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

Nursing perioperative management of atypical meningioma WHO grade II: A case study using the Roy Adaptation Model WHOⅱ级非典型脑膜瘤围手术期的护理：使用Roy适应模型的案例研究

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2024.500170

I. Made Kariasa , Rumiati Rumiati , Liya Arista , Enny Mulyatsih , Ruth Berlian Sihotang , I. Gede Juanamasta

Introduction

Meningioma is the most common primary intracranial tumor, originating from the protective membranes known as the meninges. Specifically, it arises from arachnoid cells attached to the dura mater, making it extra-axial. Meningiomas are characterized by their potential to grow large, cause hyperostosis, and infiltrate or erode bone. They account for about 36% of all brain tumors, with a prevalence ratio of 2:1 between women and men. The problems associated with meningiomas depend on their location, size, and involvement with surrounding tissue structures.

Objective

To develop a perioperative nursing care plan for a patient with WHO grade II atypical meningioma.

Methods

This study used a case study design and included a review of the literature on WHO grade II atypical meningioma. We used the NANDA, NIC, and NOC maintenance guidelines to complement the Roy Adaptation Model. This approach provided specific diagnoses for developing interventions and publishing results in clinical maintenance practice.

Results

The patient was treated for seven days. Postoperatively, the patient reported decreased headache and eye redness, reduced proptosis, controlled infection, and a clean surgical wound with no drainage seepage. By the third day, the Barovac drain was set to 1/2 vacuum, and the lumbar drain was removed by the fifth day. The patient gradually mobilized, reducing the risk of falls.

Conclusion

The Roy Adaptation Model can be effectively used in the nursing care of patients with meningioma. Roy views humans as open and adaptive systems capable of responding to internal and external stimuli throughout their lives.

脑膜瘤是最常见的原发性颅内肿瘤，起源于被称为脑膜的保护膜。具体来说，它是由附着在硬脑膜上的蛛网膜细胞产生的，使它成为轴外的。脑膜瘤的特点是有可能变大，引起骨质增生，浸润或侵蚀骨骼。它们约占所有脑肿瘤的36%，男女患病率为2:1。与脑膜瘤相关的问题取决于其位置、大小和与周围组织结构的累及。目的为一例WHOⅱ级非典型脑膜瘤患者制定围手术期护理方案。方法本研究采用个案研究设计，并对WHO II级非典型脑膜瘤的文献进行了回顾。我们使用NANDA、NIC和NOC维护指南来补充Roy适应模型。该方法为临床维护实践中制定干预措施和发表结果提供了具体的诊断。结果治疗7 d。术后，患者报告头痛和眼红肿减少，眼球突出减少，感染得到控制，手术伤口清洁，无渗液。第3天将Barovac引流管调至1/2真空，第5天取出腰椎引流管。病人逐渐活动，减少跌倒的危险。结论Roy适应模型可有效应用于脑膜瘤患者的护理。罗伊认为，人类是一个开放的适应性系统，能够在一生中对内部和外部刺激做出反应。

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引用次数: 0

Resumen del XXXII Congreso Nacional y VIII Congreso Internacional de la Sociedad Española de Enfermería Neurológica 西班牙神经病学学会第三十二届全国大会和第八届国际大会摘要

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2026.500206

Paloma Muñoz Pedrazuela , Henar Garzón López , Ana Sofía Fernandes Ribeiro , Alejandro Lendínez Mesa , Maria Palanca Cámara , Tania Herrera Barcia , Eulàlia Giné-Ciprés , Raquel Vallejo de la Paz , Lourdes Bermelló López , Silvia Morel , Ana María Duro Martínez , Sergio González-Román Montalbán , Verónica Hidalgo Benítez , Fidel López Espuela , David Iglesias Villanueva

引用次数: 0

El desafío del Alzheimer: una prioridad inaplazable 阿尔茨海默氏症的挑战迫在眉睫

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2025.500194

Eva Nebot

引用次数: 0

Leucoencefalopatía multifocal progresiva causada por el virus John Cunningham en un paciente con esclerosis múltiple remitente-recurrente. A propósito de un caso 由约翰·坎宁安病毒引起的进行性多灶性脑白质病，多发性复发性硬化症患者关于一个案例

