Elektif sezaryen ameliyatı olan hastaların bilgilendirilmesinin değerlendirilmesi: Spinal anestezi teknik video gösterimi

Yıl 2023, Cilt: 45 Sayı: 3, 431 - 437, 23.05.2023

Kemal Demirtaş , Dilek Çetinkaya

Öz

Sezeryan operasyonları sırasında anksiyete oldukça yüksektir. Bu anksiyete anestezi şeklinin seçimini de etkiler. Ameliyat öncesi dönemde hastalara detaylı bilgi verilmesi bu anksiyeteyi azaltır. Bu çalışmada gebelere spinal anestezi tekniğinin uygulandığı bir videonun gösterilmesinin anestezi yöntemi tercihlerine etkisini araştırmayı amaçladık. Etik kurul onayı alındıktan sonra gebelere preoperatif değerlendirme sırasında uygulanabilecek teknikler sözel olarak anlatıldı ve hazırlanan anket soruları yöneltildi. Daha sonra izlemek isteyen gebelere spinal anestezi bilgilendirmesini içeren video izletildi. Toplam 412 gebe çalışmaya alındı. Sözel anlatım sonrası gebelerin 163’ü (%39.6) genel anesteziyi, 166’sı (%40.3) rejyonel anesteziyi tercih ederken, 83 gebe (%20.1) ise kararsız kaldı. Gebelerin 98’i (%23.8) uygulanabilecek anestezi teknikleri hakkında bilgi sahibi olmadıklarını belirtirken, 314 gebe (%76.2) ise bilgi sahibi olduklarını belirtti.352 gebe (%84.4) videoyu izledi. Video izlemi sonrası spinal anestezi tercih oranı %62.4, genel anestezi oranı %37.6 olarak bulundu. Videoyu izleyen hastalardan %63.9 u video ile bilgilendirmenin anestezi tekniği tercihlerinde etkili olduğunu bildirdi. Sonuç olarak, sezaryen için anestezi seçimine ilişkin bilgilendirici videonun gösterilmesi, anestezi yönteminin seçiminde etkilidir.

Anahtar Kelimeler

Hasta bilgilendirme, Preoperatif bilgilendirme, Sezeryan operasyonu, Spinal anestezi

Evaluation of informing patients in elective cesarean section: spinal anesthesia technical video demonstration

Öz

During cesarean section operations, anxiety is quite high. This anxiety also affects the choice of the form of anesthesia. Providing patients with detailed information during preoperative period reduces this anxiety. In the present study, we aimed to investigate the effect of demonstrating a video of administering spinal anesthesia technique to pregnant women on their anesthetic method preferences. After the approval of the ethics committee, the techniques that can be applied during the preoperative evaluation were verbally explained to the pregnant women and the prepared questionnaires were asked. Then, those who were willing to watch an informative video about spinal anesthesia were demonstrated the video. A total number of 412 patients were included in the study. After being verbally informed, 163 (39.6%) of the pregnant women preferred general anesthesia, 166 (40.3%) preferred regional-anesthesia, while 83 (20.1%) of them were hesitant. 98 (23.8%) of the pregnant women stated that they did not have information about anesthesia techniques that can be applied, while 314 (76.2%) of them stated that they were informed. 352 pregnant women (85.4%) watched the video. After video demonstration, those who preferred spinal anesthesia accounted for 62.4%, while others who preferred general anesthesia accounted for 37.6%. 63.9% of the patients watching the video reported that the video demonstrated to inform them was influential in their preferences of anesthesia technique. In conclusion, demonstrating informative video concerning the choice of anesthesia for cesarean section is effective in choosing a method of anesthesia.

Anahtar Kelimeler

Patient education, Preoperative information, Cesarean section, Spinal anesthesia

Kaynakça

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