The Effect of Video Program and Structured Interview on Preoperative Anxiety in Patients with Endoscopic Submucosal Dissection

초록

Aim: This study attempted to determine the effect of video program and nursing information through structured interviews on the subjects who are scheduled to undergo endoscopic submucosal dissection after being diagnosed with gastric adenoma or early gastric cancer, in terms of anxiety before endoscopic submucosal dissection. Method: A total of 119 subjects were participated, of which 58 were assigned to the experimental group and 61 were assigned to the control group. Spielberger's State-Trait Inventory in Korean version, Knowledge Scale were used. Also, blood pressure and pulse were measured. The pre-test was measured on the day of the decision to undergo endoscopic submucosal dissection for both the experimental group and the control group, and written instructions were provided. Data analysis was performed using by descriptive statistics, χ²-test and t-test. Results: Hypothesis 1: “The experimental group will have a lower preoperative state anxiety score than the control group” was supported (t=3.60. p<.001). Hypothesis 2: "The experimental group showed less changes in systolic blood pressure (t=5.85, p<.001), diastolic pressure (t=5.53, p<.001), and pulse (t=2.59, p=.011) on the day of hospitalization and immediately before surgery than the control group” was supported. Conclusion: From the above results, it is necessary to apply the video program and structured interview intervention which was applied in this study to reduce preoperative anxiety in subjects undergoing endoscopic submucosal dissection.