Humanities
Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Journal of Education, Health and Sport

Approaches to Educating Patients and Their Families About General Anaesthesia and Their Impact on Reducing Perioperative Stress
  • Home
  • /
  • Approaches to Educating Patients and Their Families About General Anaesthesia and Their Impact on Reducing Perioperative Stress
  1. Home /
  2. Archives /
  3. Vol. 92 (2026) /
  4. Medical Sciences

Approaches to Educating Patients and Their Families About General Anaesthesia and Their Impact on Reducing Perioperative Stress

Authors

  • Aleksandra Kosikowska Wroclaw University Hospital, Wroclaw, Poland https://orcid.org/0009-0001-0954-5483
  • Aleksandra Tołkacz Wroclaw University Hospital, Wroclaw, Poland https://orcid.org/0009-0009-2571-5399
  • Adrianna Król Wroclaw University Hospital, Wroclaw, Poland https://orcid.org/0009-0005-9655-1150
  • Maja Gewald https://orcid.org/0009-0000-9628-9299
  • Aleksandra Kwiatkowska https://orcid.org/0009-0007-9504-3845

DOI:

https://doi.org/10.12775/JEHS.2026.92.72366

Keywords

general anesthesia, preoperative anxiety, educational interventions, perioperative stress, family-centered care

Abstract

Introduction: Preoperative anxiety associated with general anesthesia is a frequent and clinically significant problem linked to a poorer perioperative experience, increased distress, and less favorable recovery outcomes. Limited knowledge about anesthesia and the anesthesiologist’s role may increase patient stress.

Aim: To examine the literature on educational strategies for patients receiving general anesthesia and, when applicable, their families, with emphasis on their effectiveness in decreasing anxiety and stress, improving knowledge, and enhancing satisfaction.

Methods: A narrative review of 28 full-text English-language articles published from 2020 to 2026 was performed using PubMed, Scopus, Web of Science, and Google Scholar. The review covered studies concerning preoperative education, family-oriented interventions, anxiety reduction, and perioperative experience in adult and pediatric populations.

Results: Educational interventions, especially multimodal, video-based, multimedia, and virtual reality methods, were linked to lower anxiety, greater preparedness, improved understanding of anesthesia, and increased satisfaction. In pediatric settings, family-oriented strategies were particularly relevant, as parental anxiety strongly affected children’s emotional responses. Verbal counseling remained essential, but combined and technology-assisted approaches seemed to be the most effective.

Conclusion: Preoperative education should be considered an integral part of perioperative care. Structured, accessible, and individualized educational strategies may decrease stress, improve cooperation, and strengthen the patient and family experience before general anesthesia.

References

1, Bello CM, Eisler P, Heidegger T. Perioperative anxiety: current status and future perspectives. J Clin Med. 2025;14(5):1422. https://doi.org/10.3390/jcm14051422

2. Skowrońska D, Garczyk A, Kluzik A, Grześkowiak M. What do patients know about anesthesia and anesthesiologists? J Clin Med. 2025;14(23):8459. https://doi.org/10.3390/jcm14238459

3. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: a systematic review and meta-analysis. Int J Surg Open. 2020;25:6-16. https://doi.org/10.1016/j.ijso.2020.05.010

4. Bedaso A, Mekonnen N, Duko B. Prevalence and factors associated with preoperative anxiety among patients undergoing surgery in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open. 2022;12(3):e058187. https://doi.org/10.1136/bmjopen-2021-058187

5. Villa G, Lanini I, Amass T, Bocciero V, Scirè Calabrisotto C, Chelazzi C, et al. Effects of psychological interventions on anxiety and pain in patients undergoing major elective abdominal surgery: a systematic review. Perioper Med (Lond). 2020;9(1):38. https://doi.org/10.1186/s13741-020-00169-x

6. Agüero-Millan B, Abajas-Bustillo R, Ortego-Maté C. Efficacy of nonpharmacologic interventions in preoperative anxiety: a systematic review of systematic reviews. J Clin Nurs. 2023;32(17-18):6229-6242. https://doi.org/10.1111/jocn.16755

