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

{"title":"Dificultades de aprendizaje de los estudiantes de enfermería en el cuidado a un paciente con apatía postictus","authors":"Jagoba Zarandona ,&nbsp;Marta Arrue ,&nbsp;Sergio Yuste ,&nbsp;Itziar Hoyos Cillero","doi":"10.1016/j.sedene.2020.02.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.02.002","url":null,"abstract":"<div><h3>Aim</h3><p>To obtain a vision of nursing students’ learning, exploring difficulties concerning understanding stroke care delivery when apathy occurs.</p></div><div><h3>Methods</h3><p>Mixed methods research combining a quantitative research method with a pre-experimental one group pretest-postest design and a qualitative research method with a phenomenographic descriptive design. Data was collected from written self-assessments (pretest; n<!--> <!-->=<!--> <!-->83) and exam papers (postest; n<!--> <!-->=<!--> <!-->82) completed by third-year nursing students enrolled in the 2016-17 academic year in one nursing school in Spain.</p></div><div><h3>Results</h3><p>The analysis revealed 3<!--> <!-->conceptions in relation to understanding stroke care delivery when apathy occurs: a) apathy as a multi-causal response; b) apathy as a reactive psychological response; c) apathy as a result of brain injury.</p></div><div><h3>Conclusions</h3><p>The analysis of conceptions in this research has shown that the percentage of students arguing apathy based on one single factor did not vary from pretest to postest. The relationship between functional loss and reactive psychological answers was the abounding argument. Identification of conceptions will allow nurse educators to design evidence-based teaching-learning strategies focused on difficulties in stroke care delivery among undergraduate nursing students. Likewise, it will help to enhance the quality of care delivered by future nurses, improving these patients’ quality of life.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"53 ","pages":"Pages 25-33"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137386908","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":"Neurorrehabilitación y su impacto en el estado funcional en pacientes que han sufrido un ictus","authors":"Susana Catarina Sarmento Banrezes Salselas ,&nbsp;Fidel López-Espuela ,&nbsp;Maria José Almendra Gomes ,&nbsp;Leonel São Romão Preto ,&nbsp;Sergio Rico-Martin","doi":"10.1016/j.sedene.2020.01.003","DOIUrl":"10.1016/j.sedene.2020.01.003","url":null,"abstract":"<div><p>Stroke represents the main cause of functional dependence and in the Portuguese adult population.</p></div><div><h3>Objective</h3><p>To analyse the impact of rehabilitation on functional state and basic activities of daily life (ABVD), 8<!--> <!-->weeks following a stroke, in a population of elderly people in north-western Portugal.</p></div><div><h3>Methodology</h3><p>Observational, longitudinal and retrospective study. The patients were grouped into 3 groups according to the rehabilitation treatment received: non-rehabilitation (NR), light rehabilitation (RL) and intense rehabilitation (RI).</p><p>Sociodemographic data, clinical variables (on stroke), hospital stay, rehabilitative treatment, and functional status (Barthel index) were collected.</p></div><div><h3>Results</h3><p>350 patients, with a mean age of 75.83 (± 8.02) years. The hospital stay was longer in the group of RL (19.7 [±<!--> <!-->8.69]), RI (17.67 [±<!--> <!-->10.05]) and of those who did not undergo rehabilitation (10.97 [±<!--> <!-->6.96]) (<em>P</em> <!-->=<!--> <!-->.001).</p><p>A significant increase (<em>P</em> <!-->&lt;<!--> <!-->.001) was observed in the Barthel index scores from admission to 8<!--> <!-->weeks after the stroke.</p><p>Age (<em>P</em> <!-->=<!--> <!-->.003) and hospital stay (<em>P</em> <!-->=<!--> <!-->.013) were shown as risk factors for functional dependence. Similarly, taking as a reference the patients who did not undergo rehabilitation, the subjects who underwent light rehabilitation (OR: 6.37; 95%<!--> <!-->CI: 1.74-23.25; <em>P</em> <!-->=<!--> <!-->.005) and intensive rehabilitation (OR: 2.28; 95%<!--> <!-->CI: 1.08-4.82; <em>P</em> <!-->=<!--> <!-->.030), had a significantly higher risk of presenting functional dependence</p></div><div><h3>Conclusion</h3><p>Undergoing intensive rehabilitation improves functional state and ABVD compared to light rehabilitation, 8 weeks following a stroke in elderly patients.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"53 ","pages":"Pages 8-15"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47469913","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":"Plan de cuidados de enfermería en el síndrome epiléptico relacionado con infección febril: a propósito de un caso","authors":"María Palanca Cámara ,&nbsp;Rosa Güell Baró","doi":"10.1016/j.sedene.2019.10.