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2025.500186

Emilio Rubén Pego Pérez , Eva Gómez Fernández , María del Rosario Marín Arnés , Mercedes Fernández Vázquez , María Irene Núñez Hernández , Isidoro Rodríguez Pérez

Background

Progressive multifocal leukoencephalopathy is a demyelinating disease of the central nervous system caused by the John Cunningham virus, primarily affecting immunocompromised individuals and representing a severe complication in multiple sclerosis patients treated with natalizumab.

Objectives

To evaluate the functional, cognitive, and nutritional status, quality of life, and caregiver burden in a patient with progressive multifocal leukoencephalopathy, as well as their correlations.

Methods

A single, longitudinal, and descriptive case study was conducted, evaluating a 63-year-old patient. The adjusted quality of life coefficient was calculated using the EQ-5D model, which employs three severity levels per dimension. Data were analyzed using Pearson's correlation.

Results

Functional status showed severe dependency in all consultations, with slight improvement in the last one. The baseline evaluation revealed possible signs of cognitive impairment, absent in subsequent consultations. Nutritional status improved from a risk of malnutrition in the initial consultations to normal in the last one. Quality of life progressively improved: low in the baseline and first assessments (≈ 0.3323), low/moderate in the second (0.3902), and good in the third consultation (0.6038). Caregiver burden was intense in the baseline evaluation, decreasing to levels without overload in subsequent consultations.

Conclusion

Correlations were identified between improved functional, cognitive, and nutritional status with higher quality of life and lower caregiver burden. These findings highlight the importance of a multidimensional approach to managing progressive multifocal leukoencephalopathy.

进行性多灶性白质脑病是一种由John Cunningham病毒引起的中枢神经系统脱髓鞘疾病，主要影响免疫功能低下的个体，在接受natalizumab治疗的多发性硬化症患者中是一种严重的并发症。目的评价进行性多灶性白质脑病患者的功能、认知、营养状况、生活质量和照顾者负担及其相关性。方法采用单一、纵向、描述性病例研究，对一名63岁患者进行评估。调整后的生活质量系数采用EQ-5D模型计算，每个维度采用三个严重程度。数据采用Pearson相关分析。结果所有问诊患者的功能状态均表现为严重依赖，最后一次问诊患者的功能状态略有改善。基线评估显示认知障碍的可能迹象，在随后的咨询中没有。营养状况从最初的营养不良风险改善到最后一次的正常。生活质量逐渐改善：基线和第一次评估低（≈0.3323），第二次评估低/中等（0.3902），第三次咨询良好（0.6038）。照护者的负担在基线评估中是强烈的，在随后的咨询中减少到没有超载的水平。结论功能、认知和营养状况的改善与生活质量的提高和照顾者负担的减轻之间存在相关性。这些发现强调了采用多维方法治疗进行性多灶性白质脑病的重要性。

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引用次数: 0

Mapa de las unidades de ictus en España: cobertura y capacidad de los hospitales 西班牙医院地图：医院覆盖范围和容量

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2024.500173

Maria Figueras-Jiménez , Mercè Salvat-Plana , Paloma Caro-Muñoz , Mayte Villaplana-Vecina , Ana Raquel Acosta-Luis , María Rosa Herrero-Roldán , en representación del Grupo de Estudio Neurovascular de la SEDENE

Objective

Identify and describe the geographic distribution of hospitals in Spain that offer specialized stroke care as well as available resources.

Methods

Cross-sectional descriptive observational study. Data were collected from hospitals in Spain between February and June 2023 through telephone and email contact with neurology departments. Hospitals had to have a stroke unit (SU) and/or the capacity to perform thrombolysis or thrombectomy. Patients without the capacity to manage stroke in the hyperacute phase were excluded. Data on the availability of SUs and beds and the capacity to perform recanalization treatments were collected.

