Effect of Shunt Operation on Idiopathic Normal Pressure Hydrocephalus Patients in Reducing Caregiver Burden: Evidence from SINPHONI

被引:25
作者
Kazui, Hiroaki [1 ]
Mori, Etsuro [2 ]
Hashimoto, Masaaki [3 ]
Ishikawa, Masatsune [4 ]
Hirono, Nobutsugu [5 ]
Takeda, Masatoshi [1 ]
机构
[1] Osaka Univ, Dept Psychiat, Grad Sch Med, Suita, Osaka 5650871, Japan
[2] Tohoku Univ, Dept Behav Neurol & Cognit Neurosci, Grad Sch Med, Sendai, Miyagi 980, Japan
[3] Noto Gen Hosp, Dept Neurosurg, Nanao, Japan
[4] Rakuwakai Otowa Hosp, Dept Neurosurg, Kyoto, Japan
[5] Kobegakuin Univ, Dept Psychol, Kobe, Hyogo, Japan
关键词
Dementia; Multicenter prospective cohort study; Cognitive impairment; Gait disturbance; Urinary disturbance; Zarit burden interview; ALZHEIMERS-DISEASE; PARKINSONS-DISEASE; SYMPTOMS; DIAGNOSIS; VALIDATION; GUIDELINES; DEMENTIA; FAMILIES; THERAPY;
D O I
10.1159/000328625
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background/Aims: Patients with idiopathic normal pressure hydrocephalus (iNPH) are often given shunt operations to reduce the triad symptoms (cognitive impairment, gait disturbance and urinary disturbance). We examined whether they also reduce caregiver burden. Methods: The personal strain (PS) and role strain (RS) factors, which are related to the stress and constraints, respectively, on the caregivers of 81 iNPH patients were evaluated with the Zarit burden interview (ZBI) and each of the triad symptoms was evaluated with the iNPH grading scale (iNPHGS) before and 1 year after the shunt operation. Results: Each of the iNPHGS scores, the total ZBI score and PS factor significantly improved after the shunt operation, but the RS factor did not. The improvement of cognitive impairment was the major factor in reducing caregiver burden. Conclusion: Shunt operations reduced the caregiver burden of iNPH patients. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:363 / 370
页数:8
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