Preoperative anxiety in hospitalized patients: A descriptive cross-sectional study in 2019

Document Type : Research Paper


1 Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.

2 Nursing Department, Clinical Research Development Unit, Peymaniyeh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran.

3 Nursing Department, Jahrom University of Medical Sciences, Jahrom, Iran.

4 Anesthesiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.

5 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

6 Jahrom University of Medical Sciences, Jahrom, Iran.


Introduction: Anxiety are considered as survivors based on their new hair or new nasal nose and their aim is to study and evaluate them. Preoperative anxiety was measured in hospitalized patients in Peymanieh Hospital in Jahrom in year 2019.
Methods: This descriptive cross-sectional study was performed on 209 hospitalized patients in Peymanieh Hospital of Jahrom in 2019. Data gathering tool was Spielberg's demographic information and anxiety questionnaire. Data were analyzed using descriptive and inferential statistical tests.
Results: Mean trait anxiety was 44.96 ± 7.75 and mean state anxiety was 44.54 ± 8.17. There was a significant relationship between preoperative anxiety and age and marital status. There was no significant difference between mean trait anxiety and men and women (P = 0.391, P = .492). But there was a significant difference between the average trait anxiety and single and married individuals (P = 0.006, P = 0.024).
Conclusion: The results of this study showed that pre-operative anxiety is not different in men and women, but it is more in single men than married people. Therefore, it is recommended to use various methods to educate patients and identify a well-designed educational program to eliminate the effective factors on anxiety.


