Cognitive, Behavioral, and Functional Impairments among Traumatic Brain Injury Survivors: Impact on Caregiver Burden

Autor:	L Gopichandran, Manju Dhandapani, Priyanka Rana, Sivashanmugam Dhandapani, Deepak, Sahiba Khan, Yashodha Devi, Sandhya Ghai
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	Traumatic brain injury Irritability lcsh:RC321-571 disability rating scale 03 medical and health sciences 0302 clinical medicine Medicine Outpatient clinic 030212 general & internal medicine rapport disability rating scale lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Depression (differential diagnoses) behavioral changes caregiver burden business.industry General Neuroscience traumatic brain injury Cognition outpatient department Disability Rating Scale Caregiver burden medicine.disease Anxiety Original Article Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Clinical psychology
Zdroj:	Journal of Neurosciences in Rural Practice, Vol 11, Iss 04, Pp 629-635 (2020) Journal of Neurosciences in Rural Practice
ISSN:	0976-3155 0976-3147
DOI:	10.1055/s-0040-1716777
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f475a9bfbcf1c2940c4262bba6f74654 http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716777 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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