Educational intervention with serial album about pregnant women positioning for spinal anesthesia: randomized clinical trial

Pinto, Sarah de Lima; Sampaio, Larissa Alves; Galindo Neto, Nelson Miguel; Almeida, Paulo César de; Oliveira, Mirna Fontenele de; Caetano, Joselany Áfio

doi:10.1590/0034-7167-2019-0878

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (suppl 4) • 2020 • https://doi.org/10.1590/0034-7167-2019-0878 copy

Educational intervention with serial album about pregnant women positioning for spinal anesthesia: randomized clinical trial

Intervención educativa con álbum seriado sobre posicionamiento de gestantes para raquianestesia: ensayo clínico randomizado

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate effectiveness of using educational intervention serial album to positioning pregnant women for spinal anesthesia.

Method:

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.

Results:

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.

Conclusion:

Educational intervention with serial album was effective and contributed to immobility and positioning of pregnant women. Brazilian Registry of Clinical Trials (RBR-3Z7SRD).

Descriptors:
Anesthesia Spinal; Patient Positioning; Pregnant Women; Health Education; Clinical Trial

Sociodemographic variables	Control Group		Intervention Group		p value
Sociodemographic variables	n	%	n	%	p value
Age (years)
18-20	10	22.2	14	31.1	0.597*
21-30	24	53.4	20	44.5
31-42	11	24.4	11	24.4
Statistical average ± Standard deviation	25.67 ± 5.99		25.91 ± 6.61		25.78 ± 6.28
Religion
Catholic	38	84.4	33	73.3	0.162**
Evangelical	3	6.7	9	20.0
Other	4	8.9	3	6.7
Years of study
Up to 8	7	15.6	10	22.2	0.645*
9 to 11	9	20.0	10	22.2
12 to 16	29	64.4	25	55.6
Statistical average ± Standard deviation	11.26 ± 2.54		10.69 ± 2.25		10.97 ± 2.40
Marital status
No partner	6	13.3	9	20.0	0.646*
Partner	39	86.7	36	80.0
Occupation
Housewife	30	66.7	28	62.2	0.660*
Other	15	33.3	17	37.8
Income (Minimum wage)
< 1	7	15.6	10	22.2	0.548*
1	28	62.2	23	51.1
2-4	10	22.2	12	26.7
Statistical average ± Standard deviation	1.56 ± 0.76		1.10 ± 0.83		1.12 ± 0.79
Total	90	100	90	100

Obstetric variables	Control Group		Intervention Group		p value
Obstetric variables	n	%	n	%	p value
Number of pregnancies
1	14	31.1	19	42.1	0.531^* * Pearson's chi-square test.
2	17	37.8	12	26.7
3	9	20.0	7	15.6
4 to 9	5	11.1	7	15.6
Number of childbirths
0	16	35.6	22	48.9	0.196^* * Pearson's chi-square test.
1	19	42.2	11	24.4
2 to 7	10	22.2	12	26.7
Number of abortions
0	38	84.5	36	80.0	0.823^ Likelihood-Ratio Test.
1	5	11.1	7	15.6
2 to 3	2	4.4	2	4.4
Number of born alive
0	16	35.6	21	46.6	0.296^* * Pearson's chi-square test.
1	19	42.2	12	26.7
2 to 7	10	22.2	12	26.7
Previous types of childbirth
Vaginal	8	27.6	8	34.8	0.000^* * Pearson's chi-square test.
C-section	21	72.4	15	65.2
Gestation period at time of collection
Premature	4	9	3	7	0.693^ Likelihood-Ratio Test.
Full gestation	41	91	42	93
Reason to indicate C-section
Previous C-section scars	18	30	13	25	0.267^* * Pearson's chi-square test.
Fail of labor progression	7	11	8	15	0.777^* * Pearson's chi-square test.
Preeclampsia	8	13	6	12	0.561^* * Pearson's chi-square test.
Labor podromos	6	10	1	2	0.039^ Likelihood-Ratio Test.
Elective	4	6	3	6	0.693^ Likelihood-Ratio Test.
Other	18	30	20	40	0.576^* * Pearson's chi-square test.
Nutritional assessment
Low weight	9	20	9	20	0.330^* * Pearson's chi-square test.
Normal weight	13	29	11	24
Overweight	7	15	14	32
Obesity	16	36	11	24
Total	45	100	45	100

Variables	Control Group	p value^* * Fisher's exact test	Intervention Group	p value^* * Fisher's exact test
Variables	n (%)	p value^* * Fisher's exact test	n (%)	p value^* * Fisher's exact test
Immobility	37 (82.2)	< 0.001	37 (82.2)	< 0.001
Relaxed shoulders	37 (82.2)	< 0.001	34 (75.5)	0.013
Lumbar spine flexion	37 (82.2)	< 0.001	36 (80.0)	0.077
Cervical spine flexion	37 (82.2)	0.178	37 (82.2)	0.178

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Sarah de Lima Pinto. E-mail: sarah.pinto@urca.br