Research Article
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Determination of preoperative surgical fear and anxiety levels in patients undergoing cardiac surgery

Year 2026, Volume: 7 Issue: 1, 52 - 58, 20.02.2026
https://izlik.org/JA69CN39EH

Abstract

Aims: The aim of this study is to determine the levels of surgical fear and anxiety experienced before surgery in patients scheduled for cardiac surgery.
Methods: This cross-sectional study was conducted in the cardiovascular surgery department of a training and research hospital between October 2023 and March 2024. The sample size of the study was determined as 169 patients. The data of the study were collected using the Personal Information Form, the Surgical Fear Scale, and the Beck Anxiety Scale. The data were collected by face-to-face interview method.
Results: The total surgical fear scale mean score of patients scheduled for cardiac surgery was 31.9±14.6; the short-term fears sub-dimension mean score was 14.5±7.05, and the long-term fears sub-dimension mean score was 17.2±8.67. The patients' preoperative anxiety score mean was determined as 10.02±7.0, and it was observed that they experienced mild anxiety.
Conclusion: This study concluded that patients scheduled for cardiac surgery experience moderate fear and mild anxiety. It is recommended that preoperative education be planned for patients undergoing cardiac surgery based on their needs and evidence.

Ethical Statement

Ethical committee approval was obtained from the University of Health Sciences Gülhane Scientific Research Ethics Committee (Date: 20.06.2023, Decision No: 2023-201).

Supporting Institution

This study was supported by the Scientific and Technological Research Council of Türkiye (TÜBİTAK) within the scope of “2209/A University Students Research Projects Support Program.

