Effect of the Combination Program of Structured information and Video Media on Knowledge and Anxiety among Patients during Thyroid Surgery Preparation Phase, ENT Department, Udonthani Hospital.

Abstract

This quasi-experimental research (two groups pre- posttest design) aimed to examine a comparative study of knowledge and anxiety levels in two groups before and after provided information using     conventional methods (control group) and provided structured information by video media (experiment group) in patients undergone thyroid surgery services at the ENT Department, Udonthani hospital, from June to September 2021. The samples in the research were 60 patients who had appointment to undergo thyroid surgery by elective operation, 30 people each group, selected by purposive sampling. Research tools were questionnaire about personal data, thyroid disease and surgical knowledge, Thai hospital anxiety and depression scale (Thai HADS), patient satisfaction, survey video media and brochures about thyroid nodules surgery. Data analysis used descriptive statistics and inferential using Paired sample       T-test and independent T-test with significant level was 0.05.

The results showed most of 60 patients were female (91.7%), mean age was 44.6 years old (SD=11.0). Mean knowledge scores had increased after receiving the information among thyroid surgery patients in both control group (convention method) and experiment group (structured information group by video media) with statistically significant (p<0.001 and p<0.001, respectively), and mean anxiety scores was significantly lower than before received the information in both groups too (p<0.001 and p<0.001 respectively). Comparison between 2 groups after received information, experiment group had statistically significant higher mean knowledge scores and lower mean anxiety scores than control group (p=0.01 and p=0.045, respectively). The experiment group had higher mean satisfaction score than control group with statistically significant (p<0.001)

Conclusion: providing patient information and knowledge before thyroid surgery is essential. In particular, video media's for thyroid methodical information helps the patients be more knowledge able about the disease and reduces preoperative anxiety among patients. Patients were satisfied with the formatted information provided by video media, resulting in patients be able to take care themselves confidently.