Effectiveness of a nursing intervention to diminish preoperative anxiety in patients programmed for knee replacement surgery: Preventive controlled and randomized clinical trial

Mauricio Medina Garzón

doi:10.17533/udea.iee.v37n2e07

Authors

Mauricio Medina Garzón Nurse, Masters. Professor, Universidad Nacional de Colombia – Bogotá, Colombia. Email: mamedinaga@unal.edu.co

DOI:

https://doi.org/10.17533/udea.iee.v37n2e07

Keywords:

Anxiety, arthroplasty, replacement, knee, control groups, motivational interview, orthopedics, perioperative nursing.

Abstract

Objective. This work was conducted to determine the effectiveness of a nursing intervention, based on the motivational interview, to diminish preoperative anxiety in patients programmed for knee replacement surgery.

Methods. Preventive type controlled and randomized clinical trial, on a sample of 56 patients programmed for knee replacement surgery in a clinic in Girardot (Colombia). Random assignment was made: an intervention group (n=28) and a control group (n=28). The six-question Amsterdam Preoperative Anxiety and Information Scale was applied before and after the intervention. The scale has a total score ranging from 5 to 30; the higher the score, the greater the preoperative anxiety. The nursing intervention was conducted in three sessions of motivational interview each lasting 40 min, during the six weeks prior to the surgical procedure; the control group received conventional management of education in the health institution.

Results. The mean score of preoperative anxiety was equal in the pre-intervention evaluation in both groups (19.76 in the experimental versus 22.02 in the control =22.02; p<0.226), while during the post-intervention, the anxiety score was lower in the intervention group compared with the control group (15.56 and 20.30, respectively; p<0.013).

Conclusion. Nursing intervention based on the motivational interview was effective in diminishing preoperative anxiety in patients programmed for knee replacement surgery.

How to cite this article: Cómo citar este artículo: Medina-Garzón M. Medina-Garzón M. Effectiveness of a Nursing Intervention to Diminish Preoperative Anxiety in Patients Programmed for Knee Replacement Surgery: Preventive Controlled and Randomized Clinical Trial. Invest. Educ. Enferm. 2019; 37(2):e07.

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References

(1) Meléndez C, Garza R, Castañeda H, González JF, Turrubiates J. Percepción del paciente quirúrgico acerca de la seguridad en el ámbito hospitalario. Rev. Cuid. 2015; 6(2):1054–61.

(2) Bori G, Gómez EL, Combalia A, Trilla A, Prat A, Bruguera M, et al. Clinical safety and professional liability claims in Orthopaedic Surgery and Traumatology. Rev. Esp. Cir. Ortop. Traumatol. 2016; 60(2):89–98.

(3) Wilson C, Mitchelson A, Tzeng T, El-Othmani M, Saleh J, Vasdev S, et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes. Am. J. Surg. 2016; 212(1):151–9.

(4) Díez E, Arrospide A, Mar J, Alvarez U, Belaustegi A, Lizaur B, et al. Efectividad de una intervención preoperatoria de enfermería sobre el control de la ansiedad de los pacientes quirúrgicos. Rev. Enferm. Clin. 2012; 22(1):18–26.

(5) Kerper LF, Spies CD, Salz A-L, Wei-Gerlach E, Balzer F, Neumann T, et al. Effects of an Innovative Psychotherapy Program for Surgical Patients. Rev. Anesthesiology. 2015; 123(1):148–59.

(6) Robleda G, Sillero A, Puig T, Gich I, Baños J. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Rev. Latino-Am. Enferm. 2014; 22(5):785–9.

(7) Ali A, Altun D, Oguz BH, Ilhan M, Demircan F, Koltka K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. Rev. J. Anesth. 2014; 28(2):222–7.

(8) Volpato C, Duarte de Souza C, Kaszubowski E, Crepaldi MA. Efeitos de Preparações Psicológicas Pré-Cirúrgicas sobre o Estresse ea Ansiedade de Meninos e Meninas. Rev. Acta Colomb. Psicol. 2018; 21(1):217–48.

(9) Nápoles Y, Agüero M, Díaz HE, Espino RM. Aplicación de técnicas de relajación antes de cirugía de la mama. Rev. Arch. Med. Camagüey. 2013; 17(2):173–86.

