Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)最新文献

{"title":"The patient experience from the perspective of MetaCare","authors":"Blanca Fernández-Lasquetty Blanc","doi":"10.1016/j.sedeng.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.sedeng.2023.06.001","url":null,"abstract":"","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"58 ","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49753067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local and intracraneal complications derived from cerebral arteriography","authors":"Mònica Serrano Clerencia ,&nbsp;Almudena Sánchez-Gómez ,&nbsp;Anna Grau Giner ,&nbsp;Laura Cardete Morales ,&nbsp;Sergi Amaro Delgado","doi":"10.1016/j.sedeng.2022.02.001","DOIUrl":"https://doi.org/10.1016/j.sedeng.2022.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Although cerebral angiography<span> is the reference technique for the diagnosis and treatment of cerebrovascular diseases, it is not without complications.</span></p></div><div><h3>Objectives</h3><p>To determine the incidence and risk factors of complications derived from therapeutic cerebral angiography (TCA), as well as to assess the risk factors associated with the appearance of local and intracranial complications.</p></div><div><h3>Methodology</h3><p><span>Retrospective cross-sectional study on TCAs carried out in 2018 on admission to the Stroke Unit of the Hospital Clínic de Barcelona. The study was approved by the centre’s ethics committee. Demographic, clinical, analytical, and procedure-derived variables were collected. All patients older than 18 years undergoing TCA were included. Patients undergoing diagnostic cerebral arteriography and/or with a hospital stay less than 24</span> <!-->h were excluded. The Mann-Whitney U test was used for the comparison of quantitative variables and Pearson’s Chi-squared test for the qualitative variables.</p></div><div><h3>Results</h3><p>Complications were frequent, occurring in almost half of the sample (44%). A longer duration of arteriography was associated with an increase in local complications (p<!--> <!-->=<!--> <span>.005). Intracranial complications occurred in 33% of the patients who underwent mechanical thrombectomy and were associated with older age (p</span> <!-->=<!--> <!-->.012), stent use (associated or not with aspiration) (p<!--> <!-->=<!--> <span>.003), and complete recanalization (p</span> <!-->=<!--> <!-->.02), as well as having a worse functional status at discharge (p<!--> <!-->=<!--> <!-->.006).</p></div><div><h3>Conclusions</h3><p>Complications derived from ACT are frequent. Their importance and incidence must be known to detect those subjects at higher risk for developing them due to their functional implications and increased hospital stay.</p></div>","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"58 ","pages":"Pages 4-13"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49753069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison between fibrinolyzed stroke that arrived with the emergency service or other means","authors":"Marta Lourdes Muñio Iranzo ,&nbsp;Herbert Tejada Meza ,&nbsp;Ángel Gasch Gallén ,&nbsp;Marta Sampériz Murillo ,&nbsp;Javier Marta Moreno","doi":"10.1016/j.sedeng.2022.06.004","DOIUrl":"https://doi.org/10.1016/j.sedeng.2022.06.004","url":null,"abstract":"<div><h3>Aim</h3><p>Analyze the relationship between attendance times and health outcomes of people with ischemic stroke treated with intravenous fibrinolysis, comparing those attended from the emergency units of 061 ARAGON with those arriving by other means.</p></div><div><h3>Method</h3><p>Cross-sectional, retrospective, descriptive and association study based on a consecutive series of patients treated at the Miguel Servet University Hospital in the period 2014−16, analysing the time of care up to fibrinolysis and results of intravenous fibrinolysis, in terms of mortality and functional status at discharge. We also analysed the influence on attendance times of the protocol change that was carried out in 2016 and that included the direct warning to neurologists, instead of the receiving emergency, as before.</p></div><div><h3>Results</h3><p>A total of 231 patients with stroke were collected and treated with intravenous fibrinolysis. The mean age of the patients was 75.91 (±12.48). Women accounted for 52.8% of those fibrinolysed, the average age of men being lower [74.07 (±13.71) years, compared with 77.55 (±11.07) years for women]. The mean score on the NIHS scale at admission between the two groups presented significant differences (<em>p</em> = 0.006), being greater the affectation among those who arrived with 061 [NIHSS 13.20 ± 6.78 vs 10.7 ± 6.22]. In the comparison of times between patients who arrive or not with 061, the average time to hospital was 91.42 (±59.64) vs 93.20 (±83.73) (<em>p</em> = 0.731), without significant differences. However, there were significant differences in the time door needle (<em>p</em> = 0.046), noting that patients who are brought by 061 Aragon have better in-hospital time until fibrinolysis (better door-needle time) (67.19 (±26.03) vs 77.83 (±38.35).