Orientation Video Training Administered at Different Times to Patients Undergoing Prostate Surgery on Postoperative Pain and Anxiety (Video Training)

The study will evaluate whether the timing of operating room orientation video education influences postoperative pain and state anxiety in patients undergoing surgery for benign prostatic hyperplasia. The intervention consists of a 5-minute video designed to familiarize patients with the perioperative environment and expected procedures. The video includes information about the operating room environment, the operating table, patient positioning, information related to the surgical process, the post-anesthesia care unit, and patient transfer.

Participants will be randomly allocated in a 1:1:1 ratio to one of three parallel groups. Participants in the first intervention group will receive the video approximately one day before surgery in the surgical ward. Participants in the second intervention group will receive the same video approximately 30 minutes before surgery in the operating room waiting unit. Participants in the control group will receive routine preoperative information according to standard clinical practice.

Pain intensity will be assessed using the Visual Analog Scale, and state anxiety will be assessed using the State-Trait Anxiety Inventory-State Anxiety Scale. Assessments will be performed one day before surgery, before the intervention in the operating room waiting unit, and six hours after surgery in the surgical ward.

• Operating Room Orientation Video Education (Behavioral): A 5-minute video-based educational intervention designed to familiarize patients with the operating room environment and the perioperative process. The video includes information about the operating room environment, operating table, patient positioning, information related to the surgical process, the post-anesthesia care unit, and patient transfer.
• Routine Preoperative Information (Behavioral): Participants will receive routine preoperative information according to standard clinical practice without the study-specific operating room orientation video.

Primary outcomes

• Postoperative state anxiety [From baseline to 6 hours after surgery]: State anxiety will be assessed using the State-Trait Anxiety Inventory-State Anxiety Scale (STAI-S), based on the Turkish adaptation by Necla Öner and Ayhan Le Compte. The scale consists of 20 items and yields a total score ranging from 20 to 80, with higher scores indicating greater state anxiety and therefore a worse outcome. State anxiety will be assessed one day before surgery in the surgical ward, before video education in the operating room waiting unit, and 6 hours after surgery in the surgical ward. The primary postoperative outcome will be the State-Trait Anxiety Inventory-State Anxiety Scale score measured 6 hours after surgery.
• Postoperative pain intensity [From baseline to 6 hours after surgery]: Pain intensity will be assessed using the Visual Analog Scale (VAS). The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain intensity and therefore a worse outcome. Pain intensity will be assessed one day before surgery in the surgical ward, before video education in the operating room waiting unit, and 6 hours after surgery in the surgical ward. The primary postoperative outcome will be the Visual Analog Scale score measured 6 hours after surgery.

Sex: Male, ages: 18 Years to any

Inclusion Criteria:

* Being conscious and able to communicate. Being able to read and understand Turkish. Voluntarily agreeing to participate in the study and providing informed consent.

Having no visual or hearing impairment that would interfere with viewing the educational video or completing the study assessments.

Undergoing prostate surgery for the first time. Being 18 years of age or older.

Exclusion Criteria:

* Having a diagnosed psychiatric disorder. Having a chronic pain syndrome. Being scheduled for emergency surgery. Having previously received similar operating room orientation education.