Global Research Trends on Digital Applications for Reducing Family Anxiety in Operating Room Waiting Areas: A Bibliometric Analysis
DOI:
https://doi.org/10.37287/ijghr.v8i5.2514Keywords:
bibliometric analysis, digital health, family anxiety, family-centered perioperative care, operating room waiting area, VOSviewerAbstract
Family members waiting during surgical procedures often experience anxiety due to uncertainty and limited access to information. The rapid development of digital health technologies provides opportunities to support family-centered perioperative care, yet the global research landscape on this topic remains unclear. This study aimed to map global research trends, identify major research themes, and explore research gaps related to digital applications for reducing family anxiety in operating room waiting areas. A bibliometric analysis was conducted using publications retrieved from PubMed, Crossref, and Google Scholar published between January and June 2026. A total of 752 records were identified, comprising PubMed (n = 199 results), Crossref (n = 412 results), and Google Scholar (n = 141results). After duplicate removal and screening according to the PRISMA 2020 guidelines, 8 publications were included in the final bibliometric analysis. The selected records were analyzed using VOSviewer version 1.6.20 to examine keyword co-occurrence, network visualization, overlay visualization, density visualization, as well as the most productive authors and contributing countries. The analysis identified four major research clusters, including perioperative and operating room management, mental health and family well-being, evidence-based interventions, and perception and qualitative experience. Overlay visualization revealed a shift in research trends from technical operating room management toward mental health and family-centered care. Density visualization showed that studies remain concentrated on perioperative services and patient care, whereas digital applications for family anxiety reduction are still limited. The most productive authors and contributing countries demonstrate strong multidisciplinary and international collaboration, although research specifically focusing on digital interventions for family anxiety remains scarce. Research on digital applications for reducing family anxiety in operating room waiting areas is still emerging. The integration of digital health, family-centered perioperative care, and psychological support represents an important research gap and offers significant opportunities for future innovation. Developing digital applications to provide education, communication, and emotional support for families may contribute to improving perioperative healthcare services.
References
Adugbire, B. A., Jordan, P. J., Young, C., & Iwu-Jaja, C. (2025). Strategies for implementation of patient and family-centered care in the perioperative context: A scoping review. Health Sciences Review, 14, 100220. https://doi.org/https://doi.org/10.1016/j.hsr.2025.100220
Akortiakuma, M. J. K., Dzansi, D. G., & Aziato, P. L. (2022). Psychological well-being of patients recovering from abdominal surgery: A qualitative study. Perioperative Care and Operating Room Management, 26. https://doi.org/10.1016/j.pcorm.2021.100228
Ballıkaya, Ç., & Bilgin, Z. (2026). Effect of virtual reality on labor pain, comfort, and satisfaction: A randomized controlled trial. EXPLORE, 22(4), 103425. https://doi.org/https://doi.org/10.1016/j.explore.2026.103425
Barberi, P. M. (2015). Reducing the Surgical Patient ’ s Family Member ’ s Anxiety Using an Electronic Patient Tracking Board.
Chen, H.-Y., Chen, P.-Y., Hwang, G.-J., & Wu, S.-H. (2026). Beyond surgical applications: A systematic review of educational robotics in health professional development. Nurse Education in Practice, 92, 104734. https://doi.org/https://doi.org/10.1016/j.nepr.2026.104734
Chiu, P. L., Li, H., Yap, K. Y., Lam, K. C., Pom, M., Yip, P. R., & Wong, C. L. (2023). Virtual Reality – Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery A Randomized Clinical Trial. 6(10), 1–14. https://doi.org/10.1001/jamanetworkopen.2023.40588
Dexter, F., & Epstein, R. H. (2001). Reducing family members’ anxiety while waiting on the day of surgery: systematic review of studies and implications of HIPAA health information privacy rules. Journal of Clinical Anesthesia, 13(7), 478–481. https://doi.org/https://doi.org/10.1016/S0952-8180(01)00322-1
Elger, B. M., Esparaz, J. R., Nierstedt, R. T., Jennetten, R. C., Aprahamian, C. J., & Pearl, R. H. (2020). Engaging the patient and family in the surgical safety process utilizing. Journal of Pediatric Surgery, 55(4), 597–601. https://doi.org/https://doi.org/10.1016/j.jpedsurg.2019.06.012
Enfermería, R., Rica, C., Esteves, I. M., Coelho, M. S., Cardoso, D., Prata, A. P., & Esteves, I. M. (2023). Effectiveness of perioperative family- centered educational interventions in the anxiety , pain and behaviors of children / adolescents and their parents : Systematic Review Protocol. 44.
