Does Anxiety Affect The Anesthesia Type Chosen By Cesarean Section Patients ?

Öz

Abstract

Aim:The maternal anxiety associated with cesarean delivery is important issue. We aimed to assess whether the preoperative anxiety level of obstetric patients undergoing an elective caesarean sectionhas an effect on their decision regarding the choice of anesthesia.

Methods:This study included 138 patients who were scheduled for electivecesarean section.The anesthesia type was chosen by patients. Patients were divided into two groups according to their choice: general anesthesia group (n=63) and spinal anesthesia group (n=75).Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and Pain Catastrophizing Scale (PCS) questionnaires were completed to measure participants’ psychological state. Patients were then assessed preoperatively, and demographic information was recorded.

Results:The BAI and PCS scores were significantly higher in the general anesthesia group according to the spinal anesthesia group (p<0.05). There was no difference between the two groups according to BDI (p>0.05).

Conclusion:The anxiety score was highin patients who chose to undergo general anesthesia.It was concluded that anxiety-related measures (during preoperative and postoperative period) should be considered in patients who prefer general anesthesia.

Anahtar Kelimeler

• Anxiety,general anesthesia,spinal anesthesia

Kaynakça

1. References1.Tsen LC. Anesthesia for cesarean section. In: Chestnut DH, Polley LS, Wong CA, Tsen LC, editors. Chestnut’s obstetric anesthesia: principles and practice. 4th ed. Philadelphia: Elsevier Mosby;2009:521-551.
2. References2.Liu SS, Strodtbeck WM, Richman JM, Wu CL. A comparison of regional vs general anaesthesia for ambulatory anaesthesia: A meta-analysis of randomized controlled trials. Anaesth and Analg. 2005;101:1634-1642.
3. References3.Jafar MF, Khan FA. Frequency of preoperative anxiety in Pakistani surgical patients. J Pak Med Assoc. 2009;59:359-63.
4. References4.Ismail S, Shafiq F, Malik A. Technique of anaesthesia for different grades of caesarean section: A cross-sectional study. J Pak Med Assoc. 2012;62:363-367
5. References5.Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56:893-897.
6. References6.Ulusoy M, Şahin N, Erkmen H . Turkish Version of the Beck Anxiety Inventory: Psychometric properties. J Cognitive Psychotherapy: Int quarterly. 1998;12:28-35.
7. References7.Julian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res. 2011;63:467-472.
8. References8.Steer RA, Beck AT, Garrison B. Applications of the Beck Depression Inventory. In: Sartorius n, Ban TA, eds. Assessment of Depression. Geneva, Switzerland: World Health Organization. 1986;121-142.

9. References9.Jackson-Koku G. Beck Depression Inventory. Occup Med. 2016;66:174-175.
10. References10.Hisli N. Beck Depresyon envanterinin üniversite öğrencileri için geçerliliği,güvenilirliği. Psikoloji dergisi 1989;7:3-13.
11. References11.Sullivan MJ, Bishop SR, Pivik J. The Pain Catastrophizing Scale Development and validation. Psychol Assess. 1995;7:524-532.
12. References12.Süren M, Okan I, Gökbakan AM, Kaya Z, Erkorkmaz Ü,Arıcı S, et al. Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population. Turk J Med Sci. 2014;44:104-108.
13. References13.Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg. 1999;89:1346-1351.
14. References14.Colon EA, Popkin MK. Anxiety and Panic. in: J.R Rundell, M.G Wise (Eds.) Textbook of Consultation Liaison Psychiatry. American Psychiatric Press, Washington DC;1996:402-425.
15. References15.Kain ZN, Wang SM, Caramico LA, Hofstadter M, Mayes LC. Parental desire for perioperative information and informed consent: A two-phase study. Anesth Analg. 1997;84: 299-306.
16. References16.Akyildiz M, Aksoy Y, Kaydu A, Kıvılcım Kaçar C, Fatih Şahin Ö, Baysal Yıldırım Z. Effect of Anaesthesia Method on Preoperative Anxiety Level in Elective Caesarean Section Surgeries. Turk J Anaesthesiol Reanim. 2017;45:36-40.
17. References17.Maheshwari D, Ismail S. Preoperative anxiety in patients selecting either general or regional anesthesia for elective cesarean section. J Anaesthesiol Clin Pharmacol. 2015;31:196-200.
18. References18.Lee EH, Lee SJ, Hwang ST, Kim JH. Reliability and Validity of the Beck Depression Inventory-II among Korean Adolescents. Psychatry Investig. 2017;14:30-36.
19. References19.Martin AL, PA McGrath, SC Brown, Katz J. Anxiety sensitivity, fear of pain and pain-related disabilityin children and adolescents with chronic pain. Pain Res Manage. 2007;12:267-272.
20. References20.Pavlin DJ, Sullivan MJ, Freund PR, Roesen K. Catastrophizing: a risk factor for postsurgical pain. Clin J Pain. 2005;21:83-90
21. References21.Hirsh AT, George SZ, Riley JL III, Robinson M. An evaluation of the measurement of pain catastrophizing by the coping strategies questionnaire. Eur J Pain. 2007;11:75-81
22. References22.Kennedy BW, Thorp JM, Fitch W, Millar K. The theatre environment and the awake patient. J Obstet Gynaecol. 1992;12:407-11.
23. References23.Bukar M, Kwari DY, Moruppa JY, Ndonya D.N. Anaesthesia for caesarean delivery: Choice of technique among antenatal attendees in North Eastern Nigeria. J Obstetr Gynecol. 2010;30: 822-825.
24. References24.Gajraj NM, Shazma SK, Souter AJ, Pole Y, Sidawi JE. A survey of obstetricpatients who refuse regional anaesthesia. Anaesthesia. 1995;50:740-741.