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Journals / Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi / 2026 / Cilt: 9 Sayı: 1

THE NONPHARMACOLOGICAL METHODS IN THE MANAGEMENT OF PAIN AND ANXIETY IN CATARACT SURGERY: A LITERATURE REVIEW

KATARAKT CERRAHİSİNDE AĞRI VE ANKSİYETENİN YÖNETİMİNDE NONFARMAKOLOJİK YÖNTEMLER: LİTERATÜR İNCELEMESİ

Seda Cansu Yeniğün(AKDENİZ ÜNİVERSİTESİ, KUMLUCA SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-9712-9171
Fatma Demir Korkmaz(EGE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ, HEMŞİRELİK BÖLÜMÜ)0000-0003-3810-297X
Pages
86–111
Publication Date
2025-04-25
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Upon reviewing the literature, it was found that massage, music therapy, acupuncture, hypnosis, and therapeutic touch have been proven to be useful in alleviating pain and anxiety in patients undergoing cataract surgery.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cataract is a prominent contributor to global blindness.
📊
Key Findings & Data:Cataract surgery is the exclusive approach employed for treating cataract illness, and it is presently predominantly carried out using local anesthetic.
💡
Conclusion & Impact:Upon reviewing the literature, it was found that massage, music therapy, acupuncture, hypnosis, and therapeutic touch have been proven to be useful in alleviating pain and anxiety in patients undergoing cataract surgery.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Ağrı · Anksiyete · Nonfarmakolojik yöntemler

Abstract

Cataract is a prominent contributor to global blindness. Cataract surgery is the exclusive approach employed for treating cataract illness, and it is presently predominantly carried out using local anesthetic. The local anesthesia technique guarantees that patients remain conscious and maintain communication with healthcare personnel during the surgical procedure. Patients may experience profound anxiety and dread due to their aware state during operation. The patient's worry and anxiety might result in noncompliance with the surgeon's instructions, as well as involuntary movements and alterations in vital signs. Patients may endure discomfort both during and following surgery, while being under anesthesia. Additionally, it can result in the occurrence of anxiety and pain issues that patients may suffer after surgical procedures. Therefore, although cataract surgery is classified as a routine procedure in medical literature, it is crucial to prioritize pre-operative, sequential, and post-surgical patient care and symptom management. Cataract surgery employs numerous non-pharmacological techniques to alleviate pain and anxiety. The rationale for using non-pharmacological approaches lies in their cost-effectiveness, dependability, lack of adverse effects, and simplicity of implementation. Upon reviewing the literature, it was found that massage, music therapy, acupuncture, hypnosis, and therapeutic touch have been proven to be useful in alleviating pain and anxiety in patients undergoing cataract surgery. This review aims to outline non-pharmacological techniques employed for pain and anxiety control in patients undergoing cataract surgery during the perioperative period.

Özet

Katarakt hastalığı, dünya genelinde körlüğün önde gelen sebepleri arasında yer almaktadır. Katarakt cerrahisi, katarakt hastalığının tedavisinde kullanılan tek yöntem olup, günümüzde en sık lokal anestezi tekniği ile yapılmaktadır. Lokal anestezi tekniğiyle hastaların cerrahi sırasında bilinçli ve sağlık profesyonelleriyle iletişim içerisinde olmaları sağlanmaktadır. Hastalar cerrahi sırasında bilinçli oldukları için yoğun endişe ve korku hissi yaşayabilmektedir. Hastanın yaşadığı bu korku ve endişe cerrahi sırasında hekimin verdiği komutlara uymama, istem dışı hareketlerde bulunma ve yaşam bulgularında değişikliklere yol açabilmektedir. Hastalar anestezi almasına rağmen cerrahi sırası ve sonrasında ağrı hissi yaşayabilmektedir. Hastaların cerrahi sırasında yaşadıkları anksiyete ve ağrı, komplikasyonlara yol açabilmektedir. Bu sebeple, katarakt cerrahisi literatürde günübirlik cerrahi olarak yer alsa da hastaların cerrahi öncesi, sırası ve sonrası hasta bakımı ve semptomların yönetimi çok önemlidir. Katarakt cerrahisinde ağrı ve anksiyete gidermede birçok nonfarmakolojik yöntem kullanılmaktadır. Nonfarmakolojik yöntemlerin tercih edilmesinin sebepleri arasında maliyet etkili, güvenilir, yan etkisinin olmaması ve uygulamasının kolay olması yer almaktadır. Literatür incelendiğinde katarakt cerrahisi geçirecek hastaların ağrı ve anksiyete yönetiminde masajın, müzik dinlemenin, akupunkturun, hipnozun ve terapötik dokunmanın etkili olduğu belirtilmektedir. Bu derlemenin amacı katarakt cerrahisi uygulanan cerrahi süreçteki hastalarda oluşan ağrı ve anksiyete yönetiminde kullanılan nonfarmakolojik yöntemleri sunmaktır.

