Efficacy of Pain Neuroscience Education and Pre-anesthetic Assessment in Reducing Levels of Anxiety, Stress and Pain in Patients Undergoing Elective Total Abdominal Hysterectomy (ENAH Study)

Through this quantitative, multivariate factorial experimental parallel randomized clinical trial, the investigators analyzed the effectiveness of pre-anesthetic assessment and pain neuroscience education in reducing anxiety, stress, and pain levels in patients undergoing elective total abdominal hysterectomy.

Inclusion Criteria: 1. Anesthesia Physical Classification System: I, II or III according to the classification of the American Society of Anesthesiology. 2. Acceptance of informed consent 3. Basic literacy skills sufficient to understand and complete study questionnaires. Exclusion Criteria: 1. Inability to understand study procedures or complete questionnaires. 2. Inflammatory rheumatic disease 3. Major neurological or psychiatric disease, Intellectual disability (mental retardation) or learning disorders at the premorbid level or severe language comprehension problems.