Perioperative/postoperative anxiety and its interventions in gynecological cancers - a comprehensive review of clinical evidence

Sep 21, 2026

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Gynecological cancers are common malignancies in women, and surgical treatment is central to definitive care, yet perioperative and postoperative periods can trigger anxiety symptoms that may impair recovery. This comprehensive review synthesizes evidence on the prevalence and management of perioperative/postoperative anxiety in gynecological oncology. Systematic searching across six databases identified 28 relevant studies. Nursing interventions and psychotropic medications are highlighted as dependable approaches for mitigation, supporting continued development of effective strategies and further research.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Introduction

Perioperative and postoperative anxiety context

Clinical evidence and interventions

TYPE Review PUBLISHED 22 July 2024 DOI 10.3389/fpsyt.2024.1383029 OPEN ACCESS EDITED BY Fadwa Alhalaiqa, Qatar University, Qatar REVIEWED BY Jerry Lorren Dominic, Jackson Memorial Hospital, United States Violante Di Donato, Unitelma Sapienza University, Italy *CORRESPONDENCE Xiaoxia Wu [wuxiaoxia5930@163.com](wuxiaoxia5930@163.com) †These authors have contributed equally to this work RECEIVED 06 February 2024 ACCEPTED 28 June 2024 PUBLISHED 22 July 2024 CITATION Chen B, Chen C, Zhao X and Wu X (2024) Perioperative/postoperative anxiety and its interventions in gynecological cancers: a comprehensive review of clinical evidence. Front. Psychiatry 15:1383029 . doi: 10.3389/fpsyt.2024.1383029 COPYRIGHT © 2024 Chen, Chen, Zhao and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Perioperative/postoperative anxiety and its interventions in gynecological cancers: a comprehensive review of clinical evidence Beibei Chen 1†, Chunyan Chen 2†, Xiumin Zhao 1 and Xiaoxia Wu 3* 1 Department of Gynecology, Hangzhou Women’s Hospital (Hangzhou Maternity and Child Health Care Hospital), Hangzhou, Zhejiang, China, 2 Department of Nephrology, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing, Zhejiang, China, 3 Department of Obstetrics and Gynecology, Tiantai Pingqiao Central Health Hospital, Tiantai People's Hospital of Zhejiang Province (Tiantai Branch of Zhejiang Provincial People's Hospital), Hangzhou Medical College, Taizhou, Zhejiang, China Gynecological cancers are prevalent malignancies among females, and surgical intervention is the primary therapeutic approach offering the possibility of adeﬁnitive cure . Recent research has highlighted the susceptibility of gynecological cancer patients to experiencing anxiety symptoms during the perioperative and postoperative phases, with this psychological condition being linked to suboptimal recovery following surgery. Nevertheless, certain interventions have shown promise in mitigating perioperative and postoperative anxiety in gynecological cancer patients. In this study, we conducted a comprehensive review to collect the existing evidence on this subject. Through a systematic search across six common databases, we screened and included 28 pertinent studies. The current review emphasizes the elevated occurrence of perioperative and postoperative anxiety among patients with gynecological cancers (i.e., uterine, cervical, ovarian, endometrial, and vulval cancers) . Speciﬁc nursing interventions (i. e . , crisis intervention nursing, multidisciplinary collaborative continuous nursing, psychological nursing, comprehensive psychological nursing, reminiscence therapy involved care, cognitive behavioral stress management, hospital-family integrated continuation nursing, high-quality nursing care, relaxation-focused nursing program, and relaxation/counseling intervention) and psychotropic medications may serve as dependable approaches to mitigate perioperative and postoperative anxiety. This study represents a novel contribution to the literature by providing a characterization of perioperative and postoperative anxiety in the context of gynecological oncology. The ﬁndings underscore the signiﬁcance of addressing perioperative and postoperative anxiety as a critical clinical concern for individuals with gynecological cancers, emphasizing the need for further research to develop effective interventions. KEYWORDS gynecological cancers, anxiety, perioperative, postoperative, nursing intervention Frontiers in Psychiatry 01 [frontiersin.org](frontiersi

FAQs

What population and time period does the review focus on?

The review addresses gynecological cancer patients and the perioperative and postoperative phases surrounding surgical care.

What does the review conclude about anxiety during these phases?

Perioperative and postoperative anxiety is emphasized as a prevalent clinical concern, associated with suboptimal recovery after surgery.

Which interventions are discussed as potentially helpful?

The review highlights specific nursing interventions and psychotropic medications as dependable approaches to mitigate perioperative and postoperative anxiety.

Sep 21, 2026

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