Surgery as an Emotional Strain: An Observational Study in Patients Undergoing Elective Colorectal Surgery

Lederer, Ann-Kathrin; Manteufel, Ines; Knott, Agnes; Kousoulas, Lampros; Werthmann, Paul G.; Storz, Maximilian Andreas; Huber, Roman; Müller, Alexander

doi:10.3390/jcm11102712

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…Mood was comparable to other studies of the perioperative mood change -although a de nite trend within the postoperative could not be seen in our trial [43].…”

Section: Discussionsupporting

confidence: 78%

RECOVARI – Postoperative massage in colorectal cancer patients: a randomized controlled, three-arm parallel group trial

Werthmann,

Cysarz,

Jungbluth

et al. 2023

Preprint

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Purpose: This study aimed to investigate the impact of Rhythmical Embrocation (RE), a massage technique, on postoperative stress levels of colorectal cancer surgery patients compared to empathic conversation. Methods: The study included 68 patients who were randomised into three groups: one received RE from professionals, another from students, and the third had empathic conversations. Stress was quantified using heart rate variability before and after the interventions. Results: The standard deviation of the heartbeat intervals (SDNN) increased more in the professional RE group 9.12 ms (IQR 3.59-12.3 ms) than in the other groups: student RE group 5.68 ms (-0.66-7.5 ms), empathic conversation group 6.64 ms (-1.49-7.38 ms); hence stress decreased more in the professional RE group, although not statistically significant (p= 0.21). Other factors like sleep quality, nausea, pain, and mood did not differ significantly between the groups. No complications were associated with the interventions. Conclusion: he study had limitations, including a small sample size, high patient variability, and imbalances between groups. Patients also received effective treatments for pain, sleep, and nausea, potentially affecting the results. The study suggests that future research on RE should focus on a more narrowly defined patient population, increase the sample size, and choose a clinical context with fewer confounding factors to obtain more meaningful results. Trial registration: The trial has been registered in the German Clinical Trials Register (DRKS) under the ID DRKS00023407 on 2nd November 2020. The trial was approved by the ethics committee of the University Medical Center Freiburg under the number 356/20 on 20th October 2020.

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“…Mood was comparable to other studies of the perioperative mood change -although a de nite trend within the postoperative could not be seen in our trial [43].…”

Section: Discussionsupporting

confidence: 78%

RECOVARI – Postoperative massage in colorectal cancer patients: a randomized controlled, three-arm parallel group trial

Werthmann,

Cysarz,

Jungbluth

et al. 2023

Preprint

Self Cite

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Hospitalization, Surgery and loneliness

Karishma,

Ami

2024

Arch Psychiatr Ment Health

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Being hospitalized or undergoing a surgical procedure may be quite an isolating and lonely experience. This review explored loneliness in the hospital and surgical setting, and highlights the emotional and psychological challenges experienced by patients during their healthcare journey. While hospitals traditionally provide medical and surgical care for a wide array of conditions, the irony lies in their potential to disrupt one’s daily routines, contribute to loss of control, prolong hospital stays, and limit connections with family and loved ones leading to negative psychological well-being and intensifying feelings of loneliness. The implications of loneliness in the hospital and surgical contexts are discussed along with recommendations for improving the healthcare system’s response to the negative health consequences associated with loneliness. Coping strategies are discussed, including social support mechanisms, and approaches to healthy behaviors, i.e. mindfulness, which contribute to mitigating loneliness, in the context of hospitalizations and surgery.

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The Impact of Surgery-Related Emotional Distress on Long-Term Outcome After Colorectal Surgery: An Observational Follow-Up

Lederer,

Manteufel,

Knott

et al. 2024

JCM

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Background: Preoperative emotional distress has been linked to adverse health outcomes, diminished quality of life, increased symptom burden after surgery, and poorer postoperative outcomes. Therefore, this study aimed to assess the impact of perioperative emotional distress on the long-term outcomes of patients undergoing colorectal surgery. Methods: We conducted a follow-up study of a previously conducted observational study of colorectal surgery patients who underwent surgery at the University Medical Centre Freiburg, Germany, between April 2018 and February 2020. Initially, all the patients completed a multidimensional mood questionnaire (MDMQ) preoperatively and on postoperative days 3, 6, and 9. From June to November 2021, these patients were contacted again to capture the results of MDMQ at least one year after surgery and to assess the rate of late complications, quality of life, dietary changes, and overall health. Results: Of the original 80 patients, 51 took part in the follow-up study (55% female, on average 59 years old), on average 30 months after the operation. The average mood results of the surgical patients returned to those of the normal population. Most patients (80%) did not feel that their quality of life was affected by the surgery. Satisfaction with the surgical outcome averaged 8.5 out of 10, while current health was rated at 6.8 out of 10. Emotional distress levels varied over time, with mood and arousal improving significantly postoperatively. Late complications were reported by 28% of the patients, but there were no significant differences in the MDMQ scores, health status, or satisfaction between those with and without complications. Conclusions: The results indicate that there is no association between the emotional strain measured by the MDMQ and the occurrence of late postoperative complications.

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Surgery as an Emotional Strain: An Observational Study in Patients Undergoing Elective Colorectal Surgery

Cited by 3 publications

References 42 publications

RECOVARI – Postoperative massage in colorectal cancer patients: a randomized controlled, three-arm parallel group trial

RECOVARI – Postoperative massage in colorectal cancer patients: a randomized controlled, three-arm parallel group trial

Hospitalization, Surgery and loneliness

The Impact of Surgery-Related Emotional Distress on Long-Term Outcome After Colorectal Surgery: An Observational Follow-Up

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