scholarly journals The Relationship between Preoperative Educational Session and Anxiety Level among Women Undergoing Cesarean Section: A Scoping Review

2020 ◽  
Vol 2 (4) ◽  
pp. 11
Author(s):  
Fatimah A. AlSufyani ◽  
Hala A. Thabet ◽  
Nouran E. S. Katooa

Context: Anxiety is felt in women undergoing elective cesarean section. In obstetric patients, literature has reported a higher level of preoperative anxiety than the general surgical population. One of the commonest surgical procedures in obstetrics is Caesarean section (CS). Preoperative anxiety has been described as being associated with several adverse physiological and psychological effects. Aim: This review aimed to determine the relationship between preoperative educational sessions and anxiety levels among women undergoing cesarean section. Methods: The search strategy of this study relies on some of the electronic bibliographic databases under the Medicine, Nursing, and Health Sciences departments. Various databases have been used to include different perspectives in the findings, CINAHL, Ovid MEDLINE, Pub Med, and Embase databases used to collect primary articles for this study. Results: The current review of the literature included seven quantitative studies that fulfill the inclusion criteria. The included studies revealed the intervention used as mental health training (one study), video is used in three studies, and health instruction in five studies. Two studies used both video and health instruction. In terms of the effect of preoperative sessions on anxiety level, four out of seven studies reported a decrease in the anxiety level. In comparison, the remaining three studies reported a non-significant educational intervention effect in decreasing the women’s anxiety. Conclusion: Most of the reviewed studies indicated that preoperative education intervention could positively impact anxiety levels among women undergoing CS. This makes the reviewed theme open for further randomized control intervention studying.

Author(s):  
Alireza Saliminia ◽  
Omid Azimaraghi ◽  
Zahra Ebadi ◽  
Fahimeh Azizinik ◽  
Ali Movafegh

Background: Anxiety, in demanding situations such as the perioperative period, can exacerbate underlying diseases and lead to a variety of perioperative complications. Educating patients not only improves the level of knowledge but can also help patients coping skills. The aim of the present study is to determine the effect of face-to-face plus printed educational materials on the anxiety level of Iranian pregnant women undergoing elective cesarean section delivery in the perioperative period. Methods: STAI questionnaire was distributed to 50 pregnant women undergoing cesarean section on the day before operation, then the intervention group was educated face to face for one session followed by the pamphlet. After training, the STAI questionnaire was again distributed to the intervention group on the same day. For evaluating the level of anxiety, we also used the Visual Analog Scale (VAS). The presence of nausea/vomiting after surgery and the type of anesthesia technique were recorded. Results: Basic characteristics of the parturient regarding age, education level and the baseline level of anxiety were similar. In the intervention group, the average anxiety level with STAI(S) questionnaire was 48.1 before the education and 45.2 after face to face outreach (P = 0.019). The average anxiety level with VAS score was 5.6 before the education and 4.8 after the outreach in the interventional group (P = 0.018). STAI(S) and VAS scores in the control group were 43.3 and 5.1 respectively which increased to 44.2 and 5.7 in the second survey. The correlation coefficient between score in the STAI questionnaire and VAS was 0.479. Conclusion: A single period of face to face education followed by handing out a pamphlet before an operation reduces the anxiety of mothers before cesarean section delivery.


2020 ◽  
Vol 7 (7) ◽  
pp. 560-565
Author(s):  
Semra Eroglu ◽  
Alperen Eroglu ◽  
Vusale Aziz ◽  
Songül Simar ◽  
Sibel Mutlu

Objective: Although regional anesthesia is frequently used in cesarean section, patient satisfaction and comfort can change with the anesthesia method preference. Our aim is to determine the level of anesthesia satisfaction in women with cesarean surgery with Spinal (SA) and General anesthesia (GA) and to examine its relationship with anxiety level. Material and Methods: In this prospective observational cohort study, 144 pregnant women who were admitted to the Obstetrics and Gynecology Clinic between January 2019 and April 2019 were included. Demographic information of the pregnant women including age, height, weight, gestational history and education level were recorded. Hospital Anxiety and Depression Scale (HADS), preoperative anxiety levels and which anesthesia method they preferred were questioned and recorded. Results: 72 SA and 72 GA patients were included in the study. Age, BMI (Body mass index), obstetric history, preoperative HADS were similar in both groups (p> 0.05). Patients with SA were significantly higher satisfaction level than those who had cesarean with GA (p = 0.000). Anxiety level during cesarean was correlated positively with preoperative HADS (p = 0.001, p = 0.005, respectively). First analgesia requirement didn’t differ in both group (p=0.409). Conclusion: The satisfaction score founded higher in those who were cesarean with SA. Evaluating anxiety levels of patients and providing support before surgery will increase postoperative comfort.


2010 ◽  
Vol 59 (3) ◽  
pp. 173 ◽  
Author(s):  
Sung Hee Chung ◽  
Hyeon Jeong Yang ◽  
Jong-Yeon Lee ◽  
Kum-Hee Chung ◽  
Duk-Hee Chun ◽  
...  

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 


2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to 50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= - 1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: anxiety, preoperative, music therapy


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