Effect of Viewing a Standardized Surgical Procedure Video on Preoperative Anxiety in Women Undergoing Benign Hysterectomy

Women scheduled to undergo hysterectomy for benign gynecologic indications at Hacettepe University were enrolled in this single-center randomized controlled trial. Eligible participants were randomly assigned in a 1:1 ratio to receive either standard preoperative counseling supplemented by a standardized surgical procedure video (intervention group) or standard preoperative counseling alone (control group). Beck Anxiety Inventory (BAI) scores were assessed immediately before randomization and again immediately before surgery to evaluate changes in preoperative anxiety. Health-related quality of life was assessed one month after surgery using the Short Form-12 (SF-12) questionnaire. Exploratory analyses evaluated the association between baseline anxiety and systemic inflammatory biomarkers, including the systemic immune-inflammation index (SII) and systemic inflammatory response index (SIRI). The study aimed to determine whether standardized surgical video education improves perioperative psychological outcomes without adversely affecting postoperative quality of life.

Inclusion criteria

• Female patients aged 18 years or older.
• Scheduled to undergo elective hysterectomy for benign gynecologic conditions.
• Able to understand the study procedures and provide written informed consent.
• Able to complete the Beck Anxiety Inventory (BAI) questionnaire.

Exclusion criteria

• Planned hysterectomy for suspected or confirmed gynecologic malignancy.
• Emergency surgery.
• Current use of psychiatric medications.
• Visual or hearing impairment that could interfere with viewing the surgical -video or completing the study procedures.
• Inability to read or understand Turkish.
• Cognitive impairment or any condition preventing completion of the study questionnaires or provision of informed consent.
• Previous participation in this study.