Jukka Kesänen1,2, Helena Leino-Kilpi3,4, Teija Lund5, Liisa Montin6, Pauli Puukka7, Kirsi Valkeapää3. 1. Department of Nursing Science, University of Turku, 20014, Turku, Finland. jpkesa@utu.fi. 2. Helsinki Metropolia University of Applied Sciences, Helsinki, Finland. jpkesa@utu.fi. 3. Department of Nursing Science, University of Turku, 20014, Turku, Finland. 4. Turku University Hospital, Turku, Finland. 5. Helsinki University Hospital, Jorvi Hospital, Espoo, Finland. 6. Orton Orthopaedic Hospital and Research Institute, Orton Foundation, Helsinki, Finland. 7. National Institute for Health and Welfare, Turku, Finland.
Abstract
PURPOSE: To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosis patients. METHODS:One hundred patients were randomised into an intervention group (IG, n = 50) or control group (CG, n = 50). Both groups received routine preoperative patient education. IG additionally underwent a feedback session based on a knowledge test. Primary outcome measure was anxiety at the time of surgery. HRQoL, disability, and pain constituted the secondary outcome measures during a 6-month follow-up. RESULTS: In IG, a significant reduction in anxiety was noted after the intervention, whereas in CG, anxiety reduced only after the surgery. In both groups, a significant improvement in HRQoL, disability, and pain was noticed at the 6-month follow-up, but there were no between-group differences. CONCLUSIONS: Higher knowledge level may reduce preoperative anxiety but does not seem to affect the self-reported clinical outcomes of surgery.
RCT Entities:
PURPOSE: To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosispatients. METHODS: One hundred patients were randomised into an intervention group (IG, n = 50) or control group (CG, n = 50). Both groups received routine preoperative patient education. IG additionally underwent a feedback session based on a knowledge test. Primary outcome measure was anxiety at the time of surgery. HRQoL, disability, and pain constituted the secondary outcome measures during a 6-month follow-up. RESULTS: In IG, a significant reduction in anxiety was noted after the intervention, whereas in CG, anxiety reduced only after the surgery. In both groups, a significant improvement in HRQoL, disability, and pain was noticed at the 6-month follow-up, but there were no between-group differences. CONCLUSIONS: Higher knowledge level may reduce preoperative anxiety but does not seem to affect the self-reported clinical outcomes of surgery.
Entities:
Keywords:
Anxiety; Disability; Health-related quality of life; Knowledge level; Spinal stenosis surgery
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