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General health and state anxiety in patients recovering from colorectal cancer surgery
Author(s) -
Jakobsson Jenny,
Idvall Ewa,
WannHansson Christine
Publication year - 2016
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12841
Subject(s) - medicine , anxiety , abdominoperineal resection , context (archaeology) , colorectal cancer , colorectal surgery , prospective cohort study , surgery , physical therapy , cancer , general surgery , abdominal surgery , psychiatry , paleontology , biology
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.