Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica最新文献

{"title":"Valoración de la disfagia con el test método exploración clínica volumen-viscosidad en pacientes ingresados tras un accidente cerebrovascular","authors":"Estela Hernández-Bello ,&nbsp;Lorena Castellot-Perales ,&nbsp;Concepción Tomás-Aznar","doi":"10.1016/j.sedene.2018.08.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study is to describe the frequency of dysphagia and the associated factors in stroke patients hospitalised in the Neurology Unit of the <em>Hospital Clínico Universitario Lozano Blesa</em>, in Zaragoza, as well as to analyse the PPV and NPV of the volume-viscosity swallow test (V-VST).</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive study was conducted on stroke patients in order to assess the detectability of dysphagia using the V-VST and to track their progress for 7 days.</p></div><div><h3>Results</h3><p>The large majority (87.7%) of the patients did not have dysphagia. The study population included 81 subjects, of which 65.4% were men with a mean age of 72.84 years. The stroke was ischaemic type in 59.3% of cases, with no previous history of stroke in 86.4%, and with a slight dependence in48.1% measured with Barthel index. The test was performed in the first 24<!--> <!-->h in 79% of the population, with preventive dietary measures being introduced in 56.8% of patients. Some signs of lack of security were observed in 7 patients (8.6%) in the first week. Significant statistical relationships were found between the dysphagia and the dependence, signs of lack of security during the intake in the following days, and the type of diet. The PPV and NPV for V-VST in our patients was 14.28 and 94.11%, respectively.</p></div><div><h3>Conclusions</h3><p>The majority of patients did not have swallowing disorders due to their early detection with the V-VST, along with the dietary measures that appeared to reduce the risk of complications associated with dysphagia.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"49 ","pages":"Pages 8-15"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137270451","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":"Caso clínico: paciente con implante de electrodo medular con paraplejia posquirúrgica y fístula de líquido cefalorraquídeo, importancia de la atención de enfermería","authors":"Victoria Baneira Yáñez,&nbsp;Yordy Emmanuel Batista Batista,&nbsp;María Galego Montero","doi":"10.1016/j.sedene.2019.04.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.04.002","url":null,"abstract":"<div><p>Chronic neuropathic pain treatment is currently one of the biggest challenges for health care professionals because of its high impact on quality of life. Neurostimulation therapy is shown as a widely-accepted treatment for patients who have completed the pharmacological treatment options with no results.</p></div><div><h3>Objectives</h3><p>To show the importance of early detection of post-surgical complication in spinal cord stimulation patients with spinal electrode as well as an adaptation and personalization of nursing care in the event of post-surgical complications.</p></div><div><h3>Method</h3><p>A case of a woman suffering long-term chronic neuropathic pain following a serious traffic accident and subsequent spinal trauma. A study of a number of possible medical options was undertaken to decide the best outcome for the patient; finally, fitting a spinal electrode implant was decided as the best option, in order to start spinal cord stimulation therapy. Post-surgical paraplegia and cerebrospinal fluid leak were detected and incorrect placement of the electrode was observed on magnetic resonance imaging. A re-intervention was carried out for repositioning.</p></div><div><h3>Results</h3><p>Nursing care of post-surgical complications, the identification of nursing diagnoses and the ideal adaptation of the initial care plan as well as possible activities and objectives are described.</p></div><div><h3>Conclusions</h3><p>The importance of the adaptation and personalization of the nursing care plan for patients with postoperative surgical complications must be highlighted.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"49 ","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72231969","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":"Intervención psicoeducativa para personas con enfermedad de Parkinson y familiares/cuidadores: resultados preliminares de la medición basal","authors":"M. Victoria Navarta-Sánchez ,&nbsp;Mario Riverol ,&nbsp;M. Eugenia Ursúa ,&nbsp;Leire Ambrosio ,&nbsp;Juana M. Senosiain ,&nbsp;Mari Carmen Portillo","doi":"10.1016/j.sedene.2018.08.