The Effect of Preoperative Nursing Visit on Anxiety and Pain Level of Patients After Surgery

Published:August 12, 2022DOI:



      Preoperative education is an important part of surgical preparation. Nursing visits offer nurses the opportunity to provide personalized care. The aim of this study was to determine the effect of nursing visits before laparoscopic surgery on the anxiety and pain levels of patients in the postoperative period.


      Randomized controlled clinical trial.


      Data were collected from 135 patients who underwent laparoscopic surgery between March and October 2019 in Istanbul. During the nursing visits, the experimental group (n = 72) was educated by the operating room nurse, while the control group (n = 63) was educated by the service nurse. Data were collected using the State-Trait Anxiety Inventory and the Visual Analog Scale. The CONSORT checklist was followed.


      The pre-education state anxiety scores of the control and experimental groups were similar and at a moderate level (P > .05). The state anxiety score of the experimental group visited by operating room nurses decreased more than that of the control group after education (P < .001). The postoperative state anxiety and pain scores of the control and experimental groups were found to be similar (P > .05).


      Visits by operating room nurses before laparoscopic surgery can be an effective method to reduce the anxiety level of patients. Obtaining the opinions of operating room nurses on care integration and organization of in-service education programs may be necessary.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of PeriAnesthesia Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kelly K
        • Ersek M
        • Virani R
        • Malloy P
        • Ferrell B.
        End-of-life nursing education consortium geriatric training program: Improving palliative care in community geriatric care settings.
        J Gerontol Nurs. 2008; 34: 28-35
        • Gürsoy A
        • Candaş B
        • Güner Ş
        • Yılmaz S.
        Preoperative stress: an operating room nurse intervention assessment.
        J Perianesth Nurs. 2016; 31: 495-503
        • Sadati L
        • Pazouki A
        • Mehdizadeh A
        • Shoar S
        • Tamannaie Z
        • Chaichian S.
        Effect of preoperative nursing visit on preoperative anxiety and postoperative complications in candidates for laparoscopic cholecystectomy: a randomized clinical trial.
        Scand J Caring Sci. 2013; 27: 994-998
        • Lee C
        • Lee I.
        Preoperative patient teaching: the practice and perceptions among surgical ward nurses.
        J Clin Nurs. 2013; 22: 2551-2561
        • Sayin Y
        • Aksoy G.
        The effect of analgesic education on pain in patients undergoing breast surgery: within 24 hours after the operation.
        J Clin Nurs. 2012; 21: 1244-1253
        • Andersson V
        • Otterstrom-Rydberg E
        • Karlsson A-K.
        The importance of written and verbal information on pain treatment for patients undergoing surgical interventions.
        Pain Manag Nurs. 2015; 16: 634-641
        • Abed MA
        • Himmel W
        • Vormfelde S
        • Koschack J.
        Video-assisted patient education to modify behavior: a systematic review.
        Patient Educ Couns. 2014; 97: 16-22
        • Yavuz M
        • AltinbaŞ Y
        • Aslan A
        • Kondakçı M
        • Sari N
        • Kizir N
        Surgical patient education: systematic review 2002-2012.
        J Nurs Sci. 2016; 8: 34-43
        • Kiyohara L
        • Kayano L
        • Oliveira L
        • et al.
        Surgery information reduces anxiety in the pre-operative period.
        Rev Hosp Clin Fac Med Sao Paulo. 2004; 59: 51-56
        • D'Eça Júnior A
        • Bogea Brito MV
        • dos Santos Rodrigues L
        • Santos Martins R
        • Costa Rabelo P
        Preoperative nursing visit checklist: data quality assessment.
        Checklist de Visitas Preoperatorias de Enfermería. 2020; 10: 1-12
        • Aliyu D
        • Adeleke I
        • Omoniyi S
        • Kolo S
        • Odofin O
        • EssienEkaete P.