Results

A total of 195 hospitals were included, all of which reported performing thrombolysis; however, only 30.2% offered thrombectomy. The availability of SUs was reported by 43% of the hospitals, with a total of 459 beds. Catalonia and Madrid had the highest number of SUs (14 each) and beds (87 and 71, respectively). In contrast, regions such as La Rioja, the Balearic Islands, and Ceuta and Melilla had limited capacities. Variability in the distribution of resources was significant, with some regions lacking access to thrombectomy.

Conclusion

The results revealed significant disparities in the availability of resources for stroke treatment in Spain, with marked geographic inequalities that could negatively impact clinical outcomes. More equitable resource planning and improvement strategies such as telemedicine and referral networks are necessary to reduce these disparities and improve health outcomes nationwide.

目的：确定并描述西班牙提供专门卒中治疗的医院的地理分布以及可用资源。方法横断面描述性观察研究。通过与神经内科的电话和电子邮件联系，于2023年2月至6月期间从西班牙的医院收集数据。医院必须有卒中科室（SU）和/或有能力进行溶栓或取栓。在超急性期没有能力控制卒中的患者被排除在外。收集了关于SUs和床位的可用性以及进行再通治疗的能力的数据。结果共纳入195家医院，均报告实施了溶栓治疗；然而，只有30.2%的医生提供血栓切除术。据报告，43%的医院提供单一保健设施，共有459张床位。加泰罗尼亚和马德里的床位最多，分别为87张和71张。相比之下，拉里奥哈、巴利阿里群岛、休达和梅利利亚等地区的能力有限。资源分布的差异是显著的，一些地区缺乏血栓切除术。结论：研究结果显示西班牙卒中治疗资源的可获得性存在显著差异，明显的地理不平等可能对临床结果产生负面影响。更公平的资源规划和改进战略，如远程医疗和转诊网络，对于缩小这些差距和改善全国的健康结果是必要的。

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引用次数: 0

Adaptación transcultural al español de la escala japonesa de Autoestigma en Epilepsia (ESSS) 将日本癫痫自我羞辱量表（ESSS）跨文化改编为西班牙语

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2026-01-01 DOI: 10.1016/j.sedene.2025.500185

Camila González Bravo , Sandra Ruiz Morilla , Estefanía Conde-Blanco , Izumi Kuramochi , Laura Cardete Morales , Isabel Manzanares Téllez

Objective

To culturally and linguistically adapt the Epilepsy Self-Stigma Scale (ESSS) in Spain (content validity).

Methodology

We carried out the adaptation and validation of the pre-version of the Japanese ESSS scale in the Epilepsy Unit of the Hospital Clínic de Barcelona. Following the EMPRO guide, we first translated and back-translated with independent translators. Then, a pilot test was carried out with 26 people with epilepsy to assess the clarity of the questions. Finally, a panel of 11 experts reviewed the clarity and relevance of the items. We had the advice of a Japanese translator and the author of the original article.

Results

In the translation and back-translation phase, linguistic adjustments were made to guarantee semantic and cultural equivalence. After the pilot test, 6 items showed problems (4-8% participant non-response rate). Specifically, one question was eliminated due to this rate and comments received. In the panel of experts, 7 items were not considered ‘very relevant’ to measure self-stigma on the Likert scale, with percentages of lack of clarity that ranged between 9 and 18%, which is why they were eliminated from the scale. Of the 18 items of the Japanese pre-version, we obtained a 10-item Spanish version, similar to the original Japanese 8-item SSS-E, overcoming cultural differences and maintaining coherence with the original version.

Discussion/conclusion

We developed the first adapted self-stigma scale in epilepsy for use in Spanish (ESSS-E). We validated the 18-item pre-version, addressing cultural differences that complicated consistency with the original version.

