Disease Acceptance and Stress as Factors Explaining Preoperative Anxiety and the Need for Information in Patients Undergoing Operative Minihysteroscopy

Karolina Chmaj-Wierzchowska, Aleksandra Jasielska, Katarzyna Wszołek, Agnieszka Lach, Izabela Stankowska-Mazur, Katarzyna Tomczyk, Adrian Mruczyński, Martyna Niegłos, Aleksandra Wilczyńska, Kinga Bednarek, Marcin Wierzchowski, Maciej Wilczak
In: Journal of Clinical Medicine · 2025 · vol. 14(11) , pp. 3659 · doi:10.3390/jcm14113659 · PMID:40507420 · W4410695050
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study found that low preoperative anxiety and a moderate need for information were statistically significant in patients undergoing minihysteroscopy, with disease acceptance and stress intensity influencing these outcomes.

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Abstract

Background/Objectives: The purpose of this study is to evaluate the role of disease acceptance and stress intensity in explaining anxiety levels and the need for information among patients undergoing a minihysteroscopy procedure under local anesthesia, in the period preceding operative hysteroscopy. Methods: The study included 116 patients who were admitted to the Center for Hysteroscopy under Local Anesthesia at the Heliodor Święcicki Gynecological and Obstetrical Clinical Hospital of Karol Marcinkowski Medical University in Poznań, Poland, from December 2024 to January 2025, for operative hysteroscopy using the GUBBINI Mini Hystero-Resectoscope under local anesthesia (paracervical block with lignocaine). Results: A low level of preoperative anxiety (χ2 = 19.9; p < 0.001) and a moderate need for information about the procedure (χ2 = 31.8; p < 0.001) were statistically significant among the majority of patients (n = 82; 71% vs. n = 67; 58%) in the study group before undergoing minihysteroscopy under local anesthesia. Conclusions: Stress and anxiety are inherent aspects of surgical intervention and hospitalization. Therefore, it is reasonable to develop preoperative support standards to help reduce stress levels, which, in turn, can lead to better adaptation to surgical intervention.

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