🔖

Cite This Article

Yeniğün, S. C., Korkmaz, F. D. (2025). THE NONPHARMACOLOGICAL METHODS IN THE MANAGEMENT OF PAIN AND ANXIETY IN CATARACT SURGERY: A LITERATURE REVIEW. Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 9 Sayı: 1, 86–111. https://ajindex.com/articles/1520415

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References (86)

  1. Agarwal, A., Ranjan, R., Dhiraaj, S., Lakra, A., Kumar, M., & Singh, U. (2005). Acupressure for prevention of pre-operative anxiety: A prospective, randomised, placebo controlled study. Anaesthesia, 60(10), 978-981. https://doi.org/10.1111/j.1365-2044.2005.04332.x
  2. Akoğlu, C. A., Çelik, G. K., & Inci, F. (2021). Pain and anxiety in cataract surgery: Comparison between the first and second eye surgeries. Meandros Medical & Dental Journal, 22(3), 252-262.
  3. Aksoy, G. (2012). Ameliyat Öncesi Hemşirelik Bakımı. İçinde G. Aksoy, & N. Kanan, (Eds.), Cerrahi Hemşireliği, (ss. 257-300). Nobel Tıp Kitabevi.
  4. Albayram, T., Konateke, S., & Güner, Ş. (2022). Ameliyat Sonrası Ağrı Yönetiminde Kullanılan Nonfarmakolojik Yöntemler. İçinde Tıp ve Sağlık Bilimleri Çalışmaları, (ss. 394-406). Livre de Lyon.
  5. Amarnath, (2017). A study to determine the effectiveness of psychoneurobics on the level of stress among women in the age group of 20 years to 50 years in a club at Bangalore; A pilot study. International Journal for Advance Research and Development, 2(10), 4-6.
  6. Anderson, E. (2024). Therapeutic Touch. İçinde C.M. Davis, (Ed.), Integrative Therapies in Rehabilitation (pp. 331-342). Routledge.
  7. Anuja, S., Devi, E. S., Sequira, L., Rao, L., & H., V. P. (2014). Effectiveness of ıntraoperative hand holding on anxiety and physiologıcal parameters among patients undergoing cataract surgery. Journal of Health and Allied Sciences, 4(2), 27-33. https://doi.org/10.1055/s-0040-1703760
  8. Aribaba, O. T., Adenekan, A. A., Alabi, A. A., Emefu, C. C., Ilo, O. T., Kareem, M. O., Oshodi, Y. O., Onakoya, A. O., & Akinsola, F. B. (2023). The effect of music on operative anxiety markers in patients undergoing cataract surgery: Adual centre cross-sectional comparative study. West African Journal of Medicine, 40(11), 1240-1252.
  9. Arpacı, M. (2021). Kuru iğneleme ve akupunktur tedavileriyle bu tedavilerin insan anatomisi ile ilişkisinin değerlendirilmesi. Akademisyen Kitabevi.
