Effects of comprehensive nursing on postoperative complications, mental status and quality of life in patients with glioma

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.

Effect of comprehensive nursing on swallowing function and quality of life in patients with ischemic stroke

“…However, a single treatment measure is often difficult to fully alleviate the patient's clinical symptoms and improve the quality of life. Comprehensive nursing is an emerging, comprehensive nursing model that aims to comprehensively assess and improve patients' health status by integrating multi-disciplinary and multi-measure comprehensive interventions[ 6 - 9 ].…”