Psychological Stress Response and Postoperative Rehabilitation Quality of Intracranial Tumor Patients: Effect of Perioperative Psychological Care

Summary

This study investigates the impact of perioperative psychological care on psychological stress responses, postoperative recovery metrics, and complication rates in patients with intracranial tumors (ICTs). A randomized controlled trial design was employed to compare outcomes between patients receiving standard care and those receiving augmented psychological interventions.

Abstract

The aim of this study was to explore the impact of perioperative psychological care on patients with intracranial tumors (ICTs), so as to offer a reference for clinical practice. A total of 142 ICT patients, who were admitted to Shanxi Provincial People's Hospital from March 2023 to August 2024, were enrolled in this research. Among them, 75 patients received routine perioperative care (control group), while the other 67 patients were provided with perioperative psychological nursing (research group). The Self-rating Anxiety/Depression Scale (SAS/SDS) of both groups before and after nursing was compared, and the Connor-Davidson Resilience Scale (CD-RISC) was employed to assess patients' psychological stress responses. After nursing, the SAS and SDS scores of the research group were significantly lower compared with the control group, whereas the CD-RISC score was notably higher (P < 0.05). Moreover, the Pittsburgh Sleep Quality Index (PSQI), postoperative pain, and quality of life of the two groups were compared. Furthermore, lower Visual Analogue Scale (VAS) scores on postoperative days 3 and 5 were determined in the research group, with superior sleep quality and quality of life (P < 0.05). In conclusion, perioperative psychological care for ICTs can effectively ameliorate patients' negative psychological states and mitigate their psychological stress responses.

Introduction

Intracranial tumors (ICTs), recognized as the most prevalent malignancy in the central nervous system, predominantly originate in regions such as the pituitary gland, meninges, and central tissues. According to relevant statistical data, the average incidence rate of ICTs approximates 24.71 per 100,000 individuals globally¹. Due to their distinctive intracranial growth patterns, ICTs have a high propensity to compress or infiltrate the surrounding brain and nerve tissues. This, in turn, poses substantial challenges to the treatment of ICTs, concomitantly leading to a significant elevation in the risks of mortality and morbidity among patients

Protocol

This study has been approved by the ethics committee of Shanxi Provincial People's Hospital (No. 2025521) and was conducted in strict accordance with the Helsinki Declaration.

1. Research subjects

ICT patients admitted to Shanxi Provincial People's Hospital from March 2023 to August 2024 were selected for retrospective analysis. The required sample size was calculated using the formula: N = Z² × [P × (1 - P)] / E². The calculation indicated that a minimum of 96 research subjects were needed (parameter settings: Z = 1.96, E = 10%, P = 0.5). After screening acc....

Results

Psychological status
The two groups were not markedly different in the SAS, SDS, and CD-RISC scores before nursing (P > 0.05). After nursing, both groups exhibited a reduction in the SAS and SDS scores, with those of the research group being even lower compared to the control group (P < 0.05). Moreover, in the control group, the scores for optimism and the total score of the CD-RISC increased after nursing (P < 0.05), whereas the scores for resilience and strength .......

Discussion

In this research, perioperative psychological care was found to effectively improve the psychological state of patients with ICTs and enhance postoperative recovery (Figure 2). These findings provide a more reliable safety guarantee for the future treatment of ICTs.

First, the psychological status of patients was analyzed. After nursing, the SAS and SDS scores of the research group decreased while the CD-RISC score increased, consistent with the findings of So.......

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
Automatic chemiluminescence analyzer	Cobas	5800	The cobas 5800 System is a compact, fully automated molecular system that balances a broad menu and testing efficiency with flexible workflows and ease-of-use.
GraphPad Prism	GraphPad Software	v9.0.0	Drawing software
SPSS	IBM	v23.0	Statistical analysis software