Evidence-Based Nursing Combined With Structured Psychological Intervention for Perioperative Anxiety in Tubal Ectopic Pregnancy: A Randomized Controlled Trial
- 1Department of Obstetrics and Gynecology, Hangzhou First People's Hospital, Zhejiang, China
Abstract
Background: Perioperative anxiety is common in women undergoing surgery for ectopic pregnancy and may aggravate pain and delay recovery. This trial evaluated whether evidence-based nursing combined with structured psychological intervention reduces perioperative anxiety compared with routine nursing in women undergoing conservative laparoscopic surgery for tubal ectopic pregnancy.
Methods: In this single-center, parallel-group randomized controlled trial, 124 women with tubal ectopic pregnancy scheduled for non-emergency conservative laparoscopic surgery were enrolled by convenience sampling and randomly assigned 1:1 to a control group (routine perioperative nursing) or an experimental group (evidence-based nursing plus structured psychological intervention). The prespecified primary outcome was the between-group difference in State Anxiety Inventory (S-AI) score on the day of discharge. Secondary outcomes were postoperative pain (Visual Analogue Scale, VAS) and short-term recovery outcomes.
Results: The day-of-discharge S-AI score was lower in the experimental group than in the control group (32.61 ± 4.45 vs 38.24 ± 2.62; mean difference −5.63, 95% CI −6.92 to −4.34; P < .001), with a significant group-by-time interaction (P < .001). VAS scores at 2, 6, 12, and 24 hours after surgery were lower in the experimental group (all P < .001). First ambulation time, length of hospital stay, antibiotic use time, and menstrual recovery time were shorter in the experimental group (all P < .001).
Conclusion: Evidence-based nursing combined with structured psychological intervention was associated with lower perioperative anxiety and postoperative pain and with shorter short-term recovery outcomes in women undergoing conservative laparoscopic surgery for tubal ectopic pregnancy.
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BibTeX
@article{sang2026evidencebased,
title = {{Evidence-Based Nursing Combined With Structured Psychological Intervention for Perioperative Anxiety in Tubal Ectopic Pregnancy: A Randomized Controlled Trial}},
author = {Qianwei Sang and Qian Zhao and Linji Wu},
journal = {Psychiatry and clinical psychopharmacology},
year = {2026},
month = aug,
doi = {10.65801/pcp.3493},
url = {https://europepmc.org/article/PMC/PMC13720782},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Evidence-Based Nursing Combined With Structured Psychological Intervention for Perioperative Anxiety in Tubal Ectopic Pregnancy: A Randomized Controlled Trial
AU - Qianwei Sang
AU - Qian Zhao
AU - Linji Wu
PY - 2026
DA - 2026/08/01
JO - Psychiatry and clinical psychopharmacology
DO - 10.65801/pcp.3493
UR - https://europepmc.org/article/PMC/PMC13720782
AB - Background: Perioperative anxiety is common in women undergoing surgery for ectopic pregnancy and may aggravate pain and delay recovery. This trial evaluated whether evidence-based nursing combined with structured psychological intervention reduces perioperative anxiety compared with routine nursing in women undergoing conservative laparoscopic surgery for tubal ectopic pregnancy. Methods: In this single-center, parallel-group randomized controlled trial, 124 women with tubal ectopic pregnancy scheduled for non-emergency conservative laparoscopic surgery were enrolled by convenience sampling and randomly assigned 1:1 to a control group (routine perioperative nursing) or an experimental group (evidence-based nursing plus structured psychological intervention). The prespecified primary outcome was the between-group difference in State Anxiety Inventory (S-AI) score on the day of discharge. Secondary outcomes were postoperative pain (Visual Analogue Scale, VAS) and short-term recovery outcomes. Results: The day-of-discharge S-AI score was lower in the experimental group than in the control group (32.61 ± 4.45 vs 38.24 ± 2.62; mean difference −5.63, 95% CI −6.92 to −4.34; P < .001), with a significant group-by-time interaction (P < .001). VAS scores at 2, 6, 12, and 24 hours after surgery were lower in the experimental group (all P < .001). First ambulation time, length of hospital stay, antibiotic use time, and menstrual recovery time were shorter in the experimental group (all P < .001). Conclusion: Evidence-based nursing combined with structured psychological intervention was associated with lower perioperative anxiety and postoperative pain and with shorter short-term recovery outcomes in women undergoing conservative laparoscopic surgery for tubal ectopic pregnancy.
SN - 2475-0581
ER -