7. Getahun AB, Endalew NS, Mersha AT, Admass BA. Magnitude and factors associated with preoperative anxiety among pediatric patients: cross-sectional study. Pediatr Health Med Ther. 2020;11:485-494. https://doi.org/10.2147/PHMT.S288077

8. Gu X, Zhang Y, Wei W, Zhu J. Effects of preoperative anxiety on postoperative outcomes and sleep quality in patients undergoing laparoscopic gynecological surgery. J Clin Med. 2023;12(5):1835. https://doi.org/10.3390/jcm12051835

9. Santapuram P, Stone AL, Walden RL, Alexander L. Interventions for parental anxiety in preparation for pediatric surgery: a narrative review. Children (Basel). 2021;8(11):1069. https://doi.org/10.3390/children8111069

10. Oktaviani JR, Widjaja V, Singgih NA, Secodiningrat RHPS. Audiovisual technology intervention for reducing preoperative anxiety in children undergoing general anesthesia: a systematic review and meta-analysis. J Educ Health Promot. 2024;13:222. https://doi.org/10.4103/jehp.jehp_1344_23

11. Ruenhunsa T, Klinhom P, Sangsungnern P, Wittayapairoch P, Sripadungkul D, Maneewan N, et al. Comparison of preanesthesia visits using video animation with verbal communication versus verbal communication alone on preoperative anxiety in pediatric patients: a randomized controlled trial. Transl Pediatr. 2026;15(1):15. https://doi.org/10.21037/tp-2025-aw-772

12. Hou H, Li X, Song Y, Ji Y, Sun M, Wang D, et al. Effect of interactive, multimedia-based home-initiated education on preoperative anxiety in children and their parents: a single-center randomized controlled trial. BMC Anesthesiol. 2023;23:95. https://doi.org/10.1186/s12871-023-02055-7

13. Tang X, Zhang M, Yang L, Tao X, Li Y, Wang Y, et al. Individual cartoon video for alleviating perioperative anxiety and reducing emergence delirium in children: a prospective randomised trial. BMJ Paediatr Open. 2023;7(1):e001854. https://doi.org/10.1136/bmjpo-2023-001854

14. Zhang K, Rashid-Kolvear M, Waseem R, Englesakis M, Chung F. Virtual preoperative assessment in surgical patients: a systematic review and meta-analysis. J Clin Anesth. 2021;75:110540. https://doi.org/10.1016/j.jclinane.2021.110540

15. Kristoffersen EW, Opsal A, Tveit TO, Berg RC, Fossum M. Effectiveness of pre-anaesthetic assessment clinic: a systematic review of randomised and non-randomised prospective controlled studies. BMJ Open. 2022;12(5):e054206. https://doi.org/10.1136/bmjopen-2021-054206

16. Brodersen F, Wagner J, Uzunoglu FG, Petersen-Ewert C. Impact of preoperative patient education on postoperative recovery in abdominal surgery: a systematic review. World J Surg. 2023;47(4):937-947. https://doi.org/10.1007/s00268-022-06884-4

17. Osman T, Lew E, Lum EPM, van Galen L, Dabas R, Sng BL, et al. PreAnaesThesia computerized health (PATCH) assessment: development and validation. BMC Anesthesiol. 2020;20(1):286. https://doi.org/10.1186/s12871-020-01202-8

18. Osman T, Lew E, Lum E, Chew J, Dabas R, Sng BL, et al. Effect of PreAnaesThesia computerized health (PATCH) assessment on duration of nurse-patient consultation and patient experience: a pilot trial. Int J Environ Res Public Health. 2020;17(14):4972. https://doi.org/10.3390/ijerph17144972

19. van den Heuvel SF, Jonker P, Hoeks SE, Ismail SY, Stolker RJ, Korstanje JWH. The effect of stand-alone and additional preoperative video education on patients’ knowledge of anaesthesia: a randomised controlled trial. Eur J Anaesthesiol. 2025;42(4):313-323. https://doi.org/10.1097/EJA.0000000000002109

20. Turkdogan S, Roy CF, Chartier G, Payne R, Mlynarek A, Forest VI, et al. Effect of perioperative patient education via animated videos in patients undergoing head and neck surgery. JAMA Otolaryngol Head Neck Surg. 2022;148(2):173-180. https://doi.org/10.1001/jamaoto.2021.3765

