Study On Decompression Toys Used To Relieve Anxiety During Cesarean Section

Object: To observe the effectiveness of decompression toys in reducing maternal anxiety during cesarean section.Methods: 102 participants undergoing elective cesarean section in our hospital were included and analyzed,and were divided into toy group and control group.The mothers in the toy group were given decompression toys during the preoperative period.The control group were not provided with decompression toys.Two groups were operated under subarachnoid combined with spinal-epidural anesthesia.Blood pressure,heart rate,S-AI,T-AI and VAS-A scores were recorded between 17:00-19:00 on the day before operation.The two groups of pregnant women had no regular preoperative drug treatment,and the blood pressure,heart rate,SAI,T-AI and VAS-A of the pregnant women were collected again 1h after the intervention of decompression toys.Blood pressure,heart rate,S-AI,T-AI,VAS-A and saliva samples were collected from 10:00-12:00 after entering the operating room the next day.At the end of the operation,blood pressure,heart rate,S-AI,T-AI and VAS-A and saliva samples were collected.In addition,ObsQoR-11 was used to evaluate the recovery status of the mothers after 48 hours of the operation,and the subjective questionnaire of decompression toys was used to evaluate the satisfaction with this anti-anxiety method.Results: There was no statistically significant difference in the demographic characteristics and clinical indicators(age,BMI,number of cesarean sections,educational level,gestational age,operation time,bleeding volume,transfusion volume,urine volume,number of cesarean sections,causes of cesarean section,complications)between the two groups(P>0.05).There was no significant difference in S-AI,T-AI and VASA,systolic blood pressure,diastolic blood pressure,heart rate,etc.collected on the day of admission(T1)between the two groups(P>0.05).The VAS-A score of the toy group was significantly lower than that of the control group(4.0 vs4.8;P=0.000),(5.5 vs6.3;P=0.000),(2.6 vs3.2;P=0.000),and the S-AI score of the toy group was lower than that of the control group(35 vs37;P=0.001),(42 vs44;P=0.008),(30 vs32;P=0.030)at 1 hour(T2),(T3),and at the end of the operation(T4).There was no significant difference in the T-AI scores measured at four time points between the two groups(P>0.05).There was no statistical difference between the two groups in saliva collected at T3 and T4(P>0.05).Among the mothers in toy group,the subjective questionnaire of self-made decompression toys was filled out,and 90.2% of the mothers said that they were willing to choose decompression toys again at the next cesarean section.After 48 hours of surgery,ObsQoR-11 was filled out for mother,and it was found that there was no difference in the recovery quality between the two groups(P>0.05).Conclusion: During cesarean section surgery,decompression toys can effectively relieve the anxiety and stress of the mother.