تأثير جراحي بر اختلالات رواني و شناختي بيماران مبتلا به تومور مغزي گليوما

The Effect of Surgery on Cognitive and Mental Impairments in Patients with Glioma Brain Tumor

ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﺗﻮﻣﻮﺭ ﻣﻐﺰﻱ ﮔﻠﻴﻮﻣﺎ ﺗﺤﺖ ﺗﺄﺛﻴﺮ ﺟﺮﺍﺣﻲ ﺩﭼﺎﺭ ﺗﻐﻴﻴﺮﺍﺕ ﺭﻭﺍﻧﻲ ﻭ ﺷﻨﺎﺧﺘﻲ ﻣﻲ ﺷﻮﻧﺪ ﻭ ﻧﻴﺎﺯ ﺑﻪ ﺑﺎﺯﺗﻮﺍﻧﻲ ﻭ ﺩﺭﻣﺎﻥ ﺩﺍﺭﻧﺪ. ﻫﺪﻑ ﺍﺯ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺗﻌﻴﻴﻦ ﺗﺄﺛﻴﺮ ﺟﺮﺍﺣﻲ ﺑﺮﺍﻱ ﺍﻳﻦ ﺍﺧﺘﻼﻻﺕ ﻣﻲ ﺑﺎﺷﺪ. ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﻲ ﺣﺎﺿﺮ ﺑﺮ 94 ﺑﻴﻤﺎﺭ ﻣﺒﺘﻼ ﺑﻪ ﺗﻮﻣﻮﺭ ﻣﻐﺰﻱ ﮔﻠﻴﻮﻣﺎ ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﻭ ﺑﺮﺍﻱ ﺍﺭﺯﻳﺎﺑﻲ ﺷﻨﺎﺧﺘﻲ ﺍﺯ ﭘﺮﺳﺸﻨﺎﻣﻪ MMSE، ﭘﺮﺳﺸﻨﺎﻣﻪ ﺍﻓﺴﺮﺩﮔﻲ ﺑﮏ، ﻭ ﺍﺿﻄﺮﺍﺏ ﻫﻤﻴﻠﺘﻮﻥ ﺩﺭ ﻗﺒﻞ ﻭ ﺑﻌﺪ ﺍﺯ ﺟﺮﺍﺣﻲ ﺍﺳﺘﻔﺎﺩﻩ ﮔﺮﺩﻳﺪ. ﻳﺎﻓﺘﻪ ﻫﺎ: ﺗﻔﺎﻭﺕ ﻣﻌﻨـﺎﺩﺍﺭﻱ ﺩﺭ ﺍﻣﺘﻴﺎﺯﺍﺕ ﺁﺯﻣـﻮﻥ ﻫﺎﻱ MMSE، ﺍﻓﺴـﺮﺩﮔﻲ ﺑﮏ ﻭ ﺍﺿﻄـﺮﺍﺏ ﻫﻤﻴﻠﺘﻮﻥ ﺩﺭ ﻗﺒﻞ ﻭ ﺑﻌﺪ ﺍﺯ ﺟﺮﺍﺣﻲ ﻣﺸﺨﺺ ﺷﺪ )0/05

Introduction & Objective: Patients with glioma brain tumor are encountered with cognitive and mental changes under the influence of surgery, so that rehabilitation and treatment is required for them. The purpose of current study is to determine the effect of surgery on these impairments. Materials & Methods: The present cross-sectional study was conducted on 94 brain tumor patients and MMSE, Beck depression and Hamilton anxiety questionnaires were used before and after surgery for cognitive and mental assessment. Results: Before and after surgery, a significant difference was identified in MMSE, Beck and Hamilton tests’ scores (P<0.000). Conclusions: Surgery can lead to some kind of changes in cognitive and mental statuses of patients which needs to be investigated before and after surgery. In some cases, rehabilitation and treatment is needed for promotion of life quality and survival.