The Influence of Operation Theater Environment on Patients' Perceptions During Awake Procedures: A Cross-sectional study

Vusqa, Urwat Til; Liaqat, Hania; Ejaz, Taymmia; Safdar, Sachal Aqeel

doi:10.5455/jpma.299192

Cited by 3 publications

(5 citation statements)

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“…Casual conversations were considered as "disturbing" by 33.4% of the respondents and as "relaxing" by 22.8%. There rates contrast with previous studies, in which over two thirds of the patients viewed the conversation among the staff as helpful in relieving anxiety (12,13). This phenomenon might partially be explained by potential selection bias for women who were troubled by the process of the cesarean delivery to respond to our survey.…”

Section: Discussioncontrasting

confidence: 81%

“…Additional factor associated with maternal anxiety is conversations between the personnel members during cesarean delivery; however, the effect of such conversations is controversial. Although some studies have shown that casual conversations of the personnel might be considered as relieving, others concluded that such conversations might disturb the patients, while factors affecting maternal preferences regarding such conversations have not been clearly de ned (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

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"We hear and we fear" – preferences of 1,203 women regarding conversations of the personnel during cesarean delivery.

Sagi‐Dain

2022

Preprint

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Purpose: To evaluate the preferences of women undergoing cesarean delivery regarding the conversations of the personnel during the operation. Methods: This cross-sectional study was conducted by distribution of an open anonymous questionnaire in social media platforms during March 2022, aiming for respondents who underwent cesarean delivery at any time during their lifetime. Results: The questionnaire was completed by 1,203 participants. Conversations between the staff members were reported in 97.6% of the cases. Casual conversations were considered as “disturbing” by higher proportion of the respondents compared to professional talk (33.4% vs. 27.6%, respectively, p=0.0077), and as “relaxing” by a lower proportion (22.8% vs. 32.2%, respectively, p<0.0001). According to logistic regression analysis, factors associated with being disturbed by the conversations were higher levels of stress and pain experienced during the operation, and for professional conversations - urgent operations and second and higher order cesarean compared to first cesarean delivery. Respondents recalling direct communication with the personnel reported significantly lower levels of stress compared to the remaining cohort (60.8% vs. 72.5%, p<0.001). Conclusion: Intraoperative conversations of the personnel occur during the vast majority of cesarean deliveries. For some patients, these talks can decrease the anxiety, while for others such conversations increase the stress; thus, the optimal approach would be a preliminary assessment of maternal preferences. In addition, communication with the women during the operative course is of great importance.

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Section: Discussioncontrasting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

"We hear and we fear" – preferences of 1,203 women regarding conversations of the personnel during cesarean delivery.

Sagi‐Dain

2022

Preprint

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“…Results of a study on perceptions of patients during awake procedures showed that 41 (44%) of the 93 participants believed that additional preventive precautions were necessary to ensure patients do not see the surgical field. 30 In addition, 64 (68.8%) of the 93 participants indicated that staff members' conversation during the procedure helped relieve anxiety. In light of previous studies, nurses may prefer using distraction methods that affect vision and hearing simultaneously to manage pain and anxiety during procedures performed under LA.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Patients undergoing a procedure with LA may experience anxiety based on what they see or hear. Results of a study on perceptions of patients during awake procedures showed that 41 (44%) of the 93 participants believed that additional preventive precautions were necessary to ensure patients do not see the surgical field 30 . In addition, 64 (68.8%) of the 93 participants indicated that staff members’ conversation during the procedure helped relieve anxiety.…”

Section: Literature Reviewmentioning

confidence: 99%

Using a Virtual Reality and Communication Intervention to Reduce Pain and Anxiety in Patients Undergoing Lipoma Excision With Local Anesthesia: A Randomized Controlled Trial

Yeşilot¹,

Çiftçi²,

Yener³

2022

AORN Journal

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In this randomized controlled trial, we assessed the effects of using a virtual reality (VR) and communication intervention on pain and anxiety in patients undergoing lipoma excision under local anesthesia. We conducted the study at a large hospital in Turkey between March 15 and September 15, 2019, with 100 participants. We used a pretest and posttest design to collect data with a personal information form, the Numeric Pain Rating Scale, and the State‐Trait Anxiety Inventory. The intervention group participants watched a video using a VR headset during the procedure and communicated with an investigator; the control group participants only received routine surgical treatment. The intervention had a significant effect on pain during the procedure (P < .001) and a moderate effect on anxiety 60 minutes after the procedure (P = .01). Use of VR and active communication may help reduce pain and anxiety for patients undergoing procedures performed with local anesthesia.

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“…A descriptive cross-sectional study conducted in Pakistan by Vusqa, Liaqat, andSafdar (2019, 1521) revealed that the majority of women who had a caesarean section under regional anaesthesia reported that positive conversations among the multidisciplinary team in theatre were very helpful to ease their anxiety and fears. Moreover, the awareness of the surroundings during the operation had a positive influence on the psychological and emotional well-being of the patients.…”

Section: Theme 2: Peri-operative Carementioning

confidence: 99%

Patients’ Lived Experiences of the Care Provided Before and After Caesarean Sections in the City of Tshwane, Gauteng, South Africa

Ramukumba

Masala-Chokwe

Mudau³

2021

AJNM

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A caesarean section is an incision of the abdomen and uterine walls to deliver the foetus. An emergency caesarean section may be performed if complications during pregnancy or labour arise. Various indications such as abnormal presentation, a previous caesarean section, and other related conditions may need an elective caesarean section. In South Africa, the national average caesarean section rate between 2015 and 2016 was 26.2 per cent, whereas the rate in district hospitals was 24.1 per cent. At a community hospital in the City of Tshwane, the caesarean section rate of 32 per cent in 2015 was recorded as high. The aim of this research was to explore and to describe patients’ lived experiences of the care provided before and after a caesarean section in the City of Tshwane, Gauteng, South Africa. To achieve the aim of the study, a qualitative, exploratory, descriptive study was conducted. The sampling method used was purposive, and the sample size was determined by data saturation. An interview schedule was used to collect the data. The study concluded that some women were satisfied with the care provided, whereas the majority were dissatisfied. The need for strategies to improve such care provided by nurses and midwives was highlighted. Multidisciplinary teams have to acknowledge gaps and develop effective strategies to motivate nurses and midwives in the workplace to provide quality care. Research should be conducted to design an effective nursing framework for caesarean section care.

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The Influence of Operation Theater Environment on Patients' Perceptions During Awake Procedures: A Cross-sectional study

Cited by 3 publications

References 0 publications

"We hear and we fear" – preferences of 1,203 women regarding conversations of the personnel during cesarean delivery.

"We hear and we fear" – preferences of 1,203 women regarding conversations of the personnel during cesarean delivery.

Using a Virtual Reality and Communication Intervention to Reduce Pain and Anxiety in Patients Undergoing Lipoma Excision With Local Anesthesia: A Randomized Controlled Trial

Patients’ Lived Experiences of the Care Provided Before and After Caesarean Sections in the City of Tshwane, Gauteng, South Africa

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