Preference of Non-pharmaceutical Preoperative Anxiety Reduction Intervention in Patients Undergoing Elective Surgery
DOI:
https://doi.org/10.14738/assrj.512.5787Abstract
Abstract:
For patients to be treated, decisions about their care must be made before treatment begins. In case of pre-operative anxiety, it is currently unknown how clinicians and patients discuss information about the issue, and it is also not known whether clinicians consider (or are ready to consider) their patients’ preferences of non-pharmaceutical pre-operative anxiety reduction interventions. At present no study has been conducted to find information on surgical patients’ preferences of, and their involvement in decisions about non-pharmaceutical interventions for reducing their pre-operative anxiety. This paper investigates elective surgical patients’ involvement in treatment decisions with the aim of finding out their preferred non-pharmaceutical pre-operative anxiety reduction interventions before they undergo elective surgery. Method: A survey method was used to collect data on patients’ preference of non-pharmaceutical preoperative anxiety reduction interventions at a tertiary health facility in Nigeria. Participants: A sample of 30 participants-17 male and 13 female, schedule to undergo surgical operations was selected using a convenient sampling method. Their ages range between 17 to 70 years (mean age = 41.03 and standard deviation = 16.09). Study design/procedure: To elicit preference of interventions, the study participants were presented with cards that contain picture of surgical patient receiving one of the non-pharmaceutical interventions used in reducing pre-operative anxiety. The pictures were presented one at a time for 30-40 seconds. The researcher then gives the participants a sheet of paper with the different interventions boldly written for the participants to rank order them according to the degree of their preferences. Through this process, data was collected from all the 30 participants. Results: The results obtained were entered into SPSS for analysis. Descriptive statistics, at 95 % confidence was calculated to estimate the percentage, mean, standard deviation and confidence intervals based on the participants’ preference of the interventions. Discussions: The findings were discussed alongside the existing literature and recommendations were offered for clinical practice and further research.
References
References
Ali, S., & Ronaldson, S. (2012). Ordinal preference elicitation methods in health economics and health services research: using discrete choice experiments and ranking methods. British medical bulletin, 103(1), 21-44.
Arabul, M., Kandemir, A., Celik, M., Torun, S., Beyazit, Y., Alper, E., . . . Ünsal, B. (2013). Impact of video information before unsedated upper gastrointestinal endoscopy on patient satisfaction and anxiety: a prospective randomized trial. PRZEGLAD GASTROENTEROLOGICZNY, 8(1), 44-49.
Collins, S., Britten, N., & Ruusuvuori, J. (2007). Patient Participation In Health Care Consultations: Qualitative Perspectives: Qualitative Perspectives: McGraw-Hill Education (UK).
Coulter, A. (2011). Engaging patients in healthcare: McGraw-Hill Education (UK).
Coulter, A., Parsons, S., & Askham, J. (2008). Where are the patients in decision-making about their own care. World Health Organization.
de Bekker‐Grob, E. W., Ryan, M., & Gerard, K. (2012). Discrete choice experiments in health economics: a review of the literature. Health Economics, 21(2), 145-172.
Fok, D., Paap, R., & Van Dijk, B. (2012). A Rank‐Ordered Logit Model With Unobserved Heterogeneity In Ranking Capabilities. Journal of applied econometrics, 27(5), 831-846.
Gutknecht, M., Schaarschmidt, M. L., Herrlein, O., Augustin, M. J. J. o. t. E. A. o. D., & Venereology. (2016). A systematic review on methods used to evaluate patient preferences in psoriasis treatments. 30(9), 1454-1464.
Ha, J. F., & Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner Journal, 10(1), 38-43.
Jlala, H., French, J., Foxall, G., Hardman, J., & Bedforth, N. (2010). Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. British journal of anaesthesia, 104(3), 369-374.
Kocsis, J. H., Leon, A. C., Markowitz, J. C., Manber, R., Arnow, B., Klein, D. N., & Thase, M. E. (2009). Patient preference as a moderator of outcome for chronic forms of major depressive disorder treated with nefazodone, cognitive behavioral analysis system of psychotherapy, or their combination. The Journal of clinical psychiatry.
Lee, K.-C., Chao, Y.-H., Yiin, J.-J., Chiang, P.-Y., & Chao, Y.-F. (2011). Effectiveness of different music-playing devices for reducing preoperative anxiety: a clinical control study. International journal of nursing studies, 48(10), 1180-1187.
