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Psychosurgery01:30

Psychosurgery

42
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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  11. Patients' Perceptions Of Brain Health After Surgery: A Mixed-methods Study Of Perioperative Risk Communication In Older Surgical Patients In New Zealand

Patients' perceptions of brain health after surgery: a mixed-methods study of perioperative risk communication in older surgical patients in New Zealand

Carolyn Deng1, Tanisha Jowsey2, Ines Becker3

  • 1Department of Anaesthesia and Perioperative Medicine, Te Toka Tumai Auckland, Auckland, New Zealand; Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

British Journal of Anaesthesia
|February 2, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Patients often underestimate major surgical risks, relying on past experiences and trust in doctors. Personalized risk discussions are crucial, as patients have varying information needs regarding postoperative complications.

Area of Science:

  • Medical research
  • Surgical patient outcomes
  • Risk perception

Background:

  • Adult surgical patients' understanding of major postoperative complications, including neurological risks, was explored.
  • The study also investigated patients' preferences for information regarding these risks.

Purpose of the Study:

  • To assess adult surgical patients' perceptions of major postoperative complication risks.
  • To determine the extent of information patients desire about perioperative risks.
  • To understand factors influencing risk perception in surgical patients.

Main Methods:

  • A mixed-methods approach was employed, combining a 13-item survey with semi-structured interviews.
  • Participants were patients undergoing noncardiac, non-neurologic surgery.
  • Thematic analysis was used for interview data, alongside survey data analysis.
Keywords:
brain healthcognitionconsentdelirium

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Main Results:

  • Most respondents (88%) had prior surgical experience. High concern was noted for major stroke (64%), heart attack (56%), minor stroke (46%), and cognitive decline (43%).
  • Women showed higher concern for cognitive decline than men (OR 1.6, 95% CI 1.1-2.4, P=0.015).
  • Six themes emerged: trust in professionals, hopes/ambitions, impact of past experiences, protective factors (outlook/spirituality), importance of support, and need for personalized risk discussions.

Conclusions:

  • Patients often lack awareness of major perioperative risks, with perception influenced by prior experiences and trust in healthcare providers.
  • Hope often outweighed concerns for participants.
  • Information delivery regarding surgical risks should be individualized to meet varying patient preferences.
patient experience
postoperative risk
risk communication
stroke