Preoperatif Anksiyete Düzeyleri ve İlişkili Faktörler: Anestezi Polikliniğine Başvuran Erişkin Hastalarda Kesitsel Bir Çalışma

Yıl 2026, Cilt: 16 Sayı: 1, 296 - 305, 23.01.2026

Uğur Serkan Çitilcioğlu , Hakan Yalım , Harun Ozmen

https://doi.org/10.31020/mutftd.1812750

Öz

Amaç: Bu çalışmanın amacı, anestezi polikliniğine başvuran erişkin hastalarda preoperatif anksiyete düzeylerini değerlendirmek ve anksiyeteyi etkileyen sosyodemografik ve klinik faktörleri belirlemektir.
Yöntem: 15 Mayıs–30 Eylül 2025 tarihleri arasında, Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Anestezi Polikliniği’nde yürütülen bu kesitsel çalışmaya, 18–65 yaş arası, ASA I–III grubunda yer alan 680 hasta dahil edilmiştir. Veriler, araştırmacılar tarafından hazırlanan standart form aracılığıyla toplanmış; preoperatif anksiyete ve bilgi düzeyi, Türkçe geçerliliği yapılmış Amsterdam Preoperatif Anksiyete ve Bilgi Ölçeği (APAIS) ile değerlendirilmiştir. İstatistiksel analizlerde parametrik ve parametrik olmayan uygun testler kullanılmış, anlamlılık düzeyi p<0,05 olarak kabul edilmiştir.
Bulgular: Katılımcıların ortalama APAIS toplam skoru 18,55 ± 6,75 olup, hastaların %61,3’ünde yüksek düzeyde anksiyete saptanmıştır. Sigara kullanan, çevresinde olumsuz cerrahi deneyim duyan ve yüksek eğitim düzeyine sahip bireylerde anksiyete anlamlı biçimde yüksek bulunmuştur (p<0,001). Birinci derece yakın refakatçisi bulunan ve daha önce ameliyat deneyimi olan hastalarda anksiyete düzeyleri anlamlı derecede daha düşüktür (p<0,001), (p=0,049).
Sonuç: Preoperatif anksiyete hastaların önemli bir kısmında gözlenmekte ve sigara kullanımı, sosyal çevre etkisi, eğitim düzeyi ile sosyal destek varlığı gibi faktörlerden etkilenmektedir. Preoperatif değerlendirme sürecinde psikososyal etmenlerin dikkate alınması ve hastaya özgü bilgilendirme stratejilerinin uygulanması, anksiyeteyi azaltarak hasta güvenliği ve memnuniyetini artırabilir.

Anahtar Kelimeler

Preoperatif anksiyete , anestezi polikliniği , APAIS , sosyodemografik faktörler , ameliyat korkusu

Etik Beyan

Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Etik Kurul Başkanlığı (Tarih: 08.05.2025, Sayı:13-491)

Preoperative Anxiety and Related Factors in Adults: A Cross-Sectional Study from an Anesthesia Outpatient Clinic

Öz

Objective: This study aimed to evaluate the levels of preoperative anxiety among adult patients attending the anesthesia outpatient clinic and to identify sociodemographic and clinical factors associated with anxiety.
Methods: This cross-sectional study was conducted between 15 May and 30 September 2025 at the University of Health Sciences Adana City Training and Research Hospital. A total of 680 patients aged 18–65 years with ASA physical status I–III who were scheduled for elective surgery were included. Data were collected using a standardized questionnaire developed by the researchers. Preoperative anxiety and information requirements were assessed using the Turkish validated version of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Appropriate parametric and nonparametric statistical tests were applied, and a p-value <0.05 was considered statistically significant.
Results: The mean APAIS total score was 18.55 ± 6.75, and 61.3% of the participants exhibited high anxiety levels. Anxiety scores were significantly higher in patients who smoked, had heard negative surgical experiences from others, or had a higher educational level (p<0.001). Conversely, patients accompanied by a first-degree relative and those with previous anesthesia or surgical experience had significantly lower anxiety levels (p<0.001), (p=0.049).
Conclusion: Preoperative anxiety is common among surgical patients and is influenced by smoking habits, social environment, educational level, and the presence of close family support. Considering psychosocial factors and providing individualized preoperative information during the anesthesia consultation may help reduce anxiety, enhance patient satisfaction, and improve perioperative safety.

