Anxiety, Coping Behavior, Depression, Postoperative Complications
Conditions
Keywords
Postoperative Complications, Anxiety, Depression, Coping Behavior
Brief summary
This study aims to investigate preoperative anxiety, depression, and coping strategy of the patients undergoing laparoscopic gastrectomy for early gastric cancer and their effects on short-term postoperative recovery measured by Quality of Recovery-15 (QOR-15). The findings of the study would improve the perioperative management of early gastric cancer patients.
Detailed description
The researchers plan to investigate preoperative psychological factors such as anxiety, depression, and coping strategy in association with short-term quality of recovery from surgery in 100 patients scheduled for early gastric cancer surgery (laparoscopic gastrectomy). The following items are investigated before surgery; Age, sex, BMI, level of education, occupation, marital status, ECOG performance status, ASA physical status, Apfel score, history of mental disorder, type of surgery, past surgical history, the number of days from diagnosis of cancer to surgery, clinical stage of cancer, histological type of cancer, presence of chronic pain, Quality of Recovery-15 (QOR-15), Hospital Anxiety and Depression Scale (HADS), Amsterdam Preoperative Anxiety and Information Scale (APAIS), Coping and Adaptation Scale-Short Form (CAPS-SF). The QOR-15 is investigated for 24, 48, and 72 hours after surgery. The severity of postoperative pain by the 11-point Numerical Rating Scale (NRS) is concurrently measured at 24, 48, and 72 hours after surgery. In addition, the researchers measure postoperative complications, particularly nausea/vomiting, at 24, 48, and 72 hours after surgery and length of stay by counting the number of days from the day of surgery to discharge.
Interventions
DIAGNOSTIC_TESTQuality of Recovery -15
The investigators plan to evaluate patients' quality of recovery at postoperative day (POD) 1, 2, and 3.
Sponsors
Seoul National University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Prospective observational study
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Age 18 years or above * Patients scheduled for early gastric cancer surgery (laparoscopic gastrectomy) under general anesthesia * ASA status I or II * Able to read and understand the information sheet, the questionnaires, and the consent form.
Exclusion criteria
* Unable to read and understand the information sheet, the questionnaires, and the consent form. * Age above 80 years * WIth severe medical or psychological diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Recovery -15 score at postoperative 72 hours | at postoperative 72 hours | There are total 15 items where each of them is an 11-point numerical rating scale (for positive items, 0 = none of the time to 10 = all of the time; for negative items, the scoring was reversed; maximum score 150) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Recovery -15 score at postoperative 24 hours | at postoperative 24 hours | There are total 15 items where each of them is an 11-point numerical rating scale (for positive items, 0 = none of the time to 10 = all of the time; for negative items, the scoring was reversed; maximum score 150) |
| Quality of Recovery -15 score at postoperative 48 hours | at postoperative 48 hours | There are total 15 items where each of them is an 11-point numerical rating scale (for positive items, 0 = none of the time to 10 = all of the time; for negative items, the scoring was reversed; maximum score 150) |
| Postoperative pain score | at postoperative 24, 48, and 72 hours | 11-pointed NRS pain score at resting/coughing/movement NRS (0-10): 0, no pain; 10, worst pain imaginable |
| Length of stay | through study completion, an average of 1 year | The number of days that patients spend in the hospital after surgery |
| Postoperative nausea or vomiting | at postoperative 24, 48, and 72 hours | Patients' postoperative nausea/vomiting: for each, 0, no; 1 yes, but not severe enough to take antiemetics; 2, yes, severe enough to take antiemetics |
Countries
South Korea
Outcome results
None listed