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Effect of Video-Based Information on Pre-Operative State Trait Anxiety Inventory Scores in Adult Patients Presenting for Elective Caesarean Section

Thesis Info

Author

Kanyeki, Timothy

Department

Anaesthesiology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728048255

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Background: Preoperative anxiety is a common occurrence in patients presenting for surgery with a reported incidence of up to 80%. Higher incidences have been reported in the female population and in the obstetric population compared to general surgical patients. Increased preoperative anxiety has been associated with increased anaesthetic requirements, a more turbulent immediate postoperative course, poor patient satisfaction, protracted hospital stays, and poorer surgical outcomes. Provision of information relating to surgery and anaesthesia to patients has been proven to have benefit in allaying anxiety. However, the best format of information dissemination remains unknown and especially so targeting a specific patient population. Objective: The primary objective was to determine the effect of video information in addition to the pre-anaesthetic review on the mean preoperative STAI-S score in adult patients presenting for elective caesarean section under spinal anaesthesia at AKUHN. Secondary objectives were to determine the prevalence of preoperative anxiety in the obstetric population presenting for elective caesarean section at AKUHN as well as to determine the effect of age, level of education, parity and exposure to previous anaesthetic on preoperative anxiety. Study design: A randomized control trial. Study setting: Aga Khan University Hospital- Nairobi, Anaesthesia clinic. Study population: Adult patients presenting for elective caesarean section. Sample size: A target sample size of 36 patients,18 patients per arm, calculated to detect an 8.85 points difference in mean STAI-S scores from baseline between the two arms. Randomization: Computer-generated random numbers in sealed envelopes. Inclusion criteria: Adult patients booked for elective caesarean section reviewed in the clinic who had consented for spinal anesthesia. Exclusion criteria: Previous spinal anaesthetic, unable to read or write, poor eyesight, non- English speaking, high risk pregnancies, use of psychotropics, history of psychiatric illness. Data collection: Demographic data were collected using a data collection tool, and cumulative STAI S and T scores were recorded from filled questionnaires as per the accompanying manual. Data analysis: Continuous data were described in terms of means with standard deviation, and percentages as appropriate. Comparison of means was done using Student’s t and paired sample t tests. Fisher’s exact test was used to investigate the association of the independent factors and the anxiety scores. Results: 37 patients were randomized in this study. The mean STAI-T score in the sampled population was 45.64 (SD 5.625). The mean baseline STAI-S score was 46.32 (SD 4.911). There was no statistically significant difference in change in STAI score between
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کہ راحت کے سامان ہونے لگے ہیں

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خدا یاں تو انسان ہونے لگے ہیں

تری بے رُخی سے مرے دل میں ظالم
بپا غم کے طوفان ہونے لگے ہیں

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تو اپنے بھی انجان ہونے لگے ہیں

ہماری پریشان حالی کی باتیں
وہ سن کر پریشان ہونے لگے ہیں

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