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Type: Artigo de periódico
Title: Patients' Expectations For Epilepsy Surgery - Preliminary Results
Author: Salgado P.C.B.
Fernandes P.T.
De Souza E.A.P.
Cendes F.
Abstract: The patients' preoperative expectations must be well understood because it influences the perceived success of the surgical treatment of epilepsies, and in turn, the perceptions of postoperative quality of life (QoL). This study addresses the importance of working with the patients' perceptions, beliefs and understandings about the preoperative investigation, surgery and postoperative follow-up, so it is possible to foresee the presence of any psychosocial difficulty and prevent them before their occurrence. Forty-five adult patients with refractory epilepsy were evaluated at the outpatient epilepsy clinic at the University Hospital of Campinas (UNICAMP). The "Questionnaire of Presurgical Expectations" (QEP) was applied for each patient individually. This instrument was elaborated by our group aiming to describe the range of expectations, perceptions, beliefs and understandings expressed by presurgical' patients about the surgery process. Thirtythree patients (73.3%) agreed that epilepsy affects their lives. The aspect that appeared to be the most affected by epilepsy was the emotional, followed by the social and physical aspects. On questions relating to what they believed to happen after surgery, most of them believed they would have a better job (56%), and would be less nervous and worried, feeling more independent and free (36%). Their expectations included: working and studying (60%), doing things that are not possible to be done with seizures (58%), feelings of happiness and safety (42%) and driving (40%). There are many complex factors influencing the perception of surgical result, where pre-surgical expectations are part of this wild form of evaluating success and failure. For this, the study of pre-surgical expectations is an important base to the post-surgical results and should be part of the routine of all the surgical procedures.
Rights: aberto
Identifier DOI: 
Date Issue: 2004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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