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ORIGINAL PAPER
Determinants of emotional status, mood, and well-being in patients undergoing laparoscopic surgical treatment
 
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1
Division of Oncology and Palliative Care, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
 
2
Department of Surgery, 4th Military Teaching Hospital, Wroclaw, Poland
 
3
Division of Nervous System Diseases, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
 
 
Submission date: 2019-03-31
 
 
Final revision date: 2019-10-08
 
 
Acceptance date: 2019-11-14
 
 
Publication date: 2019-12-30
 
 
Medical Studies 2019;35(4):277-282
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Hospitalisation affects patients’ well-being. Surgery intensifies negative feelings because of risk of postoperative complications, fear of anaesthesia, and pain associated with surgery.

Aim of the research:
To analyse the impact of selected determinants (physical activity, self-dependence, and perceived pain) on the mood and well-being of patients treated with surgery.

Material and methods:
The study included 121 patients who had undergone a laparoscopic surgical operation (80 cholecystectomies and 41 appendectomies). The State-Trait Anxiety Inventory (STAI) and the Functional Assessment of Chronic Illness Therapy (FACIT) were applied.

Results:
Physically active patients presented with significantly better well-being (p = 0.015) and better emotional reaction to a disease (p = 0.017) than those who declared lack of physical activity. The ability to move independently significantly increased the patient’s mood (p = 0.030) and the level of emotional reaction to a disease (p < 0.0005). The presence of pain negatively affected the patient’s mood (p = 0.032). Patients presented reduced mood and increased level of anxiety.

Conclusions:
The presence of symptoms associated with surgery, such as pain and decreased physical fitness, negatively affect mood, well-being, and emotional reaction to a disease in patients treated with surgery. A greater degree of self-dependence increases patients’ mood, well-being, and emotional reaction to disease.
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