        Knowledge, attitude and practice of preoperative visit: a survey of Nigerian perioperative nurses.
        Am J Health Res. 2015; 3: 54-60
        • Hinmikaiye C
        • Bamishaiye E.
        The incidence of low back pain among theatre nurses: a case study of University of Ilorin and Obafemi Awolowo University Teaching Hospital.
        Int J Nurs Sci. 2012; 2: 23-28
        • Webb R.
        Preoperative visiting from the perspective of the theatre nurse.
        Br J Nurs. 1995; 4: 919-925
        • Lindeman C
        • Stetzer S.
        Effect of preoperative visits by operating room nurses.
        Nurs Res. 1973; 22: 4-15
        • Manthey M.
        A theoretical framework for primary nursing.
        J Nurs Admin. 1980; 10: 11-15
        • Shetler M.
        Operating room nurses go visiting.
        Am J Nurs. 1972; 72: 1266-1269
        • Carter L
        • Evans T.
        Preoperative visiting: a role for theatre nurses.
        Br J Nurs. 1996; 5: 204-207
        • Stone M.
        Pre-operative visiting–part of the OR nurse's role?.
        Aust Nurses J. 1983; 12: 46
        • Carnevali D.
        Preoperative anxiety.
        Am J Nurs. 1966; 66: 1536-1537
        • Pinar G
        • Kurt A
        • Gungor T.
        The efficacy of preopoerative instruction in reducing anxiety following gyneoncological surgery: a case control study.
        World J Surg Oncol. 2011; 9: 38
        • Guo P
        • East L
        • Arthur A.
        A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial.
        Int J Nurs Stud. 2012; 49: 129-137
        • Lin LY
        • Wang RH.
        Abdominal surgery, pain and anxiety: preoperative nursing intervention.
        J Adv Nurs. 2005; 51: 252-260
        • Falci SGM
        • Marques LS.
        Consort: When and how to use it.
        Dental Press J Orthod. 2015; 20: 13-15
        • Coll A
        • Ameen J
        • Mead D.
        Postoperative pain assessment tools in day surgery: literature review.
        J Adv Nurs. 2004; 46: 124-133
        • Öner N.
        • Le compt A.
        Handbook of the state-trait anxiety inventory.
        2nd Edition. Istanbul: Bogazici University Press, 1998
        • Marcus C.
        Strategies for improving the quality of verbal patient and family education: a review of the literature and creation of the EDUCATE model.
        Health Psychol Behav Med. 2014; 2: 482-495
        • Yıldız T
        • Malak A
        • Göktaş SB
        • Özen Y.
        Effect of patient education on patient anxiety level using “scale of patient education requirements” in open heart surgery.
        Koşuyolu Heart J. 2015; 18: 1-5
        • Çetinkaya F
        • Karabulut N.
        The impact on the level of anxiety and pain of the training before operation given to adult patients who will have abdominal operation.
        J Anatolia Nurs Health Sci. 2010; 13: 20-26
        • Asghari K
        • Lotfı M
        • Aghazadeh A
        • Abd E.
        Effect of preoperative nursing visit on serum cortisol levels in patients waiting for operation: a randomized study with control group.
        Med J Tabriz Univ Med Sci. 2009; 30: 13-16
        • Özberksoy A
        • Özbayır T
        • Taşdemir N.
        The impact of preoperative education on postoperative anxiety and pain levels in breast cancer patients.
        J Med Sci. 2009; 29: 1605-1611
        • Özalp G
        • Sarioglu R
        • Tuncel G
        • Aslan K
        • Kadiogullari N.
        Preoperative emotional states in patients with breast cancer and postoperative pain.
        Acta Anaesthesiologica Scandinavica. 2003; 47: 26-29
        • Navarro-García M
        • Marín-Fernández B
        • de Carlos-Alegre V
        • et al.
        Preoperative mood disorders in patients undergoing cardiac surgery: risk factors and postoperative morbidity in the intensive care unit.
        Rev Esp Cardiol. 2011; 64: 1005-1010
        • Munafò M
        • Stevenson J.
        Anxiety and surgical recovery: Reinterpreting the literature.
        J Psychosom Res. 2001; 51: 589-596
        • Shuldham C.
        Preoperative education for the patient having coronary artery bypass surgery.
        Patient Educ Couns. 2001; 43: 129-137