Reducing Preoperative Anxiety in Patients Scheduled for Knee Replacement Surgery: A Preventive Controlled and Randomized Clinical Trial of Nursing health management

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Majed Abdullah Alanazi, Humaidi Ali Alanazi, Ahmed Helail Aldhafeeri, Qaisum Awdah Alenazi, Fahad Dakel Alharbi, Faleh Awad Alharbi


anxiety; knee replacement; control groups; motivational interviewing; orthopedics; perioperative nursing.


Objective: This study aimed to assess the efficacy of a nursing intervention utilizing motivational interviewing techniques in reducing preoperative anxiety among patients scheduled for knee replacement surgery.
Methods: This was a randomized controlled trial conducted on a sample of 56 patients scheduled for knee replacement surgery . Patients were randomly assigned to either an intervention group (n=28) or a control group (n=28). The Amsterdam Preoperative Anxiety and Information Scale,comprising six questions with scores ranging from 5 to 30, was administered before and after the
intervention. The nursing intervention consisted of three 40-minute sessions of motivational interviewing conducted over six weeks prior to the surgical procedure, while the control group received standard education provided by the healthcare institution.

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1.Meléndez et al. (2015) conducted a study on surgical patient perceptions of safety within hospital settings, highlighting the significance of ensuring patient safety during surgical procedures.
2. Bori et al. (2016) explored clinical safety and liability claims in orthopedic surgery and traumatology, emphasizing the importance of minimizing risks associated with surgical procedures.
3. Wilson et al. (2016) reviewed interventions aimed at caring for surgically anxious patients, emphasizing the need for strategies to optimize surgical outcomes.
4. Díez et al. (2012) investigated the effectiveness of a preoperative nursing intervention in controlling anxiety among surgical patients, underscoring the importance of nursing care in addressing preoperative anxiety.
5. Kerper et al. (2015) studied the effects of a psychotherapy program on surgical patients, highlighting the potential benefits of innovative interventions in improving patient outcomes.