Evaluation of a presurgical group program given at two different times.

Area of Science:

• Surgical Education
• Patient Recovery
• Psychological Impact on Health Outcomes

Background:

• Preoperative education is crucial for surgical patients.
• Optimizing the timing of preoperative teaching can enhance patient recovery and reduce anxiety.
• Cholecystectomy patients benefit from structured preoperative information.

Purpose of the Study:

• To evaluate the effectiveness of a preoperative teaching program for cholecystectomy patients.
• To determine the optimal timing for delivering preoperative education (preadmission vs. eve of surgery).
• To assess the impact of the teaching program on patient outcomes including anxiety, function, and hospitalization.

Main Methods:

• A comparative study involving three groups of cholecystectomy patients: preadmission teaching, eve-of-surgery teaching, and a control group.
• Measurement of outcomes including state-anxiety, trait-anxiety, ventilatory function, well-being, pain, functional ability, analgesic use, and length of hospitalization.
• Statistical analysis to compare recovery outcomes between the three groups.

Main Results:

• No significant differences in recovery outcomes were observed between the preadmission and eve-of-surgery teaching groups.
• The control group exhibited higher state-anxiety levels on the eve of surgery compared to both experimental groups.
• State-anxiety and trait-anxiety were identified as key variables influencing patient outcomes, with a positive correlation between pre- and postoperative state-anxiety.

Conclusions:

• Preoperative teaching programs positively influence patient anxiety before surgery.
• The timing of preoperative education (preadmission vs. eve of surgery) did not significantly alter recovery outcomes in this study.
• Anxiety management is critical for improving cholecystectomy patient recovery and should be a focus in preoperative interventions.