Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes
Abstract
Objective This study aims to evaluate the influence of an empathic patient-centered approach on preoperative anxiety and surgical outcomes in ambulatory surgery patients.Methods A sample of 104 patients undergoing general ambulatory surgery was randomly assigned to the intervention (IG) and the control (CG) groups. Before surgery, the IG received personalized information through an empathic patient-centered interview. The CG received standardized information on surgical procedures. Anxiety was assessed before and after the preoperative interview and after the surgery. Wound healing, post-surgical recovery and satisfaction with the quality of preoperative information were assessed after the surgery.Results The two groups were identical at baseline regarding anxiety, socio-demographic and clinical characteristics. After the patient-centered intervention, the IG showed lower levels of preoperative anxiety (p<0.001) and pain (p<0.001), better surgery recovery (p<0.01) and higher levels of daily activity (p<0.001) and of satisfaction with the information received (p<0.01) than the CG. The IG also showed better wound healing (tissue type, p<0.01; local pain, p<0.01).Conclusion An empathic patient-centered intervention can reduce preoperative anxiety and increase surgical recovery, wound healing and patient satisfaction.Practice implications This approach is applicable in pre-surgical interviews and can potentially be used in the routine care of various surgical contexts.
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Surgical patients and family caregivers experience multiple physical and psychological stressors before resection.
“Surgical patients and family caregivers experience multiple physical and psychological stress prior to resection.5”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [5]
Cites
(1970) · Cited by 24,983 · see citing works
Effective physician-patient communication and health outcomes: a review.
(1995) · Europe PMC (PubMed Central) · Cited by 4,085 · see citing works
The impact of patient-centered care on outcomes.
Stewart, M., Brown, J. B., DONNER, A. P., McWhinney, I. R., Oates, J., Weston, W. W., & Jordan, J. (2000) · PubMed · Cited by 2,508 · see citing works
Validity of four pain intensity rating scales
Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011) · Pain · doi:10.1016/j.pain.2011.07.005 · Cited by 1,872 · see citing works
A Model of Empathic Communication in the Medical Interview
Suchman, A. L. (1997) · JAMA · doi:10.1001/jama.1997.03540320082047 · Cited by 803 · see citing works
Psychological influences on surgical recovery: Perspectives from psychoneuroimmunology.
Kiecolt-Glaser, J. K., Page, G. G., Marucha, P. T., MacCallum, R. C., & Glaser, R. (1998) · American Psychologist · doi:10.1037/0003-066x.53.11.1209 · Cited by 605 · see citing works
Stepien, K. A., & Baernstein, A. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00443.x · Cited by 576 · see citing works
State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory.
Spielberger, C. D., & Sydeman, S. J. (1994) · Cited by 476 · see citing works
The Impact of Psychological Stress on Wound Healing: Methods and Mechanisms
Gouin, J., & Kiecolt‐Glaser, J. K. (2010) · Immunology and Allergy Clinics of North America · doi:10.1016/j.iac.2010.09.010 · Cited by 452 · see citing works
Risk factors for preoperative anxiety in adults
Caumo, W., Schmidt, A. P., Schneider, C. N., Bergmann, J., Iwamoto, C. W., Bandeira, D. R., & Ferreira, M. B. C. (2001) · Acta Anaesthesiologica Scandinavica · doi:10.1034/j.1399-6576.2001.045003298.x · Cited by 429 · see citing works
State-Trait Anxiety Inventory (STAI)
Shahid, A., Wilkinson, K., Marcu, S., & Shapiro, C. M. (2011) · Springer eBooks · doi:10.1007/978-1-4419-9893-4_90 · Cited by 337 · see citing works
Alexander's Care of the Patient in Surgery
Beck, D. (2011) · AORN Journal · doi:10.1016/j.aorn.2011.01.003 · Cited by 225 · see citing works
