The Effect of Therapeutic Touch Performed During Cataract Surgery on Anxiety and Patient Satisfaction

Year 2016, Volume: 7 Issue: 1, 52 - 56, 01.03.2016

Emel Yılmaz , Zeliha Birer , Hakan Baydur

https://doi.org/10.5799/jcei.328682

Abstract

Objective: The aim of the study was to determine the effect of therapeutic touch (TT) on anxiety and patient satisfaction
when performed during a cataract surgery.
Methods: A randomized controlled trial sample consisted of 114 individuals, 57 in the intervention group and 57 controls,
who were hospitalized for cataract surgery and who conformed to the study criteria. Prior to the study approval
was obtained from the ethics committee and informed consent was given by the patients. Data was collected using a
personal information form, a visual analogue scale (VAS) to measure anxiety, the Spielberg State/Trait Anxiety Inventory
(STAI) and the Newcastle Satisfaction with Nursing Care Scale (NSNCS). During the surgery, patients in the intervention
group received a 15-minute session of TT.
Results: In the intervention group, patients’ mean VAS anxiety score after TT was 3.56±1.85, while that of the control
group in the 15th minute of the operation was 8,88±1,50. It was found that anxiety levels were reduced in the intervention
group after TT compared with the control group, and that vital signs were affected positively. NSNCS scores of
patients in the intervention group were higher than those in the control group.
Conclusion: It was observed that TT applied during surgery reduced anxiety, affected vital signs positively and increased
patent satisfaction. The application of TT during surgery is recommended. J Clin Exp Invest 2016; 7 (1): 52-62

