Ferid Krupic, Tarik Bujakovic, Svemir Custovic, Mirza Kovacevic, Emina Dervisevic, Jelena Kovacevic-Prstojevic, Jasmin Alic, Melissa Krupic
Department of Orthopaedics, University of Gothenburg, Gothenburg, Sweden.
Department of Anaesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Saudi J Anaesth. 2025 Oct-Dec;19(4):617-623. doi: 10.4103/sja.sja_499_25. Epub 2025 Sep 3.
Nurse anesthetists (NAs) face several challenges in their work, one of which is dealing with patients who experience anxiety and fear before surgery. The increased patient turnover and a shortage of healthcare professionals lead to a heavier focus on physical care, thus leaving limited time to address the psychological needs of patients.
This study aimed to critically evaluate and compile research that describes the things NAs use in reducing patients' fear and anxiety 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' wellbeing before surgery. An inductive thematic analysis generated categories and subcategories. Twenty-one studies were included.
The thematic analysis of the articles included revealed two main categories and six subcategories. Some strategies identified to help reduce fear and anxiety in patients before surgery included providing various types of information, offering psychological support, using different relaxation techniques, and ensuring that each patient is allocated sufficient time.
The results of the presented study showed that strategies such as providing different forms of information, psychological support, and different relaxation therapies gave good results. However, there is a need for further research in health care to identify which nonpharmacological nursing interventions are most effective in alleviating preoperative anxiety. More research is also needed to determine how preoperative care should be structured to help patients feel safe and comfortable before surgery.
麻醉护士在工作中面临诸多挑战，其中之一是应对手术前感到焦虑和恐惧的患者。患者周转加快以及医疗保健专业人员短缺导致更加注重身体护理，从而用于满足患者心理需求的时间有限。
本研究旨在严格评估和汇编描述麻醉护士在减轻患者手术前恐惧和焦虑方面所采用方法的研究。
在PubMed、Medline、CHINAL、Embase和Cochrane图书馆数据库中进行系统检索，以查找有关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。纳入了21项研究。
对所纳入文章的主题分析揭示了两个主要类别和六个子类别。确定的一些有助于减轻患者手术前恐惧和焦虑的策略包括提供各类信息、给予心理支持、运用不同的放松技巧以及确保为每位患者分配足够的时间。
本研究结果表明，提供不同形式的信息、心理支持和不同的放松疗法等策略取得了良好效果。然而，医疗保健领域需要进一步研究，以确定哪些非药物护理干预措施在减轻术前焦虑方面最有效。还需要更多研究来确定术前护理应如何构建，以帮助患者在手术前感到安全和舒适。
