Effect of pre-operative and post operative spiritual care interventions in patients undergoing major gynaecology surgeries in a tertiary care hospital

Vaishali Chaudhari; Kamalapriya Thiyagarajan; Yogini Patil; Komal Dalal; Ajay Sankhe; Vrutti Mistry

doi:10.18203/2320-1770.ijrcog20241440

Authors

Vaishali Chaudhari Department of Gynaecology, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India
Kamalapriya Thiyagarajan Department of Gynaecology, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India
Yogini Patil Department of Gynaecology, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India
Komal Dalal Department of Medical Research, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India
Ajay Sankhe Department of Paediatrics, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India
Vrutti Mistry Department of Medical Research, Bhaktivedanta Hospital and Research Institute, Thane, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241440

Keywords:

Mantras, Anxiety, Depression, Stress, Spiritual intervention

Abstract

Background: For women undergoing gynaecological surgery, anxiety, depression and stress is recognized as an important factor because of the sensitive and emotive nature of their treatment. Therefore, this study is conducted with an aim to evaluate the utility of pre-operative and operative phase spiritual care intervention on post-operative stress, anxiety, depression and pain.

Methods: This was a prospective, controlled, randomized study in which total of 100 patients were enrolled, 50 (interventional group) and 50 (control group). The spiritual care interventions were done in 3 phases i.e. pre-operative, operative and post operative which comprise of 4 types of spiritual intervention each for 10 minutes namely spiritual counselling, spiritual prayer, spiritual reading and listening to chanting of mantras The parameters like stress, depression, anxiety and pain were assessed by using DASS-41 scale and VAS scale respectively.

Results: Post intervention mean for anxiety, depression and stress score decreased significantly in intervention group with p values <0.001, <0.01 and <0.01 respectively in comparison with control group with p values 0.87, 0.96 and 0.43 respectively. The was no statistically difference in mean pain score post intervention in both intervention and control group

Conclusions: Spiritual care intervention on the basis of MATCH guidelines improved the symptoms of stress, anxiety, depression of the patient’s undergoing surgery. However, there was no change in the physiological pain parameter of the patients.

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References

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