Observational studyWorld journal of gastroenterology2025
Postoperative depression and anxiety in patients undergoing intestinal tumor surgery: Incidence, predictors, and impact on quality of life.
Observational study in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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3 authors.
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Abstract
backgroundPostoperative depression and anxiety among patients with intestinal tumor surgery are closely related to inflammation and nutritional imbalance, which in turn, can affect quality of life.
aimTo systematically evaluate the occurrence regularity of depression and anxiety, predictive factors, and dynamic effects on the quality of life of patients after intestinal tumor surgery, to provide a basis for clinical psychological intervention.
methodsThis prospective observational study included 120 patients who underwent intestinal tumor surgery. The Hamilton Depression Scale (HAMD-17) and Self-Rating Anxiety Scale (SAS) were applied on the 3
resultsIn this study sample, the depression and anxiety scores decreased significantly with time (decreases from the 3
conclusionPsychological disorders after surgery for intestinal tumors are closely related to inflammation activation and nutritional imbalance, and are most significant in the early postoperative period. Intraoperative hypotension and postoperative NLR/AFR abnormalities are strong predictors of psychological risks. Inflammatory markers also play a key intermediary role in the impact of postoperative psychological disorders on quality of life. We recommend measuring NLR and AFR at 24 hours postoperatively, with intervention thresholds set at NLR > 7.0 and AFR < 12.0. Intraoperative blood pressure should be maintained above 90 mmHg to reduce psychological risks. Importantly, a physical and mental integration rehabilitation model should be implemented.
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