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

{"title":"Eficacia de la realidad virtual en el grado de Alfabetización en Salud en los pacientes con ictus: ensayo clínico piloto aleatorizado","authors":"Patricia Blázquez-González ,&nbsp;Rubén Mirón-González ,&nbsp;Alejandro Lendínez-Mesa ,&nbsp;María Teresa Camacho Arroyo ,&nbsp;Noelia Mancebo-Salas ,&nbsp;Raquel Luengo-González ,&nbsp;Silvia Herranz-Herranz ,&nbsp;Roberto Antonio López Manrique ,&nbsp;Jose Luis Cobo-Sánchez ,&nbsp;Zulema González-Gancedo ,&nbsp;María-Nieves Moro-Tejedor","doi":"10.1016/j.sedene.2024.03.001","DOIUrl":"10.1016/j.sedene.2024.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of virtual reality on the degree of Health Literacy, before and after the use of virtual reality with the Nintendo Switch® device in patients with a diagnosis of stroke admitted to neurorehabilitation units.</div></div><div><h3>Methodology</h3><div>Twelve patients admitted to a neurorehabilitation unit underwent a 1:3 randomised clinical trial (intervention group: control group). The intervention group consisted of 4 patients and the control group consisted of 8 patients. The control group performed conventional rehabilitation and the intervention group, in addition to conventional rehabilitation, had a 20-minute virtual reality intervention once a week for 6 weeks. Clinical outcomes were measured for the literacy variable before the intervention and 6 weeks after the intervention in both the control group and the intervention group.</div></div><div><h3>Results</h3><div>An improvement in literacy was obtained in the control group (9 vs 9.38; p<!--> <!-->=<!--> <!-->0.18) and in the intervention group (13.75 vs 14.25; p<!--> <!-->=<!--> <!-->0.31) after the 6 weeks duration of the study. Comparing the intervention group and the control group, the literacy level of the intervention group was higher after the intervention than in the CG (14.25 vs. 9.38: p<!--> <!-->=<!--> <!-->0.20), but no statistically significant results were obtained.</div></div><div><h3>Conclusion</h3><div>Virtual reality used together with conventional treatment seems to improve the degree of literacy of stroke patients admitted to neurorehabilitation units.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"61 ","pages":"Article 100161"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757607","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":"Evaluación de los neurofilamentos de cadena ligera en plasma como biomarcador de daño neuronal en la esclerosis múltiple","authors":"Anibal Arteaga-Noriega ,&nbsp;John Fredy Castro-Álvarez ,&nbsp;José Zapata-Berruecos ,&nbsp;Norma Liliana Muñoz Osorio ,&nbsp;Johanna Gutiérrez-Vargas","doi":"10.1016/j.sedene.2024.03.002","DOIUrl":"10.1016/j.sedene.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The identification of biomarkers of disease progression continues to be a necessity in the approach to multiple sclerosis (MS), a disabling neurological disease more common in young adults, which can have different phenotypes, among which the more notable are: relapsing-remitting, primary progressive and secondary progressive. Among biomarkers, the determination of neurofilament light chain (NfL) levels in both cerebrospinal fluid and serum have been shown to predict the severity of MS. Therefore, the objective of the present work was to evaluate the levels of NfL in patients in different stages of MS.</div></div><div><h3>Methodology</h3><div>A descriptive study was carried out, which included 70 patients diagnosed with MS; plasma NfL levels were analyzed using the adsorption enzyme immunoassay kit and the levels of the MS patients were compared with the levels of control patients<strong>.</strong></div></div><div><h3>Results</h3><div>In patients with MS, 87,14% were women, 21,43% were taking antidepressant drugs, 48,57% had vision complications, and 80% had spinal injuries. It was found that patients with relapsing-remitting phenotype and of male sex have higher levels of NfL.</div></div><div><h3>Conclusions</h3><div>The results show an increase in NfL in relapsing-remitting phenotype and in male patients, which suggests that there may be greater neuroaxonal deterioration in men and that they have this disease phenotype. However, future studies aimed at optimizing, standardizing, and implementing new technologies are necessary to address the predictive value of these biomarkers that can contribute to the management of the disease.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"61 ","pages":"Article 100162"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140782905","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":"Arteterapia en la mejora del bienestar cognitivo en pacientes con demencia. Revisión de la literatura","authors":"Jesús Sánchez-Lozano ,&nbsp;Sandra Martínez-Pizarro","doi":"10.1016/j.sedene.2023.09.001","DOIUrl":"10.1016/j.sedene.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Dementia affects fifty million individuals worldwide. It includes emotional problems and decreased motivation that interfere with daily life. In recent years, art therapy has been proposed to improve the physical and psychological well-being of these patients.</div></div><div><h3>Objective</h3><div>The objective of this review is to update the information on the efficacy of art therapy in the cognitive and psychological well-being of patients with dementia.</div></div><div><h3>Method</h3><div>A bibliographic search was carried out in Pubmed, Lilacs, IBECS and CENTRAL databases following the PRISMA recommendations. Studies conducted in the last 5 years, in Spanish or English, with full text and high methodological quality are selected.</div></div><div><h3>Results</h3><div>Art therapy with painting, visual art therapy, visual arts education program and remote expressive arts program are effective in patients with dementia. The total number of studies in the review was five. The frequency of the sessions was one per week, the total number of sessions was 8–12, and the duration of the program ranged from 6 to 12 weeks.