Stotts, N. A., Rodeheaver, G. T., Thomas, D. R., Frantz, R. A., Bartolucci, A. A., Sussman, C., Ferrell, B., Cuddigan, J., & Maklebust, J. (2001) · The Journals of Gerontology Series A · doi:10.1093/gerona/56.12.m795 · Cited by 208 · see citing works
Strategies for Decreasing Patient Anxiety in the Perioperative Setting
Bailey, L. S. (2010) · AORN Journal · doi:10.1016/j.aorn.2010.04.017 · Cited by 189 · see citing works
Surgery information reduces anxiety in the pre-operative period
Kiyohara, L. Y., Kayano, L. K., Oliveira, L. M., Yamamoto, M. U., Inagaki, M. M., Ogawa, N. Y., Gonzales, P. E. S. M., Mandelbaum, R., Okubo, S. T., Watanuki, T., et al. (2004) · Revista do Hospital das Clínicas · doi:10.1590/s0041-87812004000200001 · Cited by 182 · see citing works
Patient satisfaction following day surgery
Lemos, P., Pinto, A., Morais, G. R., Pereira, J. P., Loureiro, R., Teixeira, S., & Nunes, C. S. (2009) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2008.08.016 · Cited by 178 · see citing works
Premedication for anxiety in adult day surgery
Walker, K. J., & Smith, A. F. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002192.pub2 · Cited by 174 · see citing works
General anaesthesia and day‐case patient anxiety
Mitchell, M. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05266.x · Cited by 110 · see citing works
Music and its effect on anxiety in short waiting periods: a critical appraisal
Cooke, M. L., Chaboyer, W. P., & Hiratos, M. A. (2005) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2004.01033.x · Cited by 110 · see citing works
Managing anxiety in the elective surgical patient
John, M. (2009) · British Journal of Nursing · doi:10.12968/bjon.2009.18.7.41655 · Cited by 99 · see citing works
Soltner, C., Giquello, J.-A., Monrigal, C., & Beydon, L. (2011) · British Journal of Anaesthesia · doi:10.1093/bja/aer034 · Cited by 85 · see citing works
Psychological aspects in day-case surgery
Bellani, M. L. (2008) · International Journal of Surgery · doi:10.1016/j.ijsu.2008.12.019 · Cited by 72 · see citing works
Medida da ansiedade e da depressão em pacientes no pré-operatório. Estudo comparativo
Marcolino, J. Á. M., Suzuki, F. M., Alli, L. A. C., Gozzani, J. L., & Mathias, L. A. D. S. T. (2007) · Brazilian Journal of Anesthesiology · doi:10.1590/s0034-70942007000200004 · Cited by 58 · see citing works
Gardner, T., Nnadozie, C. M. U., Davis, B. A., & Kirk, S. (2005) · Journal of Nursing Care Quality · doi:10.1097/00001786-200507000-00008 · Cited by 39 · see citing works
Weber, F. S. (2010) · Jornal de Pediatria · doi:10.1590/s0021-75572010000300008 · Cited by 38 · see citing works
Fink, C., Diener, M. K., Bruckner, T. M., Müller, G., Paulsen, L., Keller, M., Büchler, M. W., & Knebel, P. (2013) · Trials · doi:10.1186/1745-6215-14-271 · Cited by 38 · see citing works
Mood disorders in patients with acute and chronic wounds: a health professional perspective
Upton, D., Hender, C., & Solowiej, K. (2012) · Journal of Wound Care · doi:10.12968/jowc.2012.21.1.42 · Cited by 37 · see citing works
A patient-centred approach to day surgery nursing
Mitchell, M. (2010) · Nursing Standard · doi:10.7748/ns2010.07.24.44.40.c7885 · Cited by 37 · see citing works
Weber, F. S. (2010) · Jornal de Pediatria · doi:10.2223/jped.2000 · Cited by 34 · see citing works
Methodological issues in behavioral immunology research with humans.
Kiecolt-Glaser, J., & Glaser, R. (1988) · Brain, behavior, and immunity · doi:10.1016/0889-1591(88)90007-4 · Cited by 31 · see citing works
Kempe, A. R., & Gelazis, R. (1985) · AORN Journal · doi:10.1016/s0001-2092(07)63276-1 · Cited by 31 · see citing works
The role of anxiolytic premedication in reducing preoperative anxiety
Carroll, J. K., Cullinan, E., Clarke, L., & Davis, N. F. (2012) · British Journal of Nursing · doi:10.12968/bjon.2012.21.8.479 · Cited by 27 · see citing works
Premedication for Anxiety in Adult Day Surgery Patients
Brick, N. (2010) · AORN Journal · doi:10.1016/j.aorn.2010.05.001 · Cited by 5 · see citing works
[Can we find predictive factors of postoperative vomiting after day surgery?].