Lee, K.-C., Chao, Y.-H., Yiin, J.-J., Hsieh, H.-Y., Dai, W.-J., & Chao, Y.-F. (2012). Evidence that music listening reduces preoperative patients’ anxiety. Biological research for nursing, 14(1), 78-84.
Lin, P.-C., Lin, M.-L., Huang, L.-C., Hsu, H.-C., & Lin, C.-C. (2011). Music therapy for patients receiving spine surgery. Journal of clinical nursing, 20(7/8), 960-968. doi:10.1111/j.1365-2702.2010.03452.x
McHugh, R. K., Whitton, S. W., Peckham, A. D., Welge, J. A., & Otto, M. W. (2013). Patient preference for psychological vs. pharmacological treatment of psychiatric disorders: a meta-analytic review. The Journal of clinical psychiatry, 74(6), 595.
Miranda, J. (2009). An exploration of participants' treatment preferences in a partial RCT. CJNR (Canadian Journal of Nursing Research), 41(1), 276-290.
Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., . . . Von Kohorn, I. (2012). Core principles & values of effective team-based health care: Institute of Medicine Washington, DC.
Montori, V. M., Brito, J. P., & Murad, M. H. (2013). The optimal practice of evidence-based medicine: incorporating patient preferences in practice guidelines. Jama, 310(23), 2503-2504.
Ni, C. H., Tsai, W. H., Lee, L. M., Kao, C. C., & Chen, Y. C. (2012). Minimising preoperative anxiety with music for day surgery patients–a randomised clinical trial. Journal of clinical nursing, 21(5‐6), 620-625.
Pomey, M.-P., Ghadiri, D. P., Karazivan, P., Fernandez, N., & Clavel, N. (2015). Patients as partners: a qualitative study of patients’ engagement in their health care. PLoS ONE, 10(4), e0122499.
Ratcliffe, J., Brazier, J., Tsuchiya, A., Symonds, T., & Brown, M. (2009). Using DCE and ranking data to estimate cardinal values for health states for deriving a preference‐based single index from the sexual quality of life questionnaire. Health Economics, 18(11), 1261-1276.
Ryan, M., & Farrar, S. J. B. B. M. J. (2000). Using conjoint analysis to elicit preferences for health care. 320(7248), 1530.
Siminoff, L. A. (2013). Incorporating patient and family preferences into evidence-based medicine. BMC medical informatics and decision making, 13(3), S6.
Swift, J. K., Callahan, J. L., & Vollmer, B. M. (2011). Preferences. Journal Of Clinical Psychology, 67(2), 155-165.
Tariman, J. D., Berry, D. L., Cochrane, B., Doorenbos, A., & Schepp, K. (2012). Physician, patient and contextual factors affecting treatment decisions in older adults with cancer: a literature review. Paper presented at the Oncology Nursing Forum.
Vahdat, S., Hamzehgardeshi, L., Hessam, S., & Hamzehgardeshi, Z. (2014). Patient involvement in health care decision making: a review. Iranian Red Crescent Medical Journal, 16(1).
Weeks, B. P., & Nilsson, U. (2011). Music interventions in patients during coronary angiographic procedures: A randomized controlled study of the effect on patients' anxiety and well-being. European Journal of Cardiovascular Nursing, 10(2), 88-93.
Weernink, M. G., Janus, S. I., Van Til, J. A., Raisch, D. W., Van Manen, J. G., & IJzerman, M. J. J. P. m. (2014). A systematic review to identify the use of preference elicitation methods in healthcare decision making. 28(4), 175-185.
Wellala, K., Nanayakkara, A., De Silva, A., & Ponnamperuna, A. (2012). Descriptive study on pre-anaesthetic information desired by patients who undergo surgery. Sri Lankan Journal of Anaesthesiology, 20(1).
Wu, K.-L., Chen, S.-R., Ko, W.-C., Kuo, S.-Y., Chen, P.-L., Su, H.-F., & Chang, W.-Y. (2014). The effectiveness of an accessibility-enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction of patients undergoing cardiac catheterisation. Journal of clinical nursing, 23(13/14), 2063-2073. doi:10.1111/jocn.12469
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