Person-centered support for patients with a pituitary tumor following surgery
Objectives: To evaluate whether a person-centered care practice following surgery for pituitary tumors increased psychological well-being. Secondary aims were to study whether person-centered care would lead to better health status, less fatigue and better self-efficacy. Design and methods: This stu...
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| Format: | Article |
| Language: | English |
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Bioscientifica
2025-01-01
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| Series: | Endocrine Connections |
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| Online Access: | https://ec.bioscientifica.com/view/journals/ec/14/3/EC-24-0686.xml |
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| author | Sofie Jakobsson Oskar Ragnarsson Tobias Hallén David Krabbe Ann-Charlotte Olofsson Daniel S Olsson Penelope Trimpou Thomas Skoglund Gudmundur Johannsson |
| author_facet | Sofie Jakobsson Oskar Ragnarsson Tobias Hallén David Krabbe Ann-Charlotte Olofsson Daniel S Olsson Penelope Trimpou Thomas Skoglund Gudmundur Johannsson |
| author_sort | Sofie Jakobsson |
| collection | DOAJ |
| description | Objectives: To evaluate whether a person-centered care practice following surgery for pituitary tumors increased psychological well-being. Secondary aims were to study whether person-centered care would lead to better health status, less fatigue and better self-efficacy. Design and methods: This study is a prospective, single-center study using a quasi-experimental design to evaluate the effect of a 12-month person-centered practice by means of a name-given nurse care manager, an interdisciplinary team and peer support against usual care. All patients (≥18 years) with a benign pituitary tumor and planned for endoscopic transsphenoidal surgery were consecutively invited to participate. Psychological well-being, self-reported health, fatigue and self-efficacy were assessed before surgery, at discharge and 3–6 and 12 months after surgery. Results: In total, 86 patients in the intervention group and 68 patients in the control group were included. Psychological well-being improved 12 months following surgery in both groups to comparable levels. The intervention group had a greater improvement in anxiety compared to the control group (P = 0.02). No differences were seen between groups in self-reported health status, fatigue or self-efficacy. Patients in the intervention group with other types of pituitary tumors than non-functioning pituitary adenomas showed a greater improvement in psychological well-being than in the control group. Conclusion: Our intervention did not result in major advantages in terms of health or psychological well-being. The study does, however, suggest that the intervention may reduce anxiety 12 months after surgery and that certain subgroups of patients may benefit more from a structured person-centered practice following pituitary surgery. |
| format | Article |
| id | doaj-art-18da3dce27d3489b8465a24bcda49a8c |
| institution | Kabale University |
| issn | 2049-3614 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrine Connections |
| spelling | doaj-art-18da3dce27d3489b8465a24bcda49a8c2025-02-05T10:16:28ZengBioscientificaEndocrine Connections2049-36142025-01-0114310.1530/EC-24-06861Person-centered support for patients with a pituitary tumor following surgerySofie Jakobsson0Oskar Ragnarsson1Tobias Hallén2David Krabbe3Ann-Charlotte Olofsson4Daniel S Olsson5Penelope Trimpou6Thomas Skoglund7Gudmundur Johannsson8Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Endocrinology, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Neurosurgery, Gothenburg, SwedenDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Endocrinology, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Endocrinology, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Endocrinology, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Neurosurgery, Gothenburg, SwedenRegion Västra Götaland, Sahlgrenska University Hospital, Department of Endocrinology, Gothenburg, SwedenObjectives: To evaluate whether a person-centered care practice following surgery for pituitary tumors increased psychological well-being. Secondary aims were to study whether person-centered care would lead to better health status, less fatigue and better self-efficacy. Design and methods: This study is a prospective, single-center study using a quasi-experimental design to evaluate the effect of a 12-month person-centered practice by means of a name-given nurse care manager, an interdisciplinary team and peer support against usual care. All patients (≥18 years) with a benign pituitary tumor and planned for endoscopic transsphenoidal surgery were consecutively invited to participate. Psychological well-being, self-reported health, fatigue and self-efficacy were assessed before surgery, at discharge and 3–6 and 12 months after surgery. Results: In total, 86 patients in the intervention group and 68 patients in the control group were included. Psychological well-being improved 12 months following surgery in both groups to comparable levels. The intervention group had a greater improvement in anxiety compared to the control group (P = 0.02). No differences were seen between groups in self-reported health status, fatigue or self-efficacy. Patients in the intervention group with other types of pituitary tumors than non-functioning pituitary adenomas showed a greater improvement in psychological well-being than in the control group. Conclusion: Our intervention did not result in major advantages in terms of health or psychological well-being. The study does, however, suggest that the intervention may reduce anxiety 12 months after surgery and that certain subgroups of patients may benefit more from a structured person-centered practice following pituitary surgery.https://ec.bioscientifica.com/view/journals/ec/14/3/EC-24-0686.xmlpituitary tumornon-functioning pituitary adenomaperson-centered caresurgery |
| spellingShingle | Sofie Jakobsson Oskar Ragnarsson Tobias Hallén David Krabbe Ann-Charlotte Olofsson Daniel S Olsson Penelope Trimpou Thomas Skoglund Gudmundur Johannsson Person-centered support for patients with a pituitary tumor following surgery Endocrine Connections pituitary tumor non-functioning pituitary adenoma person-centered care surgery |
| title | Person-centered support for patients with a pituitary tumor following surgery |
| title_full | Person-centered support for patients with a pituitary tumor following surgery |
| title_fullStr | Person-centered support for patients with a pituitary tumor following surgery |
| title_full_unstemmed | Person-centered support for patients with a pituitary tumor following surgery |
| title_short | Person-centered support for patients with a pituitary tumor following surgery |
| title_sort | person centered support for patients with a pituitary tumor following surgery |
| topic | pituitary tumor non-functioning pituitary adenoma person-centered care surgery |
| url | https://ec.bioscientifica.com/view/journals/ec/14/3/EC-24-0686.xml |
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