Preoperative Anxiety and Early Postoperative Recovery Among Women Undergoing Gynecologic Surgery in Vietnam: A Prospective Longitudinal Observational Study

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Research Pub Date : 2026-09-21 DOI:10.1111/jog.70501

Nguyen Thi Bich Van, Nguyen Thi Thuy Chung, Nguyen Ngoc Minh Hai, Trinh Quoc Huy

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引用次数: 0

Abstract

Aim

To determine the prevalence of preoperative anxiety among women undergoing gynecologic surgery in Vietnam and evaluate its association with early postoperative pain, sleep disturbance, and functional status.

Methods

This prospective longitudinal observational study included 394 women scheduled for gynecologic surgery at a tertiary hospital in Hanoi, Vietnam, from May to December 2024. Preoperative anxiety was assessed using the Generalized Anxiety Disorder-7 scale. Preoperative information and counseling, perceived social support, and clinical characteristics were evaluated before surgery. Pain and functional status were assessed 48 h after surgery using the Numeric Rating Scale and Barthel Index, respectively, while the Insomnia Severity Index (ISI) was administered at the same assessment using its standard 2-week recall period. Multivariable linear and logistic regression models were performed to identify factors associated with preoperative anxiety and postoperative outcomes.

Results

One hundred thirty-one participants (33.2%) screened positive for anxiety symptoms (GAD-7 ≥ 5), with mild, moderate, and severe anxiety observed in 25.6%, 4.6%, and 3.0% of the cohort, respectively. Preexisting mental health conditions, lower perceived quality of preoperative information and counseling, and lower perceived support from significant others and friends were associated with higher preoperative anxiety scores. Higher preoperative anxiety was associated with greater postoperative pain intensity and higher ISI scores, but not with early functional status.

Conclusions

Preoperative anxiety was highly prevalent among women undergoing gynecologic surgery and was associated with poorer early postoperative pain and sleep outcomes. Routine anxiety screening, improved preoperative communication, and targeted psychosocial support may contribute to more patient-centered perioperative care.

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越南妇科手术妇女的术前焦虑和术后早期恢复：一项前瞻性纵向观察研究。

目的：确定越南妇科手术妇女术前焦虑的患病率，并评估其与术后早期疼痛、睡眠障碍和功能状态的关系。方法：这项前瞻性纵向观察研究纳入了394名于2024年5月至12月在越南河内一家三级医院接受妇科手术的妇女。术前焦虑使用广泛性焦虑障碍-7量表进行评估。术前信息和咨询，感知社会支持和临床特征在手术前进行评估。术后48小时分别使用数字评定量表和Barthel指数评估疼痛和功能状态，同时使用失眠严重指数（ISI）进行相同的评估，使用其标准的2周回忆期。采用多变量线性和逻辑回归模型来确定与术前焦虑和术后预后相关的因素。结果：131名参与者（33.2%）的焦虑症状筛查呈阳性（GAD-7≥5），分别在25.6%、4.6%和3.0%的队列中观察到轻度、中度和重度焦虑。先前存在的心理健康状况、较低的术前信息和咨询质量、较低的重要他人和朋友的支持感知与较高的术前焦虑评分相关。术前焦虑程度越高，术后疼痛强度越大，ISI评分越高，但与早期功能状态无关。结论：术前焦虑在接受妇科手术的女性中非常普遍，并与较差的术后早期疼痛和睡眠结果相关。常规焦虑筛查、改善术前沟通和有针对性的社会心理支持可能有助于更多以患者为中心的围手术期护理。

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

Journal of Obstetrics and Gynaecology Research 医学-妇产科学

CiteScore

3.10

自引率

0.00%

发文量

376

审稿时长

3-6 weeks

期刊介绍： The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.