Clinical nursing of 35 patients with epilepsy and burn

Liu Ling

doi:10.35534/ni.0101004c

Clinical nursing research

Pflege ◽

10.1024/1012-5302.13.3.133 ◽

2000 ◽

Vol 13 (3) ◽

pp. 133-138 ◽

Cited By ~ 1

Author(s):

Georges Evers

Keyword(s):

Nursing Research ◽

Florence Nightingale ◽

Clinical Nursing ◽

Clinical Nursing Research

Pflege als Dienstleistung hat eine lange Tradition, Pflegeforschung dagegen eine verhältnismäßig kurze Geschichte. Die erste Fachveröffentlichung stammt von Florence Nightingale aus dem Jahr 1858. Seit Nightingale hat sich das Bedürfnis, zu forschen und die Effektivität von Pflegediensten zu erhöhen, gesteigert. Mehr als zuvor benötigt die Gesellschaft auf wissenschaftlicher Evidenz basierende Pflege, die nicht nur auf Traditionen und Ritualen verharrt. Die Basis von wissenschaftlicher Erkenntnis kann durch Forschung erworben werden. Dabei ist es wichtig, innerhalb der multidisziplinären klinischen Forschung das besondere Interesse der Pflege klar im Mittelpunkt zu halten. Virginia Henderson (1955) und Dorothea Orem (1959) haben die eigentliche Aufgabe der Pflege klar festgesetzt. Das Design klinischer Pflegeforschung kann (quasi-)experimentell, korrelativ oder deskriptiv sein. Deskriptive Forschung kann qualitativ oder quantitativ sein. Experimentelle oder quasi-experimentelle Studien dienen der Erforschung von Auswirkungen von Pflegeunterstützung zur Verringerung von Selbstpflegenöten und Verbesserung der Selbstpflegekompetenz von Patienten. Einige Beispiele von klinischer Pflegeforschung werden gegeben. Das erste Beispiel zeigt, wie Pflegepersonalbesetzung und die Qualität der Pflege Auswirkungen auf die Selbstpflegefähigkeit bei der Hygiene haben. Das zweite Beispiel zeigt, wie Selbstpflege und Lebensqualität bei Krebspatienten unter Chemotherapie zusammenhängen. Das dritte Beispiel zeigt, welche Auswirkungen Diabetes-Aufklärung auf Selbstpflegeverhalten und Stoffwechselkontrolle hat. Die angeführten Beispiele und Argumentationen zeigen die Wichtigkeit klinischer Pflegeforschung mit klarem Pflegefokus. Dies bedeutet, Forschungsprogramme zu entwerfen, und setzt Kooperation mit Pflegediensten, Ärzten und Krankenhäusern voraus. Erkenntnisse sind im Interesse evidenter Patientenversorgung multidisziplinär zu diskutieren und zu nutzen.

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Recruitment of motor cortical excitability in untreated patients with epilepsy

Klinische Neurophysiologie ◽

10.1055/s-2006-939202 ◽

2006 ◽

Vol 37 (01) ◽

Author(s):

S Klimpe ◽

M Behrang-Nia ◽

M Bott ◽

K Werhahn

Keyword(s):

Cortical Excitability ◽

Motor Cortical Excitability ◽

Motor Cortical ◽

Patients With Epilepsy

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Pathology of the Psychic Sphere in Patients with Epilepsy, Revealed by Psychiatrist of the Regional Consultative Center of the Subarctic Territory

10.26226/morressier.5a6ef3f0d462b80290b58c80 ◽

2018 ◽

Author(s):

Konstantin Shapovalov

Keyword(s):

Patients With Epilepsy

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The use of progesterone during pregnancy in women with epilepsy as an alternative to the correction of doses of anticonvulsants

GYNECOLOGY ◽

10.26442/20795696.2019.6.190708 ◽

2020 ◽

Vol 21 (6) ◽

pp. 12-15

Author(s):

Elena V. Tsallagova ◽

Vasily O. Generalov ◽

Timur R. Sadykov

Keyword(s):

Clinical Remission ◽

Epileptic Seizures ◽

Progesterone Concentration ◽

Teratogenic Effects ◽

Safe Alternative ◽

Patients With Epilepsy

Pregnancy is the most dangerous period in terms of interruption of even persistent and long-term remission. At the same time increasing the dose of anticonvulsant increases the risk of teratogenic effects. Aim. to assess the possibility of using progesterone to prevent relapse of epileptic seizures during pregnancy. Materials and methods. 38 pregnant patients with epilepsy with clinical remission before pregnancy, with relapse of epileptic seizures in I trimester of pregnancy, age 31.81.4 years. Dydrogesterone in a dose of 10 to 60 mg/day was prescribed after the relapse of remission. Anticonvulsant dosage was not changed. The blood progesterone concentration and EEG control was carried out. Results. During pregnancy, the level of progesterone in the blood gradually increased from 77.8 nmol/l at 78 weeks of pregnancy to 521.1 nmol/l at 3637 weeks of pregnancy, without exceeding the limits. EEG results did not deteriorate. None of the patients had seizures during pregnancy. Conclusion. Progesterone therapy is an adequate and safe alternative to increasing the dose of anticonvulsants in case of recurrent seizures during pregnancy.

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Features and methods of assessing health-related quality of life and cognitive functions in patients with glial tumors

Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery) ◽

10.33920/med-01-2002-06 ◽

2020 ◽

pp. 47-56

Author(s):

Vera Arsenyeva ◽

Boris Martynov ◽

Gennadiy Bulyshchenko ◽

Dmitriy Svistov ◽

Boris Gaydar ◽

...

Keyword(s):

Quality Of Life ◽

Cognitive Functions ◽

Well Being ◽

Health Related Quality ◽

Number Of Patients ◽

Related Quality ◽

Health Related ◽

Eortc Qlq ◽

Patients With Epilepsy

Gliomas make up about 8 cases per 100,000 population and the number of patients with this disease is only increasing. There can be not only various types of neurological deficits among the symptoms, but also personal and emotional changes, that seriously affects the quality of life. The modern model of health care includes not only recovery of the patient’s physical functions, but also his or her psychosocial well-being. In particular, the assessment and study of the characteristics of health-related quality of life, as well as cognitive functions in patients with gliomas, is increasingly recognized as an important criterion when considering the effectiveness of treatment. To date, the features of health related quality of life and cognitive functions of patients with epilepsy and acute cerebral circulation disorders have been studied sufficiently, and, as a result, techniques have been developed that accurately assess the QOL and CF in patients with these diseases. These are QOLIE-31 and QOLIE-AD-48 questionnaires for patients with epilepsy. This is the National Institutes of Health Stroke Scale (NIHSS), Orgogozo stroke scale (OSS), World Federation of Neurological Surgeons (WFNS) scale for the clinical assessment of subarachnoid hemorrhage (SAH) for patients with acute cerebrovascular accident. At the same time, there are no generally accepted methods for assessing quality of life and neurocognitive functions that are sensitive to changes in the condition of patients with gliomas in the early postoperative period by the time of discharge from the hospital. As a result, there is no systematic information on the dynamics of the quality of life of such patients, their neurocognitive functioning. The purpose of this article was to study the literature on QOL and CF in patients affected by neurological and neurosurgical disorders for the further selection of optimal methods for assessing dynamics of the condition of patients with glial brain tumors before and after surgery. At the moment, such requirements are only partially met by the EORTC QLQ-C30 questionnaire and its application EORTC QLQ-BN20.

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