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The Effect of Nursing Information on Anxiety and Uncertainty in Patients for Endoscopic Submucosal Dissection before the procedure of the patients

간호정보제공이 내시경 점막하 박리술 환자의 시술 전 불안 및 불확실성에 미치는 효과

  • Received : 2016.01.20
  • Accepted : 2016.02.04
  • Published : 2016.02.29

Abstract

This study examined the effects of nursing information provision using a booklet on the patients' anxiety and uncertainty with an endoscopic submucosal dissection before the procedure, which is a non-equivalent controlled pre-post test designed study. Twenty three patients in a control group received the existing intervention, which is the general education prior to the procedure without standardized format as well as an oral explanation, and 23 patients in the experimental group received nursing information with a booklet developed by the investigator of this study. The collected data were analyzed using a ${\chi}^2$ test and Fisher's exact t-test on SPSS 21.0. The experimental group reported significantly lower anxiety (t=3.319, p=.002) and anxiety behavioral responses (t=3.508, p=.001) than those in the control group. There were no significant differences in uncertainty between the groups (t=.745, p=.460). Nursing information using the booklet is a useful nursing intervention to reduce the anxiety of patients with endoscopic submucosal dissection before the procedure.

본 연구는 소책자를 이용한 간호정보제공이 내시경 점막하 박리술 환자의 시술 전 불안 및 불확실성에 미치는 효과를 알아보기 위한 유사실험 연구로 비동등성 대조군 전후 시차설계 연구이다. 자료 수집은 2013년 2월 13일 부터 4월 26일 까지 46명을 대상으로 시행되었다. 대조군 23명은 기존의 중재 방법인 구두설명과 표준화된 양식 없이 일반적인 시술전 교육을 받았고 실험군 23명은 본 연구자가 개발한 소책자를 통한 간호정보제공을 받았다. 수집된 자료는 SPSS 21.0을 이용하여 ${\chi}^2$ test, Fisher's exact t-test로 분석하였다. 실험군은 대조군보다 불안(t=3.319, p=.002), 불안 행동반응(t=3.508, p=.001)이 유의하게 감소하였으나 불확실성은 차이를 보이지 않았다(t=.745, p=.460). 소책자를 이용한 간호정보제공은 위내시경시술 환자의 시술 전 불안을 감소시키는데 유용한 간호중재이다.

