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Pre-Operative Education in Breast Surgery, A Quality Improvement Project.

Calvin R Schuster1, Catherine Klein1, Lisa Jacobs1

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Summary
This summary is machine-generated.

A standardized pre-operative video visit improved patient satisfaction before breast surgery but did not significantly reduce overall anxiety. This initiative highlights the complex emotional landscape patients navigate before their procedure.

Keywords:
Pre-operative educationeducationalquality improvement

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Area of Science:

  • Surgical Education
  • Patient Care Quality
  • Oncology Nursing

Background:

  • Standardized pre-operative education is crucial for patient outcomes and satisfaction.
  • Inconsistent education and long gaps between consultation and surgery can lead to patient anxiety and poor adherence.
  • A standardized pre-operative video visit was implemented to address these issues for breast surgery patients.

Purpose of the Study:

  • To implement and evaluate a standardized pre-operative video visit for patient education before breast surgery.
  • To assess the impact of this intervention on patient anxiety and satisfaction levels.

Main Methods:

  • Patients undergoing breast surgery received pre-operative video visits from a Nurse Navigator one week prior to surgery.
  • The State-Trait Anxiety Inventory (STAI) and the Short Assessment of Patient Satisfaction (SAPS) surveys were used to evaluate the intervention.
  • Comparative analysis of STAI scores before and after the visit was performed using Wilcoxon signed-rank and unpaired t tests.

Main Results:

  • No statistically significant difference was found in overall STAI anxiety scores before and after the video visit (p = 0.8).
  • Trends suggested patients felt more secure and pleasant post-visit, though some experienced increased nervousness.
  • Patient satisfaction was very high, with 88% reporting being very satisfied and 12% satisfied with the intervention.

Conclusions:

  • The standardized pre-operative video visit serves as a quality improvement solution for patient education in breast surgery.
  • While patient satisfaction was high, the intervention's effect on anxiety was nuanced, reflecting the complexity of pre-operative emotions.
  • Further research may explore strategies to better mitigate pre-operative anxiety in surgical patients.