References

  • Takagi H, Ando T, Umemoto T; ALICE Group. Perioperative depression or anxiety and postoperative mortality in cardiac surgery: a systematic review and meta-analysis. Heart Vessels. 2017;32:1458-1468. doi:10.1007/s00380-017-1022-3
  • Ramesh C, Nayak BS, Pai VB, George A, George LS, Devi ES. Preoperative anxiety in patients undergoing coronary artery bypass graft surgery: a cross-sectional study. Int J Afr Nurs Sci. 2017;7:31-36. doi:10.1016/j.ijans.2017.06.003
  • Javed S, Waqar S, Sharif H, Chaudhry M, Kiyani YF. Assessment of preoperative anxiety among patients of open-heart surgery at cardiac centres of Rawalpindi and Islamabad. Pakistan J Health Sci. 2022;3(4): 126-130. doi:10.54393/pjhs.v3i04.113
  • Daniel-Watanabe L, Fletcher PC. Are fear and anxiety truly distinct? Biol Psychiatry Glob Open Sci. 2022;2(4):341-349. doi:10.1016/j.bpsgos. 2021.09.006
  • Oh J, Lee W, Ki S, Suh J, Hwang S, Lee J. Assessment of preoperative anxiety and influencing factors in patients undergoing elective surgery: an observational cross-sectional study. Medicina (Kaunas). 2024;60(3): 403. doi:10.3390/medicina60030403
  • Markos Z, Mekuanint A, Lorato SS, et al. Evaluation of preoperative anxiety and anesthesia-related fears in a comprehensive hospital in Ethiopia. Ann Med Surg. 2025;87(6):3162-3170. doi:10.1097/MS9. 0000000000003339
  • Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients. J Clin Nurs. 2015;24: 34-46. doi:10.1111/jocn.12618
  • Hernández-Palazón J, Fuentes-García D, Falcón-Araña L, et al. Assessment of preoperative anxiety in cardiac surgery patients. J Cardiothorac Vasc Anesth. 2018;32:236-244. doi:10.1053/j.jvca.2017.04.044
  • Wongkietkachorn A, Wongkietkachorn N, Rhunsiri P. Preoperative needs-based education to reduce anxiety. World J Surg. 2018;42(3):666-674. doi:10.1007/s00268-017-4207-0
  • Kisielewska W, Kościółek M, Kowalczyk W, et al. Decreasing preoperative anxiety with multimodal approaches. J Clin Med. 2025; 14(9):2940. doi:10.3390/jcm14092940
  • Gürler H, Demir P. Preoperative anxiety prevalence in CABG patients. Turkiye Klinikleri Cardiovasc Sci. 2023;35(1):1-7. doi:10.5336/cardiosci. 2023-96428
  • Çolak S, Vural F. Surgical fear levels in day surgery patients. Turkiye Klinikleri J Nurs Sci. 2023;15(3)599-606. doi:10.5336/nurses.2023-96372
  • Akutay S, Ceyhan Ö. Fear of surgery and related factors. Perioper Med. 2023;12(1):22. doi:10.1186/s13741-023-00316-0
  • Prado-Olivares J, Chover-Sierra E. Preoperative anxiety in patients undergoing cardiac surgery. Diseases. 2019;7(2):46. doi:10.3390/diseases 7020046
  • Sigdel S, Ozaki A, Basnet M, et al. Anxiety evaluation in patients awaiting cardiac surgery. Medicine (Baltimore). 2020;99(9):e19302. doi: 10.1097/MD.0000000000019302
  • Bağdigen M, Karaman Özlü Z. Validation of the Turkish version of the Surgical Fear Questionnaire. J Perianesth Nurs. 2018;33(5):708-714. doi: 10.1016/j.jopan.2017.05.007
  • Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety. J Consult Clin Psychol. 1988;56(6):893-897.
  • Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory. J Cogn Psychother. 1998;12(2):163-172.
  • Kaya M, Karaman Özlü Z. Cerrahi korkunun sosyal destek ile ilişkisi. Anadolu Hemsirelik Saglik Bilim Derg. 2019;22(4):284-293. doi:10.17049/ataunihem.550029
  • Abate SM, Chekol YA, Basu B. Global prevalence of preoperative anxiety. Int J Surg Open. 2020;25:6-16. doi:10.1016/j.ijso.2020.05.010
  • Ruhaiyem ME, Alshehri AA, Saade M, Shoabi TA, Zahoor H, Tawfeeq NA. Fear of general anesthesia. Saudi J Anaesth. 2016;10(3):317-321. doi: 10.4103/1658-354X.179094
  • Bez H, Türk KE. Ortopedik cerrahi hastalarında cerrahi korku düzeyi. Cumhuriyet Hemsirelik Derg. 2024;8(2):118-124.
  • Mete Z, Avcı Işık S. Total diz protezi hastalarında cerrahi korku. Turkiye Klinikleri J Nurs Sci. 2020;12(3):326-333. doi:10.5336/nurses.2019-73129
  • Nargiz Koşucu S, Şelimen D. Effects of music and preoperative education on CABG patients’ anxiety. J Perianesth Nurs. 2022;37(6):807-814. doi:10.1016/j.jopan.2021.12.002
  • Rodrigues HF, Furuya RK, Dantas RAS, Rodrigues AJ, Dessotte CAM. Preoperative anxiety and postoperative complications. Rev Lat Am Enfermagem. 2018;26:e3107. doi:10.1590/1518-8345.2784.3107
  • Archana JT, Ankita S, Gopichandran L, Devagourou V, Milind PH, Gauri SK. Anxiety and fatigue in valvular heart surgery patients. J Perioper Crit Intensive Care Nurs. 2020;6(3):155.
  • Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: operating room nurse intervention. J Perianesth Nurs. 2016;31(6):1-9. doi:10.1016/j.jopan.2015.08.011
  • Yılmaz M, Sezer H, Gürler H, Bekar M. Predictors of preoperative anxiety. J Clin Nurs. 2012;21(8):956-964. doi:10.1111/j.1365-2702.2011. 03799.x
There are 28 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section Research Article
Authors

Emine Arıcı Parlak 0000-0003-4416-7075

Nursema Yıldırım 0009-0004-3707-3817

Aysun Çilingir 0009-0007-2681-356X

Sıla Ummak 0009-0009-3053-6512

Submission Date December 31, 2025
Acceptance Date January 23, 2026
Publication Date February 20, 2026
IZ https://izlik.org/JA69CN39EH
Published in Issue Year 2026 Volume: 7 Issue: 1

Cite

AMA 1.Arıcı Parlak E, Yıldırım N, Çilingir A, Ummak S. Determination of preoperative surgical fear and anxiety levels in patients undergoing cardiac surgery. J Med Palliat Care / JOMPAC / jompac. 2026;7(1):52-58. https://izlik.org/JA69CN39EH

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Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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