| OBJECTIVETo investigate the current status of information demand, anxiety levels, levels ofcoping stress and levels of informational satisfaction for the patients withgastrointestinal elective operation. Upon the Orlando nursing program theory, theeffects of intervention of information support on their current status were studied. Toprovide the basis on further instructing the health education for the patients, the modelof information support for the patients was explored.METHODSEighty patients underwent gastrointestinal in a tertiary hospital (hengyang city)enrolled in this study with convenience sampling method. To avoid contaminativeeffects, patients admitted in the hospital between Feb to Apr were assigned to controlgroup. And the patients admitted in the hospital between May to July were allocatedto intervention group. The control group was taken care in the conventional way, andin the conventional care， the intervention group was also taken care in theconventional way and in the dynamic information support according to the Orlandonursing program theory. In more specific terms, in the process of treating theintervention group, we observed the actions of patients, analyzed the reasons for theseactions, tried best to know exactly their minds and reacted to them, namely, providedthem with corresponding information support, at the same time, the patients couldperceive and understand effectively the information support that nurses provided, andactively cooperated with treatment plan and nursing. So, it made a virtuous circle. Weinvestigated respectively the chosen patients with Information Demand Scale,Self-rating Anxiety Scale(SAS), Simplified Coping Style Questionnaire(SCSQ) and Informational Satisfaction Questionnaire on the first day after admission, one daybefore operation, and one day before discharge to describe the levels of the anxiety,pressure coping ability and information satisfaction, and explored the influencingfactors of dynamic information support. All data were analyzed by SPSS13.0, andStatistics methods involved in descriptive analysis, t test, χ2test, repetitive measureanova and ANOVA.RESULTS⑴The average score of information demand of patients with gastrointestinal surgeryon the first day after admission was (64.21±9.35), which was at the intermediate level.The score of demand for disease information was the highest, the score of demandfor environmental information was the lowest.⑵The level of information demand were significantly different among the patientsfrom different marital status and different admission times,(P<0.05).⑶On the first day after admission, the incidence rate of anxiety in the interventiongroup (43.6%), and in the control group was (42.1%),(P>0.05). The score of anxietyin the intervention group was (40.62±8.20), and in the control group was (40.45±9.53),(P>0.05). After receiving the Dynamic information support in one day beforeoperation, the incidence rate of anxiety of patients was significantly lower in theintervention group (35.9%) than that in the control group (68.4%),(P>0.05). Thescore of anxiety in the intervention group (38.67±6.40) was also obviously lower thanthat in the control group (43.21±6.87),(P>0.05). In one day before discharge, theincidence rate of anxiety in the intervention group (25.6%) was obviously lower than(47.4%) that in the control group,(P>0.05). and the score of anxiety in theintervention group (36.44±6.41) was also obviously lower than (40.13±6.18) that inthe control group,(P<0.05).⑷On the first day after admission, there was no statistical difference for the score ofpositive coping stress or negative coping stress between the interventiongroup[(20.44±7.44),(9.10±4.29)] and the control group [(21.82±6.69),(10.18±5.18)],(P>0.05). After receiving the Dynamic information support in one day before operation, the score of them was significantly different between the interventiongroup [(20.10±5.46),(10.08±3.33)] and the control group [(17.34±4.65),(12.34±4.00)],(P<0.05). In one day before discharge, it was also significantly different between theintervention group [(24.23±4.72),(7.90±3.31)] and the control group [(21.84±5.37),(9.61±3.09)](P<0.05).⑸On the first day after admission, the score of information satisfaction was notobviously different between the intervention group（31.46±4.95）and the control group（32.24±4.25）(P>0.05). In one day before operation, the score of informationsatisfaction in the intervention group（33.46±5.83） was very higher than that in thecontrol group（29.68±5.38）, In one day before discharge, the score of informationsatisfaction in the intervention group（37.33±4.63） was also very higher than that inthe control group（28.84±5.71）(P<0.05).CONCLUSION⑴Information demand of the patients with gastrointestinal elective surgery is at amedium level.⑵Information demand of the patients with gastrointestinal elective surgery isdifferent from the different marital status and times of admission.⑶Dynamic information support can reduce the anxiety level of gastrointestinalsurgery patients and the incidence rate of anxiety of them.⑷Dynamic information support can improve the active coping style and reduce thenegative coping style of the patients with gastrointestinal elective surgery.⑸Dynamic information support can enhance the patients with gastrointestinal electivesurgery information support satisfaction. |
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