Effect of deep brain stimulation on caregivers of patients with Parkinson's disease: A systematic review.
Parkinsonism Relat Disord
; 81: 20-27, 2020 12.
Article
em En
| MEDLINE
| ID: mdl-33038702
ABSTRACT
BACKGROUND:
Caregivers of patients with Parkinson's Disease (PD) often provide important support in the pre- and postoperative phase of Deep Brain Stimulation (DBS). DBS-associated changes of patient-functioning may affect caregiver wellbeing and impact the support system. Factors influencing caregiver-wellbeing under these circumstances are incompletely known.OBJECTIVE:
to systematically review studies of sufficient methodological quality on the impact of DBS on caregivers of PD patients.METHODS:
using PRISMA guidelines, major databases were searched up to May 2020. Five subcategories were identified Caregiver burden, Caregiver cognitive and psychiatric functioning, Caregiver Quality of Life (QoL), Marital Satisfaction/Conflicts, and Caregiver Satisfaction. Quality was assessed using an in-house checklist.RESULTS:
293 studies were identified; 12 were ultimately included. Caregiver burden, psychiatric and cognitive functioning and QoL remained relatively unchanged. Results on marital satisfaction/conflicts were contrasting an increase in marital conflicts despite improved relationship quality scores DBS. Caregiver satisfaction with surgery was low with 50-58% of caregivers being disappointed with DBS outcomes. Concerning caregiver related factors a higher preoperative caregiver QoL, younger age, lower scores on psychiatric rating scales, and more favourable preoperative relationship quality scores, were associated with better caregiver wellbeing. A favourable patient-profile includes younger age and age-at-onset, shorter disease duration, lower medication requirements, and lower scores on psychiatric rating scales.CONCLUSION:
Although most patient- and caregiver-related subdomains remained unchanged after DBS, dissatisfaction among caregivers and marital problems may constitute a large risk for a well-functioning patient-caregiver dyad. Early recognition of potential problem situations may improve post-DBS care for both patients and caregivers.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Doença de Parkinson
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Cuidadores
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Estimulação Encefálica Profunda
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Sobrecarga do Cuidador
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article