Keywords

References

  1. National Cancer Information Center, Cancer Statistics in Korea, 2013 [cited 2016 January 15] Retrieved available from http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040102000000
  2. Statistics Korea, Cancer rate 2014 [cited 2015 December 20] Retrieved available from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2770
  3. K. S. Choi, H.Y, Jung, endoscopic resection of early gastric cancer, journal of the korean medical association, 53(4), pp. 299-30, 2010. DOI: http://dx.doi.org/10.5124/jkma.2010.53.4.299
  4. J. Y. Cho, W. Y. Cho, The current status of endoscopic submucosal dissection, Korean society of gastrointestinal endoscopy, 37, pp. 317-320, 2008.
  5. Y. M, Jang, J. S, Han, The effects of Preparatory Information and According to Premedication on the Level of Anxiety of Patients undergoing Bronchoscopy, Journal of the Korea Academia-Industrial cooperation Society, 12(9), pp. 4061-4067, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.9.4061
  6. M. Uesato, Y. Nabeya, T. Akai, M. Inoue, Y. Watanabe, H. Kawahira, T. Mamiya, Y. Ohta, R. Motojima, A. Kagaya, Salivary amylase activity is useful for assessing perioperative stress in response to pain in patients undergoing endoscopic submucosal dissection of gastric tumors under deep sedation, Gastric Cancer, 13(2), pp. 84-89, 2010. DOI: http://dx.doi.org/10.1007/s10120-009-0541-8
  7. R. McCaffrey, D. J. Thomas, & A. O. Kinzelman, The effects of lavender and rosemary essential oils on test-taking anxiety among graduate nursing students. Holistic Nursing Practice, 23(2), pp. 88-93, 2009. DOI: http://dx.doi.org/10.1097/HNP.0b013e3181a110aa
  8. S.Y, Kwon, J. A, Lee, Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients, The Journal of Korean Academic Society of Adult Nursing, 25(5), pp. 494-503, 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.5.494
  9. M. S, Lee, H. j. Kim, S. L, Suh, Uncertainty and Nursing Need According to Illness Phases in Cancer Patients, The Korean Academic Society of Adult Nursing, 20(1), pp. 1-9, 2008.
  10. I. Kagan, Y. Bar-Tal, The effect of preoperative uncertainty and anxiety on short-term recovery after elective arthroplasty. Journal of Clinical Nursing. 17(5), pp. 576-583, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2007.01968.x
  11. M. J. Lee, Uncertainty, Appraisal of Uncertainty and Health-related Quality of Life in Recovering Clients Discharged from Hospital after CABG, Nursing Science, 21(1), pp. 49-63, 2009.
  12. K. H. Shon, G. N. Lee, N. H. Kim, The Effectiveness of Providing Patients with Information Using Leaflet on Anxiety of In patients for Endoscopic Examination, Journal of East-West Nursing Research 19(1), pp. 23-29, 2013. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.1.023
  13. Y. S. Cho, J. H. Yeo, Effect of Information and Behavioural Training on Anxiety and Discomfort in Clients undergoing Upper Gastrointestinal Endoscopy, Journal of the Korean Data Analysis Society, 17(4), pp. 2223-2235, 2015.
  14. Y. E. Kwon, B. H. Kim, The Effects of Video-audio Information Provision on Physical Discomfort, Anxiety, and Nursing Satisfaction of the Clients for Gastroscopy, The Korean Academic Society of Adult Nursing, 25(2), pp. 231-239, 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.2.231
  15. N. S, Kim, The Effects of Preoperative Education on Anxiety and uncertainty with hip arthroplasty just before operation, Unpublished master's thesis, Kyung Hee University, 2011.
  16. S. H. Kim, H. J. Lee, Effects of Supportive Nursing Care Program on Hip Function, Anxiety and Uncertainty for Patients with Total Hip Arthroplasty, Journal of Korean Clinical Nursing Research, 19(3), pp. 419-431, 2013.
  17. Y. H. Cho, Effect of Structured Information on Immediate Preoprative Anxiety and Uncertainty in Patient Undergoing Total Laparoscopic Hysterectomy, Unpublished master's thesis, Sungshin University, 2015.
  18. E. Y. Kim, The Effects of Preoperative Nursing Information on Post Operative Uncertainty And Anxiety of Patients with Chronic Otitis Media, Unpublished master's thesis, Eulji University, 2010.
  19. F. Faul, E. Erdfelder, A. Buchner, & A. G. Lang, Statistical power analyses using G*Power 3.1: power analyses using G*Power 3.1: Tests for correlation and egression analyses. Behavior Research Methods, 41, 1149-1160, 2009. DOI: http://dx.doi.org/10.3758/BRM.41.4.1149
  20. C. D. Spielberger, Anxiety on Emotional state, anxiety current trend sin theory and research, New York: Academics press, 1972.
  21. J. T. Kim, D. K. Shin, A Study Based on the Standardization of the STAI for Korea, The New medical journal, 21(11), pp. 69-75, 1978.
  22. M. E. Cline, J. Herman, E. R., Shaw, & R. D. Morton, Standardization of the visual analogue scale. Nursing Research, 41, pp. 378-380, 1992. DOI: http://dx.doi.org/10.1097/00006199-199211000-00013
  23. C. Finesilver, Preparation o fadult patients for cardiac catheterization and coronary cineangiography, International Journal nursing studies, 15, pp. 211-21, 1978. DOI: http://dx.doi.org/10.1097/00006199-199211000-00013
  24. K. S. Kim, The Effect of preparatory information on stress reduction in patients undergoing cardiac catheterization, Unpublished doctoral dissertation, Seoul National University, Seoul, 1990.
  25. M. H. Mishel, The measurement of uncertainty and stress in illness, Nursing Research, 30(5), pp. 258-263, 1981. DOI: http://dx.doi.org/10.1097/00006199-198109000-00002
  26. O. H. Cho, uncertainty, anxiety and coping with mastectomy for breast cancer, Journal of Korean Academy of Nursing, 30(4), pp. 1006-1017, 2000. https://doi.org/10.4040/jkan.2000.30.4.1006
  27. S. Y. Kwon, J. A. Lee, Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients, The Journal of Korean Academic Society of Adult Nursing, 25(5), pp. 494-503, 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.5.494
  28. Y. S, Eo, N. Y, Lee, J. W, Lee, H. J, Cha, The Effects of Supportive Nursing Intervention Using Video-Program of Operating Room Nurses before Operation on Laparoscopic Hysterectomy Patient's Anxiety, Journal of the Korea Academia-Industrial, 2015, 16(4), 2639-2646. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.4.2639
  29. M. Y. Jung, I. K. Hong, H. Y. Noh, H. S. Park, J. M. Son, J. H. Kim, S. Y. Kim, Effects of Video-Based Information Provision on Anxiety and Education Satisfaction of Thyroid Cancer Patients Undergoing Radioiodine Treatment, Journal of Korean Clinical Nursing Research, 21 (1), pp. 11-20, 2015. https://doi.org/10.22650/JKCNR.2015.21.1.11
  30. K. S. Cha, K. H. Kim, Impact of Uncertainty on Resilience in Cancer Patients, Asian Oncology Nursing, 12(2), pp. 139-146, 2012. DOI: http://dx.doi.org/10.5388/aon.2012.12.2.139