]>
IRCT20230330057785N1 IRCT 2023-04-18 Zanjan University of Medical Sciences The effect of educational program on patients' anxiety the effect of educational program based on Newman's systemic model on the anxiety of eye surgery candidates 2023-05-20 anticipated 70 Complete https://irct.ir/trial/69493 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The participants will be randomly divided into two intervention groups or control groups using the block method. For this purpose, with the help of the site www.sealedenvelope.com and by specifying the number of participants, the number of groups, the size of the blocks, the list and the order of the participants will be determined. Then the group list (intervention, control) of the participants will be written in the sealed envelope in order, and after determining the criteria for entering the patients, it will be opened to determine their group. It is necessary to explain that blocking will be done by someone other than the researcher. N/A Candidate patients for eye surgery. Intervention 1: Intervention group:Intervention group: The day before the surgery, the intervention will be performed by the researcher according to Betty Newman's systemic nursing model. The examination tool provided by Betty Newman in this model is related to the totality of the individual and includes the following 3 principles: 1- Full knowledge of the factors that affect the understanding of the patient. 2- Approving and valuing a stressor by the patient and caregiver. 3- Factors that affect the caregiver's mind in examining the patient's condition, In this regard, the researcher identifies the factors affecting their anxiety. In the evaluation stage of Newman's systemic model, first, potential/actual tensions, appropriate goals and strategies for actions will be determined, and then natural and flexible defense lines will be strengthened, in which the penetration of stressful factors into the line will be strengthened. Natural defenses will be prevented and the intensity of the reaction will be reduced. The educational content at the level of first prevention includes: explaining the eye anatomy, the role of proper nutrition in relieving stress and anxiety and creating confidence in the hospital and operating room environment, post-operative care and instructions (how to bathe, the position of the patient while sleeping, and taking medications) Was.In the second level of prevention, the compromised natural and flexible defense lines will be restored. The intervention aimed at strengthening the internal defense lines will be carried out in order to reduce the reaction to stressful factors. Educational content at the level of secondary prevention includes: intervention based on the needs and stress factors diagnosed by the patient and the nurse based on Newman's stress factors:• Intrapersonal (awareness of rehabilitation stage, care at home, awareness of surgery, time to return to the ward, awareness of nutrition therapy)• Interpersonal (explaining hospital treatment methods, psychological support, communicating with patients and providing information about drugs)• It will be extroverted (providing information about insurance and paying expenses, talking to the health department and referring patients to charities, creating a calm environment and reducing noise).In the third level of prevention, the use of public system resources, including internal and external environments, will be maximized. The educational content in the third level of prevention will include: the implementation of Benson's sedation method to improve sedation responses. Intervention 2: The control group will receive routine ward care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Ali Aghajanloo
Dr Sobouti (Gavazang) Blvd, Central Campus of Zanjan University of Medical Science,School of Nursing and Midwifery
Zajnan Iran (Islamic Republic of) 4513956113 +98 24 3314 8123 aliaghajanloo2001@yahoo.com Zanjan University of Medical Sciences scientific Ali Aghajanloo
Dr Sobouti (Gavazang) Blvd, Central Campus of Zanjan University of Medical Science,School of Nursing and Midwifery
Zanjan Iran (Islamic Republic of) 4513956113 +98 21 3314 8123 aliaghajanloo2001@yahoo.com Zanjan University of Medical Sciences Iran (Islamic Republic of) Not having psychological diseases Not taking anti-anxiety drugs Not being addicted to opioids or narcotic painkillers Having consent to study Having surgery in the eye area 18 years 65 years Both Lack of cooperation or patient satisfaction at any stage of the study Aggravation of the patient's conditions during the study and the need for advanced interventions Rehabilitation Rehabilitation Intervention group:Intervention group: The day before the surgery, the intervention will be performed by the researcher according to Betty Newman's systemic nursing model. The examination tool provided by Betty Newman in this model is related to the totality of the individual and includes the following 3 principles: 1- Full knowledge of the factors that affect the understanding of the patient. 2- Approving and valuing a stressor by the patient and caregiver. 3- Factors that affect the caregiver's mind in examining the patient's condition, In this regard, the researcher identifies the factors affecting their anxiety. In the evaluation stage of Newman's systemic model, first, potential/actual tensions, appropriate goals and strategies for actions will be determined, and then natural and flexible defense lines will be strengthened, in which the penetration of stressful factors into the line will be strengthened. Natural defenses will be prevented and the intensity of the reaction will be reduced. The educational content at the level of first prevention includes: explaining the eye anatomy, the role of proper nutrition in relieving stress and anxiety and creating confidence in the hospital and operating room environment, post-operative care and instructions (how to bathe, the position of the patient while sleeping, and taking medications) Was.In the second level of prevention, the compromised natural and flexible defense lines will be restored. The intervention aimed at strengthening the internal defense lines will be carried out in order to reduce the reaction to stressful factors. Educational content at the level of secondary prevention includes: intervention based on the needs and stress factors diagnosed by the patient and the nurse based on Newman's stress factors:• Intrapersonal (awareness of rehabilitation stage, care at home, awareness of surgery, time to return to the ward, awareness of nutrition therapy)• Interpersonal (explaining hospital treatment methods, psychological support, communicating with patients and providing information about drugs)• It will be extroverted (providing information about insurance and paying expenses, talking to the health department and referring patients to charities, creating a calm environment and reducing noise).In the third level of prevention, the use of public system resources, including internal and external environments, will be maximized. The educational content in the third level of prevention will include: the implementation of Benson's sedation method to improve sedation responses. The control group will receive routine ward care Anxiety. Timepoint: Before and after the intervention. Method of measurement: Spielberger questionnaire. Zanjan University of Medical Sciences Approved 2023-03-12 Ethics committee of Zanjan University of Medical Sciences Zanjan University of Medical Sciences , Dr.Sobouti Blvd. Zanjan Zanjan Iran (Islamic Republic of)