Effects of education on reduction of stress and anxiety of orthopedic surgery

Document Type : Original article

Authors

1 Student Research Committee, Dezful University of Medical Sciences, Dezful, Iran

2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Abstract
 Introduction: Surgery is one of the causing of stress and its related physiological and mental reactions related to stress. Anxiety before surgery and its complications is fully known in surgery and anesthesiology fields which is necessary to investigate more to solve the mentioned drawback. So, the aim of this study was to evaluate the effects of awareness on stress and anxiety in patients undergoing orthopedic surgery. 
Material and Methods: A clinical trial study was done on 100 patients undergoing orthopedic surgery. Patients were randomly separated into two groups of 50 individuals as experiment and control groups. For each patient in the experimental group training course of anesthesia and surgery was performed. In the other side, the control group received usual care. The anxiety of patients in both experiment and control groups were recorded before and after surgery. Finally, SPSS13 software was used for data analysis. 
Results: Based on the analyzed results the mean anxiety score of patients in the experiment group was significantly reduced after the surgery (P<0.001). But there was no significant difference between anxiety of before and after surgery in control group (P>0.05). Moreover, the anxiety was significantly lower in experiment group in compare with the control group (P<0.001).
 Conclusion: It can be concluded that that education before surgery has a significant impact on controlling and reducing anxiety in patients before and after the surgery.

Keywords

References

1. Sexton JB, Helmreich RL. Analyzing cockpit communications: the links between language, performance, error, and workload. Human Performance in Extreme Environments 2000; 5:63–8.
2. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ 2000; 320:745–9. 3. Wallenius C. Military observers’ reactions and performance when facing danger. Mil Psychol 2004; 16:211.
3. Wallenius C. Military observers’ reactions and performance when facing danger. Mil Psychol 2004; 16:211.
4. Hammermeister J, Burton D. Stress, appraisal, and coping revisited: examining the antecedents of competitive state anxiety with endurance athletes. Sport Psychol 2001; 15:66–90.
5. Helmreich RL, Wilhelm JA, Klinect JR, et al. Culture, error, and crew resource management. In: Salas E, Bowers CA, eds. Improving Teamwork in Organizations: Applications of Resource Management Training. Mahwah, NJ: Lawrence Erlbaum Associates; 2001:305–31.
6. Driskell JE, Salas E. overcoming the effects of stress on military performance: human factors, training, and selection strategies. In: Gal R, Mangelsdorff A, eds. Handbook of Military Psychology. Oxford: John Wiley & Sons; 1991:183–93.
7. Crocker PR, Alderman RB, Smith FM. Cognitiveaffective stress management training with high performance youth volleyball players: effects on affect, cognition, and performance. J Sport Exercise Psychol 1988; 10:448–60.
8. Darzi A, Mackay S. Assessment of surgical competence. Qual Health Care 2001; 10(2):ii64– 9.
9. Hall JC, Ellis C, Hamdorf J. Surgeons and cognitive processes. Br J Surg 2003; 90:10–6.
10. de Quervain DJ, Roozendaal B, Nitsch RM, et al. Acute cortisone administration impairs retrieval of long-term declarative memory in humans. Nat Neurosci 2000; 3:313–4.
11. Kirschbaum C, Wolf OT, May M, et al. Stress- andtreatment-induced elevations of cortisol levels associated with impaired declarative memory in healthy adults. Life Sci 1996; 58:1475–83.
12. Wolf OT. HPA axix and memory. Best Pract Res Clin Endocrinol Metab 2003; 17:287–99.
13. Dobson R. Heart surgery halted because of staff exhaustion. BMJ 2004; 328:604.
14. Ogilvie BC. Stress in the life of surgeons. Instr Course Lect 1983; 32:18–32.
15. Sargent MC, Sotile W, Sotile MO, et al. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am 2004; 86:1579–86.
16. Veldenz HC, Scott KK, Dennis JW, et al. Impaired residents: identification and intervention. Curr Surg 2003; 60:214–7.
17. Gammon J, Mulholland CW. Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes. International Journal of Nursing Studies. 1996 Dec 1;33(6):589604.
Navid No
Volume 19, Issue 62
July 2016
Pages 62-68

Files

Share

How to cite

Statistics