Sense of coherence and other predictors of pain and health following laparoscopic cholecystectomy

Scandinavian Journal of Caring Sciences
Cajsa BarthelssonÅke Norberg

Abstract

Pain is the most common symptom following laparoscopic cholecystectomy (LC) and might delay discharge from hospital after day surgery. A patient's ability to manage stressful situations can be assessed by the sense of coherence (SOC) and has been proposed to predict health. The aim of this study was to investigate predictors of average pain the first postoperative week after LC, and predictors of changes in perceived health, with special reference to individual coping resources measured by the Sense of Coherence Scale. Furthermore, a test-re-test was performed on SOC to evaluate the stability in the context of LC surgery. Seventy-three patients completed questionnaires about SOC, health status, pain, anxiety, symptom occurrence and symptom distress preoperatively, postoperative day 1-7 and after 1 and 6 months following LC. By multiple regression, 23% of the variability in pain intensity could be explained by the variables age, SOC and education. Age was the strongest predictor. Further, 19% of the change in health between day 7 and 1 month could be explained by the two variables symptom distress the first postoperative day and SOC. The test-re-test of SOC had a correlation coefficient (r) of 0.55. Forty-six patients (63%) rema...Continue Reading

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Citations

Oct 19, 2013·International Psychogeriatrics·Ulrich WiesmannHans-Joachim Hannich
Dec 29, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Abdul R HakeemAdrian M Harris
Apr 22, 2014·Immunology and Allergy Clinics of North America·Daniela S MouraOlivier Hermine
Aug 13, 2021·Nursing in Critical Care·Åse ValsøKirsti Tøien

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