Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2022; 10(22): 7825-7831
Published online Aug 6, 2022. doi: 10.12998/wjcc.v10.i22.7825
Effects of comprehensive nursing on postoperative complications, mental status and quality of life in patients with glioma
Heng Dong, Xiao-Li Zhang, Chun-Xiang Deng, Bo Luo
Heng Dong, Xiao-Li Zhang, Chun-Xiang Deng, Bo Luo, Department of Neurosurgery, Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China
Author contributions: Dong H, Zhang XL, Deng CX, and Luo B contributed to the design of the study; Dong H wrote the manuscript; All authors have read and approve the final manuscript.
Institutional review board statement: The study was approved by the Nanchong Central Hospital Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors report no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bo Luo, MD, Doctor, Department of Neurosurgery, Nanchong Central Hospital, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. 469834123@qq.com
Received: February 21, 2022
Peer-review started: February 21, 2022
First decision: March 23, 2022
Revised: April 10, 2022
Accepted: June 22, 2022
Article in press: June 22, 2022
Published online: August 6, 2022
Processing time: 151 Days and 5.2 Hours
Abstract
BACKGROUND

The complexity and refractory of brain glioma requires treatment that should involve a multidisciplinary approach to improve quality of care and fulfill patients’ needs.

AIM

To explore the effects of comprehensive nursing on postoperative complications, psychological state and quality of life in patients with brain glioma.

METHODS

A total of 106 patients with confirmed brain gliomas admitted to Nanchong Central Hospital between January 2019 and May 2021 were selected by random sampling. They were categorized into an observation group and a control group using a random number table with 53 patients in each group. Patients in the observation group were given comprehensive nursing in addition to conventional nursing and patients in the control group were given conventional nursing. The overall incidence of postoperative complications including limb dysfunction, high fever and epilepsy was compared between the two groups. The mental status was evaluated in the two groups before and after intervention using self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Quality of life was assessed and compared using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire between the two groups before and after the intervention.

RESULTS

After intervention, the overall incidence of postoperative complications was significantly lower in the observation group (7.55%) than that in the control group (20.75%) (P < 0.05). Before intervention, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). However, after intervention, scores of SAS and SDS decreased in the two groups compared with those before intervention, and the scores of SAS and SDS were lower in the observation group than in the control group (all P < 0.05). There was no significant difference in quality of life between the two groups before the intervention (P > 0.05). In contrast, quality of life increased in the two groups compared with those before intervention, and it was higher in the observation group than in the control group (P < 0.05).

CONCLUSION

Comprehensive nursing can reduce the incidence of postoperative complications, improve the psychological state of anxiety and depression and improve quality of life in patients with brain glioma.

Keywords: Brain glioma; Comprehensive nursing; Complications; Mental state; Quality of life

Core Tip: Treatment for brain glioma is always challenging. Surgery associated complications, psychological dysfunction and poor quality of life are some of the more common harms of the disease and should be actively managed. Comprehensive nursing aims to increase patients’ knowledge about their disease and encourages patients to improve their confidence and positive attitude to manage their disease through evaluation and intervention measures. This study explored the effectiveness of comprehensive nursing in relieving anxiety and depression and optimizing quality of life in patients with brain glioma undergoing operation.