The Psychological Burden of Surgery During a Pandemic: Evaluating Preoperative Anxiety in the COVID-19 Era

Abstract

BackgroundThe COVID-19 pandemic has introduced unprecedented challenges to global healthcare systems, including heightened psychological stress among patients. This study evaluates the preoperative anxiety levels among patients scheduled for surgery during the COVID-19 pandemic. MethodsThis cross-sectional observational study was conducted between April 2020 and March 2022. Adult patients aged 18-80 years, scheduled for elective or emergency surgery, were included. Exclusion criteria were mental illness, impaired communication, and hemodynamic instability. A pre-validated questionnaire addressing demographics, prior surgery exposure, surgery-related anxiety, and COVID-19-related fears was administered. Anxiety levels were scored on a 1-5 Likert scale. Data were analyzed using SPSS version 22 (IBM Corp., Armonk, USA). ResultsA total of 112 patients participated, with a mean age of 42.3±14.2 years. The majority were female (61 patients, 54.5%), married (96 patients, 85.7%), and resided in urban areas (85 patients, 75.9%). Most patients had no prior surgical history (87 patients, 77.7%). Surgery-related fears were prevalent, with 110 patients (98.2%) fearing surgical complications and 111 patients (99.1%) fearing postoperative pain. COVID-19-related fears were also significant, with 108 patients (96.4%) fearing infection during hospital stay and 100 patients (89.3%) fearing infecting family members. Mild fear was the most common anxiety level (70 patients, 62.95%), followed by moderate fear (25 patients, 22.5%). DiscussionThe study highlights the dual stressors of surgery and the pandemic, contributing to heightened preoperative anxiety. Findings indicate that significant anxiety levels were present, driven by fears related to surgery, anesthesia, and COVID-19. This aligns with other studies that report high preoperative anxiety levels exacerbated by the pandemic. The comprehensive assessment of anxiety factors underscores the need for tailored interventions to mitigate these anxieties. ConclusionThe COVID-19 pandemic has significantly increased preoperative anxiety among surgical patients. Addressing both surgical and pandemic-related anxieties is crucial for improving patient outcomes. Healthcare providers should implement psychological support programs to alleviate these anxieties. Understanding the multifaceted nature of preoperative anxiety during the pandemic can enhance patient care.