Volume 20, Issue 1 (4-2023)                   J Res Dev Nurs Midw 2023, 20(1): 61-65 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Modanloo M, Halakou S, Khoddam H, Nikpeyma N. Experience of health care providers in taking care of anxious patients under surgery with spinal anesthesia: A qualitative content analysis study. J Res Dev Nurs Midw 2023; 20 (1) :61-65
URL: http://nmj.goums.ac.ir/article-1-1435-en.html
1- School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
2- School of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran , solmazhalakou@gmail.com
3- Nursing and midwifery faculty, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (767 Views)
Background: Anxiety is a common experience in patients undergoing surgery. It is one of the major challenges for preoperative health care providers. The aim of this study was to explore the experience of health care providers in taking care of anxious patients under surgery with spinal anesthesia.
Methods: This qualitative content analysis study was conducted at a referral hospital in Gonbad-e-Kavous city, northeastern Iran, between 2020 and 2021. Data were collected through semi-structured individual interviews. The primary focus of this research was to explore the perspective of health care professionals when providing care to nervous patients who are being considered for surgery with spinal anesthesia. The study included 16 health care providers who had experience in caring for anxious patients undergoing surgery with spinal anesthesia. Participants were selected using purposive sampling. Interviews were implemented in MAXQDA 10 software and then analyzed by the conventional content analysis method.
Results: Five main categories and 19 subcategories were extracted from data analysis. The categories included “emergence of anxiety,” “basis of anxiety formation,” “patient advocacy,” “abilities of health care providers,” and “anxiety management factors.”
Conclusion: Health care providers consider patient anxiety as a problem that can be affected by various factors. Different methods are used to manage patients' anxiety, but it is necessary to apply appropriate context-based interventions.
Full-Text [PDF 366 kb]   (454 Downloads) |   |   Full-Text (HTML)  (230 Views)  
Type of Study: Original Article | Subject: Nursing

References
1. Abadi F, Abedi F, Fereidouni Z, Amirkhani M, Karimi S, Kalyani M.N. Effect of acupressure on preoperative cesarean section anxiety. Journal of Acupuncture and Meridian Studies. 2018;11(6):361-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Kasturi S, Oguoma VM, Grant JB, Niyonsenga T, Mohanty I. Prevalence rates of depression and anxiety among young rural and urban Australians: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2023;20(1):800. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Cakmak M, Kose I, Zinzircioglu C, Karaman Y, Tekgul ZT, Pektas S, et al. Effect of video-based education on anxiety and satisfaction of patients undergoing spinal anesthesia. Revista brasileira de anestesiologia. 2018;68(3):274-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Dagli R, Avcu M, Metin M, Kiymaz S, Ciftci H. The effects of aromatherapy using rose oil (Rosa damascena Mill.) on preoperative anxiety: A prospective randomized clinical trial. European Journal of Integrative Medicine. 2019;26:37-42. [View at Publisher] [DOI] [Google Scholar]
5. Nasiri E, Birami M, Mahdavinoor SMM, Rafiei MH. Health care team understanding of patients' desire for information on surgery and anesthesia: A cross-sectional study. Perioperative Care and Operating Room Management. 2020;21:100134. [View at Publisher] [DOI] [Google Scholar]
6. Yuzkat N, Soyalp C, Turk O, Keskin S, Gulhas N. Effects of showing the operating room on preoperative anxiety and hemodynamics among patients with hypertension: A randomized controlled trial. Clinical and Experimental Hypertension. 2020;42(6):553-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Jung K-H, Park J-H, Ahn J-W, Park K-B. Surgery-related anxiety on geriatric patients undergoing total knee arthroplasty: a retrospective observational study. BMC Musculoskeletal Disorders. 2023;24(1):161e1-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Ghanizadeh L, Hosseini S-R, Zaker MR. Preoperative Anxiety and Related Factors in Patients Undergoing Elective Surgery. Zanko Journal of Medical Sciences. 2020;21(70):1-12. [View at Publisher] [Google Scholar]
9. Wen-Ping L, Pao-Yuan W, Meng-Ying L, Lun-Hui H, Whei-Mei S. Music listening alleviates anxiety and physiological responses in patients receiving spinal anesthesia. Complementary Therapies in Medicine. 2017;31:8-13. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Yılmaz İnal F, Yılmaz Y, Daşkaya H, Toptaş M, Koçoğlu H, Uysal H, et al. Evaluation of the attitudes of surgeons about regional anesthesia: a survey study. Local and Regional Anesthesia. 2019:89-95. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Gürler H, Yılmaz M, Türk KE. Preoperative anxiety levels in surgical patients: A comparison of three different scale scores. Journal of PeriAnesthesia Nursing. 2022;37(1):69-74. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Pulkkinen M, Junttila K, Lindwall L. The perioperative dialogue-a model of caring for the patient undergoing a hip or a knee replacement surgery under spinal anaesthesia. Scandinavian Journal of Caring Sciences. 2016;30(1):145-53. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Ikyul B, Man LH, Myung-Haeng H, MyeongSoo L. Intra-operative music listening for anxiety, the BIS index, and the vital signs of patients undergoing regional anesthesia. Complementary Therapies in Medicine. 2014;22(2):251-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Dias R, Baliarsing L, Barnwal N, Mogal S, Gujjar P. Role of pre-operative multimedia video information in allaying anxiety related to spinal anaesthesia: A randomised controlled trial. Indian Journal of Anesthesia. 2016;60(11):843-47. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Rastgarian A, Esmaelpour N, Javadpour S, Sadeghi S, Kalani N, Sepidkar A, et al. preoperative anxiety in hospitalzed patients: A descriptive cross-sectional study. Medical Journal of Mashhad University of Medical Sciences. 2020;63(1):2118-209. [View at Publisher] [DOI] [Google Scholar]