Lemos, P., Monteiro, M., Fonseca, L., & Regalado, A. M. (2008) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 35 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Abate, S. M., Chekole, Y. A., & Basu, B. (2020) · International Journal of Surgery Open · doi:10.1016/j.ijso.2020.05.010 · Cited by 258 · see citing works
Gethin, G., Probst, S., Stryja, J., Christiansen, N., & Price, P. (2020) · Journal of Wound Care · doi:10.12968/jowc.2020.29.sup9b.s1 · Cited by 112 · see citing works
Hernández, C. R., Gómez‐Urquiza, J. L., Pradas‐Hernández, L., Vargas-Román, K., Suleiman‐Martos, N., Albendín‐García, L., & la Fuente, G. A. C. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14827 · Cited by 107 · see citing works
Jaensson, M., Dahlberg, K., & Nilsson, U. G. (2019) · Perioperative Medicine · doi:10.1186/s13741-019-0115-1 · Cited by 91 · see citing works
Darville, R., Lomanowska, A. M., Yu, H., Jobin, P. G., Rosenbloom, B. N., Gabriel, G., Daudt, H., Negraeff, M., Renna, T. D., Hudspith, M., et al. (2023) · Canadian Journal of Pain · doi:10.1080/24740527.2023.2266751 · Cited by 85 · see citing works
Horn, A., Kaneshiro, K., & Tsui, B. C. H. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004319 · Cited by 79 · see citing works
Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery
Kuzminskaitė, V., Kaklauskaitė, J., & Petkevičiūtė, J. (2019) · Acta medica Lituanica · doi:10.6001/actamedica.v26i1.3961 · Cited by 74 · see citing works
The Effect of Practitioner Empathy on Patient Satisfaction
Keshtkar, L., Madigan, C. D., Ward, A. C., Ahmed, S., Tanna, V., Rahman, I., Bostock, J., Nockels, K., Wen, W. Y., Gillies, C. L., et al. (2024) · Annals of Internal Medicine · doi:10.7326/m23-2168 · Cited by 74 · see citing works
Roberts, B. W., Puri, N., Trzeciak, C. J., Mazzarelli, A. J., & Trzeciak, S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0247259 · Cited by 62 · see citing works
The role of patient beliefs in open-label placebo effects.
Leibowitz, K. A., Hardebeck, E. J., Goyer, J. P., & Crum, A. J. (2019) · Health Psychology · doi:10.1037/hea0000751 · Cited by 56 · see citing works
Gröndahl, W., Muurinen, H., Katajisto, J., Suhonen, R., & Leino‐Kilpi, H. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-023108 · Cited by 50 · see citing works
Robinson, H., Norton, S., Jarrett, P., & Broadbent, E. (2017) · British Journal of Health Psychology · doi:10.1111/bjhp.12257 · Cited by 58 · see citing works
Sun, V., Raz, D. J., Ruel, N., Chang, W., Erhunmwunsee, L., Reckamp, K., Tiep, B., Ferrell, B., McCorkle, R., & Kim, J. Y. (2017) · Clinical Lung Cancer · doi:10.1016/j.cllc.2017.01.010 · Cited by 47 · see citing works
Hall, A. E., Nguyen, N. H., Cascavita, C. T., Shariati, K., Patel, A. K., Chen, W., Kang, Y., Ren, X., Tseng, C.-H., Hidalgo, M. A., et al. (2025) · Annals of Surgery · doi:10.1097/sla.0000000000006677 · Cited by 52 · see citing works
Enhanced recovery protocols for ambulatory surgery
Cukierman, D. S., Cata, J. P., & Gan, T. J. (2023) · Best practice & research. Clinical anaesthesiology · doi:10.1016/j.bpa.2023.04.007 · Cited by 39 · see citing works
Presurgery Anxiety and Day Surgery Patients' Need for Information
ÖĞREKÇİ, M. A., & Çilingir, D. (2017) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2017.06.125 · Cited by 37 · see citing works
Patient satisfaction with dental treatment at a university dental clinic: A qualitative analysis
Klaassen, H., Dukes, K., & Marchini, L. (2020) · Journal of Dental Education · doi:10.1002/jdd.12428 · Cited by 34 · see citing works