</p><p>In the analysis of the door needle time by years, significant differences were observed (<em>p</em> &lt; 0.001), being shorter each year, with a clear shortening in 2016 compared to previous ones, reflecting the impact of the update of protocols in this time period.</p></div><div><h3>Conclusions</h3><p>The patients brought in by 061 were different (more affected), fibrinolysed in a greater percentage and faster. Direct notice to neurologists significantly shortened attendance times. In terms of mortality and functional status at discharge, there were no differences between the two groups.</p></div>","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"58 ","pages":"Pages 21-30"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49753060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing care of patients with multiple sclerosis during the COVID-19 pandemic","authors":"Mercè Lleixa Sardañons ,&nbsp;Montse Artola Ortiz ,&nbsp;Noelia Becerril Ríos ,&nbsp;Guadalupe Cordero Martín ,&nbsp;Ana Hernando Andrés ,&nbsp;Ana María Lozano Ladero ,&nbsp;José Ramón Sabroso Mellado ,&nbsp;César Manuel Sánchez Franco ,&nbsp;Beatriz del Río Muñoz","doi":"10.1016/j.sedeng.2022.06.003","DOIUrl":"https://doi.org/10.1016/j.sedeng.2022.06.003","url":null,"abstract":"<div><h3>Introduction</h3><p>At the beginning of the SARS-CoV-2 pandemic, health centres were places where there was a high risk of infection, and during the period of lockdown face-to-face health care was substantially reduced, forcing rapid changes in the care of multiple sclerosis patients by the specialised nursing staff in the units and monographic consultations of this disease.</p></div><div><h3>Development</h3><p>The experience of the nursing staff of multiple sclerosis units and monographic consultations, in 8 Spanish hospitals, is collected from the beginning of the pandemic and in later stages, and the adaptations that they made to continue caring for patients are specifically described. The scientific literature about how the SARS-CoV-2 has affected patients with multiple sclerosis is also reviewed, as well as the experiences of other multiple sclerosis teams in health centres in other countries.</p></div><div><h3>Conclusions</h3><p>During the lockdown and in later stages, new forms and previously little used forms of care were applied to multiple sclerosis patients. The nursing staff kept contact with them by telephone and online, provided them with information about safety and behaviour in relation to COVID-19. Face-to-face visits, treatments and distribution of medication were adapted. Information was provided about how patients could receive psychosocial support and about how they could maintain their quality of life.</p></div>","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"58 ","pages":"Pages 39-46"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49752990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking the communication barrier using new technologies in aphasic patients post-stroke","authors":"Eloy Jesús Ferrete Ruíz,&nbsp;María de los Reyes de Torres Chacón,&nbsp;Soledad Perez Sánchez,&nbsp;Ana Domínguez Mayoral,&nbsp;Miguel Ángel Gamero García,&nbsp;Ana Barragan Prieto,&nbsp;Lidia Ruiz Bayo,&nbsp;Helena Briales Grzib,&nbsp;Juan Montaner Villalonga","doi":"10.1016/j.sedeng.2022.06.002","DOIUrl":"https://doi.org/10.1016/j.sedeng.2022.06.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To improve language in aphasic patients after a recent ischaemic stroke using computer applications for mobile devices (tablet) for 30 days and to establish whether length of use influences this improvement.</p></div><div><h3>Method</h3><p>Randomised, prospective, single-centre clinical trial with two intervention groups, one of which was a control group. Aphasic patients were included within a maximum of 7 days after an ischaemic stroke. The intervention group used tablet-specific software for 30 days. Language improvement was assessed using the Mississippi Aphasia Screening Test (MAST).</p></div><div><h3>Results</h3><p>The sample was 40 patients, mean age 73 years (± 10.2). Fifty percent were women. Patients were equally divided between the 2 groups. Mean device use was 311.8 (±334.6) minutes after the end of 30 days, with a final mean improvement in MAST of 46.5 (±22.3) points in the intervention group and 34.8 (±21.7) in the control group (p = .233). Adjusting for age, the results indicate that the patients who tend to improve the most are those under 65 years of age (43.8 (±30.5) points, p = .205). We were unable to demonstrate significant differences between the two groups.