They determined that patients become stressed about the success of the surgery, the length of the waiting period before the procedure, fear of death, previous negative hospital experiences, fear about the recovery, fear of pain and discomfort, fear of loss of appetite, weakness, sleep disturbance, resumption of normal activities after surgery, cardiac monitoring, drug addiction, length of stay, and hospital costs. Stressors associated with hospitalization have a negative effect on patient recovery; therefore, nurses must evaluate and identify them before surgery to ensure the best possible outcome. This study concluded that intrapersonal stressors were perceived by patients more than interpersonal and extrapersonal stressors, so nurses should place emphasis on identifying and eliminating intrapersonal stressors according to patients' needs . One of the limitations of this study included the small sample size and sampling was limited to cardiac surgery patients only. The findings of this study cannot necessarily be applied cross-culturally. The authors declare no conflicts of interest and have been supported by evidence-based evidence