Increased preoperative knowledge reduces surgery-related anxiety: a randomised clinical trial in 100 spinal stenosis patients

Purpose To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosis patients. Methods One hundred patients were randomised into an intervention group (IG, n  = 50) or control group (CG, n  = 50). Both g...

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Bibliographic Details
Published in:European spine journal 2017-10, Vol.26 (10), p.2520-2528
Main Authors: Kesänen, Jukka, Leino-Kilpi, Helena, Lund, Teija, Montin, Liisa, Puukka, Pauli, Valkeapää, Kirsi
Format: Article
Language:English
Subjects:
Anxiety
Anxiety - etiology
Anxiety - prevention & control
Clinical trials
Humans
Immunoglobulins
Medicine
Medicine & Public Health
Neurosurgery
Original Article
Orthopedic Procedures - adverse effects
Orthopedic Procedures - psychology
Pain
Patient Education as Topic
Preoperative Care
Quality of Life
Spinal stenosis
Spinal Stenosis - psychology
Spinal Stenosis - surgery
Surgery
Surgical Orthopedics
Treatment Outcome
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Summary:Purpose To assess the impact of preoperative knowledge on anxiety, health-related quality of life (HRQoL), disability, and pain in surgically treated spinal stenosis patients. Methods One hundred patients were randomised into an intervention group (IG, n  = 50) or control group (CG, n  = 50). Both groups received routine preoperative patient education. IG additionally underwent a feedback session based on a knowledge test. Primary outcome measure was anxiety at the time of surgery. HRQoL, disability, and pain constituted the secondary outcome measures during a 6-month follow-up. Results In IG, a significant reduction in anxiety was noted after the intervention, whereas in CG, anxiety reduced only after the surgery. In both groups, a significant improvement in HRQoL, disability, and pain was noticed at the 6-month follow-up, but there were no between-group differences. Conclusions Higher knowledge level may reduce preoperative anxiety but does not seem to affect the self-reported clinical outcomes of surgery.
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-017-4963-4