What is the impact of perioperative stress management sessions on patient well-being during colorectal cancer treatment? Results of a prospective, randomized, single-center study

IF 2.3 4区医学 Q2 SURGERY

Journal of Visceral Surgery Pub Date : 2026-06-01 Epub Date: 2026-02-09 DOI:10.1016/j.jviscsurg.2026.01.009

Benoit Romain , David Liu , Marie Jeanneau-Degallaix , François Severac , Odile Rohmer , Simone Manfredelli , Cécile Brigand , Dominique Guenot

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引用次数: 0

Abstract

Introduction

Improving patients’ quality of life during and after their illness has become a major objective in the field of oncology. The aim of this study was to analyze the impact of stress management sessions on improving quality of life upon discharge in patients undergoing colorectal cancer surgery.

Methods

Patients undergoing colorectal cancer surgery were randomized between a group that received perioperative stress management sessions as part of an Enhanced Rehabilitation After Surgery (ERAS) program and a group that did not. Outcomes were assessed using questionnaires before, during, and at discharge from hospitalization. Well-being, fatigue score, and quality of life were assessed using the Manifestations of Psychological Well-Being Scale (EMMBEP), the Multidimensional Fatigue Inventory (MFI), and the FACT-C scale (Functional Assessment of Cancer Therapy-Colorectal), respectively. Pain and sleep were assessed using a Visual Analog Scale. The effectiveness of stress management sessions was evaluated at discharge, and patient satisfaction was assessed at one month. Length of hospital stay and complications were compared between the two groups.

Results

Of a total of 154 patients who were randomized in the study, four patients were excluded because they did not undergo surgery, leaving 74 in the control group and 76 in the experimental group. The results showed no statistically significant difference between the two groups in terms of demographics. Stress management sessions did not improve patients’ quality of life at discharge. Preoperative well-being was inversely correlated with the MFI fatigue score (P < 0.001). Length of hospital stay and postoperative complications were not influenced by stress management sessions.

Conclusion

Perioperative stress management sessions for colorectal cancer did not demonstrate a positive impact on quality of life at hospital discharge, and neither length of hospital stay nor postoperative complication rates were influenced by stress management sessions.

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围手术期应激管理对结直肠癌治疗期间患者幸福感的影响是什么？一项前瞻性、随机、单中心研究的结果。

前言：提高患者在病中和病后的生活质量已成为肿瘤学领域的主要目标。本研究的目的是分析压力管理课程对改善结直肠癌手术患者出院后生活质量的影响。方法：接受结直肠癌手术的患者被随机分为两组，一组接受围手术期压力管理，作为手术后增强康复（ERAS）计划的一部分，另一组没有接受压力管理。在住院前、住院期间和出院时使用问卷评估结果。幸福感、疲劳评分和生活质量分别采用心理健康表现量表（EMMBEP）、多维疲劳量表（MFI）和FACT-C量表（结直肠癌治疗功能评估）进行评估。疼痛和睡眠用视觉模拟量表评估。出院时评估压力管理会议的有效性，并在一个月时评估患者满意度。比较两组患者住院时间及并发症发生情况。结果：在154例随机纳入研究的患者中，有4例患者因未接受手术而被排除，对照组74例，实验组76例。结果显示两组在人口统计学上没有显著差异。压力管理课程并没有改善患者出院时的生活质量。术前幸福感与MFI疲劳评分呈负相关(结论：结直肠癌围手术期压力管理对出院时的生活质量没有积极影响，住院时间和术后并发症发生率均不受压力管理的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Visceral Surgery SURGERY-

CiteScore

2.00

自引率

9.50%

发文量

108

审稿时长

>12 weeks

期刊介绍： The Journal of Visceral Surgery (JVS) is the online-only, English version of the French Journal de Chirurgie Viscérale. The journal focuses on clinical research and continuing education, and publishes original and review articles related to general surgery, as well as press reviews of recently published major international works. High-quality illustrations of surgical techniques, images and videos serve as support for clinical evaluation and practice optimization. JVS is indexed in the main international databases (including Medline) and is accessible worldwide through ScienceDirect and ClinicalKey.