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Psychosocial adjustment affects the quality of life of patients with Parkinson's disease (PD) and his/her family/carers. However, this is not usually addressed in clinical practice.</p></div><div><h3>Objective</h3><p>To evaluate coping skills, psychosocial adjustment and quality of life of patients with PD and their family/carers from a quasiexperiment at baseline time.</p></div><div><h3>Method</h3><p>Quasi-experimental study carried out in Primary Care centres to evaluate the impact of a psychoeducational intervention in contrast with an informative intervention. The sample comprised 80 patients with PD and 80 family carers, divided into a control group and an experimental group. The psychosocial adjustment scale PAIS-SR, the coping scale Brief COPE and the quality of life scales PDQ-39 and SQLC were used in the data collection. The analysis of sociodemographic data and Student's t tests was performed using SPSS 23.0.</p></div><div><h3>Results</h3><p>The patients and family/carers from the control group and the experimental group noticed a mild impairment in their quality of life and some difficulties in their psychosocial adjustment to illness. Both groups used coping skills with a medium-low frequency. Acceptance was the most used coping skill by patients and family/carers. No statistically significant differences were found between the control group and the experimental group.</p></div><div><h3>Conclusions</h3><p>We observed that the quality of life and psychosocial adjustment to their illness was impacted in patients with PD and their family/carers, which could be addressed with psychoeducational interventions focused on developing their coping skills.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"49 ","pages":"Pages 16-22"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137270450","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":"Proudly supporting our heroes","authors":"Jan van der Merwe","doi":"10.1016/j.sedene.2018.11.001","DOIUrl":"10.1016/j.sedene.2018.11.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48087292","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":"Estudio de calidad de vida con la PDQ39 en pacientes con enfermedad de Parkinson tratados con terapias avanzadas","authors":"Carolina Cabello González ,&nbsp;Paula Camelia Trandafir","doi":"10.1016/j.sedene.2018.09.001","DOIUrl":"10.1016/j.sedene.2018.09.001","url":null,"abstract":"<div><p>Parkinson's disease is a neurological chronic degenerative disorder which can lead to a progressive loss of quality of life and to incapacitation. Conventional treatment is effective in the first years of the disease, but other kinds of therapy should be considered upon the onset of motor and non-motor complications that are clearly impacting quality of life. At present we have three advanced therapies which have proven beneficial for these types of patients, namely: deep cerebral stimulation, subcutaneous apomorphine infusion pumps, and continuous intestinal levodopa infusion to the duodenum (Duodopa®).</p></div><div><h3>Objectives</h3><p>To assess the impact of advanced therapies on the quality of life of patients with Parkinson's disease, measured using the PDQ39 scale.</p></div><div><h3>Methods</h3><p>Observational, prospective, non-randomized study. Three measurements (n<!--> <!-->=<!--> <!-->20) using the PDQ39 scale were taken: the first before initiating advanced therapy, the second at 3-5 months, and the third at 6-10 months.</p></div><div><h3>Results</h3><p>Men who receive treatment with advanced therapies are younger and have fewer years of progression of the disease than women. There were significant differences between the three measurements in terms of emotional well-being, stigmatization, cognitive state and overall assessment of PDQ39. Similarly, significant differences were found in pairs in the long term in these parameters. Social support deteriorated after entering advanced therapy.</p></div><div><h3>Conclusions</h3><p>Significant global improvements were observed in quality of life, measured using the PDQ39 scale, of patients with Parkinson's disease, treated with advanced therapy in the Hospital of Navarre for 10 months.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Pages 9-14"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47706774","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":"Procesos atencionales en tareas de simulación militar: diferencias relacionadas con el género","authors":"M. Victoria Sebastián Guerrero ,&nbsp;M. Victoria Arana Aritméndiz ,&nbsp;Carolina Arcos Sánchez ,&nbsp;M. Antonia Navascués Sanagustín ,&nbsp;M. Ángeles Idiazábal Alecha ,&nbsp;Carlos Ruiz López ,&nbsp;José M. Iso Pérez","doi":"10.1016/j.sedene.2018.04.