Krupic Ferid, Krupic Melissa, Dervisevic Emina, Kovacevic Mirza, Bujakovic Tarik
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Department of Anaesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Saudi J Anaesth. 2025 Oct-Dec;19(4):487-493. doi: 10.4103/sja.sja_120_25. Epub 2025 Sep 3.
Between 10% and 80% of surgical patients experience some form of fear and anxiety before surgery. This is often attributed to inadequate or incorrect preoperative information.
This study aimed to critically evaluate and compile research that describes the impact of preoperative information on the patient's well-being before surgery.
A systematic search was conducted on PubMed, Medline, CHINAL, Embase, and the Cochrane Library database for qualitative and quantitative literature regarding factors influencing patients' well-being before surgery. An inductive thematic analysis generated categories and subcategories. Nineteen studies were included.
Two main categories emerged from the thematic analysis of the included articles. These were the direct impact of information on fear and anxiety and the indirect impact of information on fear and anxiety. Information from healthcare professionals, alternative sources of information, shortage of healthcare professionals, music, and inability to receive information were some of the factors that can influence the well-being of patients before surgery. There are different reasons for the patient's fear and anxiety preoperatively, as well as the importance of direct and indirect information and other methods. For some patients, however, too much information could cause more fear and anxiety.
The importance of the patient's discomfort being highlighted by the healthcare professionals emerges clearly and shows negative experiences in those cases where the patient feels his fears and concerns are not being addressed. More qualitative and quantitative research in the same theme, education and using person-centred care, and the right amount of information based on the patient's wishes are needed to improve the patient's well-being.
10%至80%的外科手术患者在手术前会经历某种形式的恐惧和焦虑。这通常归因于术前信息不足或不正确。
本研究旨在严格评估和汇编描述术前信息对患者手术前幸福感影响的研究。
在PubMed、Medline、CHINAL、Embase和Cochrane图书馆数据库中进行系统检索，以查找关于影响患者手术前幸福感因素的定性和定量文献。采用归纳主题分析法生成类别和子类别。共纳入19项研究。
对纳入文章的主题分析产生了两个主要类别。这些是信息对恐惧和焦虑的直接影响以及信息对恐惧和焦虑产生的间接影响。来自医护人员的信息、信息的替代来源、医护人员短缺、音乐以及无法获取信息等都是可能影响患者手术前幸福感的因素。患者术前恐惧和焦虑存在不同原因，以及直接和间接信息及其他方法的重要性。然而，对一些患者来说，过多信息可能会导致更多的恐惧和焦虑。
医护人员强调患者不适的重要性清晰显现，并且在患者感到其恐惧和担忧未得到解决的情况下显示出负面经历。需要在同一主题、教育以及采用以患者为中心的护理方面进行更多的定性和定量研究，并根据患者意愿提供适量信息，以改善患者的幸福感。
