Dynamic rehabilitation needs and quality of life in postoperative glioma patients

Postoperative glioma patients experience diverse rehabilitation needs impacting their quality of life (QoL). Understanding the dynamic changes in these needs and their relationship with QoL is crucial for developing tailored care strategies.

Using convenience sampling, 115 postoperative glioma patients from the neurosurgery department of The First Affiliated Hospital of Nanjing Medical University were enrolled. Rehabilitation needs and QoL were assessed using standardized questionnaires at 3 postoperative phases: T1 (early), T2 (3 months), and T3 (6 months).

Rehabilitation needs were significantly influenced by age, clinical stage, education, surgery type, disease knowledge, and monthly household income (P <.05). Total needs scores and specific dimensions varied significantly across T1, T2, and T3 (P <.05): Physiological, spiritual, and psychological needs decreased by 3 months (T2). Care and information needs declined by 6 months (T3).Self-esteem needs increased progressively, peaking at T3. A negative correlation existed between rehabilitation needs and QoL at all time points (P <.05), indicating higher needs corresponded to poorer QoL.

Postoperative glioma patients exhibit dynamic, multifaceted rehabilitation needs influenced by clinical and socioeconomic factors. The 3-month postoperative phase (T2) represents a critical window for intervention, characterized by heightened needs and diminished QoL. The consistent inverse relationship between needs and QoL underscores the necessity for personalized, phase-specific rehabilitation programs to optimize patient outcomes.