Research Article

The effect of patients' e-health literacy on their preoperative anxiety levels and fears about anesthesia

Volume: 20 Number: 55 September 29, 2023
EN TR

The effect of patients' e-health literacy on their preoperative anxiety levels and fears about anesthesia

An Erratum to this article was published on March 30, 2026. https://dergipark.org.tr/en/pub/opusjsr/article/1914538

Abstract

The aim of this study is to examine the effect of e-health literacy on preoperative anxiety levels and fears about anesthesia of individuals who will undergo surgery. The research was carried out with 219 patients waiting in the preoperative waiting unit. The Amsterdam Preoperative Anxiety Scale (APAIS) was used to evaluate the preoperative anesthesia anxiety, the E-Health Literacy Scale was used to determine the e-health literacy, and the questionnaire form was used to determine the fear of anesthesia, which was created by using the items in the literature in previous studies on anesthesia fear. According to the results of the research, the three items that patients fear the most about anesthesia are; “feeling pain during surgery”, “feeling pain after the effect of post-operative anesthesia” and “waking up in the middle of surgery”. There is no significant difference in anesthesia-related fears of patients with low, medium and high e-health literacy, only a significant difference in preoperative anxiety scores between patients with low and high e-health literacy. Study results were interpreted as the ability of individuals with high e-health literacy to evaluate the data obtained through digital channels in terms of reliability prevents them from experiencing unnecessary anxiety based on erroneous information.

Keywords

Preoperative Anxiety , Fear of Anesthesia , E-Health Literacy

References

  1. Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta-analysis. International Journal of Surgery Open, 25, 6-16. https://doi.org/10.1016/j.ijso.2020.05.010
  2. Aykent, R., Kocamanoğlu, İ. S., Üstün, E., Tür, A., & Şahinoğlu, H. (2007). The reasons and evaluation of preoperative anxiety: a comparison of APAIS and STAI scores. Turkiye Klinikleri J Anest Reanim, 5(1), 7-13.
  3. Chan, C. S., & Molassiotis, A. (2002). The effects of an educational programme on the anxiety and satisfaction level of parents having parent present induction and visitation in a postanaesthesia care unit. Pediatric Anesthesia, 12(2), 131-139. https://doi.org/10.1046/j.1460-9592.2002.00790.x
  4. Chang, M. E., Baker, S. J., Dos Santos Marques, I. C., Liwo, A. N., Chung, S. K., Richman, J. S., ... & Chu, D. I. (2020). Health literacy in surgery. HLRP: Health Literacy Research and Practice, 4(1), e46-e65. https://doi.org/10.3928/24748307-20191121-01
  5. Cho, R. N., Plunkett, B. A., Wolf, M. S., Simon, C. E., & Grobman, W. A. (2007). Health literacy and patient understanding of screening tests for aneuploidy and neural tube defects. Prenatal Diagnosis: Published in Affiliation with the International Society for Prenatal Diagnosis, 27(5), 463-467. https://doi.org/10.1002/pd.1712
  6. Celik, F., & Edipoglu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research, 23(1), 1-10. https://doi.org/10.1186/s40001-018-0339-4
  7. Çevik Acar, E., & Yıldız Fındık. Ü. (2015). Thoughts about the quality of nursing care of patients in the operating room and the assessment of anxiety levels. Journal of Anatolia Nursing and Health Sciences, 18(4), 268-273.
  8. Demir, A., Turan, S., Balaban, F., Karadeniz, Ü., & Erdemli, Ö. (2009). A questionnaire study related to anesthetic procedures conducted in patients during preanesthetic evaluation. J Turk Anaesth Int Care, 37(4), 225-233.
  9. de Oliveira Cumino, D., Cagno, G., Gonçalves, V. F. Z., Wajman, D. S., & Mathias, L. A. D. S. T. (2013). Impact of preanesthetic information on anxiety of parents and children. Brazilian Journal of Anesthesiology (English Edition), 63(6), 473-482. https://doi.org/10.1016/j.bjane.2013.04.003
  10. Egbert, L. D., Battit, G. E., Turndorf, H., & Beecher, H. K. (1963). The value of the preoperative visit by an anesthetist: A study of doctor-patient rapport. JAMA, 185(7), 553-555. https://doi.org/10.1001/jama.1963.03060070021016
APA
Saltalı, A. Ö. (2023). The effect of patients’ e-health literacy on their preoperative anxiety levels and fears about anesthesia. OPUS Journal of Society Research, 20(55), 704-712. https://doi.org/10.26466/opusjsr.1343782