Effects of preoperative information on anxiety, stress and pain: A clinical trial evaluating different modes of information 1997 (English)Independent thesis Advanced level (degree of Master (One Year))Student thesis

Abstract [en]

A clinical trial was performed in order to evaluate the effects of extended preoperative information given by an anesthetic nurse on perioperative stress. One hundred and twenty-one consecutive patients, scheduled for surgery for coxarthrosis, breast cancer or colonic cancer were randomised to two groups given different modes of preoperative information. Patients in the control group were routinely informed about the operation by a ward nurse. Patients in the study group were given extended, formalized information by an anesthetic nurse. No differences regarding preoperative medication were noted between the two groups. Serum levels of cortisol were high preoperatively. The decrease on the day of surgery was most pronounced coxarthrosis patients in the study group. Breast cancer patients in general showed more anxiety than the coxarthros patients. Breast cancer patients in the study group showed the highest anxiety scores on the HAD scale on the day of surgery. This information may reflect an increased level of anxiety due to the extra information given preoperatively. Extended preoperative information may contribute to the experiencing of less anxiety and less pain among patients undergoing hip- or abdominal surgery. However such information may have a contrary effect on breast cancer patients, resulting in an increased state of anxiety. The result indicates a need for individualized modes of information to provide a proper balance between enough and too much information.

Place, publisher, year, edition, pages

1997.

Keywords [en]

anxiety, stress, pain

Identifiers

URN: urn:nbn:se:hh:diva-7408Local ID: U1279OAI: oai:DiVA.org:hh-7408DiVA, id: diva2:362466

Uppsok

Medicine

Note

Denna uppsats kan beställas från arkivet / This paper can be ordered from the archive. Kontakta / Contact: arkivet@hh.seAvailable from: 2010-11-09 Created: 2010-11-09 Last updated: 2025-10-01Bibliographically approved

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