Effect of e-health literacy on preoperative anxiety in patients undergoing gynecologic surgery: A cross-sectional study

Background: Preoperative anxiety (PA) is a common condition that can negatively affect surgical outcomes. As digital health resources become more integrated into patient care, e-health literacy (eHL) is gaining importance as a determinant of surgical readiness and emotional well-being. This study aimed to evaluate the relationship between eHL and PA in patients undergoing elective gynecologic surgery. Methods: This cross-sectional study was conducted at a tertiary hospital between June and November 2024. Patients scheduled for elective gynecologic surgery were included. Participants completed the sociodemographic form, eHealth Literacy Scale (eHEALS), and the State-Trait Anxiety Inventory (STAI-I and STAI-II) during their preoperative anesthesia consultation. Results: < 0.05). Conclusions: Higher eHL is significantly associated with lower PA in patients undergoing gynecologic surgery. These findings highlight the importance of digital health competencies in surgical preparedness.