Changes in Mood State after Day Case Forefoot Surgery

Mandy, Anne; Feeney, Sally

doi:10.1053/j.jfas.2014.01.011

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…This relationship has been previously observed in different medical disciplines, such as orthopedic knee and hip surgery [9,10], cesareans [34] and oral surgery [10]. In addition, opposite results can be found in the literature [5,23,26,35]. Borges et al [34] indicated that the emotional status modulates pain, increasing the reactivity to pain and causing hyperalgesia.…”

Section: Discussionmentioning

confidence: 94%

“…The surgical complexity is also noted as a risk factor of preoperative anxiety [22][23][24][25]. Mandy et al highlighted the importance of evaluating preoperative anxiety in foot surgery [26]. These authors studied the evolution of the distinct affective states in 85 subjects undergoing different foot surgical procedures from the preoperative period until eight weeks after and obtained a moderate-high state of anxiety: 54%.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study

Navarro-Gastón

Munuera-Martínez

2020

IJERPH

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Preoperative anxiety has been studied in different medical disciplines, but it is unknown in minor surgical procedures such as foot nail surgery. This study aimed to determine the prevalence of preoperative anxiety and postoperative pain in foot nail surgery. The validated Amsterdam preoperative anxiety and information scale (APAIS) was used to evaluate preoperative anxiety and the need for information in 155 patients undergoing foot nail surgery. In addition, a questionnaire was used to collect other variables such as age, sex and educational level. The verbal numeric scale was employed to value the postoperative pain after 24 h. Age and sex influenced (p < 0.05) preoperative anxiety, which had a prevalence of 22.6%. More than 43% of patients needed more information and this was correlated with anxiety (r = 0.629; p < 0.001). There was a significant difference when comparing the total anxiety between the group of participants who had more pain and that who had less pain (p < 0.001). The prevalence of anxiety was high in the participants of this study, being greater in young patients and in women. There was a deficit of information, increasing the level of preoperative anxiety, which in turn was related with greater postoperative pain.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study

Navarro-Gastón

Munuera-Martínez

2020

IJERPH

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“…Kaydu and Gokcek [17] with patients undergoing extracorporeal lithiasis by shockwaves and Laufenberg et al [16] in elective surgery or in urological surgery showed similar results. Mandy and Feeney [18] highlighted the importance of evaluating pre-operative anxiety in foot surgery and showed similar results. However, they mentioned that these results could be due to the use of other scales, the type of anesthesia, the sample size, or the place in which it was done.…”

Section: Discussionmentioning

confidence: 70%

To Observe and Assess Relation Between Pre-Operative Anxiety and Post-Operative Pain in Laparoscopic Bariatric Surgery Patients

ARYA,

SIKARWAR,

SINGH

et al. 2023

Asian J Pharm Clin Res

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Background: Pre-operative anxiety in obese patients is expected to be more due to psychological reasons, body habitus, comorbidities, and fear of not waking up from anesthesia. It is associated with emotional and physical problems. Predictive factors are complexity of surgery, the anesthesia, post-operative pain, not being appropriately informed, and psychosocial characteristics of the patient. Not many such studies have been conducted in morbidly obese patients. Objectives: The objective of this study was to determine the correlation between pre-operative anxiety and post-operative pain in obese patients undergoing elective laparoscopic bariatric surgery. Methods: Total 200 patients of the American Society of Anesthesiologists Grade I–III were taken, with BMI >30 kg/m2, who were undergoing elective laparoscopic bariatric surgeries. The amsterdam preoperative anxiety and information scale (APAIS) score was recorded a day prior to surgery. Heart rate, blood pressure, respiratory rate, and SpO2 were recorded pre- and postoperatively. Patients were assessed for pain on the visual analog scale (VAS) in post-operative period at 0-, 1-, 2-, 6-, 12-, and 24-h intervals. All the data were entered in master chart and statistically analyzed (Pearson coefficient of correlation test). Results: There is a positive, weak, statistically significant correlation (r=0.157, p=0.026) between anxiety score (APAIS) and post-operative pain (the highest VAS across all hours). Conclusion: Pre-operative anxiety is directly linked to post-operative pain in obese patients undergoing elective laparoscopic bariatric surgery.

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“…It is now recognised how foot and ankle surgeons’ understanding of patients’ mood and anxiety levels can contribute to improving patient care and enhancing patient-practitioner relationships, which, in turn could improve patients perceived outcomes of their surgery. 44 Patients should be supported physically and emotionally to enhance their post-operative outcomes and recovery after surgery. The most useful approach to enhance patients’ outcomes is the biopsychosocial model as the aetiology of pain is grounded within the model and allows for identification of psychosocial factors that impact the pain experience.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study to understand patients’ experiences of their post-operative outcomes following forefoot surgery

Dismore

Wersch

Critchley

et al. 2022

British Journal of Pain

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Background Hallux valgus and hallux rigidus are two common forefoot conditions causing deformity, pain, functional limitations, disability and deteriorating health status resulting in the requirement for surgery. Even when surgery is performed by an experienced surgeon, there remains a potential for patients to experience dissatisfaction and unfavourable outcomes. Adverse results are moderated by psychosocial variables; however, there is a paucity of qualitative research providing insight into how patients perceive their outcomes and the factors affecting their recovery. Objective The study aimed to qualitatively explore patients’ experiences of their surgical outcomes following forefoot surgery and factors associated with their recovery. Semi-structured interviews with 15 patients who received surgery for hallux valgus and/or hallux rigidus were conducted. Results Thematic analysis generated five themes: physical limitations, the psychosocial impact of surgical recovery, regaining normality, patients’ expectations for physical recovery and an altered body-image. Physical and psychosocial factors were inter-related. Patients experiencing problematic outcomes were functionally limited, had low mood and were unable to return to a normal life post-surgery. The women reported weight related issues and were limited in their footwear and clothing choices, negatively impacting on their self-esteem. Conclusion A forefoot condition is multifaceted, with patients experiencing a range of physical and psychological factors that may influence their outcomes and recovery from surgery. Patients need to be supported holistically with the use of a biopsychosocial model. A multidisciplinary approach to care and treatment within the forefoot surgical pathway with the inclusion of allied health professionals will enable to better support patients to enhance their outcomes.

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Changes in Mood State after Day Case Forefoot Surgery

Cited by 3 publications

References 22 publications

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study

To Observe and Assess Relation Between Pre-Operative Anxiety and Post-Operative Pain in Laparoscopic Bariatric Surgery Patients

A qualitative study to understand patients’ experiences of their post-operative outcomes following forefoot surgery

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