Volume 21, Issue 5 (August 2023)
Nursing and Midwifery Journal 2023, 21(5): 415-423 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jasemi M, Mirzaie R, Cheragi R, Alinejad V. THE EFFECT OF ROLE-PLAYING THERAPEUTIC COMMUNICATION TRAINING IN NURSES ON PATIENTS' ANXIETY BEFORE SURGERY; A QUASI-EXPERIMENTAL STUDY. Nursing and Midwifery Journal 2023; 21 (5) :415-423
URL: http://unmf.umsu.ac.ir/article-1-4779-en.html
URL: http://unmf.umsu.ac.ir/article-1-4779-en.html
1- Associate Professor of Nursing Education, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
2- Master of science student, Medical Surgical Nursing, Urmia University of Medical Science (Corresponding Author)
3- Nursing Instructor, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4- Assistant Professor of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
2- Master of science student, Medical Surgical Nursing, Urmia University of Medical Science (Corresponding Author)
3- Nursing Instructor, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
4- Assistant Professor of Biostatistics, Urmia University of Medical Sciences, Urmia, Iran
Abstract: (646 Views)
Background & Aim: Anxiety as a factor affecting the health of the body in the preoperative period reduces immune reactions and increases the risk of wound infection, the patient's hospitalization, and treatment costs. Communication therapy is one of the ways to reduce anxiety that creates an effective therapeutic relationship. Therefore, a study was conducted to determine the effect of therapeutic communication training by role-playing to nurses on patients' anxiety before abdominal surgery in Imam Khomeini Hospital in Urmia in 2019.
Materials & Methods: In this quasi-experimental study, nurses were selected by convenient sampling and randomly assigned to the control and intervention groups. In the intervention group, nurses were taught communication skills by role-playing in an 8-day course. No intervention was performed in control (except for routine care). Before and after the intervention, the test was performed as a pre-test and post-test using the Spielberger questionnaire. The data obtained from the research units were analyzed by SPSS 16 statistical software using Chi-square and t-test to evaluate the research results.
Results: The results did not show a statistically significant difference between the control and intervention groups in terms of state anxiety score (P = 0.698) and hidden anxiety scores (P=0.72) before the intervention. However, after training of communication skills, there was a statistically significant difference between the control and intervention groups regarding state anxiety score (P = 0.006) and hidden anxiety (P=0.001).
Conclusions: The results showed that training communication skills in the role-playing method in nurses leads to better therapeutic communication between them and the patient, better retelling of concerns by the patient and also reducing their anxiety level before abdominal surgery. Considering the role of nurses' communication skills in reducing anxiety in patients before surgery, it is suggested that communication skills should be taught to nurses using effective educational methods, including role-playing.
Materials & Methods: In this quasi-experimental study, nurses were selected by convenient sampling and randomly assigned to the control and intervention groups. In the intervention group, nurses were taught communication skills by role-playing in an 8-day course. No intervention was performed in control (except for routine care). Before and after the intervention, the test was performed as a pre-test and post-test using the Spielberger questionnaire. The data obtained from the research units were analyzed by SPSS 16 statistical software using Chi-square and t-test to evaluate the research results.
Results: The results did not show a statistically significant difference between the control and intervention groups in terms of state anxiety score (P = 0.698) and hidden anxiety scores (P=0.72) before the intervention. However, after training of communication skills, there was a statistically significant difference between the control and intervention groups regarding state anxiety score (P = 0.006) and hidden anxiety (P=0.001).
Conclusions: The results showed that training communication skills in the role-playing method in nurses leads to better therapeutic communication between them and the patient, better retelling of concerns by the patient and also reducing their anxiety level before abdominal surgery. Considering the role of nurses' communication skills in reducing anxiety in patients before surgery, it is suggested that communication skills should be taught to nurses using effective educational methods, including role-playing.
References
1. Rose J, Weiser TG, Hider P, Wilson L, Gruen RL, Bickler SW. Estimated Need for Surgery Worldwide based on Prevalence of Diseases: a Modelling Strategy for the WHO Global Health Estimate. Lancet Glob Health 2015;3 (2): 13-20.10.1016/s2214-109x(15)70087-2 2. Tol A, Pardel Shahri M, Esmaelee Shahmirzadi S, Mohebbi B, Javadinia SA. Effect of Blended Education Program on Anxiety Among Orthopedic Patients Surgery. J Nurs Edu 2013;2(3):1-8.
10.1016/S2214-109X(15)70087-2 [] [PMID]
2. Ghardashi F. Factors Affecting Preoprative Anxiety. Koomesh. 2007; 8(3): 123-36. (Persian) [URL]
3. Ghazanfari Z, Forough Ameri G, Mir Hosseini M. The nursing staff view about barriers of using pain relief methods. Iran J Crit Care Nurs 2011;3(4):153-6 (Persian) [URL]
4. Bahrami M, Dehghani S, Eghbali M, Beigi RD. The Effect of a Communicative-Educative Program on Patients' Satisfaction from Pain Management Following Cancer Surgery. Med Ethics J 2014;8(26):47-67. [URL]
5. hani Dehkordi F, Amirian Z. The Impact of Abdominal Binder on the Pain Intensity and Satisfaction of the Hospitalized Patients after Abdominal Surgery. Iran J Nurs 2015;28(96):22-9. [DOI:10.29252/ijn.28.96.22]
6. Berns GS, Capra CM, Moore S, Noussair C. Neural Mechanisms of the Influence of Popularity on Dolescentratings of Music. NeuroImage 2010;49(3):2687-96. [DOI:10.1016/j.neuroimage.2009.10.070] [PMID] [PMCID]
7. Valiee S, Bassampour SS, Nasrabadi AN, Pouresmaeil Z, Mehran A. Effect of Acupressure on Preoperative Anxiety: a Clinical Trial. Journal of Perianesthesia Nursing. 2012; 27(4): 259-66. (Persian) Asilioglu K, Celik SS. The Effect of Preoperative Education on Anxiety of Open Cardiac Surgery Patients. Patient Educ Couns 2004; 53(1):65-70. [DOI:10.1016/j.jopan.2012.05.003] [PMID]
8. Mirkarimi M. The Effects of Aromatherapy on Anxiety and Depression of Nursing Students. Islamic Azad University, Tehran Medical Branch: 2009. (Persian) [URL]
9. Bahrami N, Soleimani MA, Sharifnia H, Shaigan H, Sheikhi MR, Mohammad-Rezaei Z. Effects of Anxiety Reduction Training on Physiological Indices and Serum Cortisol Levels Before Elective Surgery. Iran J Nurs Midwifery Res 2013; 18(5): 416. (Persian) [] [PMCID]
10. Bassampour S, Nikbakht Nasrabadi A, Mehran A, Poresmaeil Z, Valiee S. Effect of Acupressure on Patients' Anxiety and Vital Sign before Abdominal Surgeries. Hayat 2009; 14(2): 23-34. (Persian) [Google Scholar]
11. Goli, R, Arad, M, Mam-Qaderi, M, & Parizad, N. Comparing the effects of geranium aromatherapy and music therapy on the anxiety level of patients undergoing inguinal hernia surgery: A clinical trial. Explore 2020:1-7. [DOI:10.1016/j.explore.2020.08.004] [PMID]
12. Tadaionfar M, Mohebi M, Koshan M, Rakhshani M. The Effects of Guided Imagery on Anxiety Level of the Patients Undergoing Appendectomy. J Sabzevar Univ Med Sci 2014; 20(5): 681-85 (Persian) [Google Scholar]
13. Uzun S, Rural H, Uzun M. State and Tait Anxiety Levels before Coronary Angiography. J Clin Nurs 2008;12: 602-7. [DOI:10.1111/j.1365-2702.2007.02018.x] [PMID]
14. Lorie M, Force M, Sebold M. Aromatherapy and Reducing Preprocedural Anxiety. Gastroenterol Nurs 2006; 29(6): 466-741. [DOI:10.1097/00001610-200611000-00005] [PMID]
15. Mazlom S, Navidi F, Hajimohamadi F, Ghanbari B. The Effect of Communication to Patient before Anesthesia on Postoperative Pain and Agitation. Mashhad Univ Med Sci J 2012.
16. Meleis AI. Theoretical Nursing: Development and Progress. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2005 [Google Scholar]
17. De Almeida Araujo IM, da Silva RM, Bonfim IM, Fernandes AF. Nursing Communication in Nursing Care to Mastectomized Women: a Grounded Theory Study. Rev Lat Am Enfermagem 2010; 18(1):54-60.
