Asali Fida, Abu Mahfouz Ismaiel, Al-Marabhah Lujain, Alatoom Shirin, Al Takriti Lana, Eisheh Zeina Abu, Al Kuran Oqba, Jaber Hatim
FRCOG, Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
FRCOG, Obstetrics and Gynaecology, Faculty of Medicine, Al Balqa Applied University, Al Salt, Jordan.
Heliyon. 2023 Jul 11;9(7):e18143. doi: 10.1016/j.heliyon.2023.e18143. eCollection 2023 Jul.
An elective caesarean section (CS) has been associated with high anxiety scores, and there are associations between higher anxiety scores and younger age, primigravidae, higher educational level, and previous experience with anaesthesia. In this study, the aim is to measure anxiety scores associated with an elective CS using two measuring scales and identify women's characteristics and obstetrics variables that are associated with higher scores.
A cross-sectional study was conducted between Nov 15, 2019 and Nov 15, 2020. Women were included if they were 18 years of age or more, had viable pregnancies, and were admitted for an elective CS. Anxiety scores were measured on admission using the visual analogue scale for anxiety (VASA) and then the State-Trait Anxiety Inventory (STAI-Y). Associated factors were studied using logistic regression analyses.
Three hundred women were recruited. Means (SD) for the participant's age and gestation age were 30.5 (5.7) years and 37.6 (1.4) weeks, respectively. Additionally, 29.3% of the participants having a CS were primigravidae and 62.3% were for maternal indications. Furthermore, 55%, 59%, and 61% of the women had scores above the means of VASA and STAI-S components 1 and 2, respectively.Variables that showed statistically significant associations with higher anxiety scores were that the woman's age was 25-34, the CS was for foetal indications, the choice of anaesthesia was general, and the source of information for the choice of anaesthesia was a layperson.
Higher anxiety scores are prevalent among women admitted for an elective CS. STAI-Y and VASA correlated well, and the short VASA may replace the lengthy STAI-Y in clinical practice. Identification of women with risk factors may help in implementing strategies to reduce anxiety.
择期剖宫产与高焦虑评分相关，且高焦虑评分与年轻、初产妇、高学历以及既往麻醉经历之间存在关联。本研究旨在使用两种测量量表来测量与择期剖宫产相关的焦虑评分，并确定与较高评分相关的女性特征和产科变量。
于2019年11月15日至2020年11月15日进行了一项横断面研究。纳入年龄在18岁及以上、有存活妊娠且因择期剖宫产入院的女性。入院时使用焦虑视觉模拟量表（VASA）测量焦虑评分，然后使用状态-特质焦虑量表（STAI-Y）进行测量。使用逻辑回归分析研究相关因素。
招募了300名女性。参与者的年龄和孕周的均值（标准差）分别为30.5（5.7）岁和37.6（1.4）周。此外，接受剖宫产的参与者中29.3%为初产妇，62.3%是因母亲因素。此外，分别有55%、59%和61%的女性VASA以及STAI-S分量表1和2的得分高于均值。与较高焦虑评分显示出统计学显著关联的变量包括：女性年龄为25 - 34岁、剖宫产是因胎儿因素、麻醉选择为全身麻醉以及麻醉选择的信息来源是外行。
择期剖宫产入院的女性中普遍存在较高的焦虑评分。STAI-Y和VASA相关性良好，在临床实践中简短的VASA可能会取代冗长的STAI-Y。识别有风险因素的女性可能有助于实施减轻焦虑的策略。
