Articles Vol. 67 No. 9 25/09/2026

CURRENT STATUS OF ANXIETY AMONG PATIENTS BEFORE ELECTIVE SURGERY AT THE NATIONAL ENT HOSPITAL IN 2025

Nguyen Thi Kim Oanh, Le Anh Tuan
DOI: 10.52163/yhc.v67i9.6725
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Abstract

Objective: To investigate the status of anxiety and factors associated with preoperative anxiety among patients undergoing elective surgery at the National ENT Hospital in 2025.

Subjects and methods: A prospective, descriptive, cross-sectional study was conducted on 267 cases, divided into six surgical groups (ear surgery, sinonasal surgery, tonsillectomy, laryngeal microsurgery, cancer surgery, and benign tumor surgery). Standardized anxiety assessment scales were used. Psychological manifestations were recorded, including fear of pain, fear of complications, fear of death, as well as levels and types of anxiety.

Results: The majority of patients (64%) did not experience anxiety, 9.8% suspected anxiety, and 26.2% experienced anxiety. The main anxiety-related concerns were postoperative pain (85.1%), fear of recurrence (82.3%), fear of complications related to anesthesia and surgery (70.7%), and fear of impairment of ENT physiological functions (69.7%). Factors associated with anxiety included age ≥ 50 years (OR = 2, p < 0.05), had previously undergone surgery (OR = 0.43 with p < 0.05), and cancer surgery (OR = 31.83, p < 0.01).

Conclusion: Patients’ anxiety mainly stemmed from fear of pain, fear of complications, and fear of impairment of physiological functions. Factors associated with anxiety were older age, no prior surgical experience, and undergoing cancer surgery.

Keywords
Preoperative anxiety; Ear, Nose and Throat surgery; Associated factors.
References
[1]
1. Bộ Y Tế (2008). Điều dưỡng ngoại 1, Nhà xuất bản Y học. Hà Nội Google Scholar
[2]
2. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x Google Scholar
[3]
3. Winefield, H. R., Winefield, A. H., & Tiggemann, M. (1992). Social support and psychological well-being in young adults: The multi-dimensional support scale. Journal of Personality Assessment, 58(1), 198- 210. https://doi.org/10.1207/s15327752jpa5801_17 Google Scholar
[4]
4. Trần Văn Thông. (2014). Thực trạng lo âu, trầm cảm của NB trước PT tại Bệnh viện Đại học Y Hà Nội [Luận văn Thạc sĩ Y học]. Trường Đại học Y Hà Nội. Google Scholar
[5]
5. Võ Thị Yến Nhi (2017), Các yếu tố liên quan đến sự lo âu của NB trước PT tiêu hóa, Luận văn thạc sỹ nhân viên y tế, Trường Đại học Y dược thành phố Hồ Chí Minh. Google Scholar
[6]
6. Hoàng Viết Thái (2021). Thực trạng lo âu của NB gãy xương trước PT tại Bệnh viện Trung ương Thái Nguyên [Luận văn Thạc sĩ Điều dưỡng]. Trường Đại học Điều dưỡng Nam Định. Google Scholar
[7]
7. Seifu N., Tefera B. and Wadu W. (2014). Predictors of preoperative anxiety among surgicalpatients in Jimma University Specialized TeachingHospital, South Western Ethiopia. BMC Surgery, 14, 67-77. https://doi.org/10.1186/1471-2482-14-67. Google Scholar
[8]
8. Ryamukuru, D., Murekatete, I., & Uwambajimana, J. (2019). Preoperative anxiety and associated factors among adult surgical patients in Kigali University Teaching Hospital, Rwanda. International Journal of Medicine and Medical Sciences, 11(6), 52–59. Google Scholar
[9]
9. Wu, H. S., Harden, J. K., Symons, R., Luna, B., & Liu, Y. (2016). Preoperative anxiety and associated factors in patients undergoing cancer surgery: Implications for nursing practice. European Journal of Oncology Nursing, 21, 77–83. https://doi.org/10.4103/apjon.apjon_16_19. Google Scholar
[10]
10. Hammermüller, C., Hinz, A., Dietz, A., Wichmann, G., Pirlich, M., Berger, T., Wiegand, S., Esser, D., Singer, S., & Mehnert-Theuerkauf, A. (2021). Depression, anxiety, fatigue, and quality of life in head and neck cancer patients: A longitudinal study. European Archives of Oto-Rhino-Laryngology, 278(2), 445–454. https://doi.org/10.1007/s00405-020-06167-9. Google Scholar