Key result
Preoperative nursing familiarization reduces anxiety and stabilizes vital signs before non-emergency cesarean sections.
Why the study?
Preoperative unfamiliarity and perceived danger cause anxiety and physiological instability in women undergoing cesarean section.
Does familiarization with preoperative nursing care reduce anxiety and stabilize vital signs in pregnant women undergoing cesarean section?
RCT (n=80)
Quadratic block method (Block Randomization)
No
Does familiarization with preoperative nursing care reduce anxiety and stabilize vital signs in pregnant women undergoing cesarean section?
Preoperative familiarization sessions significantly reduce anxiety and stabilize vital signs in women undergoing elective cesarean sections.
Preoperative familiarization reduces anxiety and stabilizes vitals in cesarean patients; extends support for targeted education in surgical settings.
INTRODUCTION: Cesarean section (C-section) is one of the most prevalent surgeries among women. The preoperative stages in the surgery day and lack of control over being in an unfamiliar situation and feeling danger cause anxiety, and consequently, instability in patients. This study aimed to determine the effect of familiarization with preoperative nursing care on anxiety and vital signs of patients in cesarean section. METHODS: This randomized controlled trial study was performed on 80 pregnant candidates for C-section in Hamadan Fatemieh Hospital, Iran, in 2020. Patients were randomly divided into control (n=40) and intervention (n=40) groups. The control group just received the routine intervention of the hospital, but the intervention group, in addition, received the two familiarizing sessions with preoperative nursing care. Data were collected via vital signs sheet and Spielberger situational anxiety questionnaire and were analyzed using SPSS16 software at a significance level of p=0.05. RESULTS: Before the intervention, there was no significant difference between the mean anxiety scores of the control and intervention groups, and the two groups were homogeneous (p=0.396). However, after the intervention, the mean anxiety of the intervention group decreased significantly (p=0.001) and increased in the control group (p=0.600); and the mean post-test of the two groups showed a significant difference (p=0.001). After the intervention, the mean heart rate, respiration rate, systolic and diastolic blood pressure in the intervention group decreased significantly (p<0.05). However, there was no significant difference in heart rate and systolic blood pressure of the control group (p>0.05). CONCLUSIONS: Based on the results of this study we conclude that familiarity with preoperative care reduces the level of anxiety and stabilized the level of vital signs parameters.
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Mostafayi et al. (2021) conducted an RCT in Pregnant candidates for non-emergency cesarean section (n=80). Familiarization with preoperative nursing care vs. Routine hospital intervention was evaluated on Mean situational anxiety score (Spielberger questionnaire) after intervention (p=0.001). Familiarization with preoperative nursing care significantly reduced anxiety scores and stabilized vital signs in pregnant women undergoing non-emergency cesarean section.
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