</div></div><div><h3>Conclusion</h3><div>There are few quality art therapy items that have been shown to be effective for the patient and their caregiver. However, some reviewed studies show some kind of benefit in cognitive and psychological well-being and quality of life. For this reason, research in this field must be increased.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"61 ","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464179","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":"Impacto de la implantación de un programa de educación terapéutica para pacientes con migraña crónica","authors":"Teresa Marco Galindo,&nbsp;Santiago Fernandez Fernandez,&nbsp;Victor Obach Baurier,&nbsp;Neus Fabregat Fabra","doi":"10.1016/j.sedene.2024.05.001","DOIUrl":"10.1016/j.sedene.2024.05.001","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the impact of implementing a therapeutic education (TE) program for patients with chronic migraine.</div></div><div><h3>Method</h3><div>Prospective longitudinal intervention and assessment study before and after the program, lasting 6 months, conducted at the Headache and Facial Pain Unit of Hospital Clinic in Barcelona.</div></div><div><h3>Results</h3><div>TE resulted in a significant improvement in the frequency of headache days per month, DCM (15.6<!--> <!-->±<!--> <!-->6.84 vs. 11.5<!--> <!-->±<!--> <!-->4.68; p<!--> <!-->&lt;<!--> <!-->0.001), migraine days per month, DMM (7.38<!--> <!-->±<!--> <!-->1.44 vs. 5.88<!--> <!-->±<!--> <!-->1.36; p<!--> <!-->&lt;<!--> <!-->0.001), and increased perception of quality of life, measured through the MSQ scale (65.4<!--> <!-->±<!--> <!-->10.11 vs. 51<!--> <!-->±<!--> <!-->11.36; p<!--> <!-->&lt;<!--> <!-->0.001). Regarding satisfaction, we can observe that 97.5% of patients who attended group sessions would recommend them to other people with migraines and, furthermore, considered the content to be good or excellent.</div></div><div><h3>Conclusions</h3><div>TE in the treatment of chronic migraine offers a promising improvement in the quality of life of patients by empowering them with knowledge about their condition and pain management strategies. This complements pharmacological treatments by focusing on prevention and self-care. Although more research is needed to establish standard protocols, the presence of advanced practice nurses in headaches is crucial for the successful implementation of these programs.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"61 ","pages":"Article 100166"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349057","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":"Humanización y sanidad: algo más que una necesidad","authors":"Almudena Santano Magariño","doi":"10.1016/j.sedene.2025.500174","DOIUrl":"10.1016/j.sedene.2025.500174","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"61 ","pages":"Article 500174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324895","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":"“No SMA can hold”: Nursing care for children with spinal muscular atrophy. Descriptive analysis of two case studies","authors":"Federico Ruta ,&nbsp;Paolo Ferrara ,&nbsp;Francesca Dal Mas","doi":"10.1016/j.sedene.2022.11.002","DOIUrl":"10.1016/j.sedene.2022.11.002","url":null,"abstract":"<div><h3>Background</h3><div>Spinal muscular atrophy (SMA) is one of the most common genetic causes of death in children affecting about one in 10,000 live births, while its prevalence is about 1–2 per 100,000 (live births). Recently, the European Commission (EU) approved a novel gene therapy based on the onasemnogen abeparvovec (Zolgensma) for the treatment of patients with SMA. In addition to drug treatment, it is essential that children with SMA apply self-care methods to maintain their health, monitor their weight and food intake, and use appropriate remedies. Self-care and co-production of health care services are crucial in the modern ecosystem, as they can improve survival and prevent hospitalizations. The aim of this work is to support healthcare professionals who may have to deal with patients affected by this disease.</div></div><div><h3>Methods</h3><div>The article uses two case studies of children with spinal muscular atrophy through the creation of a multi-professional research group composed of health professionals who provide direct care to SMA children. The collection and analysis of the data were carried out by involving different figures who interact with SMA children. Specifically, physicians, nurses, parents, physical therapists, social workers, and teachers were individually interviewed.</div></div><div><h3>Results</h3><div>The study aims to provide suggestions on assessing child self-care, believing it to be a valuable method to gather information on how the child performs daily activities and how much the surrounding environment affects self-care. This paper highlights how self-management behaviors depend on four basic aspects: the person (individual, cognitive, and social perceptions), the patient's family (level of knowledge of pathology, involvement in the management and quality of relationship with the patient), the community (relationships with external social contexts, such as school and other organizations), and the healthcare system (availability of resources and the degree of evolution of healthcare).</div></div><div><h3>Conclusions</h3><div>The experience conducted may be helpful to other health institutions to make the approach to children with SMA as most effective as possible, creating internal workgroups and collaboration with external experts on the subject. Moreover, it provides valuable information on caring for families with children with SMA.