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

{"title":"Stroke Coaching Scale-11 ítems: construcción y validación psicométrica","authors":"Mireia Larrosa-Dominguez ,&nbsp;Sílvia Reverté-Villarroya ,&nbsp;Noemí Bernadó-Llambrich ,&nbsp;Esther Sauras-Colón ,&nbsp;Josep Zaragoza-Brunet","doi":"10.1016/j.sedene.2022.01.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2022.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Patients who survive a stroke present difficulty in complying with secondary prevention. Therefore, new strategies, such as health coaching, are needed to evaluate these interventions in clinical practice.</p></div><div><h3>Objective</h3><p>To construct and validate the psychometric properties of a scale for evaluating health coaching in stroke patients.</p></div><div><h3>Method</h3><p>Observational study of the construction and validation of a Spanish assessment scale for health coaching in a prospective cohort of stroke patients. It was conducted in two phases: 1)<!--> <!-->construction and 2)<!--> <!-->validation of the scale. In the first phase, after evaluation by a group of experts, 11<!--> <!-->items of the scale were constructed, with a Likert-type response option (0-10). In the second phase, validation and analysis of construct and reliability was carried out using the test-retest technique, with a difference of 3<!--> <!-->weeks in a consecutive and prospective probability sample of 58 participants. In addition, a confirmatory factor analysis of the model was performed, and the following fit indices were obtained: comparative fit index (CFI), Tucker-Lewis index (TLI), and root mean square error of approximation (RMSEA) with a confidence interval (CI) of 95%.</p></div><div><h3>Results</h3><p>The pilot test applied to a sample of 14 subjects obtained good reliability (Cronbach's alpha<!--> <!-->=<!--> <!-->.806). In the retest the level of reliability was maintained (Cronbach's alpha<!--> <!-->=<!--> <!-->.813) and the intraclass correlation coefficient of all items showed reproducibility after three weeks from the first completion. The correlation between the dimensions was significant, although the correlation coefficient was not high. The following scale fit indices were also calculated: CFI<!--> <!-->=<!--> <!-->.933, TLI<!--> <!-->=<!--> <!-->.914 and RMSEA<!--> <!-->=<!--> <!-->.068 (95%<!--> <!-->CI: .000-.119), which showed adequate values.</p></div><div><h3>Conclusions</h3><p>The Stroke Coaching Scale-11 items are a useful and valid instrument to assess health coaching in stroke patients.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"57 ","pages":"Pages 22-30"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49808373","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":"Sobrecarga del cuidador con relación al estado cognitivo y la dependencia en las actividades de la vida diaria de pacientes con accidente cerebrovascular: un estudio transversal en la República Dominicana","authors":"Víctor Sánchez Silverio ,&nbsp;Vanesa Abuín Porras ,&nbsp;Isabel Rodríguez Costa","doi":"10.1016/j.sedene.2021.05.001","DOIUrl":"10.1016/j.sedene.2021.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>To determine whether the burden of the family caregiver is related to cognitive status and dependence on the activities of daily living (ADL) of the stroke patient under their care.</p></div><div><h3>Methods</h3><p>A cross-sectional study was carried out. The Mini Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA) and the Barthel index were used to assess, respectively, the patient's cognitive status and ADL. The Zarit scale was applied to assess the burden on caregivers. A Spearman correlation was used assuming data abnormality on the Zarit scale and considering a significance of <em>P</em> <!-->&lt;<!--> <!-->.5.</p></div><div><h3>Results</h3><p>28 patients and 28 caregivers were evaluated. The Zarit scale showed correlations with the MMSE (Rho<!--> <!-->=<!--> <!-->−.48) and MoCA (Rho<!--> <!-->=<!--> <!-->−.43), as well as in the cognitive domains associated with temporo-spatial orientation (Rho<!--> <!-->=<!--> <!-->−.45) and reading (Rho<!--> <!-->=<!--> <!-->−.45) of the MMSE and language (Rho<!--> <!-->=<!--> <!-->−.41), memory (Rho<!--> <!-->=<!--> <!-->−.40) and temporo-spatial orientation (Rho<!--> <!-->=<!--> <!-->−.46) of the MoCA. On the other hand, the Zarit scale was correlated with the Barthel index (Rho<!--> <!-->=<!--> <!-->−.56) and the ADLs relating to dressing and undressing (Rho<!--> <!-->=<!--> <!-->−.45), bathing (Rho<!--> <!-->=<!--> <!-->−.38) and transferring from the chair to the bed (Rho<!--> <!-->=<!--> <!-->−.41).</p></div><div><h3>Conclusions</h3><p>The caregiver burden was correlated with impaired cognitive status and dependence on ADL in stroke patients.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 37-42"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47007089","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":"Efecto del entrenamiento resistido sobre el equilibrio y control postural en personas con párkinson: una revisión sistemática","authors":"Kamilla Palheta de Lima ,&nbsp;Cleiton Nascimento da Silva ,&nbsp;Nizabelle Ferreira de Seixas ,&nbsp;Mariela de Santana Maneschy ,&nbsp;Bráulio Nascimento Lima ,&nbsp;Guanis Vilela Junior ,&nbsp;André Pinto Novo ,&nbsp;Klebson da Silva Almeida","doi":"10.1016/j.sedene.2021.05.002","DOIUrl":"10.1016/j.sedene.2021.05.002","url":null,"abstract":"<div><h3>Background</h3><p>Physical exercise has contributed significantly to the quality of life of the population. Therefore, countless specialists have established relationships between t people who perform physical exercise and success in the treatment of diseases, such as Parkinson's disease in older adults.