Abstract
The purpose of this experimental study was to investigate the effect of preoperative individual interviews in addition to the regular group and incidental preoperative teaching, on preoperative and postoperative stress. This effect was measured by the Multiple Affect Adjective Check List (MAACL), number of postoperative analgesics, and number of postoperative catheterizations for urinary retention.
It was hypothesized that patients receiving the individual interview would (1) have lower preoperative MAACL scores on anxiety, hostility. and depression, (2) have lower postoperative MAACL scores on anxiety, hostility, and depression, (3) show a smaller difference between the preoperative and postoperative MAACL scores, (4) require less pain medication, (5) advance to oral analgesics sooner, and (6) require fewer catheterizations for postoperative urinary retention.
A total of 25 adult patients who had abdominal surgery was included in this study. Through random placement the control group had 12 subjects while there were 13 subjects in the experimental group. All the subjects were scheduled for surgery the following day. Everyone attended the group preoperative teaching class where a 15-minute film strip depicting general preoperative and postoperative events was shown, followed by a demonstration and practice of postoperative exercises. The subjects in the experimental group were interviewed by the investigator the evening before surgery in order to answer questions, clarify information, and discuss fears or concerns about surgery. After the interview they filled out the "Today" form of the MAACL. The control subjects had no added instruction before filling out the MAACL. The MAACL was given to all subjects on their third postoperative day. Analgesics and urinary catheterizations required during the first postoperative week were used as indirect measures of stress.
A one-tailed t test for significance was applied to the data from the two groups of patients. This showed the experimental group's preoperative MAACL scores were significantly lower than the control group's at a p<.05. No statistically significant difference was seen between the two groups for the other hypotheses presented.
It was concluded that the preoperative individual interview did lower the preoperative anxiety, hostility, and depression, but did not significantly effect the postoperative period for the patients studied.
LLU Discipline
Nursing
Department
Nursing
School
Graduate School
First Advisor
L. Lucile Lewis
Second Advisor
Annette Ross
Third Advisor
Bruce Branson
Degree Name
Master of Science (MS)
Degree Level
M.S.
Year Degree Awarded
1974
Date (Title Page)
7-1974
Language
English
Library of Congress/MESH Subject Headings
Stress; Preoperative Care -- psychology; Postoperative Care -- psychology
Type
Thesis
Page Count
vi; 61
Digital Format
Digital Publisher
Loma Linda University Libraries
Copyright
Author
Usage Rights
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Recommended Citation
Wilde, Barbara J., "The Effect of Individual Preoperative Interviews in addition to Group Preoperative Teaching on Preoperative and Postoperative Stress" (1974). Loma Linda University Electronic Theses, Dissertations & Projects. 1139.
https://scholarsrepository.llu.edu/etd/1139
Collection
Loma Linda University Electronic Theses and Dissertations
Collection Website
http://scholarsrepository.llu.edu/etd/
Repository
Loma Linda University. Del E. Webb Memorial Library. University Archives