Patients with Colorectal Cancer, Surgery
Conditions
Keywords
Colorectal cancer, Well-being, Stress, Recovery
Brief summary
The criteria usually considered to evaluate the quality of life are the presence or absence of a stomy, alteration of the transit or the sexual dysfunctions. Quality of life has been improved by introducing an Enhanced Postoperative Rehabilitation Program After Surgery (ERAS). It is a multidisciplinary medical and paramedical care aimed at minimizing the sources of stress allowing a significant reduction in postoperative complications and length of stay. However, the emotional feelings of patients, their fatigue, the quality of their relationships with others and their experience of the disease are not usually considered. Nevertheless, these criteria influence the quality of life and constitute the fundamental bases of the psychological well-being, essential in the recovery processes. We propose to enrich the ERAS program by introducing an individualized support of well-being and stress management aimed at increasing the quality of life of patients. The purpose is to make the patient more autonomous by allowing him/her, to implement stress management exercises. The main goal of the project is to improve the psychological well-being of patients operated on for colorectal cancer by offering stress management sessions in order to promote postoperative rehabilitation. The secondary objectives are to demonstrate the impact of stress management sessions on the length of stay and to study the link between the efficiency of these sessions and the quality of life of patients before the surgery.
Interventions
BEHAVIORALStress management sessions
Stress management sessions are proposed to the patients and consist of small exercises focused on breathing and bodily sensations. Each accompanying person has access to different exercises. The sessions are adapted to the state of the patient to promote his well-being, before or after his/her operation. The duration of a preoperative session is 1 hour, the duration of the postoperative sessions is 15 minutes.
Sponsors
University Hospital, Strasbourg, France
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient undergoing colorectal cancer surgery * Regulated surgery * With or without radiation treatment and / or preoperative chemotherapy. * Patient benefiting from a social protection scheme
Exclusion criteria
\-- Limitation of linguistic or cognitive abilities interfering with the understanding of the study protocol * Absence of the consent form of the study * Emergency surgery * Stomy closure * Patient diagnosed psychotic. * Patient with psychiatric disorder left to the discretion of the investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Assessment of Cancer Therapy Colorectal | 7 days before surgery | The general well-being questionnaire (FACTC), validated with patients with colorectal cancer, which will allow us to measure the subjective feelings (physical, emotional and social well-being) of patients before hospitalization and on leaving the hospital |
| Manifestations of Psychological Well-being Measurement | 7 days before surgery | Patient general quality of life measurement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue measure | 7 days before surgery | The MFI (Multidimensional Inventory of Fatigue) |
| Sleep quality assessment | 7 days before surgery | Assessed with the Pittsburgh Sleep Quality Index score |
| Pain assessment | 7 days before surgery | Evaluation of the subjective pain sensation with the EVA score |
| Physical activity evaluation | 1 day after surgery up to 5 days after surgery (the day of hospital leaving) | Actimetric evaluation: measurement of sleep phases and number of steps (Actiwatch AW7) |
Countries
France
Outcome results
None listed