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Preoperative needs-based education to reduce anxiety, increase satisfaction, and decrease time spent in day surgery: A randomized controlled trial

World Journal of Surgery Sep 13, 2017

Wongkietkachorn A, et al. - Authors here compared needs-based patient education with traditional patient education in reducing preoperative anxiety. they identified needs-based patient education as more effective in decreasing anxiety, increasing patient satisfaction, and reducing time spent in education compared with traditional patient education.

Methods

  • Authors performed a prospective, multicenter, single-blind, randomized controlled trial with a 1:1 allocation ratio.
  • They randomized the patients undergoing day surgery into a study group (needs-based education) or a control group (traditional education).
  • Patient anxiety was primarily assessed.
  • For this study, secondary outcomes included patient satisfaction and time spent in patient education.
  • Patients completed questionnaires evaluating the anxiety and satisfaction before patient education, after patient education, and after surgery.

Results

  • Authors randomized and analyzed 450 patients in total(study group n = 225, control group n = 225).
  • Comparisons before education, after education, and after surgery indicated a significant decline in patient anxiety and an increase in satisfaction in both groups (p < 0.001).
  • The comparison between needs-based education and traditional education indicated a higher decline in anxiety (7.09 ± 7.02 vs. 5.33 ± 7.70, p = 0.001) and greater increase in satisfaction (21.1 ± 16.0 vs. 16.0 ± 21.6, p < 0.001) in the needs-based group.
  • The needs-based group also indicated significantly less education time in comparison to the traditional group (171.8 ± 87.59 vs. 236.32 ± 101.27 s, p < 0.001).

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