Patient Preference and Adherence (Aug 2023)

The Effect of Health Literacy on Preoperative Anxiety Levels in Patients Undergoing Elective Surgery

  • Demirel A,
  • Balkaya AN,
  • Onur T,
  • Karaca Ü,
  • Onur A

Journal volume & issue
Vol. Volume 17
pp. 1949 – 1961

Abstract

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Asiye Demirel, Ayşe Neslihan Balkaya, Tuğba Onur, Ümran Karaca, Anıl Onur University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anaesthesiology and Reanimation, Bursa, TurkeyCorrespondence: Asiye Demirel, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Anaesthesiology and Reanimation, Mimar Sinan District, Emniyet Street, Yıldırım, Bursa, Turkey, Tel +90 224 2955000, Fax +90 224 295 54 97, Email [email protected]: This study aimed to determine preoperative anxiety levels, their associated factors, and the relationship between health literacy and preoperative anxiety in adult patients undergoing elective surgery.Materials and Methods: This descriptive cross-sectional study was conducted in a tertiary hospital between December 21, 2021, and June 20, 2022, and included 466 adult patients. Participants were administered the demographic data and basic health status form, Health Literacy Scale (HLS), and Beck Anxiety Inventory (BAI). Statistical significance was set at p < 0.05.Results: The participants’ mean BAI score was low to moderate (9.28± 10.85). The total HLS score was 105.89± 24.42. For the BAI, a negative correlation was found between the access to information sub-dimensions of the HLS and BAI (p=0.043, r=− 0.094). In addition, a negative correlation was detected between patients’ age and HLS and its sub-dimensions (p< 0.001, respectively [r=− 0.188, r=− 0.193, r=− 0.205, r=− 0.161]), and a positive correlation was observed among the HLS sub-dimensions (p< 0.001, respectively [r=0.873, r=0.057, r=0.966, r=0.915]). Higher HLS and sub-dimension averages were observed in single, high school, university graduates, and civil servant participants. In addition, higher BAI averages were detected in females, homemakers, urban residents, participants living only with their children, and those with additional diseases (respectively, p< 0.001, p< 0.001, p=0.007, p=0.0034, p< 0.01).Conclusion: As the level of health literacy increased, preoperative anxiety levels decreased. Preoperative assessment and education are fundamental to perioperative patient care, particularly in the surgical setting.Keywords: preoperative anxiety, health literacy, Beck Anxiety Inventory, anesthesia, surgery

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