Preventive Care in Nursing and Midwifery Journal
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Volume 12, Issue 2 (3-2022)
PCNM 2022, 12(2): 39-49 |
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Mohammadi R, Hanifi N, Bahrami Nejad N. Evaluation of the Fear of Hospitalization and Associated Anxiety and Other Factors among Candidates for Emergency Surgery in the Hospitals Affiliated with Zanjan-Iran University of Medical Sciences in 2020. PCNM 2022; 12 (2) :39-49
URL: http://nmcjournal.zums.ac.ir/article-1-775-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-775-en.html
Department of Critical Care and Emergency Nursing, Zanjan Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran , nasrinhanifi@zums.ac.ir
Abstract: (2954 Views)
Background: Surgery is a stressful event that can be accompanied by a great deal of fear and anxiety, especially in emergency situations.
Objectives: This study aimed to determine the level of fear of hospitalization and associated anxiety and factors in the candidates of emergency surgery referring to the hospitals affiliated with Zanjan University of Medical Sciences.
Methods: This descriptive cross-sectional study was performed on 304 patients admitted to the emergency department and their family members, referring to the hospitals affiliated with Zanjan University of Medical Sciences in 2020. The patients were recruited by convenience sampling. Data collection tools included a questionnaire for demographic information and disease specifications, the hospitalization fear questionnaire (Slobodan M. Jankovic), and the Visual Analogue Scale (10-point) to assess pain and anxiety in the emergency departments. For data analysis, independent t-test, analysis of variance (followed by the LSD post hoc test), Pearson correlation, and stepwise multiple regression were used by SPSS 22.
Results: The results showed that a higher number of the patients (61.4%) experienced anxiety rather than hospitalization fear (23.2%). The pain had a negative correlation with patients’ and their companions’ fear of hospitalization and a positive correlation with their level of anxiety. Also, the anxiety of the patient's companion increased with the prolongation of the waiting time. The companion’s hospitalization fear and anxiety significantly correlated with the patient’s level of anxiety (P<0.05), and the patient’s anxiety was negatively associated with systolic and diastolic blood pressure and the level of consciousness. In addition, fear of hospitalization and anxiety positively and significantly correlated with the pulse rate (P<0.05).
Conclusion: According to the results of this study, it is recommended to provide psychological support to the patient and his/her family, try to stabilize the patient’s clinical condition, and shorten the waiting time in the emergency department to be able to manage the patient’s fear of hospitalization and anxiety.
Objectives: This study aimed to determine the level of fear of hospitalization and associated anxiety and factors in the candidates of emergency surgery referring to the hospitals affiliated with Zanjan University of Medical Sciences.
Methods: This descriptive cross-sectional study was performed on 304 patients admitted to the emergency department and their family members, referring to the hospitals affiliated with Zanjan University of Medical Sciences in 2020. The patients were recruited by convenience sampling. Data collection tools included a questionnaire for demographic information and disease specifications, the hospitalization fear questionnaire (Slobodan M. Jankovic), and the Visual Analogue Scale (10-point) to assess pain and anxiety in the emergency departments. For data analysis, independent t-test, analysis of variance (followed by the LSD post hoc test), Pearson correlation, and stepwise multiple regression were used by SPSS 22.
Results: The results showed that a higher number of the patients (61.4%) experienced anxiety rather than hospitalization fear (23.2%). The pain had a negative correlation with patients’ and their companions’ fear of hospitalization and a positive correlation with their level of anxiety. Also, the anxiety of the patient's companion increased with the prolongation of the waiting time. The companion’s hospitalization fear and anxiety significantly correlated with the patient’s level of anxiety (P<0.05), and the patient’s anxiety was negatively associated with systolic and diastolic blood pressure and the level of consciousness. In addition, fear of hospitalization and anxiety positively and significantly correlated with the pulse rate (P<0.05).
Conclusion: According to the results of this study, it is recommended to provide psychological support to the patient and his/her family, try to stabilize the patient’s clinical condition, and shorten the waiting time in the emergency department to be able to manage the patient’s fear of hospitalization and anxiety.
Type of Study: Orginal research |
Subject:
Nursing
Received: 2021/07/13 | Accepted: 2022/03/1 | Published: 2022/03/1
Received: 2021/07/13 | Accepted: 2022/03/1 | Published: 2022/03/1
References
1. 1. Farhadian F. Evaluation of the effect of education on reducing patients' anxiety before surgery and painful procedures. 7th National Conference on Sustainable Development in Educational Sciences and Psychology, Social and Cultural Studies; 2018; Tehran. p. 1-5.
2. Zare Marzouni H, Karimi M, Narimi Z, Ghasemi A, Janaki M. Effects of education on reduction of stress and anxiety of orthopedic surgery. Navid No. 2016; 19(62): 62-68.
3. Chevillon. C, Hellyar M, Madani C, Kerr K, Kim SC. Preoperative education on postoperative delirium, anxiety, and knowledge in pulmonary thromboendarterectomy patients. Am J Crit Care. 2015; 24(2): 164-71. [Crossref]
4. Zhong Q, Qu X, Xu C. Effect of preoperative visiting operation room on emergence agitation in preschool children under sevoflurane anesthesia. Int J Pediatr Otorhinolaryngol. 2018; 104(1): 32-35. [Crossref]
5. Fakhari A. Diagnosis and Treatment of Agitation in Hospitalized Patients of General Wards. IJPCP. 2010;16(3); 181-186.
