Predictors of fear of COVID-19 among patients undergoing elective surgery during the COVID-19 pandemic: An observational study

Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2025-06-25 DOI:10.1016/j.pcorm.2025.100516

Meghna Maheshwari , Anuj Jain , Pankaj Singhai , Swapnil Kumar Barasker

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引用次数: 0

Abstract

Background

The COVID-19 pandemic disrupted routine healthcare services, including elective surgeries, and heightened patient fear and anxiety. This study evaluates predictors of COVID-19-related fear among patients undergoing elective surgeries in central India, using the Indian Scale for Fear of COVID-19 (ISF-C19) and the Numerical Anxiety Score (NAS).

Methodology

An observational study of 687 patients was conducted at a multispeciality hospital between October 2021 and May 2022. Data were collected using a semi-structured questionnaire, ISF-C19, and NAS. Patients were stratified into high (≥27) and low (<27) ISF-C19 score groups. Logistic regression was employed to identify predictors of high fear scores.

Results

High ISF-C19 scores correlated significantly with elevated NAS (≥5), comorbidities, and lack of prior COVID-19 infection. NAS emerged as the strongest predictor of fear (p = 0.001), while comorbidities also had a significant impact (p = 0.007). The model demonstrated a sensitivity of 67.40 % and a specificity of 69.21 %.

Conclusion

This study identifies preoperative anxiety (NAS) and comorbidities as key predictors of COVID-19-related fear among surgical patients.

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COVID-19大流行期间择期手术患者对COVID-19恐惧的预测因素：一项观察性研究

COVID-19大流行扰乱了常规医疗服务，包括选择性手术，并加剧了患者的恐惧和焦虑。本研究使用印度COVID-19恐惧量表（ISF-C19）和数字焦虑评分（NAS）评估了印度中部接受选择性手术的患者对COVID-19相关恐惧的预测因素。方法于2021年10月至2022年5月在一家多专科医院对687例患者进行观察性研究。采用半结构化问卷、ISF-C19和NAS收集数据。将患者分为高（≥27）和低（<27） ISF-C19评分组。采用Logistic回归来确定高恐惧得分的预测因子。结果ISF-C19评分高与NAS升高（≥5）、合并症和既往无COVID-19感染显著相关。NAS是恐惧的最强预测因子（p = 0.001），而合并症也有显著影响（p = 0.007）。该模型的敏感性为67.40%，特异性为69.21%。结论术前焦虑（NAS）和合并症是手术患者新冠肺炎相关恐惧的关键预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.