The Impact of Collaborative Care on Intraoperative Stress in Patients Undergoing Cesarean: A Randomized Controlled Trial

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Published Oct 30, 2015
DOI https://doi.org/10.15354/si.15.ar026

Dong Ying Fu  
Department of OR, Nanjing Maternity and Children Health Hospital, Nanjing Medical University, Nanjing 210004, China.

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.

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Keywords

Collaborative Care, Cortisol Level, Cesarean Section

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How to Cite
Fu, D. Y. (2015). The Impact of Collaborative Care on Intraoperative Stress in Patients Undergoing Cesarean: A Randomized Controlled Trial. Science Insights, 14(1), 524–533. https://doi.org/10.15354/si.15.ar026
Issue
Vol. 14 No. 1 (2015)
Section
Original Article
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