Effect of Video-Based Versus Verbal Preoperative Information on Anxiety and Cortisol Levels in Elective Cesarean Section

N/ANot Yet RecruitingNCT07521592

Elazıg Fethi Sekin Sehir Hastanesi140 enrolled

Overview

Preoperative anxiety is a common problem in patients undergoing elective cesarean section and may negatively affect perioperative outcomes through activation of the stress response, including increased cortisol levels. Effective preoperative information is considered a key non-pharmacological strategy to reduce anxiety; however, the optimal method of information delivery remains unclear. This prospective randomized controlled trial aims to compare the effects of video-based versus verbal preoperative information on anxiety levels and serum cortisol response in patients scheduled for elective cesarean delivery under spinal anesthesia. Anxiety will be assessed using the State-Trait Anxiety Inventory (STAI), and serum cortisol levels will be measured before and after the intervention. The findings of this study are expected to provide evidence for improving patient-centered preoperative education strategies in obstetric anesthesia."

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

140

Conditions

Preoperative Anxiety Cesarean Section Surgical Stress Response

Interventions

Verbal Preoperative InformationBEHAVIORAL

Participants will receive standard preoperative information about anesthesia and the surgical procedure through face-to-face verbal communication delivered by an anesthesiologist according to routine clinical practice at least one hour before surgery.

Video-Based Preoperative InformationBEHAVIORAL

Participants will receive standardized video-based preoperative information covering anesthesia and the surgical procedure at least one hour before surgery. The content of the video will be equivalent to the verbal information provided in routine clinical practice.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pregnant women aged 18 years or older * Scheduled for elective cesarean delivery * Planned to receive spinal anesthesia * American Society of Anesthesiologists (ASA) physical status I-II * Ability to provide written informed consent Exclusion Criteria: * Emergency cesarean delivery * History of psychiatric disorders * Current use of anxiolytic or antidepressant medications * Endocrine disorders, particularly adrenal or thyroid disease * Current corticosteroid therapy * History of previous surgery under spinal anesthesia * Cognitive impairment preventing effective communication or completion of the assessment scales * American Society of Anesthesiologists (ASA) physical status III-V

Outcomes

Primary Outcomes

Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory (STAI-S)

Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory-State (STAI-S), a 20-item scale with scores ranging from 20 to 80, where higher scores indicate greater anxiety.

Time frame: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery

Secondary Outcomes

Serum cortisol level change

Change in serum cortisol levels measured from venous blood samples obtained immediately before preoperative information and approximately 1 hour after preoperative information, before surgery.