Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial
Background: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient’s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled trial com...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/7/1895 |
| _version_ | 1797438800208592896 |
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| author | Patricia Dias Daniel Clerc Maria Goreti da Rocha Rodrigues Nicolas Demartines Fabian Grass Martin Hübner |
| author_facet | Patricia Dias Daniel Clerc Maria Goreti da Rocha Rodrigues Nicolas Demartines Fabian Grass Martin Hübner |
| author_sort | Patricia Dias |
| collection | DOAJ |
| description | Background: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient’s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0–10), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS). Results: Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total <i>n</i> = 70). The median score of preoperative anxiety was 40 (IQR 33–55) in the IG vs. 61 (IQR 52–68) in the CG (<i>p</i> < 0.001). Postoperative anxiety levels were comparable 34 (IQR 25–46) vs. 32 (IQR 25–44) for IG and CG, respectively (<i>p</i> = 0.579). The IG did not present higher overall satisfaction (90 ± 15 vs. 82.9 ± 16, <i>p</i> = 0.057), and pain at Day 2 was similar (1.3 ± 1.7 vs. 2 ± 1.9, <i>p</i> = 0.077), while opiate consumption, PONV levels and LOS were comparable. Conclusion: A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery. |
| first_indexed | 2024-03-09T11:43:31Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T11:43:31Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-69f345dbc7f14527a2a71f4a775605802023-11-30T23:28:21ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01117189510.3390/jcm11071895Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled TrialPatricia Dias0Daniel Clerc1Maria Goreti da Rocha Rodrigues2Nicolas Demartines3Fabian Grass4Martin Hübner5School of Health Sciences Western Switzerland-HES-SO, University of Applied Sciences and Arts, 1007 Lausanne, SwitzerlandDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, SwitzerlandSchool of Health Sciences-HESAV, Western Switzerland-HES-SO, University of Applied Sciences and Arts, 1007 Lausanne, SwitzerlandDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, SwitzerlandDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, SwitzerlandDepartment of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, SwitzerlandBackground: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient’s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0–10), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS). Results: Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total <i>n</i> = 70). The median score of preoperative anxiety was 40 (IQR 33–55) in the IG vs. 61 (IQR 52–68) in the CG (<i>p</i> < 0.001). Postoperative anxiety levels were comparable 34 (IQR 25–46) vs. 32 (IQR 25–44) for IG and CG, respectively (<i>p</i> = 0.579). The IG did not present higher overall satisfaction (90 ± 15 vs. 82.9 ± 16, <i>p</i> = 0.057), and pain at Day 2 was similar (1.3 ± 1.7 vs. 2 ± 1.9, <i>p</i> = 0.077), while opiate consumption, PONV levels and LOS were comparable. Conclusion: A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery.https://www.mdpi.com/2077-0383/11/7/1895perioperative nursingpreoperative anxietypostoperative outcomesperioperative nurse dialoguesurgery outcomes |
| spellingShingle | Patricia Dias Daniel Clerc Maria Goreti da Rocha Rodrigues Nicolas Demartines Fabian Grass Martin Hübner Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial Journal of Clinical Medicine perioperative nursing preoperative anxiety postoperative outcomes perioperative nurse dialogue surgery outcomes |
| title | Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial |
| title_full | Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial |
| title_fullStr | Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial |
| title_full_unstemmed | Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial |
| title_short | Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery—A Single Center, Open-Label, Randomized Controlled Trial |
| title_sort | impact of an operating room nurse preoperative dialogue on anxiety satisfaction and early postoperative outcomes in patients undergoing major visceral surgery a single center open label randomized controlled trial |
| topic | perioperative nursing preoperative anxiety postoperative outcomes perioperative nurse dialogue surgery outcomes |
| url | https://www.mdpi.com/2077-0383/11/7/1895 |
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