About this trial
This prospective randomized controlled trial aims to evaluate the effects of verbal and video-based preoperative education on anxiety levels and serum cortisol response in women scheduled for elective cesarean delivery under spinal anesthesia.
Eligible participants will be randomly assigned to receive either standard verbal education or a standardized video-based educational intervention before surgery. Anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI-S), and serum cortisol levels will be measured before and after the educational intervention.
The primary objective is to compare the effectiveness of the two educational methods in reducing preoperative anxiety and physiological stress response.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female participants aged 18 years or older
Scheduled for elective cesarean delivery
Planned to undergo spinal anesthesia
American Society of Anesthesiologists (ASA) physical status I or II
Disqualifiers
Emergency cesarean delivery
History of psychiatric disease
Current use of anxiolytic or antidepressant medications
Endocrine disorders, including adrenal or thyroid disease
Trial design
Parallel
Treatments tested in this trial
Video-Based Preoperative Education
BehavioralParticipants will watch a standardized preoperative educational video providing information about cesarean delivery, spinal anesthesia, the perioperative process, potential risks and complications, postoperative expectations, and recovery. The video is designed to improve patient understanding and reduce preoperative anxiety.
Verbal Preoperative Education
BehavioralParticipants will receive standard face-to-face verbal preoperative education from an anesthesiologist regarding cesarean delivery, spinal anesthesia, the perioperative process, potential risks and complications, postoperative expectations, and recovery.
Treatment groups
Trial outcomes
Primary outcomes
Change in State-Trait Anxiety Inventory-State (STAI-S) Score
Change in STAI-S score from before to after preoperative education. The STAI-S consists of 20 items with total scores ranging from 20 to 80. Higher scores indicate greater anxiety.
Change in Serum Cortisol Level
Change in serum cortisol concentration (µg/dL) from before to after preoperative education. Higher serum cortisol levels indicate greater physiological stress response.
Sponsors and contacts
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