Early medical rehabilitation after neurosurgical treatment of malignant brain tumours in Slovenia

Kos, Nataša; Kos, Boris; Benedičič, Mitja

doi:10.1515/raon-2015-0004

Cited by 18 publications

(16 citation statements)

References 33 publications

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“…Patients with neurological deficits after brain tumor surgery are provided rehabilitation as soon as possible after the procedure [ 68 , 69 , 70 ]. However, given our results, rehabilitation may also be useful in people not manifesting neurological deficits, given the reported decline in physical activity due to cancer and epilepsy.…”

Section: Discussionmentioning

confidence: 99%

Influence of Epilepsy on the Quality of Life of Patients with Brain Tumors

Krajewski

Wójcik

Harat

et al. 2021

IJERPH

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Epilepsy is a common consequence of brain tumors, occurring in 35 to 75% of cases. Here we evaluated the influence of epilepsy on the quality of life (QoL) of patients with malignant brain tumors (primary and metastatic) and assessed which areas of function are most affected by epilepsy and brain tumors. Sixty patients undergoing brain tumor surgery at the Neurosurgery Clinic of the 10th Military Research Hospital, Bydgoszcz, Poland (30 with epilepsy and 30 without epilepsy) were studied. Relationships between categorical variables were determined with Pearson’s chi-squared test, while continuous data were analyzed with the Mann-Whitney U-test. A p value < 0.05 was considered statistically significant. A multiple regression model was used for multivariate analysis of QoL. Patients with epilepsy more frequently reported memory disorders as a problem in their daily life. There were trends towards greater impairments in social, professional, and family life, sports and recreational activities, and daily physical activities in brain tumor patients with epilepsy rather than those without epilepsy. Higher frequency and generalized seizures significantly and adversely influenced the ability of patients to leave home and drive vehicles, but a proportion of patients with frequent, generalized seizures continued to drive regardless. Patients with generalized seizures considered the adverse effects of taking medicines as significantly disruptive. Memory disorders significantly affect the QoL of patients with epilepsy, and the importance of stopping driving must be emphasized by all healthcare professionals.

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Section: Discussionmentioning

confidence: 99%

Influence of Epilepsy on the Quality of Life of Patients with Brain Tumors

Krajewski

Wójcik

Harat

et al. 2021

IJERPH

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“…After 3 months, the percentage of independent patients increased to 52.4%. Kos et al [25] in their work emphasize that in patients with a central nervous system hyperplasia, a more accurate assessment of the functional condition should be made both before as well as after the surgery. It is the functional activity recognized which future comprehensive treatment of the patient depends on.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Everyday Activities in Patients after Brain Tumor Surgery

Ślusarz

Królikowska

Jabłońska

et al. 2018

PNIN

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Introduction. Functional fitness enables satisfying and performing basic everyday needs in a safe and independent way. Its assessment is currently the basic component of the overall assessment of the patient. Aim. The aim of the study was to evaluate the functional capacity of patients after brain tumor surgery. The analysis included selected factors that may affect patient's performance after the surgery. Material and Methods. The study included 165 patients of neurosurgical wards hospitalized for a brain tumor. Surgeries were performed in all of them-and consisted in partial or complete removal of the pathological mass by craniotomy. Patient's functional assessment on the day of admission and on the discharge day was analyzed with the use of FCS, KPS, BI, FIR, GOS scales. Results. The largest number of respondents on the day of admission were patients in the first group according to FCS scale-independent-138 respondents (83.6%). None of the patients qualified for group IV with total dependence. In turn, on the day of discharge, the percentage of respondents qualified to group I was 127 people (77.0%), whereas 1 person became completely dependent. Similar results were obtained in other measuring tools. The observed differences in each of the tests carried out did not turn out to be statistically significant. On KPS, BI and GOS scales, the age turned out to be statistically significant at p=0.000. On the other hand, on FCS, KPS and GOS scales, the state of consciousness was also statistically significant at p=0.000. Conclusions. Most of the respondents show very good functional capacity both on the day of admission and on the day of discharge. However, patients scored slightly better on the day of admission to the ward. Such factors as age and consciousness before surgery significantly affect patient's functional capacity on the day of discharge. (JNNN 2018;7(3):111-117