  1. Ghanei R, Rezaei K, Mahmoodi R. The relationship between preoperative anxiety and post operative pain after
    cesarean section. The Iranian Journal of Obestetrical, Gynecology and Infertility. 2013; 15(39): 16-22.
    2. Ganji T, Hosseini A.Under graduate nursing students' religious beliefs and their relationship with anxiety.
    Iranian Journal of Nursing. 2011; 23(64): 44-51.
    3. Ghardashi F. Factors affecting preoprative anxiety. koomesh. 2007; 8 (3) :123-130[In Persian].
    4. Greenbaum M, Jonson R, Benjamin M. Perioperative Nursing. IN: Taylor C, Lillis C, Lemone P, Lynn P.
    Fundamentals of nursing: The art and sciences of nursing care.6thEd. Philadelphia: Wolters
    5. 5-Berg GV, Sarvimäki A.A holistic-existential approach to health promotion.Scand J Caring
    6. Erickson HL. Philosophy and theory of holism. Nurs Clin NorthAm.2007;42(2):139-63.
    7. Maranets I, Kain ZN. Preoperative anxiety and intraoperative anesthetic requirements. Anesth Analg. 1999;
    8. Kindler CH, Harms C, Amsler F, Ihde-Scholl T, Scheidegger D. The visual analog scale allows effective
    measurement of preoperative anxiety and detection of patients' anesthetic concerns.
    9. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in
    preoperative period. Iran J Nurs Midwifery Res. 2011;16(4):278-83.
    10. Hughes S. The effects of giving patients pre-operative information. Nurs Stand. 2002; 16(28): 33-37.
    11. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain
    intensity: a prospective study.ClinJPain.2005;21(5):439-445.
  2. 12. Vaughn F, Wichowski H, Bosworth G. Does preoperative anxiety level predict postoperative pain?AORN
    J.2007;85(3): 589-604.
    13. Scott A. Managing anxiety in ICU patients: the role of pre-operative information provision. Nurs Crit Care.
    2004; 9(2):72-79.
    14. Hamidzadeh S, AhmadiF,Asghari M. Study Effect of Relaxation Technique on Anxiety and Stress in Elders
    with Hypertension. Shahrekord University of Medical Sciences Journal. 2006; 8(2): 45-51[In Persian].
    15. Mousavi S. Acupressure and Anxiety in Patients before Amputation in Poorsina Hospital – Rasht. Iranian
    Journal of Surgery. 2007; 15(1): 101-7[In Persian].
    16. Banaiyan G, RastiBoroujeni A, Shirmardi M. Comparison of the effect of Citrus aurantium and diazepam on
    preoperative anxiety. Journal of ShahrekordUniersity of Medical Sciences. 2009; 10 (4): 13-18[In Persian].
    17. Naseri M, Sadati L, Jalali A, Firuzabadi M, Golchini E. Assess of the Status of the Karaj Operating Rooms in
    Comparison with International Standards in 2011. Journal of Alborz University of Medical Sciences. 2012; 1
    (4) :213-219[In Persian].
    18. Tadayonfar M, Mohebbi M, Koushan M, RakhshaniMH.The Effects of Guided Imagery on Anxiety Level of
    the Patients Undergoing Appendectomy.Journal of Sabzevar University of Medical Sciences. 2014, 20(5):681-
    688[In Persian].
    19. Babashahi M, Kahanji LS, Babashahi F, Fayazi S. Comparing the effect of massage Aromatherapy and
    massage onanxietylevelof the patients in the preoperative period: a clinical trial. Evidence Based Care.2012;
    2(2):19-27[In Persian].
    20. Ghardash F, SalehMoghadam AR, Hasanabadi H, SetayeshY.Study of the Relationship between Pre-operative
    Waiting time and Anxiety in Patients. Journal of Sabzevar University of Medical Sciences.2002;10(4):76-
    84[In Persian].
    21. Kalkhoran MA, Karimollahi M. Religiousness and preoperative anxiety: a correlational study. Ann Gen
    Psychiatry. 2007;6(17).
    22. Swinda JE. The nurses role in giving pre-operative information to reduce anxiety in patients admitted to
    hospital for elective minor surgery. Journal of Advanced Nursing. 1989; (14): 899905.
    23. Ghardashi F. Saleh Moghaddam A, Hassan Abadi H, Setaish Y. Study of the Relationship between Preoperative Waiting time and Anxiety in Patients. Journal of Sabzevar School of Medical Sciences. 2004; 10(4):
    24. Tahmasebi H, Hasani S, Akbarzada H, Darwish H. Trait Anxiety and State Anxiety before Coronary
    Angiography. Journal of Health Breeze.2012;1(1):41-46[In Persian].
    25. Zakerimoghadam M, Aliasgharpoor M, Mehran A, Mohammadi S. Effect of Patient Education about Pain
    Control onPatients' Anxiety Prior to Abdominal Surgery. Journal of HAYAT. 2010; 15(4):13-22[In Persian].
    26. Williams JB, Alexander KP, Morin JF, Langlois Y, Noiseux N, Perrault LP, et al. Preoperative Anxiety as a
    Predictor of Mortality and Major Morbidity in Patients Aged>70 Years Undergoing Cardiac Surgery.
    American Journal of Cardiology. 2013;111(1):137-142.
    27. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN Journal. 2010;92(4):445-
    28. Ghanei Gheshlagh R, Dastras M, FazlaliPour Miyandoab M, Naseri O. The relationship between preoperative
    anxiety and postoperative nausea and vomiting. Medical Science Journal of Islamic Azad Univesity Tehran
    Medical Branch. 2014; 23(4): 269-74.
    29. Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the StateTrait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
    30. Nazari Vanani R, Rahimi Madiseh M, Deris F. Evaluation of preoperative anxiety and stress, and ways to
    modify it, the patients in Kashani hospital operating room 2013. Journal of Clinical Nursing and Midwifery.
    2014; 2(4): 53-60.
    31. Thompson M, Moe K, Lewis CP. The Effects of Music on Diminishing Anxiety among Preoperative Patients.
    Journal of Radiology Nursing. 2014;33(4):199-202.
    32. Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN journal. 2010; 92(4):
    33. Stuart GW. Handbook of Psychiatric Nursing: Elsevier Mosby; 2005.
    34. kimiafar KH, Sarbaz M, Naseri P, Ahmadi –Simab S, Abazari F. The Relationship between Neurosurgery
    Patients’ Awareness of Surgery Procedures and Complications on Preoperative Stress Level. JPSR.MUMS.
    2016; 5(4): 33-42[In Persian].
    35. Kaakko T, Murtomaa H. Factors predictive of anxiety before oral surgery: efficacy of various subject
    screening measures. Anesthesia Progress. 1999;46(1):3-9.
    36. Krannich JH, Weyers P, Lueger S, Herzog M, Bohrer T, Elert O. Presence of depression and anxiety before
    and after coronary artery bypass graft surgery and their relationship to age. BMC psychiatry. 2007; 7: 47-52.
  3. 37. Guo P, East L, Arthur A. A preoperative education intervention to reduceanxiety and improve recovery among
    Chinese cardiac patients: a randomized controlled trial. International Journal of Nursing Studies.
    38. Ravangard R, Bastani P, Moradi A, Ahmadzadeh M. Factors affecting the preoperative anxiety from the
    patients ' perspective. Scientific - Research Journa l of Shahed University. 2016; 23(124): 61-71[In Persian].
    39. 39-D'Angelo C, Mirijello A, Leggio L, Ferrulli A, Carotenuto V, Icolaro N, et al. State and trait anxiety and
    depression inpatients with primary brain tumors before and after surgery: 1-year longitudinal study.
    40. Asadi M, Asadzandi M, Ebadi A. Effects of spiritual care based on GhalbSalim nursing model in reducing
    anxiety of patients undergoing CABG surgery. Iranian Journal ofCritical Care Nursing (IJCCN).
    41. Bahrami N, Soleimani MA, Erjini Z, Shraifnia H, Masoodi R, Shahrokhi A. The Effect of Nursing Process -
    Based Care on Patients' Anxiety of Candidates for Women’s Elective Surgery. Iran Journal of Nursing (IJN).
    2012;25( 77): 30-39[In Persian].