Abstract
To evaluate effectiveness of using educational intervention serial album to positioning pregnant women for spinal anesthesia. Randomized clinical trial with 90 women casually assigned to control (CG) and intervention group (IG), in a maternity hospital located in Northeast region of Brazil. The primary endpoint was "achieve correct positioning to perform spinal anesthesia"; and secondary, "how number of spinal cord puncture attempts". Effectiveness was verified using the chi-square test, Fisher's exact test and likelihood ratio. The positioning was correct in 37 women in each group. There was an association between women in control group remaining still, relaxing shoulders and flexing the spine; and women in intervention group should remain still and relax the shoulders; furthermore there was a statistical association achieved by correct positioning and the number of attempts to access the lumbar puncture. Educational intervention with serial album was effective and contributed to immobility and positioning of pregnant women. Brazilian Registry of Clinical Trials (RBR-3Z7SRD).
Highlights
METHODSSuccess of anesthetic procedure suffers influence of the correct positioning of the patient[1]
The educational intervention with serial number to position pregnant women to perform spinal anesthesia was able to identify effectiveness just as the preoperative guidelines performed by nursing
There was a statistical association between being in the control group (CG) and holding still, relaxing the shoulders and flexing the lumbar spine; and being an intervention group (IG) and standing still and relaxing your shoulders
Summary
Success of anesthetic procedure suffers influence of the correct positioning of the patient[1]. Health education during the preoperative period, as well as access to information and explanations regarding the anesthesia, may be possible to increase understanding in patients who will be submitted to surgical intervention. Educational interventions, patient guidance and assistance to anesthetic positioning are part of the perioperative nursing duties, which have used technological resources to contribute to the communication process[4]. In Brazil, there is already a technological resource able to be used in pre-operative health education for cesarean sections, to guide pregnant women about the correct position for spinal anesthesia: it is a serial number, built from a literature review, with its content validated by specialists (education professionals, nurses and anesthesiologists) and considered comprehensible to pregnant women[5]
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