Patient anxiety of verticalization on day 0 after a Cesarean section

Anna Prokopowicz , Aleksandra Korzeniewska , Katarzyna Byrka

Abstract

Purpose The ERAS protocol recommends fast mobilization of a patient along with providing psychological comfort; however, early verticalization can generate mental discomfort. In the post-operative period after Caesarean section (CC), a patient may experience pain, anxiety and negative affect. The main aim of the study was to investigate levels of patient anxiety concerning verticalization on day 0 after CC using. Also, the dependence between anxiety of verticalization and the following: pain, anxiety as a permanent disposition, resistance to pain, negative and positive emotions, and positive orientation was described. Methods The study included 150 women on day 0 after their CC. The measurement of anxiety concerning verticalization, pain, and also negative and positive emotions was conducted twice. During the first measurement, variables such as anxiety levels as a constant disposition, level of pain resistance and positive orientation were also monitored. Results Patients upon arrival at the post-operative room declared a higher level of anxiety of verticalization (p < 0.05) (Median = 4; IQR = 5) when compared to 6 h after surgery (Median = 3; IQR = 4). A weak correlation of anxiety and pain was noted (r = 0.264; p < 0.01) in the second measurement. In both measurements, negative emotions and pain resistance proved to be the strongest variables explaining anxiety concerning verticalization. Conclusions Low levels of pain experienced by a patient after CC do not explain the variance in anxiety of verticalization. The use of the Numerical Rating Scale (NRS) of anxiety allows care givers to gain patients' psychological perspective in different moments after CC.
Author Anna Prokopowicz
Anna Prokopowicz,,
-
, Aleksandra Korzeniewska
Aleksandra Korzeniewska,,
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, Katarzyna Byrka (Filia we Wrocławiu / Wydział Psychologii we Wrocławiu)
Katarzyna Byrka,,
- Wydział Psychologii we Wrocławiu
Journal seriesArchives of Gynecology and Obstetrics, ISSN 0932-0067, e-ISSN 1432-0711, (N/A 70 pkt)
Issue year2021
No303
Pages391-399
Publication size in sheets0.5
Keywords in EnglishAnxiety, Cesarean section, Mobilization, Verticalization, Post-operative period
ASJC Classification2700 General Medicine; 2729 Obstetrics and Gynaecology
DOIDOI:10.1007/s00404-020-05748-3
URL https://link.springer.com/article/10.1007/s00404-020-05748-3
Languageen angielski
File
Patient_tekst.pdf 566.67 KB
Additional file
Oświadczenie_Byrka Patient.pdf 695.07 KB
Score (nominal)70
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.028; WoS Impact Factor: 2018 = 2.199 (2) - 2018=2.007 (5)
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