目的对西班牙癫痫自我耻辱量表（ESSS）的内容效度进行文化和语言上的适应。方法：我们在Clínic de Barcelona医院癫痫科进行了日本ESSS量表预版的改编和验证。按照EMPRO指南，我们首先与独立翻译人员进行翻译和反向翻译。然后，对26名癫痫患者进行了一项试点测试，以评估问题的清晰度。最后，一个由11名专家组成的小组审查了这些项目的清晰度和相关性。我们听取了一位日本翻译和原文作者的建议。结果在翻译和反译阶段，进行了语言调整，以保证语义和文化的对等。试点测试后，有6个项目出现问题（4-8%的参与者无反应率）。具体来说，由于这个比率和收到的评论，有一个问题被淘汰了。在专家小组中，有7个项目被认为与李克特量表上的自我羞耻感测量“不太相关”，缺乏清晰度的百分比在9%到18%之间，这就是为什么它们被从量表中删除的原因。在日语预版的18个条目中，我们获得了10个条目的西班牙语版本，类似于日语原8个条目的SSS-E，克服了文化差异，保持了与原版本的一致性。讨论/结论我们开发了首个适用于西班牙语的癫痫自我耻辱量表（ess - e）。我们验证了包含18个项目的预版本，解决了与原始版本一致性复杂的文化差异。

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引用次数: 0

Revisión sistemática de la metodología de tratamiento del síndrome de fatiga crónica 慢性疲劳综合征治疗方法的系统回顾

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2025-07-01 DOI: 10.1016/j.sedene.2024.04.002

Sergio López Barbeta , Manuela Carrión Martínez , Alejandro Lendínez Mesa , Alberto Diliz Vieira , Carlos Díaz-Rodríguez

Introduction

Chronic fatigue syndrome (CFS) is a highly prevalent pathology that has not been clearly defined. Currently, there is no universally accepted treatment protocol, and the diagnostic markers, etiology, and specific pathophysiology for developing effective non-pharmacological treatments remain unknown.

Objective

To determine the currently established rehabilitation treatment methodologies for CFS. In addition, to establish an analysis of the efficacy of the treatment plans studied and to determine advances on the etiology of CFS.

Method

A systematic review of randomized clinical trials (RCTs) published since 2011 was conducted. Studies evaluating non-pharmacological interventions for adult CFS patients were included, differentiating them according to chosen diagnostic criteria and variable measurement. The treatment hypothesis of the selected interventions was also taken into account.

Results

17 RCTs were included, 6 of which based their performance protocol on a self-management booklet and 11 of which did so through face-to-face involvement of a therapist and active therapy. The results of these studies were assessed primarily by patient-reported outcomes, and 5 of these studies reported on objective outcome measures.

Conclusion

There is no significant evidence on the efficacy of non-pharmacological interventions in CFS patients. In addition, the lack of consensus on diagnostic criteria makes it difficult to compare studies and to develop a standardised treatment plan. Advances in the aetiology and pathophysiology of CFS point to the need for a broader therapeutic approach.

慢性疲劳综合征（CFS）是一种非常普遍但尚未明确定义的病理。目前，尚无普遍接受的治疗方案，开发有效的非药物治疗的诊断标志物、病因学和特定病理生理学仍然未知。目的探讨慢性疲劳综合症的康复治疗方法。此外，对所研究的治疗方案的疗效进行分析，并确定CFS病因学的进展。方法对2011年以来发表的随机临床试验（RCTs）进行系统回顾。纳入评估成人CFS患者非药物干预措施的研究，根据选择的诊断标准和变量测量进行区分。所选干预措施的治疗假设也被考虑在内。结果共纳入17项随机对照试验，其中6项基于自我管理手册的表现方案，11项通过治疗师面对面参与和积极治疗来实现。这些研究的结果主要通过患者报告的结果进行评估，其中5项研究报告了客观结果测量。结论非药物干预对慢性疲劳综合症患者的疗效尚无显著证据。此外，对诊断标准缺乏共识使得比较研究和制定标准化治疗计划变得困难。CFS病因学和病理生理学的进展表明需要更广泛的治疗方法。

