Evaluating the effectiveness of nurse-led education on the anxiety level of preoperative candidates for opening vascular access in Shariati Hospital.

Introduction: Every year, many chronic kidney disease (CKD) patients undergo surgeries to provide suitable vessel access for hemodialysis. These surgeries cause remarkable anxiety in these patients. Therefore, this study was conducted to examine the effectiveness of nurse-led training on the level of anxiety experienced by these patients.
Methods: ۳۸ cases were randomly selected from the candidates for opening vascular access in Shariati hospital, Tehran, Iran. Divided equally into two groups of cases and controls, the anxiety rate was measured in both groups using the Spielberger state-trait anxiety inventory at baseline. After ۳۰ minutes of our special personalized training, the anxiety rate was reevaluated in cases and, using paired t-test, was statistically compared with the anxiety rate before the intervention.
Results: The mean baseline anxiety rate was ۴۰.۹۴ and ۴۰.۴۲ in cases and controls, respectively. These numbers altered to ۳۴.۷۸ in cases and ۴۰.۰۵ in the controls after the training intervention. Statistical comparison yielded a significant decrease in the case group (p = ۰.۰۴۸), while the observed difference was statistically insignificant in the controls (p = ۰.۷۸۸).
Conclusion: providing an appropriate personalized nurse-led educational package can remarkably reduce the anxiety level in preoperative candidates for opening vascular access in kidney failure cases. Further studies are required to better develop the content of these training and also to define whether a gap between the training and surgery is required to increase the effectiveness.