The Effect of Psycho-Education on Depression, Anxiety and Pain for Patients Undergoing Hip And Knee Replacement

Document Type : Original Article

Authors

1 Demonstrator of Psychiatric& Mental Health Nursing – Faculty of Nursing- Assiut University.

2 Professor of Psychiatry - Faculty of Medicine- Assiut University

3 Professor of orthopedic surgery- Faculty of Medicine- Assiut University .

4 Lecturer of Psychiatric& Mental Health Nursing – Faculty of Nursing- Assiut University

Abstract

Hip and knee replacement can be worrying, compromising the patient both physically and psychologically. Preoperative Psycho-education supports the success of interventions in reducing depression, anxiety and pain. The study aimed to: assess the effect of psycho-education on depression, anxiety and pain for patients undergoing hip and knee replacement. Subjects and Method: Pretest - posttest control group design was used. Purposive sample follows inclusion criteria included 90 patients; Preoperative psycho-education was applied for 43 patient as experimental group and another 47 patient didn‟t receive psycho-education as control group .Tools: patients were assessed through personal data sheet, Hospital Anxiety and Depression Scale (HADS) and Visual Analogue Scale (VAS). Results: both experimental and control group have high level of depression, anxiety and pain, there was significant improvement in levels of depression, anxiety and pain in the experimental group than control group after one month of operation. The study concluded that, preoperative psycho-education could be of high benefit in reducing depression, anxiety and pain for patients undergoing hip and knee replacement. Recommendation, Liaison psychiatric nurse, Psycho educational and relaxation training should be available to deal with the anxiety and depression

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