https://doi.org/10.1590/S0104-11692010000100009 [DOI:10.1590/s0104-11692010000100009] [PMID]
18. Nasiripour A, Saeedzadeh ZS, Sabahi Beedgoli M, Correlation between Nurses Communication Skills and Inpatient Service Quality in the Hospital of Kashan University of Medical Sciences. J Health Promot Manag 2012;1(1):45-54. (Persian) [Google Scholar]
19. Kosar Fahimi, Ali Abbasi, Mahdi Zahedi, Farzaneh Amanpour, Maryam Gilani, Hossein Ebrahimi, Investigation of the Effect of Multimedia Education on Anxiety Before and After Surgery in Patients Undergoing Coronary Artery Bypass Graft Surgery Sci J Hamadan Nurs Midwifery Fac 2018; 26(3): 137-44. (Persian) [DOI:10.30699/sjhnmf.26.3.144]
20. Cooke M, Walker R, Aitken LM, Freeman A, Pavey S, Cantrill R. Pre-operative self-efficacy education vs. usual care for patients undergoing joint replacement surgery: a pilot randomized controlled trial. Scand J Caring Sci 2016; 30(1): 74-82. [DOI:10.1111/scs.12223] [PMID]
21. Baghiani, Moghadam MH, R. Esfandiari, M. Nazari. "Comparison of the Effect Written or Speech Communication Skills Training of Health Staff on Clients'Satisfaction of Shiraz Health Centers. Tolooebehdasht (2012): 32-40. (Persian) [URL]
22. Baghianimoghadam M, Esfandiari R, Nazari M. Comparison of the Effect of Written or Speech Communication Skills Training of Health Staff on Clients' Satisfaction of Shiraz Health Centers. Tolooebehdasht 2012; 11 (1):32-40. (Persian) [URL]
23. Pourghaznein T, Sabeghi H, Shariatinejad K. Effects of E-learning, Lectures, and Role Playing on Nursing Students' Knowledge Acquisition, Retention and Satisfaction. Med J I R Iran 2015;29:162. (Persian). [PMCID]
24. Gillespie GL, Brown K, Grubb P, Shay A, Montoya K. Qualitative Evaluation of a Role Play Bullying Simulation. J Nurs Edu Pract 2015;5(7):73. [DOI:10.5430/jnep.v5n6p73] [PMID] [PMCID]
25. Moradi E, Didehban H. Requirements for the Proper Use of Role Playing Methods at Medical Universities. Teb va Tazkiye 2017;3(25):147-56. (Persian) [DOI:10.21608/ajs.2017.12817]
26. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the state-trait anxiety inventory (Palo Alto, CA, Consulting Psychologists Press). Inc. 1983. [DOI:10.53841/bpstest.2003.stai]
27. Mahram B. Standardization of Spielberger Inventory in Mashhad. [dissertation]. Tehran: Allameh Tabataba'i University. 1994. (Persian)
28. Erci B, Sezgin S, Kaçmaz Z. The impact of therapeutic relationship on preoperative and postoperative patient anxiety. Aust J Adv Nurs 2008;26(1):59. [Google Scholar]
29. Leinonen T, Leino-Kilpi H. Research in peri-operative nursing care. J Clin Nurs 1999; 8(2): 123-38. [DOI:10.1046/j.1365-2702.1999.00239.x] [PMID]
30. Rezaei NM, Ashk TT, Fatah ML, Noori E, Amiri H, Mina F. The Effects of Communication Skill's Training for Nurses on the Violence of Patients and Companions in Selected Hospitals Afeiliated to Iran University of Medical Sciences 2016 to 2017. Zanko Med J (2019): 21-30 (Persian) [Google Scholar]
31. Basampour SH. The effect of education on anxiety before and after open heart surgery. Payesh 2004; 3(2): 139-44. (Persian) [Google Scholar]
32. Jasemi M, Davan M, Askari B, Alinejad V. Impact of orientation with the virtual tour method on preoperative anxiety of patients who are candidates for open heart surgery. Nurs Midwifery J 2023; 20 (10):786-93 [DOI:10.52547/unmf.20.10.786]
33. Mahmoudi HO, Ebadi AB, Salimi SH, Najafi Mehri S, Mokhtari Noori J, Shokrollahi F. Effect of nurse communication with patients on axiety, depression and stress level of emergency ward patients. J Crit Care Nurs 2010;3(1):3-4. (Persian) [Google Scholar]
34. Zare Marzouni H, Karimi M, Narimi Z, Ghasemi A, Janaki M. Effects of education on reduction of stress and anxiety of orthopedic surgery. Navid No 2016;19(62):62-8. (Persian) [Google Scholar]
35. Fahimi K, Abbasi A, Zahedi M, Amanpour F, Gilani M, Ebrahimi H. Investigation of the Effect of Multimedia Education on Anxiety Before and After Surgery in Patients Undergoing Coronary Artery Bypass Graft Surgery. Avicenna J Nurs Midwifery Care 2018; 26 (3):137-44. (Persian) [DOI:10.30699/sjhnmf.26.3.144]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Contact Information
Address: Urmia University of Medical Sciences, Deputy of Research and Technology,Djahad Ave.,
Urmia-5714783734, IRAN
P.O. Box: 1138,
Tel: 044 - 331937224
Fax: 044 - 32240642
E-Mail:
j.nur.mid
gmail.com, unmfumsu.ac.ir