Psycho-educational, Anxiety, Illness, Critical
Conditions
Keywords
Adolescent patient, perioperative period, bibliotherapy, coping with illness, anxiety
Brief summary
This study aimed to evaluate the effects of bibliotherapy administered to adolescent patients in the preoperative period on vital signs, anxiety levels, and coping attitudes using a pretest-posttest controlled experimental design. The main hypotheses: H1: Bibliotherapy administered to adolescent patients during the preoperative period positively affects at least one of the patients' vital signs. H2: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' state anxiety level. H3: Bibliotherapy administered to adolescent patients during the preoperative period reduces the patients' trait anxiety level. H4: Bibliotherapy administered to adolescent patients during the preoperative period increases the patients' level of coping with illness. Researchers will compare control group to see if vital signs, anxiety and coping with illnes levels. Bibliotherapy was applied to the intervention group, while the control group received routine clinical care.
Detailed description
The study was conducted with 90 adolescent patients scheduled for surgical intervention at the pediatric surgery clinic of a city hospital. Data were collected using the Personal Information Form, Vital Signs Monitoring Form, State-Trait Anxiety Inventory for Children, and the Coping Attitudes Assessment Scale. In the intervention group, a three-stage process (pre-test, bibliotherapy, and post-test) was implemented; as part of bibliotherapy, the book My Surgery Journey was read to the patients and discussed individually to help them understand the surgical process and reduce anxiety. In the control group, only pre-test and post-test measurements were conducted at the same time intervals, without any psychoeducational intervention. In both groups, vital signs, anxiety levels, and coping with illness were assessed using standardized scales and measurement methods.
Interventions
BEHAVIORALbibliotherapy
Bibliotherapy is a therapeutic approach that uses carefully prepared reading materials (My Surgery Story) to support individuals' understanding, coping, and anxiety, facilitated through guided reading and discussion.
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Participant masking indicates a patient with a diagnosis of chronic renal failure receiving hemodialysis treatment
Intervention model description
a pretest-posttest randomized controlled experimental design
Eligibility
Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* who were between 10 and 17 years old, * literate (able to read and write), * diagnosed with appendicitis and scheduled for surgery, * without any prior major surgical interventions, * who, along with their parents, consented to participate in the study.
Exclusion criteria
* Failure of the patient to recover physiologically on the 1st and 2nd postoperative days * Presence of postoperative complications * Early discharge from the clinic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vital sign: pulse | Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1) | Pulse is the rhythmic expansion of an artery caused by the ejection of blood from the heart, reflecting the heart rate and rhythm. |
| Vital sign: blood pressure | Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1) | Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic). Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic). Ask ChatGPT Blood pressure is the force exerted by circulating blood against the walls of the arteries, indicating the pressure during heartbeats (systolic) and between beats (diastolic). |
| vital sign: body temperature | Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1) | Body temperature is the measure of the body's ability to generate and dissipate heat, reflecting the balance between heat production and heat loss. |
| vital sign: respiratory rate | Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1) | Breathing, or respiratory rate, is the number of breaths taken per minute, indicating how effectively the body is exchanging oxygen and carbon dioxide. |
| vital sign: Oxygen saturation | Day 1: Before two hours from surgery and at after eigth hours from surgery (Day 1) | Oxygen saturation is the percentage of hemoglobin in the blood that is saturated with oxygen, indicating how efficiently oxygen is being transported to body tissues. |
| State-Trait Anxiety Inventory for Children | Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1) | The State-Trait Anxiety Inventory for Children measures both the temporary (state) and general (trait) levels of anxiety experienced by children. The highest possible score on the State Anxiety Inventory is 60, and the lowest is 20. An increase in the score indicates a higher level of anxiety. |
| Coping Attitudes Assessment Scale | Day 1: 1 hour after the decision for surgery is explained to the patient and and at after eigth hours from surgery (Day 1) | The Coping Attitudes Assessment Scale evaluates an individual's strategies and attitudes toward managing stress and adapting to challenging situations. The highest possible score on the scale is 160, and the lowest is 40. A higher score on the scale indicates a higher level of coping attitude. |
Countries
Turkey (Türkiye)
Outcome results
None listed