Pub Date : 2021-03-31DOI: 10.15225/pnn.2021.10.1.5
P. Wojda
Introduction. Differentiation of epileptic seizures from psychogenic nonepileptic seizures (PNES) is problematic andleads to wrong diagnosis. It is estimated that among patients diagnosed with epilepsy, as many as 20–40% sufferedfrom pseudo-epileptic seizures. Misdiagnosis is associated with a delay in the implementation of appropriate treatment,complications following unnecessary treatment, worse functioning of the patient, high costs of care and unemployment.Aim. The aim of the study was to familiarise neuroscience nurses with the causes, symptoms, treatment and nursingcare for a patient with PNES on the basis of the described case.Case Report. Case study of a female patient with psychogenic non-epileptic seizures repeatedly treated in a psychiatricward. Based on an interview with the patient, analysis of the medical documentation, direct and indirect observationof the patient, problems with nursing were identified and a care plan was established.Results. The depicted patient was admitted to a psychiatric ward due to suicidal intentions, decreased mood andepileptic attacks of unknown aetiology. The patient was struggling with numerous psychosocial problems, whichrequired high professional and ethical competences. The patient has been diagnosed with the following care problems:reluctance to undergo video EEG examination, abdominal pain, isolation of the patient in the ward, risk of suicide,risk of injury.Conclusions. The nursing interventions undertaken with respect to the patient turned out to be effective. Improvementin psychosocial functioning was achieved and the patient did not attempt suicide during the crisis. Thanks to theinterdisciplinary cooperation, it was possible to confirm the non-epileptic nature of the seizures, and the patient wasdischarged with therapeutic recommendations (pharmacotherapy, psychotherapy, visits to a mental health clinic).(JNNN 2021;10(1):35–41)
{"title":"Nursing a Patient with Nonepileptic Seizures — Case Report","authors":"P. Wojda","doi":"10.15225/pnn.2021.10.1.5","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.1.5","url":null,"abstract":"Introduction. Differentiation of epileptic seizures from psychogenic nonepileptic seizures (PNES) is problematic andleads to wrong diagnosis. It is estimated that among patients diagnosed with epilepsy, as many as 20–40% sufferedfrom pseudo-epileptic seizures. Misdiagnosis is associated with a delay in the implementation of appropriate treatment,complications following unnecessary treatment, worse functioning of the patient, high costs of care and unemployment.Aim. The aim of the study was to familiarise neuroscience nurses with the causes, symptoms, treatment and nursingcare for a patient with PNES on the basis of the described case.Case Report. Case study of a female patient with psychogenic non-epileptic seizures repeatedly treated in a psychiatricward. Based on an interview with the patient, analysis of the medical documentation, direct and indirect observationof the patient, problems with nursing were identified and a care plan was established.Results. The depicted patient was admitted to a psychiatric ward due to suicidal intentions, decreased mood andepileptic attacks of unknown aetiology. The patient was struggling with numerous psychosocial problems, whichrequired high professional and ethical competences. The patient has been diagnosed with the following care problems:reluctance to undergo video EEG examination, abdominal pain, isolation of the patient in the ward, risk of suicide,risk of injury.Conclusions. The nursing interventions undertaken with respect to the patient turned out to be effective. Improvementin psychosocial functioning was achieved and the patient did not attempt suicide during the crisis. Thanks to theinterdisciplinary cooperation, it was possible to confirm the non-epileptic nature of the seizures, and the patient wasdischarged with therapeutic recommendations (pharmacotherapy, psychotherapy, visits to a mental health clinic).(JNNN 2021;10(1):35–41)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"189 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77364308","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}
Pub Date : 2021-03-31DOI: 10.15225/pnn.2021.10.1.2
M. Skrzypek-Czerko, M. Zielińska, A. Roszmann, Martyna Jerzykowska, Hanna Nowakowska
Introduction. Dysphagia is defined as swallowing disorders which causes malnourished, aspiration pneumonia andincreased number of deaths. The best method to diagnose dysphagia are screening tests. Due to the tests it is possibleto introduce an accurate therapy and make a team of therapists to participate in. According to the information theknowledge about this kind of dysfunction is important among nurses.Aim. The main goal of my diploma project was to measure the level of knowledge about dysphagia among thenurses from neurological and internal wards.Material and Methods. The scientific method, which has been used to make the research was diagnosis soundingincluding the surveys. Research tool which has been used while the research was especially made and dedicated formy project own questionnaire of surveys.Results. In the research have taken a part 70 nurses in the age over 22 year-old, who are active in their jobs andwork at neurological and internal wards in the hospitals of Gdańsk. The research has proved higher knowledge levelof the nurses working at neurological wards. All the surveyed people showed the knowledge about the definitionof dysphagia as well as about the food which every sick person should consume and avoid.Conclusions. Own research has shown that the garden of respondents does not affect the level of knowledge aboutdysphagia. The age of the respondents shows no relation to the level of nurses’ knowledge about dysphagia. In turn,seniority affect the knowledge of nurses in this area. The greater the seniority, the higher the level of knowledge ofthe topic in the field of dysphagia. Similarly the workplace. Neurological nurses were characterized by a higher levelof knowledge about dysphagia than nurses from internal medicine departments, while the level of knowledge aboutdysphagia does not depend on the education of the nurses surveyed. (JNNN 2021;10(1):10–17)
{"title":"The Level of Knowledge about Dysphagia Among Neurological and Internal Medicine Nurses","authors":"M. Skrzypek-Czerko, M. Zielińska, A. Roszmann, Martyna Jerzykowska, Hanna Nowakowska","doi":"10.15225/pnn.2021.10.1.2","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.1.2","url":null,"abstract":"Introduction. Dysphagia is defined as swallowing disorders which causes malnourished, aspiration pneumonia andincreased number of deaths. The best method to diagnose dysphagia are screening tests. Due to the tests it is possibleto introduce an accurate therapy and make a team of therapists to participate in. According to the information theknowledge about this kind of dysfunction is important among nurses.Aim. The main goal of my diploma project was to measure the level of knowledge about dysphagia among thenurses from neurological and internal wards.Material and Methods. The scientific method, which has been used to make the research was diagnosis soundingincluding the surveys. Research tool which has been used while the research was especially made and dedicated formy project own questionnaire of surveys.Results. In the research have taken a part 70 nurses in the age over 22 year-old, who are active in their jobs andwork at neurological and internal wards in the hospitals of Gdańsk. The research has proved higher knowledge levelof the nurses working at neurological wards. All the surveyed people showed the knowledge about the definitionof dysphagia as well as about the food which every sick person should consume and avoid.Conclusions. Own research has shown that the garden of respondents does not affect the level of knowledge aboutdysphagia. The age of the respondents shows no relation to the level of nurses’ knowledge about dysphagia. In turn,seniority affect the knowledge of nurses in this area. The greater the seniority, the higher the level of knowledge ofthe topic in the field of dysphagia. Similarly the workplace. Neurological nurses were characterized by a higher levelof knowledge about dysphagia than nurses from internal medicine departments, while the level of knowledge aboutdysphagia does not depend on the education of the nurses surveyed. (JNNN 2021;10(1):10–17)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89850374","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}
Pub Date : 2021-01-01DOI: 10.15225/pnn.2021.10.1.1
Joanna Dymecka, Anna Machnik-Czerwik, Jakub Filipkowski
Introduction. The outbreak of COVID-19 disease causes severe stress in health care workers, especially nurses. Nurses are at high risk of contracting the disease, as well as an increased risk of developing mental health symptoms such as fear, anxiety and work-related stress. Aim. The aim of the study was to determine the relationship between fear of COVID-19, risk perception, perceived threat and stress in Polish nurses during COVID-19 outbreak. Material and Methods. 106 nurses participated in the study. Perceived Stress Scale (PSS-10), Fear of COVID-19 Scale (FOC-6), Risk of Contracting COVID-19 Scale and Perceived Threat of COVID-19 Scale were used in the study. Results. It has been shown that perceived stress, fear of COVID-19, perceived risk and threat are at high level. All the variables related to the perception of COVID-19 threat were significantly correlated with the perceived stress. The strongest relationship was between the risk of infection and perceived stress. Risk perception was statistically significant predictor of perceived stress. Conclusions. Polish nurses experience severe stress and perceive COVID-19 as a significant threat for their health and safety. In addition to protecting medical personnel from infection, nurses experiencing the highest levels of stress should be given psychological care and support, which could prevent the negative impact of the COVID-19 pandemic on their mental health. (JNNN 2021;10(1):3–9)
