Research Article

Impact of Face-to-Face Educational Outreach Plus Printed Materials on Preoperative Anxiety level in Iranian Parturient Undergoing Elective Cesarean Section Delivery

Abstract

Background: Anxiety, in demanding situations such as the perioperative period, can exacerbate underlying diseases and lead to a variety of perioperative complications. Educating patients not only improves the level of knowledge but can also help patients coping skills. The aim of the present study is to determine the effect of face-to-face plus printed educational materials on the anxiety level of Iranian pregnant women undergoing elective cesarean section delivery in the perioperative period.
Methods: STAI questionnaire was distributed to 50 pregnant women undergoing cesarean section on the day before operation, then the intervention group was educated face to face for one session followed by the pamphlet. After training, the STAI questionnaire was again distributed to the intervention group on the same day. For evaluating the level of anxiety, we also used the Visual Analog Scale (VAS). The presence of nausea/vomiting after surgery and the type of anesthesia technique were recorded.
Results: Basic characteristics of the parturient regarding age, education level and the baseline level of anxiety were similar.
In the intervention group, the average anxiety level with STAI(S) questionnaire was 48.1 before the education and 45.2 after face to face outreach (P = 0.019).
The average anxiety level with VAS score was 5.6 before the education and 4.8 after the outreach in the interventional group (P = 0.018). STAI(S) and VAS scores in the control group were 43.3 and 5.1 respectively which increased to 44.2 and 5.7 in the second survey.
The correlation coefficient between score in the STAI questionnaire and VAS was 0.479.
Conclusion: A single period of face to face education followed by handing out a pamphlet before an operation reduces the anxiety of mothers before cesarean section delivery.

1. Winstone CV, Dennise M, Roberte N, Wayne M. Anxiety and Postoperative Recovery in Ambulatory Surgery Patients. Anesth prog. 1988;35(2):61-64.
2. Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences. 2007; 12(2):145-8.
3. Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto CW, Bandeira D, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand. 2001; 45(3):298-307.
4. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain. 2005; 21(5):439-45.
5. Kain ZN, Wang SM, Mayes LC, Caramico LA, Hofstadter MB. Distress during the induction of anesthesia and postoperative behavioral outcomes. Anesth Analg. 1999; 88(5):1042-7.
6. Migneault B, Girard F, Albert C, Chouinard P, Boudreault D, Provencher D, et al. The effect of music on the neurohormonal stress response to surgery under general anesthesia. Anesth Analg. 2004; 98(2):527-32.
7. Beilin Y, Rosenblatt MA, Bodian CA, Lagmay-Aroesty MM, Bernstein HH. Information and concerns about obstetric anesthesia:a survey of 320 obstetric patients. Int J Obstet Anesth. 1996; 5(3):145-51.
8. Spielberger CD. Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press; 1983.
9. Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients' anesthetic concerns. Anesth Analg. 2000; 90(3):706-12.
10. Lee A, Chui PT, Gin T. Educating patients about anesthesia: a systematic review of randomized controlled trials of media-based interventions. Anesth Analg. 2003; 96(5):1424-31.
11. Jlala HA, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesia. Br J Anaesth. 2010; 104(3):369-74.
12. Giraudet-Le Quintrec JS, Coste J, Vastel L, Pacault V, Jeanne L, Lamas JP, et al. Positive effect of patient education for hip surgery: a randomized trial. Clin Orthop Relat Res. 2003; (414):112-20.
13. Lam KK, Chan MT, Chen PP, Ngan Kee WD. Structured preoperative patient education for patient-controlled analgesia. J Clin Anesth. 2001; 13(6): 465-9.
14. Bondy LR, Sims N, Schroeder DR, Offord KP, Narr BJ. The effect of anesthetic patient education on preoperative patient anxiety. Reg Anesth Pain Med. 1999; 24(2):158-64.
15. Salzwedel C, Petersen C, Blanc I, Koch U, Goetz AE, Schuster M. The Effect of Detailed, Video-Assisted Anesthesia Risk Education on Patient Anxiety and the Duration of the Preanesthetic Interview: A Randomized Controlled Trial. Anaesth Analg. 2008; 106(1):202-9.
16. Elsass P, Eikard B, Junge J, Lykke J, Staun P, Feldt-Rasmussen M. Psychological effect of detailed preanesthetic information. Acta Anaesthesiol Scand. 1987; 31(7):579-83.
17. Gillies MA, Baldwin FJ. Do patient information booklets increase perioperative anxiety? Eur J Anaesthesiol. 2001; 18(9):620-2.
Files
IssueVol 5 No 2 (2019): Spring QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/aacc.v5i2.749
Keywords
Anxiety Cesarean section delivery Education

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How to Cite
1.
Saliminia A, Azimaraghi O, Ebadi Z, Azizinik F, Movafegh A. Impact of Face-to-Face Educational Outreach Plus Printed Materials on Preoperative Anxiety level in Iranian Parturient Undergoing Elective Cesarean Section Delivery. Arch Anesth & Crit Care. 2019;5(2):41-44.