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World J Psychiatry. Aug 19, 2026; 16(8): 118942
Published online Aug 19, 2026. doi: 10.5498/wjp.118942
Published online Aug 19, 2026. doi: 10.5498/wjp.118942
Perioperative psychological support in the operating room improves anxiety, depression, and recovery in orthopedic patients
Ying Yuan, Wen-Xia Li, Li Xu, Zhong-Xin Chen, Jun-Juan Zhang, Department of Anesthesia and Perioperative Medicine, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Lu Liu, Nursing College, Zhengzhou Railway Vocational and Technical College, Zhengzhou 450003, Henan Province, China
Author contributions: Yuan Y designed and conducted the study and drafted the manuscript; Liu L contributed to the study design and critically reviewed the research report; Li WX participated in the study design and data analysis; Xu L and Chen ZX were responsible for the entire implementation of the study and data collection; Zhang JJ supervised the study and provided guidance and technical support.
Supported by Henan Medical Education Research Project, No. wjlx2025020.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Henan Provincial People’s Hospital.
Informed consent statement: The ethics committee approved the waiver of informed consent due to the retrospective nature of this study.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: The corresponding author can provide the data used in this study upon request.
Corresponding author: Jun-Juan Zhang, Department of Anesthesia and Perioperative Medicine, Henan Provincial Key Medicine Laboratory of Nursing, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, No. 7 Weiwu Road, Jinshui District, Zhengzhou 450003, Henan Province, China. juanjunzhangzz@163.com
Received: February 27, 2026
Revised: March 21, 2026
Accepted: April 24, 2026
Published online: August 19, 2026
Processing time: 141 Days and 18.1 Hours
Revised: March 21, 2026
Accepted: April 24, 2026
Published online: August 19, 2026
Processing time: 141 Days and 18.1 Hours
Core Tip
Core Tip: This study highlights the clinical value of implementing a structured, multidimensional psychological intervention in the operating room during the critical pre-anesthesia period for orthopedic patients. This targeted protocol effectively reduced perioperative anxiety and depression, mitigated postoperative pain, shortened recovery time, and improved patient satisfaction. It serves as an independent protective factor against postoperative psychological distress, offering a practical, nonpharmacological strategy to optimize perioperative outcomes, especially in high-risk patients with multiple psychological vulnerability factors.