The impact of nurse led educational intervention on anxiety in patients undergoing cardiac surgery

Abstract

Background: Anxiety is the most common complication for patients who are undergoing cardiac surgery. It has been shown that preoperative anxiety has a negative impact on patient health and healing process. However, nursing education has a positive effect on reduce patient anxiety. Aim: To examine the impact of nurse leads educational interventions in the pre and post operative stage for patients attending cardiac surgery in reducing patient level of anxiety. Methodology: A systematic search was performed by using three databases from Mohammed Bin Rashid University of Medicine and Health Sciences Library. The resources that have been used for the literature review are CINAHAL complete, PubMed, and Medline complete. A total of six studies were included in this systematic literature review. A combination of qualitative and quasi-experimental study. Results: The literature review highlighted that patient’s anxiety can be reduced by several education interventions such as verbal education, booklet, leaflet, dialogue, audiotape, and having individual education session according to the patient source of anxiety. However, it has been showed that participants in the intervention group that received nursing led educational intervention had significant reduction in their anxiety level compare to the control group with the P value of (P < 0.001). However, the literature review also showed participant that receive audiotape education program, had no significant reducing in their level of anxiety with a P-value of (P > 0.05). conclusion: The literature review result shown that nursing education has a positive effect on reducing patients’ level of anxiety and post-operative complications. Preoperative education should be incorporated into nurses’ routine practice while preparing cardiac patients to reduce level of anxiety.