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

• Published in: Revista Brasileira de Enfermagem 2020-01, Vol.73 (suppl 4), p.e20190878-e20190878
• Main Authors: Pinto, Sarah de Lima, Sampaio, Larissa Alves, Galindo Neto, Nelson Miguel, Almeida, Paulo César de, Oliveira, Mirna Fontenele de, Caetano, Joselany Áfio
• Format: Article
• Language: eng ; por
• Subjects: Anesthesia Spinal; Clinical Trial; Health Education; NURSING; Patient Positioning; Pregnant Women
• ISSN: 0034-7167; 1984-0446; 1984-0446
• DOI: 10.1590/0034-7167-2019-0878

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). RESUMEN Objetivo: Evaluar el efecto de intervención educativa con álbum seriado sobre el posicionamiento de gestantes para raquianestesia. Método: Ensayo clínico randomizado, realizado con 90 mujeres alocadas aleatoriamente en os grupos de control e intervención, en maternidad del Nordeste brasileño. El resultado primario ha sido “posición correcta para la raquianestesia”; y el secundario, “cantidad de tentativas de punción medular”. La efectividad ha sido verificada a partir del test chi-cuadrado, exacto de Fisher y razón de verosimilitud. Resultados: El posicionamiento ha sido correcto en 37 mujeres de cada grupo. Hubo relación estadística entre estar en el grupo control y quedar inmóvil, relajar los hombros y flexionar la columna lumbar y estar en el grupo de intervención y quedar inmóvil y relajar los hombros. Conclusión: educativa con álbum seriado ha sido efectiva y contribuyó para inmovilidad y posicionamiento de las gestantes. Registro Brasileño de Ensayos Clínicos (RBR-3Z7SRD) RESUMO Objetivo: Avaliar o efeito de intervenção educativa com álbum seriado no posicionamento de gestantes para raquianestesia. Método: Ensaio clínico randomizado, realizado com 90 mulheres alocadas aleatoriamente nos grupos de controle e intervenção, em maternidade do Nordeste brasileiro. O desfecho primário foi “posição correta para a raquianestesia”;