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Febrile infection-related epilepsy syndrome (FIRES) is a serious epileptic encephalopathy of unknown aetiology, which leads to refractory epileptic status and neuropsychological deterioration. It appears mainly in children and has 3 phases: initial, acute and chronic. In the chronic phase, educational intervention is important to reduce and address exacerbations. Its prevalence is low (1/100,000 children in Europe) which makes it a disease of interest to present as a clinical case with a nursing care plan.</p></div><div><h3>Case</h3><p>This is a 16-year-old male patient who debuted at age 7 and has intellectual impairment and abehavioural disorder. Approximately every 21 days he has exacerbations requiring hospitalization, a situation that we address in this case.</p></div><div><h3>Care plans</h3><p>The main needs we find are breathing (risk of aspiration), food (risk of electrolyte imbalance), elimination (urinary and faecal incontinence), mobility (deterioration of physical mobility), communication (deterioration of verbal communication) and safety (tiredness of the caregiver's role, risk of falls, risk of infection, risk of deterioration of skin integrity).</p></div><div><h3>Conclusions</h3><p>In the acute phase, the need for safety is the most affected, requiring the necessary prevention measures. On the other hand, hospitalization is a good time to work with the family, optimizing the resources provided (home service, ketogenic diet, among others). A multidisciplinary approach is essential for planning and carrying out care.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 29-36"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109128411","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":"Estrategias ante la ansiedad de la flebotomía en niños con trastorno del espectro autista","authors":"Sandra Martínez-Pizarro ,&nbsp;Rosa María Palma Barrio","doi":"10.1016/j.sedene.2020.02.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.02.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109128413","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":"Loxoscelismo sistémico en un paciente epiléptico. Reporte de caso","authors":"Rafael Pichardo-Rodriguez ,&nbsp;J. Antonio Grandez-Urbina ,&nbsp;Saarah Zegarra del Rosario-Alvarado ,&nbsp;Victor A. del Carpio-Yañez ,&nbsp;Marcos Saavedra-Velasco ,&nbsp;Herney Andrés Garcia-Perdomo","doi":"10.1016/j.sedene.2019.10.004","DOIUrl":"10.1016/j.sedene.2019.10.004","url":null,"abstract":"<div><p>Loxoscelism is the clinical problem produced by the bite of a spider of the genus Loxosceles. The most severe presentation is systemic loxoscelism that can compromise the patient's life if it is not diagnosed and treated in time. There are no reports about how it presents in patients with an epilepsy diagnosis. We present the case of a 28-year-old male patient, with a prior history of epilepsy in treatment with anticonvulsants. He developed systemic loxoscelism after a spider bite in the posterior middle third of the right arm. However, the patient did not develop seizures despite the unfavorable course of his clinical symptoms.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 37-40"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48943552","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 de la presidenta","authors":"Carmen Funes Molina","doi":"10.1016/j.sedene.2020.05.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.05.002","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109128409","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 terapéutico-cognitiva individual de los síntomas psicológicos y conductuales de pacientes con demencia (estudio PRESTA)","authors":"Sílvia Reverté-Villarroya ,&nbsp;Josep Zaragoza-Brunet ,&nbsp;Calamanda Matamoros-Obiol ,&nbsp;Ester Inglada-García ,&nbsp;Sonia Escalante-Arroyo ,&nbsp;Eva Forcadell-Ferreres ,&nbsp;Patricia Esteve-Belloch","doi":"10.1016/j.sedene.2019.08.001","DOIUrl":"10.1016/j.sedene.2019.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The behavioural and psychological symptoms of dementia (BPSD) are frequently associated with patients with dementia, aggravating their cognitive and behavioural status, which generates anguish for their main caregivers. Non-pharmacological therapies are a method to approach BPSD.</p></div><div><h3>Aim</h3><p>To analyse the effectiveness of a behavioural educational intervention and support to the family caregiver in reducing overload, and whether this reduction has a positive impact on the BPSD of the patient with dementia.