Surgical Fear and Related Factors Before Total Knee Arthroplasty

Year 2025, Volume: 8 Issue: 2, 82 - 90, 13.07.2025

Esra Kuşçu , Aliye Okgün Alcan

https://doi.org/10.62425/esbder.1488158

Abstract

Objective: The aim of this descriptive study was to determine the level of surgical fear and related factors in patients undergoing total knee arthroplasty.
Methods: The study sample consisted of 181 patients undergoing total knee arthroplasty in a training and research hospital in Izmir. The data were collected between April 1 and September 1, 2023 via the “Patient Identification Form” and the “Surgical Fear Scale”. Descriptive statistics, Mann Whitney U test, Kruskal Wallis test and Spearman correlation analysis were used to evaluate the data.
Results: The mean score on the Surgical Fear Scale was found to be 28.35 ± 16.89 (out of 80 points), indicating that the level of fear experienced by patients scheduled for total knee arthroplasty was relatively low. The mean scores for the short-term and long-term fear subscale of the Surgical Fear Scale (16.10 ± 9.91 and 12.24 ± 9.44 out of 40, respectively) also indicated that the short-term and long-term fear levels were low. The factors associated with the level of surgical fear were found to be previous knee surgery history and type of anesthesia (p: .001).
Conclusion: The study findings showed that patients undergoing total knee arthroplasty experienced low levels of fear and that previous knee surgery experience and type of anesthesia were associated with this fear. surgical fear levels.

Keywords

Fear , patient , total knee arthroplasty

Project Number

Bulunmamaktadır

References

• Akutay, S., & Ceyhan, Ö. (2023). The relationship between fear of surgery and affecting factors in surgical patients. Perioperative Medicine, 12(1), 1–8. https://doi.org/10.1186/s13741-023-00316-0
• Bağdigen, M., & Karaman Özlü, Z. (2018). Validation of the Turkish version of the surgical fear questionnaire. Journal of Perianesthesia Nursing, 33(5), 708–714. https://doi.org/10.1016/j.jopan.2017.05.007
• Can, E., & Beydağ, K. D. (2023). Sezaryen hastalarının cerrahi korku düzeyini etkileyen faktörler. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, 5(2), 121–131. https://doi.org/10.46413/boneyusbad.1247968
• Çolak, S., & Vural, F. (2023). Determination of surgical fear levels of patients undergoing day surgery: Cross sectional and descriptive study. Turkiye Klinikleri Journal of Nursing Sciences, 15(3), 599-606.
• Demir, P., & Yılmaz, M. (2022). Septorinoplasti öncesi cerrahi korku ile ameliyat sonrası ağrı şiddeti arasındaki ilişki: Prospektif tanımlayıcı bir çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 14(2), 311–320. https://doi.org/10.5336/nurses.2021-85111
• Dinç, G., & Yılmaz Güven, D. (2023). Total diz artroplastisi ameliyatı yapılan hastaların cerrahi korku düzeyleri ile ameliyat sonrası anksiyete ve mobilizasyon düzeyleri arasındaki ilişkinin incelenmesi: Tanımlayıcı ve ilişki arayıcı çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 15(2), 299–307. https://doi.org/10.5336/nurses.2022-94552
• Engel, S., Jacobsen, H. B., & Reme, S. E. (2023). A cross-sectional study of fear of surgery in female breast cancer patients: Prevalence, severity, and sources, as well as relevant differences among patients experiencing high, moderate, and low fear of surgery. PLoS ONE, 18(6), e0287641. https://doi.org/10.1371/journal.pone.0287641
• Karabulut, N., Gürçayır, D., Abi, Ö., Kızıloğlu Ağgül, B., & Söylemez, N. (2023). Does surgery cause anxiety, stress and fear in geriatric patients? Psychogeriatrics, 23(5), 808–814. https://doi.org/10.1111/psyg.13000
• Kaya, M., & Karaman Özlü, Z. (2019). Elektif cerrahi̇ bekleyen hastalarda cerrahi̇ korkunun sosyal destek algısı i̇li̇şki̇si̇ni̇n beli̇rlenmesi̇. Journal of Anatolia Nursing and Health Sciences, 22(4), 281–290. https://doi.org/10.17049/ataunihem.550029
• Kılınç, T., & Karaman Özlü, Z. (2023). Elektif cerrahi planlanan hastalarda cerrahi korku, uyku ve uykusuzluk durumu arasındaki ilişkinin belirlenmesi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 5(3), 205–212. https://doi.org/10.48071/sbuhemsirelik.1268416
• Koivula, M., Paunonen-Ilmonen, M., Tarkka, M. T., Tarkka, M., & Laippala, P. (2002). Social support and its relation to fear and anxiety in patients awaiting coronary artery bypass grafting. Journal of Clinical Nursing, 11(5), 622–633. https://doi.org/10.1046/j.1365-2702.2002.00653.x
• Mete, Z., & Avcı Işık, S. (2020). Total diz protezi ameliyatı planlanan hastaların cerrahi korku düzeyleri ile ameliyat sonrası ağrı düzeyleri arasındaki ilişkinin belirlenmesi. [Yüksek Lisans Tezi, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü].
• OECD. (2021). Hip and knee replacement. In Health at a Glance 2021: OECD Indicators (pp. 132–134). Paris: OECD.
• Ruhaiyem, M. E., Alshehri, A. A., Saade, M., Shoabi, T. A., Zahoor, H., & Tawfeeq, N. A. (2016). Fear of going under general anesthesia: A cross-sectional study. Saudi Journal of Anaesthesia, 10(3), 317–321. https://doi.org/10.4103/1658-354X.179094
• Şahin Altun, Ö., Karaman Özlü, Z., Olçun, Z., & Kaya, M. (2017). Does the fear of surgery prevent patients from sleeping? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(04), 260–266.
• Sürme, Y., & Çimen, Ö. (2022). Preoperative surgical fear and related factors of patients undergoing brain tumor surgery. Journal of Perianesthesia Nursing, 37(6), 934–938. https://doi.org/10.1016/j.jopan.2022.04.006
• Taylan, S., & Çelik, G. K. (2022). The effect of preoperative fear and related factors on patients’ postcataract surgery comfort level: A regression study. Journal of Perianesthesia Nursing, 37(3), 398–403. https://doi.org/10.1016/j.jopan.2021.08.014
• Theunissen, M., Peters, M. L., Schouten, E. G. W., Fiddelers, A. A. A., Willemsen, M. G. A., Pinto, P. R., … Marcus, M. A. E. (2014). Validation of the surgical fear questionnaire in adult patients waiting for elective surgery. PLoS ONE, 9(6), 1–9. https://doi.org/10.1371/journal.pone.0100225