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

• Main Authors: Sarah de Lima Pinto (Author), Larissa Alves Sampaio (Author), Nelson Miguel Galindo Neto (Author), Paulo César de Almeida (Author), Mirna Fontenele de Oliveira (Author), Joselany Áfio Caetano (Author)
• Format: Book
• Published: Associação Brasileira de Enfermagem, 2020-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1984-0446; 10.1590/0034-7167-2019-0878
• Keywords: Anesthesia Spinal; Patient Positioning; Pregnant Women; Health Education; Clinical Trial; Nursing; RT1-120
• Source: Revista Brasileira de Enfermagem, Vol 73, Iss suppl 4 (2020)

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).