ArticleWorld journal of surgery2020
Factors Associated with High Preoperative Anxiety: Results from Cluster Analysis.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Anxiolytic effects of chewing gum during preoperative fasting and patient-centered outcome in female patients undergoing elective gynecologic surgery: randomized controlled study.Scientific reports · 2022Trial
- HoloVAD; A feasibility study of a new patient education tool for patients with a left ventricular assist device.PEC innovation · 2026Article
- Perioperative sleep management in cardiac surgery: an evidence-oriented narrative review of pharmacological, behavioral, and respiratory support strategies.Frontiers in cardiovascular medicine · 2026Review
- Effectiveness of a patient-centered informational video for reducing anxiety before coronary catheterization: A self-controlled trial.PEC innovation · 2025Article
- Decoding Fear: Analysis and Prognosis of Preoperatory Stress Level Through Advanced Statistical Modelling-A Prospective Study Across Multiple Surgical Specialties.Medical sciences (Basel, Switzerland) · 2025Article
- Factors predicting preoperative anxiety among adult patients undergoing cardiac surgery in China: A cross-sectional study.Belitung nursing journal · 2025Article
- Measures of preoperative anxiety: Part two.Anaesthesiology intensive therapy · 2024Review
- Surgery-related anxiety regarding arthroscopic meniscectomy under general anesthesia: a retrospective observational study.BMC musculoskeletal disorders · 2023Observational
- Preoperative anxiety and associated factors among adult surgical patients in public hospitals, eastern Ethiopia.SAGE open medicine · 2023Article
- Effectiveness of a short-term multimodal prehabilitation program in adult patients awaiting selective cardiac surgery: study protocol for an open-label, pilot, randomized controlled trial.Frontiers in cardiovascular medicine · 2023Article
- Patients' voices in the development of pre-surgical patient education using virtual reality: A qualitative study.PEC innovation · 2022Article
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4 authors.
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Abstract
backgroundPreoperative anxiety is a common patients' reaction related to serious adverse events post-operatively. The aim was to explore the characteristics of cardiac surgery patients experiencing high preoperative anxiety.
methodsA total of 127 patients (mean age 64.48 years; 34.6% women) assessed their level of anxiety while waiting for surgery, need for information, depression and illness perception with the use of Amsterdam Preoperative Anxiety and Information Scale, Visual Analogue Scale, Hospital Anxiety and Depression Scale and Brief Illness Perception Questionnaire, respectively. Clinical and socio-demographic data were gathered using structured interview and medical files review. K-means and hierarchical cluster analyses were performed. α 0.05 was considered significant.
resultsThe analysis revealed two different clusters: Cluster 1 involved 46 patients (36.2%; mean age 58.91); Cluster 2 involved 81 patients (63.8%; mean age 67.65). Patients from Cluster 2 had significantly higher anxiety on the day prior to surgery (12.09 vs. 7.93), at a decision stage (6.16 vs. 3.85) and during prehospitalization week (8.01 vs. 4.41). These patients also had more negative illness perception (43.84 vs. 28.35), depressive symptoms (4.9 vs. 2.5) and higher information desire (6.68 vs. 5.54) than patients from Cluster 1. Female sex and planned combined surgery were additional contributors to higher anxiety.
conclusionsPatients scheduled for cardiac surgery experienced high anxiety throughout the presurgery period. Early intervention addressing not only anxiety but also illness perception and depressive symptoms seems vital. The results can be helpful in planning tailored, needs-based psycho-educational intervention which might improve patients' preoperative psychological state.
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