Singh Keevan, Heralal Hema
Anesthesia and Intensive Care Unit, Department of Clinical and Surgical Sciences, University of the West Indies, San Fernando, TTO.
Department of Anesthesia and Intensive Care, Port of Spain General Hospital, Port of Spain, TTO.
Cureus. 2023 Mar 21;15(3):e36482. doi: 10.7759/cureus.36482. eCollection 2023 Mar.
Anxiety before regional anesthesia and surgery is common among women undergoing cesarean section. Although perioperative education has been shown to reduce this level of anxiety, the optimal form and timing of this intervention are not known. The goal of this study was to evaluate the efficacy of an educational anesthetic video on reducing anxiety and improving maternal satisfaction in patients scheduled for elective cesarean section under regional anesthesia.
Eighty patients scheduled for cesarean section at a tertiary-level obstetric center were randomized to either an interventional group (viewed an educational video on the evening before surgery) or the control group (no educational video). Both groups received a standard preoperative assessment on the morning of surgery. Anxiety was assessed using the Spielberger State-Trait Anxiety Inventory (STAI) and the visual analog scale for anxiety (VAS-A). Maternal satisfaction was assessed using the Maternal Satisfaction Scale Score for Cesarean Section (MSSSCS). Anxiety was assessed at baseline (the evening before surgery) and immediately before surgery. Maternal satisfaction was assessed on the first postoperative day. Patients in the intervention group also had their state anxiety measured immediately after viewing the educational anesthetic video using the VAS-A.
Both groups were equally matched at baseline, and a statistically significant reduction in anxiety measured using VAS-A was seen in the intervention group vs. the control group (6 vs. 4.6, p = 0.018). State-trait anxiety measured using STAI, however, was not significantly lower in the intervention vs. control group (44 vs. 46, p = 0.99). VAS-A immediately after looking at the video was also not significantly different (5 vs. 4, p = 0.323) from the control group. Maternal satisfaction was also higher in the intervention group (113 vs. 104.5, p = 0.015).
The use of a simple educational anesthetic video may be associated with reduced anxiety and improved maternal satisfaction in patients scheduled for elective cesarean section under regional anesthesia.
剖宫产手术的女性在区域麻醉和手术前出现焦虑情绪很常见。尽管围手术期教育已被证明可降低这种焦虑程度，但这种干预的最佳形式和时机尚不清楚。本研究的目的是评估一部教育性麻醉视频对降低计划在区域麻醉下行择期剖宫产患者的焦虑情绪及提高产妇满意度的效果。
在一家三级产科中心计划行剖宫产的80例患者被随机分为干预组（在手术前一晚观看一部教育视频）或对照组（未观看教育视频）。两组均在手术当天上午接受标准的术前评估。使用斯皮尔伯格状态-特质焦虑量表（STAI）和焦虑视觉模拟量表（VAS-A）评估焦虑情况。使用剖宫产产妇满意度量表评分（MSSSCS）评估产妇满意度。在基线期（手术前一晚）和手术即将开始前评估焦虑情况。在术后第一天评估产妇满意度。干预组患者在观看教育性麻醉视频后立即使用VAS-A测量其状态焦虑。
两组在基线期情况相当，与对照组相比，干预组使用VAS-A测量的焦虑水平有统计学意义的降低（6比4.6，p = 0.018）。然而，使用STAI测量的状态-特质焦虑在干预组与对照组之间并无显著降低（44比46，p = 0.99）。观看视频后立即测量的VAS-A与对照组相比也无显著差异（5比4，p = 0.323）。干预组的产妇满意度也更高（113比104.5，p = 0.015）。
对于计划在区域麻醉下行择期剖宫产的患者，使用一部简单的教育性麻醉视频可能与焦虑减轻及产妇满意度提高有关。
