Hobson J A, Slade P, Wrench I J, Power L
Clinical Psychology Unit, Department of Psychology, University of Sheffield, and Department of Anaesthetics, Royal Hallamshire Hospital, Sheffield, UK.
Int J Obstet Anesth. 2006 Jan;15(1):18-23. doi: 10.1016/j.ijoa.2005.05.008. Epub 2005 Oct 26.
The primary aim was to investigate whether preoperative anxiety in women undergoing elective caesarean section predicts postoperative maternal satisfaction with the process, perceptions of recovery, analgesic use or length of hospital stay. Other factors that might influence postoperative satisfaction were also explored.
In 85 women awaiting elective caesarean section, anxiety, social support and aspects of preparation were measured in the 24 hours preceding surgery. Maternal satisfaction and perceptions of recovery were assessed around the third postoperative day. Satisfaction with the preoperative information from the anaesthetist and postoperative pain relief were also measured at this time. Medical notes were used to gather information on analgesia use and length of hospital stay.
Preoperative anxiety scores were comparable with those of general surgical/medical patients. Preoperative trait anxiety and state anxiety were inversely associated with postoperative maternal satisfaction. State anxiety was also inversely associated with better recovery. Preoperative anxiety was not associated with analgesic use or length of hospital stay. Linear regression analysis indicated the degree of satisfaction with information from the anaesthetist and perceived emotional support from the partner explained 52% of the variance in postoperative maternal satisfaction.
Lower preoperative anxiety is associated with greater maternal satisfaction with elective caesarean section and better recovery. Information provided by anaesthetists and perceived emotional support are also of importance. It may be possible to identify women with high anxiety and facilitate satisfaction and recovery through providing additional supportive input.
主要目的是调查择期剖宫产妇女术前焦虑是否能预测术后母亲对手术过程的满意度、恢复感知、镇痛药物使用情况或住院时间。还探讨了其他可能影响术后满意度的因素。
在85名等待择期剖宫产的妇女中，于手术前24小时测量焦虑、社会支持和准备情况。在术后第三天左右评估母亲的满意度和恢复感知。此时还测量了对麻醉师术前信息的满意度和术后疼痛缓解情况。通过病历收集镇痛药物使用和住院时间的信息。
术前焦虑评分与普通外科/内科患者相当。术前特质焦虑和状态焦虑与术后母亲满意度呈负相关。状态焦虑也与更好的恢复呈负相关。术前焦虑与镇痛药物使用或住院时间无关。线性回归分析表明，对麻醉师信息的满意度和来自伴侣的情感支持程度解释了术后母亲满意度差异的52%。
较低的术前焦虑与母亲对择期剖宫产更高的满意度和更好的恢复相关。麻醉师提供的信息和感知到的情感支持也很重要。识别出焦虑程度高的妇女并通过提供额外的支持性干预来促进满意度和恢复是有可能的。
