Mental Simulations and Early Mobilization of Patients After Cesarean Section

Study Overview
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Brief Summary
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Mental simulations can motivate patients for their first verticalization after cesarean section, although perceived anxiety before verticalization may reduce a positive effect of mental simulations.

Official Title
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Effect of Mental Simulations on the Early Mobilization of Patients After Cesarean Section

Conditions
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Anxiety, Cesarean Section

Intervention / Treatment
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* Behavioral: mental simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: must be qualified to and undergoing delivery using Cesarean section, must be undergoing conduction of anesthesia during Cesarean section, must be undergoing the analgesic therapy in the postoperative period, must be qualified to mobilization by the medical staff, must be fluent in Polish in speaking and writing. Exclusion Criteria: any orthopedic dysfunction, any neurological dysfunction, any psychiatric disease.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: process simulation group<br>an experimental group with process simulation with elements of relaxation | Behavioral: mental simulation<br>* Audio recordings with a mental simulation. The women listened to the text using headphones about 10-15 min before verticalization (5 h after arrival in the postoperative room, about 6 h after anesthesia). In each group, the mental training lasted for about 10 min.<br>* Other names: A fragment of the book Little Prince by Antoine de Saint-Exupéry, including an order to imagine the elements of the world as seen through the eyes of the main character;|
| Experimental: outcome simulation group<br>an experimental group with outcome simulation with elements of relaxation | Behavioral: mental simulation<br>* Audio recordings with a mental simulation. The women listened to the text using headphones about 10-15 min before verticalization (5 h after arrival in the postoperative room, about 6 h after anesthesia). In each group, the mental training lasted for about 10 min.<br>* Other names: A fragment of the book Little Prince by Antoine de Saint-Exupéry, including an order to imagine the elements of the world as seen through the eyes of the main character;|
| Other: control group<br>a control group with no process and outcome simulations, but with elements of relaxation | Behavioral: mental simulation<br>* Audio recordings with a mental simulation. The women listened to the text using headphones about 10-15 min before verticalization (5 h after arrival in the postoperative room, about 6 h after anesthesia). In each group, the mental training lasted for about 10 min.<br>* Other names: A fragment of the book Little Prince by Antoine de Saint-Exupéry, including an order to imagine the elements of the world as seen through the eyes of the main character;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| willingness to verticalize | Percentage of women who were willing to verticalize after listening to the recording. Assessed on a on a six-point scale. | Immediately after a single mental simulation | 
| verticalization | Percentage of the success of verticalization after listening to the recording. | Immediately after a single mental simulation | 
| duration of the first mobilization | Time form the start of the measurement was set at getting out of bed from a sitting position, and the end of the measurement was set at the patient's return to bed. | Immediately after a single mental simulation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain level | The average pain she experienced during upright standing. Measured with a 10-point numerical rating scale. | 3 time points (before and immediately after a single mental simulation, and immediately after verticalization. | 
| anxiety | Measured with a 10-point numerical rating scale. | upon arrival at the recovery room, before and immediately after a single mental simulation. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mental simulation, anxiety, verticalization, obstetrics, cesarean section, post-operative care