21. Xing J, Gong C, Wu B, Li Y, Liu L, Yang P, et al. Effect of an educational video about ERAS on reducing preoperative anxiety and promoting recovery. Heliyon. 2023;9(10):e20536. https://doi.org/10.1016/j.heliyon.2023.e20536

22. Park H, Ko E, Lim CH, Lee J, Kim D, Yeom G, et al. Effects of video-assisted preanesthetic patient education on preanesthetic interview time: a prospective, single-blinded, randomized controlled trial. Medicine (Baltimore). 2024;103(25):e38577. https://doi.org/10.1097/MD.0000000000038577

23. Akemoto K, Kamata K, Kaiho Y, Onishi E, Yabuki S, Shiga T, et al. Effectiveness of a preoperative explanatory video system on patient acceptance and anesthesiologists’ workload: a questionnaire survey. JA Clin Rep. 2025;11(1):40. https://doi.org/10.1186/s40981-025-00805-9

24. Karalar M, Demirbas A, Gercek O, Topal K, Keles I. Impact of preoperative video-based education on anxiety levels in patients with renal stones scheduled for flexible ureteroscopic lithotripsy: a comparative study using APAIS and STAI. Med Sci Monit. 2023;29:e941351. https://doi.org/10.12659/MSM.941351

25. Chiu PL, Li H, Yap KYL, Lam KC, Yip PR, Wong CL. Virtual reality-based intervention to reduce preoperative anxiety in adults undergoing elective surgery: a randomized clinical trial. JAMA Netw Open. 2023;6(10):e2340588. https://doi.org/10.1001/jamanetworkopen.2023.40588

26. Li H, Chiu PL, Efendi D, Huang H, Ko KY, Wong CL. Effects of virtual reality-based interventions on preoperative anxiety in patients undergoing elective surgery with anesthesia: systematic review and meta-analysis. J Med Internet Res. 2025;27:e55291. https://doi.org/10.2196/55291

27. Rostami E, Khanjari S, Haghani H, Amirian H. Effect of video games on preoperative anxiety in 3- to 6-year-old children undergoing elective surgery. J Educ Health Promot. 2022;11:135. https://doi.org/10.4103/jehp.jehp_455_21

28. Nowak A, Dudziak P, Golińska M, Maj W, Łyko M, Kurasz J, et al. The Impact of Anesthetic Modality Selection on Surgical Outcomes in Trauma Management. Quality in Sport. 2025;38:58209. https://doi.org/10.12775/QS.2025.38.58209

29. Fussek-Styga U, Błaszczyk A, Trojan S, Kwieciński J, Miszuda S, Szwedkowicz A, et al. Virtual Reality as a method to reduce pain and anxiety in pediatric patients - a review. Journal of Education, Health and Sport. 2023;31(1):80-93. https://doi.org/10.12775/JEHS.2023.31.01.008

30. Małajewicz I, Nawrocka N, Bednarek F, Hojda A, Rodak H, Plinta O, et al. The Effect of Physical Activity on Anxiety Symptoms in Adults: A Literature Review. Pedagogy and Psychology of Sport. 2026;32:69922. https://doi.org/10.12775/PPS.2026.32.69922

Journal of Education, Health and Sport

Downloads

  • PDF

Published

2026-06-07

How to Cite

1.
KOSIKOWSKA, Aleksandra, TOŁKACZ, Aleksandra, KRÓL, Adrianna, GEWALD, Maja and KWIATKOWSKA, Aleksandra. Approaches to Educating Patients and Their Families About General Anaesthesia and Their Impact on Reducing Perioperative Stress. Journal of Education, Health and Sport. Online. 7 June 2026. Vol. 92, p. 72366. [Accessed 7 June 2026]. DOI 10.12775/JEHS.2026.92.72366.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 92 (2026)

Section

Medical Sciences

License

Copyright (c) 2026 Aleksandra Kosikowska, Aleksandra Tołkacz, Adrianna Król, Maja Gewald, Aleksandra Kwiatkowska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

Stats

Number of views and downloads: 4
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

general anesthesia, preoperative anxiety, educational interventions, perioperative stress, family-centered care
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop