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Medicine (Baltimore) ; 98(7): e14411, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30762744

ABSTRACT

To compare the effect of perioperative holistic care versus conventional care on the levels of anxiety and depression of pituitary tumor patients at a single tertiary care center in China.We enrolled 100 patients who underwent transnaso-sphenoidal microsurgical resection of pituitary tumor at our institution between January 2017 and December 2017. The patients were assigned to the conventional care group (n = 50) and the holistic care group by the order of admission. Patients were evaluated by staff nurses at admission and upon discharge from the hospital using the self-rating anxiety scale (SAS), and the self-rating depression scale (SDS). QoL was assessed using EORTC QLQ-C30.The 2 groups were comparable in the demographic and baseline variables including baseline SDS and SAS scores (P > .05). A significantly greater reduction in SAS score was observed in the holistic care group versus the conventional care group (-19.14% vs -11.60%; P < .05). Moreover, we observed a significantly greater reduction in SDS score in the holistic care group versus the conventional care group (-40.4% vs -18.79%, P < .05). The QoL functional domain scores at discharge were significantly higher in the holistic care group than the conventional care group (P < .05).Perioperative holistic care significantly alleviates the levels of anxiety and depression and improves QoL of pituitary adenoma patients.


Subject(s)
Anxiety/therapy , Depression/therapy , Holistic Health , Perioperative Care/methods , Pituitary Neoplasms/psychology , Adult , Anxiety/etiology , China , Depression/etiology , Female , Humans , Male , Middle Aged , Pituitary Neoplasms/surgery , Quality of Life , Treatment Outcome
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