Griffiths, N., Laing, S., Spence, K., Foureur, M., Popat, H., Gittany, H., Sinclair, L., & KASPARIAN, N. (2024). Mental health screening for parents following surgical neonatal intensive care unit (NICU) discharge. Early Human Development, 198, 106128. https://doi.org/https://doi.org/10.1016/j.earlhumdev.2024.106128
Howe, L. S. (2021). Research and Reviews Perioperative Family Updates Reduce Anxiety and Improve Satisfaction : A Randomized Controlled Trial Perioperative Family Updates Reduce Anxiety and Improve Satisfaction : A. 8(2). https://doi.org/10.17294/2330-0698.1805
Howe, L. S., Wigmore, D., Nelms, N., Schottel, P., Bartlett, C., Halsey, D., Krag, M., Lunardini, D., Monsey, R., Beynnon, B., & Blankstein, M. (2021b). Perioperative Family Updates Reduce Anxiety and Improve Satisfaction: A Randomized Controlled Trial. Journal of Patient-Centered Research and Reviews, 8(2), 107–112. https://doi.org/10.17294/2330-0698.1805
Kerimaa, H., Hakala, M., Haapea, M., Serlo, W., & Pölkki, T. (2024). The preparation of children for day surgery from the parent’s viewpoint: A mixed methods study. Nursing Open, 11(3). https://doi.org/10.1002/nop2.2121
Kuizon-Damasco, B. J., & Valledor-Pasamonte, R. C. (2026). Beyond the operating room: Advancing patient-centered care on the day of surgery. In Perioperative Care and Operating Room Management (Vol. 43, p. 100660). Elsevier BV. https://doi.org/10.1016/j.pcorm.2026.100660
Kumar, M., Kumari, S., Guntipally, S. S., Chhabra, A., Kumar, A., & Kumar, P. (2024). A Step-By-Step Guide of Bibliometric Study for Healthcare and Allied Research. Journal of Pharmacy & Bioallied Sciences, 16(Suppl 4), S4114–S4116. https://doi.org/10.4103/jpbs.jpbs_1347_24
Linjun, Y., Xi, L., Yanmei, Y., Wulajing, L., Linjie, F., Jingping, K., & Xiao, H. (2025a). Perioperative real-time information sharing and its impact on family members’ anxiety in patients undergoing elective thoracoscopic lobectomy: a single-center randomized controlled trial. Perioperative Medicine (London, England), 14(1), 19. https://doi.org/10.1186/s13741-025-00499-8
Linjun, Y., Xi, L., Yanmei, Y., Wulajing, L., Linjie, F., Jingping, K., & Xiao, H. (2025b). Perioperative real-time information sharing and its impact on family members’ anxiety in patients undergoing elective thoracoscopic lobectomy: a single-center randomized controlled trial. Perioperative Medicine, 14(1). https://doi.org/10.1186/s13741-025-00499-8
Luengo, T. D., Rivas, A. B., Loureido, E., & Vargas, E. (2023). Reducing preoperative anxiety in parents of surgical patients. Heliyon, 9(5), e15920. https://doi.org/https://doi.org/10.1016/j.heliyon.2023.e15920
Marais, T. R., & Downing, C. (2022). The Experiences of the Operating Department Assistants in the Perioperative Environment. International Journal of Africa Nursing Sciences, 17, 100426. https://doi.org/https://doi.org/10.1016/j.ijans.2022.100426
Marzi, G., Balzano, M., Caputo, A., & Pellegrini, M. M. (2025). Guidelines for Bibliometric-Systematic Literature Reviews: 10 steps to combine analysis, synthesis and theory development. International Journal of Management Reviews, 27(1), 81–103. https://doi.org/https://doi.org/10.1111/ijmr.12381
Najout, H., Moutaouakil, M., Masad, I., Atmani, W., & Bensghir, M. (2026). Relatives’ Needs, Anxiety, and Expectations During the Intraoperative Waiting Period: A Cross-Sectional Survey in a Tertiary Referral Hospital in Morocco. Cureus, 18(2), e104101. https://doi.org/10.7759/cureus.104101
Pai, S., Bautista, R. O., Flen, A., Martin, L., & Burnett, G. W. (2026). The impact of language discordance between provider and patient on perioperative anesthetic care: A scoping review. Patient Education and Counseling, 147, 109540. https://doi.org/https://doi.org/10.1016/j.pec.2026.109540
Pandit, D. D., Bhavana, S., Nileshwar, A., T, L., Ballala, K., Raj, E. A., Somu, S., & Kamath, R. (2025). Global Communication Practices and Their Impact on Patient Caregivers’ Satisfaction in the Surgical Waiting Area: A Scoping Review. Healthcare (Switzerland), 13(12). https://doi.org/10.3390/healthcare13121408
Passas, I. (2024). Bibliometric Analysis : The Main Steps. 1014–1025.
