Survey of Caregivers’ Care Burden Perception Relating to Excretion-Related Actions of Parkinson’s Disease Patients
DOI:
https://doi.org/10.15621/ijphy/2022/v9i1/1147Keywords:
Parkinson's disease; excretion-related actions; caregivers’ burden perception; Hoehn and Yahr severity scale, intra-day variation.Abstract
Background: Parkinson's disease (PD) is a progressive disease, and competence in performing activities of daily living declines during its progression, increasing caregiver’s care burden perception. Care in relation to excretion-related actions is frequently required against the background of motor and non-motor symptoms, and the contents of nursing care vary, including movement and dressing. Therefore, in this study, the care burden perception in relation to excretion related actions was investigated and classified by severity and intra-day changes in symptoms.
Methods: The analysis included 25 caregivers of patients who had joined the Gunma Prefecture Branch of the Japan Parkinson’s Disease Association. The questionnaire items addressed care burden perceptions relating to nine excretion related actions. Responses were classified by whether the caregiver's movement was easy (ON) or difficult (OFF). The analysis involved placing the subjects in three groups (1/2, 3, and 4) based on the Hoehn and Yahr severity scale.
Results: An increase in care burden perception due to the progression of symptoms was confirmed. In addition, although the difference between ON and OFF was not significant, care burden perception tended to be higher with OFF.
Conclusions: Care burden perception increased with PD symptom progression, suggesting a tendency toward
more significant effects of intra-day symptom variation. This may constitute helpful information when considering rehabilitation linked to reducing caregiver’s care burden perception in connection with PD and/or reorganization/refitting of the domestic environment.
Registration No. Ethical Review Board, Takasaki University of Health and Welfare (approval no. 2952).
References
Sperens M, Georgiev D, Domellöf ME, Forsgren L, Hamberg K, Hariz GM. Actions of daily living in Parkinson's disease: Time/sex perspective. Acta Neurol Scand. 2020; 141(2):168-76．
Slaug B, Iwarsson S, Ayala JA, Nilsson MH. Housing accessibility problems for people with Parkinson's disease．Acta Neurol Scand. 2017; 136(5):501-10．
Schrag A, Hovris A, Morley D, Quinn N, Jahanshahi M. Caregiver-burden in Parkinson’s disease is closely associated with psychiatric symptoms, falls, and disability．Parkinsonism Relat Disord. 2006; 12:35-41．
Martínez-Martín P, Forjaz MJ, Frades-Payo B, Rusiñol AB, Fernández-García JM, Benito-León J, et al . Caregiver burden in Parkinson's disease. Mov Disord. 2007; 22(7):924-31．
Smith ER, Perrin PB, Tyler CM, Lageman SK, Villaseñor T. Parkinson’s symptoms and caregiver burden and mental health: A cross-cultural mediational model．Behav Neurol. 2019; 1396572．
Shin JY, Habermann B. Key actions of caregivers for individuals with Parkinson disease: A secondary analysis. J Neurosci Nurs. 2020; 52(6):284-88．
Tibar H, Bayad KE, Bouhouche A, Bouhouche A, Haddou EAH, Benomar A, et al. Non-motor symptoms of Parkinson’s disease and their impact on quality of life in a cohort of Moroccan patients. Front Neurol. 2018; 4(9):170．
Sakakibara R, Uchiyama T, Yamanishi T, Kishi M. Genitourinary dysfunction in Parkinson's disease. Mov Disord. 2010; 25(1):2-12．
Araki I, Kuno S. Assessment of voiding dysfunction in Parkinson's disease by the international prostate symptom score. J Neurol Neurosurg Psychiatry. 2000; 68(4):429-33．
Sakakibara R, Kishi M, Ogawa E, Tateno F, Uchiyama T, Yamamoto T, et al. Bladder, bowel, and sexual dysfunction in Parkinson's Disease. Parkinson’s Dis. 2011; 924605．
Sakakibara R, Shinotoh H, Uchiyama T, Sakuma M, Kashiwada M, Yochiyama M, et al. Questionnaire-based assessment of pelvic organ dysfunction in Parkinson's disease. Auton Neurosci. 2001; 92(1-2):76-85．
Sakushima K, Yamazaki S, Fukuma S, Hayashino Y, Yabe I, Fukuhara S, et al. Influence of urinary urgency and other urinary disturbances on falls in Parkinson's disease. J Neurol Sci. 2016; 360:153-57.
Marras C, Lang A, Krahn M, Tomlinson G, Naglie G. Quality of life in early Parkinson's disease: Impact of dyskinesia and motor variation. Mov Disord. 2004; 19(1):22-8．
Hechtner MC, Vogt T, Zöllner Y, Schröder S, Sauer JB, Binder H, et al. Quality of life in Parkinson’s disease patients with motor variation and dyskinesia in five European countries. Parkinsonism Relat Disord. 2014; 20(9):969-74．
Ohno Y. Survey on difficulty in excretion-related motions in Parkinson's disease patients. J Japan Acad Home Care. 2020; 24(1):102-06．
Nishii M, Izuta M, Sukeno O, Yoshimi Y, Miki T. Factors affecting the sense of caregiver burden: From the perspective of ADL. J Welf Sci. 2011; 15:93-105．
Nakai T, Sugiyama K, Sawada Y, Kirino M, Kashihara K, Takemoto Y. Relationship between long-term care burden and cognitive assessment of family function in the primary caregiver of Parkinson's disease patients. J Health Welf Stats. 2014; 61(7):19-28.
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