</p></div><div><h3>Objective</h3><p>The aim of this research is to analyse the influence of resistance training in the correlation of balance and postural control in people with Parkinson's disease.</p></div><div><h3>Method</h3><p>A systematic review was conducted according to the recommendations of the Preferred Reporting Items for Systematic Reviews And Meta-Analyses (PRISMA), in consultation with the PubMed, Scielo, BVS (Lilacs), ScienceDirect and Cochrane databases, based on the influence of resistance training on postural balance and control in older adults with Parkinson's disease, highlighting as the main assessment tool the Movement Disorders Society - Unified Parkinson's Disease Rating Scale.</p></div><div><h3>Results</h3><p>After searching the selected databases and considering the inclusion and exclusion criteria of this study, 10 studies were selected to compose this review and a total of 556 participants were pooled. It was observed that most of the interventions (60%) had a duration of approximately 30-45<!--> <!-->minutes over 8<!--> <!-->to 12<!--> <!-->weeks, the most used measuring instruments were the BESTest (Balance Evaluation System Test), FOG-Q (Freezing of Gait Questionnaire) and the MDS-UPDRS (Movement Disorders Society-Unified Parkinson's Disease Rating Scale).</p></div><div><h3>Conclusion</h3><p>Physical exercise plays a fundamental role in the intervention and prevention of Parkinson's disease symptoms with regard to balance, strength, and quality of life.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 18-28"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49468219","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":"Adherencia al tratamiento con inmunomoduladores inyectables en pacientes con esclerosis múltiple y trastorno cognitivo","authors":"Irene Andrade Andrade ,&nbsp;Eduardo Tejedor Tejada ,&nbsp;Elena Macías Cortés ,&nbsp;Carmen Muñoz Fernández ,&nbsp;Magdalena Martínez Martínez","doi":"10.1016/j.sedene.2021.04.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Multiple sclerosis (MS) is an inflammatory, demyelinating, and neurodegenerative disease that affects the central nervous system. Adherence to treatment is essential to modify the course of the disease. Cognitive impairment affects up to 70% of these patients and is a limitation for administration and adherence to treatment.</p></div><div><h3>Objective</h3><p>The main objective was to assess the degree of adherence to treatment in patients with MS and cognitive impairment. Secondary objectives were to describe the tools that can influence adherence to treatment and to evaluate the effectiveness of the technological devices used to alert the patient that he/she must self-inject.</p></div><div><h3>Method</h3><p>The method consisted of a descriptive, retrospective, and cross-sectional pilot study. It was carried out in the MS clinic of the Torrecárdenas University Hospital from December 2018 to September 2019. The sample included 20 patients diagnosed with MS currently treated with immunomodulatory injectable drugs for at least 6<!--> <!-->months. The Symbol Digit Modalities Test (SDMT) was used to assess cognitive impairment and to determine adherence, patients answered the Morisky-Green test (MG).</p></div><div><h3>Results</h3><p>Twenty patients (8 men and 12 women) were included over 10<!--> <!-->months with MS and cognitive impairment (SDMT score less than 50th percentile). Regarding gender-differentiated adherence, 75% of men were not adherent to treatment; by contrast, 66.6% of women were compliant with the dosage schedule. There were no statistically significant differences in terms of differentiated adherence by type of treatment. The main methods used to promote adherence were: 10% calendar, 20% family members, and 30% alarms as reminder.</p></div><div><h3>Discussion and conclusion</h3><p>Adherence results show a predominance of adherence in women, even with cognitive impairment. This reinforces our initial hypothesis that relates good therapeutic adherence to lesser progression of cognitive impairment in MS. As a preventive measure, we would like to emphasize the importance of the role of the nursing team in detecting cognitive impairment and in assessing adherence to treatment.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 11-17"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91975782","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":"Fragilidad en mayores de 80 años tras trombectomía mecánica por un ictus isquémico","authors":"Alicia Murias Quintana ,&nbsp;Lorena Benavente Fernández ,&nbsp;Germán Morís de la Tassa","doi":"10.1016/j.sedene.2021.07.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Although the advanced age is not an exclusion criterion for the stroke treatments, is characterized by a frailty state that affected the evolution and prognosis in such patients.</p></div><div><h3>Objectives</h3><p>To describe the possibility of a relation between frailty in elderly people (≥<!--> <!-->80<!--> <!-->years old) after mechanical thrombectomy, and clinical severity, and to describe stroke clinical features.</p></div><div><h3>Method</h3><p>Observational study in people over 80<!--> <!-->year-old who suffered an ischemic stroke and underwent to mechanical thrombectomy, between February and October 2018. Data about cardiovascular risk factors, medical treatment, stroke episode and frailty were collected.</p></div><div><h3>Results</h3><p>The sample was constituted by 65 people. A 72% suffered hypertension and 43% atrial fibrillation. A 75% did not take anticoagulants. A 82% did not suffer complications with the procedure, and a complete arterial reperfusion was achieved in 83%. A 27.69% (n<!