6. Naderifar M, Goli H, Hosseinzadeh M, Ghaljaei F. Adolescents' Experiences of Hospitalization in Pediatric Ward: A Phenomenological Study. J Qual Res Health Sci 2017; 6(2): 124-33. [In Persian]
7. Shini Jabery P, Biranvand S, Baraz S, Asadi S. Level of anxiety in patients undergoing coronary artery bypass graft surgery. Aflak. 2011; 7(24- 25): 1-8. [In Persian]
8. Rabie Siahkali S, khaleghduost T, paryad E, atrkar ruoshan Z. Family and anxiety in intensive care units. Holist Nurs Midwifery. 2017; 17 (2) : 1-8. [In Persian]
9. Alavee A. Management and organization psychology. Tehran: Pisheen Pub; 2020. [In Persian]
10. Abedini N, Pourfathi H, Sakha H, Towfighi S, Parish M. Prevalence and factors of the preoperative anxiety in the patients and their family in Shohada Hospital ,Tabriz. Iran J Anaesth Crit Care. 2018; 3(1): 16-24. [In Persian]
11. Pochard F. Symptoms of Anxiety and Depression in Family Members of Intensive Care Unit Patient Before Discharge or Death. J Crit Care. 2004; 20(1): 90- 6. [Crossref]
12. Ezati N. Effect of Knowledge about Self Care Behaviors on Fear and Anxiety in Patients with Coronary Artery Disease. Wom Fam Stud. 2012; 5(17), 107-130. [In Persian]
13. Fahimi K, Abbasi A, Zahedi M, Amanpour F, Gilani M, Ebrahimi H. Investigation of the Effect of Multimedia Education on Anxiety Before and After Surgery in Patients Undergoing Coronary Artery Bypass Graft Surgery. Sci J Hamadan Nurs Midwifery Fac. 2018; 26(3); 137-44. [Crossref]
14. Malmir M, Teimouri F, Pishgooie A, Dabaghi P. The Role of Benson's relaxation on reducing state anxiety on candidate of open heart surgery patient's. Military Caring Sciences. 2015; 2(3); 182-190. [Crossref]
15. Martinez-Martin P, Rojo-Abuin JM, Dujardin K, Pontone GM WD, Forjaz MJ, Starkstein S, et al. Designing a new scale to measure anxiety symptoms in Parkinson's disease: item selection based on canonical correlation analysis. European J Neurology. 2013;1; 11-23. [Crossref]
16. Katz MG. Patient literacy and question-asking behavior during the medical encounter: a mixed-methods analysis. J Gen Intern Med. 2007; 22(6): 782-86. [Crossref]
17. Gaston C, Mitchell G. Information giving and decision-making in patients with advanced cancer: a systematic review. Soc Sci Med. 2005; 61(10): 2252-64. [Crossref]
18. Levinson W, Kao A, Kuby A, Thisted RA. Not all patients want to participate in decision making: a national study of public preferences. J Gen Intern Med. 2005; 20(6): 531-5. [Crossref]
19. McKinstry B. Do patients wish to be involved in decision making in the consultation? A cross sectional survey with video vignettes. Bmj. 2015;1(1):4.
20. Besharat MA, Ramesh S, Nogh H. The Predicting role of worry, anger rumination and social loneliness in adjustment to coronary artery disease. Cardiovascular Nurs J. 2018; 6(4): 6-15. [In Persian]
21. Ihrig A, Herzog W, Huber CG, Hadaschik B, Pahernik S, Hohenfellner M, et al. Multimedia support in preoperative patient education for radical prostatectomy: the physicians' point of view. Patient Educ Couns. 2012; 87(2): 239-42. [Crossref]
22. Jankovic S, Antonijevic GV, Kragujevac KC, Radojevic MZ. A rating instrument for fear of hospitalization. J Clin Nurs. 2018; 27(1); 1-12.
23. Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient saf Surg. 2019; 13(1): 1-8. [Crossref]
24. Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC anesthesiology. 2018; 18(1): 1-9. [Crossref]
25. Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur j med res. 2018;23(1):1-10. [Crossref]
26. Bierke S, Petersen W. Influence of anxiety and pain catastrophizing on the course of pain within the first year after uncomplicated total knee replacement: a prospective study. Arch Orthop Trauma Surg. 2017; 137(12): 1735-42. [Crossref]
27. Yilmaz Inal F, Yilmaz Camgoz Y, Daskaya H, Kocoglu H. The Effect of Preoperative Anxiety and Pain Sensitivity on Preoperative Hemodynamics, Propofol Consumption, and Postoperative Recovery and Pain in Endoscopic Ultrasonography. Pain Ther. 2021:1-11. [Crossref]
28. Chien WT, Chiu YL, Lam LW, Ip WY. Effects of a needs-based education programme for family carers with a relative in an intensive care unit: a quasiexperimental study. Int J Nurs Stud. 2006; 43(1): 39-50. [Crossref]
29. Shoushi F, Jannati Y, Mousavinasa N, Shafipour V. The Impact of Family Centered Care on Depression, Anxiety and Stress of Family Caregivers of Patients Undergoing Open Heart Surgery. Iran J Res Nurs. 2017; 3(2): 53-60. [In Persian]
30. Imanipour M, Heidari Z, Seyedfatemi N, Haghani H. Effectiveness of Informational Support on Anxiety among Family Carers of Patients Undergone Open Heart Surgery. Hayat. 2012; 18(3): 33-43. [In Persian]
31. Gammon J, Mulholland CW. Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes. Int J Nurs Stud. 1996;33(6): 589-604. [Crossref]
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