{"title":"Fear of COVID-19, Risk Perception and Stress Level in Polish Nurses During COVID-19 Outbreak","authors":"Joanna Dymecka, Anna Machnik-Czerwik, Jakub Filipkowski","doi":"10.15225/pnn.2021.10.1.1","DOIUrl":"https://doi.org/10.15225/pnn.2021.10.1.1","url":null,"abstract":"Introduction. The outbreak of COVID-19 disease causes severe stress in health care workers, especially nurses. Nurses are at high risk of contracting the disease, as well as an increased risk of developing mental health symptoms such as fear, anxiety and work-related stress. Aim. The aim of the study was to determine the relationship between fear of COVID-19, risk perception, perceived threat and stress in Polish nurses during COVID-19 outbreak. Material and Methods. 106 nurses participated in the study. Perceived Stress Scale (PSS-10), Fear of COVID-19 Scale (FOC-6), Risk of Contracting COVID-19 Scale and Perceived Threat of COVID-19 Scale were used in the study. Results. It has been shown that perceived stress, fear of COVID-19, perceived risk and threat are at high level. All the variables related to the perception of COVID-19 threat were significantly correlated with the perceived stress. The strongest relationship was between the risk of infection and perceived stress. Risk perception was statistically significant predictor of perceived stress. Conclusions. Polish nurses experience severe stress and perceive COVID-19 as a significant threat for their health and safety. In addition to protecting medical personnel from infection, nurses experiencing the highest levels of stress should be given psychological care and support, which could prevent the negative impact of the COVID-19 pandemic on their mental health. (JNNN 2021;10(1):3–9)","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74723504","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}
Introduction. Falls and mobility disorders are classified as large geriatric syndromes, which in turn lead to deficits in the functional fitness of the elderly. Aim. Fall risk analysis in the group of hospitalized seniors, including socio-demographic variables. Material and Methods. The research used the estimation and diagnostic survey method, the estimation scale technique and questionnaires. The research tool was the Tinetti questionnaire. The research was conducted among 100 seniors during their hospitalization. Results. Seniors in younger age categories, with higher education level, married and living with a family, scored higher on the Tinetti scale. Conclusions. Hospitalization, age advancement, lower education, single marital status and lonely household management by seniors significantly increased the risk of their falls. Gender was not a factor that significantly differentiated the risk of falling. (JNNN 2020;9(4):127–131) Key Words: fall, older adults, risk
{"title":"Balance and Gait Assessment and the Risk of Falls in Seniors During Hospitalization","authors":"B. Haor, Aleksandra Krychowiak, A. Królikowska","doi":"10.15225/pnn.2020.9.4.1","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.4.1","url":null,"abstract":"Introduction. Falls and mobility disorders are classified as large geriatric syndromes, which in turn lead to deficits in the functional fitness of the elderly. Aim. Fall risk analysis in the group of hospitalized seniors, including socio-demographic variables. Material and Methods. The research used the estimation and diagnostic survey method, the estimation scale technique and questionnaires. The research tool was the Tinetti questionnaire. The research was conducted among 100 seniors during their hospitalization. Results. Seniors in younger age categories, with higher education level, married and living with a family, scored higher on the Tinetti scale. Conclusions. Hospitalization, age advancement, lower education, single marital status and lonely household management by seniors significantly increased the risk of their falls. Gender was not a factor that significantly differentiated the risk of falling. (JNNN 2020;9(4):127–131) Key Words: fall, older adults, risk","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85673390","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}
Introduction. Glioblastoma multiforme (GBM) is the most common central nervous system (CNS) malignancy. It is characterized by an aggressive course with the presence of rapidly growing cells, infiltrating the adjacent brain tissues. Case Report. The case report concerns a 16-year-old child with glioblastoma multiforme. The paper presents selected care problems observed in the child. Discussion. In caring for a child diagnosed with high-grade glioma, the most important care problems are severe, recurrent headaches, nausea and vomiting due to chemotherapy, chronic stress and anxiety, as well as a significant decrease in mood, resulting in e.g. social isolation. A nurse caring for a child with glioblastoma should not only focus on activities directly related to medical care, but also provide psychological support, which certainly improves the quality of life of the child and his family. Conclusions. A patient with high-grade glioma has many different types of care problems. Some are problems related to the physical sphere, others concern the psychological and social sphere. (JNNN 2020;9(4):152–159) Key Words: care, child, glioblastoma multiforme
{"title":"A Child with Glioblastoma Multiforme — Case Report","authors":"A. Rozensztrauch, A. Kołtuniuk","doi":"10.15225/pnn.2020.9.4.5","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.4.5","url":null,"abstract":"Introduction. Glioblastoma multiforme (GBM) is the most common central nervous system (CNS) malignancy. It is characterized by an aggressive course with the presence of rapidly growing cells, infiltrating the adjacent brain tissues. Case Report. The case report concerns a 16-year-old child with glioblastoma multiforme. The paper presents selected care problems observed in the child. Discussion. In caring for a child diagnosed with high-grade glioma, the most important care problems are severe, recurrent headaches, nausea and vomiting due to chemotherapy, chronic stress and anxiety, as well as a significant decrease in mood, resulting in e.g. social isolation. A nurse caring for a child with glioblastoma should not only focus on activities directly related to medical care, but also provide psychological support, which certainly improves the quality of life of the child and his family. Conclusions. A patient with high-grade glioma has many different types of care problems. Some are problems related to the physical sphere, others concern the psychological and social sphere. (JNNN 2020;9(4):152–159) Key Words: care, child, glioblastoma multiforme","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82458788","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}
Introduction. Brain stroke is a huge social and economic problem. It is the most common cause of deaths and disabilities. He interferes in every sphere of the patient’s life. Both in the physical, social and spiritual spheres. Aim. The aim of this study was to recognize students with the knowledge of nursing in the field of factors affecting the quality of life of patients after brain stroke. Material and Methods. The sample consisted of 104 students of the 1st and 2nd year of MA studies in Nursing at the State Higher Vocational School in Tarnobrzeg. The original questionnaire was used in this study. Results. The results of the conducted research showed that the factors determining the quality of life of patients after a stroke are mainly: early rehabilitation, economic factors and relations with the immediate family. Psychological factors are also important — depression and anxiety. Conclusions. The knowledge of nursing students is up to date, students have the knowledge related to the nature of the stroke. Stroke significantly reduces the quality of life of people affected by this disease. Therefore, conducting research in this field seems to be very important and right. (JNNN 2020;9(4):132–137) Key Words: knowledge, nurse, quality of life, stroke, student
{"title":"Assessment of the Knowledge of Nursing Students about the Quality of Life of Patients after Stroke","authors":"H. Kalandyk, Jolanta Dyndur","doi":"10.15225/pnn.2020.9.4.2","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.4.2","url":null,"abstract":"Introduction. Brain stroke is a huge social and economic problem. It is the most common cause of deaths and disabilities. He interferes in every sphere of the patient’s life. Both in the physical, social and spiritual spheres. Aim. The aim of this study was to recognize students with the knowledge of nursing in the field of factors affecting the quality of life of patients after brain stroke. Material and Methods. The sample consisted of 104 students of the 1st and 2nd year of MA studies in Nursing at the State Higher Vocational School in Tarnobrzeg. The original questionnaire was used in this study. Results. The results of the conducted research showed that the factors determining the quality of life of patients after a stroke are mainly: early rehabilitation, economic factors and relations with the immediate family. Psychological factors are also important — depression and anxiety. Conclusions. The knowledge of nursing students is up to date, students have the knowledge related to the nature of the stroke. Stroke significantly reduces the quality of life of people affected by this disease. Therefore, conducting research in this field seems to be very important and right. (JNNN 2020;9(4):132–137) Key Words: knowledge, nurse, quality of life, stroke, student","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78116317","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}
J. Wroblewska, Jarosław Nuszkiewicz, M. Wróblewski, A. Woźniak
Infestation with Demodex spp. is an increasingly common dermatological and ophthalmic problem. Preparations for daily cleaning of eyes and the surrounding area (gels, soaked wipes) contain mainly tea tree oil or terpinen-4-ol. To date, the use of other essential oils supporting the fight against demodicosis is limited due to insufficient number of clinical trials. The aim of this review is to present the most commonly used medicinal plants and their active ingredients used in the treatment of infestation with Demodex folliculorum and Demodex brevis, with particular emphasis on tea tree oil. PubMed, Embase and Google Scholar databases were searched for the selection of scientific literature. (JNNN 2020;9(4):160–165) Key Words: Demodex brevis, Demodex folliculorum, essential oil, parasitic disease, tea tree oil
{"title":"Activity of Plant Essential Oils Against Demodex folliculorum and Demodex brevis","authors":"J. Wroblewska, Jarosław Nuszkiewicz, M. Wróblewski, A. Woźniak","doi":"10.15225/PNN.2020.9.4.6","DOIUrl":"https://doi.org/10.15225/PNN.2020.9.4.6","url":null,"abstract":"Infestation with Demodex spp. is an increasingly common dermatological and ophthalmic problem. Preparations for daily cleaning of eyes and the surrounding area (gels, soaked wipes) contain mainly tea tree oil or terpinen-4-ol. To date, the use of other essential oils supporting the fight against demodicosis is limited due to insufficient number of clinical trials. The aim of this review is to present the most commonly used medicinal plants and their active ingredients used in the treatment of infestation with Demodex folliculorum and Demodex brevis, with particular emphasis on tea tree oil. PubMed, Embase and Google Scholar databases were searched for the selection of scientific literature. (JNNN 2020;9(4):160–165) Key Words: Demodex brevis, Demodex folliculorum, essential oil, parasitic disease, tea tree oil","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86287144","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}
Introduction. Alcohol is a drug that is harmful to many organs, especially the brain, and may contribute to worse recovery in stroke patients treated in a neurological ward. There are few works in the literature dealing with alcoholrelated problems in patients with stroke. Aim. Assessment of the prevalence of alcohol abuse in stroke and its impact on the diagnostic and therapeutic process in groups of patients diagnosed with harmful alcohol consumption or alcohol dependence syndrome. Material and Methods. The material consisted of 2770 medical records of patients hospitalized in the Department of Neurology with the Stroke Treatment Sub-Department at the Specialist Hospital of Stanisław Staszic in Piła from January 1 to December 31, 2015, which were analysed in terms of alcohol abuse by patients. Patients with stroke (40 people) were analysed in detail. The results of laboratory tests, risk factors, gender and age of the patients were analysed. The following methods of scientific research were used in the study: analysis of medical records, statistical analysis of quantitative and qualitative data with the use of STATISTICA v. 13.3 computer program by StatSoft. Results. There were 40 patients with ischemic and haemorrhagic stroke who abused alcohol in total (29.85%). Among patients with stroke, 70% presented harmful drinking, 30% — alcohol dependence syndrome. More than two risk factors for stroke were reported more frequently in the group of patients with stroke who abused alcohol than in those with stroke but did not abuse alcohol (38.8% vs. 30.0%; p = 0.0561). In laboratory studies, stroke patients who abused alcohol compared to non-drinkers had a statistically significantly higher red blood cell (MCV) volume, higher levels of the liver enzymes ASPAT and ALAT; p < 0.05. Conclusions. The lack of real information on the amount of alcohol consumed by a patient can make the diagnostic and therapeutic process very difficult, and thus delay the full diagnosis and implementation of the appropriate therapy. The study should be extended to include a prospective assessment. In order to increase the detection of alcohol abuse in patients, an objective interview, psychological assessment focused on the problem would be necessary, and the use of questionnaires with short, simple but precise questions that would allow to quantify the alcohol problem in a patient. (JNNN 2020;9(4):145–151) Key Words: alcohol abuse, risk factors, stroke
介绍。酒精是一种对许多器官有害的药物，尤其是大脑，可能会导致在神经病房接受治疗的中风患者恢复得更差。文献中很少有关于中风患者酒精相关问题的研究。的目标。评估卒中中酒精滥用的患病率及其对诊断为有害酒精消耗或酒精依赖综合征的患者群体的诊断和治疗过程的影响材料和方法。材料包括Stanisław Staszic专科医院Piła神经内科卒中治疗分科2015年1月1日至12月31日住院患者的2770份病历，分析患者的酒精滥用情况。对40例脑卒中患者进行详细分析。分析了实验室检查结果、危险因素、患者的性别和年龄。本研究采用以下科学研究方法:使用StatSoft公司的STATISTICA v. 13.3计算机程序对病历进行分析，对定量和定性数据进行统计分析。结果。缺血性、出血性脑卒中患者共滥用酒精40例(29.85%)。在脑卒中患者中，70%出现有害饮酒，30%出现酒精依赖综合征。滥用酒精的卒中患者比不滥用酒精的卒中患者报告的卒中危险因素多于两种(38.8%比30.0%;P = 0.0561)。在实验室研究中，与不饮酒者相比，滥用酒精的中风患者红细胞(MCV)体积、肝酶ASPAT和ALAT水平显著升高;P < 0.05。结论。缺乏关于患者酒精摄入量的真实信息会使诊断和治疗过程非常困难，从而延误充分诊断和适当治疗的实施。该研究应扩大到包括前瞻性评估。为了增加对患者酒精滥用的发现，有必要进行客观访谈，对问题进行心理评估，并使用带有简短、简单但精确问题的问卷，以便对患者的酒精问题进行量化。[JNNN 2020;9(4): 145-151]关键词:酒精滥用，危险因素，卒中
{"title":"Retrospective Analysis of Patients in the Aspect of the Prevalence of Alcohol Abuse Among Patients with Stroke Treated in the Department of Neurology","authors":"A. Żdanowicz, Inga Dziembowska, M. Wiszniewska","doi":"10.15225/PNN.2020.9.4.4","DOIUrl":"https://doi.org/10.15225/PNN.2020.9.4.4","url":null,"abstract":"Introduction. Alcohol is a drug that is harmful to many organs, especially the brain, and may contribute to worse recovery in stroke patients treated in a neurological ward. There are few works in the literature dealing with alcoholrelated problems in patients with stroke. Aim. Assessment of the prevalence of alcohol abuse in stroke and its impact on the diagnostic and therapeutic process in groups of patients diagnosed with harmful alcohol consumption or alcohol dependence syndrome. Material and Methods. The material consisted of 2770 medical records of patients hospitalized in the Department of Neurology with the Stroke Treatment Sub-Department at the Specialist Hospital of Stanisław Staszic in Piła from January 1 to December 31, 2015, which were analysed in terms of alcohol abuse by patients. Patients with stroke (40 people) were analysed in detail. The results of laboratory tests, risk factors, gender and age of the patients were analysed. The following methods of scientific research were used in the study: analysis of medical records, statistical analysis of quantitative and qualitative data with the use of STATISTICA v. 13.3 computer program by StatSoft. Results. There were 40 patients with ischemic and haemorrhagic stroke who abused alcohol in total (29.85%). Among patients with stroke, 70% presented harmful drinking, 30% — alcohol dependence syndrome. More than two risk factors for stroke were reported more frequently in the group of patients with stroke who abused alcohol than in those with stroke but did not abuse alcohol (38.8% vs. 30.0%; p = 0.0561). In laboratory studies, stroke patients who abused alcohol compared to non-drinkers had a statistically significantly higher red blood cell (MCV) volume, higher levels of the liver enzymes ASPAT and ALAT; p < 0.05. Conclusions. The lack of real information on the amount of alcohol consumed by a patient can make the diagnostic and therapeutic process very difficult, and thus delay the full diagnosis and implementation of the appropriate therapy. The study should be extended to include a prospective assessment. In order to increase the detection of alcohol abuse in patients, an objective interview, psychological assessment focused on the problem would be necessary, and the use of questionnaires with short, simple but precise questions that would allow to quantify the alcohol problem in a patient. (JNNN 2020;9(4):145–151) Key Words: alcohol abuse, risk factors, stroke","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82374834","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}
A. Królikowska, P. Zieliński, M. Harat, R. Jabłońska, B. Haor, K. Filipska, Robert Ślusarz
Introduction. The location of intracranial neoplasms and the process of treating these lesions itself can significantly affect the quality of life of patients. Hence, the aim of the study was to investigate the impact of the location of the brain tumour on the quality of life of surgically treated patients. Aim. The aim of the study was to investigate the influence of the location of the brain tumour on the quality of life of surgically treated patients. Material and Methods. The study included 236 patients with brain tumours operated at the Department of Neurosurgery of the 10th Military Clinical Hospital with the SP ZOZ Polyclinic in Bydgoszcz. Patients with different tumour locations were included: in the temporal lobe, in the frontal lobe, in the parietal lobe, in the ventricles of the brain and in the extra-cerebral locations. The following questionnaires were used to assess the quality of life: EORTC QLQ-C30 and EORTC QLQ-BN20, in which the patients were tested three times: on the day of admission to the Clinic, on the fifth day after brain tumour surgery and 30 days after the surgery. Results. Patients’ quality of life decreased in the early postoperative period in all groups in terms of tumour location, especially in patients with tumours of the frontal lobe (-0.104) and ventricular neoplasms (-0.109) (p > 0.05). On the 30th day, however, an improvement in the quality of life was achieved in all groups, the highest improvement was obtained in patients with tumours located extra-cerebrally (0.115) and tumours of the temporal lobe (0.097) (p > 0.05). Conclusions. There was no effect of the location of the brain tumour on the quality of life of the studied patients. In the early postoperative period, the quality of life decreased, while it improved 30 days after the surgery. (JNNN 2020;9(3):91–96) Key Words: brain tumour, quality of life, tumour location