(10) Organización Mundial de la Salud. La cirugía segura salva vidas [Internet]. Alianza mundial para la seguridad del paciente. Ginebra: OMS; 2008; Available from: http://whqlibdoc.who.int/hq/2008/WHO_IER_PSP_2008.07_spa.pdf

(11) Terrazas M, Flores GJ, Zenil NT, Landa E, Reséndiz AM. Estrategias de afrontamiento para el manejo del estrés y su relación con el nivel de obesidad y calidad de vida en pacientes candidatos a cirugía bariátrica. Rev. Gac. Med. Mex. 2018; 154(5):569–74.

(12) Wilson CJ, Mitchelson AJ, Tzeng TH, El-Othmani MM, Saleh J, Vasdev S, et al. Caring for the surgically anxious patient: a review of the interventions and a guide to optimizing surgical outcomes. Rev. Am. J. Surg. 2016; 212(1):151–9.

(13) Miller WR, Rollnick S. Meeting in the middle: motivational interviewing and self-determination theory. Int. J. Behav. Nutr. Phys. Act. 2012; 9(1):25.

(14) Bandinelli L, Gonçalves H, Fonseca R. entrevista motivacional e sua aplicabilidade em diferentes contextos: uma revisão sistemática. Diaphora. 2013; 13(1):26–34.

(15) Gantiva C. Efectos psicológicos y psicofisiológicos de la entrevista motivacional en consumidores de tabaco [Doctoral Dissertation]. Universidad de Granada; 2015. Available on: http://hdl.handle.net/10481/40131

(16) Vergara M, Morales J, Morales A, Canca JC, Rivas F, Reinaldo JA. Validation of the Spanish version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Heal. Qual. Life Outcomes. 2017; 15:120.

(17) Rojas M, Azevedo DO. Estrategia de enfermería para disminuir los niveles de ansiedad en pacientes sometidos a intervención quirúrgica en el Hospital Universitario Antonio Patricio de Alcalá, Cumana, Venezuela. Saber. 2013; 25(3):273–8.

(18) Sadati L, Pazouki A, Mehdizadeh A, Shoar S, Tamannaie Z, Chaichian S. Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial. Scand. J. Caring. Sci. 2013; 27(4):994–8.

(19) Amini K, Alihossaini Z, Ghahremani Z. Randomized Clinical Trial Comparison of the Effect of Verbal Education and Education Booklet on Preoperative Anxiety. J. Perianesth. Nurs. 2019; 34(2):289–96.

(20) Zarei B, Valiee S, Nouri B, Khosravi F, Fathi M. The effect of multimedia-based nursing visit on preoperative anxiety and vital signs in patients undergoing lumbar disc herniation surgery: A randomised clinical trial. J. Perioper. Pract. 2018; 28(1–2):7–15.

(21) Zuckoff A. “Why won’t my patients do what’s good for them?” Motivational interviewing and treatment adherence. Surg. Obes. Relat. Dis. 2012; 8(5):514–2.

(22) Boisvert S, Proulx-Belhumeur A, Gonçalves N, Doré M, Francoeur J, Gallani MC. Revisão integrativa sobre intervenções de enfermagem voltadas para a promoção do auto-cuidado entre pacientes portadores de insuficiência Cardíaca. Rev. Latino-Am. Enfermagem. 2015; 23(4):753–68.

(23) Jiménez M, Espinosa A, Martínez C, Barrena P, Salido JA. ¿Influye la ansiedad y depresión preoperatorias en los resultados de la artroplastia de rodilla? Reum. Clin. 2017; Available from: https://doi.org/10.1016/j.reuma.2018.06.008. [Epub ahead of print].

(24) Pérula de Torres LA, Pulido L, Pérula de Torres C, González J, Olaya I, Ruiz R. Eficacia de la entrevista motivacional para reducir errores de medicación en pacientes crónicos polimedicados mayores de 65 años: resultados de un ensayo clínico aleatorizado por cluster. Rev. Med. Clin. 2014; 143(8):341–8.

(25) Beaulac J, Sandre D. Impact of a CBT psychotherapy group on post-operative bariatric patients. Springerplus. 2015; 4(1):764.