Araştırma Makalesi
BibTex RIS Kaynak Göster

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

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

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.

Kaynakça

  • 1. West AM, Bittner EA, Ortiz AE. The Effects of Preoperative, Video-Assisted Anesthesia Education in Spanish on Spanish-speaking Patients' Anxiety, Knowledge, and Satisfaction: A Pilot Study. Journal of Clinical Anesthesia 2014; 26:325-9
  • 2. Gençoğlu NN, Küçükosman G, Gülhan Aydın B, Oktay DR, Pişkin Ö, Sezer Ü et al. Effects of perioperative anxiety and general anesthetic administration on intraoperative awareness in patients undergoing cesarean section. The Medical Bulletin of Haseki 2019;57:114-21
  • 3. National Institute for Health and Care Excellence. Caesarean Section. 2011. Available at http://www.nice.org.uk/guidance/cg132.accessed may 17,2019
  • 4. Maheshwari D, Ismail S. Preoperative Anxiety in Patients Selecting Either General or Regional Anesthesia for Elective Cesarean Section. Journal of Anaesthesiology and Clinical Pharmacology 2015;31:196-200
  • 5. Sağır G, Kaya M, Eskiçırak HE, Kapusuz Ö, Kadıoğulları AN. The effect of visual informational on preoperative anxiety in spinal anesthesia. Turkish Journal of Anesthesiology and Reanimation 2012;4:274-8
  • 6. Kocamanoglu IS, Sarıhasan B, Sener B, Tur A, Sahinoglu H, Sunter T. Methods and complications of anesthesia in cesarean/section operations: Retrospective evalutions of 3552 cases. Türkiye Klinikleri J Med Sci. 2005;25:810-6
  • 7. Juang J, Gabriel RA, Dutton RP, Palanisamy A, Urman RD. Choice of anesthesia for cesarean delivery: An analysis of the National anesthesia clinical outcomes registry. Anesthesia and Analgesia 2017;124: 1914-7
  • 8. Hoefnagel A, Yu A, Kaminski A. Anesthetic complications in pregnancy. Crit Care Clinics 2016;3228
  • 9. Yavuz C, Gişi G, Urfalıoğlu A, Boran ÖF, Bilal B, Öksüz G et al. Comparison of general and spinal anesthesia in elective cesarean section in terms of patient satisfaction. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 2021; 16:407-11
  • 10. Synder-Ramos SA, Seintsch H, Böttiger BW, Motsch J, Martin E, Bauer M. Patient satisfaction and information gain after the preanesthetic visit: A comparison of face-to-face interview, brochure and video. Anesthesia and Analgesia 2005;100:1753-8
  • 11. Purcell-Jones JMA, Haasbroek M, Van der Westhuizen JL, Dyer RA, Lombard CJ, Duys RA. Overcoming language barriers using an information video on spinal anesthesia for cesarean delivery: Implementation and impact on maternal anxiety. Anesthesia and Analgesia 2019;29:1137-43
  • 12. Eley VA, Searles T, Donovan K, Walters A. Effects of an anaesthesia information video on preoperative maternal anxiety and postoperative satisfaction in elective caesarean section: a prospective randomized trial. Anaesthesia and Intensive Care 2013;41:774-81
  • 13. Salzwedel C, Petersen C, Irmgard B, Koch U, Goetz AE, Schuster MD. The effect of detailed, video-assisted anesthesia risk education on patient anxiety and the duration of the anaesthetic interwiew: A randomized controlled trial. Anesthesia and Analgesia 2008;106:202-9

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

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

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.

Kaynakça

  • 1. West AM, Bittner EA, Ortiz AE. The Effects of Preoperative, Video-Assisted Anesthesia Education in Spanish on Spanish-speaking Patients' Anxiety, Knowledge, and Satisfaction: A Pilot Study. Journal of Clinical Anesthesia 2014; 26:325-9
  • 2. Gençoğlu NN, Küçükosman G, Gülhan Aydın B, Oktay DR, Pişkin Ö, Sezer Ü et al. Effects of perioperative anxiety and general anesthetic administration on intraoperative awareness in patients undergoing cesarean section. The Medical Bulletin of Haseki 2019;57:114-21
  • 3. National Institute for Health and Care Excellence. Caesarean Section. 2011. Available at http://www.nice.org.uk/guidance/cg132.accessed may 17,2019
  • 4. Maheshwari D, Ismail S. Preoperative Anxiety in Patients Selecting Either General or Regional Anesthesia for Elective Cesarean Section. Journal of Anaesthesiology and Clinical Pharmacology 2015;31:196-200
  • 5. Sağır G, Kaya M, Eskiçırak HE, Kapusuz Ö, Kadıoğulları AN. The effect of visual informational on preoperative anxiety in spinal anesthesia. Turkish Journal of Anesthesiology and Reanimation 2012;4:274-8
  • 6. Kocamanoglu IS, Sarıhasan B, Sener B, Tur A, Sahinoglu H, Sunter T. Methods and complications of anesthesia in cesarean/section operations: Retrospective evalutions of 3552 cases. Türkiye Klinikleri J Med Sci. 2005;25:810-6
  • 7. Juang J, Gabriel RA, Dutton RP, Palanisamy A, Urman RD. Choice of anesthesia for cesarean delivery: An analysis of the National anesthesia clinical outcomes registry. Anesthesia and Analgesia 2017;124: 1914-7
  • 8. Hoefnagel A, Yu A, Kaminski A. Anesthetic complications in pregnancy. Crit Care Clinics 2016;3228
  • 9. Yavuz C, Gişi G, Urfalıoğlu A, Boran ÖF, Bilal B, Öksüz G et al. Comparison of general and spinal anesthesia in elective cesarean section in terms of patient satisfaction. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi 2021; 16:407-11
  • 10. Synder-Ramos SA, Seintsch H, Böttiger BW, Motsch J, Martin E, Bauer M. Patient satisfaction and information gain after the preanesthetic visit: A comparison of face-to-face interview, brochure and video. Anesthesia and Analgesia 2005;100:1753-8
  • 11. Purcell-Jones JMA, Haasbroek M, Van der Westhuizen JL, Dyer RA, Lombard CJ, Duys RA. Overcoming language barriers using an information video on spinal anesthesia for cesarean delivery: Implementation and impact on maternal anxiety. Anesthesia and Analgesia 2019;29:1137-43
  • 12. Eley VA, Searles T, Donovan K, Walters A. Effects of an anaesthesia information video on preoperative maternal anxiety and postoperative satisfaction in elective caesarean section: a prospective randomized trial. Anaesthesia and Intensive Care 2013;41:774-81
  • 13. Salzwedel C, Petersen C, Irmgard B, Koch U, Goetz AE, Schuster MD. The effect of detailed, video-assisted anesthesia risk education on patient anxiety and the duration of the anaesthetic interwiew: A randomized controlled trial. Anesthesia and Analgesia 2008;106:202-9
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Kemal Demirtaş 0000-0003-0313-3901

Dilek Çetinkaya 0000-0002-9320-7005

Yayımlanma Tarihi 23 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 45 Sayı: 3

Kaynak Göster

Vancouver Demirtaş K, Çetinkaya D. Evaluation of informing patients in elective cesarean section: spinal anesthesia technical video demonstration. Osmangazi Tıp Dergisi. 2023;45(3):431-7.


13299        13308       13306       13305    13307  1330126978