{"title":"Revisión sistemática de la metodología de tratamiento del síndrome de fatiga crónica","authors":"Sergio López Barbeta , Manuela Carrión Martínez , Alejandro Lendínez Mesa , Alberto Diliz Vieira , Carlos Díaz-Rodríguez","doi":"10.1016/j.sedene.2024.04.002","DOIUrl":"10.1016/j.sedene.2024.04.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic fatigue syndrome (CFS) is a highly prevalent pathology that has not been clearly defined. Currently, there is no universally accepted treatment protocol, and the diagnostic markers, etiology, and specific pathophysiology for developing effective non-pharmacological treatments remain unknown.</div></div><div><h3>Objective</h3><div>To determine the currently established rehabilitation treatment methodologies for CFS. In addition, to establish an analysis of the efficacy of the treatment plans studied and to determine advances on the etiology of CFS.</div></div><div><h3>Method</h3><div>A systematic review of randomized clinical trials (RCTs) published since 2011 was conducted. Studies evaluating non-pharmacological interventions for adult CFS patients were included, differentiating them according to chosen diagnostic criteria and variable measurement. The treatment hypothesis of the selected interventions was also taken into account.</div></div><div><h3>Results</h3><div>17 RCTs were included, 6 of which based their performance protocol on a self-management booklet and 11 of which did so through face-to-face involvement of a therapist and active therapy. The results of these studies were assessed primarily by patient-reported outcomes, and 5 of these studies reported on objective outcome measures.</div></div><div><h3>Conclusion</h3><div>There is no significant evidence on the efficacy of non-pharmacological interventions in CFS patients. In addition, the lack of consensus on diagnostic criteria makes it difficult to compare studies and to develop a standardised treatment plan. Advances in the aetiology and pathophysiology of CFS point to the need for a broader therapeutic approach.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"62 ","pages":"Article 100164"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274401","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}

引用次数: 0

Síndrome del acento extranjero: descripción de un caso clínico 外国口音综合症：临床病例描述

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2025-07-01 DOI: 10.1016/j.sedene.2024.03.003

Ana Teresa Domínguez Martín , Noemi Martin Ramos , Sara Huerta González , Armando Diez Miranda , Catalina Cano Amador

Introduction

Foreign Accent Syndrome (FAS) is an acquired speech disorder due to a lesion of the central nervous system, characterized by the appearance of a foreign accent when speaking the native language. The objective is to describe a case of SAE as a form of presentation of a stroke.

Development

Male, 72 years old, Spanish, with ischemic heart disease, dyslipidemia, COPD. Autonomous for Activities of Daily Living. Admitted for chest pain on slight exertion. Presents difficulty in responding and obeying orders, feels that the accent and speed of speech are different. His relatives say that he speaks like the English, but in Spanish.

In neurological examination conscious, oriented, obeys orders, no dysarthria. Language is clear, fluent and intelligible, with alteration of intonation and rhythm. Mild right facial paresis.

Results

A care plan was developed based on Gordon's functional patterns, with NANDA diagnoses, interventions (NIC) and expected outcomes (NOC). Due to the rarity of the case it is justified to establish an individualized care plan, obtaining 7 nursing diagnoses and 12 nursing interventions with their respective NOC.

The Clinical Judgment was of ischemic stroke of cardioembolic origin. The evolution was favorable, after 3 months she recovered her normal accent and did not report any speech alteration or identity problems.

Conclusion

SAE is an infrequent syndrome, which can generate identity conflicts if it does not subside.

We consider it necessary to be aware of this syndrome so that it can be recognized early, and to be able to offer a correct nursing approach that guarantees quality care and psychological support.

