ArticlePerioperative medicine (London, England)2023
Prevalence of preoperative anxiety among hospitalized patients in a developing country: a study of associated factors.
Article in Perioperative medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 24 citations in OpenAlex.
- Effect of multimedia education on anxiety and pain in patients undergoing laparoscopic cholecystectomy: a Solomon four-group randomized controlled trial.Scientific reports · 2025Trial
- Prevalence and predictors of high preoperative anxiety among adults undergoing elective surgery in Eastern Nepal: a multicenter cross-sectional study.Annals of medicine and surgery (2012) · 2026Article
- Perioperative Anxiety in Adults: A Narrative Review of Pathophysiology, Assessment, and Multimodal Management Strategies.Healthcare (Basel, Switzerland) · 2026Review
- Prevalence of Preoperative Anxiety and Associated Factors in Hallux Valgus Surgery.Journal of foot and ankle research · 2026Article
- Development and internal validation of a multivariable risk stratification model for preoperative anxiety in surgical patients: a retrospective observational study.Frontiers in medicine · 2026Article
- Preoperative Anxiety in Patients Undergoing Elective Surgery During a Healthcare Crisis: A Referral Hospital Experience.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2026Observational
- Preoperative anxiety: Is it affected by preoperative counseling and surgical technique?PloS one · 2026Article
- Preoperative anxiety in patients undergoing minimally invasive thoracic surgery: A prospective study of predictors and Patient-Reported concerns.Scientific reports · 2025Article
- Preoperative Anxiety and Information Desire Among Patients Undergoing Elective Surgery in Northern Sudan: Multicenter Cross-Sectional Study.JMIR perioperative medicine · 2025Article
- Surgical Fear, Anxiety, and Satisfaction with Nursing Care: A Cross-Sectional Study of Hospitalized Surgical Patients.Nursing reports (Pavia, Italy) · 2025Article
- General surgery nurses' views on preoperative spiritual care: a qualitative descriptive study.BMJ open · 2025Article
- Evaluation of preoperative anxiety and anesthesia-related fears in a comprehensive hospital in Ethiopia.Annals of medicine and surgery (2012) · 2025Article
- Assessment of perioperative anxiety levels at three time-points during hospital stay in patients undergoing elective surgery.Perioperative medicine (London, England) · 2025Article
- Severe preoperative pain, functional decline, and high anxiety levels hinder the efficacy of multidisciplinary interventions in patients who underwent primary total knee arthroplasty.Journal of orthopaedic surgery and research · 2025Observational
- Comparison of preoperative education by artificial intelligence versus traditional physicians in perioperative management of urolithiasis surgery: a prospective single-blind randomized controlled trial conducted in China.Frontiers in medicine · 2025Article
- Assessment of Preoperative Anxiety and Influencing Factors in Patients Undergoing Elective Surgery: An Observational Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2024Observational
- Epilepsy knowledge and attitudes: A large observational study among the Palestinian general public.Heliyon · 2024Article
- Assessing the validity and reliability of the 10-item Persian version of the perceived stress scale in post-surgery patients.Frontiers in psychiatry · 2024Article
- Fear of anesthesia for cesarean section among pregnant women: a multicenter cross-sectional study.Perioperative medicine (London, England) · 2023Article
- Preoperative Anxiety Impact on Anesthetic and Analgesic Use.Medicina (Kaunas, Lithuania) · 2023Review
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative anxiety is a health concern among patients scheduled for surgical interventions. Little is known about the prevalence of preoperative anxiety among patients in different healthcare systems of developing countries. This study was conducted to determine the prevalence of preoperative anxiety among patients undergoing surgery in Palestine. Another objective was to identify the factors associated with preoperative anxiety.
methodsThis study was conducted in a cross-sectional descriptive design. Patients scheduled for surgical interventions were interviewed using an interviewer-administered questionnaire. The questionnaire collected the demographic, clinical, and surgical variables of the patients. The questionnaire also contained the Amsterdam preoperative anxiety and information scale (APAIS), and a short version of the Spielberger state-trait anxiety inventory (STAIS-5/STAIT-5).
resultA total of 280 patients were included. The mean APAIS total score was 13.6 ± 5.9, the mean APAIS anxiety domain score was 8.3 ± 4.3, and the mean APAIS need for information domain was 1.6 ± 0.50. Of the patients, 76 (27.1%) had high anxiety and 160 (57.1%) expressed a high need for information. The higher APAIS anxiety scores were predicted by being female, having chronic diseases, being scheduled to be operated on within 24 h, and having experienced surgical complications. The mean STAIS-5 score was 10.0 ± 4.2 and the mean STAIT-5 was 10.3 ± 3.8. Of the patients, 140 (50.0%) had high state anxiety and 56 (20.0%) had high trait anxiety. Higher STAIS-5 scores were predicted by being female, younger than 42 years, and scheduled to be operated on within 24 h. Higher STAIT-5 scores were predicted by being female. A positive correlation was identified between APAIS total, APAIS anxiety, APAIS need for information, STAIS-5, and STAIT-5 scores.
conclusionPreoperative anxiety was prevalent among patients scheduled for surgical operations in Palestinian hospitals. Anesthesiologists and other providers of perioperative care should screen preoperative patients who are female, have chronic diseases, are scheduled to be operated on within 24 h, and having had experienced surgical complications for preoperative anxiety. More studies are still needed to investigate the effects of the implemented measures on the prevalence of preoperative anxiety.
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