Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Differing perspectives on outcome after subarachnoid hemorrhage: The patient, the relative, the neurosurgeon
Autore:
Buchanan, KM; Elias, LJ; Goplen, GB;
Indirizzi:
Univ Saskatchewan, Royal Univ Hosp, Div Neurosurg, Saskatoon, SK S7N 0W8, Canada Univ Saskatchewan Saskatoon SK Canada S7N 0W8 skatoon, SK S7N 0W8, Canada Univ Saskatchewan, Dept Psychol, Saskatoon, SK S7N 0W8, Canada Univ Saskatchewan Saskatoon SK Canada S7N 0W8 skatoon, SK S7N 0W8, Canada
Titolo Testata:
NEUROSURGERY
fascicolo: 4, volume: 46, anno: 2000,
pagine: 831 - 838
SICI:
0148-396X(200004)46:4<831:DPOOAS>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRAUMATIC BRAIN INJURY; BLUNT HEAD-INJURY; ARTERIOVENOUS-MALFORMATIONS; NEUROPSYCHOLOGICAL DEFICITS; COGNITIVE PERFORMANCE; INTRACRANIAL ANEURYSM; CAREGIVER BURDEN; FAMILY; RECOVERY; REHABILITATION;
Keywords:
family burden; neurobehavioral changes; psychological distress; subarachnoid hemorrhage outcome; surgical outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Buchanan, KM Univ Saskatchewan, Royal Univ Hosp, Div Neurosurg, 103 Hosp Dr, Saskatoon,SK S7N 0W8, Canada Univ Saskatchewan 103 Hosp Dr Saskatoon SK Canada S7N 0W8 ada
Citazione:
K.M. Buchanan et al., "Differing perspectives on outcome after subarachnoid hemorrhage: The patient, the relative, the neurosurgeon", NEUROSURGER, 46(4), 2000, pp. 831-838

Abstract

OBJECTIVE: To better understand patients' and relatives' views of outcome after surgery for subarachnoid hemorrhage (SAH), we evaluated neurobehavioral changes, psychological distress, and family burden of patients who had been considered by their neurosurgeon as having a "good recovery" or a "moderate disability," as rated on the Glasgow Outcome Scale. METHODS: A heterogeneous sample of 28 patients treated surgically for SAH from an aneurysm or an arteriovenous malformation and their relatives separately underwent a semistructured interview. They also completed a revised version of the Adjective Checklist to assess their perceptions of the patient's neurobehavioral changes and the Brief Symptom Inventory as a measure oftheir own psychological distress. Levels of family burden on the relativeswere evaluated with a Likert strain scale and the Zarit Burden Interview. RESULTS: Approximately 19 months after surgery for SAH, the majority of the patients reported significant negative neurobehavioral changes and negative changes in employment, energy levels, tolerance to mild stressors, leisure activities, and social and sexual relationships. Patients and relatives both reported elevated levels of psychological distress, and the relatives reported elevated levels of family burden. Patients' acid relatives' perceptions differed, with the relatives reporting more problems; both viewed thepatient's outcome more negatively than did the operating neurosurgeon. CONCLUSION: Despite the neurosurgeon's classification of patients as having a "good recovery" or "moderate disability," the majority of patients surgically treated for SAH reported psychosocial and neurobehavioral changes that were disabling for them and burdensome to their family. Patients and relatives who are interviewed separately by an experienced clinician may provide differing perspectives on SAH outcome that are not necessarily good.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/01/20 alle ore 21:17:31