The effect of preoperative uncertainty and anxiety on short‐term recovery after elective arthroplasty
- 11 February 2008
- journal article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 17 (5), 576-583
- https://doi.org/10.1111/j.1365-2702.2007.01968.x
Abstract
This study examined the effect of preoperative anxiety and uncertainty on short-term physical and mental recovery after elective arthroplasty. Uncertainty and anxiety accompany all medical procedures. Although preoperative uncertainty plays a central role in the development of stress, only a few studies explicitly examine this issue in terms of its impact on postoperative recovery. Quazi-experimental study. Two self-administered questionnaires were used to collect data, before and five to six days after surgery. Participants (n = 87) admitted for elective arthroplasty completed the study. Preoperative anxiety negatively affected postoperative recovery variables and preoperative uncertainty negatively affected mental and physical recovery after surgery. Furthermore, postoperative symptoms were related to the patients' subjective readiness to be discharged. Separately, reduction of preoperative anxiety and uncertainty could have a positive impact on postoperative recovery and on perceived readiness to be discharged. The unique contribution of each preoperative variable (uncertainty and anxiety) to postoperative recovery emphasizes the need for clinical and educational interventions that separately relieve uncertainty and anxiety.Keywords
This publication has 66 references indexed in Scilit:
- The effects of giving patients pre-operative informationNursing Standard, 2002
- SF-36 Health Survey UpdateSpine, 2000
- Validation of the 36-Item Short-Form Health Survey (Hebrew Version) in the Adult Population of IsraelMedical Care, 1998
- Predicting Completeness of Symptom Relief after Major Heart SurgeryBehavioral Medicine, 1996
- Distress correlates with the degree of chest pain: a description of patients awaiting revascularisation.Heart, 1996
- Pre‐operative anxiety variables as possible predictors of post‐operative stay in hospitalBritish Journal of Clinical Psychology, 1992
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- Uncertainty in IllnessImage: the Journal of Nursing Scholarship, 1988
- Psychological preparation for surgery: A comparison of methodsBritish Journal of Clinical Psychology, 1982