The Effect of Video Calls With Family Members During Operating Room Waiting on Stress, Anxiety, and Surgical Fear in Patients Undergoing Transurethral Resection of Bladder Tumor

This study aims to investigate the effect of video calls with family members during the preoperative waiting period in the operating room on stress, anxiety, and surgical fear in patients undergoing transurethral resection of bladder tumor (TURBT). Bladder cancer is a common urological malignancy, and psychological problems are frequently observed in the preoperative period. The absence of family support in the operating room may increase anxiety and fear, triggering physiological stress responses and raising the risk of complications. This multicenter randomized controlled trial will be conducted between September 2025 and March 2027 at Bitlis State Hospital and Tatvan State Hospital. The study sample will include 128 eligible patients, randomly assigned to intervention and control groups. Patients in the intervention group will have a video call with a designated family member in the operating room, while control group patients will receive routine care. Data will be collected using the Descriptive Information Form, the Surgical Fear Questionnaire, and the Visual Analogue Scale; stress levels will be assessed through serum cortisol and glucose values. Measurements will be taken at three time points: preoperatively (T0), immediately before anesthesia (T1), and on the first postoperative day (T2). The study is expected to demonstrate that maintaining family support through video calls in the preoperative period reduces anxiety, fear, and stress, thereby improving surgical outcomes and contributing to the development of family-centered care practices.

Sex

All

Minimum age

18 Years

Maximum age

100 Years

Inclusion Criteria:

* Age 18 years or older
* Able to read and write in Turkish
* Scheduled for transurethral resection of bladder tumor (TURBT)
* Has a family member, friend, or relative able to participate in video calls
* The accompanying family member or relative has a device suitable for video calls (smartphone, tablet, etc.)
* Has waited at least 20 minutes in the operating room before surgery
* No hearing, speech, or language-related communication barriers
* No psychological disorders that could affect fear or anxiety
* Not using medications that could alter fear or anxiety levels
* Scheduled for surgery between 08:00 and 12:00
* Willing to voluntarily participate in the study

Exclusion Criteria:

* Surgery is canceled after the patient has been enrolled in the study
* Patient chooses to withdraw from the study after enrollment
* Individuals with any diagnosed chronic disease
* Experiencing connection problems during the video call
* Patients who receive premedication during the waiting period to relieve anxiety