08 April 2020 : Clinical Research
Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial
Ying-Jie Che1ABCF, Yuan-Li Gao2AEG, Jun Jing2CD, Yong Kuang2EF, Meng Zhang3ADE*DOI: 10.12659/MSM.920428
Med Sci Monit 2020; 26:e920428
Abstract
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.
Keywords: Anxiety, Cesarean Section, Patient Education as Topic, Recovery of Function, Saliva, Anesthesia, Obstetrical, Anxiety Disorders, Patient Satisfaction, Postoperative Period, Pregnancy, Preoperative Exercise, Prospective Studies, Video Recording
Editorial
01 December 2024 : Editorial
Editorial: The 2024 Revision of the Declaration of Helsinki and its Continued Role as a Code of Ethics to Guide Medical ResearchDOI: 10.12659/MSM.947428
Med Sci Monit 2024; 30:e947428
In Press
Clinical Research
Cost Reduction in Blood Transfusions After Implementation of Decision Protocol Based on Hemoglobin and Anem...Med Sci Monit In Press; DOI: 10.12659/MSM.945854
Clinical Research
Impact of Comprehensive Preoperative Assessments on Gynecological Ambulatory Surgery Outcomes in a Chinese ...Med Sci Monit In Press; DOI: 10.12659/MSM.945771
Animal Research
Histological Evaluation of the Effects of Intra-Articular Injection of Caffeic Acid on Cartilage Repair in ...Med Sci Monit In Press; DOI: 10.12659/MSM.946845
Clinical Research
Impact of Clear Aligners vs Conventional Brackets on Oxidant and Antioxidant Levels: A Case-Control StudyMed Sci Monit In Press; DOI: 10.12659/MSM.946419
Most Viewed Current Articles
17 Jan 2024 : Review article 6,956,331
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research 1,951,447
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research 696,757
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
07 Jan 2022 : Meta-Analysis 262,783
Efficacy and Safety of Light Therapy as a Home Treatment for Motor and Non-Motor Symptoms of Parkinson Dise...DOI :10.12659/MSM.935074
Med Sci Monit 2022; 28:e935074