Pnm-11: Care Plane of Anxiety Decrease on Hemodynamic Signs and Cortisol Level in Women Undergoing Elective Surgeries

Background: Although surgery are now used as one of the treatment methods and save the patients from death that have some complications. The patients may be considered anxiety from the surgery as a threat of the natural process of the life. The aim of this study was assessment of the Impact of preoperative nursing care on hemodynamic signs and cortisol level in women undergoing elective surgeries. Materials and Methods: This randomizes clinical trial study carry out in kosar hospital at Qazvin University of medical sciences. This study was clinical trial that 60 female patient’s candidate for elective gynecologic surgery enrolled based on random allocation in two group case and control. The Statistical Package for the Social Sciences, SPSS 17 for Windows, was used for the analysis. Data analysis was performed by using descriptive (mean ± SD) and analytical statistics such as such as chi- square, fisher’s exact test, t test and Wilcoxon. The significant level was set at less than 0.05 (p< 0.05). Results: Two groups were homogeneous in age (p=0.2), marital status (p=0.5), education (p=0.1), employment status (p=0.13) and admission (p=0.3). With preoperative nursing care, mean score of cortisol level at morning in case group 314.23 (L/Nmol) was less than control group. Conclusion: According to the results of this research preparation nursing care plan lead to decrease the level of cortisol in patients in pre elective operation. Therefore this program as a non pharmaceutical and effective plan is recommended for them.