The effect of video training given to the patients who will have liver transplantation on anxiety, depression and sleeping pattern

This study was carried out to investigate the effect of video training given to the patients who will have liver transplantation on anxiety, depression and sleeping pattern. The data of pre-test-last test, control group the quasi-experimental study were collected from all patients who were admitted to the organ transplant clinic at Inonu university Liver Transplantation Center and will have liver transplantation for the first time between the dates of November 1, 2017 and May 31, 2018. When the confidence interval was calculated as 95% in the sample whose population was known the number of patients to be included in the study was 60. The patients were divided into two groups as control(n=30) and experimental(n=30). Patients were selected by random samplin g method for the groups. The data were collected by both the socio-demographic characteristics form, the hospital anxiety and depression scale, the pittsburgh sleep quality index and face to face interview technique by the researcher. The liver transplant patients in the experimental group received video training of two videos before and after the surgery to reduce their level of anxiety/depression and improve their sleep quality. Symptom management scores were evaluated when they came to the check-up one month after discharge. This video training was given to the experimental group patients except the routine nursing care of the clinic. Video-supported training lasted 40 minutes. The control group received routine nursing care in the clinic. After the last measurement of the control group, the video-supported education applied to the experimental group was also given to the control group (Each patient and his relatives were given the training videos as CDs.). The data were analyzed by number and percentage, chi square and t test in SPSS 22 package program. Although all subscale scores of the hospital anxiety and depression scale decreased in the individuals participating in the study after transplantation, no statistically significant difference was found (p>0.05). No significant difference was found between the PUKİ sleep quality index sub-dimension scores used to evaluate the sleep quality of the patients in both experimental and control group patients (p>0.05). For the patients with liver transplantation, we recommend planning training programs and interventions to reduce the anxiety/depression levels of patients who have fears before and after transplantation and to improve sleep quality, and we also recommend the evaluation and implementation of interventions that aim to improve the cycle of sleep and wakefulness and contribute to a better quality of life.