</p></div><div><h3>Discussion and/or conclusions</h3><p>The results obtained in the study suggest that new technologies can be an effective tool for language recovery, especially in young patients. Multicentre studies with a larger sample size and younger patients may be able to demonstrate the usefulness of this new tool.</p></div>","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"58 ","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49759680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cuidado en el afrontamiento familiar de adolescentes que consumen drogas","authors":"Laura Cecilia Zapata Flores, Lorena Realivazquez Pérez, María de Jesús Carrasco Cervantes","doi":"10.14198/recien.23329","DOIUrl":"https://doi.org/10.14198/recien.23329","url":null,"abstract":"Objetivo: Conocer los significados y afrontamiento familiar de adolescentes que consumen drogas en rehabilitación.\u0000Método: Investigación cualitativa de diseño fenomenológico, buscó conocer las historias de vida de las familias de los adolescentes que consumen drogas en un centro de rehabilitación de la ciudad de Chihuahua. Se utilizó la observación participante, diario de campo y entrevista en profundidad, se realizó análisis de contenido en tres momentos: descubrimiento, codificación y construcción de unidades de significado.\u0000Resultados: El consumo de sustancias adictivas en los adolescente provoca cambios y sentimientos en la dinámica familiar, generando impotencia, enojo y al mismo tiempo estrés y miedo. Desde la perspectiva del afrontamiento que vive la familia del adolescente que consume drogas, se encuentran cuatro categorías: comunicación familiar deficiente, a nosotros como familia quien nos cuida, intuición de madre un despertar a la realidad y por último derrota como familia.\u0000Conclusión: Se encontró desintegración en la familia como unidad, carente de comunicación y con sentimientos complejos de dolor y sufrimiento ante una realidad de vida, un despertar difícil como padres, pero con la esperanza de que cada día es la oportunidad para salir adelante. No es sencillo estructurar una forma de cuidado, fue necesario llegar a las fibras más sensibles del ser humano para poder comprender los procesos en los que se encuentra inmerso, estableciendo un diálogo íntimo e intencionado con él, que lo envuelve en un torbellino de dolor y sufrimiento.","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86003378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repercusión en la tasa de mortalidad de pacientes con shock hipovolémico de origen traumático trasladados desde un área rural y urbano. Revisión sistemática","authors":"Rocío González Ávila, Juana Ávila López, Alberto González Ávila","doi":"10.14198/recien.25251","DOIUrl":"https://doi.org/10.14198/recien.25251","url":null,"abstract":"Objetivo: Evaluar la evidencia disponible acerca de la tasa de mortalidad en pacientes con shock hipovolémico de origen traumático atendidos en áreas rurales y urbanas en Europa.\u0000Introducción: El politraumatismo es una de las principales causas de mortalidad en adultos jóvenes. Una de las complicaciones que pueden ocurrir es la hemorragia, y con ella el shock hipovolémico. La llamada \"hora de oro\" permite identificar la importancia del tiempo de atención definitiva a este tipo de pacientes, situando la primera hora tras el traumatismo como crucial. Cuando estos incidentes ocurren en un área rural, es muy probable que el tiempo de atención y traslado a un hospital adecuado aumente en comparación con áreas urbanas.\u0000Método: Se realiza una revisión siguiendo la declaración PRISMA con una exhaustiva búsqueda sistemática en las bases de datos científicas del ámbito de las Ciencias Biomédicas y de la Salud como son Cinahl, Pubmed, Lilacs, MEDES y Dialnet, entre otras. La búsqueda se centra en artículos publicados entre los años 2017 y 2023.\u0000Resultados: De los 484 artículos encontrados se seleccionan finalmente 30 para este artículo, 15 de ellos (50%) reflejan una clara desigualdad entre poblaciones rurales y urbanas con respecto a la atención de emergencias, 3 de ellos (10%) muestran discrepancia con nuestra hipótesis de estudio y en 4 de ellos (13%) no queda clara la diferencia en la atención de estos dos grupos de población.