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首页> 外文期刊>Neuro-oncology practice. >The Aftercare Survey: Assessment and intervention practices after brain tumor surgery in Europe
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The Aftercare Survey: Assessment and intervention practices after brain tumor surgery in Europe

机译:善后调查:欧洲脑肿瘤手术后的评估和干预实践

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摘要

Background People with gliomas need specialized neurosurgical, neuro-oncological, psycho-oncological, and neuropsychological care. The role of language and cognitive recovery and rehabilitation in patients' well-being and resumption of work is crucial, but there are no clear guidelines for the ideal timing and character of assessments and interventions. The goal of the present work was to describe representative (neuro)psychological practices implemented after brain surgery in Europe. Methods An online survey was addressed to professionals working with individuals after brain surgery. We inquired about the assessments and interventions and the involvement of caregivers. Additionally, we asked about recommendations for an ideal assessment and intervention plan. Results Thirty-eight European centers completed the survey. Thirty of them offered at least one postsurgical (neuro)psychological assessment, mainly for language and cognition, especially during the early recovery stage and at long term. Twenty-eight of the participating centers offered postsurgical therapies. Patients who stand the highest chances of being included in evaluation and therapy postsurgically are those who underwent awake brain surgery, harbored a low-grade glioma, or showed poor recovery. Nearly half of the respondents offer support programs to caregivers, and all teams recommend them. Treatments differed between those offered to individuals with low-grade glioma vs those with high-grade glioma. The figure of caregiver is not yet fully recognized in the recovery phase. Conclusion We stress the need for more complete rehabilitation plans, including the emotional and health-related aspects of recovery. In respondents' opinions, assessment and rehabilitation plans should also be individually tailored and goal-directed (eg, professional reinsertion).
机译:神经胶质瘤患者需要专业背景神经外科、neuro-oncologicalpsycho-oncological和神经心理护理。语言和认知恢复的作用在病人的健康和康复恢复工作是至关重要的,但是没有明确理想的时机和指南的评估和干预措施。目前的工作目标是描述代表(神经)心理实践在欧洲实施后脑部手术。写给一个在线调查方法专业与个人合作脑部手术。和干预的介入护理人员。对于理想的评估和建议干预计划。中心完成了调查。提供至少一个手术后的(神经)心理评估,主要是语言与认知,尤其是在早期恢复阶段,在长期的。参与中心提供的28手术后的治疗。被包括在评估的可能性最高和治疗手术后的人清醒的大脑手术,却深藏着一个低级的神经胶质瘤,或者显示可怜的复苏。一半的受访者计划提供支持护理人员,所有团队推荐它们。治疗之间的不同提出低级神经胶质瘤患者比那些高档神经胶质瘤。然而,在经济复苏阶段充分肯定。结论我们强调需要更多的完成康复计划,包括情感和健康方面的复苏。被调查者的意见,评估和康复计划也应单独定制和目标导向(如专业重新插入)。

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