Hou SX, Dai FJ, Wang XX, Wang SW, Tian T. Correlation linking illness perception, negative emotions, and the post-operative recovery effect in patients with perianal disease. World J Psychiatry 2024; 14(11): 1718-1727 [PMID: 39564179 DOI: 10.5498/wjp.v14.i11.1718]
Corresponding Author of This Article
Ting Tian, BSc, Nurse, Department of General Surgery, The First People’s Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University), No. 818 Ren Min Road, Changde 415000, Hunan Province, China. tiantiantingtt@163.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Shu-Xiang Hou, Feng-Jun Dai, Shao-Wen Wang, Ting Tian, Department of General Surgery, The First People’s Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University), Changde 415000, Hunan Province, China
Xian-Xue Wang, Department of Anesthesiology, The First People’s Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University), Changde 415000, Hunan Province, China
Author contributions: Hou SX and Tian T designed the study; Hou SX drafted the initial manuscript; Tian T critically revised the article for important intellectual content; Dai FJ, Wang XX, and Wang SW participated in the acquisition, analysis, and interpretation of the data; all authors have approved the manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of The First People’s Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University).
Informed consent statement: All participants or their legal guardians provided written informed consent before enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: The anonymous data used in this study can be obtained from the corresponding author.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ting Tian, BSc, Nurse, Department of General Surgery, The First People’s Hospital of Changde City (Changde Hospital, Xiangya School of Medicine, Central South University), No. 818 Ren Min Road, Changde 415000, Hunan Province, China. tiantiantingtt@163.com
Received: August 1, 2024 Revised: August 30, 2024 Accepted: September 5, 2024 Published online: November 19, 2024 Processing time: 98 Days and 0.3 Hours
Abstract
BACKGROUND
Improvements in the standard of living have led to increased attention to perianal disease. Although surgical treatments are effective, the outcomes of post-operative recovery (POR) are influenced by various factors, including individual differences among patients, the characteristics of the disease itself, and the psychological state of the patient. Understanding these factors can help healthcare providers develop more personalized and effective post-operative care plans for patients with perianal disease.
AIM
To investigate the effect of illness perception (IP) and negative emotions on POR outcomes in patients with perianal disease.
METHODS
A total of 146 patients with perianal disease admitted to the First People's Hospital of Changde City from March to December 2023 were recruited. We employed a general information questionnaire, the Brief Illness Perception Questionnaire (B-IPQ), and the Hospital Anxiety and Depression Scale (HADS). We used the 15-item Quality of Recovery Score (QoR-15) to measure patients’ recovery effects. Finally, we conducted Pearson’s correlation analysis to examine the relationship between pre-operative IP and anxiety and depression levels with POR quality.
RESULTS
Fifty-three (36.3%) had poor knowledge of their disease. Thirty (20.5%) were suspected of having anxiety and 99 (67.8%) exhibited symptoms. Forty (27.4%) were suspected of having depression and 102 (69.9%) displayed symptoms. The B-IPQ, HADS-A, HADS-D, and QoR-15 scores were 46.82 ± 9.97, 12.99 ± 3.60, 12.58 ± 3.36, and 96.77 ± 9.85, respectively. There was a negative correlation between pre-operative IP, anxiety, and depression with POR quality. The influence of age and disease course on post-operative rehabilitation effect are both negative. The impact of B-IPQ, HADS-A, and HADS-D on POR was negative. Collectively, these variables accounted for 72.6% of the variance in POR.
CONCLUSION
The quality of POR in patients with perianal disease is medium and is related to age, disease course, IP, anxiety, and depression.
Core Tip: We found a significant negative correlation linking pre-operative illness perception (IP), anxiety, depression, and post-operative recovery in patients with perianal disease. We identified age, disease duration, IP, anxiety, and depression as key factors that negatively impact recovery, highlighting the importance of psychological support and timely medical interventions.
