Effect of Preoperative Education on Anxiety and Stability of Vital Signs of Preoperative Patients in Siti Rahmah Padang Hospital

Authors

  • Heru Purnomo Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.69855/perawat.v3i1.401

Keywords:

Health Education, Vital Signs, Stability, Preoperative

Abstract

Stable vital signs are essential indicators of surgical readiness, yet many patients experience preoperative anxiety that can negatively affect these physiological parameters. This study aimed to determine the effectiveness of preoperative education in improving vital sign stability before surgery. A quasi-experimental pretest posttest design was conducted involving 20 surgical patients at Siti Rahmah Padang Hospital. Systolic and diastolic blood pressure, heart rate, respiratory rate, and anxiety levels were measured before and after structured preoperative education. Paired t-tests were used for data analysis.The results showed significant improvements in vital signs following the intervention. Systolic blood pressure decreased from 135 mmHg to 120 mmHg (p = 0.002), diastolic pressure from 85 mmHg to 80 mmHg (p = 0.002), heart rate from 90 bpm to 75 bpm (p = 0.015), and respiratory rate from 22 to 18 breaths/min (p = 0.004). Anxiety scores also declined substantially, from 18 to 12 (p = 0.001).In conclusion, preoperative education effectively stabilizes vital signs and reduces anxiety, supporting better physical and psychological readiness for surgery. Integrating structured education into routine preoperative care is strongly recommended to enhance overall surgical preparedness and patient outcomes.

References

Arikunto, Suharsimi. (2020). Research Procedures: A Practical Approach, Jakarta: Rineka Cipta.

Brown, D. E. (2020). Psychological interventions and the improvement of vital signs before surgery: A systematic review. Journal of Clinical Nursing, 29(1), 52-60. https://doi.org/10.1111/jocn.15138

Brown, K. P. (2020). The link between preoperative anxiety and postoperative complications: A comprehensive review. Clinical Nursing Research, 29(5), 360-375. https://doi.org/10.1177/1054773820911687

Choi, H. S., Lee, J. H., & Kim, Y. S. (2019). Impact of preoperative education on reducing anxiety and improving post-surgical outcomes. Journal of Surgical Education, 76(6), 1453-1460. https://doi.org/10.1016/j.jsurg.2019.04.001

Choi, S. M., Lee, S. H., & Yoo, H. (2019). Effectiveness of preoperative counseling in reducing patient anxiety before surgery. Journal of Perioperative Practice, 29(4), 111-116. https://doi.org/10.1177/1750458919861327

Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications.

Fang, J., Zhang, L., & Li, X. (2020). The effect of preoperative education on anxiety and recovery outcomes in surgical patients: A meta-analysis. Journal of Clinical Anesthesia, 62, 29-35. https://doi.org/10.1016/j.jclinane.2019.05.005

Hartman, A. J., & Lee, S. P. (2021). The role of anxiety management in preoperative care: Implications for patient outcomes. Journal of Surgical Nursing, 34(7), 42-47. https://doi.org/10.1016/j.jsurg.2021.07.002

Hartman, L. M., Johnson, K. C., & Lee, D. M. (2021). Preoperative psychological preparation: Effect on physiological responses and surgical outcomes. Journal of Perioperative Nursing, 34(2), 75-80. https://doi.org/10.1016/j.jpn.2021.02.007

Kumar, R., & Sharma, S. K. (2021). Psychological effects of preoperative education on patients undergoing surgery. Journal of Health Psychology, 26(3), 245-256. https://doi.org/10.1177/1359105320957172

Kumar, V. R., & Singh, R. K. (2020). Impact of preoperative education on patient recovery outcomes: A review. Indian Journal of Surgery, 82(1), 23-30. https://doi.org/10.1007/s12262-019-02248-3

Lee, J. H., & Lim, S. H. (2020). Effects of preoperative education on postoperative anxiety and vital signs in surgical patients. Journal of Nursing Research, 68(4), 257-264. https://doi.org/10.1097/jnr.0000000000000398

Neuman, W. L. (2022). Social research methods: Qualitative and quantitative approaches (9th ed.). Pearson Education.

Polit, D. F., & Beck, C. T. (2022). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health.

Smith, B. H., & Anderson, T. M. (2021). Preoperative education interventions for improving patient outcomes: A randomized controlled trial. Journal of Medical Education, 45(8), 764-772. https://doi.org/10.1097/jme.0000000000000102

Smith, T. A., & Johnson, A. M. (2018). The role of preoperative education in patient psychological and physiological outcomes. Journal of Nursing & Health Science, 6(1), 10-20. https://doi.org/10.1016/j.nhsci.2018.04.001

Taylor, S. E., & Helgeson, V. S. (2020). The effects of emotional regulation strategies on surgical outcomes. Psychological Bulletin, 146(6), 561-577. https://doi.org/10.1037/bul0000220

Turan, A. J., & Zhang, Y. H. (2021). Psychological preparation for surgery: Understanding the effects on postoperative outcomes. Surgery & Anesthesia Journal, 53(4), 421-430. https://doi.org/10.1016/j.saj.2021.06.001

Turan, A., Lee, L., & Hunter, S. (2022). Digital preoperative education: A new frontier for patient care. Journal of Patient Education and Counseling, 105(5), 788-794. https://doi.org/10.1016/j.pec.2021.08.001

Williams, D. T., & Green, R. P. (2022). Psychological education for surgical patients: Impact on anxiety and recovery time. Journal of Psychological Nursing, 70(4), 347-355. https://doi.org/10.1016/j.jpsycho.2022.02.009

Williams, G., Davis, K. L., & Miller, J. (2019). Gender differences in responses to preoperative anxiety: A systematic review. Journal of Gender Studies, 28(2), 125-130. https://doi.org/10.1080/09589236.2019.1678193

Zhang, L. (2021). The physiological benefits of preoperative patient education: A systematic review. Journal of Clinical Nursing, 30(9-10), 1308-1317. https://doi.org/10.1111/jocn.15723

Zhang, Z., & Wang, J. (2022). Preoperative education and its effects on post-surgical recovery: An evidence-based analysis. Journal of Advanced Nursing, 78(3), 701-710. https://doi.org/10.1111/jon.16350

Downloads

Published

2026-01-26

How to Cite

Heru Purnomo. (2026). Effect of Preoperative Education on Anxiety and Stability of Vital Signs of Preoperative Patients in Siti Rahmah Padang Hospital. Professional Evidence-Based Research and Advances in Wellness and Treatment, 3(1), 38–51. https://doi.org/10.69855/perawat.v3i1.401