Kassymova Gulnara, Sydsjö Gunilla, Borendal Wodlin Ninnie, Nilsson Lena, Kjølhede Preben
Department of Obstetrics and Gynecology, Linköping University, Linköping, Sweden.
Department of Biomedical and Clinical Sciences, and Linköping University, Linköping, Sweden.
Womens Health Rep (New Rochelle). 2024 Mar 27;5(1):304-318. doi: 10.1089/whr.2023.0045. eCollection 2024.
To investigate if symptoms of depression, anxiety, and stress-coping capacity have an impact on the effect of telephone follow-up (TFU) on trajectories of six recovery measures after hysterectomy and influence the occurrence of unplanned telephone contacts (uTCs) and unplanned visits (uVs) to health care providers.
A nonrandomized analysis of participants enrolled in a randomized, four-armed, single-blinded, controlled multicenter intervention study comprising 487 women where the women were allocated 1:1:1:1 to one of four TFU models. The Swedish Postoperative Symptom Questionnaire (SPSQ) and two health-related quality of life questionnaires, the EuroQoL-5 dimension with three levels (EQ-5 D-3 L) and the Short-Form-Health Survey (SF-36) assessed the recovery measures. The six recovery measures consisted of the EQ-5D-3L health index, the SF-36 physical component summary (PCS) and mental component summary (MCS), and the maximum and average pain intensity, and symptom sum score obtained from the SPSQ. Psychological distress was evaluated by the psychometric forms, the Hospital Anxiety and Depression Scale and the Stress Coping Inventory. The occurrence of uTC and uV within the 6 weeks of follow-up was registered.
Preoperative anxiety, depression, and stress-coping capacity did not modify the effects of the TFU models on the trajectories of the recovery measures, although anxiety and depression were strongly associated with all six recovery measures. uTCs, but not uVs occurred more often in the women with anxiety.
Preoperative anxiety, depression, and stress-coping capacity did not appear to influence the effects of TFU contacts on the recovery measures after hysterectomy. Preoperative anxiety seemed to increase the occurrence of uTC. Clinical Trials Registration: ClinicalTrials.gov (NCT01526668).
探讨抑郁、焦虑症状及压力应对能力是否会影响子宫切除术后六项恢复指标的电话随访（TFU）效果，以及是否会影响与医疗服务提供者的非计划电话联系（uTCs）和非计划就诊（uVs）的发生情况。
对参与一项随机、四臂、单盲、对照多中心干预研究的参与者进行非随机分析，该研究包括487名女性，她们被1:1:1:1分配到四种TFU模式之一。瑞典术后症状问卷（SPSQ）以及两份与健康相关的生活质量问卷，即具有三个等级的欧洲五维健康量表（EQ-5 D-3L）和简短健康调查问卷（SF-36），用于评估恢复指标。六项恢复指标包括EQ-5D-3L健康指数、SF-36身体成分总结（PCS）和心理成分总结（MCS），以及从SPSQ获得的最大和平均疼痛强度及症状总分。通过心理测量量表，即医院焦虑抑郁量表和压力应对量表评估心理困扰情况。记录随访六周内uTC和uV的发生情况。
术前焦虑、抑郁和压力应对能力并未改变TFU模式对恢复指标轨迹的影响，尽管焦虑和抑郁与所有六项恢复指标均密切相关。焦虑女性中uTCs发生更为频繁，但uVs并非如此。
术前焦虑、抑郁和压力应对能力似乎并未影响子宫切除术后TFU联系对恢复指标的效果。术前焦虑似乎会增加uTC的发生。临床试验注册：ClinicalTrials.gov（NCT01526668）。
