What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Preoperative anxiety in gynecology surgeries.

What question did this study set out to answer?

This study aims to identify the main factors influencing moderate to severe preoperative anxiety in elective gynecology surgeries.

April 11, 2026Crescent Journal of Medical and Biological Sciences0 citations

Preoperative Anxiety Assessment of Gynecology Surgeries in a Referral Hospital; Prevalence and Some Related Factors: A Cross-sectional study

AJAli Mohammadzadeh JouryabiIran University of Medical Sciences VIVali ImantalabGuilan University of Medical Sciences MGMandana Mansour Ghanaie

Key Result

The provided text is a journal authorship and conflict of interest form and contains no clinical study results.

Key Points

This study aims to identify the main factors influencing moderate to severe preoperative anxiety in elective gynecology surgeries.
Conducted a cross-sectional study at Alzahra Hospital, Iran.
Utilized the State-Trait Anxiety Inventory to screen for moderate anxiety.
Analyzed demographics and causes of preoperative anxiety from 530 subjects with moderate anxiety.
29.6% of participants exhibited moderate to severe preoperative anxiety.
Common causes included fear of anesthesia complications (22.45%) and post-operative pain (21.16%).
Factors like higher education and prior surgery history were linked to lower levels of preoperative anxiety (P = 0.0001).

Study Design

Type

Cross-Sectional

Structured PICO

Population

1772 candidates for elective gynecology surgeries, of which 530 (29.6%) with at least moderate preoperative anxiety were analyzed.

Outcome

Prevalence of moderate to severe preoperative anxiety and its influencing factorspatient reported

Moderate to severe preoperative anxiety is prevalent in about 30% of elective gynecology surgery patients, primarily driven by fear of anesthesia and pain, highlighting the need for targeted screening and intervention.

Abstract

Objectives: Preoperative anxiety (POA) as an unpleasant reaction in surgical cases is associated with negative intra-postoperative outcomes. This study aimed to determine the main influencing factors on moderate to severe POA in elective surgeries in our hospital. Materials and Methods: This Cross-sectional study was conducted at Alzahra hospital, Rasht, Iran. Firstly 1772 participants were interviewed for the State-Trait Anxiety Inventory to screen cases with more than or equal to 44 scores indicating at least moderate anxiety. Then eligible cases enrolled in the survey and demographic data and the causes of POA were documented. Results: Among 1772 cases candidate for elective surgeries, the data from 530(29.6%) with at least moderate POA were analyzed. Fear of Anesthesia complications (22.45%), post-operation pain (21.16%), and surgery complications (12.5%) were the most common causes of POA. While fear of transfusion was the least important cause (0.64%). Two hundred forty-one participants suffered from one POA factor and 11 from 4 factors. A higher level of education, occupation, and the history of anesthesia and surgery were significantly associated with lower degrees of POA (P = 0.0001). Conclusions: The prevalence of moderate to high degrees of POA was acceptable in this study; however, most were avoidable. Therefore individuals screening for detecting high-risk cases in the routine workup and assessing the need for psychiatrists’ intervention would be helpful to improve the conditions.

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