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General health and state anxiety in patients recovering from colorectal cancer surgery

Jakobsson, Jenny (författare)
Malmö högskola,Institutionen för vårdvetenskap (VV),Department of Surgery, Skåne University Hospital, Malmö, Sweden
Idvall, Ewa (författare)
Malmö högskola,Institutionen för vårdvetenskap (VV),Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden
Wann-Hansson, Christine (författare)
Lund University,Lunds universitet,Malmö högskola,Institutionen för vårdvetenskap (VV),Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups
 (creator_code:org_t)
2015-11-09
2016
Engelska.
Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons. - 0309-2402 .- 1365-2648. ; 72:2, s. 328-338
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • AIM: To describe and compare general health and state anxiety before surgery and up to 6 months after surgery in patients with colorectal cancer undergoing elective rectal resection, abdominoperineal resection or colonic resection in an enhanced recovery context. BACKGROUND: Little is known about patient-reported health and anxiety after colorectal cancer surgery in an enhanced recovery context. DESIGN: A prospective cohort study. METHODS: Data were collected from October 2011-February 2013. The questionnaires - EuroQol 5-Dimensions 3-Levels and State-Trait Anxiety Inventory - were answered before surgery, at discharge and 1 and 6 months after surgery. Data were analysed using inferential statistics to describe differences between groups of patients (Kruskal-Wallis test) and between assessments within groups (Friedman's anova). RESULTS: Patients (N = 105), divided into three groups based on surgical procedure, showed a high health index and a low state anxiety in all assessments without differences between the groups. Patients considered for abdominoperineal resection rated their pre-operative health as significantly higher than patients after rectal and colonic resections did. Within groups, patients recovering from abdominoperineal resection and rectal resection deteriorated significantly in health index 1 month after surgery. However, after 6 months they had improved again. After colonic resection, patients improved significantly in self-rated health and anxiety 1 month after surgery with no further discernible improvement after 6 months. CONCLUSION: The study showed that patients generally had a high level of health and a low level of anxiety throughout the study period. Only a few differences occurred between assessments within groups.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

Nyckelord

EQ-5D-3L
ERAS
STAI
Colorectal cancer
General health
Nursing practice
State anxiety
Surgery

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Jakobsson, Jenny
Idvall, Ewa
Wann-Hansson, Ch ...
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