在中风幸存者中,护理人员负担的决定因素,这些人接受了压缩性脑膜切除术
Karnam Anand1, Sai Sirisha2, Sanjana Putta3
1Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.
Annals of Indian Academy of Neurology
|December 19, 2024
概括
在去压缩性脑膜切除术 (DC) 后,中风幸存者的护理人员负担很高. 早期的DC和康复改善了结果,但近75%的护理人员报告了重大负担,随着患者残疾的增加而增加.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 减压性脑切除术 (DC) 是中风幸存者 (SS) 的一个关键干预措施.
- 护理人员负担显著影响SS后DC的生活质量和康复.
- 了解护理人员负担的决定因素对于有效的患者管理至关重要.
研究的目的:
- 分析那些经过DC的SS中照顾者负担的因素.
- 为了将护理人员的负担与患者的治疗结果和人口因素相关联.
主要方法:
- 对198名接受DC的SS护理人员进行前性观察研究.
- 使用Zarit负担采访评估的护理人员负担.
- 分析了护理人员负担与修改的兰金表 (mRS) 评分之间的关联.
主要成果:
- 高比例的护理人员 (58%总是,16%经常) 报告负担.
- 在SS的糟糕结果与年龄>60岁,低格拉斯哥昏迷表 (GCS) 评分和双边/主导半球参与有关.
- 早期的DC (≤48h) 和转移到康复改善了SS结果;较高的mRS得分与护理人员负担增加相关.
结论:
- 早期的DC和康复护理与SS的更好的功能结果有关.
- 大约75%的护理人员经历了相当大的负担,随着患者的残疾水平 (mRS分数) 的升级而升级.
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