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"60 ","pages":"Article 100144"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554225","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 psicoemocional de las enfermeras neurológicas. Claves para el descifrar el enigma del bienestar emocional","authors":"José Manuel Párraga Sánchez","doi":"10.1016/j.sedene.2024.500171","DOIUrl":"10.1016/j.sedene.2024.500171","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"60 ","pages":"Article 500171"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554223","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":"Functional social support in patients with myasthenia gravis: Narrative review","authors":"","doi":"10.1016/j.sedene.2023.10.001","DOIUrl":"10.1016/j.sedene.2023.10.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Social support promotes feelings of stability, predictability and self-esteem and reduces the social isolation, because information, tangible assistance and emotional support can be obtained from the social network.</div></div><div><h3>Methods</h3><div>We conducted a narrative review of the international empirical literature to provide a comprehensive understanding of the impact of social support and social networks on patients diagnosed with myasthenia gravis. The following databases were consulted: CINAHL, MEDLINE, APA PsycInfo, SCOPUS and Web of Science. Information was collected up to 2nd December 2022.</div></div><div><h3>Results</h3><div>The initial search generated 46 articles, but after the exclusion criteria had been applied, the total number of articles analysed was 13.</div></div><div><h3>Conclusions</h3><div>The symptoms of myasthenia gravis, especially ptosis and slurred speech, can have a major psychosocial impact and a negative effect on interaction social.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"60 ","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195108","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":"Efectividad de un programa de educación sanitaria con empoderamiento de pacientes con epilepsia","authors":"","doi":"10.1016/j.sedene.2022.12.001","DOIUrl":"10.1016/j.sedene.2022.12.001","url":null,"abstract":"<div><h3>Aims</h3><div>To evaluate the effectiveness of an educational intervention with empowerment for patients with epilepsy in a Spanish reference hospital for epilepsy.</div></div><div><h3>Methods</h3><div>A nonrandomized clinical trial was started in an epilepsy center. An empowerment group intervention program was conducted in which volunteers were recruited from outpatient clinics. It contained common topics in epilepsy health education, such as knowing your disease, types of seizures, treatment, how to act in the event of a seizure, seizure precipitating factors, lifestyle and medication management, as well as adapting to patients’ requests for information. The patients were empowered by applying their knowledge and skills, using the nurse as a facilitator. Questionnaires were administered before and after the intervention to assess anxiety and depression, quality of life, and satisfaction with care and attention to patients with epilepsy.</div></div><div><h3>Results</h3><div>33 patients completed the sessions and study. Satisfaction with the information improved significantly after the intervention (<em>P</em> <!-->&lt;<!--> <!-->.005). The information items with significant improvements were satisfaction with information about epilepsy, treatment, provision of aid and treatment of the impact of epilepsy (<em>P</em> <!-->&lt;<!--> <!-->.005). Satisfaction with communication decreased (<em>P</em> <!-->&lt;<!--> <!-->.005), being the items with the most changes, the “time to answer the questions” and “consideration with their individual needs”. No significant changes were shown in depression and anxiety, quality of life and satisfaction with the organization.</div></div><div><h3>Conclusions</h3><div>Empowerment interventions demonstrated benefits to improve satisfaction with information in patients with epilepsy. The educational intervention designed allows sharing knowledge, solving problems and improving skills, empowering the patient in a new concept of education, which the nurse is a facilitator who collaborates with the demands of the patients. More studies are needed to increase the sample and demonstrate benefits in quality of life and anxiety and depression.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"60 ","pages":"Article 100145"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135364132","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":"Presence of palinopsia as a sign of selective CNS tractopathy: A case report","authors":"","doi":"10.1016/j.sedene.2023.12.001","DOIUrl":"10.1016/j.sedene.2023.12.001","url":null,"abstract":"<div><div>Palinopsia, described as the persistence of visual images or their recurrence after the stimulus has disappeared, represents a rare but important neuro-ophthalmic complication. Until now, the pathophysiology and the main location of this visual mainteanance condition are not been clearly understood. This study presents a 30-year-old woman with palinopsia who had her selective optic radiation lesion assessed by diffusion tensor imaging (DTI). The finding of magnetic resonance imaging (MRI) did not reveal any damage in the selective optic pathway whereas DTI<span> showed a decreased density of the optic radiation tract. Furthermore, the mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were increased in suspected regions of lesions ds, while fractional anisotropy (FA) was decreased. To the authors’ knowledge, this is the first report of a case of palinopsia representing the central nervous system (CNS) tractopathy. Therefore, we encourage further investigation of optic pathway pathology using DTI in complex neurological complications, including palinopsia.</span></div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"60 ","pages":"Article 100156"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188873","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}