マルヤマ　タカシ   MARUYAMA Takashi   丸山　隆志    所属   医学部 医学科（東京女子医科大学病院）    職種   非常勤講師
言語種別	英語
発表タイトル	Preoperative orientation improves patient's understanding and cooperation during awake craniotomy
会議名	The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses - WFNN Congress 2013
学会区分	国際学会及び海外の学会
発表形式	口頭
講演区分	一般
発表者・共同発表者	◎SUZUKI Ayako, MARUYAMA Takashi, NITTA Masayuki, MURAGAKI Yoshihiro, ISEKI Hiroshi, SUKEGAWA Satoko, OKADA Yoshikazu
発表年月日	2013/09/15
開催地 （都市, 国名）	Gifu
開催期間	2013/09/13～2013/09/16
学会抄録	The 11th Quadrennial Congress of The World Federation of Neuroscience Nurses - WFNN Congress 2013 abstracts 81
概要	Introduction: Awake craniotomy is one of the important methods for maximum resection of brain tumors located in eloquent areas, such as language areas or motor cortex, without affecting patient's neurological functions. We have the experience with more than 250 cases of awake craniotomy since 2000. One of the important factors for the success of this surgery is the patient's understanding and cooperation. However, the purpose and method of this technique can be difficult to understand by the patients. Because of deficient preoperative information, patients sometimes claim intolerable pain, express fear and anxiety during the procedure. Therefore, anesthesiologists, nursing staff and neurosurgeons give adequate explanation and written description to patients before planning the procedure. However, we had patients who were not able to continue the awake craniotomy due to panic after emerging from initial sedation. Other patients could not understand the importance of intraoperative tasks to evaluate and preserve motor or language function. Based on the feedback from patients who underwent awake craniotomy in our department, we found that the preoperative orientation by discussion and explanation , with additionally printed illustrated description and advice were not enough to fully understand the procedure adequately. To iinf that improved patient's understanding. Herein, we report the results of preoperative orientation effectiveness.