Canales, C., Strom, S., Anderson, C. T., Fortier, M. A., Cannesson, M. P., Rinehart, J. B., Kain, Z. N., & Perret, D. M. (2019) · British Journal of Anaesthesia · doi:10.1016/j.bja.2019.08.021 · Cited by 33 · see citing works
Outpatient stereotactic brain biopsies
Mathon, B., Marijon, P., Riche, M., Degos, V., Carpentier, A. C., & the PSL BRAIN-BIOPSY STUDY GROUP (2021) · Neurosurgical Review · doi:10.1007/s10143-021-01593-3 · Cited by 31 · see citing works
Bleicher, J. M., Jordan Esplin, B., Blumling, A. N., Cohan, J. N., Savarise, M. T., Wetter, D. W., Harris, A. H. S., Kaphingst, K. A., & Huang, L. C. (2021) · Journal of Opioid Management · doi:10.5055/jom.2021.0680 · Cited by 31 · see citing works
Prevalence of Nausea-Vomiting and Coping Strategies in Patients Undergoing Outpatient Surgery
Maraş, G., & Bulut, H. (2021) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2020.10.004 · Cited by 30 · see citing works
The impact of a structured preoperative protocol on day of surgery cancellations
Turunen, E., Miettinen, M., Setälä, L. P., & Vehviläinen-Julkunen, K. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.13896 · Cited by 30 · see citing works
Myles, P. S., Wallace, S. K. A., Boney, O., Botti, M. A., Chung, F. F., Cyna, A. M., Gan, T. J., Grocott, M. P. W., Jensen, M. P., Kehlet, H., et al. (2025) · British Journal of Anaesthesia · doi:10.1016/j.bja.2025.02.025 · Cited by 27 · see citing works
Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review
McCann, W. D., Hou, X., Stolic, S., & Ireland, M. J. (2023) · Healthcare · doi:10.3390/healthcare11202721 · Cited by 30 · see citing works
Dias, P., Clerc, D., Rodrigues, M. G. D. R., Demartines, N., Grass, F., & Hübner, M. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11071895 · Cited by 24 · see citing works
Liu, Y., Zheng, T., Lv, W., Chen, L., Zhao, B., Xue, J., Ye, L., Qu, L., Zhao, L., Zhang, Y., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-66826-9 · Cited by 23 · see citing works
Perioperative Care of Elderly Surgical Outpatients
Cao, X., White, P. F., & Ma, H. (2017) · Drugs & Aging · doi:10.1007/s40266-017-0485-3 · Cited by 23 · see citing works
Financial cost of elective day of surgery cancellations
Turunen, E., Miettinen, M., Setälä, L. P., & Vehviläinen-Julkunen, K. (2018) · Journal of Hospital Administration · doi:10.5430/jha.v7n6p30 · Cited by 24 · see citing works
Zhang, J., Yang, L., Wang, X., Dai, J., Shan, W., & Wang, J. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034196 · Cited by 21 · see citing works
Wu, Q. J., & Jiang, S. (2023) · Journal of Health Communication · doi:10.1080/10810730.2023.2208537 · Cited by 20 · see citing works
Mercan, N., & Mersin, S. (2025) · Heliyon · doi:10.1016/j.heliyon.2025.e41677 · Cited by 20 · see citing works
Helms, L. (2020) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2020.01.012 · Cited by 20 · see citing works
Putting patients first: ambulatory surgery facilitates patient-centered care
Joshi, G. P. (2021) · Current Opinion in Anaesthesiology · doi:10.1097/aco.0000000000001070 · Cited by 19 · see citing works
Current opinion about surgery-related fear and anxiety
Ralph, N., & Norris, P. (2018) · Journal of Perioperative Nursing · doi:10.26550/2209-1092.1046 · Cited by 19 · see citing works
Wolmeister, A. S., Schiavo, C. L., Nazário, K. C. K., Castro, S. M. D. J., de Souza, A., Caetani, R. P., Caumo, W., & Stefani, L. P. C. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227441 · Cited by 19 · see citing works
Parent Experience of Communication about Children’s Surgery: A Qualitative Analysis
