Person-centered support for patients with a pituitary tumor following surgery.

Abstract

Objective: 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: The 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 at 3-6 and 12 months after surgery.

Results: In total, 82 patients in the intervention group and 66 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 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 greater improvement in psychological well-being than the control group.

Conclusions: The 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.