Effectiveness of cognitive behavioral therapy (CBT) for pain management after cesarean section: A Non-Randomized clinical trial

Abstract

Postoperative pain must be appropriately treated because poorly managed pain can cause discomfort and have an impact on one's respiratory, cardiovascular, gastrointestinal, endocrine, and immune systems. Cognitive behavioral therapy (CBT) has shown efficacy in improving patient outcomes, including depression and pain-related impairment, in cases of acute pain. This study aims to compare the efficacy and effectiveness of CBT with drug therapy for pain management following cesarean section. This research was a quasi-experimental study using a non-randomized pretest and posttest with a control group design. Was conducted from July 4, 2017, to September 4, 2017, at Syech Yusuf Hospital in Gowa, Indonesia. The research sample consisted of 46 respondents (23 in the intervention group and 23 in the control group) using a purposive sampling technique. Data analysis, findings in the intervention group showed that the average VAS at pretest was 8.00 ± 0.64 and the average VAS posttest was 5.00 ± 0.67, an increase of 3.00 ± 0.00 after the CBT intervention. The average VAS in the pretest control group was 8.00 ± 0.67, and the average VAS in the posttest was 7.65 ± 0.49, which also increased. The results showed that According to the trial's findings, CBT is both safe and efficient for minimizing pain and accelerating patient mobilization following cesarean section. After an elective cesarean section, CBT may be suggested to patients as a regular, adjunctive treatment for pain management.