| Summary: | 碩士 === 長庚科技大學 === 護理系碩士在職專班 === 107 === Background: Lung tumor is one of the most common tumors. Prior literatures indicate that 70% of patients with lung tumor may experience anxiety prior to the surgery, however, pre-surgry patient education has becaome the rounite care. Rare studies investigated the relationship between patient anxiety and receiving pre-thoracoscopic surgery patient education.
Purpose: This study aimed to investigate the relationship between communication patterns of pre-surtgery patient education and the degrees of empathy among nursing staffs, and to explore the correlation between anxiety and the degree of satisfaction as receiving thoracic surgery in lung tumor patients.
Methods: A descriptive correlational research conducting in a thoracic surgery ward of a medical center in central Taiwan, a total of 22 nursing staffs and 5 thoracic surgeons attending participated in this study. Ninety patients with lung tumor requiring thoracoscopic surgery were enrolled. The research tools included the baseline characteristic questionnaire, the State-Trait Anxiety Inventory Scale (STAI-S), the Taiwanese Inpatient Nursing Care Satisfaction Scale, and the Jefferson Scale of Empathy.
The pre-surgery patient educaiton was performed for patient’s primary caregivers and lung tumor patients on the day of admission by nursing staffs. All the communication was taped via Roter Interactional Analysis System (RIAS) to analyze the quantitative communication contents. The descriptive statistics and the analysis of variance were applied. Multivariate statistical analysis was used for inferential statistics.
Results: The scores of STAI-S at discharge showed a significant decrease than those scores at admission among lung tumor patients (p < 0.001). The satisfaction scores regarding nursing care were evaluated at the time of discahre and demonstrate high (92.68 ± 6.72). The communication patterns between nurses and lung tumor patients were more present in the category of task-focused communication (72%) than in that of social emotional communication (28%). In terms of patient-centered communication (PCC), the scores of communication were not so good (PCC1=0.49 ± 0.16; PCC2=2.63 ± 3.89). Higher grade of clinical ladder system (r=0.24, p=0.02) is, higher degree of empathy (r= 0.33, p = 0.001) shows in clinical nursing staffs. Moreover, they were both positively correlated with PCC levels.
Conclusion and Suggestion: In this study, the anxiety degrees in lung tumor patients significantly decreased at discharge; however, the anxiety degrees were not significantly correlated with the scores of pre-surgery patient education via PCC and empathy degrees in nursing staffs. PCC did not significantly correlated with the anxiety degrees in lung tumor patients may be because all PCC scores were consistently low over nursing staffs. It is possible that nursing staffs had a large workload and did not have enough time to perform well in PCC. On the other hand, is is also possible that anxiety itself is an emotional response to unspecified factors, lung tumor patients must face the surgery and tumors at the same time, they were not so easy to be affected by short-term pre-surgery patient education. Nevertheless, the patients’ anxiety degrees decreased gradually after receving surgery. Nursing staffs shall not only pay attention on diagnosis and treatment, but also care for patients’ psychological anxiety. It is recommended that the nursing staffs improve their PCC ability, so the quality of nursing care can be promoted.
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