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颅内脑膜瘤患者术后复发恐惧状况及对恢复进程的影响

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目的 探讨颅内脑膜瘤患者术后复发恐惧状况对其恢复进程的影响.方法 选取 2020 年 5 月至 2022年4 月接受康复治疗的颅内脑膜瘤术后患者,于术后 3 个月采用疾病进展恐惧简化量表(FoP-Q-SF)和格拉斯哥预后评分(GOS)评估颅内脑膜瘤患者术后复发恐惧以及恢复进程,比较不同临床特征患者复发恐惧发生状况、不同恢复进程患者复发恐惧状况,并采用点二列相关性分析颅内脑膜瘤患者术后复发恐惧与其恢复进程的关系.结果 124例脑膜瘤术后患者中发生复发恐惧 39 例(31.45)%;未发生 85 例(68.55%).发生组与未发生组文化水平、肿瘤最大直径、肿瘤分级、康复介入时间和是否发生手术创伤比较,差异有统计学意义(P<0.05);2 组患者其他临床特征比较,差异无统计学意义(P>0.05).GOS评分≤3 分、神经功能缺损(NIHSS评分)>15 分、运动功能(FAM评分)<50 分、营养状态不良、生活质量(SF-36 评分)<500 分的患者FoP-Q-SF评分较高,差异有统计学意义(P<0.05).经点二列相关性检验显示,颅内脑膜瘤患者术后复发恐惧与GOS评分、神经功能缺损、运动功能、营养状态、生活质量呈正相关(r>0,P<0.05).结论 文化水平、肿瘤最大直径、肿瘤分级、康复介入时间和手术创伤对颅内脑膜瘤患者术后复发恐惧的发生有影响,患者术后复发恐惧状况对GOS评分、神经功能缺损、运动功能、营养状态、生活质量有影响.
Postoperative fear of recurrence in patients with intracranial meningiomas and its impact on recovery progress
Objective To explore the impact of postoperative fear of recurrence on the recovery process of patients with intracranial meningiomas.Methods Patients with intracranial meningiomas who underwent rehabilitation treatment from May 2020 to April 2022 were selected as the research subjects.Three months after surgery,patients with intracranial meningiomas were evaluated for fear of recurrence and recovery progress using the Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and the Glasgow Outcome Scale(GOS).The occurrence of fear of recurrence in patients with different clinical characteristics and different recovery processes was compared.The correlation between postoperative fear of recurrence and recovery process in patients with intracranial meningiomas was analyzed by the point biserial correlation.Results A total of 124 postoperative patients with intracranial meningiomas were included.Among them,39(31.45%)developed postoperative fear of recurrence,and 85(68.55%)cases without fear of recurrence.There were significant differences in education level,maximum tumor diameter,tumor grade,intervention time for rehabilitation,and surgical trauma between the occurrence group and non-occurrence group(P<0.05).There were no significant differences in other clinical features between groups(P>0.05).Patients with the GOS score≤3 points,National Institutes of Health Stroke Scale(NIHSS)score>15 points,functional assessment measure(FAM)score<50 points,malnutrition,and the 36-Item Short Form(SF-36)score<500 points had significantly higher FoP-Q-SF scores than those of counterparts(P<0.05).The point biserial correlation showed that the fear of recurrence in patients with postoperative intracranial meningiomas was positively correlated with the GOS score,neurological deficits,motor function,nutritional status,and quality of life(r>0,P<0.05).Conclusion Education level,maximum tumor diameter,tumor grade,rehabilitation intervention time,and surgical trauma influence the occurrence of postoperative fear of recurrence in patients with intracranial meningiomas.The postoperative fear of recurrence in patients with intracranial meningiomas has an impact on the GOS score,neurological deficits,motor function,nutritional status,and quality of life.

intracranial meningiomafear of recurrenceneurological functionmotor function

崔海洋、张翔圣、贠媛、杨露

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102600 北京市,首都医科大学附属北京友谊医院神经外科

颅内脑膜瘤 复发恐惧 神经功能 运动功能

首都医科大学科研培育基金

PYZ22063

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(4)
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