1. Effects of a Video-Based Preoperative Educational Intervention Plus Nurse-Led Reinforcement Discussion on Knowledge, Self-Efficacy, and Resilience in Patients Undergoing Major Surgery.
- Author
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Gonella, Silvia, Delfino, Cristina, Rolfo, Monica, Rizzo, Alessio, Esposito, Valeria, Berchialla, Paola, and Campagna, Sara
- Subjects
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SURGERY & psychology , *PATIENT education , *ELECTIVE surgery , *PILOT projects , *DISCUSSION , *NURSES' attitudes , *EVALUATION of human services programs , *CONFIDENCE intervals , *PATIENTS , *PATIENT satisfaction , *MANN Whitney U Test , *SURGERY , *REINFORCEMENT (Psychology) , *NURSE-patient relationships , *HEALTH literacy , *SELF-efficacy , *PATIENTS' attitudes , *HUMAN services programs , *PRE-tests & post-tests , *COMPARATIVE studies , *PREOPERATIVE education , *TEACHING aids , *QUESTIONNAIRES , *SCALE analysis (Psychology) , *DESCRIPTIVE statistics , *STATISTICAL correlation , *DATA analysis , *DATA analysis software , *VIDEO recording , *PSYCHOLOGICAL resilience , *SECONDARY analysis , *LONGITUDINAL method , *NURSING assessment - Abstract
This study aimed to verify the feasibility of a video-based preoperative educational intervention plus one-to-one, nurse-led reinforcement discussion in patients undergoing elective major surgery and to assess the impact of this combined intervention on patient- and nurse-perceived patient knowledge, self-efficacy, and resilience. Patients received written material at pre-admission and were offered the intervention at admission. Patients reported their knowledge and self-efficacy at pre-admission and after the intervention, and resilience at pre-admission and discharge. Nurses assessed patients' knowledge and self-efficacy after the intervention. In all, 88/97 (90.7%) patients completed the intervention. The 80 patients with complete data reported a significant increase in their knowledge (p <.001) and self-efficacy (p <.001), but no difference in resilience (p =.72). Nurse-perceived patient knowledge agreed with patients' perceptions (p =.57) but nurses scored patients' self-efficacy lower (p <.001). The combined intervention was feasible, and patients perceived an improvement in their knowledge and self-efficacy. Nurses' assessment partially agreed with patients' perceptions. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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