Preoperative Anxiety Experienced by the Patient
Conditions
Keywords
Preoperative Anxiety, Hysterectomy, Surgical Video Education, Randomized Controlled Trial, Beck Anxiety Inventory, Health-Related Quality of Life
Brief summary
Preoperative anxiety is common among women undergoing hysterectomy and may adversely affect perioperative outcomes and patient experience. This randomized controlled trial evaluates whether viewing a standardized surgical procedure video before surgery reduces preoperative anxiety compared with standard preoperative counseling alone. Women scheduled for hysterectomy for benign gynecologic conditions were randomized to receive either standard counseling plus a standardized surgical video or standard counseling alone. The primary outcome is the change in Beck Anxiety Inventory (BAI) score before surgery. Secondary outcomes include health-related quality of life measured by the Short Form-12 (SF-12) questionnaire one month after surgery and exploratory analyses of inflammatory biomarkers associated with anxiety.
Detailed description
Women scheduled to undergo hysterectomy for benign gynecologic indications at Hacettepe University were enrolled in this single-center randomized controlled trial. Eligible participants were randomly assigned in a 1:1 ratio to receive either standard preoperative counseling supplemented by a standardized surgical procedure video (intervention group) or standard preoperative counseling alone (control group). Beck Anxiety Inventory (BAI) scores were assessed immediately before randomization and again immediately before surgery to evaluate changes in preoperative anxiety. Health-related quality of life was assessed one month after surgery using the Short Form-12 (SF-12) questionnaire. Exploratory analyses evaluated the association between baseline anxiety and systemic inflammatory biomarkers, including the systemic immune-inflammation index (SII) and systemic inflammatory response index (SIRI). The study aimed to determine whether standardized surgical video education improves perioperative psychological outcomes without adversely affecting postoperative quality of life.
Interventions
BEHAVIORALViewing a Surgical Procedure Video
Participants viewed a publicly available video of a benign hysterectomy procedure before surgery in addition to standard preoperative counseling.
BEHAVIORALStandard Preoperative Counseling
Participants received standard preoperative counseling before surgery without viewing the surgical procedure video.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Participants received standard preoperative counseling plus a standardized surgical procedure video before hysterectomy.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Female patients aged 18 years or older. * Scheduled to undergo elective hysterectomy for benign gynecologic conditions. * Able to understand the study procedures and provide written informed consent. * Able to complete the Beck Anxiety Inventory (BAI) questionnaire.
Exclusion criteria
* Planned hysterectomy for suspected or confirmed gynecologic malignancy. * Emergency surgery. * Current use of psychiatric medications. * Visual or hearing impairment that could interfere with viewing the surgical -video or completing the study procedures. * Inability to read or understand Turkish. * Cognitive impairment or any condition preventing completion of the study questionnaires or provision of informed consent. * Previous participation in this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Beck Anxiety Inventory (BAI) Score | From baseline (before intervention) to immediately before surgery (same day) | The primary outcome is the change in Beck Anxiety Inventory (BAI) score from before the intervention to the preoperative assessment immediately before surgery. The change will be compared between the intervention and control groups. |
Countries
Turkey (Türkiye)
Outcome results
None listed