  10. Assam, J. H., Bernhisel, A., & Lin, A. (2018). Intraoperative and postoperative pain in cataract surgery. Survey of Ophthalmology, 63(1), 75-85. https://doi.org/10.1016/j.survophthal.2017.07.002
  11. Aydın, P. (2017). Kaygı ve endişe. Türkiye Klinikleri Psikiyatri Özel Dergisi, 10(4), 228-236. Baltacıoğlu, S., & Yüksel, G. (2013). Masaj Teknikleri. İçinde İ. Yüksel, (Ed.), Klasik masaj teknikleri, (ss.15-155). Asil Yayın Dağıtım.
  12. Bayhan, H. A., & Aslan Bayhan, S. (2022). Koroid efüzyonu ve koroid dekolmanı. Güncel Retina Dergisi, 6(3), 173-178.
  13. Celano, C. M., Villegas, A. C., Albanese, A. M., Gaggin, H. K., & Huffman, J. C. (2018). Depression and anxiety in heart failure: A review. Harvard Review of Psychiatry, 26(4), 175-184. https://doi.org/10.1097/HRP.0000000000000162
  14. Çelik, F., & Edipoğlu, I. S. (2018). Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. European Journal of Medical Research, 23(1), 41. https://doi.org/10.1186/s40001-018-0339-4
  15. Chen, C. L., Clay, T. H., McLeod, S., Chang, H.Y. P., Gelb, A. W., & Dudley, R. A. (2018). A revised estimate of costs associated with routine preoperative testing in medicare cataract patients with a procedure-specific indicator. JAMA Ophthalmology, 136(3), 231-238. https://doi.org/10.1001/jamaophthalmol.2017.6372
  16. Chen, X., Yuan, R., Chen, X., Sun, M., Lin, S., Ye, J., & Chen, C. (2018). Hypnosis intervention for the management of pain perception during cataract surgery. Journal of Pain Research, 11, 1921-1926. https://doi.org/10.2147/JPR.S174490
  17. Choi, S., Park, S.-G., Bellan, L., Lee, H.-H., & Chung, S. K. (2018). Crossover clinical trial of pain relief in cataract surgery. International Ophthalmology, 38(3), 1027-1033. https://doi.org/10.1007/s10792-017-0554-y
  18. Cici, R., Bulbuloglu, S., & Kapikiran, G. (2023). Effect of meditation music and comedy movie interventions on postoperative kinesiophobia and pain in patients undergoing total knee arthroplasty. ANZ Journal of Surgery, 93(1-2), 302-309. https://doi.org/10.1111/ans.18209
  19. Cicinelli, M. V., Buchan, J. C., Nicholson, M., Varadaraj, V., & Khanna, R. C. (2023). Cataracts. Lancet, 401(10374), 377-389. https://doi.org/10.1016/S0140-6736(22)01839-6
  20. Çavdar, A. U., Yılmaz, E., & Baydur, H. (2020). The effect of hand massage before cataract surgery on patient anxiety and comfort: A randomized controlled study. Journal of Perianesthesia Nursing, 35(1), 54-59. https://doi.org/10.1016/j.jopan.2019.06.012
  21. Dadacı, Z., Borazan, M., & Öncel Acır, N. (2016). Pain perception in phacoemulsification with topical anesthesia and evaluation of factors related with pain. Turkish Journal of Ophthalmology, 46(4), 151-155. https://doi.org/10.4274/tjo.13914
  22. Davidson, R. S., Donaldson, K., Jeffries, M., Khandelwal, S., Raizman, M., Rodriguez Torres, Y., & Kim, T. (2022). Persistent opioid use in cataract surgery pain management and the role of nonopioid alternatives. Journal of Cataract and Refractive Surgery, 48(6), 730-740. https://doi.org/10.1097/j.jcrs.0000000000000860
  23. de Morant, G. S., & Zmiewski, P. (1994). Chinese Acupuncture. https://books.google.com.tr/books?id=P1RUwGU4wcMC
  24. Demir, Y. (2013). Ağrı ve Yönetimi. İçinde A. Aşti, & A. Karadağ, (Eds.), Hemşirelik Esasları, (ss.525-553). Akademi Yayınevi.
