The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty

Purpose: The purpose of this study was to verify the effects of visual information on nursing management to elderly total knee arthroplasty (TKA) patients. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used in this study. Participants of this study were 60 elderly patients with TKA admitted to one hospital: the control group (30) between July and September, 2013, and the experimental group (30) between April and July, 2013. Anxiety and uncertainty were determined at baseline and at 3 days after TKA in both groups. Results: Two days after the visual information, the experimental group showed a significant decrease in anxiety and uncertainty compared with the control group. Conclusion: The results of this study show that providing visual information was effective in decreasing postoperative patient anxiety and uncertainty in elderly TKA patients. Therefore, when an elderly patient is hospitalized for TKA, positive and systematic provision of visual information may provide a positive effect by reducing postoperative patient anxiety and

[1]  O. Cho Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer , 2000 .

[2]  J. Coste,et al.  Positive Effect of Patient Education for Hip Surgery: A Randomized Trial , 2003, Clinical orthopaedics and related research.

[3]  C. Collette Understanding patients' needs is the foundation of perioperative nursing. , 2000, AORN journal.

[4]  D. O'Connor,et al.  Effects of psychological distress and perceptions of illness on recovery from total knee replacement. , 2014, The bone & joint journal.

[5]  Charles D. Spielberger,et al.  Anxiety: Current Trends in Theory and Research , 1972 .

[6]  T. Yoon,et al.  The evloution of total knee and hip joint arthroplasty , 2011 .

[7]  S. Bierma-Zeinstra,et al.  Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. , 2013, Osteoarthritis and cartilage.

[8]  M. Mitchell Conscious surgery: influence of the environment on patient anxiety. , 2008, Journal of advanced nursing.

[9]  P. Lachenbruch Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[10]  A Legge,et al.  A positive effect. , 1998, Community nurse.

[11]  M. H. Cohen Diagnostic closure and the spread of uncertainty. , 1993, Issues in comprehensive pediatric nursing.

[12]  Charlotte Daniels,et al.  Effect of a Preoperative Intervention on Preoperative and Postoperative Outcomes in Low-Risk Patients Awaiting Elective Coronary Artery Bypass Graft Surgery , 2000, Annals of Internal Medicine.

[13]  M. Mishel,et al.  The Measurement of Uncertainty in Illness , 1981, Nursing research.

[14]  M. Mishel Uncertainty in illness. , 1988, Image--the journal of nursing scholarship.

[15]  J. Kim,et al.  A study based on the standardization of the STAI for Korea , 1978 .