Claus, L. E., Links, A. R., Amos, J., DiCarlo, H. N., Jelin, E. B., Koka, R., Beach, M. C., & Boss, E. F. (2021) · Pediatric Quality and Safety · doi:10.1097/pq9.0000000000000403 · Cited by 17 · see citing works
Holzer, K. J., Bollepalli, H., Carron, J., Yaeger, L., Avidan, M. S., Lenze, E. J., & Abraham, J. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.08.110 · Cited by 18 · see citing works
Torres, G. C. S., Relf, M. V., & Tuazon, J. A. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14339 · Cited by 16 · see citing works
Zhang, Z., Xia, F., Wang, W., Jiang, B., Yao, L., Huang, Y., & Li, X. (2020) · Head & Neck · doi:10.1002/hed.26557 · Cited by 16 · see citing works
Psychoeducation Programs to Reduce Preoperative Anxiety in Adults: A Scoping Review
de Oliveira, P. D. C. M., Porfírio, C. R. F., Pires, R., da Silva, R. C. G., Carvalho, J. C., Costa, T. F. O., & Sequeira, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010327 · Cited by 16 · see citing works
Abate, S. M., Chekole, Y. A., & Basu, B. (2020) · doi:10.21203/rs.3.rs-28832/v1 · Cited by 15 · see citing works
Hejl, L., Raft, J., Leufflen, L., Rauch, P., Buhler, J., Abel-Decollogne, F., Routiot, T., Hotton, J., Salleron, J., & Marchal, F. (2020) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2020.101779 · Cited by 14 · see citing works
Lee, Y.-J., Kim, B. Y., Park, J.-H., Kim, S., Park, H.-Y., & Do, S.-H. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9124126 · Cited by 14 · see citing works
Outpatient Spine Surgery in Poland: A Survey on Popularity, Challenges, and Future Perspectives
Łątka, K., Kolodziej, W., Rajski, R., Pawuś, D., Chowaniec, J., & Łątka, D. (2023) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s425465 · Cited by 13 · see citing works
Women's experiences of an enhanced recovery after surgery program: A qualitative study
Kersley, Å. R., & Berterö, C. (2021) · Nursing and Health Sciences · doi:10.1111/nhs.12810 · Cited by 13 · see citing works
Design of a nursing psychoeducation program to reduce preoperative anxiety in adults
de Oliveira, P. D. C. M., Pires, R., da Silva, R. C. G., & Sequeira, C. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1391764 · Cited by 12 · see citing works
Lami, M., Negash, A., Dereje, J., Hiko, A., Mesfin, S., Gebreyesus, A., Belama, N., Omer, N. A., Balis, B., & Jibro, U. (2025) · Health Services Insights · doi:10.1177/11786329251316748 · Cited by 12 · see citing works
Scale Development and Psychometric Evaluation of the Preoperative Assessment of Readiness Tool
Torres, G. C. S., & Macindo, J. R. B. (2017) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2016.07.010 · Cited by 12 · see citing works
The AIMS approach: regulating receptivity in patient-provider vaccine conversations
Parrish-Sprowl, J., Thomson, A., Johnson, R. D., & Parrish-Sprowl, S. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1120326 · Cited by 12 · see citing works
Li, L., Li, S., Sun, Y., Zhang, S., Zhang, X., & Qu, H. (2021) · Gerontology · doi:10.1159/000511913 · Cited by 11 · see citing works
Holzer, K. J., Bartosiak, K. A., Calfee, R. P., Hammill, C. W., Haroutounian, S., Kozower, B. D., Cordner, T., Lenard, E. M., Freedland, K. E., Pennington, B. R. T., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-082656 · Cited by 11 · see citing works
Geers, N. C., Zegel, M., Huybregts, J. G. J., & Niessen, F. B. (2018) · Aesthetic Surgery Journal · doi:10.1093/asj/sjy074 · Cited by 11 · see citing works
Simko, L. C., Rhodes, D. C., Gumireddy, A., Schreiber, J. B., Booth, A., & Hawkins, M. (2021) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2021.04.003 · Cited by 11 · see citing works
