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Your search keyword '"Heleen M. den Hertog"' showing total 2 results
Start Over Author "Heleen M. den Hertog" Publisher wiley
2 results on '"Heleen M. den Hertog"'

1. Additional treatment after primary conservative treatment in patients with chronic subdural hematoma—A retrospective study

Author

Rahman Fakhry, Clemens M. F. Dirven, Walid Moudrous, S. Mirjam Droger, Nabil Asahaad, Christiaan deBrabander, Hester F. Lingsma, Niels A. van derGaag, Heleen M. den Hertog, Bram Jacobs, Korné Jellema, Ruben Dammers, and Dana C. Holl

Subjects
conservative, CSDH, treatment, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Abstract Objective Chronic subdural hematoma (CSDH) is a common neurological condition and is typically treated with burr hole craniostomy. Nevertheless, conservative treatment may lead to spontaneous hematoma resolution in some patients. This study aims to describe the characteristics of patients who were treated conservatively without the eventual need for additional treatment. Methods Data were retrospectively collected from patients who were primarily treated conservatively in three hospitals in the Netherlands from 2008 to 2018. The Primary outcome was the nonnecessity of additional treatment within 3 months after the initial CSDH diagnosis. We used univariable and multivariable logistic regression analyses to identify factors associated with not receiving additional treatment. Results In this study, 83 patients were included and 61 patients (73%) did not receive additional treatment within 3 months. Upon first presentation, the patients had a Markwalder Grading Scale score (MGS) of 0 (n = 5, 6%), 1 (n = 43, 52%), and 2 (n = 35, 42%). Additional treatment was less often received by patients with smaller hematoma volumes (adjusted odds ratio [aOR] 0.78 per 10 mL; 95% confidence interval [CI] 0.64–0.92). Patients using antithrombotic medication also received less additional treatment, but this association was not significant (aOR 2.02; 95% CI 0.61–6.69). Conclusions Three quarters of the initially conservatively treated CSDH patients do not receive additional management. Typically, these patients have smaller hematoma volumes. Further, prospective research is needed to distinguish which patients require surgical intervention and in whom primary conservative treatment suffices.

Published
2024
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2. Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

Author

Heleen M. den Hertog, Lisette van Gemert-Pijnen, Erik Taal, Marinke A. Mastenbroek‐de Jong, Dorien Brouwer-Goossensen, Neurology, and Psychology, Health & Technology

Subjects
Coping (psychology), Health Behavior, Psychological intervention, patient perspectives, 050105 experimental psychology, Brain Ischemia, lcsh:RC321-571, health‐related behavior, 03 medical and health sciences, Behavioral Neuroscience, Social support, 0302 clinical medicine, SDG 3 - Good Health and Well-being, Humans, Medicine, 0501 psychology and cognitive sciences, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Ischemic Stroke, Original Research, search terms: stroke, business.industry, 05 social sciences, Behavior change, TIA, Dietary behavior, health-related behavior, Stroke, Ischemic Attack, Transient, Facilitator, Ischemic stroke, sense organs, business, 030217 neurology & neurosurgery, Clinical psychology, Qualitative research
Abstract

Objective Unhealthy lifestyle is common among patients with ischemic stroke or TIA. Hence, health‐related behavior change may be an effective way to reduce stroke recurrence. However, this is often difficult to carry out successfully. We aimed to explore patients' perspectives on health‐related behavior change, support in this change, and sustain healthy behavior. Methods We conducted a descriptive qualitative study with in‐depth, semistructured interviews in eighteen patients with recent TIA or ischemic stroke. Interviews addressed barriers, facilitators, knowledge, and support of health‐related behavior change framed by the protection motivation theory. All interviews were transcribed and thematically analyzed. Results Patients seem unable to adequately appraise their own health‐related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self‐efficacy as coping factor was the most important determinant (both barrier and facilitator). Fear as threat factor was named as facilitator for health‐related behavior change by half of the patients. Most of the patients did not need support or already received support in changing health behavior. Patients indicated knowledge, guidelines, and social support as most needed to support and preserve a healthy lifestyle. Conclusion This study suggests that patients with recent TIA or ischemic stroke often do not have a high intention to change health‐related behavior. The results fit well within the framework of the protection motivation theory. As many patients seem unable to adequately appraise their health behaviors, interventions should focus on increasing knowledge of healthy behavior and improving self‐efficacy and social support., TIA and stroke patients understand what constitutes a healthy lifestyle, but seem unable to adequately appraise their own health‐related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self‐efficacy was the most important determinant for health‐related behavior change and mentioned both as barrier and as facilitator.

Published
2021

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