A controlled trial of psycho-educational interventions in preparing Chinese women for elective hysterectomy

Int J Nurs Stud. 2003 Feb;40(2):207-16. doi: 10.1016/s0020-7489(02)00080-9.

Abstract

The objective of this study was to investigate the effect of a cognitive intervention (distraction and reappraisal) with information given pre-operatively on post-operative outcomes of Chinese women having an abdominal hysterectomy. Using a controlled trial, 48 Chinese women having elective hysterectomy received the cognitive intervention with information (experimental group). A control group (n=48) received information alone. Outcome measures used in the study were post-operative anxiety and pain, requests for analgesia and patient satisfaction. The results show that women in the experimental group reported lower post-operative anxiety scores, lower pain scores and higher levels of satisfaction than women in the control group. There were no statistically significant differences in post-operative requests for analgesia between the groups. It is concluded that a cognitive intervention such as distraction and reappraisal may have significant clinical benefits and improve the care of women having an elective hysterectomy.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Analgesics / administration & dosage
  • Anxiety / etiology
  • Asian People
  • China
  • Cognitive Behavioral Therapy*
  • Elective Surgical Procedures / psychology*
  • Female
  • Humans
  • Hysterectomy / psychology*
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Pain, Postoperative / drug therapy
  • Patient Education as Topic
  • Patient Satisfaction
  • Pilot Projects
  • Preoperative Care
  • Treatment Outcome

Substances

  • Analgesics