Development of an Educational and Counseling Model through the LINE Official Account Application to Enhance Pre-Anesthesia Readiness for One-Day Surgery Patients at Mahasarakham Hospital

Abstract

Objective : To develop and evaluate the effectiveness of an educational and counseling model via the LINE Official Account (Line OA) application for preparing patients undergoing anesthesia in One -Day Surgery (ODS).
Methods : This research and development (R&D) study included two groups of participants: 132 patients undergoing anesthesia for day surgery and 34 nurse anesthetists from the Department of Anesthesia Nursing, Mahasarakham Hospital. Participants were recruited according to predefined inclusion criteria. The study was conducted in four phases. The research instruments comprised: (1) an educational and counseling model delivered through the LINE Official Account application (Surgical Patient Guide); (2) a patient knowledge test; (3) a patient satisfaction questionnaire; and (4) a nurse anesthetist satisfaction questionnaire. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and the paired t-test.
Results : 1) The developed Line OA model consisted of an educational video and infographics covering six surgical procedures, and 24-hour online counseling services through the chat function. 2) Patient knowledge significantly improved after using the model (p < 0.001). 3) Patient satisfaction was at the highest level (Mean = 4.70, SD = 0.46). 4) Nurse satisfaction with the model's usability was at a high level (Mean = 4.38, SD = 0.57).
Conclusion : The educational and counseling model delivered through the LINE Official Account application is an appropriate approach for preparing patients undergoing anesthesia for day surgery. The model provides convenient access to educational information, reduces the time required for nurse anesthetists to provide education and counseling, and facilitates the assessment of post-anesthetic complications within the first 24 hours after surgery. It enhances patients' knowledge and self-care practices, promotes safe postoperative recovery, and improves satisfaction among patients and their caregivers.