Keywords

Cataract surgery, therapeutic touch, anxiety, patient satisfaction

References

• 1. Brian G, Taylor H. Cataract blindness-challenges for the 21st century. Bull World Health Organ 2001;79:249-256.
• 2. Asbell PA, Dualan I, Mindel J, et al. Age-related cataract. The Lancet 2005;365:599-609.
• 3. Malik A, Fletcher EC, Chong V, Dasan J. Local anesthesia for cataract surgery. J Cataract Refract Surg 2010;36:133- 152.
• 4. Moon J, Cho K. The effects of handholding on anxiety in cataract surgery patients under local anaesthesia. J Adv Nurs 2001;35:407-415.
• 5. Leo SW, Lee LK, Au Eong KG. Visual experience during phaco emulsification under topical anaesthesia: a nationwide survey of Singapore ophthalmologists. Clin Experiment Ophthalmol 2005;33:578-581.
• 6. Erkin Y, Günenç Ü, Arkan A, et al. Lokal anestezi ile yapılan katarakt cerrahisinde sedasyon için kullanılan midazolam ile fentanil-propofol kombinasyonunun karşılaştırılması. Türkiye Klin J Ophthalmoloji 1996;5:241-244.
• 7. Kim MS, Cho KS, Woo H, Kim JH. Effects of hand massage on anxiety in cataract surgery using local anesthesia. J Cataract Refract Surg 2001;27:884-890.
• 8. Brand LR, Munroe DJ, Gavin J. The effect of hand massage on preoperative anxiety in ambulatory surgery patients. AORN J 2013;97:708-717.
• 9. Ramnarine-Singh S. The surgical significance of therapeutic touch. AORN J 1999;69:358-369.
• 10. Krieger D, Peper E, Ancoli S. Therapeutic touch: searching for evidence of physiological change. Am J Nurs 1979;79:660-662.
• 11. Gagne D, Toye RC. The effects of therapeutic touch and relaxation therapy in reducing anxiety. Arch Psychiatr Nurs 1994;8:184-189.
• 12. Turner JG, Clark AJ, Gauthier DK, Williams M. The effect of therapeutic touch on pain and anxiety in burn patients. J Adv Nurs 1998;28:10-20.
• 13. MacIntyre B, Hamilton J, Fricke T, et al. The efficacy of healing touch in coronary artery bypass surgery recovery: A randomized clinical trial. Altern Ther Health Med 2008;14:24-32.
• 14. Lin Yu-Shen, Taylor AG. Effects of therapeutic touch in reducing pain and anxiety in an elderly population. Integr Med 1998;1:155-62.
• 15. Zolfaghari M, Eybpoosh S, Hazrati M. Effects of therapeutic touch on anxiety, vital signs, and cardiac dysrhythmia in a sample of ıranian women undergoing cardiac catheterization. J Holist Nurs 2012;30:225-234.
• 16. Cline ME, Herman J, Shaw ER, Morton RD. Standardization of the visual analogue scale. Nurs Res 1992;1:378-380.
• 17. Spielberg CD. Manual for State-Trait Anxiety Inventory. Consulting Psychologists Press California, 1970.
• 18. Öner L, Le Compte A. Süreksiz Durumluk/Sürekli Kaygı Envanteri El Kitabı. Boğaziçi Üniversitesi Yayınevi, 1. baskı, İstanbul,1983, p.1-26.
• 19. Thomas LH, McColl E, Priest J, et al. Newcastle Satisfaction with Nursing Scales: an instrument for quality assessments of nursing care. Qual Health Care 1996;5:67-72.
• 20. Uzun O. Hemşirelik bakım kalitesi ile ilgili Newcastle Memnuniyet Ölçeğinin Türkçe formunun geçerlilik ve güvenirliliğinin saptanması. Turk Hemsire Derg 2003;2:16- 24.
• 21. Akın S, Erdoğan S. The Turkish version the Newcastle Satisfaction with Nursing Care Scale used on medical and surgical patients. J Clin Nurs 2007;16:646-653.
• 22. Moeini M, Zare Z, Hazrati M, Saghaei M. Effect of therapeutic touch on patients’ anxiety before coronary artery bypass graft surgery. IJNMR 2008;13:47-51.
• 23. Yavuz M. Ameliyat Öncesi Dönem. In: Karadokovan A, Eti Aslan F, eds. Dahili ve Cerrahi Hastalıklarda Bakım, 2. baskı. Adana: Nobel Kitapevi Yayın Dağıtım ve Pazarlama Ltd Şti, 2011:261-290.
• 24. Çilingir D, Bayraktar N. Günübirlik cerrahi süreci ve hemşirelik bakımı. Hacettepe Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006:69-81.
• 25. Bassett K, Smith SW, Cardiff K, et al. Nurse anaesthetic care during cataract surgery: a comparative quality assurance study. Can J Ophthalmol 2007;42:689-694.
• 26. Kindler CH, Harms C, Amsler F, et al. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients. Anesthetic Concerns Anesth Analg 2000;90:706-712.
• 27. Yılmaz Y, Durmuş K, İnal FY, ve ark. Septoplasti operasyonlarında preoperatif ve postoperatif anksiyetenin postoperatif ağrı ve analjezik ihtiyacına etkisi. Dicle Tıp Derg 2014;41:288-293.
• 28. Aghabati N, Mohammadi E, Esmaiel ZP. The effect of therapeutic touch on pain and fatigue of. cancer patients undergoing chemotherapy. Advance Access Publication eCAM 2010;7:375-381.
• 29. Anderson JG, Suchicital L, Lang M, et al. The effects of healing touch on pain, nausea and anxiety following bariatric surgery. EXPLORE-NY 2015;11:208-216.
• 30. Yüksel N. Ruhsal Hastalıklar, 3. baskı, Ankara: MN Medikal & Nobel, 2006.
• 31. Frank LS, Frank JL, March D, et al. Does therapeutic touch ease the discomfort or distress of patients undergoing stereotactic core breast biopsy? a randomized clinical trial. Pain Med 2007;8:419-424.
• 32. Zare Z, Shahsavari H, Moeini M. Effects of therapeutic touch on the vital signs of patients before coronary artery bypass graft surgery Iran J Nurs Midwifery Res 2010;15:37-42.
• 33. Heidt P. Effect of therapeutic touch on anxiety level of hospitalised patients. Nurs Res 1981;30:32-37.
• 34. Hardwick ME, Pulido PA, Adelson WS. Nursing intervention using healing touch in bilateral total knee arthroplasty. Orthop Nurs 2012;31:5-11.
• 35. Demir T, Açık Y, Kaya MK, ve ark. Fırat Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı’na poliklinik ya da klinik hizmeti almak için başvuran hastaların sunulan hizmetten memnuniyet düzeyleri. F.Ü. Sağ. Bil Tıp Derg 2009:23:119-124.
• 36. Fındık UY, Ünsar S, Sut N. Patient satisfaction with nursing care and its relationship with patient characteristics. Nurs Health Sci 2010;12:162-169.
• 37. Şendir M, Büyükyılmaz F, Yazgan İ, ve ark. Ortopedi ve travmatoloji hastalarının hemşirelik bakımına ilişkin deneyim ve memnuniyetlerinin değerlendirilmesi. F.N. Hem. Derg 2012;20:35-42.
• 38. Kayrakcı F, Özşaker E. Cerrahi hastalarının hemşirelik bakımından memnuniyet düzeylerinin belirlenmesi. F.N. Hem Derg 2014;22:105-113.
• 39. Turan N. Yoğun bakım ünitesinde terapötik dokunmanın önemi. ACU Sağlık Bil Derg 2015;6:134-139.