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Patients´ experiences of mood while waiting for day surgery
Örebro University, School of Health Sciences.
2016 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Preoperative psychological state is a major issue in day surgery; especially as patients have a short hospital stay. Except for preoperative anxiety, knowledge is sparse about how patients’ experience mood during waiting for day surgery.

The overall aim of this thesis was to describe preoperative moods, persons’ experiences of preoperative mood, and the experiences persons´ describe as having an influence on their preoperative waiting.

In study І, mixed methods were used. Data from 163 participants were collected through a study-specific questionnaire. In study ІІ, a qualitative method was used. Data from 20 participants were collected through semi-structured interviews. All participants (n=183) were waiting for small or medium surgery within four different specialties’ (I, II). Data were analysed with descriptive statistics and thematic content analysis (І) and inductive content analysis (ІІ).

The main finding was that preoperative patients experience a variety of moods, besides anxiety patients may experience a positive mood. Moodinfluencing factors while waiting for day surgery were found. Patients may experience a shifting mood or to not feel calm, while other patients may feel calm, and experience a harmonious mood. Nearly half of the participants felt calm before surgery, as seventy persons (43 %) stated that they felt calm, whereas 91 persons (57%) stated that they did not feel calm (І). Previous negative experiences from health care were confirmed as a trigger for anxiety. Earlier positive experiences, feelings of trust and expectations contribute to a harmonious mood and to feel calm. Regard-less of mood, patients´ experienced feeling hope about regaining health as a help to balance mood (I-II).

The findings contribute to knowledge about different preoperative moods and may have implications in improving preoperative care with support strategies that benefits patients’ during waiting for day surgery regardless of psychological state

Place, publisher, year, edition, pages
Örebro: Örebro university , 2016. , 76 p.
Series
, Örebro Studies in Medical Sciences with a specialization in Healthcare Sciences
Keyword [en]
preoperative, mood, anxiety, calm, preoperative care, nursing, day surgery
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-52058OAI: oai:DiVA.org:oru-52058DiVA: diva2:968693
Presentation
2016-01-29, Universitetssjukhuset, Bohmanssonsalen, Södra Grev Rosengatan, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Note

Alternativ benämning av serie

Örebro Studies in Care Sciences

Available from: 2016-09-12 Created: 2016-09-08 Last updated: 2016-09-20Bibliographically approved
List of papers
1. Calm or not calm: the question of anxiety in the perianesthesia patient
Open this publication in new window or tab >>Calm or not calm: the question of anxiety in the perianesthesia patient
2008 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 23, no 4, 237-246 p.Article in journal (Refereed) Published
Abstract [en]

Preoperative anxiety can be a major problem for the patient. Three distinct dimensions of preoperative anxiety are known: fear of the unknown, fear of feeling ill, and fear for life. The aim of this study was to investigate whether patients feel anxiety (calm or not calm) preoperatively before undergoing an elective day care surgery and also to elucidate the factors contributing to a patient's current state of mind. A prospective study with 161 American Society of Anesthesiologists I-II outpatients scheduled for elective surgery was conducted. In a questionnaire the patients were asked to state if they were feeling calm or not and to describe factors contributing to their current mood. If responding that they did not feel calm, the participants were asked to rate the level of anxiety on a Numeric Rating Scale, 1-10. The results showed that 57% (n = 91) of the participants stated that they did not feel calm. A significantly higher proportion of women did not feel calm (65%), P < .05. Significantly more participants with a previous experience of surgery felt calm (90%), P < .01. In all, 190 statements were submitted. The results show that nearly half of the participants felt calm before surgery. The reasons were earlier positive experiences, feeling of security and caring, being well-informed, and having positive expectations. Furthermore, a higher proportion of women did not feel calm preoperatively. This indicates a need before surgery to routinely document and evaluate the individual patient's state of mind and reasons for the state of mind. This individual preoperative care can make it possible to provide emotional support, decrease anxiety, and give the patient a more positive surgical experience.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2008
Keyword
anxiety, calm, day care surgery, nursing, ambulatory surgery
National Category
Medical and Health Sciences Anesthesiology and Intensive Care Nursing Social Sciences Interdisciplinary
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-6996 (URN)10.1016/j.jopan.2008.05.002 (DOI)18657759 (PubMedID)2-s2.0-47649096452 (ScopusID)
Available from: 2009-05-28 Created: 2009-05-28 Last updated: 2016-09-12Bibliographically approved
2. Patients’ experience of mood while waiting for day surgery
Open this publication in new window or tab >>Patients’ experience of mood while waiting for day surgery
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: The aim was to describe the moods experienced by people waiting for day surgery.

Background: Except for anxiety, there is a lack of knowledge about the moods experienced by patients while waiting for day surgery, as well as the impact of mood during the perioperative period. Preoperative anxiety is common and has multiple negative effects. A deeper knowledge of preoperative moods and how they are experienced is needed and may be useful for improving perioperative care.

Design: Qualitative descriptive design.

Methods: Qualitative semi-structured interviews (n = 20) with adults waiting for day surgery in a Swedish university hospital. Data were analysed with inductive content analysis.

Results: The informants described a variety of moods and mood-influencing reasons. The main category that emerged was, ‘feeling hope about regaining health as a help to balance mood’ regardless of mood. This category was abstracted from the generic categories ‘experiencing a harmonious mood’ and ‘experiencing a shifting mood’. The subcategories were ‘feeling calm and at ease despite concerns and fear’, ‘experiencing expectation’, ‘feeling trust and confidence’, ‘shifting between expectancy and anxiety’, ‘feeling vulnerable and exposed, and ‘feeling uncertainty’.

Conclusions: The findings contribute to the knowledge about that regardless of mood, feeling hope about regaining health may help patients to balance their mood during the waiting period.

Relevance to clinical practice: The results can have implications with respect to developing and improving preoperative care, such as having clinicians extend offers of individual assistance and information during the waiting period to patients experiencing shifting mood. Instilling hopefulness in patients who are waiting for day surgery by means of clinical staff attitudes and interactions may help patients to develop healthy coping strategies and thereby improve their physical and emotional well-being.

Place, publisher, year, edition, pages
West Sussex, United Kingdom: Wiley-Blackwell Publishing Inc., 2016
Keyword
Affect, anxiety, calm, expressed emotion, hope, nursing care, preoperative care, state of mood
National Category
Medical and Health Sciences Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-51934 (URN)10.1111/jocn.13304 (DOI)27349201 (PubMedID)
Available from: 2016-09-01 Created: 2016-09-01 Last updated: 2016-09-12Bibliographically approved

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