  25. Demircan, S., Ataş, M., Altunel, O., Gülhan, A., & Zararsız, G. (2015). Anksiyetenin katarakt cerrahisi uygulanan hastalarda uyum ve intraoperatif ağrı üzerine etkisi. Glokom Katarakt, 10(4), 278-282.
  26. Dion, L. J., Engen, D. J., Lemaine, V., Lawson, D. K., Brock, C. G., Thomley, B. S., Cha, S. S., Sood, A., Bauer, B. A., & Wahner-Roedler, D. L. (2016). Massage therapy alone and in combination with meditation for breast cancer patients undergoing autologous tissue reconstruction: A randomized pilot study. Complementary Therapies in Clinical Practice, 23, 82-87. https://doi.org/10.1016/j.ctcp.2015.04.005
  27. Engin, E., & Çam, O. (2021). Ruh sağlığı ve hastalıkları hemşireliği. İstanbul Tıp Kitabevi.
  28. Eti Aslan, F. (2006). Ağrı doğası ve kontrolü. Akademisyen Kitabevi.
  29. Ezepue, C. O., Anyatonwu, O. P., Duru, C. C., Odini, F., Nwachukwu, N. Z., Onoh, C., Nwachukwu, N., & Oguonu, C. A. (2024). Effects of music on the preoperative and intraoperative anxiety through the assessment of pupil size and vital signs (blood pressure, respiratory, and pulse rates) among cataract surgery patients at UNTH-Enugu. Frontiers in Ophthalmology, 3, 1340752. https://doi.org/10.3389/fopht.2023.1340752
  30. Farmahini Farahani, M., Noruzi Zamenjani, M., Nasiri, M., Shamsikhani, S., Purfarzad, Z., & Harorani, M. (2020). Effects of extremity massage on preoperative anxiety: A three-arm randomized controlled clinical trial on phacoemulsification candidates. Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses, 35(3), 277-282. https://doi.org/10.1016/j.jopan.2019.10.010
  31. Fassoulaki, A., Paraskeva, A., Patris, K., Pourgiezi, T., & Kostopanagiotou, G. (2003). Pressure applied on the extra 1 acupuncture point reduces bispectral index values and stress in volunteers. Anesthesia and Analgesia, 96(3), 885-890. https://doi.org/10.1213/01.ANE.0000048713.41657.D3
  32. Fritz, S., & Fritz, L. (2021). Mosby’s fundamentals of therapeutic massage-e-book. Elsevier Health Sciences. Fu, V. X., Oomens, P., Klimek, M., Verhofstad, M. H. J., & Jeekel, J. (2020). The effect of perioperative music on medication requirement and hospital length of stay: A meta-analysis. Annals of Surgery, 272(6), 961-972. https://doi.org/10.1097/SLA.0000000000003506
  33. Fu, V. X., Oomens, P., Sneiders, D., van den Berg, S. A. A., Feelders, R. A., Wijnhoven, B. P. L., & Jeekel, J. (2019). The effect of perioperative music on the stress response to surgery: a meta-analysis. The Journal of Surgical Research, 244, 444-455. https://doi.org/10.1016/j.jss.2019.06.052
  34. Gezginci, E., Iyigun, E., Kibar, Y., & Bedir, S. (2018). Three distraction methods for pain reduction during cystoscopy: a randomized controlled trial evaluating the effects on pain, anxiety, and satisfaction. Journal of Endourology, 32(11), 1078-1084. https://doi.org/10.1089/end.2018.0491
  35. Gioia, L., Cabrini, L., Gemma, M., Fiori, R., Fasce, F., Bolognesi, G., Spinelli, A., & Beretta, L. (2006). Sedative effect of acupuncture during cataract surgery: Prospective randomized double-blind study. Journal of Cataract and Refractive Surgery, 32(11), 1951-1954. https://doi.org/10.1016/j.jcrs.2006.06.027
