Journal of Medical Surgical Concerns
Vol. 6 No. 3 (2026): July Edition 2026

Changes in preoperative anxiety after leaflet- and video-based education among patients undergoing laparoscopic cholecystectomy

Nurdiansyah Nurdiansyah (Fakultas Ilmu Keperawatan, Universitas Islam Sultan Agung)
Tutik Rahayu (Rumah Sakit Sari Asih Ciledug)
Hernandia Distinarista (Fakultas Ilmu Keperawatan, Universitas Islam Sultan Agung)



Article Info

Publish Date
30 Jul 2026

Abstract

Background: Preoperative anxiety may affect patients’ psychological readiness and perioperative recovery. Structured education using accessible written and audiovisual media may help patients understand the surgical process and reduce uncertainty before laparoscopic cholecystectomy. Purpose: To examine changes in preoperative anxiety after leaflet- and video-based education among patients undergoing laparoscopic cholecystectomy. Method: This quasi-experimental study used a one-group pretest–posttest design involving 38 patients at Sari Asih Ciledug Hospital, Tangerang, Indonesia. Participants received a 20-minute educational session using a leaflet and video. Anxiety was assessed before and after the intervention using the Amsterdam Preoperative Anxiety and Information Scale. Pretest and posttest results were compared using the Wilcoxon signed-rank test. Results: Before education, 18 participants (47.4%) had mild anxiety, 12 (31.6%) had moderate anxiety, 3 (7.9%) had severe anxiety, and 5 (13.2%) had no anxiety. After education, 22 participants (57.9%) had no anxiety, 13 (34.2%) had mild anxiety, 2 (5.3%) had moderate anxiety, and 1 (2.6%) had severe anxiety. Anxiety levels differed significantly between the pretest and posttest assessments (p < 0.001).    

Copyrights © 2026






Journal Info

Abbrev

msc

Publisher

Subject

Nursing

Description

Jurnal penelitian dibidang keperawatan medikal bedah pada klien dewasa yang mengalami dan atau cenderung mengalami perubahan fisiologi dengan atau tanpa gangguan struktur tanpa trauma atau penyakit-penyakit yang sering/umum terjadi. Pembahasan berfokus pada konsep dan prinsip keperawatan dengan ...