The Effects of Interactive Multimedia Education on Pre-Surgery Anxiety in Gynecologic Laparotomy Patients

Wednesday, 24 July 2013

Ching-Wan Wang, RN, MSN1
Yu-Hua Lin, PhD2
Lai-Liang Lee, RN, MSN1
Yuen-Yee Kan, MD3
I. Lee, PhD4
(1)Nursing, Yuan’s General Hospital, Kaohsiung, Taiwan
(2)I-Shou University, Department of Nursing,, Kaohsiung, Taiwan
(3)Gynecology, Yuan’s General Hospital, Kaohsiung, Taiwan
(4)Nursing, I-Shou University, Kaohsiung City, Taiwan

Learning Objective 1: the learners will be able to know the anxiety status among gynecologic patients before laparotomy procedure.

Learning Objective 2: the learners will be able to know the effects of multimedia education intervention on anxiety before gynecologic procedure.

Purpose: The purpose of this study was to examine the effects of Interactive Multimedia Education program on Pre-surgery Anxiety in gynecologic laparotomy patients

 Methods: This was a two groups compared study design. All participants were over 18 years of age and received gynecologic laparotomy. Outcome measurements included state-trait anxiety inventory, social support, disease related data, and personal demographics. Participants were distributed into with a multimedia education group (n=100) or with pamphlet group (n=85). Participants in the multimedia education group were given the information related surgery and discussed their problems with researcher. The control group was given a pamphlet related gynecologic laparotomy as usual. We examined outcome indicators before nursing intervention and follow up at one hour after nursing intervention.

 Results: The student t-test showed that participants in the multimedia education group were had a lower state-trait anxiety (t=-10.38, p < .001), VAS anxiety (t=-7.70, p < .001), when compared with the pamphlet group. The paired t-test indicated that participants in the within group, post test had a lower state-trait anxiety (t=14.57, p < .001), VAS anxiety (t=26.43, p < .001), when compared with the pre test

 Conclusion: This study demonstrated that multimedia education is an effectiveness intervention for decreasing pre surgery anxiety in gynecologic laparotomy patients.