Dec 13, 1979

A comparison of two methods of delivering presurgical instructions

Patient Counselling and Health Education
D KlosA Quigley


A 2 x 2 factorial design was employed to test the effects on various indicators of postoperative recovery of surgical patients who had received preoperative instructions. A pamphlet and/or a nurse visit were used as delivery methods. The study population consisted of 50 patients who were scheduled for cholecystectomies. Patients were given information on the expected sequence of events on the day of surgery and instructions in postoperative self-care activities. Findings indicate that a differential effect of providing information was dependent on the patient's level of preoperative fear, with high-fear patients benefiting most from information. Patients in the high preoperative-fear group who received either the pamphlet or the pamphlet and a nurse visit had shorter postoperative hospitalizations, switched from injected to oral medication sooner, scored higher on an index of energy and movement, and rated their appetites as better when compared with patients in either the nurse-visit or control groups. However, among those who scored low in preoperative fear, patients in the control group had better recoveries from surgery than patients who received preoperative information. The study points out the need to perform an educatio...Continue Reading

Mentioned in this Paper

Mental Suffering
Fear (Mental Process)
Cholecystectomy Procedure
Desire for Food
Outcome and Process Assessment (Health Care)
Management, Nursing Care
Postoperative Procedures
Self Care Outcome
Preoperative Procedure
Patient Education

About this Paper

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Synthetic Genetic Array Analysis

Synthetic genetic arrays allow the systematic examination of genetic interactions. Here is the latest research focusing on synthetic genetic arrays and their analyses.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

Head And Neck Squamous Cell Carcinoma

Squamous cell carcinomas account for >90% of all tumors in the head and neck region. Head and neck squamous cell carcinoma incidence has increased dramatically recently with little improvement in patient outcomes. Here is the latest research on this aggressive malignancy.

Signaling in Adult Neurogenesis

Neural stem cells play a critical role in the production of neuronal cells in neurogenesis is of great importance. Of interest is the role signalling mechanisms in adult neurogenesis. Discover the latest research on signalling in adult neurogenesis.

Psychiatric Chronotherapy

Psychiatric Chronotherapy considers the circadian rhythm as a major factor for optimizing therapeutic efficacy of psychiatric interventions. Discover the latest research on Psychiatric Chronotherapy here.

Epigenetic Memory

Epigenetic memory refers to the heritable genetic changes that are not explained by the DNA sequence. Find the latest research on epigenetic memory here.

Bone Marrow Neoplasms

Bone Marrow Neoplasms are cancers that occur in the bone marrow. Discover the latest research on Bone Marrow Neoplasms here.