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.
Collaborative Care, Cortisol Level, Cesarean Section
2. Kinsella MT, Monk C. Impact of maternal stress, depression and anxiety on fetal neurobehavioral development. Clin Obstet Gynecol 2009; 52:425-440.
3. Agarwall A, Rabjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: A prospective, randomised, placebo controlled study. Anaesthesia 2005; 60:978-981.
4. Jenkins K, Bennett L, Lancaster L, O'Donoghue D, Carillo F. Improving the nurse-patient relationship: A multi-faceted approach. Edtna Erca J 2002; 28:145-150.
5. Sauls DJ. Effects of labor support on mothers, babies, and birth outcomes. J Obstet Gynecol Neonatal Nurs 2002; 31:733.
6. Rice F, Jones I, Thapar A. The impact of gestational stress and prenatal growth on emotional problems in offspring: A review. Acta Psychiatr Scand 2007; 115:171-183.
7. Koubovec D, Geerts L, Odendaal HJ, Dan J. Stein B, ythilingum V. Effects of psychologic stress on fetal development and pregnancy outcome. Curr Psychiatry Rep 2005; 7:274-280.
8. Simon DM, Corbett BA. Examining associations between anxiety and cortisol in high functioning male children with autism. J Neurodevelopmental Dis 2013;5. In press.
9. Viltart O, Vanbesien-Mailliot CC. Impact of prenatal stress on neuroendocrine programming. Sci World J 2007; 7:1493-1537.
10. Talge NM, Neal C, Glover V. Antenatal maternal stress and long-term effects on child neurodevelopment: how and why. Child Psychol Psychiatry 2007; 48:245-261.
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