The Impact of Collaborative Care on Intraoperative Stress in Patients Undergoing Cesarean: A Randomized Controlled Trial
Journal Title: Science Insights - Year 2015, Vol 14, Issue 1
Abstract
OBJECTIVE The aim of this study is to evaluate the effect of collaborative intervention on stress relief in patients undergoing elective Cesarean section. METHODS A total of 142 participants undergoing CS were randomly divided into three groups: Single intervention (group A: Control), Collaborative care (group B: Experiment), and Routine care (group C: Control). Group A: circulation nurse provided preoperative visiting followed the psycho-leaflets the day prior surgery. On the surgery day, patients were offered the routine care. Group B: collaborative care was offered by multidisciplinary teams started from the day before surgery to the postoperative period, including preoperative visiting and specialized therapies. Group C: routine care was implemented following the medical order. Salivary cortisol was sampled as the primary outcome to measure stress response at different time points. Self-rated satisfaction scores were obtained three days after surgery. RESULTS Cortisol level in the group B was the lowest during the surgery (P < 0.05). The mean satisfaction score of this group was significantly higher than the other control groups (P < 0.05). Cortisol levels of the group A were lower than the group C 30 min after preoperative visiting (P < 0.05). CONCLUSION The data suggest that collaborative care can substantially reduce stress in patients undergoing Cesarean section.
Authors and Affiliations
Dongying Fu
Keywords
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- EP ID EP689589
- DOI 10.15354/si.15.ar026
- Views 177
- Downloads 0
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