2020Journal of Contemporary MedicineOpen access

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

Hakan Tapar

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Abstract

AbstractAim: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.

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AbstractAim: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.

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Available abstract

AbstractAim: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.

Key concepts: Medicine, Anxiety, Anesthesia, Beck Depression Inventory, Beck Anxiety Inventory, Caesarean section, Physical therapy, Pregnancy

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