Faculty of nursing, West China School of Medicine, Sichuan University, Chengdu, China
Radical gastrectomy with regional lymphadenectomy is the mainstay of curative treatment strategy for gastriccancer. Gastrectomy can be physically and psychologically stressful for patients with gastric cancer. It is hypothesisedthat appropriate education before gastrectomy can benefit patients. Tranditionally, information was given verbally bynurse in charge. Currently, we investigate the effects of a educational video for patients with gastric cancer on knowledgerecall, satisfaction, anxiety and postoperative outcomes.
This study was a surgeon-blineded, randomized controlled trial, performed at the Department ofGastrointestinal Surgery, West China Hospital, Sichuan University in Sichuan Province, China. One hundred sixty eligiblepatients undergoing elective gastrectomy were randomized in a 1:1 ration to either a study group or a control group. Thestudy group was provided a 18-minite educational video, which outlined preoperative, operative and postoperativeexpectations for patients undergoing elective gastrectomy. The control group was give information verbally by nurse incharge. All patients completed a questionnaire measuring recall of information received immediately after education.Standard discharge criteria was employed for all patients. Then all patients completed a survey about satisfaction andanxiety at discharge, which were measured with a VAS scale (a 10-point scale).Demographics and postoperativeoutcomes data were recorded.
Both groups were similar in age, sex, tumor type and characteristics of the initial physical examination. Thestudy group answered 92.4% of the knowledge questions correctly, whereas the control group answered only 63.7%correctly (P=0.027). The study group scored their satisfaction with a mean VAS of 9.62 whereas the control group had amean of 7.97 (P=0.012). Patients in the study group reported less anxiety about the admission to the hospital (8.22±0.74vs 7.67 ± 0.83; p=0.042) and the surgical experience (6.73±1.04 vs 5.38 ± 0.76; p=0.038). Five (6.25%) patients in thestudy group and eleven patients(13.75%) in the control group reported adverse events, such as pneumonia and deep veinthrombosis, with a statistically significant difference between two groups (P=0.032).
Implementation of a perioperative educational video in patients undergoing elective gastrectomy canimprove their retained knowledge, enhance satisfaction, relieve anxiety and improve postoperative outcomes.