Pourdel, B., Hosseini, S. A., & Rajabi, E. (2026). Clinical and structural outcomes of hybrid operating rooms in adult cardiac surgery: a systematic review. Perioperative Care and Operating Room Management, 42. https://doi.org/10.1016/j.pcorm.2025.100607
Rarani, S. A. (2025). “One family, one patient”: a human-centered approach to safety in the operating room. In Patient Safety in Surgery (Vol. 19, Issue 1). Springer Science and Business Media LLC. https://doi.org/10.1186/s13037-025-00436-0
Salphale, Y. S., Saodekar, H., Kimmatkar, N., Shinde, G., Kothari, P., & Salphale, A. Y. (2026). Psychological outlook and recovery after orthopaedic trauma: Evidence and implications for Central India and other low-resource settings. In Injury (Vol. 57, Issue 8, p. 113389). https://doi.org/10.1016/j.injury.2026.113389
Sawicki, C. M., Pielech, M., & Wade, S. D. (2024). Perioperative Information Needs of Parents of Patients With Special Health Care Needs: A Cross-Sectional Study. Pediatric Dentistry, 46(5), 324–331. http://www.ncbi.nlm.nih.gov/pubmed/39420486
Suchodolska, G., & Senkus, E. (2022). Mobile applications for early breast cancer chemotherapy-related symptoms reporting and management: A scoping review. Cancer Treatment Reviews, 105, 102364. https://doi.org/https://doi.org/10.1016/j.ctrv.2022.102364
Thompson-Brazill, K. A., Tierney, C. C., Brien, L., Wininger, J. W., & Williams, J. B. (2020). Enhancing Family-Centered Care in Cardiothoracic Surgery. Critical Care Nursing Clinics of North America, 32(2), 295–311. https://doi.org/https://doi.org/10.1016/j.cnc.2020.02.010
Winterberg, A. V, Puntambekar, A. P., & Varughese, A. M. (2024). 31 - From idea to commercialization: development of a breathing-controlled gaming device for pediatric anesthesia induction. In A. Eltorai & P. B. T.-I. in A. Mathur (Eds.), Clinical and Medical Innovation (pp. 401–409). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-818381-6.00015-2
Xie, M., Wu, B., Xu, Q., Lai, Q., & Cai, X. (2025). The application of targeted psychological care during perioperative period on children with facial trauma undergoing plastic surgery: A retrospective study. Journal of Pediatric Nursing, 82, e50–e56. https://doi.org/https://doi.org/10.1016/j.pedn.2025.03.017
Xie, W., Ye, F., Yan, X., Cao, M., Ho, M.-H., Kwok, J. Y. Y., & Lee, J. J. (2023). Acupressure can reduce preoperative anxiety in adults with elective surgery: A systematic review and meta-analysis of randomised controlled trials. International Journal of Nursing Studies, 145. https://doi.org/10.1016/j.ijnurstu.2023.104531
Yie, K., Shin, A.-R., Jeong, E.-H., Kim, B.-M., & Hwang, E.-J. (2025). Efficacy of family presence in the operating room during endovenous treatment: An EFFORT prospective observational study. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 13(4), 102237. https://doi.org/https://doi.org/10.1016/j.jvsv.2025.102237
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








