Korean J Adult Nurs.  2013 Oct;25(5):494-503.

Effects of a Simulation-based Educational Program for Gastroendoscopic Surgery Patients

Affiliations
  • 1Education Graduate School, Kyung Hee University, Seoul, Korea.
  • 2College of Nursing Science, Kyung Hee University, Seoul, Korea. leejia@khu.ac.kr

Abstract

PURPOSE
The purpose of this study was to examine the effects of a simulation-based educational program on anxiety and discomfort in patients with early stage of stomach cancer or stomach adenoma undergoing gastroendoscopic surgery.
METHODS
The study employed a non-equivalence control group and non-synchronized design to prevent diffusion of treatment. Data were collected from 110 patients (experimental group=55, control group=55) admitted to a department of gastroenterology to undergo gastroendoscopic surgery for early stage of stomach cancer or stomach adenoma. The program was conducted as a 30-minute simulation-based education including 12 processes which patients would experience. Outcome variables were state anxiety, objective discomfort, and subjective discomfort.
RESULTS
The scores of state anxiety in the experimental group significantly decreased over time compared to those in the control group. The scores of objective and subjective discomfort after surgery in the experimental group were significantly lower than those in the control group.
CONCLUSION
The study findings suggested that the simulation-based educational program making a person feel sense of real experiences could reduce anxiety and discomfort in gastroendoscopic surgery patients.


MeSH Terms

Adenoma
Anxiety
Diffusion
Education
Endoscopy
Gastroenterology
Humans
Stomach
Stomach Neoplasms

Figure

  • Figure 1. Research design.


Reference

Cherla D. V.., Sanghvi S.., Choudhry O. J.., Liu J. K.., Eloy J. A.2012. Readability assessment of internet-based patient education materials related to endoscopic sinus surgery. Laryngoscope. 122:1649–1654. http://dx.doi.org/10.1002/lary.23309.
Article
Choi J. Y.., Kim J. I.., Choi Y. C.., Jun S. Y.2005. Two cases of histopathologically advanced (stage 4) early gastric cancer. The Korean Journal of Gastroenterology. 45:64–67.
Classen M.., Tytgat G. N. J.., Lightdale C. J.2010. Gastroenterological endoscopy. New York: Thieme.
Cline M. E.., Herman J.., Shaw E. R.., Morton R. D.1992. Standardization of the visual analogue scale. Nursing Research. 41:378–380.
Article
Dean C.., Whitlock Q.1994. Handbook of computer based training. London: Kogan Page Ltd.
Faul F.., Erdfelder E.., Buchner A.., Lang A. G.2009. Statistical power analyses using G. Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 41:1149–1160.
Jang S. Y.2008. Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Journal of Korean Academy of Nursing. 38:493–502.
Jo Y. S.2012. The effect of information and behavioral training on endoscopy patient's anxiety and distress. Unpublished master's thesis, Dong A University, Busan.
Kanto J. H.1985. Midazolam: The first water-soluble benzo-diazepine. Pharmacology, pharmacokinetics and efficacy in insomnia and anesthesia. Pharmacotherapy. 5:138–155.
Article
Kim H. S.2005. Effects of web-based diabetics education in obese diabetic patients. Journal of Korean Academy of Nursing. 35:924–930.
Kim J. T.., Shin D. K.1978. A study based on the standardization of the STAI for Korea. The New Medical Journal. 21(11):69–75.
Korean Society of Gasgtrointestinal Endoscopy. 2011. Atlas of gastrointestinal endoscopy. Seoul: Korean Medbook.
Lee H. S.2006. The effects of aromatherapy hand massage on anxiety before gastroscopy. The Journal of Korean Academic Society of Nursing Education. 12:36–42.
Lee J. H.2009. Endoscopic resection of early gastric cancer in Korea: Recent results and future directions. Journal of Korean Gastric Cancer Association. 9(2):39–45.
Article
Lee O. J.2012. Influence of video pre-education on the anxiety, biological change and physical reaction of the patients. Unpublished master's thesis, Gachon University, Seong-nam.
Lian J.., Chen S.., Zhang Y.., Qiu F.2012. A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer. Gastrointestinal Endoscopy. 76:763–770. http://dx.doi.org/10.1016/j.gie.2012.06.014.
Article
Park C. S.., Kang K. Y.2011. Effect of visual biofeedback simulation training for balance in patients with incomplete spinal cord injury. Journal of Korea Contents Association. 11(11):194–203. http://dx.doi.org/10.5392/JKCA.2011.11.11.194.
Article
Park I. S.2003. Gastroenterological endoscopy. Seoul: Koonja Publishing Inc.
Park J. H.., Kim Y. J.., Cho J. Y.., Kang G. H.., Jeong G. A.., Cho G. S., et al. 2010. Surgical strategies after incomplete endoscopic resection in early gastric cancer. Korean Journal of Clinical Oncology. 6:27–32.
Article
Park K. S.., Na M. J.2003. The effect of music therapy on reduction of anxiety before gastroscopy. Korean Journal of Adult Nursing. 15:247–255.
Statistics Korea. 2012, January 1. Cancer rate 2010. Retrieved May 6, 2012, from. http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp?idx_cd=2770.
Suh H. J.1990. The effects of relaxation technique on anxiety and distress of patients with gastrofibroscopy. Unpublished master's thesis, Ewha Womans University, Seoul.
Wolpe J.1990. The practice of behavior therapy. New York: Pergamon Press.
Won Y. D.2011. Analysis of basic life support performance according to video simulation training of EMT students. The Journal of the Korean Society of Emergency Medical Technology. 15(3):5–17.
Yoo M. S.., Lee H.., Yoon J. A.2009. Effects of a cognitive-behavioral nursing intervention on anxiety and depression in women with breast cancer undergoing radiotherapy. Journal of Korean Academy of Nursing. 39:157–165. http://dx.doi.org/10.4040/jkan.2009.39.2.157.
Article
Full Text Links
  • KJAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr