The Journal of Neurological and Neurosurgical Nursing最新文献

{"title":"Delirium and Evidence-Based Nursing Practices: Covid-19 Pandemic Updates","authors":"Gülşah Kayserilioğlu, Nedret Tekin Kaya","doi":"10.15225/pnn.2022.11.2.5","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.5","url":null,"abstract":"Delirium is a complex neuropsychiatric syndrome characterized by an acute onset of cognitive, attention, disorientation and change in the level of consciousness. Delirium is a serious health problem that is common at all ages and medical conditions in many places from the emergency department to the operating room. Delirium symptoms can develop within hours or days and last longer than a month. Nurses have important roles in diagnosing delirium and managing the process with evidence-based practices in patient care. Delirium screening and diagnostic measurement tools used for delirium risk classification and diagnosis should be used by nurses who care for the patient day and night. High mortality in the delirium table, a long stay in the intensive care unit or in the hospital lead to high maintenance costs. The prevalence rates of delirium in patients with Covid-19 have increased. The triggering factors that cause delirium in the Covid-19 pandemic may be social distance and social isolation, deep sedation practices, high fever, prolonged mechanical ventilation, delayed extubation due to aerosol propagation anxiety, inadequate pain assessment, psychological perceptions (mass death), multiple organ dysfunctions. It is known that the application of the ABCDEF (Assessing Pain, Both Spontaneous Awakening and Breathing Trials, Choice of Drugs, Delirium monitoring/management, Early exercise/mobility, and Family Empowerment) care package is effective in the management of delirium. It is recommended to use the ABCDEF care package for delirium management in Covid-19 patients. In this review, evidence-based practices are included in the prevention of delirium and nursing care in the coronavirus (SARS-CoV-2) pandemic affecting the whole world. (JNNN 2022;11(2):74–82).","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73373013","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":"Screening among Pregnant Women for Cytomegalovirus (CMV) Infection — Recommendations in Poland and Selected Countries Worldwide (a Preliminary Study to Investigate the Incidence of Neurological Complications in CMV — Infected Children)","authors":"Adrianna Frydrysiak-Brzozowska, M. Słodki, M. Głowacka","doi":"10.15225/pnn.2022.11.2.6","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.6","url":null,"abstract":"Cytomegalovirus (CMV) is the most common cause of congenital infections worldwide, yet it remains an underestimated public health problem. There are no international standards for the prevention of vertical transmission of the infection, and the management of pregnant women as well as fetuses with symptoms of infection. The analysis was conducted between December and February 2022. The detailed criteria of inclusion in the analysis included: a separate study group, consisting only of pregnant women regardless of their stage, and statistical analysis of obtained data with particular emphasis on the result of antibodies against CMV antigens in IgG and IgM class. The introduction of universal screening is still controversial. In most countries, routine determination of IgG and IgM antibodies to CMV antigens is not recommended among pregnant women, but these tests are often offered to them independently of nationally approved screening programmes. (JNNN 2022;11(2):83–94).","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83053309","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":"The Role of Recorded Volume of Cerebrospinal Fluid Output in Predicting Modified Rankin Scale Score at Discharge in Patients with Subarachnoid Hemorrhages (DROPSS)","authors":"Mona K. Jackson, Sonja E. Stutzman, Ayushi Vashisht, Nathan J. Schneider, Cole Givens, Daiwai M. Olson","doi":"10.15225/pnn.2022.11.2.1","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.1","url":null,"abstract":"Introduction. External ventricular drain (EVD) placement is common among aneurysmal subarachnoid hemorrhage (aSAH). Draining cerebrospinal fluid (CSF) from the EVD is also common, yet little is known about how much to drain, the length of time to drain, or how drainage impacts patient outcomes. \u0000Aim. The purpose of this study is to correlate amount of CSF drainage to patient outcomes, via modified Rankin Score (mRS). \u0000Material and Methods. This retrospective review of data located in a local hospital-based registry and electronic medical record. A linear mixed effects model was constructed to examine CSF drainage volume as a predictor of mRS at discharge. \u0000Results. Data from 82 patients was included in this analysis. There was no statistically significant relationship between CSF totals and mRS at hospital discharge (p = 0.3614, r² = 0.01). After controlling for age, Hunt and Hess score, and subject as random effect, there was still no significant relationship between CSF drained and mRS score at hospital discharge (p = .9042). \u0000Conclusions. There is no correlation between the total volume of CSF drained and mRS at discharge. Future research should explore CSF drainage documentation practices. (JNNN 2022;11(2):43–48) \u0000Key Words: acute care, aneurysmal subarachnoid hemorrhage, cerebrospinal fluid, external ventricular drain, patient outcomes","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87337116","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":"Health-promoting Behaviours and Positive Orientation Assessment among Nurses of Neurology and Rehabilitation Departments","authors":"R. Jabłońska, Marzena Działdowska, P. Sokal","doi":"10.15225/pnn.2022.11.2.2","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.2","url":null,"abstract":"Introduction. Health behaviours of nurses depend on external and personality factors, they are constantly changing under the influence of experience and acquired knowledge. Presenting the right attitudes towards health can have an impact on conducting effective health education. \u0000Aim. Assessment of health-promoting behaviour and positive orientation among nurses. \u0000Material and Methods. The research was carried out on a group of 79 nurses of the neurology and rehabilitation departments. The method of diagnostic survey was used with the use of the Health Behaviour Inventory (HBI) questionnaire, the Positive Orientation Scale questionnaire and the self-authored questionnaire. \u0000Results. In the analysis of the HBI survey, sten 5 and 4 (36 people) obtained the highest number of respondents, which define the average level of health behaviours on the border of low; the highest rated were positive mental attitude and preventive behaviour, the lowest were health practices. In the Positive Orientation Scale, the greatest number of people obtained sten 4 and 6 (31 people) — the average level of positive orientation, the majority of respondents obtained average results in terms of attitude to the future (57 people). The positive orientation results remained in a statistically significant mean correlation with the results of health behaviours and positive mental attitude, and in a low correlation with the results of health practices (p < 0.05). \u0000Conclusions. The respondents present an average level of health behaviours. Positive mental attitude and preventive behaviour were the most preferred. Most of the nurses showed a moderate level of positive orientation and an indifferent attitude to the future. (JNNN 2022;11(2):49–58).","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80822060","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":"Strategies for Coping with Stress among Medical Staff who Work in the Operating Theatre","authors":"M. Michalak, Karolina Przybył, Magdalena Kazimierska-Zając","doi":"10.15225/pnn.2022.11.2.3","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.2.3","url":null,"abstract":"Introduction. Stress is a constant presence in the work of health care professionals who come into contact with sick and suffering people every day. Medical personnel must possess both professional knowledge, skills, and social competence to best help patients. Coping strategies for stress among medical professionals can vary. One factor that may influence the strategies chosen is personality. Type D personality combines traits of negative emotionality and social inhibition. This personality type predisposes to experiencing increased levels of stress. \u0000Aim. The purpose of this study was to determine the level of stress and coping strategies among operating theatre staff. \u0000Material and Methods. 100 operating theater employees were surveyed. The study group consisted of nurses/nurses, paramedics, doctors. Questionnaires were used in the study: Perceived Stress Scale (PSS-10), Inventory for the Measurement of Coping with Stress (Mini-COPE), Type D Scale (DS-14) and self-administered questionnaire. \u0000Results. Almost half of the subjects (47%) reported high levels of stress and 35 subjects (35%) reported medium levels of stress. The most common coping strategies used to manage stress were active coping, planning, positive reevaluation, acceptance and seeking emotional support. 41% of the respondents demonstrated a Type D personality. Negative emotionality was more strongly indicated than social inhibition. \u0000Conclusions. The highest levels of stress are mainly experienced by young women, not in a relationship, with short work experience. Systemic psychological support should be introduced, especially targeted at this group. Due to the shortage of medical staff, measures to prevent professional burnout should also be implemented. A possible solution could be classes or trainings before starting work. Their aim would be to prepare for stressful moments in future work and to teach the most effective ways of coping with stress. (JNNN 2022;11(2):59–64).","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90522684","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":"Level of Professional Burnout and Sense of Coherence among Nurses Working in the Department of Anesthesiology and Intensive Care","authors":"M. Michalak, J. Brzozowska, Magdalena Kazimierska-Zając","doi":"10.15225/pnn.2022.11.1.2","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.2","url":null,"abstract":"Introduction. Burnout syndrome, associated with loss of energy and enthusiasm, is an extremely important issue, especially for nurses working in the Department of Anesthesiology and Intensive Care, who constantly observe human suffering and high patient mortality in their work.Aim. The main aim of this study was to evaluate the influence of a sense of coherence on the level of professional burnout of nurses working in the department of anesthesiology and intensive care.Material and Methods. The study involved 89 subjects (71 women and 18 men) working in the Department of Anesthesiology and Intensive Care at the University Clinical Hospital in Wrocław. Questionnaires were used: The Sense of Coherence Questionnaire: SOC — 29, Maslach Burnout Inventory MBI, Job Satisfaction Scale SSP, Perceived Stress Scale PSS — 10 and a questionnaire of own authorship.Results. The mean score on the sense of coherence scale was 120.64, so the respondents presented an average level of sense of coherence. 43.82% of the respondents had a high level of emotional exhaustion. 48.31% had high levels of depersonalization. 69.66% of respondents showed low level of job satisfaction and 58.43% presented high levels of stress. The average level of job satisfaction was indicated by the mean score obtained by the respondents in SSP scale (19.6 points). Sense of coherence correlates positively (r > 0) with job satisfaction and negatively (r < 0) with emotional exhaustion and depersonalization. Relationship analysis revealed correlations between: gender, marital status and job burnout, marital status and perceived stress, job tenure and job satisfaction, and perceived stress and job satisfaction.Conclusions. A correlation was observed between a sense of coherence and occupational burnout and stress level and job satisfaction. The probability of professional burnout is higher in men and those who are not in a relationship. The results indicate that people who are in a relationship were found to cope better with stress. Job satisfaction is lowest in employees with job tenure, ranging from 6 to 10 years. (JNNN 2022;11(1):8–13)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"144 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80384708","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 Procedures in Polyneuropathic Patient","authors":"K. Snarska, C. Dolińska, M. Chorąży","doi":"10.15225/pnn.2022.11.1.6","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.6","url":null,"abstract":"Introduction. Polyneuropathy is a condition where multiple sensory and motor nerves are damaged, leading to the development of a number of nuisances. These ailments can, in the long run, lead to a significant reduction in the comfort of our lives. Nurses can have a significant impact on the long-term impact of the disease on the patient through education, support and counseling.Aim. The aim is to illustrate the nature of the problem of polyneuropathy and the importance of care activities in the therapeutic process.Case Report. The presented case study shows a 77-year-old man suffering from type 2 diabetes and polyneuropathy for 17 years. Information about his state of health was obtained on the basis of his own observations, the nurse’s case history, the analysis of the patient’s medical records. The Barthel scale was used to assess the patient’s independence. The assessment of the severity of pain was carried out using the NRS scale.Conclusions. Polyneuropathy is a chronic disease with intensifying symptoms that affect daily life by entangling the underlying disease unit. (JNNN 2022;11(1):31–38)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82335105","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":"Analysis of Factors that Affect Depression and Cognitive Status in Elderly Individuals","authors":"Pınar Harmancı","doi":"10.15225/pnn.2022.11.1.3","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.3","url":null,"abstract":"Introduction. A significant portion of cognitive deficits are explained by Late-Life Depression (LLD) in geriatrics. Nevertheless, it seems to be quite difficult to distinguish between cognitive problems accompanied by depressive symptoms resulting from neurodegenerative diseases and late-life depression. In longitudinal studies, we encounter depression as a significant risk factor for dementia.Aim. It was aimed in the study to analyze the factors affecting depression and cognitive status in elderly individuals.Material and Methods. The study, which was conducted in a nursing home located in central Turkey, was designed as a descriptive research. In the selection of study sample, purposive sampling method was used.Results. The study was seen that 79.59% of the participants had depression loads above 14, and 65.31% had cognitive deficit scores above 25 and was determined that there was a statistically significant relationship in elderly individuals older than 85 years and above between having a neurological and psychiatric disorder, having a chronic disease, experiencing a sleep disorder and cognitive deficit and depression load.Conclusions. Advancement of age, additional presence of a neurological or psychiatric disorder, additional presence of a chronic disease, and presence of sleep disorders increase both the rate of cognitive deficit and depression in a geriatric individual. (JNNN 2022;11(1):14–21)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77657052","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":"Minimally Invasive (Percutaneous) Pedicle Srews as the Treatment of Choice in Thoracolumbar Spine Fractures","authors":"Z. Siedlecki, M. Śniegocki","doi":"10.15225/pnn.2022.11.1.1","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.1","url":null,"abstract":"Introduction. Minimally invasive techniques of transpedicular fusion have become very common and seem to displace classical open techniques. Pedicle screws fusion is the procedure of choice in unstable traumatic lumbar and thoracic spine fractures of.Aim. The aim of the study was to answer whether open techniques are still used in injuries or whether they have been completely replaced by MISS.Material and Methods. The manuscript presents an analysis of patients treated in 2017–2021 in the Department of Neurosurgery, Neurotraumatology and Pediatric Neurosurgery of Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University.Results. Based on the analysis of medical documentation, it was found that every case of traumatic thoracolumbar spine fracture in 2017–2021 was treated using minimally invasive techniques. According to the documentation, the last case of using open surgical technique in the case of trauma was in 2016. It was noted that percutaneous techniques dominated the surgical treatment of thoracolumbar spine fractures and replaced the classic techniques in our department, which are used only, in some cases, in treatment of non-traumatic spondylolisthesis.Conclusions. Therefore, percutaneous techniques are currently the procedure of choice in spine injuries fusion in our hospital. The use of percutaneous techniques reduces the surgical traumatization of tissues (it is important to avoid additional traumatization and blood loss in traumatic patients). It has been pointed out that these procedures are performed by neurosurgeons who, in teaching process, used percutaneous techniques often and now prefer this method. The use of percutaneous techniques has important aspect in the field of neurosurgical nursing, because care of the operated area consists in observing few (4–16) smaller wounds, not one long wound (as in classic techniques), and these wounds are located directly above the titanium screw tips, which must under neurosurgical nurse care. (JNNN 2022;11(1):3–7)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81610678","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":"The Degree of Independence of the Charges and the Level of Physical and Mental Burden of Nurses Caring for Neurological Patients in Geriatric Age","authors":"Natalia Cecot, Maria Małgorzata Sołtysińska, B. Haor, M. Rybka","doi":"10.15225/pnn.2022.11.1.4","DOIUrl":"https://doi.org/10.15225/pnn.2022.11.1.4","url":null,"abstract":"Introduction. Caring for neurological patients in the elderly has in its scope many problems and difficulties which a modern nurse has to “pay attention to”. Patients require round-the-clock and comprehensive care, which can lead to both the physical and mental exhaustion of the nurse, lack of time for family and friends, or free time to regenerate one’s strength. It can also lead to exhaustion or depression. Then a phenomenon called loading occurs.Aim. The aim of the study was to assess the influence of the degree of independence of charges on the level of physical and mental burden of nurses caring for neurological patients in geriatric age.Material and Methods. The study included 120 people — male and female nurses from treatment and conservative departments. The Katz Scale — Basic Life Activities (ADL) and the Lawton Scale (IADL) — Complex Activities were used. A self-survey questionnaire was used as a research tool. The obtained results were analysed statistically.Results. After analysing the data, the biggest problem for the respondent is: bathing, using the toilet and getting out of bed. According to the respondents, their charges have the least problems: using the telephone, managing money and administering medications. The biggest ones, however: doing housework and washing. The study also showed that more than half of the people (73) are dependent, which is 60.8%. Attention was also paid to the most common diseases that occur among the studied group of charges. According to the respondents, a large percentage of the charges were people after stroke — 63.50% and, for example, Alzheimer’s disease — 29.17%. According to the respondents, the greatest psychological burden, such as: depression of mood 64.5% occurs when caring for dependent patients, although a large percentage of depression can also be observed among caregivers of people with moderate dependency. Statistical analysis showed significant correlation between the respondents’ opinion of how high their psychological burden is in the care of neurological patients in geriatric age and the degree of independence of the patient (p = 0.008). Most of the respondents noticed the frequent possibility of physical stress, taking care of people 82.8%.Conclusions. The degree of independence of charges has a significant impact on the phenomenon of physical and mental strain in nurses. Along with the charge’s worse efficiency and the decrease in their independence, the degree of negative influence of the care on the nurse increases. Neurological diseases (Alzheimer’s disease, Parkinson’s disease, dementia and strokes) are also important. This is largely due to the additional time burden, as this care must be provided continuously and uninterruptedly. (JNNN 2022;11(1):22–26)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83798790","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}