Nursing analysis of 7 cases with Tardive dyskinesia treated by deep brain stimulation_Journal of Epilepsy

Authors：

QIN Jie ¹ , FAN Fengzhen ¹ , WANG Yanan ¹ ,  CHEN Lijian ²

1. Department of Neurosurgery, thte Affiliated of Brain Hospital of Guangzhou Medical University, Guangzhou 510370, China;
2. Department of Neurology, the Affiliated of Brain Hospital of Guangzhou Medical University, Guangzhou 510370, China;

Corresponding author：

CHEN Lijian, Email: chenlijian3@163.com

Keywords：

Deep brain stimulation; Tardive dyskinesia; Nursing

DOI：

10.7507/2096-0247.202302005

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Objective To explore the best nursing regimen for patients with severe Tardive dyskinesia (TD) after deep brain stimulation (DBS). Methods To analyze the clinical nursing data of 7 patients with TD treated by DBS in our department from January 2018 to August 2019, preoperative assessment of the patient's condition, dyskinesia care, psychological care, preoperative preparation, preoperative guidance, etc. General nursing, observation and nursing of complications, psychological nursing, safety management and rehabilitation training of limb function were carried out after operation discharge to discharge guidance, daily life guidance, DBS device-related education and other post-discharge continuous care to help patients improve quality of life. The changes of TD symptoms were assessed with the abnormal involuntary movement scale -LRB-AIMS, the nursing effect was assessed with the psychiatric nursing observation sc-Nosiee (NOSIE) , and the self-care ability was assessed with the ability of daily livin-ADL- scale (ADL). Results All of the 7 TD patients recovered well after operation, without complications caused by improper nursing, and the TD symptoms were relieved. The AIMS and NOSIE scores were significantly lower at 1 month, 3 months and 1 year after operation than those before operation (P<0.05). The ADL scores were significantly higher than those before operation (P<0.05). Conclusion In order to treat TD patients with DBS operation, we should pay attention to the pertinent nursing in perioperative period and the continuous nursing after discharge, it is of great significance to relieve the symptoms of involuntary movement, improve the mental state and improve the self-care ability of patients with TD.

Citation： QIN Jie, FAN Fengzhen, WANG Yanan, CHEN Lijian. Nursing analysis of 7 cases with Tardive dyskinesia treated by deep brain stimulation. Journal of Epilepsy, 2023, 9(3): 205-209. doi: 10.7507/2096-0247.202302005 Copy

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8.	Albanese A, Asmus F, Bhatia KP, et al. EFNS guidelines on diagnosis and treatment of primary dystonias. Eur J Neurol, 2011, 18(1): 5-18.
9.	Zhan SK, Sun FF, Pan YX, et al. Bilateral deep brain stimulation of the subthalamic nucleus in primary Mays syndrome. J Neurosurg, 2018, 128(3): 897-902.
10.	Cao CY, Pan Y, Li DY, et al. Subthalamus deep brain stimulation forprimary dystonia patients: a long-term follow-up study. Mov Disord, 2013, 28(13): 1877-1882.
11.	Deng ZD, Li DY, Zhang CC, et al. Long-term follow-up of bilateral subthalamic deep brain stimulation for refractory tardive dystonia. Parkinsonism Relat Disord, 2017, 41: 58-65.
12.	王娟, 贺慧兰, 廉海平, 等. 脑深部电刺激治疗帕金森病术后并发症的观察及护理. 护理研究, 2015, 29(2): 622-623.
13.	Zutshi D, Cloud LJ, Factor SA. Tardive syndromes are rarely reversible after discontinuing dopamine receptor blocking agents: experience from a university-based movement disorder clinic. Tremor and Other Hyperkinetic Movements, 2014, 4: 266.
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1. 沈渔邨. 精神病学（第3 版）. 北京: 人民卫生出版社, 1995: 929.
2. 管晓波, 陆峥, 王宇卉. 迟发性运动障碍的诊疗进展. 医药专论, 2012, 33(10): 595-599.
3. Seigneurie AS, Sauvanaud F, Limosin F. Dyskinésies tardives induites par les antipsychotiques: données actuelles sur leur prévention et prise en charge. L'Encéphale, 2016, 42(3): 248-254.
4. Correll CU. Epidemiology and prevention of tardive dyskinesia. J Clin Psychiatry, 2017, 78(9): e1426.
5. Trster A. Some clinically useful information that neuropsychology provides patients, carepartners, neurologists, and neurosurgeons about deep brain stimulation for parkinson's disease. Archives of Clinical neuropsycholoGY, 2017, 32(7): 810-828.
6. Ashkan K, Rogers P, Bergman H, et al. Insights into the mechanisms of deep brain stimulation. Nat Rev Neurol, 2017, 13(9): 548-554.
7. North RB, Mcnamee JP, Wu L, et al. Artificial neural networks: application to electrical stimulation of the human nervous system. Neurosurg Focus, 1997, 2(1): 100250.
8. Albanese A, Asmus F, Bhatia KP, et al. EFNS guidelines on diagnosis and treatment of primary dystonias. Eur J Neurol, 2011, 18(1): 5-18.
9. Zhan SK, Sun FF, Pan YX, et al. Bilateral deep brain stimulation of the subthalamic nucleus in primary Mays syndrome. J Neurosurg, 2018, 128(3): 897-902.
10. Cao CY, Pan Y, Li DY, et al. Subthalamus deep brain stimulation forprimary dystonia patients: a long-term follow-up study. Mov Disord, 2013, 28(13): 1877-1882.
11. Deng ZD, Li DY, Zhang CC, et al. Long-term follow-up of bilateral subthalamic deep brain stimulation for refractory tardive dystonia. Parkinsonism Relat Disord, 2017, 41: 58-65.
12. 王娟, 贺慧兰, 廉海平, 等. 脑深部电刺激治疗帕金森病术后并发症的观察及护理. 护理研究, 2015, 29(2): 622-623.
13. Zutshi D, Cloud LJ, Factor SA. Tardive syndromes are rarely reversible after discontinuing dopamine receptor blocking agents: experience from a university-based movement disorder clinic. Tremor and Other Hyperkinetic Movements, 2014, 4: 266.
14. Carbon M, Hsieh C H, Kane J M, et al. Tardive dyskinesia prevalence in the period of second-generation antipsychotic use: a meta-analysis. Journal of Clinical Psychiatry, 2017, 78(3): e264-e278.

Journal of Epilepsy

Nursing analysis of 7 cases with Tardive dyskinesia treated by deep brain stimulation

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