Devi Yashodha, Khan Sahiba, Rana Priyanka, Dhandapani Manju, Ghai Sandhya, Gopichandran Lakshmanan, Dhandapani Sivashanmugam
Department of Nursing, Indraprastha Apollo Hospital, Delhi, India.
Department of Nursing, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
J Neurosci Rural Pract. 2020 Oct;11(4):629-635. doi: 10.1055/s-0040-1716777. Epub 2020 Sep 25.
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. 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. 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 ( = 0.507, < 0.001), functional ( = 0.473, = 0.001), and cognitive ( = -0.438, = 0.001) impairments had significant correlations with caregiver burden. 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.
创伤性脑损伤（TBI）后认知、行为和功能障碍的负担仍未得到充分重视，但其对照料者的影响在社会经济方面具有相关性。本研究的目的是评估TBI患者的认知、行为和功能障碍及其对照料者负担的影响。
采用全面普查抽样技术进行描述性横断面研究。分别使用简易精神状态检查表、神经精神科问卷和拉帕波特残疾评定量表评估患者的认知、行为和功能障碍。采用 Zarit 照料者负担量表量化照料者负担。
招募了50名TBI患者及其照料者。其中，24%有中度认知障碍。在行为症状方面，40%有激越，24%有抑郁，18%有焦虑，16%有易怒。18%的患者报告有中度功能残疾，2%报告有严重功能残疾。8%的照料者报告有中度至重度照料者负担。患者的行为（r = 0.507，P < 0.001）、功能（r = 0.473，P = 0.001）和认知（r = -0.438，P = 0.001）障碍与照料者负担有显著相关性。
TBI后患者会出现认知、行为和功能残疾。随着患者认知功能障碍、行为症状和功能状态受损，照料者负担显著增加。因此，应向照料者和患者提供适当的支持。