--> <!-->=<!--> <!-->28) was not fragile. There was statistical association between age and frailty (<em>P</em> <!-->=<!--> <!-->.003).</p></div><div><h3>Discussion</h3><p>In our sample, the neurological and functional state caused by the stroke were more severe (described by the NIHS and Rankin modified scales score), but the recovery after hospital discharge was more positive. Elderly survivor patients were characterized as no fragile. The recovery after a stroke should be measured in functionality and quality of life terms, and not only using the age data.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 29-36"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136817617","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 del estado cognitivo y su relación con la dependencia en las actividades de la vida diaria: un estudio transversal en pacientes con accidente cerebrovascular","authors":"Víctor Sánchez Silverio ,&nbsp;Vanesa Abuín Porras ,&nbsp;Isabel Rodríguez Costa","doi":"10.1016/j.sedene.2021.02.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2021.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>To analyse cognitive status in relation to activities of daily living (ADL) dependency in stroke patients.</p></div><div><h3>Methods</h3><p>A cross-sectional study was carried out. The Mini Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA) and the Barthel index were used to assess cognitive status and ADL, respectively. A Pearson and Spearman correlation was used considering the normality of the data in cognitive status.</p></div><div><h3>Results</h3><p>62 patients were evaluated. The most impaired domains were associated with writing and drawing in the MMSE (mean = 24.9 ± 4.1) and language, visuospatial/executive function, and memory in the MoCA (mean = 18.3 ± 5.6). The ADLs with most dependency on the Barthel index (mean = 78.1 ± 14.0) were eating, dressing/undressing, bathing, and going up and down stairs. On the other hand, the ADL dependency showed a correlation with the MMSE (Rho = .3) and the MoCA (r = .2). In addition, MMSE was correlated with activities including dressing/undressing (Rho = .3) and bathing (Rho = .3) and MoCA with transfer from chair to bed (r = .2).</p></div><div><h3>Conclusions</h3><p>The domains with the highest cognitive impairment were related to memory and visuospatial/executive function. The correlations reflect that stroke survivors with greater cognitive impairment show greater ADL dependency.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 4-10"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92050997","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":"Imaginación, creatividad, diversión e innovación","authors":"Yolanda Higueras ,&nbsp;Diana Molina Villaverde","doi":"10.1016/j.sedene.2022.10.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2022.10.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Pages 2-3"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92050998","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":"Carta del presidente","authors":"Alejandro Lendínez","doi":"10.1016/j.sedene.2022.08.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2022.08.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"56 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136817607","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":"Staff Sedene","authors":"","doi":"10.1016/S2013-5246(22)00006-X","DOIUrl":"10.1016/S2013-5246(22)00006-X","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"55 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S201352462200006X/pdfft?md5=943711953d5cd334f860e58f9cc056ef&pid=1-s2.0-S201352462200006X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56940637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delírium en pediatría: detección precoz, diagnóstico y cuidado de enfermería","authors":"Angela Henao-Castaño ,&nbsp;Karen Natalia Monroy ,&nbsp;Jenny Paola Moreno ,&nbsp;Edwar Yamit Pinzon Casas","doi":"10.1016/j.sedene.2020.11.002","DOIUrl":"10.1016/j.sedene.2020.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Delirium is the most frequent manifestation of central nervous system dysfunction, a fluctuating and acute cognitive alteration in the critically ill patient.</p></div><div><h3>Objective</h3><p>To analyse the scientific production about delirium in patients in the Pediatric Intensive Care Unit on early detection, diagnosis, and nursing care.</p></div><div><h3>Methodology</h3><p>An integrative review of primary studies was conducted in three databases PubMed, Web of Science, SCOPUS, with the search strategy (Intensive Care Units, Paediatric) and (Delirium) and (Nursing Care), criteria of inclusion of primary studies published between 2011 and 2019, in English and Spanish available in full text.</p></div><div><h3>Results</h3><p>After analytical reading, 15 primary studies were selected, our results contribute to early detection, validated evaluation methods to diagnose delirium in Spanish-speaking paediatric patients such as PsCAM-ICU, PCAM-ICU and Cornell as well as nursing in the care of critical paediatric patients with the presence of delirium.</p></div><div><h3>Conclusions</h3><p>Cognitive assessment using validated scales in the paediatric patient allows the practice of the nursing professional in the paediatric unit to go beyond a series of instrumental tasks in the PICU and allows prevention to follow-up and control of cases in the delirious patient.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"55 ","pages":"Pages 17-24"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49645155","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}