Correlation linking illness perception,negative emotions,and the post-operative recovery effect in patients with perianal disease  

作　　者：Shu-Xiang Hou Feng-Jun Dai Xian-Xue Wang Shao-Wen Wang Ting Tian 

机构地区：[1]Department of General Surgery,The First People’s Hospital of Changde City(Changde Hospital,Xiangya School of Medicine,Central South University),Changde 415000,Hunan Province,China [2]Department of Anesthesiology,The First People’s Hospital of Changde City(Changde Hospital,Xiangya School of Medicine,Central South University),Changde 415000,Hunan Province,China

出　　处：《World Journal of Psychiatry》2024年第11期1718-1727,共10页世界精神病学杂志（英文）

摘　　要：BACKGROUND Improvements in the standard of living have led to increased attention to perianal disease.Although surgical treatments are effective,the outcomes of postoperative recovery(POR)are influenced by various factors,including individual differences among patients,the characteristics of the disease itself,and the psychological state of the patient.Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.AIM To investigate the effect of illness perception(IP)and negative emotions on POR outcomes in patients with perianal disease.METHODS A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited.We employed a general information questionnaire,the Brief Illness Perception Questionnaire(B-IPQ),and the Hospital Anxiety and Depression Scale(HADS).We used the 15-item Quality of Recovery Score(QoR-15)to measure patients’recovery effects.Finally,we conducted Pearson’s correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.RESULTS Fifty-three(36.3%)had poor knowledge of their disease.Thirty(20.5%)were suspected of having anxiety and 99(67.8%)exhibited symptoms.Forty(27.4%)were suspected of having depression and 102(69.9%)displayed symptoms.The B-IPQ,HADS-A,HADS-D,and QoR-15 scores were 46.82±9.97,12.99±3.60,12.58±3.36,and 96.77±9.85,respectively.There was a negative correlation between pre-operative IP,anxiety,and depression with POR quality.The influence of age and disease course on post-operative rehabilitation effect are both negative.The impact of B-IPQ,HADS-A,and HADS-D on POR was negative.Collectively,these variables accounted for 72.6%of the variance in POR.CONCLUSION The quality of POR in patients with perianal disease is medium and is related to age,disease course,IP,anxiety,and depression.

关 键 词：Illness perception ANXIETY DEPRESSION Crissum disease/perianal disease Post-operative recovery RELATIVITY 

分 类 号：R657.1[医药卫生—外科学]