Alkhaibari, R. A., Smith‐Merry, J., & Forsyth, R. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-10391-0 · Cited by 11 · see citing works
Bleicher, J. M., Fender, Z., Johnson, J. E., Cain, B. T., Phan, K., Powers, D., Wei, G., Presson, A. P., Kwok, A. C., Pickron, T. B., et al. (2021) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2021.12.020 · Cited by 11 · see citing works
Yeşilot, S. B., Çiftçi, H., & Yener, K. (2022) · AORN Journal · doi:10.1002/aorn.13665 · Cited by 13 · see citing works
Salzmann, S., Kikker, L., Tosberg, E., Becker, N., Spies, M., Euteneuer, F., & Rüsch, D. (2024) · Anesthesiology · doi:10.1097/aln.0000000000005351 · Cited by 10 · see citing works
Kuşcu, Ö. Ö., Ozcelik, S. M., Küçüktepe, C., & Akyüz, S. (2021) · Journal of Dental Education · doi:10.1002/jdd.12785 · Cited by 10 · see citing works
Minimally invasive outpatient hysterectomy for a benign indication: A systematic review
Emery, S. L., Jeannot, É., Dällenbach, P., Petignat, P., & Dubuisson, J. B. (2024) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2024.102804 · Cited by 10 · see citing works
Roberts, B. W., Trzeciak, C. J., Puri, N., Mazzarelli, A. J., & Trzeciak, S. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034247 · Cited by 10 · see citing works
The Impact of Caregivers' Anxiety on Patients' Anxiety before Fast-Track Knee Arthroplasty
Ziętek, P., Zarzycka, B., Ziętek, J., STEPIEN-SLODKOWSKA, M., Sieńko-Awierianów, E., Kotrych, D., & Dobiecki, K. (2017) · Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · doi:10.55095/achot2017/045 · Cited by 9 · see citing works
Preferences for Preoperative Education: A Qualitative Study of the Patient Perspective
Rockefeller, N. F., Jeppson, P. C., Komesu, Y. M., Meriwether, K. V., Ninivaggio, C. S., & Dunivan, G. C. (2021) · Urogynecology · doi:10.1097/spv.0000000000001014 · Cited by 9 · see citing works
Mitrev, L. V., Chin, G. R., Roberts, B. W., van Helmond, N., Trivedi, K. C., Libraro, N., Rana, D., Dibato, J. E., Trzeciak, S., Solina, A. R., et al. (2024) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000007026 · Cited by 9 · see citing works
Patient perspectives on health care models in cardiac surgery: a qualitative evaluation
Schmid, M. E., Stumm, J., Stock, S., & Girdauskas, E. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11791-6 · Cited by 8 · see citing works
The Effect of Nurse-led Preoperative Visits on Anxiety: An Integrative Review
Guo, X., Qi, K., & Wu, H. (2025) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2024.09.021 · Cited by 8 · see citing works
Irani, M., & Kordestani, S. S. (2025) · Journal of Wound Care · doi:10.12968/jowc.2020.0222 · Cited by 8 · see citing works
Ansiedad en el paciente prequirúrgico: un problema que nos afecta a todos
Quintero, A., Yasnó, D. A., Riveros, O. L., Castillo, J., & Borráez, B. (2017) · Revista Colombiana de Cirugía · doi:10.30944/20117582.15 · Cited by 8 · see citing works
Wenger, K., Reist, L., Achenbach, A., Dukes, K., Fravel, M. A., Knockel, L. E., Kuehnle, F., Reist, J. C., Suneja, M., Pendleton, C., et al. (2023) · BMC Medical Education · doi:10.1186/s12909-023-04090-x · Cited by 8 · see citing works
Compassionate care through the eyes of patients and physicians: An interview study
Debets, M. P. M., Jansen, I., Diepeveen, M., Bogerd, R., Molewijk, A. C., Widdershoven, G. A. M., & Lombarts, K. M. J. M. H. (2024) · PLoS ONE · doi:10.1371/journal.pone.0305007 · Cited by 8 · see citing works
