ABSTRACT
Según la OMS, las enfermedades crónicas son aquellas enfermedades de larga duración y por lo general de evolución lenta y cuyo fin o curación no puede proveerse o no ocurrirá nunca. Las enfermedades crónicas pueden afectar a cualquier grupo de edad. A los centros educativos acuden niños con diversas patologías crónicas donde la enfermera debe atender las necesidades propias que se derivan, consiguiéndose así una escolarización lo más normalizada posible y una considerable mejoría en su calidad de vida. Las enfermedades crónicas inciden también de un modo importante sobre los aspectos emocionales de los escolares que las padecen y de sus familiares. Debido a que la presencia de la enfermera escolar no está extendida a todos los centros escolares, estos niños no reciben en su centro educativo los cuidados necesarios, aumentando por tanto el absentismo escolar y el sentimiento de estar en clara desventaja frente al resto de sus compañeros. El presente artículo, que aborda la actuación de la enfermera escolar frente a los procesos crónicos, es el sexto, en una serie de nueve, que persigue dar a conocer este perfil enfermero emergente (AU)
According to the WHO, chronic diseases are diseases of long duration and generally slow progression for which no end or cure can be anticipated or ever expected. Chronic diseases may affect any age group. Children with different chronic disorders come to schools, where the nurse must provide care for the resulting individual needs, thus achieving schooling as near to normal as possible and a considerable improvement in their quality of life. Chronic diseases also have a major bearing on the emotional aspects of the school children you have these diseases and on their family members. Due to a school nurse not being present at all schools, these children are not provided with the necessary care at their schools, therefore increasing absenteeism from school and the feeling of clearly being at a disadvantage compared to the rest of their fellow students. This article, which deals with the work of school nurses regarding chronic processes is the sixth in a series of nine articles aimed at getting to know this emerging nursing profile (AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Chronic Disease/epidemiology , School Nursing/statistics & numerical data , School Health Services , Quality of LifeABSTRACT
The present study aimed to examine the levels and interactions of family burden (FB) and expressed emotion (EE) in first episode psychosis (FEP) patients and, secondly, to observe the potential change after a brief psychoeducational group intervention implemented in a real world clinical setting. Twenty-three key relatives of FEP patients received a brief psychoeducational group intervention. FB and EE were assessed before and after the intervention. EE-change and correlations between variables were examined. Half of the sample of key-relatives showed high levels of EE. No severe family burden was observed. FB and EE did not change after the intervention. Family subjective and objective burden were correlated with emotional overinvolvement, but not with criticism. Brief psychoeducational groups may not be sufficient to reduce FB and EE associated to the experience of caregiving for a family member with a first-episode psychotic disorder.
Subject(s)
Caregivers/education , Caregivers/psychology , Cost of Illness , Expressed Emotion , Family Therapy , Psychotherapy, Brief , Psychotherapy, Group , Psychotic Disorders/psychology , Psychotic Disorders/therapy , Schizophrenia/therapy , Schizophrenic Psychology , Adult , Aged , Female , Humans , Male , Middle Aged , Personality Inventory/statistics & numerical data , Psychometrics , Treatment OutcomeABSTRACT
The present study aimed to examine the levels and interactions of family burden (FB) and expressed emotion (EE) in first episode psychosis (FEP) patients and, secondly, to observe the potential change after a brief psychoeducational group intervention implemented in a real world clinical setting. Twenty-three key relatives of FEP patients received a brief psychoeducational group intervention. FB and EE were assessed before and after the intervention. EE-change and correlations between variables were examined. Half of the sample of key-relatives showed high levels of EE. No severe family burden was observed. FB and EE did not change after the intervention. Family subjective and objective burden were correlated with emotional over involvement, but not with criticism. Brief psychoeducational groups may not be sufficient to reduce FB and EE associated to the experience of caregiving for a family member with a first-episode psychotic disorder (AU)
El presente estudio tiene por objetivo examinar los niveles y las interacciones de la sobrecarga familiar (SF) y emoción expresada (EE) en cuidadores de pacientes con un primer episodio de psicosis (PEP) y, secundariamente, observar su potencial cambio después de un grupo psicoeducativo breve implementado en un contexto asistencial rutinario. Veintitrés familiares clave de pacientes con un PEP recibieron una breve intervención grupal de tipo psicoeducativo. SF y EE fueron evaluados antes y después de la intervención. Se examinó tanto el cambio de la SF y la EE como las correlaciones entre ellas. La mitad de la muestra de familiares mostró altos nivel de EE. No se observó una SF grave. Ni la SF ni la EE cambiaron después de la intervención. La sobrecarga familiar objetiva y subjetiva correlacionaron con la sobreimplicación, pero no con los comentarios críticos. Los grupos psicoeducativos breves pueden no ser suficiente para reducir la SF y la EE asociada a la experiencia (AU)
