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Idiopatisk normaltryckshydrocefalus - betydelsen av väntetid på shuntoperation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Syftet var att undersöka hur symtomen hos patienter med idiopatisk normaltryckshydrocefalus förändrades från diagnos till återbesök tre månader postoperativt, i två olika grupper, en som väntat kortare och en som väntat längre tid än sex månader på operation. Dessutom var syftet att undersöka hur återhämtningen såg ut i respektive grupp samt undersöka om symtomen vid återbesöket skiljde sig åt mellan grupperna.

Metod: Journalgranskning. Fyrtio patienter delades in i två grupper, de som väntat kortare (grupp 1) respektive längre tid än sex månader (grupp 2). Patienterna hade normaltryckshydrocefalus utan bakomliggande orsak, hade ej tidigare opererats med shunt samt var 40 år eller äldre. Hydrocefalusvariabler (gång, balans, inkontinens, Rankin och Mini Mental Test) analyserades med icke parametrisk statistik.

Resultat: Grupp 1 visade förbättring för variablerna gång och balans från diagnos till återbesök. För grupp 2 kunde ingen skillnad ses. I grupp 1 sågs en bättre återhämtning än i grupp 2. Vid återbesöket kunde ingen skillnad ses på symtomen mellan grupperna.

Slutsats: En snabbare behandling med shunt han vara gynnsam för patientens symtom och återhämtning.

Abstract [en]

Aim: The aim was to investigate how the symptoms in patients with idiopathic normal pressure hydrocephalus was changed from diagnosis to revisit three months postoperatively, in two different  groups, one who had waited shorter and one who had waited longer than six months for surgery. In addition, to examine how the recovery looked like in each group and examine whether the symptoms at the revisit differed between the groups.

Method: Journal review. 40 patients were divided into two groups, those who had waited shorter (group 1) respectively longer than six months (group 2). The patients had normal pressure hydrocephalus with no underlying cause, had not earlier undergone surgery with a shunt and were 40 years or older. Hydrocephalus variables (gait, balance, incontinence, Rankin and Mini Mental State Examination) were analyzed with non-parametric statistics.

Results: Group 1 showed improvement of gait and balance variables from diagnosis to return visit. For Group 2, no difference could be seen. In group 1 there was a greater recovery than in group 2. At the return visit there was no difference in symptoms between the groups.

Conclusion: A more rapid treatment with a shunt may be favorable for the patient’s symptoms and recovery.

Place, publisher, year, edition, pages
2012. , 37 p.
Keyword [sv]
Idiopatisk normaltryckshydrocefalus, shuntoperation, journalgranskning
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-176186OAI: oai:DiVA.org:uu-176186DiVA: diva2:534602
Subject / course
Caring Sciences
Educational program
Freestanding course
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-06-18 Created: 2012-06-18 Last updated: 2012-06-18Bibliographically approved

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