Effect of social support combined with guided imagery program on preoperative anxiety among heart surgery patients
Keywords:
social support, guided imagery, preoperative anxiety, heart surgery patientsAbstract
This study was quasi-experimental research, using a two-group, pre-test/post-test design. Objective was to examine the effectiveness of social support combined with guided imagery program on preoperative anxiety among heart surgery patients. The samples were open heart surgery patients who received treatment in heart disease patients ward, Naresuan University. The samples were selected by purposive sampling, 25 persons each group divided in control group and experimental group. The control group received usual care and the experimental group received social support combined with guided imagery program and usual care before surgery. The research instruments consisted of personal data, preoperative anxiety questionnaire, and social support combined with guided imagery program. Data were analyzed using descriptive statistics, chi-square test, paired t-test, and independent t-test.
The results showed that the experimental group had the mean score of preoperative anxiety lower than before received the program and lower than the control group (p<.05). The mean score of systolic blood pressure, diastolic blood pressure, and heart rate before and after the study of experimental group were not significantly different (p>.05). Furthermore, there was no significant statistical difference between the two groups in terms of the mean blood pressure and heart rate (p>.05).
This study suggests that social support combined with guided imagery program should be applied for heart surgery patients in order to decrease preoperative anxiety.
References
2. Perrotti A, Ecarnot F, Monaco F, Dorigo E, Monteleone P, Besch G, et al. Quality of life 10 years after cardiac surgery in adults: a long-term follow-up study. Health Qual Life Outcomes. 2019; 17(88): 1-9.
3. Prado-Olivares J, Chover-Sierra E. Preoperatory anxiety in patients undergoing cardiac surgery. Diseases 2019; 7(2): 46.
4. Joceph HK, Whitcomb J, Taylor W. Effect of anxiety on individuals and caregivers after coronary artery bypass grafting surgery: a review of the literature. Dimens Crit Care Nurs. 2015; 34(5): 285-8.
5. Cserép Z, Losoncz E, Balog P, Szili-Török T, Husz A, Juhász B, et al. The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery. J Cardiothorac Surg. 2012; 7(86): 1-8.
6. Koivula M, Tarkka, MT, Tarkka M, Laippala P, Paunonen-Ilmonen M. Fear and in-hospital social support for coronary artery bypass grafting patients on the day before surgery. Int J Nurs Stud. 2002; 39(4): 415–427.
7. House JS. Work stress and social support. Philippines: Addison-Wesley; 1981.
8. Casale M, Wild L, Cluver L, Kuo C. The relationship between social support and anxiety among caregivers of children in HIV-endemic South Africa. Psychol Health Med. 2014; 19(4): 490-503.
9. Ditzen B, Heinrichs M. Psychobiology of social support: the social dimension of stress buffering. Restor Neurol and Neurosci. 2014; 32(1): 149-62.
10. Yilmaz M, Sezer H, Gurler H, Bekar M. Predictors of preoperative anxiety in surgical inpatients. J Clin Nurs. 2012; 21: 956-64.
11. Do CC. Factors related to preoperative anxiety among patients undergoing abdominal surgery in Phu Tho Province General Hospital, Vietnam. Thai Pharm Health Sci J. 2013; 8(4): 155-62.
12. Sanchez-Martínez M, López-García E, Guallar-Castillón P, Cruz JJ, Orozco E, García-Esquinas E, et al. Social support and ambulatory blood pressure in older people. J Hypertens 2016; 34(10): 2045-52.
13. Department of Mental Health, Ministry of Public Health. Guided imagery tape. 2008 [cited 2017 May 31]. Available from: http://www.klb.dmh.go.th. (in Thai).
14. Gonzales EA, Ledesma RJ, McAllister DJ, Perry SM, Dyer CA, Maye JP. Effect of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study. AANA J 2010; 78(3): 181-88.
15. Heshmatifar N, Mohebbi M, Borzoee F, Rakhshani M. [The Effect of Mental Imagery on Preoperative Anxiety of Elective Hernia (Persian)]. Complementary Medicine Journal. 2020; 9(4):3930-3939.
16. Tadayonfar M, Mohebbi M, Koushan M, Rakhshani MH. The effect of guided imagery on anxiety level of the patients undergoing appendectomy. JSUMS 2014; 20(5): 681-88.
17. Halpin LS, Speir AM, CapoBianco P, Barnett SD. Guided imagery in cardiac surgery. Outcomes Manag 2002; 6(3): 132-7.
18. Priya TA, Ganapathy N, Padmavathi P. Guided imagery on biohysiological parameters among patients receiving chemotherapy. Asian J. Nursing Education and Research. 2018; 8(3): 437-39.
19. Davis-Evans C. Alleviating anxiety and preventing panic attacks in the surgical patient. AORN J 2013; 97(3): 354-64.
20. Utsahapanich S. Tudpinij S. The effect of guided imagery on acute pain in post operative colorectal cancer patients. Journal of Nursing Science & Health 2011; 34(4): 36-45. (in Thai).
21. Srisathidnarakul B. The methodology in nursing research. 5th Edition. Bangkok: You and I Intermedia; 2010. (in Thai)
22. Bahrami N, Soleimani MA, Sharifnia H, Shaigan H, Sheikhi MR, Mohammad-Rezaei Z. Effects of anxiety reduction training on physiological indices and serum cortisol levels before elective surgery. Iran J Nurs Midwifery Res. 2013;18(5):416-20.
23. Spiva L, Hart PL, Gallagher E, McVay F. The effects of guided imagery on patients being weaned from mechanical ventilation. Evid Based Complement Alternat Med. 2015; 1-9.
24. Özer N, Karaman Özlü Z, Arslan S. Günes N. Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Manag Nurs. 2013; 14(1): 20-8.
25. Teoh AN, Hilmert C. Social support as a comfort or an encouragement: A systematic review on the contrasting effects of social support on cardiovascular reactivity. Br J Health Psychol. 2018; 23(4): 1040-65.
26. Tavakolizadeh J, Pahlavan M, Basirimoghadam M, Kianmehr M. Effects of guided imagery on anxiety and physiological indicators in in-patients with acute coronary syndrome. J Pharm Res Int. 2018; 23(5): 1-8.
Downloads
Published
How to Cite
Issue
Section
License
บทความนี้ยังไม่เคยตีพิมพ์หรืออยู่ในระหว่างส่งไปตีพิมพ์ในวารสารอื่น ๆ มาก่อน และกองบรรณาธิการขอสงวนสิทธิ์ในการตรวจทาน และแก้ไขต้นฉบับตามเกณฑ์ของวารสาร ในกรณีที่เรื่องของท่านได้ได้รับการตีพิมพ์ในวารสารฉบับนี้ถือว่าเป็น ลิขสิทธิ์ของวารสารพยาบาลโรคหัวใจและทรวงอก
