Effect of Preoperative Counseling on Anxiety and Satisfaction among Women Undergoing Hysterectomy

Abstract

This study aimed to investigate the effect of preoperative counseling on anxiety and satisfaction among women undergoing hysterectomy. Design: A quasi-experimental design was used. Sample type: Purposive sampling was applied. Setting: The study was conducted at the Gynecological department in Mansoura University Hospital, Egypt. Subjects: One hundred women undergoing laparoscopic hysterectomy and fulfilled the criteria, they randomly assigned into intervention group:

Consist of 50 women who were given preoperative counseling and control group: Consist of 50 women who were given routine hospital care. Tools: An interviewing questionnaire schedule, Beck Anxiety Inventory, Satisfaction Likert scale. Results: The present study findings revealed that, mean of anxious score among studied groups before and after intervention was nearly the same before intervention, while there was highly statistically significantly different between studied groups after intervention (16.14 ± 9.75) in the intervention group compared to (30.82 ± 7.96) in the control group . Also, there was a significant decrease in average anxious score after intervention (P= 0.001), while it is not a significant decrease in the control group (P= 0.176). About 74.0% of women were satisfied by pre-operation counseling. Conclusion: It was evident from the present study findings that women undergoing laparoscopic hysterectomy who received preoperative counseling demonstrated lower anxiety levels of statistical significance and higher satisfaction postoperative when compared with women who received only the routine hospital care.

Therefore, it is recommended that nurses should receive training so as to integrate preoperative counseling into the routine hospital care.