  36. Grzybowski, A. (2020). Recent developments in cataract surgery. Annals of Translational Medicine, 8(22), 1540. https://doi.org/10.21037/atm-2020-rcs-16
  37. Guerrier, G., Bernabei, F., Lehmann, M., Pellegrini, M., Giannaccare, G., & Rothschild, P.-R. (2021). Efficacy of preoperative music ıntervention on pain and anxiety in patients undergoing cataract surgery. Frontiers in Pharmacology, 12, 748296. https://doi.org/10.3389/fphar.2021.748296
  38. Gupta, S., & Pradhan, S. (2018). Effect of psychoneurobics (meditation technique) on status of anxiety in patients undergoing cataract surgery: A randomized controlled trial. International Journal of Preventive, Curative & Community Medicine, 4, 36-42. https://doi.org/10.24321/2454.325X.201822
  39. Holló, G., Aung, T., Cantor, L. B., & Aihara, M. (2020). Cystoid macular edema related to cataract surgery and topical prostaglandin analogs: Mechanism, diagnosis, and management. Survey of Ophthalmology, 65(5), 496-512. https://doi.org/10.1016/j.survophthal.2020.02.004
  40. Huang, Y., Xu, Z., Xiong, S., Sun, F., Qin, G., Hu, G., Wang, J., Zhao, L., Liang, Y.X., Wu, T., Lu, Z., Humayun, M. S., So, K.-F., Pan, Y., Li, N., Yuan, T.-F., Rao, Y., & Peng, B. (2018). Repopulated microglia are solely derived from the proliferation of residual microglia after acute depletion. Nature Neuroscience, 21(4), 530-540. https://doi.org/10.1038/s41593-018-0090-8
  41. Irani, M., Kordi, M., Tara, F., Bahrami, H., Shariati, K., Hr, B., Nejad, S., & Health, R. (2015). The effect of hand and foot massage on post-cesarean pain and anxiety. Journal of Midwifery & Reproductive Health, 3, 465-471.
  42. Jayasree, B., & Thenmozhi, P. (2015). Effectiveness of music therapy on pre-operative anxiety among patients undergoing cataract surgery. International Journal of Multidisciplinary Educational Research, 4, 141-147.
  43. Jiang, L., Zhang, K., He, W., Zhu, X., Zhou, P., & Lu, Y. (2015). Perceived pain during cataract surgery with topical anesthesia: A comparison between first-eye and second-eye surgery. Journal of Ophthalmology, 2015, 383456. https://doi.org/10.1155/2015/383456
  44. Kara, E., & Ünver, G. (2019). Masaj ve toparlanmaya etkileri. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(1), 28-49. https://doi.org/10.31680/gaunjss.518840
  45. Kekecs, Z., Moss, D., Elkins, G., De Benedittis, G., Palsson, O. S., Shenefelt, P. D., Terhune, D. B., Varga, K., & Whorwell, P. J. (2022). Guidelines for the assessment of efficacy of clinical hypnosis applications. International Journal of Clinical and Experimental Hypnosis, 70(2), 104-122. https://doi.org/10.1080/00207144.2022.2049446
  46. Keramati, M., Sargolzaei, M. S., Moghadasi, A., Basirinezhad, M. H., & Mohammadpourhodki, R. (2019). Evaluating the effect of slow-stroke back massage on the anxiety of candidates for cataract surgery. International Journal of Therapeutic Massage & Bodywork, 12(2), 12-17.
