Predictors of Quality of Life in Patients with Primary Brain Tumors after Surgery

Main Article Content

ฉัตรกมล ประจวบลาภ ประภาพร จินันทุยา

Abstract

        This research is descriptive research to study the power of the predictive effect of functional recovery and social support on the quality of life in patients after surgery for primary brain tumors. The population of this study was selected according to the criteria of the sample collection of 80 people aged 18 years and over who were diagnosed with primary brain tumors and underwent surgical treatment at a hospital in Bangkok. Collected data regarding the postoperative period within 30 days and the date that the service recipient came to check for the first follow up appointment. With the personal information questionnaire, functional recovery questionnaire, social support questionnaire and the quality of life questionnaire for brain tumor patients that analyze data by descriptive and enter regression statistics.


        The results show that the sample had a slight recovery in the level of dependency function of 93.80 percent, the highest social support of 63.75 percent. The quality of life of primary brain tumor patients undergoing surgical treatment had an average of 94.11 (SD = 11.74), most of them had the lowest quality of life (82.50 percent), good social support might facilitate good quality of life, which can be operated for 9 percent (R = .307, R2 = 0.094, p < .01).


        The results of this study supporting the ideology of transitional theory that the transition process from illness with factors can promote and inhibit transition. A patient with good social support results in a good quality of life. Functional recovery may not inhibit transition in patient with brain tumors and a high level of consciousness which found that most of the sample had the slightest dependency on others. In addition, the sample group had helpers to take care of them during illness. All nurses should encourage family members to participate in patient care. To promote rehabilitation of patients during hospitalization, patient recovery including stress assessment, anxiety or methods of coping or dealing with the symptoms of patients may have a transitional deterrent effect.

Keywords

Article Details

Section
บทความวิจัย (Research Report)

References

1. Jalali R, Dutta D. Factors influencing quality of life in adult patients with primary brain tumors. Neuro Oncol 2012;14(Suppl 4):iv8-16.

2. Mukdaprawat P, Danaidutsadeekul S, Chanruangvanich W, Itthimathin P. Relationships between brain tumor grading, severity of neurological deficit, nutritional status and functionalstatus in brain tumor patients during hospital stay. J Nurs Sci 2012;30(3):46-54. (in Thai)

3. Arsanok A, Jitpanya C, Kaoroptham S. Selected factors related to quality of life in adult patients with brain tumor. Journal of Public Health Nursing 2006;22(2):45-60. (in Thai)

4. Liu R, Page M, Solheim K, Fox S, Chang SM. Quality of life in adults with brain tumors: current knowledge and future directions. Neuro Oncol 2009;11(3):330-9.

5. Taphoorn MJ, Sizoo EM, Bottomley A. Review on quality of life issues in patients with primary brain tumors. Oncologist 2010;15(6):618-26.

6. Huang ME, Wartella JE, Kreutzer JS. Functional outcomes and quality of life in patients with brain tumors: a preliminary report. Arch Phys Med Rehabil 2001;82(11):1540-6.

7. Khwandee N, Thosingha O, Danaidutsadeekul S, Riansuwan K. The relationship between pain, depression, social support and functional recovery in post operative hip fracture in older persons. Vajira Nursing Journal 2011;13(1):68-81. (in Thai)

8. Parvataneni R, Polley MY, Freeman T, Lamborn K, Prados M, Butowski N, et al. Identifying the needs of brain tumor patients and their caregivers. J Neurooncol 2011;104(3):737-44.

9. Intarasomchai T, Bechbuch N. Quality of life in patients with pituitary tumor. Siriraj Nursing Journal 2011;4(1):12-23. (in Thai)

10. Jitapankul S. Principles of geriatric medicine. Bangkok: Chulalongkorn University Printing House; 2541.

11. Sherbourne CD, Stewart AL. The medicaloutcomes survey social support survey. Soc Sci Med 1991;32:705-14.

12. Kanter C, D'Agostino NM, Daniels M, Stone A, Edelstein K. Together and apart: providing psychosocial support for patients and families living with brain tumors. Support Care Cancer 2014;22(1):43-52.

13. Cahill J, LoBiondo-Wood G, Bergstrom N, Armstrong T. Brain tumor symptoms as antecedents to uncertainty: an integrative review. J Nurs Scholarsh 2012;44(2):145-55.

14. Goebel S, Stark AM, Kaup L, von Harscher M, Mehdorn HM. Distress in patients with newly diagnosed brain tumours. Psychooncology 2011;20(6):623-30.

15. Tsay SL, Chang JY, Yates P, Lin KC, Liang SY. Factors influencing quality of life in patients with benign primary brain tumors: prior to and following surgery. Support Care Cancer 2012;20(1):57-64.

16. Kim CW, Joo JD, Kim YH, Han JH, Kim CY. Health-related quality of life in brain tumor patients treated with surgery: preliminary result of a single institution. Brain Tumor Res Treat 2016;4(2):87-93.

17. Affronti ML, Randazzo D, Lipp ES, Peters KB, Herndon SC, Woodring S, et al. Pilot study to describe the trajectory of symptoms and adaptive strategies of adults living with low-grade glioma. Semin Oncol Nurs 2018;34(5):472-85.

18. Pimsarn P, Jitpanya C. Relationships among symptom cluster, method of coping and health related quality of life in brain tumor patients receiving brain surgery. HCU Journal of Health Science 2016;20(39):57-68. (in Thai)

19. Tharaporn S, Thanasilp S. Relationships between symptoms, social support, and quality of life in head and neck cancer male patients treated with radiation, southern region. JNSCU 2014;26(2):135-48. (in Thai)

20. Yalla M, Abedini M, Hassanzadeh R. Comparison of social support in brain tumor patients and healthy subjects. IRJABS 2013;5(3):282-6.

21. Lageman SK, Brown PD, Anderson SK, Lachance DH, Yan E, Laack NN, et al. Exploring primary brain tumor patient and caregiver needs and preferences in brief educational and support opportunities. Support Care Cancer 2015;23(3):851-9.

22. Bunevicius A, Tamasauskas S, Deltuva V, Tamasauskas A, Radziunas A, Bunevicius R. Predictors of health-related quality of life in neurosurgical brain tumor patients: focus on patient-centered perspective. Acta Neurochir (Wien) 2014;156(2):367-74.