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

{"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}

{"title":"Encefalopatía de Wernike-Korsakoff: a propósito de un caso","authors":"Sara Ibáñez-Santana ,&nbsp;David Peña-Otero ,&nbsp;Laura Visiers-Jiménez","doi":"10.1016/j.sedene.2019.02.001","DOIUrl":"10.1016/j.sedene.2019.02.001","url":null,"abstract":"<div><h3>Aim</h3><p>To develop conceptual and operational definitions to define characteristics and related factors (individualized nursing care plan) for the process of 50-year-old patient with Wernicke-Korsakoff-encephalopathy.</p></div><div><h3>Method</h3><p>Integrative literature review about Wernicke-Korsakoff-encephalopathy, after nursing assessment, based on the General Theory of Self-Care Deficit of Dorothea Orem, on admission to the Neurology ward of a third level Spanish hospital.</p></div><div><h3>Results</h3><p>An individualized care plan is proposed through the NANDA-NOC- NIC taxonomies following the nursing process. The attention to the main caregiver is highlighted in the plan, due to his great responsibility in the continuity of care on discharge, including new activities for it.</p></div><div><h3>Conclusions</h3><p>It is necessary to use standard taxonomies for the development of the scientific nursing discipline, along with a holistic approach for the individualization of care.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 27-36"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48138567","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":"Delirium en pacientes de la Unidad de Cuidados Intensivos de una institución de salud en Montería, Colombia","authors":"Jorge Luis Herrera Herrera ,&nbsp;Edinson Oyola López ,&nbsp;Yolima Judith Llorente Pérez","doi":"10.1016/j.sedene.2019.04.003","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Delirium, in addition to causing suffering to patients, relatives and caregivers, is associated with increases in morbidity, mortality and hospital complications, which leads to high costs for the health system.</p></div><div><h3>Objective</h3><p>To determine the incidence of delirium and related factors in patients admitted to an intensive care unit of a health institution in the city of Monteria, Colombia.</p></div><div><h3>Methods</h3><p>A descriptive, longitudinal study with a quantitative approach that includes the correlation of variables of interest with the incidence of delirium. For the collection of information and subsequent analysis, the CAM-ICU scale –which allowed the identification of the presence of delirium– and the APACHE II severity scale were used. Likewise, a data card was prepared based on clinical and epidemiological variables of interest.</p></div><div><h3>Results</h3><p>The patients were mostly men (50.5%) with an average age of 60 years. The incidence of delirium was 22% with hyperactive presentation in 62% of cases. There was no relationship between the presence of delirium and the variables of age, sex and APACHE II, although correlation was observed with the use of mechanical ventilation and with the days of stay in the health centre.</p></div><div><h3>Conclusions</h3><p>Patients who developed delirium, the hyperactive form being the most common, were characterized either by having spent several days in the Intensive Care Unit or having undergone mechanical ventilation.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 7-12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134681468","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":"Resumen del XXVI Congreso Anual y II Congreso Internacional de la Sociedad Española de Enfermería Neurológica","authors":"Rosa Güell Baró ,&nbsp;Fidel López Espuela ,&nbsp;Alejandro Lendínez Mesa ,&nbsp;Paloma Muñoz Pedrazuela ,&nbsp;Francisco Javier Amarilla Donoso ,&nbsp;Maria Palanca Cámara ,&nbsp;Mercè Salvat Plana ,&nbsp;Noelia López Ramon ,&nbsp;David Iglesias Villanueva ,&nbsp;Carmen Funes Molina","doi":"10.1016/j.sedene.2020.01.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2020.01.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 3-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2020.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134681469","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 Now!","authors":"Adelaida Zabalegui","doi":"10.1016/j.sedene.2019.11.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.11.001","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134653320","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":"Escala de movilidad de 12 ítems para esclerosis múltiple: análisis mediante diagnósticos de enfermería","authors":"Marina González del Rio ,&nbsp;Miguel Merchan Ruiz","doi":"10.1016/j.sedene.2019.05.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Altered gait is one of the most common symptoms of multiple sclerosis. Fampridine is recommended to control this symptom. Its clinical benefits are assessed by timed and subjective tests, such as the 12-item MS walking scale (MSWS-12). Determining patients’ responses using the MSWS-12 enables nurses to identify, evaluate and monitor NANDA diagnoses relating to mobility.</p></div><div><h3>Aim</h3><p>To analyse the effectiveness of the MSWS-12 in relation to NANDA diagnoses in monitoring subjects with MS who are responders to fampridine.</p></div><div><h3>Methods</h3><p>Observational study, descriptive and retrospective study from October 2017 to September 2018 In Girona's Unitat de Neuroimmunologia i Esclerosi Múltiple Territorial. A total of 17 fampridine responders were included in the study. Variables: age, sex, EDSS and baseline MSWS-12 scores, at 15 days, and at 6 months.</p></div><div><h3>Results</h3><p>An increased total MSWS-12 score was observed between 15 days and 6 months of: impaired walking <span><math><mover><mtext>x</mtext><mo>¯</mo></mover></math></span> = 1.9 (<em>p</em>=.076); impaired standing <span><math><mover><mtext>x</mtext><mo>¯</mo></mover></math></span> = .2 (<em>p</em>=.637); fatigue <span><math><mover><mtext>x</mtext><mo>¯</mo></mover></math></span> = .9 (<em>p</em>=.209); risk of falling <span><math><mover><mtext>x</mtext><mo>¯</mo></mover></math></span> = .6 (<em>p</em>=.270).</p></div><div><h3>Conclusion</h3><p>Impaired walking and fatigue had a greater tendency to worsen over time. Risk of falling and impaired standing had a more stable score. The MSWS-12 in relation to NANDA diagnoses is a useful tool for nurses to monitor people with MS and altered gait.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 23-26"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134681466","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":"Influencia del ictus en el estado nutricional y su relación con la disfagia","authors":"M. Ángeles Ortega Barrio,&nbsp;Florita Valiñas Sieiro,&nbsp;M. Teresa Almarza Fernández,&nbsp;Sara Bravo Santamaría,&nbsp;Rafael Moreno Maestro","doi":"10.1016/j.sedene.2019.04.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.04.001","url":null,"abstract":"<div><h3>Aim</h3><p>To study the relationship between malnutrition and dysphagia in stroke patients.</p></div><div><h3>Method</h3><p>An observational, descriptive, longitudinal and prospective study that included 183 patients admitted to the neurological department of the University Hospital of Burgos with a diagnosis of stroke. Sociodemographic and clinical variables were collected using body mass index (BMI), CONUT index, Mini Nutritional Assessment (MNA), Barthel's index, Rankin scale, volume-viscosity clinical examination method, on admission, on discharge, and at 3<!--> <!-->months.</p></div><div><h3>Results</h3><p>On admission to hospital, 64.3% (92) of the patients had some degree of malnutrition according to the CONUT index, and 13.4% (22) were at risk of malnutrition according to the MNA. The median (interquartile range) of dependency was 100 (90;100). The median disability was 1 (0;2). Forty point four percent (67) of the patients had dysphagia.</p><p>At 3<!--> <!-->months, using the abovementioned scales, 58.2% of the patients had some degree of malnutrition, and 17.1% (28) were at risk of malnutrition. The median dependency was 95 (80;100). The median disability was 1 (1;3). Twelve percent (20) had dysphagia. There was a statistically significant relationship between dysphagia and level of malnutrition according to the CONUT index on admission (<em>P</em> <!-->=<!--> <!-->.021) and at 3<!--> <!-->months (<em>P</em> <!-->=<!--> <!-->.045), and according to the MNA at 3<!--> <!-->months (<em>P</em> <!-->=<!--> <!-->.009).</p></div><div><h3>Conclusion</h3><p>In stroke patients, there is an association between dysphagia and malnutrition, both on admission to hospital and at three months. After initial worsening, an improvement was observed at 3<!--> <!-->months with regard to the degree of dependency and disability but pre-stroke levels were not achieved.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 13-21"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134841029","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}