Effects of psychological interventions and patients' affect on short‐term quality of life in patients undergoing colorectal surgery. (3rd May 2016)

• Record Type: Journal Article
• Authors: Koplin, Gerold; Müller, Verena; Heise, Grit; Pratschke, Johann; Schwenk, Wolfgang; Haase, Oliver
• Is Part Of: Cancer medicine. Volume 5:Number 7(2016:Jul.)
• Page Start: 1502
• Page End: 1509
• Publication Date: 2016-05-03
• Subjects: Guided imagery -- PANAS -- progressive relaxation -- quality of life -- surgery; 616.994005
• DOI: 10.1002/cam4.739
• Languages: English
• ISSNs: 2045-7634

Abstract

Abstract: Psychological interventions can improve Quality of Life (QoL). Object of interest was if different psychological interventions influence short‐term QoL after colonic resection for carcinoma. Furthermore, we wanted to see if there is a correlation between patients` preoperative affect and postoperative QoL. Sixty patients that underwent colorectal surgery were divided into three groups. Group one ( n = 20) received Guided Imagery and group 2 ( n = 22) Progressive Muscle Relaxation. The third group (Control, n = 18) had no intervention. Quality of Life (QoL) was measured using the EORTC QLQ‐C30 and the Gastrointestinal Quality of life Index (GIQLI). Patients' affect was measured by the PANAS questionnaire. The higher the preoperative Negative Affect was, the lower were the scores for QoL on the 30th postoperative day. Patients' QoL was highest preoperatively and lowest on the third postoperative day. On the 30th postoperative day scores for QoL were almost as high as preoperative without difference between the three groups. Neither Guided Imagery nor Progressive Relaxation was influencing short‐term QoL measured by the EORTC QLQ‐C30 and the GIQLI questionnaire after colorectal surgery for cancer. Screening patients' with the PANAS questionnaire might help to identify individuals that are more likely to have a worse QoL postoperatively. Abstract : The EORTC, Gastrointestinal Quality of life Index and PANAS questionnaires were used to examine 60 patients undergoing colorectal resection to identify changes in postoperative quality of life and determine the influence of perioperative applied psychological interventions. Neither Guided Imagery nor Progressive Relaxation was influencing short‐term QoL Screening patients' with the PANAS questionnaire might help to identify individuals that are more likely to have a worse QoL postoperatively.