Lederer Ann-Kathrin, Manteufel Ines, Knott Agnes, Kousoulas Lampros, Werthmann Paul Georg, Storz Maximilian Andreas, Huber Roman, Müller Alexander
Center for Complementary Medicine, Department of Medicine II, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.
Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany.
J Clin Med. 2022 May 11;11(10):2712. doi: 10.3390/jcm11102712.
Recent research suggests an impact of psychological distress on postoperative outcomes in orthopedic and neurosurgery. It is widely unknown whether patients' mood might affect the postoperative outcome and complication rate in colorectal surgery. Over a period of 22 months, a monocentric, observational study among patients undergoing elective colorectal surgery without the creation of an ostomy was conducted. Patients were asked to fill in a standardized multi-dimensional mood questionnaire (MDMQ) preoperatively as well as on the third, sixth, and ninth postoperative days to assess mood, wakefulness, and arousal. The results of 80 patients (51% male, mean age 59 years) were analyzed. Almost half of the patients (58%) developed postoperative complications according to the Clavien-Dindo classification (Grade I 14%, Grade II 30%, Grade III 9%, Grade IV 3%). Patients' mood increased continually from the preoperative day to the ninth postoperative day. Patients' wakefulness decreased initially (pre- to third postoperative day) and increased again in the further course. Patients' arousal decreased pre- to postoperatively. Neither preoperative mood, nor arousal or wakefulness of patients showed a clear association with the development of postoperative complications. In conclusion, preoperative psychological distress measured by MDMQ did not affect the postoperative complication rate of patients undergoing elective colorectal surgery.
近期研究表明，心理困扰对骨科和神经外科手术的术后结果有影响。目前尚不清楚患者的情绪是否会影响结直肠手术的术后结果和并发症发生率。在22个月的时间里，对接受择期结直肠手术且未造口的患者进行了一项单中心观察性研究。要求患者在术前以及术后第3天、第6天和第9天填写一份标准化的多维度情绪问卷（MDMQ），以评估情绪、清醒程度和唤醒状态。对80例患者（51%为男性，平均年龄59岁）的结果进行了分析。根据Clavien-Dindo分类法，几乎一半的患者（58%）出现了术后并发症（I级14%，II级30%，III级9%，IV级3%）。患者的情绪从术前到术后第9天持续改善。患者的清醒程度最初下降（术前到术后第3天），随后又再次上升。患者的唤醒状态从术前到术后下降。患者术前的情绪、唤醒状态或清醒程度与术后并发症的发生均无明显关联。总之，通过MDMQ测量的术前心理困扰并未影响接受择期结直肠手术患者的术后并发症发生率。