Thyroid Cancer–Related Fear & Anxiety in Patients With Benign Thyroid Nodules: A Mixed-Methods Study
Evans, E. E., Dougherty, A., Jensen, C. B., Sinco, B. R., Robinson, N., Özkan, M. U., Khan, I., Roche, K. N., Saucke, M. C., Bushaw, K. J., et al. (2024) · Journal of Surgical Research · doi:10.1016/j.jss.2024.07.108 · Cited by 8 · see citing works
Shirzad, M., Nasiri, E., Hesamirostami, M., & Akbari, H. (2021) · Complementary Medicine Journal · doi:10.32598/cmja.11.2.1077.1 · Cited by 8 · see citing works
Hernández, A. V., Otten, J., Christ, H., Ulrici, C., Piriyev, E., Ludwig, S., & Rudroff, C. (2022) · In Vivo · doi:10.21873/invivo.12829 · Cited by 8 · see citing works
Miyao, M., Hirotsu, A., Tatsumi, K., & Tanaka, T. (2023) · Heliyon · doi:10.1016/j.heliyon.2023.e16904 · Cited by 8 · see citing works
Preoperative Psychological Burdens in Patients with Vestibular Schwannoma
Li, Y., Ran, G., Chen, K., & Shen, X. (2021) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894211018915 · Cited by 8 · see citing works
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Leonardsen, A. L., Wolf, A., & Nilsson, U. G. (2024) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2023.12.028 · Cited by 7 · see citing works
Machado, P. T., Lecoultre, C., & Courbon, C. (2024) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2024.01.020 · Cited by 9 · see citing works
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Gamst‐Jensen, H., Brix, L. D., Madsen, T. M. N., Olsen, S. W., Geisler, A. E., Egelund, A., Thomsen, T., Buch, B., Veedfald, L., Hansen, C. L. S. F., et al. (2024) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2024.06.114 · Cited by 7 · see citing works
Hahne, J., & Carpenter, B. D. (2026) · Patient Education and Counseling · doi:10.1016/j.pec.2026.109492 · Cited by 12 · see citing works
Adam, Z., Klimeš, J., Boleloucký, Z., Pour, L., Adamová, Z., Tomíška, M., & Marečková, H. (2022) · Klinicka onkologie · doi:10.48095/ccko2022358 · Cited by 7 · see citing works
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Castro, M. C., Ramos, I., & Carvalho, I. P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010414 · Cited by 7 · see citing works
Self-citationAkkoyun, S., Arslan, F. T., & Sekmenli, T. (2023) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2023.12.012 · Cited by 6 · see citing works
Napora, J., Gryglewski, K., Piotrowicz, M., Lebiedź, P., Mazurek, T., & Nowicka‐Sauer, K. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237004 · Cited by 6 · see citing works
Zheng, S., Wu, Y. X., Wang, J. Y., Li, Y., Liu, Z., Liu, X. G., Dang, G. T., Sun, Y., & Li, J. (2020) · JMIR Medical Informatics · doi:10.2196/16076 · Cited by 6 · see citing works
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Langan, T. M., Rushing, C. J., McKenna, B. J., Berlet, G. C., & Hyer, C. F. (2021) · The Journal of Foot & Ankle Surgery · doi:10.1053/j.jfas.2021.07.003 · Cited by 6 · see citing works
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Üstündağ, H., Gül, A., & Özkaya, B. Ö. (2022) · Journal of PeriAnesthesia Nursing · doi:10.1016/j.jopan.2022.06.002 · Cited by 6 · see citing works
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Macken, A. A., Prkić, A., Vermeulen, N., van Oost, I., Koenraadt, K. L. M., Thé, B., & Eygendaal, D. E. (2021) · JSES International · doi:10.1016/j.jseint.2021.02.015 · Cited by 6 · see citing works
Xu, H., & Shi, Y. (2024) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.40.6.9472 · Cited by 5 · see citing works
