The Effect of Preoperative Anxiety on Hemodynamic Parameters in Cesarean Section Under Spinal Anesthesia

Yıl 2024, , 230 - 236, 01.05.2024

Cihan Sanbirgan , Nurten Kayacan , Bilge Karslı

https://doi.org/10.53394/akd.1199396

Öz

Purpose:Our aim of this study is to assess the effect of preoperative anxiety on intraoperative hypotension, postoperative recovery and maternal satisfaction in cesarean section under spinal anaesthesia.
Methods:In this study,105 cesarean sections were included between aged of 18-45 and at 34-42 gestational weeks. Two different scales were used for the anxiety evaluation performed 1 hour before the operation, including STAI (I-II) anxiety score and Verbal Analoque scale (VAS).
It was evaluated as low, moderate and high anxiety according to the scores obtained: low (20-37), moderate (38-44) and high (45-80) for STAI and low (0-3), moderate (4-6) and high (7-10) for VAS. During the operation, haemodynamic parameters were monitored at 5,10,15,20,30 minutes. In the post-operative first day, STAI-I, VAS, Post-Cesarean Mother Satisfaction Scale (PCMSS) and Post-Cesarean Recovery Scale (PCRS) were also evaluated.
Results:In the evaluation of preoperative STAI -I and VAS anxiety scores, it was observed that the majority of cases had moderate anxiety group (61.9%, and 45.7%).
There was no significant correlation between preoperative STAI-I, STAI-II, VAS anxiety levels and SSAM, SSDS in our study. There was a negative correlation between postoperative VAS anxiety scores and SSAM but this was not significant. In our study, no significant difference was found in umbilical cord pH values in different anxiety levels. In preoperative high VAS levels, MBP decreased significantly in 30 minutes, and also vasopressor requirement decreased significantly in preoperative low VAS anxiety levels (p<0.05).
Conclusion:Anxiety level of the patients should be reduced through non-pharmacological methods in preoperative visits considering the fact that patients are pregnant. Further studies with a larger samples size should be performed to demonstrate clearly the effect of maternal anxiety on the hypotension during spinal anesthesia for cesarean section.

Anahtar Kelimeler

Anesthesia, Spinal, Hemodynamic parameters, Anxiety

Spinal Anestezi ile Sezaryende Preoperatif Anksiyete’nin Hemodinamik Parametrelere Etkisi

Öz

Purpose:Our aim of this study is to assess the effect of preoperative anxiety on intraoperative hypotension, postoperative recovery and maternal satisfaction in cesarean section under spinal anaesthesia.
Methods:In this study,105 cesarean sections were included between aged of 18-45 and at 34-42 gestational weeks. Two different scales were used for the anxiety evaluation performed 1 hour before the operation, including STAI (I-II) anxiety score and Verbal Analoque scale (VAS).
It was evaluated as low, moderate and high anxiety according to the scores obtained: low (20-37), moderate (38-44) and high (45-80) for STAI and low (0-3), moderate (4-6) and high (7-10) for VAS. During the operation, haemodynamic parameters were monitored at 5,10,15,20,30 minutes. In the post-operative first day, STAI-I, VAS, Post-Cesarean Mother Satisfaction Scale (PCMSS) and Post-Cesarean Recovery Scale (PCRS) were also evaluated.
Results:In the evaluation of preoperative STAI -I and VAS anxiety scores, it was observed that the majority of cases had moderate anxiety group (61.9%, and 45.7%).
There was no significant correlation between preoperative STAI-I, STAI-II, VAS anxiety levels and SSAM, SSDS in our study. There was a negative correlation between postoperative VAS anxiety scores and SSAM but this was not significant. In our study, no significant difference was found in umbilical cord pH values in different anxiety levels. In preoperative high VAS levels, MBP decreased significantly in 30 minutes, and also vasopressor requirement decreased significantly in preoperative low VAS anxiety levels (p<0.05).
Conclusion:Anxiety level of the patients should be reduced through non-pharmacological methods in preoperative visits considering the fact that patients are pregnant. Further studies with a larger samples size should be performed to demonstrate clearly the effect of maternal anxiety on the hypotension during spinal anesthesia for cesarean section.

Anahtar Kelimeler

Anestezi, Spinal, Hemodinamik ölçümler, Anksiyete

Kaynakça

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