Anahtar Kelimeler

Preoperative anxiety , anesthesia outpatient clinic , APAIS , sociodemographic factors , fear of surgery

Kaynakça

• 1. Kleisiaris CF, Sfakianakis C, Papathanasiou IV. Health care practices in ancient Greece: The Hippocratic ideal. J Med Ethics Hist Med 2014;7:6.
• 2. Pajević A, et al. Medicine and psychology of Ibn Sina (Avicenna) – a unique scientific and religious approach. Psychiatr Danub 2021;33(Suppl 3):64-73.
• 3. Craske MG, et al. What is an anxiety disorder?. Focus 2011;9(3):369-88.
• 4. Sigdel S. Perioperative anxiety: a short review. Glob Anaesth Perioper Med 2015;1:10.15761.
• 5. Stamenkovic DM, et al. Preoperative anxiety and implications on postoperative recovery: what can we do to change our history. Minerva Anestesiol 2018;84(11):1307-17.
• 6. Duivenvoorden T, et al. Anxiety and depressive symptoms before and after total hip and knee arthroplasty: a prospective multicentre study. Osteoarthritis Cartilage 2013;21(12):1834-40.
• 7. Hellstadius Y, et al. Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery. Dis Esophagus 2016;29(8):1128-34.
• 8. Prado-Olivares J, Chover-Sierra E. Preparatory anxiety in patients undergoing cardiac surgery. Diseases 2019;7(2):46.
• 9. Barker R, et al. Out-of-hospital auricular acupressure in elder patients with hip fracture: a randomized double-blinded trial. Acad Emerg Med 2006;13(1):19-23.
• 10. Takagi H, Ando T, Umemoto T. Perioperative depression or anxiety and postoperative mortality in cardiac surgery: a systematic review and meta-analysis. Heart Vess 2017;32(12):1458-68.
• 11. Ali A, et al. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. J Anesth 2014;28(2):222-7.
• 12. Kassahun WT, et al. The effect of preoperative patient-reported anxiety on morbidity and mortality outcomes in patients undergoing major general surgery. Sci Rep 2022;12:6312.
• 13. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta-analysis. Int J Surg Open 2020;25:6-16.
• 14. Mulugeta H, et al. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, Northwest Ethiopia. BMC Anesthesiol 2018;18(1):155.
• 15. Uzbeck M, et al. Randomised controlled trial of the effect of standard and detailed risk disclosure prior to bronchoscopy on peri-procedure anxiety and satisfaction. Thorax 2009;64:224-7.
• 16. Moerman N, et al. The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Anesth Analg 1996;82:445-51.
• 17. Cetinkaya F, Kavuran E, Aslan KSÜ. Validity and reliability of the Amsterdam Preoperative Anxiety and Information Scale in the Turkish population. Turk J Med Sci 2019;49(1):178-83.
• 18. Aust H, et al. A cross-sectional study on preoperative anxiety in adults. J Psychosom Res 2018;111:133-9.
• 19. Perks A, Chakravarti S, Manninen P. Preoperative anxiety in neurosurgical patients. J Neurosurg Anesthesiol 2009;21(2):127-30.
• 20. Matthias AT, Samarasekera DN. Preoperative anxiety in surgical patients: experience of a single unit. Acta Anaesthesiol Taiwan 2012;50(1):3-6.
• 21. Kim WS, et al. Availability of preoperative anxiety scale as a predictive factor for hemodynamic changes during induction of anesthesia. Korean J Anesthesiol 2010;58(4):328-33.
• 22. Kil HK, et al. Preoperative anxiety and pain sensitivity are independent predictors of propofol and sevoflurane requirements in general anaesthesia. Br J Anaesth 2012;108(1):119-25.
• 23. Shebl MA, et al. Pre-operative anxiety and its impact on surgical outcomes: a systematic review and meta-analysis. J Clin Transl Sci 2025;1-27.
• 24. Annisa F, Suhermanto D. Relation between family support and anxiety in preoperative patients in Indonesia. Int Conf Kerta Cendekia Nurs Acad 2019;1(1).
• 25. Sharma S, Gharti K. Preoperative anxiety and social support among patients undergoing surgery. Janapriya J Interdiscip Stud 2019;8:149-59.
• 26. Bandeira RA, et al. Correlation between preoperative anxiety and acute postoperative pain in elderly patients submitted to transvesical prostatectomy. Rev Dor 2017;18(4):291-7.
• 27. Caumo W, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand 2001;45(3):298-307.
• 28. Jamal M, et al. Association of smoking and nicotine dependence with severity and course of symptoms in patients with depressive or anxiety disorder. Drug Alcohol Depend 2012;126(1-2):138-46.
• 29. Molas S, et al. Anxiety and nicotine dependence: emerging role of the habenulo-interpeduncular axis. Trends Pharmacol Sci 2017;38(2):169-80.
• 30. Scherer CW, Cho H. A social network contagion theory of risk perception. Risk Anal 2003;23(2):261-7.
• 31. Bandura A, Walters RH. Social learning theory. Englewood Cliffs (NJ): Prentice Hall; 1977.
• 32. Souvatzi E, et al. Trust in healthcare, medical mistrust, and health outcomes in times of health crisis: a narrative review. Societies 2024;14(12):269.
• 33. Nowicka-Sauer K, et al. Measures of preoperative anxiety: Part two. Anaesthesiol Intensive Ther 2024;56(1):9-16.
• 34. Adhikari SP, et al. Prevalence of pre-operative anxiety and associated risk factors among patients awaiting elective surgery in a tertiary care hospital. F1000Res 2023;12:1207.