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.04.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The ability to process information depends on the state of cerebral activation, which can be recorded using the electroencephalogram (EEG). In this article, a bioelectrical quantification method is used for the study of attention, based on a frequency exponent.</p></div><div><h3>Objectives</h3><p>To analyse the attention of a selected sample of 36 volunteers from the Armed Forces in a state of rest and during the performance of military simulation tasks. To establish the potential existence of differences between the male and female groups in different EEG types (rest with closed eyes and 2<!--> <!-->specific attention tasks).</p></div><div><h3>Methods</h3><p>The spectral power was calculated and an exponent obtained that models this magnitude by means of a function of coloured noise type. The third minute of the signals of each subject was used in 3 types of EEG and 12 channels. The data were analysed using a statistical test.</p></div><div><h3>Results</h3><p>Significant differences were observed between males and females in the basal EEG (rest with closed eyes) in the parietal, occipital, temporal, and central regions (1.62 was the value of the male cortical average versus 1.39 for the female), and during the task (j2) in frontal, occipital and parietal regions (1.34 for the male cortical average versus 1.16 in the female).</p></div><div><h3>Conclusions</h3><p>The female group shows greater cerebral bioelectrical complexity than that of men in the same type of EEG. The frequency exponent behaves inversely to the difficulty of the task, in both genders.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Pages 2-8"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137151098","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":"Aportación de la imagen dopaminérgica en pacientes con parkinsonismo. Perspectiva desde la consulta de Neurología","authors":"Alberto Martínez Lorca ,&nbsp;Manuela Martínez-Lorca ,&nbsp;Juan José Criado Alvarez ,&nbsp;María Dolores Cabañas Armesilla","doi":"10.1016/j.sedene.2018.06.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.06.002","url":null,"abstract":"<div><p>Parkinson's disease (PD) is the second most common neurodegenerative disease after Alzheimer's disease. The cause of PE remains unknown, but is attributed to complex genetic interactions and environmental factors.</p><p>Early and accurate diagnosis in patients with parkinsonism is important since it affects the correct prognosis and treatment, improving the management of patients</p><p>Although different imaging techniques can be used from nuclear medicine, SPECT radiopharmaceuticals are used that bind to the active dopamine transporter protein associated with the striatal presynaptic membrane, which is involved in the reuptake of dopamine from synapses to neurons.</p><p>Thus, dopaminergic imaging studies can help with the diagnosis of vascular parkinsonism as well as to differentiate early idiopathic PD from drug-induced parkinsonism.</p><p>On the other hand, the images of the postsynaptic D2 receptor can also be used, being useful to differentiate PD from atypical parkinsonisms.</p><p>Finally, the use of these imaging techniques of the dopamine transporter can help differentiate between presynaptic disorders due to dopamine deficiency, particularly PD, and conditions not associated with presynaptic dopamine loss, which include essential tremor, parkinsonism vascular and drug-induced parkinsonism.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137151115","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":"Implementación del sistema de compresión neumática intermitente en pacientes con ictus","authors":"Katherine E. Santana Roman,&nbsp;Gloria Dalmases Casulleres,&nbsp;Olga Miñarro Agüero,&nbsp;Pilar Girón,&nbsp;Marta Rubiera Fueyo,&nbsp;Estela Sanjuan Menendez","doi":"10.1016/j.sedene.2018.05.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>There is a higher risk of embolic complications in immobile stroke patients. Venous thromboembolism is a serious condition in which small clots form in the deep veins of the legs, called deep vein thrombosis (DVT), and these clots are carried through the blood circulation to the lungs, leading to pulmonary embolism. Intermittent pneumatic compression (IPC) has been proven to prevent deep vein thrombosis in 29.9% of stroke patients.