Effect of preoperative education about spinal anesthesia on anxiety and postoperative pain in parturients undergoing elective cesarean section: A randomized controlled trial

Kalliyath, Anila K; Korula, Sara; Mathew, Anil; Abraham, Saramma P; Isac, Mini

doi:10.4103/joacc.joacc_35_18

Cited by 8 publications

(3 citation statements)

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“…Therefore, it is believed that with the planned training given to individuals, their fear of the unknown and anxiety levels decreases and they are relieved as a result. Similarly, in one study, it was concluded that planned preoperative training has a significant effect on reducing preoperative anxiety in pregnant women undergoing elective cesarean section under spinal anesthesia (Kalliyath et al, 2019). In another study, it was found that the training provided to the experimental group before a cesarean section decreases anxiety levels significantly compared to the control group (Ribeiro et al, 2018).…”

Section: Discussionmentioning

confidence: 95%

Effects of planned training and music listened to before a cesarean section on surgical fear, anxiety and depression: A randomized controlled trial

Guney,

Pinar

2024

Curr Psychol

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Purpose This research was conducted to determine the impact of a planned training program and music on fear, anxiety, and depression among women undergoing cesarean section. Methods The sample of the randomized-controlled experimental study consisted of a total of 120 pregnant women (music 40, training 40, and the control 40) scheduled for cesarean section at the Obstetrics Service. Instrumental music from the Turkish music modes (the Hejaz, Neva, and Acemaşıran modes) was played for the music group, a planned training was given for the training group (what a cesarean section is, why a cesarean section should be performed, breastfeeding, mobilization, etc.) before the cesarean section, and no additional interventions were made for the control group. The data were collected using the Personal Information Form, Surgical Fear Questionnaire, and the Hospital Anxiety and Depression Scale. Results After the planned training and listening to music applications, statistically significant differences were found between the music, training, and the control groups in terms of the short-term, long-term sub-scale scores and the overall score of the Surgical Fear Questionnaire and the anxiety sub-scale scores of the Hospital Anxiety and Depression Scale (p < 0.05). Conclusions Listening to music before the cesarean section was effective in reducing women’s short-term and general surgical fears, and the training was also effective in reducing their short-term, long-term, and general surgical fears and anxiety levels. However, the applications did not change depression levels. According to these findings, listening to music and provision of training are recommended to reduce surgical fears and anxiety levels of women before a planned cesarean section.

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Section: Discussionmentioning

confidence: 95%

Effects of planned training and music listened to before a cesarean section on surgical fear, anxiety and depression: A randomized controlled trial

Guney,

Pinar

2024

Curr Psychol

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“…Previous similar studies showed a significant difference between control group (without education) and experimental group (with educational interventions) in relation to preoperative anxiety and depression levels ( P < .05) (9,10). Study conducted by Kalliyath et al demonstrated that a planned preoperative education including a handout with details can have a significant impact on reducing preoperative anxiety (11). In contrast, another study demonstrated that there was no benefit to be gained by preoperative education in cardiac surgery (which was one day of education by members of the multidisciplinary team) (4).…”

Section: Discussionmentioning

confidence: 99%

Does Structured Patient Education Reduce the Peri-Operative Anxiety and Depression Levels in Elective Chest Surgery Patients? A Double-Blinded Randomized Trial of 300 Patients

Jamwal

Kumar

Pulle

et al. 2023

Journal of Patient Experience

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Psychological distress associated with surgery is an emerging issue. The study was conducted to assess the impact of structured patient education viz-a-viz routine patient education on anxiety and depression levels in patients undergoing elective chest surgery. It is a prospective, double-blind randomized study, conducted from February 2019 to February 2020 at a tertiary care center in India, on patients who underwent elective chest surgeries. A total of 300 patients were randomized using a computer-generated randomization sequence, into 2 equal groups (150 subjects each). Study group included patients who underwent structured patient education (Group A), whereas control group included patients who underwent routine patient education (Group B). The 2 groups were compared for anxiety and depression levels at admission as well as discharge using Hospital Anxiety and Depression Scale. Also, at the time of discharge, the groups were compared for the effectiveness of patient education using a validated Questionnaire B. In comparison to routine education, patients receiving structured education showed significantly lesser scores for anxiety and depression at discharge ( P < .001). Also, structured patient education proved to be effective in comparison to the routine education in educating the patients in all parameters as determined by the Questionnaire B ( P < .05). It can be concluded that structured educational intervention is strongly recommended in patients undergoing chest surgery which can help alleviate perioperative anxiety and depression. Such intervention helps patient get an understanding of the surgical procedure and assist them in facing the condition in a better way.

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“…Pada penelitian ini dibandingkan juga nilai tekanan darah pada kedua kelompok bupivakain dan kelompok bupivakain di tambah fentanyl dan ditemukan tidak ada perbedaan yang signifikan antara kedua kelompok untuk penilaian hemodinamik yang berupa tekanan darah sistolik dan tekanan darah diastolik hal ini serupa yang di sampaikan oleh penelitian Ebrie et al pada tahun 2022 yang melakukan penelitian yang serupa dimana di temukan tidak ada perbedaan hemodinamik antara pasien yang mendapatkan hanya bupivakain dengan pasien yang mendapatkan bupivakain yang di tambahkan fentanyl dan di sebutkan di penelitian Ebrie et al bahwa bupivakain dengan Perbandingan bupivacain 0,5% 15 mg dan fentanil.... fentanyl juga menambahkan durasi fentanyl pada pasien (Fonseca et al, 2023;Kalliyath et al, 2019).…”

Section: Pembahasanunclassified

Perbandingan bupivacain 0,5% 15 mg dan fentanil 25 mcg dengna bupivacain 0,5% 15 mg terhadap nilai oksigenasi pada pasien dengan anestesi spinal

Lubis,

Irina,

Nadeak

et al. 2023

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Background: Spinal anesthesia is a safe anesthetic technique for elective and emergency surgeries. Spinal anesthesia adversely affects cerebral oxygenation, especially when fentanyl is administered as an adjuvant to spinal anesthesia.Objectives: To determine the difference in cerebral oxygenation values between patients undergoing spinal anesthesia using bupivacaine 0,5% with fentanyl and bupivacaine 0,5% in patients undergoing spinal anesthesia.Methods: This was an analytic post-test experiment with a cross-sectional design. This study was conducted at the Haji Adam Malik Hospital Medan, with a total sample of 36 patients. The research group was divided into groups that received bupivacaine 0,5% 15 mg and bupivacaine 0,5% 15 mg plus fentanyl 25 µg. The rSO2 value was assessed before spinal action (T0), shortly after spinal anesthesia (T1), and 15 min after spinal anesthesia (T2). Near-infrared spectroscopy was used as the measurement instrument. Data to be collected were analyzed with a bivariate, independent T-test and Mann-Whitney test with a 95% confidence interval (CI).Results: The average rSO2 values of patients who received bupivacaine were 64,0% on the right and 65,1% on the right and left sides, respectively. The average rSO2 values of patients who received bupivacaine were 74,8% on the right and 76,1% on the left. There was a significant difference in blood pressure and rSO2 values in patients who received 0,5% bupivacaine spinal anesthesia with 0,5% bupivacaine added to 25 µg fentanyl (p <0,05).Conclusion: There was a significant difference in rSO2 values between patients who received 0,5% bupivacaine spinal anesthesia with 0,5% bupivacaine plus 25 µg fentanyl.

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Effect of preoperative education about spinal anesthesia on anxiety and postoperative pain in parturients undergoing elective cesarean section: A randomized controlled trial

Cited by 8 publications

References 1 publication

Effects of planned training and music listened to before a cesarean section on surgical fear, anxiety and depression: A randomized controlled trial

Effects of planned training and music listened to before a cesarean section on surgical fear, anxiety and depression: A randomized controlled trial

Does Structured Patient Education Reduce the Peri-Operative Anxiety and Depression Levels in Elective Chest Surgery Patients? A Double-Blinded Randomized Trial of 300 Patients

Perbandingan bupivacain 0,5% 15 mg dan fentanil 25 mcg dengna bupivacain 0,5% 15 mg terhadap nilai oksigenasi pada pasien dengan anestesi spinal

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