外国口音综合症（FAS）是一种由中枢神经系统损伤引起的后天语言障碍，其特征是在说母语时出现外国口音。目的是描述一个SAE作为一种形式的表现中风的情况。男性，72岁，西班牙人，缺血性心脏病，血脂异常，慢性阻塞性肺病。能自主进行日常生活活动。因轻微用力引起胸痛入院。表现出反应和服从命令的困难，感觉口音和语速不同。他的亲戚说他说话像英国人，但说的是西班牙语。神经学检查意识清醒，定向，服从命令，无构音障碍。语言清晰、流畅、易懂，语调、节奏多变。轻度右侧面部轻瘫。结果以Gordon功能模式为基础，制定了具有NANDA诊断、干预（NIC）和预期结局（NOC）的护理方案。由于病例罕见，因此有理由制定个性化护理计划，获得7个护理诊断和12个护理干预措施。临床判断为心源性缺血性脑卒中。进化是有利的，3个月后，她恢复了正常的口音，没有任何言语改变或身份问题。结论sae是一种罕见的综合征，如果不消退，可能会产生身份冲突。我们认为有必要了解这种综合征，以便及早发现，并能够提供正确的护理方法，保证高质量的护理和心理支持。

{"title":"Síndrome del acento extranjero: descripción de un caso clínico","authors":"Ana Teresa Domínguez Martín , Noemi Martin Ramos , Sara Huerta González , Armando Diez Miranda , Catalina Cano Amador","doi":"10.1016/j.sedene.2024.03.003","DOIUrl":"10.1016/j.sedene.2024.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Foreign Accent Syndrome (FAS) is an acquired speech disorder due to a lesion of the central nervous system, characterized by the appearance of a foreign accent when speaking the native language. The objective is to describe a case of SAE as a form of presentation of a stroke.</div></div><div><h3>Development</h3><div>Male, 72 years old, Spanish, with ischemic heart disease, dyslipidemia, COPD. Autonomous for Activities of Daily Living. Admitted for chest pain on slight exertion. Presents difficulty in responding and obeying orders, feels that the accent and speed of speech are different. His relatives say that he speaks like the English, but in Spanish.</div><div>In neurological examination conscious, oriented, obeys orders, no dysarthria. Language is clear, fluent and intelligible, with alteration of intonation and rhythm. Mild right facial paresis.</div></div><div><h3>Results</h3><div>A care plan was developed based on Gordon's functional patterns, with NANDA diagnoses, interventions (NIC) and expected outcomes (NOC). Due to the rarity of the case it is justified to establish an individualized care plan, obtaining 7 nursing diagnoses and 12 nursing interventions with their respective NOC.</div><div>The Clinical Judgment was of ischemic stroke of cardioembolic origin. The evolution was favorable, after 3 months she recovered her normal accent and did not report any speech alteration or identity problems.</div></div><div><h3>Conclusion</h3><div>SAE is an infrequent syndrome, which can generate identity conflicts if it does not subside.</div><div>We consider it necessary to be aware of this syndrome so that it can be recognized early, and to be able to offer a correct nursing approach that guarantees quality care and psychological support.</div></div>","PeriodicalId":38763,"journal":{"name":"Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica","volume":"62 ","pages":"Article 100165"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563894","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}

引用次数: 0

Estudio piloto: terapia transdisciplinar en el medio acuático en niños con discapacidad intelectual 试点研究：对智障儿童进行跨学科水生治疗

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2025-07-01 DOI: 10.1016/j.sedene.2024.500169

Rocío Blanco Barrero , Sara Rodriguez Carrión , Susana Álvarez Hernando , Lorena Martín Berbel , Ana Navarro Meléndez , Alejandro Lendinez Mesa , Ana Sofía Fernandes Ribeiro , María Jesús Martínez Beltrán

Objective

To analyze whether transdisciplinary therapy in the aquatic environment for children with intellectual disabilities promotes skills and mental adjustment in this setting, advances in different areas of their lives, and independence in activities of daily living.

Method

Quasi-experimental pilot study carried out with children with intellectual disabilities from the Special Education School of the Hospital Fundación Instituto San José, who integrate transdisciplinary therapy in the aquatic environment with the Poseidon Program in their school environment between September 2018 and June 2019.

Variables have been collected such as aquatic skills, motor, personal/social, cognitive, communicative, adaptive and essential functional skills of daily living, as measured with the WeeFIM scale, WOTA 1 and the Battelle Developmental Inventory.