</p></div><div><h3>Objectives</h3><p>1. Discover the effects of intermittent pneumatic compression protocol implementation in patients with severe stroke in relation to comfort and safety, and determine how long implementation would take and the work load of this new protocol. 2. Compare functional evolution after 3 months in patients on whom an IPC system was applied with the previous sample at the beginning of the system application.</p></div><div><h3>Method</h3><p>Observational, transversal and descriptive study which evaluated the viability and safety of the IPC system in acute stroke patients in the Stroke Unit of the Hospital Vall d’Hebron. IPC was applied for 24<!--> <!-->hours on patients with ischaemic stroke treated with reperfusion and on patients with intracranial haemorrhage during 72<!--> <!-->hours.</p></div><div><h3>Results</h3><p>172 patients were included in the sample. The mean age was 71<!--> <!-->±<!--> <!-->14 years. 48% were women. 79.2% were diagnosed with ischaemic stroke. In the application phase the nurses reported that prior to training they had taken 15<!--> <!-->±<!--> <!-->2,3<!--> <!-->minutes to use the system and that after training application only took 6<!--> <!-->±<!--> <!-->1,5<!--> <!-->minutes. Practically all patients (98.8%) who were given IPC suffered no discomfort and did not present with any complications derived from its use. During this period no cases of DVT were detected.</p></div><div><h3>Conclusions</h3><p>Implementation of the IPC systems protocol has been proven to have a preventative and efficient effect in the reduction of embolic complications, which is safe for the patient and with no discomfort in its use. The nurses’ work load is not increased with appropriate training. Following the introduction of the protocol a functional optimisation in patients 3 months post stroke was observed.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Pages 15-21"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137151114","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":"Análisis y reeducación del equilibrio y la marcha en paciente con esclerosis múltiple","authors":"Carlos Luque-Moreno ,&nbsp;Gonzalo Garvey-Canivell ,&nbsp;Fátima Cano-Bravo","doi":"10.1016/j.sedene.2018.06.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.06.001","url":null,"abstract":"<div><p>Multiple sclerosis is an autoimmune disease that causes progressive disability in young adults, in which they experience motor and sensory dysfunctions that contribute to alterations in balance and gait. The aim of this study is to determine these alterations in a 29-year-old patient with primary progressive multiple sclerosis, and to describe and implement a physiotherapeutic intervention (40<!--> <!-->min/day, 2 days/week for 5 months), and objectify the results through instrumental gait analysis. An increase was obtained in the muscular balance (Daniels Test) in the right lower limb, and in balance using the Berg Balance Scale (6 points), as well as a decrease in spasticity in the Modified Ashworth Scale in the right triceps surae. There was also an improvement in the spatiotemporal gait parameters, an increase in average speed by 0.11 m, a decrease of 4.7 steps/min of the cadence, a decrease in step width by 0.03 m, and an increase in stride lengths (0.08 m right, 0.09 m left). The data suggested a functional improvement, even in the case of a progressive disease. The joint action of an interdisciplinary team is essential to reinforce the physiotherapy treatment in these patients, as well as the use of innovative assessment tools that allow us to achieve the most optimal treatments.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"48 ","pages":"Pages 28-31"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2018.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137151116","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":"XXIV Congreso Anual de la Sociedad Española de Enfermería Neurológica","authors":"Carmen Funes Molina ,&nbsp;Mercè Salvat Plana ,&nbsp;David Iglesias Villanueva ,&nbsp;Jesús A. León López ,&nbsp;Alejandro Lendínez Mesa ,&nbsp;Maria Palanca Cámara ,&nbsp;Macarena Rus Hidalgo ,&nbsp;Paloma Muñoz Pedrazuela ,&nbsp;Rosa Güell Baró ,&nbsp;Javier Amarilla Donoso ,&nbsp;Fidel López Espuela","doi":"10.1016/j.sedene.2017.12.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2017.12.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"47 ","pages":"Pages 6-10"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2017.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92106982","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}