Gastrointestinal Diseases
Conditions
Keywords
Colorectal Surgery
Brief summary
This study aims to test the effects of a Preoperative Relaxation intervention and an Intensified Surgery Patient Education on pre- and postoperative wellbeing and health in Patients Undergoing colorectal surgery.
Detailed description
A former pilot study has shown that a preoperative relaxation program was effective in reducing preoperative anxiety. However the intervention was biased by concurrent pre-surgery education. Therefore this study aims to test the effects of a Preoperative Relaxation intervention and an Intensified Surgery Patient Education on pre- and postoperative wellbeing and health in Patients Undergoing colorectal surgery using a factorial design.
Interventions
relaxation and mindfulness techniques such as body scan, breathing meditation or imagination exercises 1 week program, one introductory session and daily home practice
intensified education unit to reduce anxiety and stress, by using pictures and videos of rooms, and procedures of the planned surgery 1 single unit in the week before the surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* referral for colorectal surgery * preoperative anxiety at least 4/10 points on a numeric rating scale * physical and mental capability to participant * written informed consent
Exclusion criteria
* Emergency surgery * known malignoma * severe comorbidity * severe psychological disorders * immunosuppression * coagulation disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| preoperative anxiety | day of surgery | State Anxiety (STAI-S) (Spielberger 1970) |
| postoperative pain intensity | day after the surgery, before meditation | numeric rating scale for pain at rest, pain at mobilization, coughing, washing, breathing and moving |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative fatigue | day after surgery | Fatigue measured by 0-10 Numeric Rating Scale |
| postoperative nausea | Day after surgery | Nausea measured by 0-10 Numeric Rating Scale |
| preoperative anxiety | day of surgery | Trait Anxiety (STAI-T) (Spielberger 1970) |
| Satisfaction with care | 10 days after surgery | Satisfaction with the operation, the hospital care on a visual analog scale each from 0 (not satisfied) to 100 (most satisfied) |
| Satisfaction with interventions | 10 days after surgery | Satisfaction with interventions on a visual analog scale each from 0 (not satisfied) to 100 (most satisfied) |
| postoperative complications | 10 days after surgery | Number of Participants With Treatment-Related Adverse Events |
| postoperative disability | day after surgery | interference of pain with movement, coughing, waking up at night and disturbed mood |
Countries
Germany