title: Changes in mood state after day case forefoot surgery.
abstract: Limited published data exploring patients' emotional recovery after day case foot surgery are available. The aim of the present study was to explore the changes in patient mood from preoperatively to 8 weeks postoperatively after outpatient forefoot surgery. The patients completed the Profile of Mood States-Bipolar™ questionnaire, Speilberger State-Trait Anxiety Inventory, and a 10-cm visual analog scale to measure pain preoperatively and again at 1, 2, and 8 weeks postoperatively. Of the 6 mood subscales, 3 showed statistically significant improvements by 8 weeks postoperatively: composed-anxious (Student's t test, t = -5.319; df = 84; p = .05); confident-unsure (t = -2.074; df = 84; p = .02); and clearheaded-confused (t = -2.46; df = 84; p = .007). Furthermore, the decrease in anxiety and pain was statistically significant after foot surgery. These findings have contributed to the understanding of patients' psychological needs in relation to outpatient day case foot surgery, and foot and ankle surgeons' understanding of patients' mood and anxiety levels can contribute to improving patient care and enhancing patient-practitioner relationships, which, in turn, could improve patients' perceived outcomes of their surgery.
authors.affiliation: Reader, Director of Post Graduate Studies, Centre for Health Research, University of Brighton, Eastbourne, Sussex, United Kingdom. Electronic address: am86@brighton.ac.uk.
authors.forename: Anne
authors.initials: A
authors.lastname: Mandy
authors.affiliation: Consultant Podiatric Surgeon, West Middlesex University Hospital, Isleworth, Middlesex, United Kingdom.
authors.forename: Sally
authors.initials: S
authors.lastname: Feeney
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000523:psychology*; D001007:Anxiety; D005260:Female; D005545:Forefoot, Human / Q000601:surgery*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000523:psychology*; D010149:Postoperative Pain / Q000523:psychology; D011184:Postoperative Period; D011446:Prospective Studies
keywords: anxiety; day surgery; emotional state; outcome; pain