Articles Vol. 67 No. 5 25/05/2026

ASSESSMENT OF PREOPERATIVE ANXIETY AMONG PATIENTS UNDERGOING HEAD, FACE, AND NECK SURGERY AT LE HUU TRAC NATIONAL BURN HOSPITAL

Cao Thuy Dung1,2, Hoang Dieu Linh1,2
1 Le Huu Trac National Burn Hospital
2 Bệnh viện Bỏng Quốc gia Lê Hữu Trác
DOI: 10.52163/yhc.v67i5.5128
33 Views
14 Downloads
Keywords
Preoperative anxiety, head and neck surgery, burn patients, HADS-A, National Burn Hospital.
Abstract

 

Objectives: To assess the prevalence of preoperative anxiety and identify associated factors among patients scheduled for head, face, and neck surgery at Le Huu Trac National Burn Hospital.

Subjects and methods: A cross-sectional descriptive study was conducted on 376 patients aged 18 and older, indicated for elective head, face, and neck surgery between January and May 2025. Preoperative anxiety was assessed using the Hospital Anxiety and Depression Scale - Anxiety (HADS-A). Data were analyzed using SPSS version 20.0, employing Chi-square tests and Odds Ratios (OR) with a 95% confidence interval.

Results: The mean HADS-A score was 13.82 ± 3.26, with 69.9% of patients exhibiting clinical anxiety. The most prevalent symptoms included fear of something terrible happening (72.1%) and persistent worrying thoughts (70.5%). Regression analysis revealed that preoperative anxiety was significantly associated with: male gender (OR = 2.50), age > 45 years (OR = 2.62), rural residence (OR = 2.23), and being married (OR = 3.63). Notably, the risk of anxiety increased substantially in patients with comorbidities (OR = 15.63), declining health status upon admission (OR = 9.47), and long-term burn scar complications (OR = 6.51), with p < 0.05.

Conclusion: The prevalence of preoperative anxiety among patients undergoing head, face, and neck burn surgery is remarkably high. These findings underscore the urgent need for standardized psychological assessment and specialized intervention protocols. Priority should be given to elderly patients, those with underlying medical conditions, and complex scar complications to improve the quality of comprehensive care.

 

References
[1]
Caumo W, Schmidt A.P, Schneider C.N et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand, 2001, 45 (3): 298-307. doi: 10.1034/j.1399-6576.2001.045003298.x Google Scholar
[2]
Kindler C.H, Harms C et al. The Visual Analog Scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth Analg, 2000, 90 (3): 706-12. doi: 10.1097/00000539-200003000-00036 Google Scholar
[3]
Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, Southwestern Ethiopia. BMC Surg, 2014, 14 (1): 67. doi: 10.1186/1471-2482-14-67 Google Scholar
[4]
Pokharel K, Tripathi M, Tripathi M et al. Preoperative anxiety and postoperative pain in patients undergoing craniotomy. J Neurosurg Anesthesiol, 2011, 23 (3): 186-190. doi: 10.1097/ANA.0b013e31820f4f9a Google Scholar
[5]
Johnston M, Vogele C. Benefits of psychological preparation for surgery: a meta-analysis. Ann Behav Med, 1993, 15 (4): 245-256. doi: 10.1093/abm/15.4.245 Google Scholar
[6]
Schmid S, Theodoraki M.N et al. Intraoperative use of virtual reality decreases anxiety during surgery under local anaesthesia in the head and neck region. Virtual Reality, 2024, 28, 158. doi: 10.1007/s10055-024-01050-8. Google Scholar
[7]
Kumar S, Dutta A, Gupta M et al. Enhancing patient outcomes in ENT surgery: the impact of tailored preoperative educational interventions on anxiety reduction. Indian J Otolaryngol Head Neck Surg, 2025, 77 (2): 913-921. doi: 10.1007/s12070-024-05292-5. Google Scholar
[8]
American Psychiatric Association. Diagnostic and statistical manual of mental disorders, fifth edition. Psychiatry online, 2013. doi: 10.1176/appi.books.9780890425596 Google Scholar
[9]
Spielberger C.D, Gorsuch R.L et al. Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). CA: Consulting Psychologists Press, 1983. Google Scholar
[10]
Selye H. The stress of life. New York: McGraw-Hill, 1956. Google Scholar
[11]
Johnston M, Vögele C. Benefits of psychological preparation for surgery: a meta-analysis. Annals of Behavioral Medicine, 1993, 15 (4): 245-256. doi: 10.1093/abm/15.4.245. Google Scholar
[12]
Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia. BMC Surg, 2014, 14: 67. doi: 10.1186/1471-2482-14-67. Google Scholar
[13]
Nguyễn Thị Huệ, Nguyễn Trần Thủy, Vũ Thy Cầm. Tình trạng lo âu và một số yếu tố liên quan ở người bệnh phẫu thuật tim hở tại Bệnh viện Tim Hà Nội năm 2023. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 2023, số 41: 5-11. doi: 10.47972/vjcts.v41i.860. Google Scholar