The Relationship Between Surgical Fear and Sleep Before Open-heart Surgery: A Descriptive Approach
Journal of Perianesthesia Nursing, vol.41, no.5, pp.1204-1210, 2026 (SCI-Expanded, SSCI, Scopus)
- Publication Type: Article / Article
- Volume: 41 Issue: 5
- Publication Date: 2026
- Doi Number: 10.1016/j.jopan.2026.04.001
- Journal Name: Journal of Perianesthesia Nursing
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE
- Page Numbers: pp.1204-1210
- Keywords: nursing, open-heart surgery, preoperative, sleep quality, surgical fear
- Dokuz Eylül University Affiliated: Yes
Abstract
Purpose This study was conducted to determine the relationship between surgical fear and sleep before open-heart surgery. Design A descriptive research design was used. Methods The sample consisted of 102 patients scheduled for open-heart surgery. “Patient Information Form,” “Surgical Fear Scale,” and “Insomnia Severity Index” were administered to the patients in the preoperative period. The data obtained from the study were analyzed using number, percentage, mean, minimum, maximum, standard deviation, median, t test, Mann-Whitney U test, one-way analysis of variance, Kruskal-Wallis, Bonferroni posthoc test, and Spearman's correlation analysis. Findings The mean total score of the Surgical Fear Scale was 22.47 ± 17.39, and the severity of insomnia was clinically insignificant in 62.7% and mild in 24.5% of the patients. It was concluded that there was a weak positive correlation between the total score of the Surgical Fear Scale and the Insomnia Severity Index ( P < .05). Conclusions It was concluded that there was a weak positive correlation between the total scores of the Surgical Fear Scale and the Insomnia Severity Index of the patients before open-heart surgery, and the insomnia severity level increased as the surgical fear level of the patients increased.