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

{"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":"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}

{"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":"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":"Uso de contención mecánica en pacientes con Alzheimer","authors":"Sandra Martínez Pizarro","doi":"10.1016/j.sedene.2019.10.003","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.10.003","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"51 ","pages":"Pages 37-38"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.sedene.2019.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134653319","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":"Papel del personal de enfermería especializado en el proceso de evaluación no motora dentro de la atención global de los pacientes con enfermedad de Parkinson","authors":"Teresa de Deus Fonticoba,&nbsp;Diego Santos García","doi":"10.1016/j.sedene.2018.08.003","DOIUrl":"https://doi.org/10.1016/j.sedene.2018.08.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The evaluation of patients with Parkinson's disease (PD) is complex and the detection of non-motor symptoms by the neurologist a very important aspect. However, it takes time and is not easy in daily clinical practice. As an alternative, a trained nurse can perform this evaluation.</p></div><div><h3>Objective</h3><p>To describe the non-motor evaluation of the patients from the Cohort of Patients with Parkinson's Disease in Spain, 2015 study (COPPADIS-2015) conducted by movement disorder specialist nurse from our centre.</p></div><div><h3>Methods</h3><p>Patients and caregivers from the COPPADIS-2015 study were included. The assessment included: 1) cognition (PD-CRS and puzzle test); 2) non motor symptoms as a whole (NMSS); 3) mood (BDI-II); 4) sleep (PDSS); 5) neuropsychiatric symptoms (NPI, QUIP-RS); 6) pain and fatigue (VAS); 7) gait problems (FOGQ); 8) disability (ADLS); 9) quality of life (PDQ-39SI, PQ-10, WHOQL-8); 10) caregiver status (ZCBI, CSI, BDI-II, PQ-10, WHOQL-8).</p></div><div><h3>Results</h3><p>102 patients (65.3<!--> <!-->±<!--> <!-->8.2 y; 52% males) and 62 caregivers were evaluated between January 2016, and October, 2017. Mean time of non-motor evaluation was 73.7<!--> <!-->±<!--> <!-->20.5<!--> <!-->minutes. Twenty-three point five percent of the patients had cognitive impairment, 17.6% major depression, 14.7% impulse control disorder, and 66.7% pain.</p></div><div><h3>Conclusions</h3><p>The non-motor assessment of patients with PD takes a long time but is very valuable given that it provides a great deal of information about the patient's condition and can be done by trained nurses.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"50 ","pages":"Pages 2-11"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136999607","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":"David Iglesias Villanueva","doi":"10.1016/j.sedene.2019.10.002","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.10.002","url":null,"abstract":"","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"50 ","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136999605","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 del deterioro cognitivo en la recuperación de la capacidad funcional, la institucionalización y la mortalidad de los ancianos intervenidos de fractura de cadera","authors":"Francisco Javier Amarilla Donoso ,&nbsp;Rosaura Toribio Felipe ,&nbsp;Marcelina Rodríguez Ramos ,&nbsp;Raúl Roncero García ,&nbsp;Jesús María Lavado García ,&nbsp;Fidel López Espuela","doi":"10.1016/j.sedene.2019.01.001","DOIUrl":"https://doi.org/10.1016/j.sedene.2019.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine whether the baseline cognitive state influences functional recovery 6 months after hip fracture.</p><p>To discover the relationship of functional results with comorbidity and cognitive impairment (CI)</p></div><div><h3>Methods</h3><p>This was a prospective cohort study, performed in a hospital in the province of Cáceres, which included 184 patients over 65 years of age who underwent hip fracture between November 2016 and October 2017.</p><p>We included clinical, sociodemographic, personal history, and functional dependence variables (Barthel Index, Lawton and Brody Scale) on admission and at 6 months.</p></div><div><h3>Results</h3><p>Of the total 184 patients, 50% knowingly had CI.</p><p>The mean age was 85.48 years (SD: 5.82), 70.9% were women. There were no significant differences in age between the 2 groups (<em>P</em> <!-->=<!--> <!-->.081).</p><p>In the pre-post study of each cohort, there were significant differences in all the functional variables studied referring to BADL and IADL at pre-fracture and at 6 months post-fracture (<em>P</em> <!-->&lt;<!--> <!-->.05).</p><p>Institutionalization after discharge was 35.3% in the group of patients without CI, compared to 75% of patients with CI.</p></div><div><h3>Conclusions</h3><p>A significant decrease in BADL and IADL was observed in both groups. The greatest difference occurred in IADL and in patients with CI.</p><p>Cognitive impairment prior to fracture seems to be an important predictor of functional and socio-familial outcomes of patients with hip fracture.</p></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"50 ","pages":"Pages 23-31"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136998157","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}