level of anxiety and demographic variables. The fear about post-operative pain was the factor experienced by most of the patients (78.3%) both in the control and experimental group to cause anxiety. The study concluded that almost all the patients had one or more reasons for anxiety in the pre-operative period. Both control and experimental groups had reduction in anxiety level from pre-intervention to post-intervention. However, the difference in mean anxiety scores was not significant between control and experimental group. Most of the patients in both groups gave positive feedback on teaching, which made them feel at ease and was helpful in overcoming anxiety. The structured education did not produce any unique impact on the post-operative anxiety in patients undergoing orthopaedic surgery. Other factors related to perioperative anxiety warrants exploration.

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