Papel del personal de enfermería especializado en el proceso de evaluación no motora dentro de la atención global de los pacientes con enfermedad de Parkinson

Abstract

Introduction

The evaluation of patients with Parkinson's disease (PD) is complex and the detection of non-motor symptoms by the neurologist a very important aspect. However, it takes time and is not easy in daily clinical practice. As an alternative, a trained nurse can perform this evaluation.

Objective

To describe the non-motor evaluation of the patients from the Cohort of Patients with Parkinson's Disease in Spain, 2015 study (COPPADIS-2015) conducted by movement disorder specialist nurse from our centre.

Methods

Patients and caregivers from the COPPADIS-2015 study were included. The assessment included: 1) cognition (PD-CRS and puzzle test); 2) non motor symptoms as a whole (NMSS); 3) mood (BDI-II); 4) sleep (PDSS); 5) neuropsychiatric symptoms (NPI, QUIP-RS); 6) pain and fatigue (VAS); 7) gait problems (FOGQ); 8) disability (ADLS); 9) quality of life (PDQ-39SI, PQ-10, WHOQL-8); 10) caregiver status (ZCBI, CSI, BDI-II, PQ-10, WHOQL-8).

Results

102 patients (65.3 ± 8.2 y; 52% males) and 62 caregivers were evaluated between January 2016, and October, 2017. Mean time of non-motor evaluation was 73.7 ± 20.5 minutes. Twenty-three point five percent of the patients had cognitive impairment, 17.6% major depression, 14.7% impulse control disorder, and 66.7% pain.

Conclusions

The non-motor assessment of patients with PD takes a long time but is very valuable given that it provides a great deal of information about the patient's condition and can be done by trained nurses.