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“…Also in the research carried out by Yano et al [28] with the use of SF-36 form 26 participants had considerably lower scores in functional and psychological condition after operation. Kos et al [29] indicate in their study that the assessment of functional condition in patients with proliferative disorder of central nervous system should be done with more precision both before and after oncological treatment. The identification of functional activity is one of the main factors that determine further complex treatment of a patient.…”

Section: Discussionmentioning

confidence: 99%

The Functional Assessment of Patients in the Period of Neurosurgical Treatment

Ślusarz

Królikowska

Jabłońska

et al. 2016

PNIN

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Introduction. The interests of scientists, especially in the field of medicine and health science, contemplate the functional condition of patient in recent years. Proper functional capacity with good state of being and psychological attitude are the most important health indicators. Proper functional capacity is defined as the ability for independent performance and covering of basic vital needs, e.g. the control of the sphincter, nutrition, mobility and maintaining proper hygiene. The proper functional capacity of the whole system of vital activities means independence. Aim. The main aim of this study was the functional assessment of patients in the period of neurosurgical treatment. Material and Methods. The study included 415 patients hospitalized on neurosurgical wards. The functional capacity of patients was assessed twice (on the day of admission -Assessment 1 and on the day of discharge -Assessment 2). Functional capacity was analyzed using Functional Capacity Scale (FCS). The direct observation with measurement technique was used. The research proposal was approved by the bioethics committee. Results. On the day of admission, most of the patients (n=249; 60%), showed independence. Most of the independent patients were in the group of patients with tumors -138 (83.6%), the second group were patients with brain aneurysm -63 (63.0%) and the third group were patients with trauma -48 (32.0%) (p<0.05). Most of the patients (n=314; 76%) were independent on the day of discharge. Among them, there were patients with brain tumor -127 (77.0%), trauma -112 (74.7%) and aneurysm -75 (75.0%) (p>0.05). Conclusions. Most of the patients after neurosurgical treatment showed better functional capacity when compared with the period before it. Patients with brain tumors showed considerably better functional capacity on the day of admission when compared with patients with trauma or aneurysm. (JNNN 2016;5(2):46-52) Key Words: functional capacity, FCS, neurosurgery Streszczenie Wstęp. Na przestrzeni ostatnich lat zainteresowania naukowców głównie z obszarów medycyny i nauk o zdrowiu, kontemplują się wokół oceny stanu funkcjonalnego pacjenta. Zadowalająca wydolność funkcjonalna wraz z dobrym samopoczuciem i psychologicznym nastawieniem stanowi najważniejszy wskaźnik zdrowia. Definiuje się ją jako zdolność do samodzielnego realizowania i zaspokajania podstawowych potrzeb życiowych tj. kontroli czynności zwieraczy, odżywiania, poruszania, czy utrzymywania higieny osobistej. Prawidłowa wydolność funkcjonalna całego ustroju do pełnienia czynności życiowych oznacza niezależność. Cel. Głównym celem pracy była ocena czynnościowa pacjentów w okresie leczenia neurochirurgicznego. Materiał i metody. Badania przeprowadzono na grupie 415 pacjentów hospitalizowanych na oddziale neurochirurgii. Badanie polegało na dwukrotnej ocenie stanu czynnościowego pacjenta (w dniu przyjęcia -ocena 1 i w dniu wypisu -ocena 2) za pomocą Functional Capacity Scale (FCS). W tym celu zastosowano obserwację bezpośrednią z wykorzystaniem pomiaru. Na przeprowadz...

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Early medical rehabilitation after neurosurgical treatment of malignant brain tumours in Slovenia

Cited by 18 publications

References 33 publications

Influence of Epilepsy on the Quality of Life of Patients with Brain Tumors

Influence of Epilepsy on the Quality of Life of Patients with Brain Tumors

Evaluation of Everyday Activities in Patients after Brain Tumor Surgery

The Functional Assessment of Patients in the Period of Neurosurgical Treatment

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