Effectiveness of Mixed-Media Video and Animation to Provide Information for Patients Undergoing Cesarean Section Using Spinal Anesthesia, Sunpasitthiprasong Hospital, Ubon Ratchathani

Abstract

Providing information is necessary for patients to understand and to cooperatewith the surgical services while still conscious, such as the pregnant women undergoing Cesarean section performed through spinal block. At present, the percentage of delivery by Cesarean sections in Sunpasitthiprasong Hospital, Ubon Ratchathani province is 47.05%, and 76.5% of the cases were perform under spinal anesthesia together with painkillers. Therefore, it is essential to provide knowledge and advice to reduce anxiety and fear before and after the surgery. The objective of this study was to evaluate the effectiveness of a mixed-media video and animation on provided information for patients undergoing Cesarean section under spinal anesthesia. The study samples were 40 pregnant women who were undergoing Cesarean section in Sunpasitthiprasong Hospital from January 2013 to January 2015. The education device was a mixed-media video and animation developed with the contents incorporated from textbooks of anesthesia and the experiences of the researchers, which consisted of procedural information, sensory information, behavioral information, coping skills. The device was screened and approved by 5 specialists. Education process was provided at the Outpatient Clinic of Anesthesiology Department. Data on the assessment was collected by using a structured questionnaire comprising of 3 parts: (1) personal data, (2) measurement of knowledge on spinal anesthesia, and (3) assessment patients’ practices before, during and after surgery. The data collection set had content validity index of 0.86, and reliability index (KR-20) of 0.72. Statistical analysis was performed by using frequency, percentage, mean, standard deviation for general characteristics; and the paired t-test for comparing knowledge before-and-after assessment. A general power analysis program (G*Power) was used to evaluate the power of test. It was found that the study participants had an average age of 28 ± 4.63 years. Most of them completed secondary school (57.5%), and never received information on the treatment procedure (97.5%). After the education session, their knowledge was significantly increased from 12.28±2.10 to 14.45±1.53 (p<0.001). Most of them were able to practice correctly. Thus, the mixed-media video and animation could increase knowledge, improve the practice, and decrease anxiety of the patients. This approach should be promoted in facilities providing surgical services.