{"title":"The Quality of Life of Patients after Surgical Treatment of Brain Tumours and the Location of the Tumour","authors":"A. Królikowska, P. Zieliński, M. Harat, R. Jabłońska, B. Haor, K. Filipska, Robert Ślusarz","doi":"10.15225/pnn.2020.9.3.1","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.3.1","url":null,"abstract":"Introduction. The location of intracranial neoplasms and the process of treating these lesions itself can significantly affect the quality of life of patients. Hence, the aim of the study was to investigate the impact of the location of the brain tumour on the quality of life of surgically treated patients. Aim. The aim of the study was to investigate the influence of the location of the brain tumour on the quality of life of surgically treated patients. Material and Methods. The study included 236 patients with brain tumours operated at the Department of Neurosurgery of the 10th Military Clinical Hospital with the SP ZOZ Polyclinic in Bydgoszcz. Patients with different tumour locations were included: in the temporal lobe, in the frontal lobe, in the parietal lobe, in the ventricles of the brain and in the extra-cerebral locations. The following questionnaires were used to assess the quality of life: EORTC QLQ-C30 and EORTC QLQ-BN20, in which the patients were tested three times: on the day of admission to the Clinic, on the fifth day after brain tumour surgery and 30 days after the surgery. Results. Patients’ quality of life decreased in the early postoperative period in all groups in terms of tumour location, especially in patients with tumours of the frontal lobe (-0.104) and ventricular neoplasms (-0.109) (p > 0.05). On the 30th day, however, an improvement in the quality of life was achieved in all groups, the highest improvement was obtained in patients with tumours located extra-cerebrally (0.115) and tumours of the temporal lobe (0.097) (p > 0.05). Conclusions. There was no effect of the location of the brain tumour on the quality of life of the studied patients. In the early postoperative period, the quality of life decreased, while it improved 30 days after the surgery. (JNNN 2020;9(3):91–96) Key Words: brain tumour, quality of life, tumour location","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88753400","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}
Fetal alcohol syndrome is regarded as a spectrum. Fetal alcohol spectrum disorder (FASD) might be surprisingly common, especially in vulnerable populations. Mental health problems, substance abuse, inappropriate sexual behavior, school and legal problems and unemployment might cooccur with FASD. Treatment of comorbidities might be helpful, however effects of stimulants in FASD are controversial. Women who drink during pregnancy might suffer from nutritional deficiencies, therefore try of compensation might be helpful for both mother and child. Moreover, nutrient of children with FASD might play an important role as a potential supportive therapy. In addition, physical exercise therapy might be beneficial for both mother and children because of neurogenesis induction potential. There is no established therapy for FASD, therefore further studies should focus on formulating one. (JNNN 2020;9(3):119–122) Key Words: alcohol ingestion, brain development pathology, FAS, pregnancy
{"title":"Fetal Alcohol Spectrum Disorder — Study Review","authors":"Justyna Szrajda","doi":"10.15225/pnn.2020.9.3.6","DOIUrl":"https://doi.org/10.15225/pnn.2020.9.3.6","url":null,"abstract":"Fetal alcohol syndrome is regarded as a spectrum. Fetal alcohol spectrum disorder (FASD) might be surprisingly common, especially in vulnerable populations. Mental health problems, substance abuse, inappropriate sexual behavior, school and legal problems and unemployment might cooccur with FASD. Treatment of comorbidities might be helpful, however effects of stimulants in FASD are controversial. Women who drink during pregnancy might suffer from nutritional deficiencies, therefore try of compensation might be helpful for both mother and child. Moreover, nutrient of children with FASD might play an important role as a potential supportive therapy. In addition, physical exercise therapy might be beneficial for both mother and children because of neurogenesis induction potential. There is no established therapy for FASD, therefore further studies should focus on formulating one. (JNNN 2020;9(3):119–122) Key Words: alcohol ingestion, brain development pathology, FAS, pregnancy","PeriodicalId":22776,"journal":{"name":"The Journal of Neurological and Neurosurgical Nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89958821","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}
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