Evaluating the Effects of a pre-Anesthesia EducationProgram for Spinal Surgery Patients With General Anesthesia

• Main Authors: Su-Mei Shih, 施素梅
• Other Authors: Wen-Yin Chang
• Format: Others
• Language: zh-TW
• Published: 2004
• Online Access: http://ndltd.ncl.edu.tw/handle/09162123819041537763

碩士 === 臺北醫學大學 === 護理學系 === 92 === Health education is one of an important task for nurses, and to be thought as a cost-effective intervention program. However, if patients could obtain related information and receive appropriate nursing education before surgery, not only anxiety can be reduced, but also made operation completed. Therefore, the purpose of this study was to compare the effectiveness of a pre-anesthesia education program for spinal surgery patients with general anesthesia by ward nurses or anesthesia nurses. The design was two groups pre-test and post-test comparison. Subjects were chosen from a region medical teaching hospital in middle of Taiwan and randomly assigned to experimental or control group, 33 for the experimental group and 32 for the control group. Data were collected from February of 2004 to April of 2004. Costs, level of anxiety, blood pressure, respiration rate, and heart rate, patient satisfaction between two groups were compared. Data were analyzed using descriptive statistics, chi-square, t-test, paired t-test, and Pearson’s correlation. The results were as follows: 1).For the demographic of the subjects, 35 were males (53.8%)，30 were females (46.2%). Twenty subjects (30.8%) were elementary graduates. Patients with no previous surgery experience were the most (n= 37; 56.9%). However, no significant differences were founbetween these two groups in three variables (p=.540; p=.542; p=.886, respectively). 2). For the nurses’ labor costs, NT$ 44.95 was for the experimental group, NT$54.48 for the control group. For the hypertensive medication costs, NT$ 3.21 was for the experimental group, NT$101.38 for the control group. For the hospitalization costs, 11.27 days (NT$25,035.84) were found for the experimental group, 12.19 days (NT$27,011.14) for the control group. The total costs (labor costs + hypertensive medication costs+ hospitalization costs) were NT$25,084 for the experimental group and NT$27,167 for the control group. But, no significant difference was found between these two groups. 3). The average different scores of the anxiety before and after education, 0.94 points for the experimental group and 0.16 points for the control group and a significant difference was found (p=.000). 4). There was significant difference between these two groups in the changes of blood pressure, respiration rate, and heart rate. (p=.006; p=.002; p=.005; p=.009, respectively). 5. For the patient satisfaction, the average scores were 47.67 points (total scores equal to 52 points) for the experimental group and 40.88 points for the control group and a significant difference was found (p=.000). The findings indicate that pre-surgery education should be performed by anesthetic nurses in order to decrease the labor and medication costs, to reduce patient’s anxiety, and to improve patient satisfaction. Hence, extending pre-surgery education by anesthetic nurses is needed to improve the quality of patient care and to reduce patient’s anxiety. Key words: Spinal surgery patient, Pre-anesthesia education program, General anesthesia.