Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Dissertation committee:
Ζάβρας Νικόλαος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βασιλείου Σταύρος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Πατάπης Παύλος, Καθηγητής, Ιατρική χολή , ΕΚΠΑ
Μισιακός Ευάγγελος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δουζένης Αθανάσιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νάστος Κωνσταντίνος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κυρίτση Ελένη, Ομότιμη Καθηγήτρια Νοσηλευτικής, ΠΑΔΑ
Original Title:
Ενημέρωση ασθενών-επίπεδα άγχους και ποιότητα ζωής ασθενων υποβληθέντων σε χειρουργική επέμβαση
Translated title:
The effect of patient education on occasional anxiety levels and quality of life at patients undergoing general surgery
Summary:
Introduction: Patient education is part of a holistic care and should start from the diagnosis of the disease and last until the exit from the hospital and its cure.
Purpose: To assess the quality of life and intensity of occasional and permanent stress in patients undergoing cholecystectomy and inguinal hernia repair before and three months after surgery compared to with or without relevant training.
Material and Method: The sample of the study consisted of 450 patients who underwent cholecystectomy and inguinal hernia repair at the U.G.H. "ATTIKON". Data collection was implemented by completing the ‘SF-36 Health Overview’ scale and the ‘State-Trait Anxiety Inventory for adults’ questionnaires by Ch. Spielberger. Data were analyzed using paired and unpaired t-test and anova. The level of statistical significance was set at α≤5%.
Results: Of the 450 patients, 55.6% underwent cholecystectomy and 44.4% underwent inguinal hernia repair. Of those, 200 were the intervention group and 250 the control group. Descriptive and statistical analysis showed that preoperatively all participants scored all eight dimensions of the SF-36 scale below 50 (out of 100). Patients increased their scores to over 75, with the restoration of their health problem which resulted in statistically significant difference. Statistically significant differences between the first and second measurement were also observed in the levels of permanent and occasional anxiety levels. Trained patients showed greater improvement in most of the SF-36 scale dimensions and anxiety levels. More specifically, in physical functionality, p <0.001, in physical pain, p <0.001, in vitality, p = 0.037. On the other hand, non-trained patients showed greater improvement in social functionality, p <0.001, and in emotional role, p = 0.003. In general, both groups showed a statistically significant improvement in the overall score of the SF-36 scale and occasional and permanent anxiety levels after three months (p <0.001).
Conclusions: Based on the findings of the study, education has a positive effect on quality of life and the reduction of occasional and permanent anxiety, however, socio-demographic factors are responsible for both quality of life and stress levels. The education of patients by nurses and doctors is necessary with the aim of reducing the stress and other negative emotions of their patients.
Main subject category:
Health Sciences
Keywords:
Patient education, Quality of life, Occasional and Permanent stress
Number of references:
160