Chung, J., Andrusiak, J., Ali, S., Yan, E., Saripella, A., & Chung, F. (2025) · Journal of Anesthesia and Translational Medicine · doi:10.1016/j.jatmed.2025.10.001 · Cited by 5 · see citing works
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Lindow, R., Gisch, M., & Marchini, L. (2023) · Brazilian Dental Science · doi:10.4322/bds.2023.e3694 · Cited by 5 · see citing works
Patient experience of elective general surgery: An integrative review
Bavin, E., Tobiano, G., & Gillespie, B. M. (2023) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2023.08.002 · Cited by 7 · see citing works
Do empathic osteopaths achieve better clinical results? An observational feasibility study
Acquati, A., Uberti, S., Aquino, A., Cerasetti, E., Castagna, C., Rovere, P. Q., & Pisa, V. (2019) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2019.02.002 · Cited by 6 · see citing works
The effect of electronical film on the anxiety of patients candidate for lumbar disc surgery
Ghazavi, Z., abdi, M., & Abrishamkar, S. (2019) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_233_18 · Cited by 5 · see citing works
ÖZYÜREK, H., & Göktaş, S. (2021) · Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi · doi:10.48071/sbuhemsirelik.936956 · Cited by 5 · see citing works
Bleicher, J. M., Brooke, B. S., Bayless, K., Anderson, Z. L., Beckstrom, J. L., Zhang, C., Presson, A. P., Huang, L. C., & Buys, M. J. (2022) · Regional Anesthesia & Pain Medicine · doi:10.1136/rapm-2021-103382 · Cited by 5 · see citing works
Jalali, R., & Dehghan, F. (2017) · Iran Journal of Nursing · doi:10.29252/ijn.30.108.1 · Cited by 5 · see citing works
Kecemasan Preoperasi pada Pasien di Unit One Day Surgery(ODS)
Usnadi, U., Rahayu, U., & Praptiwi, A. (2019) · Jurnal Keperawatan Aisyiyah · doi:10.33867/jka.v6i1.113 · Cited by 5 · see citing works
Clinical Communication in Rehabilitation
Carvalho, I. P., & Dores, A. R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127268 · Cited by 5 · see citing works
Self-citationKocaturk, S., Düzenli, Z. B., & Gürsoytrak, B. (2024) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2024.06.178 · Cited by 4 · see citing works
Key targets for activating anaesthesia shared decision‐making: a mixed methods systematic review
Madhani, A., Suarez, N., & Finlay, K. A. (2026) · Anaesthesia · doi:10.1111/anae.70164 · Cited by 4 · see citing works
Xu, M. C., Policastro, C. G., Wolff, D. T., Namugosa, M., Ritts, R., Escott, M., & Terlecki, R. P. (2025) · International Journal of Impotence Research · doi:10.1038/s41443-025-01149-9 · Cited by 4 · see citing works
- Authors
- Pereira, L., Figueiredo-Braga, M., & Carvalho, I. P.
- Affiliations
- Universidade do Porto (PT)
- ORCID
- Carvalho, Irene P.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 99
- Issue
- 5
- Pages
- 733-738
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2254158811
- Cited by
- 221
- References
- 35
- Citations by year
- 2026: 26 · 2025: 33 · 2024: 30 · 2023: 23 · 2022: 23 · 2021: 29 · 2020: 27 · 2019: 14 · 2018: 5 · 2017: 11
- FWCI
- 9.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- preoperative anxiety, outpatient surgery, patient-centered care, empathic communication, preoperative information, wound healing, postoperative recovery, postoperative pain, patient satisfaction, general surgery
- MeSH terms
- Adult, Ambulatory Surgical Procedures, Anxiety, Communication, Empathy, Female, Humans, Male, Middle Aged, Postoperative Pain, Patient Education as Topic, Preoperative Care, Socioeconomic Factors, Stress, Psychological, Treatment Outcome, Patient Satisfaction, Patient-Centered Care
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