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Vol. 29. Num. 1.January - February 2018Pages 1-56
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Vol. 29. Num. 1.January - February 2018Pages 1-56
Clinical Research
DOI: 10.1016/j.neucie.2017.12.001
Brain injury knowledge in family members of neurosurgical patients
Conocimiento sobre daño cerebral adquirido en familiares de pacientes neuroquirúrgicos
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Blanca Navarro-Maina,c,
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bnavarromain@gmail.com

Corresponding author.
, Ana M. Castaño-Leóna, Pablo M. Munarriza, Pedro A. Gómeza, Marcos Rios-Lagob,c, Alfonso Lagaresa
a Servicio de Neurocirugía, Hospital 12 de Octubre, Instituto de Investigación i+12, Universidad Complutense de Madrid, Madrid, Spain
b Unidad de Daño Cerebral Beata María Ana de Jesús, Madrid, Spain
c Departamento de Psicología Básica II, UNED, Madrid, Spain
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Tables (2)
Table 1. Distribution of study subjects by age, sex, education and patient pathology.
Table 2. Guilmette 19-item questionnaire. The correct response is shown in brackets after each item.
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Abstract
Background and objectives

Several studies have shown misconceptions about brain injury in different populations. The aim of this study was to assess the knowledge and perceptions about brain injury of family members of neurosurgical patients in our hospital.

Material and methods

The participants (n=81) were relatives of patients admitted to the neurosurgery department between February and August 2016. They voluntarily completed a 19-item true-false format survey about brain injury based on a translation of other questionnaires used in previous studies from other countries (USA, Canada, UK, Ireland and New Zealand). Also, some sociodemographic data were collected (age, sex, education level and the patient's pathology). Data analysis was developed through graphical modelling with a regularisation parameter plotted on a network representing the association of the items of the questionnaire from the response pattern of participants.

Results

Data analysis showed two conceptual areas with a high rate of wrong answers: behaviour and management of patients, and expectations about acquired brain injury recovery.

Conclusions

The results obtained in this study would enable us to objectify misconceptions about acquired brain injury in patients’ relatives attended in the neurosurgery department. This lack of knowledge could be a great obstacle in patients’ recovery process. Therefore, we suggest placing the emphasis on the provision of information on brain injury to patients’ families, especially with regard to its symptoms and course of development.

Keywords:
Brain injury
Knowledge
Misconceptions
Neurosurgery
Family members
Resumen
Antecedentes y objetivos

Diversos estudios han puesto de manifiesto las creencias erróneas sobre el daño cerebral en diferentes poblaciones. Nuestro objetivo consiste en valorar el conocimiento que poseen los familiares de los pacientes neuroquirúrgicos sobre el daño cerebral adquirido.

Material y métodos

Participaron 81 familiares de pacientes ingresados durante el periodo comprendido entre febrero y agosto de 2016. Se utilizó la traducción de un cuestionario aplicado en estudios anteriores en múltiples países (EE. UU., Canadá, Reino Unido, Irlanda y Nueva Zelanda). Se registraron algunos datos sociodemográficos (edad, sexo, nivel educativo y patología del paciente) así como las respuestas a los 19 ítems verdadero/falso que constituyen el cuestionario sobre daño cerebral adquirido. El análisis de datos se ha desarrollado mediante una modelización gráfica con parámetro de regularización configurando así una red que muestra el nivel de asociación de los ítems del cuestionario a partir del patrón de respuestas de los participantes.

Resultados

El análisis de los datos muestra dos áreas conceptuales con una elevada tasa de error en los ítems asociados: el comportamiento y el manejo de los pacientes, y las expectativas sobre la recuperación en daño cerebral adquirido.

Conclusiones

Con este estudio podemos objetivar las áreas de falsas creencias sobre el daño cerebral que poseen los familiares de los pacientes atendidos en el servicio de neurocirugía. Este desconocimiento puede suponer un obstáculo en el proceso de recuperación de los pacientes. Por lo tanto, proponemos hacer hincapié en la información sobre el daño cerebral a los familiares de estos pacientes, sobre todo sus síntomas y su evolución.

Palabras clave:
Daño cerebral
Conocimiento
Conceptos erróneos
Neurocirugía
Familiares

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