  47. Khezri, M. B., & Merate, H. (2013). The effects of melatonin on anxiety and pain scores of patients, intraocular pressure, and operating conditions during cataract surgery under topical anesthesia. Indian Journal of Ophthalmology, 61(7), 319-324. https://doi.org/10.4103/0301-4738.99637
  48. Kim, M. S., Cho, K. S., Woo, H., & Kim, J. H. (2001). Effects of hand massage on anxiety in cataract surgery using local anesthesia. Journal of Cataract and Refractive Surgery, 27(6), 884-890. https://doi.org/10.1016/s0886-3350(00)00730-6
  49. Kim, W.-S., Byeon, G.-J., Song, B.-J., & Lee, H. J. (2010). Availability of preoperative anxiety scale as a predictive factor for hemodynamic changes during induction of anesthesia. Korean Journal of Anesthesiology, 58(4), 328-333. https://doi.org/10.4097/kjae.2010.58.4.328
  50. Konjevoda, S., Gusar, I., Perić, S., Striber, N., Škara Kolega, M., Didović Pavičić, A., Paštar, Z., Grašić, D. J., Perić, D., Caktaš, I. L., & Čanović, S. (2021). Fear of blindness in patients undergoing cataract surgery. Psychiatria Danubina, 33(Suppl 4), 609-612.
  51. Kwekkeboom, K. L., & Gretarsdottir, E. (2006). Systematic review of relaxation interventions for pain. Journal of Nursing Scholarship: An official publication of sigma theta tau International Honor Society of Nursing, 38(3), 269-277. https://doi.org/10.1111/j.1547-5069.2006.00113.x
  52. Kwon, C.-Y., Lee, B., Suh, H.-W., Chung, S.-Y., & Kim, J. W. (2018). Efficacy and safety of auricular acupuncture for cognitive ımpairment and dementia: A systematic review. Evidence-Based Complementary and Alternative Medicine: eCAM, 2018, 3426078. https://doi.org/10.1155/2018/3426078
  53. Ling, R., Kamalarajah, S., Cole, M., James, C., & Shaw, S. (2004). Suprachoroidal haemorrhage complicating cataract surgery in the UK: A case control study of risk factors. The British Journal of Ophthalmology, 88(4), 474-477. https://doi.org/10.1136/bjo.2003.026179
  54. Loong, L. J., Ling, K. K., Tai, E. L. M., Kueh, Y. C., Kuan, G., & Hussein, A. (2022). The effect of binaural beat audio on operative pain and anxiety in cataract surgery under topical anaesthesia: A randomized controlled trial. International Journal of Environmental Research and Public Health, 19(16), 10194. https://doi.org/10.3390/ijerph191610194
  55. Lu, Y.J., Lee, M.C., Chen, C.Y., Liang, S.Y., Li, Y.P., & Chen, H.M. (2022). Effect of guided ımagery meditation during laparoscopic cholecystectomy on reducing anxiety: A randomized controlled trial. Official Journal of the American Society of Pain Management Nurses, 23(6), 885-892. https://doi.org/10.1016/j.pmn.2022.07.003
  56. Matourypour, P., Vanaki, Z., Zare, Z., Mehrzad, V., Dehghan, M., & Ranjbaran, M. (2016). Investigating the effect of therapeutic touch on the intensity of acute chemotherapy-induced vomiting in breast cancer women under chemotherapy. Iranian Journal of Nursing and Midwifery Research, 21(3), 255-260. https://doi.org/10.4103/1735-9066.180373
  57. Merakou, K., Varouxi, G., Barbouni, A., Antoniadou, E., Karageorgos, G., Theodoridis, D., Koutsouri, A., & Kourea-Kremastinou, J. (2015). Blood pressure and heart rate alterations through music in patients undergoing cataract surgery in Greece. Ophthalmology and Eye Diseases, 7, 7-12. https://doi.org/10.4137/OED.S20960
  58. Mohamed Bayoumi, M. M., Khonji, L. M. A., & Gabr, W. F. M. (2021). Are nurses utilizing the non-pharmacological pain management techniques in surgical wards? PloS One, 16(10), e0258668. https://doi.org/10.1371/journal.pone.0258668.
