Key result
Pre-operative counselling by ICU nurses reduced the proportion of patients with anxiety symptoms following carotid endarterectomy compared to routine care (33.3% vs. 58.3%, p=0.001).
Why the study?
Does pre-operative structured counselling by ICU nurses reduce post-operative anxiety levels in patients undergoing carotid endarterectomy?
RCT (n=120)
Open-label
randomized
Does pre-operative structured counselling by ICU nurses reduce post-operative anxiety levels in patients undergoing carotid endarterectomy?
Absolute Event Rate: 33.3% vs 58.3%
p-value: p=0.001
Pre-operative structured counselling by ICU nurses significantly reduces post-operative anxiety in patients undergoing carotid endarterectomy.
Supports integrating pre-operative ICU nurse counselling into CEA pathways; extends evidence for nurse-led anxiety reduction in vascular surgery.
BACKGROUND: Post-operative anxiety is common and may have significant impact on the post-operative recovery of the patients. Theatre nurse visits before surgery has been shown to reduce patient's anxiety levels following general surgery. AIM: To investigate the effect of pre-operative visits and counselling by intensive care unit (ICU) nurses on patient's anxiety levels following carotid endarterectomy. METHODS: This is an open-label and randomized clinical trial. Patients undergoing carotid endarterectomy were divided into study (n=60) and control group (n=60). For the study group, in addition to routine pre-operational counselling by the surgeons, ICU nurses visited the patients and provided a structured counselling the day before surgery. For the control group, only routine pre-operative counselling was provided. Anxiety levels were assessed by Zung self-rating anxiety scale (SAS) the day before surgery and on the day after being discharged from ICU to the ward. RESULTS: The two groups were comparable in age, sex, surgical methods, and duration of ICU stays. Following the surgery, the mean SAS score in the control group increased from 50.5±5.4 to 58.5±7.3 (p=0.03), whereas the mean SAS score in the study group reduced from 51.5±4.3 to 45.1±6.5 (p=0.02). The proportion of patients with anxiety symptoms in the control group was higher than in the study group following the surgery (58.3% vs. 33.3%, p=0.001). CONCLUSIONS: Pre-operative visits and counselling by ICU nurses could reduce patient's anxiety levels following carotid endarterectomy.
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Yang et al. (2012) conducted an RCT in Carotid endarterectomy (n=120). Pre-operative visits and structured counselling by ICU nurses vs. Routine pre-operative counselling was evaluated on Proportion of patients with anxiety symptoms following surgery (p=0.001). Pre-operative counselling by ICU nurses reduced the proportion of patients with anxiety symptoms following carotid endarterectomy compared to routine care (33.3% vs. 58.3%, p=0.001).