수술실 시각정보차단 간호중재가 중심정맥관 삽입술을 받는 암 환자의스트레스와 불안에 미치는 효과 (The Effect of Visual Information Blocking Nursing Intervention on Stress and Anxiety during Chemoport Insertion in Adult Cancer Patients of Operation Rooms)

서지정보

· 발행기관 : 한국성인간호학회
· 수록지 정보 : Korean Journal of Adult Nursing / 30권 / 2호 / 194 ~ 205페이지
· 저자명 : 이미미, 박완주

초록

Purpose: The purpose of this study was to test the effect of visual information blocking nursing intervention (VIBNI)on stress and anxiety of patients undergo chemoport insertion in operating rooms. Methods: A non-equivalent controlquasi-experimental design was used. Forth eight participants were enrolled and randomized to experimentalgroup (VIBNI group, n=24) and control group (n=24). All participants received chemoport insertion under localanesthesia. During chemoport insertion, participants allocated to the VIBNI group had their both eyes covered withgamma-sterilized white gauze (5cm x 20cm, 0.5cm in thickness and 4g in weight) that can transmit light of 330Lux. Data from 43 participants were analysed after excluding 5 participants who withdrew (3 in the VIBNI group, and2 in the control group) due to hypertension and anxiety history. Blood pressure and pulse were measured for stress. Blood sample (3 mL) was obtained before and during the procedure to measure serum cortisol level. State anxietyand VAS was measured for anxiety. Results: The difference of cortisol level between two groups was statisticallysignificant after VIBNI intervention (p=.007). In terms of systolic blood pressure (p=.005) and pulse (p<.001), interactionof two groups appeared to be significant over time. Conclusion: In our sample, participants received the VIBNIreported lower stress responses (cortisol level, systolic blood pressure and pulse) during chemoport insertion. Based upon our preliminary results, further evaluation in a larger sample and objective anxiety is warranted.

영어초록

Purpose: The purpose of this study was to test the effect of visual information blocking nursing intervention (VIBNI)on stress and anxiety of patients undergo chemoport insertion in operating rooms. Methods: A non-equivalent controlquasi-experimental design was used. Forth eight participants were enrolled and randomized to experimentalgroup (VIBNI group, n=24) and control group (n=24). All participants received chemoport insertion under localanesthesia. During chemoport insertion, participants allocated to the VIBNI group had their both eyes covered withgamma-sterilized white gauze (5cm x 20cm, 0.5cm in thickness and 4g in weight) that can transmit light of 330Lux. Data from 43 participants were analysed after excluding 5 participants who withdrew (3 in the VIBNI group, and2 in the control group) due to hypertension and anxiety history. Blood pressure and pulse were measured for stress. Blood sample (3 mL) was obtained before and during the procedure to measure serum cortisol level. State anxietyand VAS was measured for anxiety. Results: The difference of cortisol level between two groups was statisticallysignificant after VIBNI intervention (p=.007). In terms of systolic blood pressure (p=.005) and pulse (p<.001), interactionof two groups appeared to be significant over time. Conclusion: In our sample, participants received the VIBNIreported lower stress responses (cortisol level, systolic blood pressure and pulse) during chemoport insertion. Based upon our preliminary results, further evaluation in a larger sample and objective anxiety is warranted.

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