neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2015-0-1-23-28neurosurgery-142Research ArticleОРИГИНАЛЬНАЯ РАБОТАORIGINAL REPORTОСОБЕННОСТИ КАЧЕСТВА ЖИЗНИ У ПАЦИЕНТОВ С СУПРАТЕНТОРИАЛЬНЫМИ ОПУХОЛЯМИ ГОЛОВНОГО МОЗГАThe features of life quality at patients with brain tumors of supratentorial localizationПерфильевАртем МихайловичPerfil’EvA. M.Ar.Perfilev@gmail.comРазумниковаОльга МихайловнаRazumnikovaO. M.razum@physiol.ruЕгоровВячеслав НиколаевичEgorovV. N.VEgorov@niito.ruСтупакВячеслав ВладимировичStupakV. V.VStupak@niito.ruФедеральное государственное бюджетное учреждение «Федеральный центр нейрохирургии» Минздрава РоссииRussian FederationНаучно-исследовательский институт физиологии и фундаментальной медицины» СО РАМНRussian FederationНовосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. ЦивьянаRussian Federation201505102017012328Copyright © Перфильев А.М., Разумникова О.М., Егоров В.Н., Ступак В.В., 20172017Перфильев А.М., Разумникова О.М., Егоров В.Н., Ступак В.В.Perfil’Ev A.M., Razumnikova O.M., Egorov V.N., Stupak V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/142

Цель. Изучение особенностей качества жизни у пациентов с опухолями головного мозга в зависимости от локализации очага поражения и патогистологической специфики опухоли. Материал и методы. Самооценку показателей качества жизни, полученных на основе опросника SF-36, который заполняли пациенты в предоперационный период, сравнивали с результатами контрольной группы практически здоровых людей. Результаты. Установлено, что качество жизни снижается у пациентов с опухолью головного мозга, особенно низко оценивается ролевое и эмоциональное функционирование. Локализация поражения мозга в большей степени определяет особенности ухудшения качества жизни, чем патогистологическая специфика опухоли. Снижение показателей ролевого и эмоционального функционирования больше при поражении лобных областей мозга, чем теменных. Ухудшение качества жизни по показателям ролевого функционирования и боли в максимальной степени представлено у пациентов с метастазами в головном мозге по сравнению с внутримозговыми или внемозговыми опухолями. Заключение. Информация об эмоциональном состоянии пациента и адекватности его оценки качества жизни в дооперационный период может быть полезна для оптимизации взаимоотношения врача и больного и достижения более благоприятного течения заболевания в послеоперационном периоде

The features of life quality at patients with brain tumors in accordance of mass lesions localization and their histopathlogical specific characters were studied. The self-evaluation of life quality measurements, received on the base of SF-36 questionnaire, which was filled by patients in preoperative period, was compared to results in control group of healthy volunteers. It was stated that life quality decreased among patients with brain tumors with the particular low estimation of Role-Physical Functioning and Role-Emotional Functioning. The tumor localization more defines the features of life quality decreasing comparing with histopathlogical specific characters of brain tumor. The localization of mass lesion in frontal lobes more affects the Role-Physical and Role-Emotional Functionings in comparison with tumor localization in parietal lobes. The worsening of life quality in terms of Role-Physical Functioning and Bodily pain is maximally expressed at patients with metastases into brain comparing with patients suffered from primary intra- or extracerebral mass lesions. The information about patient’s emotional state and about adequacy of his life quality estimation in preoperative period can be useful for optimization of relationship between physician and patient as well as for achievement of more favorable course of disease in postoperative period.

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The authors declare that there are no conflicts of interest present.