  59. Mohammadpourhodki, R., Sargolzaei, M. S., & Basirinezhad, M. H. (2019). Evaluating the effect of massage based on slow stroke back massage on the anxiety of candidates for cataract surgery. Romanian Journal of Ophthalmology, 63(2), 146-152.
  60. Moon, J.-S., & Cho, K.-S. (2001). The effects of handholding on anxiety in cataract surgery patients under local anaesthesia. Journal of Advanced Nursing, 35(3), 407-415. https://doi.org/10.1046/j.1365-2648.2001.01855.x
  61. Muddana, S. K., Hess, O. M., Sundar, S., & Venkatesh, R. (2021). Preoperative and perioperative music to reduce anxiety during first-time phacoemulsification cataract surgery in the high-volume setting: Randomized controlled trial. Journal of Cataract and Refractive Surgery, 47(4), 471-475. https://doi.org/10.1097/j.jcrs.0000000000000485
  62. Nazari, R., Ahmadzadeh, R., Mohammadi, S., & Rafiei Kiasari, J. (2012). Effects of hand massage on anxiety in patients undergoing ophthalmology surgery using local anesthesia. Journal of Caring Sciences, 1(3), 129-134. https://doi.org/10.5681/jcs.2012.019
  63. Novelia, S. (2020). The Effect of zikr meditation on post operative pain among women post cesarean section. STRADA Jurnal Ilmiah Kesehatan, 9(2), 580-587.
  64. Obuchowska, I., & Konopinska, J. (2021). Fear and anxiety associated with cataract surgery under local anesthesia in adults: A systematic review. Psychology Research and Behavior Management, 14, 781-793. https://doi.org/10.2147/PRBM.S314214
  65. Okut, G., Kanat, C., & Altun Uğraş, G. (2022). Ameliyat öncesi anksiyete kontrolünde hemşirelerin kullandıkları tamamlayıcı yöntemler. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 12(2), 363-374. https://doi.org/10.31020/mutftd.1027673
  66. Özyürek, H., & Göktaş, S. (2021). Acil ve elektif cerrahide hastaların anksiyete düzeylerinin ve hemşirelik bakım memnuniyetlerinin değerlendirilmesi, SBÜHD Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(2), 83-93.
  67. Paraskeva, A., Melemeni, A., Petropoulos, G., Siafaka, I., & Fassoulaki, A. (2004). Needling of the extra 1 point decreases BIS values and preoperative anxiety. The American Journal of Chinese Medicine, 32(5), 789-794. https://doi.org/10.1142/S0192415X04002363
  68. Parlakpinar, H., & Polat, S. (2020). An overview of cupping treatment. Journal of Traditional Medical Complementary Therapies, 3(2), 246-264. https://doi.org/10.5336/jtracom.2019-72649
  69. Pellegrini, M., Ponzo, V., Rosato, R., Scumaci, E., Goitre, I., Benso, A., Belcastro, S., Crespi, C., De Michieli, F., Ghigo, E., Broglio, F., & Bo, S. (2020). Changes in weight and nutritional habits in adults with obesity during the “lockdown” period caused by the COVID-19 Virus Emergency. Nutrients, 12(7), 2016. https://doi.org/10.3390/nu12072016
  70. Pritchard, M. J. (2011). Using the hospital anxiety and depression scale in surgical patients. Nursing Standard, 25(34), 35-41. https://doi.org/10.7748/ns2011.04.25.34.35.c8469
  71. Ramirez, D. A., Brodie, F. L., Rose-Nussbaumer, J., & Ramanathan, S. (2017). Anxiety in patients undergoing cataract surgery: A pre- and postoperative comparison. Clinical Ophthalmology, 11, 1979-1986. https://doi.org/10.2147/OPTH.S146135
  72. Ricardo, J. W., & Lipner, S. R. (2020). Utilization of a stress ball to diminish anxiety during nail surgery. Cutis, 105(6), 294.