16. Pestana-Santos M, Pestana-Santos A, Cabral IE, Santos MR, Lomba L. Nurses' Views on How to Best Design a Program to Prevent Adolescents' Anxiety in the Perioperative Period. A Qualitative Study. Journal of PeriAnesthesia Nursing. 2022;37(4):458-66. [View at Publisher] [DOI] [PMID] [Google Scholar]
17. Barari F, Mollahadi M, Moshtagh Z, Salaree M. Investigating the Effect of Rhythmic Breathing Training by Teach Back Method on Anxiety in Patients Undergoing Tympanoplasty. Education Strategies in Medical Sciences. 2020;9(3):172.8. [View at Publisher] [Google Scholar]
18. Polit DF, Beck CT. Essentials of nursing research: Appraising evidence for nursing practice: Lippincott Williams & Wilkins; 2017. [Google Scholar]
19. Elo S, Kyngäs H. The qualitative content analysis process. Journal of advanced nursing. 2008;62(1):107-15. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Ju X, Feng J, Yang J, Ge L, Liu X. Factors influencing the preoperative anxiety in lung cancer patients undergoing video-assisted thoracoscopic surgery: The role of information needs, illness perception and patient trust. Journal of Psychosomatic Research. 2023:e111374. [View at Publisher] [DOI] [PMID] [Google scholar]
21. Arakelian E, Laurssen E, Oster C. Older Patients' Worries in Connection With General Anesthesia and Surgery-A Qualitative Study. Journal of PeriAnesthesia Nursing. 2018;33(6):822-33. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Haugen AS, Eide GE, Olsen MV, Haukeland B, Remme AR, Wahl AK. Anxiety in the operating theatre: a study of frequency and environmental impact in patients having local, plexus or regional anaesthesia. Journal of Clinical Nursing. 2009;18(16):2301-10. [View at Publisher] [DOI] [PMID] [Google Scholar]
23. Karatay G, Bowers B, Karadağ E, Demir M. Cultural perceptions and clinical experiences of nursing students in Eastern Turkey. International Nursing Review. 2016;63(4):547-54. [View at Publisher] [DOI] [PMID] [Google Scholar]
24. Weisfeld CC, Turner JA, Bowen JI, Eissa R, Roelk B, Ko A, et al. Dealing with anxious patients: an integrative review of the literature on nonpharmaceutical interventions to reduce anxiety in patients undergoing medical or dental procedures. The Journal of Alternative and Complementary Medicine. 2021;27(9):727-37. https://doi.org/10.1089/acm.2020.0504 [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Babaii A, Mohammadi E, Sadooghiasl A. The meaning of the empathetic nurse-patient communication: A qualitative study. Journal of Patient Experience. 2021;8(1):e1-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
26. Lee C, Liu J, Lin S, TY Hsu, Lin C, Lin L. Effects of Educational Intervention on State Anxiety and Pain in People Undergoing Spinal Surgery: A Randomized Controlled Trial. Pain Management Nursing. 2018;19(2):163-71. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Pokharel K, Bhattarai B, Tripathi M, Khatiwada S, Subedi A. Nepalese patients' anxiety and concerns before surgery. Journal of Clinical Anesthesia. 2011;23(5):372-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Vand Tamadoni B, Shahbazi S, Seyedrasooli A, Gilani N, Gholizadeh L. A survey of clinical competence of new nurses working in emergency department in Iran: A descriptive, cross‐sectional study. Nursing Open. 2020;7(6):1896-901. [View at Publisher] [DOI] [PMID] [Google Scholar]
29. Jlala HA, Bedforth NM, Hardman JG. Anesthesiologists' perception of patients' anxiety under regional anesthesia. Local and Regional anesthesia. 2010;3:65. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Doherty RF, Purtilo RB. Ethical Dimensions in the Health Professions-E-Book: Elsevier Health Sciences; 2015. [Google Scholar]
31. von Vogelsang AC, Swenne CL, Gustafsson BÅ, Falk Brynhildsen K. Operating theatre nurse specialist competence to ensure patient safety in the operating theatre: A discursive paper. Nursing open. 2020;7(2):495-502. [View at Publisher] [DOI] [PMID] [Google Scholar]
32. Ilkkaya N, Ustun F, Sener E, Kaya C, Ustun Y, E Koksal, et al. The effects of music, white noise, and ambient noise on sedation and anxiety in patients under spinal anesthesia during surgery Journal of PeriAnesthesia Nursing. 2014;29(5):418-26. [View at Publisher] [DOI] [PMID] [Google Scholar]
33. Jaruzel CB, Gregoski M, Mueller M, Faircloth A, Kelechi T. Aromatherapy for preoperative anxiety: A pilot study. Journal of Perianesthesia Nursing. 2019;34(2):259-64. [View at Publisher] [DOI] [PMID] [Google Scholar]
34. Heshmatifar N, Mohebbi M, Borzoee F, Rakhhani M. The Effect of Mental Imagery on Preoperative Anxiety of Elective Hernia. Complementary Medicine Journal. 2020;9(4):3930-9. [View at Publisher] [DOI] [Google Scholar]
35. Ortiz J, Wang S, Elayda MA, Tolpin DA. [Preoperative patient education: can we improve satisfaction and reduce anxiety?]. Brazilian Journal of Anesthesiology. 2015;65(1):7-13. [View at Publisher] [DOI] [PMID] [Google Scholar]
36. Halakou S, Khoddam H, Nikpeyma N, Modanloo M. Development and implementation of anxiety management program for women under gynecological surgery with spinal anesthesia: Protocol of action research study. Journal of Education and Health Promotion. 2022;11(1):374. [View at Publisher] [DOI] [PMID] [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb