La relación interpersonal terapéutica en el acercamiento a personas con epilepsia y depresión / The interpersonal therapeutic relationship in approaching people with epilepsy and depression

INTRODUCCIÓN: Los trastornos mentales, como La depresión, pueden estar presentes en la vida de las personas con epilepsia, acompañados de aislamiento, dificultades com El estudio y El trabajo, así como El riesgo de suicidio. OBJETIVO: identificar síntomas sugestivos de depresión en personas con epilepsia y sus cuidadores. MÉTODO: entrevistas realizadas por una enfermera que utilizó el enfoque de relación terapéutica. Al final de La recopilación de datos, el entrevistador dijo: "¿Hay algo más que le gustaría que supiéramos? "Aprobado por el Comité de Ética. RESULTADOS: de los 75 sujetos, 49 eran personas con epilepsia y 26 eran cuidadores. Los sujetos informaron intento de suicidio (25%) y bajo riesgo de consumo de alcohol (100%). Informó el uso de drogas ilícitas como el crack y la cocaína e dependencia nicotínica. Las personas con depresión y epilepsia representan el 36% y el 66% tenían síntomas indicativos de ansiedad. Los cuidadores informaron que el 81% de las NP dependen de su cuidado. El 88.5% de los cuidadores informaron sobrecarga para el cuidado de la EP (50% moderado y 27% moderado a severo). CONCLUSIONES: El tipo de enfoque para recopilar datos de investigación, en forma de interacción de ayuda, contribuyó a promover un entorno terapéutico, expandió la escucha de enfermería calificada con el manejo de situaciones de crisis y sus consecuencias. La relación interpersonal califica la atención de enfermería en salud mental para personas con epilepsia. Las técnicas de enfoque interpersonal facilitan el uso de procedimientos de recopilación de datos de investigación.

INTRODUCTION: Mental disorders, suchas depression, may be present in the lives of people with epilepsy, accompanied by isolation, difficulties with study and work, as well as the risk of suicide. OBJECTIVE: to identify symptoms suggestive of depression in people with epilepsy and their caregivers, in interviews conducted by the nurse who used the therapeutic relationship approach. Material and METHOD: During the collection of the data on depressive symptoms, the interviewer gave them the opportunity to speak freely about their problems, welcoming and guiding their doubts. Project approved by the Ethics Committee. RESULTS: Of the 75 subjects, 49 were people with epilepsy and 26 were their caregivers. Subjects reported suicide attempt (25%) and low risk of alcohol consumption (100%). They will also inform the use of illicit drugs such as crack and cocaine and nicotinic dependence. People with depression and epilepsy represent 36% and 66% had symptoms indicative of anxiety. Caregivers reported that 81% of epileptics depend on their care. 88.5% ofcaregivers reported overload for caring for people with epilepsy (50% moderate and 27% moderate to severe). CONCLUSIONS:This approach to collecting research data, in the form of help interaction, contributed to promoting a therapeutic environment, expanded skilled listening with the management of crisis situations and their consequences. The interpersonal relationship qualifies mental health nursing care for people with epilepsy and facilitates the use of research data collection procedures.

Assistência de enfermagem aos pacientes sob investigação de epilepsia submetidos ao Vídeo-EEG prolongado: [revisão] / Assistance of nursing to the patients who are undergoing in epilepsy investigation to the prolonged Video-EEG: [review]

OBJETIVO: Elaborar as ações de enfermagem pertinentes ao exame de Vídeo-EEG, de modo a colaborar na investigação das crises epilépticas e das necessidades humanas básicas afetadas. METODOLOGIA: Realizou-se uma revisão da literatura nacional e internacional, através de artigos disponíveis nos bancos de dados do PUBMED, SCIENCEDIRECT, MEDLINE e SCIELO, nos últimos nove anos. RESULTADOS: O papel da enfermagem no Vídeo-EEG é de proteger o paciente contra os riscos de quedas durante as crises, propiciar atividades recreativas e realizar os procedimentos de preparo, manutenção e finalização do exame. CONCLUSÃO: Por esta razão, sugerimos que a enfermagem deva envolver-se no aprimoramento científico na área de neurociências e epileptologia, visando detectar os fatores que interferem no cotidiano dos pacientes epilépticos ou sob investigação diagnóstica de epilepsia. Sendo que o vídeo-EEG é um instrumento facilitador para a enfermagem na obtenção de dados valiosos que podem servir de base na elaboração de produção científica para a saúde pública.

OBJECTIVE: To make a nursing care plan for the Video-EEG monitoring in order to collaborate with the investigation of the epileptic seizures and the affected basic human needs. METHOD: A review of the national and international literature through PUBMED, SCIENCEDIRECT, MEDLINE and SCIELO websites, during the last nine years. RESULTS: The nursing role on the VEEG is to protect the patient against injuries during seizures, propitiate recreational activities and all the procedures for the examination. CONCLUSION: Therefore, we suggest that nursing must be involved in constant improvement in neuroscience and epileptology, detect what factors that epilepsy may interfere in the patient's life, or those who are undergoing in epilepsy investigation. Thus, Video-EEG gathers precious information that can be the scientific basis for the public health.

Questionnaire study of primary care physicians referral patterns and perceptions of patients with epilepsy in a Brazilian city, 2005

A una muestra de médicos de familia del Programa de Médicos de Familia de Niterói, Río de Janeiro, Brasil, se aplicó en abril de 2005 un cuestionario autoadministrado para determinar la percepción de los médicos de atención primaria sobre la calidad del servicio para epilepsia y los patrones de remisión y su opinión sobre la atención que se brinda. Los encuestados consideraron que los neurólogos deben ser los responsables del diagnóstico y de la prescripción inicial de medicamentos antiepilépticos, mientras que los médicos de familia se deben responsabilizar de la atención subsiguiente. Los encuestados informaron estar insatisfechos con sus conocimientos sobre la epilepsia y los medicamentos antiepilépticos. Se consideró que los profesionales mejor calificados para la atención de la epilepsia son los neurólogos (58,9 por ciento), seguidos de los médicos de familia (35,7 por ciento). Casi todos los encuestados consideraron que los lineamientos y seminarios mejoraron su capacidad para atender a sus pacientes. Los encuestados no se sentían seguros de la atención que brindaban a los pacientes con epilepsia y por lo general los remitían al neurólogo. Sin embargo, el Programa de Médicos de Familia tiene un potencial inexplotado para tratar a los pacientes con epilepsia, debido al interés de estos profesionales en mejorar su calificación.

Psychosocial Adjustment Process in Adolescents with Epilepsy / 간호학회지

PURPOSE: The purpose of this study was to explore the psychosocial adjustment process in adolescents with epilepsy in the context of Korean society and culture. METHOD: A grounded theory method was used for data collection and analysis. Participants for this study were 9 adolescents who regularly visited an epilepsy clinic in a university hospital. The data was collected through in-depth interviews during the period from November, 2002 to June, 2003. Data collection and analysis were performed simultaneously. RESULT: Twenty-three categories emerged including 'suffering', 'psychological stigma', and 'social isolation from one's peers'. Categories were divided into paradigms which consisted of conditions, actions/ interactions, and consequences. 'Reconstructing life' was the core category in this study. The theoretical scheme was described by organizing categories around the core category. CONCLUSION: This study provides a framework for the development of individualized nursing interventions to care for adolescents with epilepsy.

Maternal approach to epileptic school-age children in Menoufia and Zagazig: a comparative study

This study aimed at investigation of the maternal approach towards epilepsy of their children in two different cities, Shebin EL-Kom, Menoufiya and Zagazig, Sharkeia. The sample comprised 118 epileptic school-age children, 6 to 18 years old; and their mothers, attending the out-patient clinics in Shebin El-Kom and school health unit in Zagazig. A structured interview schedule was used for interviewing each mother on Individual basis. The main findings revealed lack of maternal knowledge and misconceptions towards epilepsy it is recommend that mothers should be informed as to the importance of prenatal care, child's immunization, as well as how to diagnose and manage a case of epilepsy. Proper training for school teachers and nurses for management of such cases is highly warranted

nurses' knowledge and attitudes about epilepsy

This study aimed at the assessment of the nurses knowledge and attitudes towards epilepsy A sample consisting of 273 nurses working in different hospital departments, at three University hospitals in Tanta, Menoufiya and Zagazig was chosen. The results revealed a deficiency in the nurses' knowledge about epilepsy. However, they had a moderately positive attitude towards epilepsy. Although more than half of them considered epilepsy a mental illness, they agreed that epileptics must learn in special schools. It is recommended that all in-service training programs for nurses should emphasize epilepsy management, rehabilitation of epileptics, and how to change public attitudes towards epilepsy

Enfermería y epilepsia / Nursing and epilepsy

La epilepsia, enfermedad rodeada de estigmas, espectacularidad y mitos, constituye un desafío para enfermería en cuanto ella puede contribuir a su prevención así como a asegurar el menor grado de daño y la pronta recuperación de quienes la padecen. Este artículo presenta suscintamente un panorama general de las responsabilidades de la enfermera al respecto