Korean J Adult Nurs.  2018 Apr;30(2):194-205. 10.7475/kjan.2018.30.2.194.

The Effect of Visual Information Blocking Nursing Intervention on Stress and Anxiety during Chemoport Insertion in Adult Cancer Patients of Operation Rooms

• Lee M
• Park W

• KMID: 2411822
• DOI: http://doi.org/10.7475/kjan.2018.30.2.194

Abstract

PURPOSE
The purpose of this study was to test the effect of visual information blocking nursing intervention (VIBNI) on stress and anxiety of patients undergo chemoport insertion in operating rooms.
METHODS
A non-equivalent control quasi-experimental design was used. Forth eight participants were enrolled and randomized to experimental group (VIBNI group, n=24) and control group (n=24). All participants received chemoport insertion under local anesthesia. During chemoport insertion, participants allocated to the VIBNI group had their both eyes covered with gamma-sterilized white gauze (5cm × 20cm, 0.5cm in thickness and 4g in weight) that can transmit light of 330Lux. Data from 43 participants were analysed after excluding 5 participants who withdrew (3 in the VIBNI group, and 2 in the control group) due to hypertension and anxiety history. Blood pressure and pulse were measured for stress. Blood sample (3 mL) was obtained before and during the procedure to measure serum cortisol level. State anxiety and VAS was measured for anxiety.
RESULTS
The difference of cortisol level between two groups was statistically significant after VIBNI intervention (p=.007). In terms of systolic blood pressure (p=.005) and pulse (p < .001), interaction of two groups appeared to be significant over time.
CONCLUSION
In our sample, participants received the VIBNI reported lower stress responses (cortisol level, systolic blood pressure and pulse) during chemoport insertion. Based upon our preliminary results, further evaluation in a larger sample and objective anxiety is warranted.

MeSH Terms

Adult*
Anesthesia, Local
Anxiety*
Blood Pressure
Humans
Hydrocortisone
Hypertension
Nursing*
Operating Rooms
Hydrocortisone

Figure

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  Figure 1. Flow diagram for reporting parallel group randomized trials (CONSORT statement).

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  Figure 2. Comparison of stress level and anxiety level change between experimental and control groups.

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