Effect of an Anaesthesia Information Video on Preoperative Maternal Anxiety and Postoperative Satisfaction in Elective Caesarean Section: A Prospective Randomised Trial

Abstract

Video-based patient information supplementing clinician interview has been shown to reduce anxiety and improve satisfaction in patients undergoing procedures. In Queensland more than 90% of caesarean sections are performed under regional anaesthesia. We aimed to assess the effect of using an information video about neuraxial blockade in patients having regional anaesthesia for elective caesarean section. Subjects were randomised to undergo usual care (Group C), or to view a video and undergo usual care (Group V). Subjects completed the Spielberger State-Trait Anxiety Inventory preoperatively and the Maternal Satisfaction with Caesarean Section Score questionnaire postoperatively. Satisfaction with, and duration of the preoperative anaesthetic interview, were noted. One-way analysis of variance (ANOVA) and Chi-squared tests were used in statistical analysis. One-hundred and forty three subjects were randomised and 110 completed the protocol and analysis. Group C and Group V were similar in terms demographic and anaesthesia data. There was no difference in anxiety score (41.2 versus 39.8, P=0.50), maternal satisfaction score (118.5 versus 122.7, P=0.22) or interview duration (16.3 versus 15.8 min, P=0.69) between the two groups. The use of an anaesthesia information video does not reduce preoperative anxiety or increase the duration of the anaesthetic interview. Maternal satisfaction with neuraxial blockade for elective caesarean is high and not improved by an anaesthesia information video.

Effects of Video- and Pamphlet-based Patient Educations on Anxiety and Satisfaction Among Candidates for Gastroscopy

“…We also found that video presentation was more effective than verbal and written patient educations in improving patient satisfaction. This is in line with the findings of some previous studies (6,9,11,14) and contrary to the findings of some other ones (15,17,22). The greater effectiveness of video presentation may be due to the presentation of the steps and the environment of endoscopy during video presentation.…”

“…However, Pehlivan et al (2011) reported the greater effectiveness of verbal education compared with written one (9). Moreover, although some studies reported that video-based education is more effective than written or verbal education (18,19,21,23), other studies found no significant difference between video-based and other types of patient education (15,17,24). Given the conflicting findings of the previous studies, the present study was conducted to examine the effects of video-and pamphlet-based patient education on anxiety and satisfaction among candidates for gastroscopy.…”

“…As the main cause of anxiety is the lack of knowledge about the procedure, providing patients with necessary information can enhance their endoscopy-related knowledge, alleviate their anxiety, and improve their satisfaction. Previous studies showed that providing verbal educations to patients by the treating physicians (8) and nurses (4,(8)(9)(10) through written materials such as pamphlets and brochures (11)(12)(13)(14)(15) or video presentation (16)(17)(18)(19)(20)(21)(22)(23)(24) can significantly alleviate anxiety and improve satisfaction among patients. Callaghan and Chan (2001) also reported that irrespective of its route, patient education is effective in sig-Copyright © 2016, Birjand University of Medical Sciences.…”

La césarienne naturelle

“…Un document retraçant les étapes du parcours de soins est utile. L'information préalable (visuelle sous forme de vidéos) peut diminuer l'anxiété lors de la césarienne elle-même bien que cela ne soit pas toujours observé [8]. L'information améliore aussi la relation soignant-soignée et augmente la satisfaction maternelle, voire celle du couple.…”

Multimedia education on the day of elective cesarean section increases anxiety scores

“…[5,6] Anxiety is highly prevalent during pregnancy and the mode of delivery may also be related to anxiety thus elective cesarean section (CS) patients are vulnerable to high anxiety levels. [7,8] Focusing on decreasing maternal anxiety has shown to have favorable effects on fetal health and maternal satisfaction in elective CS patients. Multimedia-based preoperative education to enhance patient knowledge improves anxiety and satisfaction rates in different clinical scenarios but the ideal method and timing of effective preoperative information to decrease pre-and perioperative anxiety remains unclear.…”