</p></div><div><h3>Method</h3><p>A randomised, controlled, double-blind trial was conducted with patients with dementia and their principal caregivers (PC). The PC were randomised to either the intervention (IG) or control group (CG). The intervention comprised an individual cognitive-behavioural education intervention performed by outpatient nursing, with periodic telephone contacts, over 3 months. The CG received treatment as usual. Cognitive function was assessed using the cognitive scale Mini-Mental State Exploration (MMSE), Neuropsychiatric inventory <em>(</em>NPI-10) and depressive Geriatric Depression Scale (GDS). And caregiver-reported burden using the Zarit Caregiver Burden Inventory. The qualitative and qualitative data of the BPSD were collected at baseline and after the intervention.</p></div><div><h3>Results</h3><p>The mean total age of the patients was 78.96 (± 6.64) years, and 50% were men. And in the PC (n<!--> <!-->=<!--> <!-->28) it was 58.64 (± 11.69) years, and 92.9% were women. The IG (n<!--> <!-->=<!--> <!-->13) showed a better score than the CG (n<!--> <!-->=<!--> <!-->15) in the MMSE <em>P</em>&lt;.001 and the GDS <em>P</em>&lt;.001, although without changes in the NPI-10 <em>(P</em>=0,419), between the start visit and at 3 months, indicating improvement in cognitive and depressive symptoms after the intervention. The PC also obtained statistically significant scores on the Zarit scale <em>(P</em>=.010). BPSD improved significantly in the IG: repetition <em>P</em>&lt;.001, depression <em>(P</em> =.013), apathy and indifference <em>(P</em>=.003), sleep and diurnal rhythm disorders <em>(P</em>=.006), and eating disorders <em>(P</em>=.019) at 3 months. Clinicaltrials.gov Identifier: NCT03732521.</p></div><div><h3>Conclusions</h3><p>Non-pharmacological therapy of individual therapeutic-cognitive intervention targeted at caregivers and carried out by nursing personnel expert in its management, has a favourable impact on the control and reduction of the BPSD of patients with dementia.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 7-18"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47198639","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":"Terapia espejo para la recuperación motora tras el accidente cerebrovascular","authors":"Sandra Martínez-Pizarro","doi":"10.1016/j.sedene.2020.06.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.06.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 42-43"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2020.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109128412","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":"Cronicidad y atención primaria en tiempos de pandemia","authors":"Luis Palomo Cobos ,&nbsp;Dolores Corrales Nevado","doi":"10.1016/j.sedene.2020.05.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.05.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 3-6"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2020.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109128410","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":"Rehabilitación mediante terapia de realidad virtual tras un accidente cerebrovascular: una revisión bibliográfica","authors":"Marta A. Montalbán ,&nbsp;Oscar Arrogante","doi":"10.1016/j.sedene.2020.01.002","DOIUrl":"10.1016/j.sedene.2020.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Stroke has increased in incidence worldwide. Although its mortality has reduced, it is the disease with the highest percentage of disability. For this reason, it is necessary to find new methods of rehabilitation and recovery from sequalae after a stroke, such as virtual reality (VR) therapy.</p></div><div><h3>Objective</h3><p>To analyse the effectiveness of VR as a rehabilitation therapy for movement improvement in adults after suffering a stroke.</p></div><div><h3>Method</h3><p>A literature review was carried out through a systematic search in the PubMed, ScienceDirect and EBSCO databases (Medline Complete, Academic Search Complete, Academic Search Ultimate and E-Journal). A date restriction of the last 5<!--> <!-->years and a language restriction in English and Spanish were applied.</p></div><div><h3>Results</h3><p>A total of 13 studies met the inclusion/exclusion criteria and the objectives of this review. The selected studies compared conventional therapy (CT) with VR therapy, or CT with the combination of CT + VR, and other studies assessed VR effectiveness in isolation.</p></div><div><h3>Conclusions</h3><p>VR therapy would be effective for improving movement in post-stroke patients, either in isolation or as a complement to conventional therapy. The type of VR most used for stroke rehabilitation is the semi-immersive of second person that is generally applied 6<!--> <!-->months after suffering a stroke. Unfortunately, it has not yet been possible to determine the efficacy of VR according to the brain region affected.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"52 ","pages":"Pages 19-27"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2020.01.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48208548","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}