{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T18:28:41Z","timestamp":1792348121448,"version":"4.4.0"},"reference-count":28,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T00:00:00Z","timestamp":1648512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Anxiety is common before surgery and known to negatively impact recovery from surgery. The aim of this study was to evaluate the impact of a preoperative nurse dialogue on a patient\u2019s anxiety, satisfaction and early postoperative outcomes. Method: This 1:1 randomized controlled trial compared patients undergoing major visceral surgery after a semistructured preoperative nurse dialogue (interventional group: IG) to a control group (CG) without nursing intervention prior to surgery. Anxiety was measured with the autoevaluation scale State-Trait Anxiety Inventory (STAI, Y-form) pre and postoperatively. The European Organization for Research and Treatment of Cancer (EORTC) In-Patsat32 questionnaire was used to assess patient satisfaction at discharge. Further outcomes included postoperative pain (visual analogue scale: VAS 0\u201310), postoperative nausea and vomiting (PONV), opiate consumption and length of stay (LOS). Results: Over a period of 6 months, 35 participants were randomized to either group with no drop-out or loss to follow-up (total n = 70). The median score of preoperative anxiety was 40 (IQR 33\u201355) in the IG vs. 61 (IQR 52\u201368) in the CG (p &lt; 0.001). Postoperative anxiety levels were comparable 34 (IQR 25\u201346) vs. 32 (IQR 25\u201344) for IG and CG, respectively (p = 0.579). The IG did not present higher overall satisfaction (90 \u00b1 15 vs. 82.9 \u00b1 16, p = 0.057), and pain at Day 2 was similar (1.3 \u00b1 1.7 vs. 2 \u00b1 1.9, p = 0.077), while opiate consumption, PONV levels and LOS were comparable. Conclusion: A preoperative dialogue with a patient-centered approach helped to reduce preoperative anxiety in patients undergoing major visceral surgery.<\/jats:p>","DOI":"10.3390\/jcm11071895","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T21:44:52Z","timestamp":1648590292000},"page":"1895","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery\u2014A Single Center, Open-Label, Randomized Controlled Trial"],"prefix":"10.3390","volume":"11","author":[{"given":"Patricia","family":"Dias","sequence":"first","affiliation":[{"name":"School of Health Sciences Western Switzerland-HES-SO, University of Applied Sciences and Arts, 1007 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9285-3312","authenticated-orcid":false,"given":"Daniel","family":"Clerc","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7136-8345","authenticated-orcid":false,"given":"Maria Goreti","family":"da Rocha Rodrigues","sequence":"additional","affiliation":[{"name":"School of Health Sciences-HESAV, Western Switzerland-HES-SO, University of Applied Sciences and Arts, 1007 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1530-3114","authenticated-orcid":false,"given":"Nicolas","family":"Demartines","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9884-2879","authenticated-orcid":false,"given":"Fabian","family":"Grass","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4521-8279","authenticated-orcid":false,"given":"Martin","family":"H\u00fcbner","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Lausanne University Hospital (CHUV), University of Lausanne (UNIL), 1011 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s13741-020-00169-x","article-title":"Effects of psychological interventions on anxiety and pain in patients undergoing major elective abdominal surgery: A systematic review","volume":"9","author":"Villa","year":"2020","journal-title":"Perioper. 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