Pre-operation and post-operation anxiety in cesarean candidates

Document Type : Original research paper

Authors

1 Department of Anatomical Sciences, Abadan University of Medical Sciences, Abadan, Iran

2 Department of Operating Room, Abadan University of Medical Sciences, Abadan, Iran

3 Student Research Committee, Abadan University of Medical Sciences, Abadan, Iran

4 Department of Public Health, School of Health, Abadan University of Medical sciences, Abadan, Iran

Abstract

Introduction: Women undergoing cesarean section may have some difficulties in self-care and the care of their baby due to post-operative pain as well. If anxiety-inducing factors in the mother are not controlled or treated, they can cause dangerous complications before and after cesarean section. This study aimed to investigate the level of anxiety before and after surgery in the candidates for cesarean section in the hospital.
Methods: In the present descriptive-analytical and cross-sectional epidemiological study, 60 women admitted to the gynecology department of Abadan University of Medical Sciences for elective cesarean section entered the study. Data were collected by Hamilton Anxiety Questionnaire and Demographic Specification Questionnaire. Patients completed the anxiety questionnaire 2-3 hours before entering the operating room and 2-3 hours after the operation. Chi-square tests and t-tests were used to analyze the data in SPSS v.22. 
Results: The mean pre-operative anxiety was 9.95 ±7.99, which reached 1.2 ±0.9 after surgery. The mean scores of women’s anxiety before and after surgery were significantly different (P <0.05). 
Before the operation, 45 (75%) had mild anxiety and 15(25%) had moderate anxiety. The different dimensions of the Hamilton Anxiety Questionnaire surgery were significantly different before and after (P <0.05). Hamilton’s Anxiety Questionnaire score did not show significant correlation with employment status but there was a significant positive relationship with age (P <0.05).
Conclusion: The majority of participants had mild anxiety, possibly due to a history of cesarean section. Therefore, it is recommended that nurses consider these safe, non-invasive, cost-effective selfcare techniques along with medication.

Keywords

References

  1. De Groot JI. Environmental psychology: An introduction: Wiley-Blackwell; 2019.
  2. Cooper R. Diagnosing the diagnostic and statistical manual of mental disorders. London: Routledge; 2018.
  3. Azad H. Psychological damage Tehran: Besat Publications; 2015. P152-6.
  4. Jafarzadeh A, Hadavi M, Hassanshahi G, Rezaeian M, Vazirinejad R, Aminzadeh F, et al. Cesarean or Cesarean Epidemic? Arch Iranian Med. 2019;22(11):22-32.
  5. Rafiei M, Ghare MS, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K, et al. Prevalence, causes, and complications of cesarean delivery in Iran: A systematic review and meta-analysis. Int J Reprod Bio Med. 2018;16(4):221-32.
  6. Hejazi M. Comparison of personality characteristics and anxiety in pregnant women based on choosing the type of delivery. Sci J Rehabil Med. 2018;7(1):51-8.
  7. Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics. New York: Mcgraw-hill; 2014.P 280.
  8. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. Tehran Univ Med J. 2009;67(5):379-85.
  1. Nikooseresht M, Hajian P, Alipour N, Babamiri M, Khorram NS. The effect of pre-and intraoperative anxiety on hemodynamic changes after spinal anaesthesia in cesarean section. Avicenna J Clin Med. 2018;24(4):291-8.
  2. Hepp P, Hagenbeck C, Burghardt B, Jaeger B, Wolf OT, Fehm T, et al. Measuring the course of anxiety in women giving birth by caesarean section: a prospective study. Bmc Pregnan Childbirth. 2016;16(1):1-7.
  3. Mousavi FS, Golmakani N, Saki A. The relationship between postoperative pain after cesarean section with pre and postoperative anxiety. Iranian J Obstet Gynecol Infertil. 2016;19(24):1-10.
  4. Maheshwari D, Ismail S. Preoperative anxiety in patients selecting either general or regional anesthesia for elective cesarean section. J Anaesthesiol Clin Pharmacol. 2015;31(2):196-203.
  5. Ranaei F. Causes of cesarean section in Besat Hospital of Sanandaj (2004). J Kermanshah Univ Med Sci. 2004;10(4):22-9.
  6. Maroufizadeh S, Bagheri Lankarani N, Esmailzadeh A, Almasi-Hashiani A, Amini P, Sepidarkish M, et al. Prevalence of cesarean section and its related factors among multiparous in Tehran province, Iran. Koomesh. 2017;19(4):742-8.
  7. Ghardashi F. Factors affecting preoprative anxiety. J Med Sci. 2007;22(12):33-45.
  8. Woldegerima Y, Fitwi G, Yimer H, Hailekiros A. Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. Int J Surgery Open. 2018;10(2):21-9.
  1. Bedaso A, Ayalew M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Safety Surg. 2019;13(1):18-33.
  2. Reza Ghanei Ghanei ,Kazhal Rezaei , Reza Mahmoodi .The Relationship between Preoperative Anxiety and Postoperative Pain after Cesarean Section. The Iranian Journal of Obstetrics,Gynecology and Infertility.2012; 15(39): 16-22 doi: 10.22038/ijogi.2013.543

 

Files

History

  • Receive Date: 18 October 2021
  • Revise Date: 02 November 2021
  • Accept Date: 06 November 2021

Share

How to cite

Statistics