\u0000Conclusiones: A pesar de las limitaciones encontradas se puede indicar que la población rural está en una situación desfavorecida en relación con la atención sanitaria de emergencias en el paciente politraumatizado, lo cual influye directamente en el aumento de la tasa de mortalidad en este tipo de pacientes.","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88083195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estrategia formativa para perfeccionar el autocuidado en pacientes con fractura de cadera","authors":"Anabel Sarduy-Lugo, Eraclio Delgado-Rifá, Alejandro Bernardo Cervantes-Palomino, Blanca Nieves Martínez-Rubio, Arlett María Iglesias-Torres, Yanelis Suárez-Angerí","doi":"10.51422/ren.v21i3.378","DOIUrl":"https://doi.org/10.51422/ren.v21i3.378","url":null,"abstract":"Introducción: Los medios de enseñanzas son los ejes vertebrales de gran parte de las acciones de enseñanzas y aprendizaje desarrolladas en cualquiera de los niveles o modalidades de la educación.\u0000Objetivos: Sistematizar y resaltar los fundamentos y ventajas de la guía de autoayuda sobre la fractura de cadera en el adulto mayor, como medio de enseñanza en la superación profesional del médico de la atención primaria.\u0000Métodos: Analítico – sintético, hipotético – deductivo, análisis documental y la entrevista.\u0000Resultados: Se elaboró una guía de autoayuda sobre fractura de cadera en el adulto mayor, a partir de falencias detectadas en la atención primaria de salud, que limitan el desempeño de los médicos de este nivel en actividades de promoción de salud en este grupo social. La guía de autoayuda fue diseñada y estructurada, como medio de enseñanza de estrategias de superación profesional, determinando las particularidades del contenido que se desea enseñar y las que se necesitan aprender por estos profesionales, para mejorar su desempeño en la promoción de salud en relación con el adulto mayor con fractura de cadera. Su creación fue concebida como elemento dinamizador del contenido unido a los demás componentes del proceso en busca de lograr los objetivos propuestos.\u0000Conclusiones: Se presenta una guía de la colección de autoayuda sobre fractura de cadera en el adulto mayor, diseñado, pensado y elaborado como medio de enseñanza a utilizar en la superación profesional del médico de la atención primaria de salud donde se resaltan los fundamentos teóricos que lo sustentan.","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81670570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visibilidad de los integrantes del proceso de revisión de pares en las revistas de enfermería","authors":"Adela Alba Leonel, Samantha Papaqui-Alba","doi":"10.51422/ren.v21i3.388","DOIUrl":"https://doi.org/10.51422/ren.v21i3.388","url":null,"abstract":"Diversos factores y procesos intervienen para que una revista tenga un gran impacto en la comunidad científica, académica y en la población, así como para su continuidad, aspectos que en ocasiones resultan poco visibles para los especialistas o el público lector. A continuación, se desarrollan algunos de estos procesos.","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80638821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nivel de dependencia funcional de los adultos mayores de la comunidad de Tula de Allende","authors":"Adriana González-García, Elideth Mota-Hernández, Citlally Olguín-Estrada, A. Maya-Sánchez, B. López-Nolasco, E. A. Cano-Estrada","doi":"10.51422/ren.v21i3.396","DOIUrl":"https://doi.org/10.51422/ren.v21i3.396","url":null,"abstract":"Introducción: El estado funcional se mide mediante la autonomía que tienen las personas para desarrollar las actividades de la vida diaria, cuando no se pueden realizar de manera autónoma es necesario un cuidador. Esta medida se sustenta en el modelo de adaptación de Sor Callista Roy, ya que se identifica el proceso de envejecimiento como el estímulo focal que produce una respuesta inmediata en el adulto mayor de acuerdo con el modo de interdependencia.\u0000Objetivo: Conocer el nivel de dependencia funcional de los adultos mayores de la comunidad de Tula de Allende, Hidalgo.\u0000Material y métodos: Estudio de aplicabilidad básica, cuantitativo, descriptivo y trasversal. Participaron 366 adultos mayores de Tula de Allende, y se les dio a conocer los términos de confidencialidad conforme a lo establecido en la Ley General de Salud y Declaración de Helsinki mediante el consentimiento informado. Se aplicó el cuestionario de Índice de Barthel (IB), para medir la dependencia funcional en las actividades instrumentales de la vida diaria.\u0000Resultados: Predomina el género femenino con el 52.7% representado por 193 participantes, la mayoría son casadas y amas de casa. De acuerdo con el IB la mayoría de los participantes tiene una dependencia leve, con una frecuencia de 206 y un porcentaje de 56.3%, y el cruce de variables arroja como resultado una relación significativa.\u0000Conclusión: Los adultos mayores de la comunidad de Tula de Allende presentan un nivel de dependencia funcional leve.","PeriodicalId":101097,"journal":{"name":"Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91063841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}