Department of Anesthesiology, Third Affiliated Hospital, School of Medicine, Shihezi University (Shihezi People's Hospital), Shihezi, Xinjiang, China (mainland).
Department of Anesthesiology, Anhui Maanshan People's Hospital, Maanshan, Anhui, China (mainland).
Med Sci Monit. 2020 Apr 8;26:e920428. doi: 10.12659/MSM.920428.
BACKGROUND Showing an informational anesthesia video can reduce the preoperative anxiety of parturients undergoing elective cesarean section (CS). However, the best method for presenting such videos remains unclear, and whether such videos can reduce the anxiety level of women during the entire perioperative period for CS (including preoperative and postoperative) has not been studied yet. MATERIAL AND METHODS This study was a single-center prospective randomized trial. We randomly divided 121 pregnant women who were scheduled to undergo elective cesarean section (CS) into 2 groups: one group was shown an informational video (video group) and another group was not (control group). Spielberger's state-trait anxiety inventory was used to evaluate the perioperative anxiety level of parturient women at 3 time points: 1 day before CS, after video education, and 2 days after CS. Salivary cortisol level was evaluated to assess the patients' anxiety level at these 3 time points. Finally, the maternal satisfaction scale for CS and an obstetric quality-of-recovery score (OBsQoR-11) were used to evaluate the satisfaction and recovery of the parturient women 2 days after CS. RESULTS Watching a video about anesthesia significantly reduced the anxiety level of the parturient women during the perioperative period (1 day before CS: p=1.00, p=0.96; after video education: p<0.01, p=0.004; 2 days after CS: p=0.01, p=0.01). The postoperative satisfaction scores were significantly improved in the video group (p=0.007). OBsQoR-11 scores in the video group and control group were not significantly different (p=0.48). Maternal anxiety level was moderately positively correlated with cortisol hormone level. CONCLUSIONS Showing an informational video about anesthesia (video+education) can significantly reduce perioperative anxiety and improve satisfaction after CS. Although it did not improve the postoperative recovery, it was still significant for anesthesia.
展示信息性麻醉视频可以降低择期剖宫产产妇的术前焦虑。然而，呈现此类视频的最佳方法仍不清楚，并且此类视频是否可以降低剖宫产（包括术前和术后）整个围手术期的焦虑水平尚未得到研究。
这是一项单中心前瞻性随机试验。我们将 121 名计划接受择期剖宫产的孕妇随机分为两组：一组观看信息性视频（视频组），另一组不观看（对照组）。采用 Spielberger 状态-特质焦虑量表评估产妇在 3 个时间点的围手术期焦虑水平：CS 前 1 天、视频教育后和 CS 后 2 天。评估唾液皮质醇水平以评估患者在这 3 个时间点的焦虑水平。最后，使用 CS 产妇满意度量表和产科康复质量评分（OBsQoR-11）评估产妇 CS 后 2 天的满意度和恢复情况。
观看麻醉相关视频显著降低了产妇围手术期的焦虑水平（CS 前 1 天：p=1.00，p=0.96；视频教育后：p<0.01，p=0.004；CS 后 2 天：p=0.01，p=0.01）。视频组的术后满意度评分显著提高（p=0.007）。视频组和对照组的 OBsQoR-11 评分无显著差异（p=0.48）。产妇焦虑水平与皮质醇激素水平呈中度正相关。
展示麻醉相关信息性视频（视频+教育）可显著降低 CS 围手术期焦虑并提高术后满意度。虽然它并没有改善术后恢复，但对麻醉来说仍然具有重要意义。
