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The aim of this observational study was to obtain information about the change in the burden of care of parents of children with cerebral palsy after hip and knee surgeries. The main questions it aims to answer are:
Q1-Does caregiver burden change after hip and knee surgeries? Q2-If so, which factors contribute more positively to this situation? Participants will be asked to answer the scales given to them periodically before and after the surgery.
One of the most common causes of disability in childhood is cerebral palsy, which develops due to damage to the central nervous system. Children diagnosed with cerebral palsy face different problems in every period of their lives. The child, his/her family and the society he/she lives in should be considered as a whole. There is a mechanism that mutually affects each other.
Parenting, caring for and living with a child with cerebral palsy can have many negative effects on the lives of parents and create additional burdens for them. Parents may have to choose between their own needs, the needs of other members of the family and the needs of the child with cerebral palsy, and may spend most of their time with their disabled child. This can negatively affect the burden, stress level, physical activity level, quality of life, psychological status and self-efficacy perception.
The primary aim of this study is to evaluate the caregiver burden in Cerebral Palsy, which is the most common cause of morbidity in the pediatric age group in orthopedics, and to analyze the factors that negatively affect it. Our hypothesis is that the functional mobilization status of patients will increase, especially as a result of hip surgeries, reducing caregiver burden.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cerebral Palsy Patients Parent | Parents of patients who underwent knee and hip surgery for cerebral palsy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Assesment Scale | Other | Caregiving burden will be assessed with Turkish validated scoring tools such as the Zarit scale and the Pediatric Quality of Life Inventory (PEDSQL) Family Impacts module before and after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Zarit Caregiven Burden scale | The 22-item instrument is included in this scale. Each item in the questionnaire is a statement that the carer is asked to confirm using a 5-point scale. The answer options range from 0 (Never) to 4 (Almost Always). | Preoperative, Postoperative three, six and twelve month |
| Measure | Description | Time Frame |
|---|---|---|
| Pediatric Quality of Life Inventory (PEDSQL) Family Impacts module | This scale was developed by James James in 2004 to measure the effects of a child with an illness on family functioning. It was developed by Varni. It consists of 6 sub-factors and 36 statements. Physical Functioning (6 items), 2) Emotional Functioning (5 items), 3) Social Functioning (4 items), 4) Cognitive Functioning (5 items), 5) Communication (3 items), 6) Concern (5 items) and 2 subscales measuring parent-reported family functioning; 7) Daily Activities (3 items) and Family Relationships (5 items). |
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Inclusion Criteria:
Parent Age
a. Being in the 20-60 age group.
Diagnosis
A minimum follow-up of 12 months after surgery
The primary carer is the mother or father
Exclusion Criteria:
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Our study will be conducted with the parents of children with cerebral palsy who are admitted to the Orthopaedics Unit of Istanbul Medical Faculty and will be operated on in the knee-hip region.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmet Muçteba AM Yıldırım, Fellow | Contact | +090 534 3038472 | mucceba@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mehmet MD Demirel, MD | Assistant Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, Turkey | Recruiting | Istanbul | Fatih-Topkapı | 34080 | Turkey (Türkiye) |
Maybe one year later ı am going to share ıpd
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D000084802 | Caregiver Burden |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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|
| Preoperative, Postoperative three, six and twelve month |
| Istanbul Unıversity Medicine Faculty Orthopaedic Department | Recruiting | Istanbul | Fatih | 34080 | Turkey (Türkiye) |
|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |