NDLI: Resilience, pain, and health-related quality of life in gynecological patients undergoing surgery for benign and malignant conditions: a 12-month follow-up study

Content Provider	Springer Nature : BioMed Central
Author	Isokääntä, Siiri Ruohoaho, Ulla-Maija Anttila, Maarit Kokki, Hannu Sintonen, Harri Toroi, Petri Kokki, Merja
Abstract	Background Gynecological surgery has many impacts on women’s physical and mental health, and efforts to improve recovery from surgery are constantly under evaluation. Resilience is an ability to overcome stressors and adversities, such as traumas and surgeries. This study aimed to explore patients’ resilience and psychological symptoms in relation to recovery, health-related quality of life (HRQoL), and pain one year after gynecological surgery. Methods In a prospective cohort study, we enrolled consecutive elective gynecologic surgery patients who completed questionnaires before and at one year after surgery: the Resilience Scale-25, the 15D instrument of HRQoL (15D), the Life Satisfaction Scale-4, and the Hospital Anxiety and Depression Scale. Their mean 15D scores were compared to those of an age-matched sample of women from the general Finnish population (n = 2743). Results We enrolled 271 women who underwent gynecological surgery due to benign (n = 190) and malignant (n = 81) diagnoses. Resilience was equally high in women with benign and malignant diagnoses at both time points. Higher resilience associated with less pain, analgesic use, and better pain relief from the use of pain medication at 12 months after surgery. Pain intensity was similar in the two groups, but patients with benign diseases had less pain at 12 months than before surgery. Before surgery, patients’ HRQoL was worse than that of the general population, but at 12 months the mean HRQoL of patients with benign diseases had improved to the same level as that in the general population but had decreased further in patients with malignant diseases. Anxiety was higher and life satisfaction was lower in patients with malignant diseases before surgery. At 12 months, anxiety had decreased in both groups, and life satisfaction had increased in patients with malignant diseases. Depression was similarly low in both groups and time points. Conclusions Resilience correlated with less pain one year after surgery. After surgery, HRQoL improved in patients with benign diseases but deteriorated in patients with malignant diseases. Patients with low resilience should be identified during preoperative evaluation, and health care professionals should give these patients psychological support to enhance their resilience. Trial Registration ClinicalTrials.gov; registered October 29, 2019; identifier: NCT04142203; retrospectively registered.
Related Links	https://bmcwomenshealth.biomedcentral.com/counter/pdf/10.1186/s12905-022-01923-7.pdf
Ending Page	14
Page Count	14
Starting Page	1
File Format	HTM / HTML
ISSN	14726874
DOI	10.1186/s12905-022-01923-7
Journal	BMC Women's Health
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2022-08-16
Access Restriction	Open
Subject Keyword	Gynecology Maternal and Child Health Reproductive Medicine Resilience Pain Quality of life Gynecologic surgery Anxiety Depression Oxycodone
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology Reproductive Medicine
Journal Impact Factor	2.4/2023
5-Year Journal Impact Factor	2.9/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Factors influencing surgical anxiety and postoperative pain: a comprehensive evaluation of psychological and gynecological determinants

Pelvic organ prolapse surgery and health-related quality of life: a follow-up study

Long term follow-up of inguinal endometriosis

Endometriosis in infertile women: an observational and comparative study of quality of life, anxiety, and depression

Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea

Care-seeking behavior of Japanese gynecological cancer survivors suffering from adverse effects

Maternal-fetal bonding during the COVID-19 pandemic

Fertility quality of life (FertiQoL) among Chinese women undergoing frozen embryo transfer

Predictors of quality of life and mental health in breast cancer survivors in Northern Iran

Resilience, pain, and health-related quality of life in gynecological patients undergoing surgery for benign and malignant conditions: a 12-month follow-up study

Similar Documents

Factors influencing surgical anxiety and postoperative pain: a comprehensive evaluation of psychological and gynecological determinants

Pelvic organ prolapse surgery and health-related quality of life: a follow-up study

Long term follow-up of inguinal endometriosis

Endometriosis in infertile women: an observational and comparative study of quality of life, anxiety, and depression

Assessment of anxiety-depression levels and perceptions of quality of life in adolescents with dysmenorrhea

Care-seeking behavior of Japanese gynecological cancer survivors suffering from adverse effects

Maternal-fetal bonding during the COVID-19 pandemic

Fertility quality of life (FertiQoL) among Chinese women undergoing frozen embryo transfer

Predictors of quality of life and mental health in breast cancer survivors in Northern Iran

Resilience, pain, and health-related quality of life in gynecological patients undergoing surgery for benign and malignant conditions: a 12-month follow-up study