Effectiveness of pictorial media for patient positioning in spinal anesthesia in Maharaj Nakorn Chiang Mai Hospital: A comparison between conventional explanation and combined pictorial media with explanation technique
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Abstract
BACKGROUND: Correct patient positioning is a crucial factor for the success of spinal anesthesia. However, many patients lack adequate understanding of the required positioning due to the absence of a standardized method for verbal explanation. This study aimed to compare the effectiveness of the conventional explanation method with the use of pictorial media to enhance patients’ understanding and accuracy in positioning for spinal anesthesia.
OBJECTIVE: To compare the accuracy, time required, and patient satisfaction in positioning for spinal anesthesia between conventional explanation and combined pictorial media with explanation technique.
METHODS: This study is experimental research using a randomized controlled trial design. The sample consisted of patients who met the predefined inclusion criteria. A total of 60 participants were randomly allocated into two groups: 30 patients in the conventional explanation group (control group) and 30 patients in a combined pictorial media with explanation group (experimental group). Data was collected from all participants. Statistical analysis included descriptive statistics presented as frequency, percentage, and mean. An independent t-test was used to compare the accuracy of positioning scores and the time required for positioning between the two groups. The time was measured from the start of the explanation or combined pictorial media with explanation until completion of the positioning.
RESULTS: The results showed that the experimental group had a significantly higher mean accuracy score for positioning during spinal anesthesia compared to the control group (p<0.001). The mean accuracy scores in the experimental and control groups were 4.8 ± 0.4 and 4.1 ± 0.1, respectively. In addition, patient satisfaction was significantly higher in the experimental group than in the control group (p<0.001). The mean satisfaction scores in the experimental and control groups were 4.5 ± 0.42 and 4.0 ± 0.36, respectively.
CONCLUSIONS AND RECOMMENDATIONS: The use of combined pictorial media with explanation resulted in more accurate and faster positioning compared to the conventional explanation. In addition, patients reported higher satisfaction. Therefore, combined pictorial media with explanation should be adopted as a standard tool for preparing patients for positioning during spinal anesthesia.
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