Results

Data from 5 children aged between 6 ± 2 years and a degree of disability of 46 ± 15 years have been included. Statistically significant differences were found in the personal/social area (p = 0,042) with a 3-point difference between pre/post-intervention measurements, as well as in the global area (p = 0,042) with a 9-point difference, measured through the Battelle inventory.

Autism, developmental disorder, and epilepsy variables do not show a statistically significant association.

Conclusions

The transdisciplinary methodology carried out through the Poseidon program produces statistically significant improvements in different areas of life and independence in the activities of daily living of children with intellectual disabilities.

目的分析在水生环境中进行跨学科治疗是否能促进智力障碍儿童的技能和心理调节，提高他们在生活各领域的能力，提高他们在日常生活活动中的独立性。方法对2018年9月至2019年6月期间在美国圣约瑟医院Fundación研究所特殊教育学院学习的智力障碍儿童进行准实验先导研究，将跨学科的水生环境治疗与波塞冬项目相结合。通过WeeFIM量表、WOTA 1和Battelle发展量表，收集了诸如水上技能、运动、个人/社会、认知、沟通、适应和日常生活基本功能技能等变量。结果纳入5例年龄在6±2岁，残疾程度为46±15岁的儿童的数据。在个人/社会领域（p = 0,042），通过干预前/干预后的测量结果有3个点的差异，在全球领域（p = 0,042），通过Battelle量表测量有9个点的差异。自闭症、发育障碍和癫痫变量没有显示统计学上显著的关联。结论：通过波塞冬项目实施的跨学科方法在智力残疾儿童的不同生活领域和日常生活活动的独立性方面产生了统计上显著的改善。

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引用次数: 0

Activación de áreas cerebrales al comer chocolate y aumento de crisis epilépticas focales 吃巧克力时大脑区域的激活和局部癫痫发作的增加

Q3 Nursing

Revista Cientifica de la Sociedad Espanola de Enfermeria Neurologica

Pub Date : 2025-07-01 DOI: 10.1016/j.sedene.2024.500167

María Palanca Cámara , Sònia Pineda Hernández

Introduction

Epilepsy is a neurological disease characterized by the onset of epileptic seizures, due to an abnormal electrical discharge of the brain; so that it affects a specific region (focal epilepsy), or the whole brain (generalized epilepsy). Epilepsy has always been stigmatized, largely due to lack of knowledge about the disease. One of these myths has been the relationship between chocolate and its power to promote the onset of epileptic seizures.

Objective

Find scientific evidence on brain activation by chocolate and its capacity for epileptogénesis.

Methodology

A literature search was performed on PubMed, Google Scholar and Trip database. Subsequently, a critical reading of the selected articles was performed obtaining a total of 10 relevant articles.

Conclusions

In animal studies, a relationship was found between chocolate consumption and hippocampal seizures. No studies have been found in humans in this line of research, however, in studies in healthy people it has been observed that chocolate activates the mesial temporal and frontal areas, with epilepsy originating in the temporal and frontal lobes, and more specifically the mesial structures, the most prevalent in humans. However, studies in people with epilepsy are necessary to establish the relationship between chocolate and ictogenesis.

癫痫是一种神经系统疾病，其特征是由于大脑异常放电引起癫痫发作；因此它会影响特定区域（局灶性癫痫）或整个大脑（全身性癫痫）。癫痫一直被认为是一种耻辱，主要是由于缺乏对这种疾病的了解。其中一个迷思是巧克力与其促进癫痫发作的能力之间的关系。目的寻找巧克力激活大脑及其抗癫痫能力的科学依据。方法在PubMed、b谷歌Scholar和Trip数据库中进行文献检索。随后，对所选文章进行批判性阅读，共获得10篇相关文章。结论在动物实验中，发现巧克力摄入与海马癫痫发作之间存在关系。在这方面的研究还没有在人类身上发现，然而，在对健康人的研究中发现，巧克力激活了颞叶和额叶内侧区域，癫痫起源于颞叶和额叶，更具体地说，是人类中最普遍的内侧结构。然而，有必要对癫痫患者进行研究，以确定巧克力与ictogenesis之间的关系。

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引用次数: 0