수술 전 교육이 백내장 수술환자의 불안과 수술 후 자가간호 수행에 미치는 효과

Other Titles
The Effect of Preoperative Education on Anxiety and Postoperative Self-Care Compliance in Patients with Cataract Surgery
Authors
최미정
Issue Date
2012-12
Awarded Date
2013
Abstract
This study is randomized control group pre-post design experimental research that attempted to confirm the effect of preoperative education on anxiety and postoperative self-care compliance in patients with cataract surgery. Data collection was conducted from July 4, 2012 through September 12, 2012 and a total of 60 subjects for study were randomly assigned to the experimental group (30 patients) and control group (30 patients), and they were selected from the patients who came to A hospital in D city as the ophthalmology outpatients on the day of surgery, got the cataract surgery and went their home at same day. For the study procedure, the pre-test for the general characteristics, trait anxiety, and state anxiety was conducted by questionnaire at the outpatients' ward on the day of cataract surgery, and blood pressure and pulse rate were measured using an automatic sphygmomanometer. The preoperative education that the researcher had developed was provided to the experimental group, while the routine preoperative education with Neutral treatment was provided to the control group. The state anxiety, blood pressure and pulse rate on the verge of anesthesia as a post-test were measured in the operating room, during their second visits to the hospital after surgery the postoperative self-care compliance scores were measured by questionnaire. The collected data were analyzed using SPSS/WIN version. 18.0. The results of this study are summarized as follows. 1. The first hypothesis, ‘The preoperative anxiety levels in experimental group with preoperative education will be lower than that in control group without preoperative education’, was partially supported since the psychological anxiety response, i.e. the state anxiety, decreased and there was no significant difference in physiological anxiety responses, i.e. blood pressure and pulse rate, between two groups. 2. The first sub-hypothesis, ‘Preoperative state anxiety score in the experimental group with preoperative education will be lower than that in the control group without preoperative education’, was supported (t=-3.57, p=.001). 3. The second sub-hypothesis, ‘Preoperative blood pressure in the experimental group with preoperative education will be lower than that in the control group without preoperative education’, was rejected (U=384.50, p=.333, t=-0.33, p=.743). 4. The third sub-hypothesis, ‘Preoperative pulse rate in the experimental group with preoperative education will be lower than that in the control group without preoperative education’, was rejected (t=-1.78, p=.079). 5. The second hypothesis, ‘Postoperative self-care compliance score in the experimental group with preoperative education will be higher than that in the control group without preoperative education’, was supported (t=3.92, p<.001). Considering the above results, since the preoperative education that the researcher has developed reduced the cataract surgery patients’ psychological anxiety response, i.e. the preoperative state anxiety, and was effective in promoting the postoperative self-care compliance, it can be the nursing intervention based on the preoperative anxiety decrease and effective postoperative self-care compliance promotion of cataract surgery patients.
본 연구는 수술 전 교육이 백내장 수술환자의 불안과 수술 후 자가간호 수행에 미치는 효과를 확인하고자 시도한 무작위 대조군 전후설계 임상시험연구이다. 자료수집기간은 2012년 7월 4일부터 2012년 9월 12일까지 이루어졌으며, D시에 소재한 A대학병원에서 수술 당일 안과 외래로 내원하여 백내장 수술을 받고 당일 귀가한 환자를 대상으로 무작위 할당한 실험군 30명, 대조군 30명 총 60명을 연구대상으로 하였다. 연구절차는 백내장 수술 당일 외래에서 사전 조사로 일반적 특성, 기질불안, 상태불안을 설문지를 이용하여 조사하고 자동혈압계를 이용하여 혈압과 맥박을 측정하였다. 실험군에게 연구자가 개발한 수술 전 교육을 제공하고, 대조군에게는 중성적 처치로 일상적인 백내장 수술 전 교육을 제공한 후 수술실에서 마취 직전에 상태불안과 혈압, 맥박을 측정하였다. 수술 후 두 번째 병원방문 시 설문지를 이용하여 수술 후 자가간호 수행점수를 측정하였다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1. ‘수술 전 교육을 받은 실험군이 받지 않은 대조군에 비해 수술 전 불안이 낮을 것이다.’라는 제1 가설은 심리적 불안반응인 상태불안은 감소하였고 생리적 불안반응인 혈압과 맥박은 유의한 차이가 나타나지 않아 부분적으로 지지되었다. 2. ‘수술 전 교육을 받은 실험군이 받지 않은 대조군에 비해 수술 전 상태불안 점수가 낮을 것이다.’라는 제1 부가설은 지지되었다(t=-3.57, p=.001). 3. ‘수술 전 교육을 받은 실험군이 받지 않은 대조군에 비해 수술 전 혈압이 낮을 것이다.’라는 제2 부가설은 기각되었다(U=384.50, p=.333, t=-0.33, p=.743). 4. ‘수술 전 교육을 받은 실험군이 받지 않은 대조군에 비해 수술 전 맥박수가 낮을 것이다.’라는 제3 부가설은 기각되었다(t=-1.78, p=.079). 5. ‘수술 전 교육을 받은 실험군이 받지 않은 대조군에 비해 수술 후 자가간호 수행점수가 높을 것이다.’라는 제2 가설은 지지되었다(t=3.92, p<.001). 이상의 결과를 종합해 볼 때, 본 연구자가 개발한 수술 전 교육이 백내장 수술환자의 심리적 불안반응인 수술 전 상태불안을 감소시키고 수술 후 자가간호 수행을 증진시키는데 효과가 있었으므로 백내장 수술환자의 수술 전 불안감소와 수술 후 자가간호 수행증진에 효과적인 간호중재라고 할 수 있다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/10952
Appears in Collections:
3. 학위논문 > 2. College of Nursing (간호대학) > 석사
Full Text
http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000019388
File in this Item
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE