Increased preoperative knowledge reduces surgery-related anxiety : a randomised clinical trial in 100 spinal stenosis patients

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Kesanen , J , Leino-Kilpi , H , Lund , T , Montin , L , Puukka , P & Valkeapaa , K 2017 , ' Increased preoperative knowledge reduces surgery-related anxiety : a randomised clinical trial in 100 spinal stenosis patients ' , European Spine Journal , vol. 26 , no. 10 , pp. 2520-2528 . https://doi.org/10.1007/s00586-017-4963-4

Title: Increased preoperative knowledge reduces surgery-related anxiety : a randomised clinical trial in 100 spinal stenosis patients
Author: Kesanen, Jukka; Leino-Kilpi, Helena; Lund, Teija; Montin, Liisa; Puukka, Pauli; Valkeapaa, Kirsi
Contributor: University of Helsinki, Clinicum
Date: 2017-10
Language: eng
Number of pages: 9
Belongs to series: European Spine Journal
ISSN: 0940-6719
URI: http://hdl.handle.net/10138/298079
Abstract: Purpose To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosis patients. Methods One hundred patients were randomised into an intervention group (IG, n = 50) or control group (CG, n = 50). Both groups received routine preoperative patient education. IG additionally underwent a feedback session based on a knowledge test. Primary outcome measure was anxiety at the time of surgery. HRQoL, disability, and pain constituted the secondary outcome measures during a 6-month follow-up. Results In IG, a significant reduction in anxiety was noted after the intervention, whereas in CG, anxiety reduced only after the surgery. In both groups, a significant improvement in HRQoL, disability, and pain was noticed at the 6-month follow-up, but there were no between-group differences. Conclusions Higher knowledge level may reduce preoperative anxiety but does not seem to affect the self-reported clinical outcomes of surgery.
Subject: Knowledge level
Spinal stenosis surgery
Anxiety
Health-related quality of life
Disability
POSTOPERATIVE REHABILITATION
EMPOWERING DISCOURSE
EDUCATION
INFORMATION
PROGRAM
VIDEO
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
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