  73. Ripa, M., Ricci, F., & Rizzo, S. (2023). Pain experience in patients undergoing topical anesthesia alone versus topical plus intracameral anesthesia during cataract surgery. European Journal of Ophthalmology, 34(2), 425-431. https://doi.org/10.1177/11206721231187424
  74. Savastano, A., Rizzo, S., Savastano, M. C., Piccirillo, V., Forte, R., Sbordone, S., Diurno, F., & Savastano, S. (2016). Choroidal effusion and suprachoroidal hemorrhage during phacoemulsification: Intraoperative management to prevent expulsive hemorrhage. European Journal of Ophthalmology, 26(4), 338-341. https://doi.org/10.5301/ejo.5000707
  75. Schrieber, C., & Liu, Y. (2015). Choroidal effusions after glaucoma surgery. Current Opinion in Ophthalmology, 26(2), 134-142. https://doi.org/10.1097/ICU.0000000000000131
  76. Shahdadi, H., Hodki, R. M., Aliabadi, A., Sheikh, A., & Moghadasi, A. (2016). The effect of slow stroke back massage on fatigue in patients undergoing hemodialysis: A randomized clinical trial. International Journal of Pharmacy & Technology, 8(3), 16016-16023.
  77. Socea, S. D., Abualhasan, H., Magen, O., Zayit-Soudry, S., Blumenthal, E. Z., Duvdevan, N., & Mimouni, M. (2020). Preoperative anxiety levels and pain during cataract surgery. Current Eye Research, 45(4), 471-476. https://doi.org/10.1080/02713683.2019.1666996
  78. Şahin, G., & Buzlu, S. (2016). Yoğun bakım ünitelerinde anksiyeteye yönelik hemşirelik bakımı. Yoğun Bakım Hemşireliği Dergisi, 20(1), 65-69.
  79. Van Hal, M., Dydyk, A.M., & Green, M.S. (2024). Acupuncture. StatPearls Publishing.
  80. Vanhaudenhuyse, A., Laureys, S., & Faymonville, M.E. (2013). Neurophysiology of hypnosis. Clinical Neurophysiology, 44(4), 343-353. https://doi.org/10.1016/j.neucli.2013.09.006
  81. Wiwatwongwana, D., Vichitvejpaisal, P., Thaikruea, L., Klaphajone, J., Tantong, A., Wiwatwongwana, A., & Medscape. (2016). The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: A randomized controlled trial. Eye (London, England), 30(11), 1407-1414. https://doi.org/10.1038/eye.2016.160
  82. Woldegerima, Y. B., Fitwi, G. L., Yimer, H. T., & Hailekiros. (2018). Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar Hospital. Gondar, Northwest Ethiopia, 2017. A cross-sectional study. International Journal of Surgery Open, 10, 21-29. https://doi.org/10.1016/j.ijso.2017.11.001
  83. Yanık, T.Ç., & Yılmaz, S.G. (2019). Kardiyovasküler cerrahi sonrası yoğun bakımda yaşanan sorunlar ve hemşirelik bakımı. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 1(2), 122-127.
  84. Yavuz, M. (2014). Ağrı Doğası ve Kontrolü. İçinde A. Özbaş, & A. Güneş, (Eds.), Ağrının İlaç Dışı Yöntemlerle Kontrolü (ss. 161-174). Akademisyen Kitapevi.
  85. Yılmaz, E., Birer, Z., & Baydur, H. (2016). The effect of therapeutic touch performed during cataract surgery on anxiety and patient satisfaction. Journal of Clinical and Experimental Investigations, 7(1), 52-56. https://doi.org/10.5799/jcei.32
  86. Amarnath, (2017). A study to determine the effectiveness of psychoneurobics on the level of stress among women in the age group of 20 years to 50 years in a club at Bangalore; A pilot study. International Journal for Advance Research and Development, 2(10), 4-6.