Effects of structured pre-operative teaching to surgical patients in Mary Johnston Hospital / Mary Anne G. Rodriguez 6

Thesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 1996.;A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing. 56

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ABSTRACT. This study aimed to determine whether the structured pre-operative teaching affects the surgical patient's compliance to perform bed exercises, decrease anxiety and reduce post-operative complications. A quasi-experimental group design was utilized in presenting the answers to the research problem. The investigation started from May 1, 1995, up to July 30, 1995, in the surgical ward of Mary Johnston Hospital, Tondo, Manila. This study involved 40 surgical patients. There were 20 adults surgical patients in the experimental group and 20 in the control group. Respondents are selected purposively. The study utilized two instruments. The first is a questionnaire and the second is a checklist. Mean, Kruskal Wallis Test, Two Way Anova, T-test and Chi-square were utilized to analyze the data. The investigation resulted in the following findings: Preoperatively, few patients from the experimental and control group received health teachings from the doctors and nurses but still respondents needed further specific and complete structured pre-operative teaching. Both doctors and nurses observe that the following barriers could always affect the effectiveness of structured pre-operative teachings. These are as follows; 1) too many task, 2) patient hospital stay is too short 3) teaching not effective for behavior change. The surgical patients who received structured pre-operative teaching complied more to leg exercises, turning exercises, deep breathing exercises and early ambulation after operation than those who did not receive structured pre-operative teaching. Respondents on the experiment and control group did not comply to coughing exercises because they claimed that they have no secretion to expel. Majority of surgical patients had mild level of anxiety after receiving psychosocial support, situational information, sensational information, skills training and patient role until eight hours postoperatively. Patients who received structured pre-operative teaching and significantly performed bed exercises and early ambulation significantly had fewer complications on the circulatory, respiratory and gastric system. RECOMMENDATIONS Based on the findings of this study the following recommendations are proposed: 1. Nursing Service and Hospital Administrator can improve hospital standards. Findings of this study may be a part of hospital post-operative care for training purposes. 2. Funding for the development of guideline for post-operative care maybe formulated utilizing findings of this study and incorporated in training materials. 3. Organization of a Formal Patient Education Program Top management should actively encourage the development of patient education program and implement such as an integral part of the total health care delivery system. 4. Continuing Staff Development on Patient Education Special attention should be given to the hospital staff in order for them to function effectively as patient educators. In service training should be planned to enable the staff to have a better understanding of in-patient education. Staff nurses and surgeon should have a self-awareness seminar and applied communication technique in their one-to-one interaction with their patients to understand better the patient.

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