Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden.
Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden.
复制标题
DOI：
10.1055/s-0040-1716777
复制
发表时间：
2020-10
影响因子：
1.4
通讯作者：
Dhandapani S
中科院分区：
文献类型：
--
作者：
Devi Y;Khan S;Rana P;Deepak 3;Dhandapani M;Ghai S;Gopichandran L;Dhandapani S
背景 创伤性脑损伤后认知、行为和功能障碍的负担仍然没有得到太多的重视，但它对照顾者的影响具有社会经济学意义。该研究的目的是评估脑外伤患者的认知、行为和功能障碍及其对照顾者负担的影响。材料和方法 采用总体计数抽样技术进行描述性横断面研究。采用简易精神状态检查量表、神经精神病学问卷和拉帕波特残疾评定量表分别评估患者的认知、行为和功能障碍。采用Zarit照顾者负担量表对照顾者负担进行量化。结果 纳入50例颅脑损伤患者及其照顾者。在这些人中，24%有中度认知障碍。在行为症状中，40%有躁动，24%有抑郁，18%有焦虑，16%有易怒。18%的患者报告了中度功能障碍，2%的患者报告了严重功能障碍。8%的照顾者报告了中度到重度的照顾者负担。患者的行为障碍(r=0.507，p<；0.001)、功能障碍(r=0.473，p=0.001)和认知障碍(r=-0.438，p=0.001)与照顾者的负担有显著的相关性。结论 患者在颅脑损伤后出现认知、行为和功能障碍。随着患者认知功能障碍、行为症状和功能状态的受损，照顾者的负担显著增加。因此，应为照顾者和患者提供适当的支持。
Background The burden of cognitive, behavioral, and functional impairments after traumatic brain injury (TBI) is still not highlighted much, but its impact on caregivers is socio-economically relevant. The objectives of the study were to assess cognitive, behavioral, and functional impairments in patients of TBI and its impact on caregiver burden. Materials and Methods A descriptive cross-sectional study was conducted using a total enumeration sampling technique. Mini-mental status examination, neuropsychiatric inventory and Rappaport’s disability rating scale were used to assess patients’ cognitive, behavioral, and functional impairments, respectively. Zarit Caregiver Burden Scale was executed to quantify the caregiver burden. Results Fifty patients of TBI and their caregivers were enrolled. Among these, 24% had moderate cognitive impairments. Among behavioral symptoms, 40% had agitation, 24% had depression, 18% had anxiety, and 16% had irritability. Moderate functional disability was reported by 18% of the patients, while 2% reported severe functional disability. Moderate to severe caregiver burden was reported by 8% of caregivers. Patients’ behavioral ( r = 0.507, p < 0.001), functional ( r = 0.473, p = 0.001), and cognitive ( r = –0.438, p = 0.001) impairments had significant correlations with caregiver burden. Conclusion Patients develop cognitive, behavioral, and functional disability after TBI. The caregiver burden increases significantly with cognitive dysfunction, behavioral symptoms, and impaired functional status of patients. Therefore, appropriate support is to be provided to caregivers as well as patients.
登录
查看更多内容
影响因子：
2.2
作者：
Mbakile-Mahlanza, Lingani;Manderson, Lenore;Ponsford, Jennie
通讯作者：
Ponsford, Jennie
影响因子：
1.4
作者：
Mahak, Chandel;Shashi;Dhandapani, S. S.
通讯作者：
Dhandapani, S. S.
影响因子：
2.7
作者：
Dhandapani, Sivashanmugam;Kapoor, Ankur;Gupta, Sunil K.
通讯作者：
Gupta, Sunil K.
影响因子：
3.4
作者：
Pinquart, M;Sörensen, S
通讯作者：
Sörensen, S
影响因子：
2.4
作者：
Manskow, Unn Sollid;Sigurdardottir, Solrun;Anke, Audny
通讯作者：
Anke, Audny