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Journal of Perianesthesia Nursing :... Oct 2022Perioperative depressive symptoms are associated with poor postoperative quality of life (QOL), leading to prolonged hospital stays, and delayed return to society....
Association Between Anxiety and Depressive Symptoms During Prehospitalization Waiting Period and Quality of Recovery at Postoperative Day 3 in Perioperative Cancer Patients.
PURPOSE
Perioperative depressive symptoms are associated with poor postoperative quality of life (QOL), leading to prolonged hospital stays, and delayed return to society. Previous studies show that physical and mental states change on the third day after surgery, and there is a correlation between quality of recovery (QoR) on this day and QOL at 3 months after surgery. QoR after surgery is an important indicator of postoperative QOL. However, there are no reports on the association between depressive symptoms, and postoperative QoR. Therefore, the study purpose was to clarify the relationship between depressive symptoms in perioperative cancer patients during the prehospitalization waiting period, and QoR on the third postoperative day.
DESIGN
This was a prospective cohort study.
METHODS
We examined whether depressive symptoms during the prehospitalization waiting period were related to QoR on day 3 after surgery in perioperative cancer patients. Subjects were patients with primary tumors who underwent surgery under general anesthesia. Subjects completed self-administered questionnaires during the prehospitalization waiting period and on postoperative day 3. The presence and/or absence of depressive symptoms was measured using the Hospital Anxiety and Depression Scale. Subjects were divided into two groups: depressive symptoms or non-depressive symptoms. Postoperative QoR was determined using the QoR-40 questionnaire and we calculated the rate of change in QoR-40 global and dimension scores from preoperation to postoperation.
FINDINGS
231 individuals met the inclusion criteria and agreed to participate in the study. Of these, 173 were included in the analysis. Only the rate of change in emotional state differed significantly between groups (P = .022). Both global and dimension QoR-40 scores were lower in the depressive symptoms group than in the non-depressive symptoms group.
CONCLUSIONS
These findings demonstrate the need to provide both psychological and physical support continuously from the preoperative to early postoperative stage for cancer patients with depressive symptoms in the prehospitalization waiting period.
Topics: Anesthesia Recovery Period; Anxiety; Humans; Neoplasms; Postoperative Period; Prospective Studies; Quality of Life; Surveys and Questionnaires
PubMed: 35589499
DOI: 10.1016/j.jopan.2021.11.007 -
The American Journal of Managed Care Oct 2020Surgical patients often leave the hospital with many questions and concerns after their surgery and will contact their providers to get answers. The growth of... (Review)
Review
OBJECTIVES
Surgical patients often leave the hospital with many questions and concerns after their surgery and will contact their providers to get answers. The growth of patient-provider communication (PPC) technologies allows for many new opportunities to study postoperative patient-initiated communication. We aimed to characterize a growing body of literature on postoperative patient-initiated communication.
STUDY DESIGN
Review.
METHODS
A scoping review methodology was used to identify 17 studies analyzing patient-initiated communication in the postoperative period and to characterize key results and areas of investigation in the literature. Patient-initiated communication in the postoperative period was defined as any communication initiated by the patient after discharge.
RESULTS
The majority of studies were published between 2014 and 2018 (82.4%). Telephone calls were the most common type of medium investigated (11 studies; 64.7%), followed by secure messaging (2 studies; 11.8%). Patients most commonly initiated contact regarding study results, medications, and wounds. Common areas of investigation included communication timing and sociodemographic associations.
CONCLUSIONS
As health systems adopt new technologies for PPC, understanding how and why patients initiate contact with providers postoperatively can inform efforts to strengthen PPC broadly. Moreover, research on sociodemographic variation in communication patterns after surgery can help address communication gaps that patient groups may experience. Future research can build upon this work to improve patient outcomes and increase clinic efficiency.
Topics: Communication; Humans; Patients; Postoperative Period; Surgical Procedures, Operative
PubMed: 33094946
DOI: 10.37765/ajmc.2020.88507 -
Journal of the American Society of... Jan 2019
Topics: Acute Kidney Injury; Humans; Postoperative Period
PubMed: 30563914
DOI: 10.1681/ASN.2018111127 -
The Journal of Thoracic and... May 2018
Topics: Extracorporeal Membrane Oxygenation; Humans; Lung Transplantation; Postoperative Period
PubMed: 29366579
DOI: 10.1016/j.jtcvs.2017.12.099 -
The Journal of Thoracic and... May 2020
Topics: Cardiac Surgical Procedures; Humans; Postoperative Period
PubMed: 31630837
DOI: 10.1016/j.jtcvs.2019.08.123 -
The Journal of Thoracic and... Oct 2018
Topics: Atrial Fibrillation; Health Resources; Heart-Assist Devices; Humans; Postoperative Period; Thoracic Surgical Procedures
PubMed: 29779640
DOI: 10.1016/j.jtcvs.2018.04.089 -
Brazilian Journal of Cardiovascular... Apr 2020Postoperative atrial fibrillation (POAF) after cardiac surgery remarkably remains the most prevalent event in perioperative cardiac surgery, having great clinical and... (Review)
Review
Postoperative atrial fibrillation (POAF) after cardiac surgery remarkably remains the most prevalent event in perioperative cardiac surgery, having great clinical and economic implications. The purpose of this study is to present recommendations based on international evidence and adapted to our clinical practice for the perioperative management of POAF. This update is based on the latest current literature derived from articles and guidelines regarding atrial fibrillation.
Topics: Atrial Fibrillation; Cardiac Surgical Procedures; Humans; Postoperative Complications; Postoperative Period; Risk Factors
PubMed: 32369302
DOI: 10.21470/1678-9741-2019-0164 -
Minerva Anestesiologica Apr 2024
Topics: Humans; Quality of Life; Anesthetics; Postoperative Period; Anesthesia
PubMed: 38482638
DOI: 10.23736/S0375-9393.24.18048-0 -
British Journal of Anaesthesia Mar 2021
Topics: Cohort Studies; Heart Injuries; Hemoglobins; Humans; Postoperative Period; Retrospective Studies
PubMed: 33341228
DOI: 10.1016/j.bja.2020.11.017 -
Anaesthesia Jun 2022
Topics: Humans; Postoperative Complications; Postoperative Period; Preoperative Care; Preoperative Exercise
PubMed: 34793598
DOI: 10.1111/anae.15622