# Impact of a constructivist anesthesia education model on preoperative anxiety and perioperative outcomes in laparoscopic cholecystectomy

## TL;DR

A new education model for anesthesia patients reduced anxiety and improved outcomes before and during laparoscopic cholecystectomy surgery.

## Contribution

A constructivist-based education model was developed and shown to effectively reduce preoperative anxiety and improve physiological stability.

## Key findings

- The intervention group had significantly lower anxiety scores after the education program.
- Patients in the intervention group showed higher anesthesia knowledge scores.
- The model improved physiological stability during surgery and recovery.

## Abstract

This study aimed to evaluate the effectiveness of a constructivist-based anesthesia education model in reducing preoperative anxiety and improving perioperative outcomes among patients undergoing laparoscopic cholecystectomy.

A total of 106 patients from a tertiary hospital in Luoyang, China, were enrolled and divided into an intervention group, which received the anesthesia education program, and a control group, which received conventional preoperative education. The intervention, delivered over one week, included micro-videos, interactive simulations, and guided exercises designed to actively engage patients. Anxiety levels were assessed using the State Anxiety Inventory (SAI), while anesthesia knowledge was evaluated through a structured questionnaire. Physiological parameters, including blood pressure and heart rate, were measured at various perioperative time points.

The results showed that the intervention group had significantly lower SAI scores compared to the control group after the intervention (39.06 ± 3.08 vs. 41.64 ± 7.55, p < 0.05) and higher anesthesia knowledge scores (88.21 ± 10.23 vs. 81.37 ± 11.66, p < 0.05). Additionally, the intervention group exhibited improved physiological stability during operating room admission and anesthesia recovery, with significant reductions in blood pressure and heart rate (p < 0.05).

These findings demonstrate that the constructivist education model effectively reduces preoperative anxiety, enhances anesthesia knowledge, and optimizes perioperative physiological responses. This approach addresses the psychological and informational needs of surgical patients, offering a scalable framework for improving perioperative care and patient outcomes in diverse clinical settings.