The result of giving methodical information on anxiety to maxilla-mandibular fracture patients who need dental surgery and teeth wiring: Maharaj Nakhon Si Thammarat Hospital

Abstract

This quasi-experimental research aims to compare the anxiety of patients whose maxilla and mandible are fractured and patients who require surgery and intermaxillary fixation (IMF) before and after giving formal information in Maharaj Nakhon Si Thammarat Hospital. Data were collected over the period from March to September 2021 from 37 patients recruited as study samples. Research tools were examined by three experts. Research instruments comprised 1) a demographic questionnaire (CVI = .95), 2.) videos, manuals, and leaflets containing “Practice advice that patients with their fractured maxilla and mandible must follow before and after the surgery” (CVI = .95). 3.) A questionnaire on patients' levels of anxiety by Spilburger et al., which was translated by Darawan Tapinta (IOC = .50) and obtained a Cronbach’alpha-coefficient of.88. The sphygmomanometer which has been validated for no longer than 1 year. Data were analyzed by using descriptive statistics such as number, percentage, mean, and standard deviation. A paired sample t-test was applied to compare the anxiety before and after giving formal information.

The result of the study showed that the average age was 36.24 (S.D.=16.64). 75.68% were male. 40.54% were self-employed, and the average income was 11,918.92 (S.D. = 10,649.40). Those using universal health insurance accounted for 45.95%, followed by the Car Accident Victim Protection Act at 40.54%, surgery with anesthetics at 24.32%, fractured maxilla at 64.86%, and fractured mandible at 27.03%. Those with other organ injuries involved accounted for 43.24%. Turning to the causes of the fractured maxilla and mandible, motorcycle accidents were the largest proportion (83.78%). The average Systolic and diastolic blood pressure levels, pulse, and respiration rate decreased after receiving the methodical information. The average of trait anxiety and state anxiety of the sample group and anxiety level after receiving the methodical information decreased with statistical significance (p<.001).

          Therefore, nurses in an operating room should provide methodical information to all patients whose maxilla and mandible are fractured, requiring surgery and inter-maxillary fixation so that they understand what is required of them before and after the surgery. This will help reduce complications. However, the information should be disseminated via various platforms such as leaflets, instructions, and videos, allowing self-conducted study via QR code.