Association of multidisciplinary collaborative nursing with cognitive function and quality of life after craniotomy for glioma resection: a retrospective comparative study.

BACKGROUND

Patients undergoing craniotomy for glioma resection may experience perioperative cognitive fluctuations and reduced postoperative quality of life, highlighting the need for standardized perioperative supportive care.

AIM: To assess the association of multidisciplinary collaborative nursing with cognition and quality of life in patients undergoing craniotomy for glioma resection.

METHODS

This single-center retrospective comparative study included 83 patients with glioma who underwent craniotomy and tumor resection. Patients were categorized into a routine care group and a multidisciplinary collaborative nursing group according to the nursing model documented during the study period. Cognitive function was evaluated using the Montreal Cognitive Assessment, whereas quality of life was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 at baseline, discharge, and 3 months after surgery. Recovery indicators and postoperative complications were also recorded.

RESULTS

The intervention group showed higher MoCA scores at 3 months, and cognitive responders were more frequent in the intervention group. Global health status showed a similar time-dependent pattern, with higher follow-up scores and greater baseline-to-follow-up improvement in the intervention group, whereas the minimally clinically important difference responder rate did not reach statistical significance. Earlier ambulation and shorter drain or catheter duration were observed in the intervention group. The intervention group also had a lower overall complication rate, and postoperative delirium was less frequent.

CONCLUSION

Multidisciplinary collaborative nursing was associated with more favorable cognitive recovery and selected postoperative outcomes during early rehabilitation after glioma resection.