Background: adult patient undergoing elective surgery are experienced anxiety and fear before
surgery which has been increased during Covid 19 and may be affected them both physical and
psychological. So, the aim of the study was to assess the preoperative anxiety level and fear of
Covid 19 among adult patients undergoing elective surgery. Design: A descriptive research design.
Setting: The study was conducted at surgical adult wards at Beni-Suef University Hospital.
Sample: - A total of 220 adult patients aged from 21-60 years. Tools: Data were collected using
three tools including: A structured interview questionnaire, fear of COVID-19 Scale (FCV-19S),
and Corona Disease Anxiety Scale (CDAS). Results: Adult patients' age ranged from 20 - 53 years,
it was observed that majority of adult patients had severe anxiety score and high Mean scores and
standard deviations of fear 29.60 ± 5.11. A significant differences was observed between the level
of FCV-19S and CDAS scores (p = 0.000 <0.05). Conclusion: Majority of adult patients
undergoing elective surgery is experienced high and severe fear and anxiety scores of Covid-19.
Recommendations: The preoperative nursing care should be focused on appropriate anxiety
minimizing methods such as providing preoperative education, family-centered preparation for
surgery, and increasing preoperative information. Additionally, psychological care, providing
strategies and medication can be required for surgical patients who develop a high level of
preoperative anxiety.