Flare-Ups in Crohn's Disease: Influence of Stress and the External Locus of Control.

(1) Background: The aim of this study was to explore the role of perceived stress and the health locus of control in Crohn's disease and their influence upon the development of flare-ups of this disease. (2) Methods: Stress and the external locus of control were evaluated in a sample of 64 Crohn's patients (flare-up phase versus latency phase). The perceived stress scale (PSS-14) and the multidimensional health locus of control scale were the measurement instruments used. (3) Results: The results indicate that the patients have high stress levels during a flare-up (26.13; 27.44; 28.79; 29.67); high stress levels (28.07; 29.67; 27.44; 28.07) if they have a high external locus of control; and that the external locus of control and stress levels have a significant influence upon the existence of flare-ups in those patients with low external locus of control levels (χ2 = 11.127; df = 1: p < 0.001). (4) Conclusions: Actions aimed at reducing stress and external locus of control levels are necessary in Crohn's disease.

Giant cardiac hydatid cyst causing sustained ventricular tachycardia. Successful surgical treatment.

Cardiac involvement of hydatid disease is rare. In Peru, a country with a high prevalence of this infectious disease, few cases of cardiac hydatid disease have been reported. We present the case of a man with a cardiac hydatid cyst of more than 10 cm in diameter that debuted with malignant arrhythmia and successfully treated with surgery.

La afectación cardíaca de la enfermedad hidatídica es rara. En Perú, país con alta prevalencia de esta enfermedad infecciosa, se han reportado pocos casos de hidatidosis cardíaca. Presentamos el caso de un varón con un quiste hidatídico cardíaco de más de 10 cm de diámetro que debutó con arritmia maligna, tratado exitosamente con cirugía.

Percepción de la educación sanitaria recibida por el paciente diabético amputado / Perception of health education delivered to amputated diabetic patients

Resumen:

Objetivo: las úlceras del pie diabético preceden aproximadamente al 85% de las amputaciones. Su manejo debe consistir en un abordaje multidisciplinar cuyo eje central sea la prevención, así como valorar la percepción por parte del paciente diabético amputado sobre la educación para la salud (EPS) impartida por profesionales enfermeros, estableciendo la pertinencia de estrategias sanitarias educacionales dirigidas al paciente diabético amputado. Método: se realizó un estudio retrospectivo y transversal en pacientes diabéticos que sufrieron amputación, con úlceras vasculares previas, ingresados en una unidad de Angiología y Cirugía Vascular, obteniendo la información mediante un cuestionario. Resultados: participaron en el estudio 111 pacientes (59,61% varones, 40,39% mujeres), con una edad media de 74,35 años. Solamente el 40,35% refiere haber recibido información de los profesionales enfermeros sobre cuidados de enfermería asociados a la amputación. El 88,18% cree importante que impartan EPS.

Conclusiones: consideramos importante crear programas formativos y educacionales liderados por enfermería, siendo la EPS una herramienta terapéutica imprescindible demandada por el paciente.

Abstract:

Purpose: A history of previous diabetic foot ulcers is found in about 85% of amputees. Diabetic foot ulcers management must include a multidisciplinary approach, which must be centered around prevention, as well as an evaluation of diabetic amputee perception on health education provided by nursing staff, so that relevant health care educational strategies specifically targeted to diabetic amputees can be developed. Method: A retrospective, cross-sectional study was carried out in diabetic patients with a history of amputation and previous vascular ulcers, admitted to a Vascular Surgery and Angiology Unit. Data were obtained by means of a questionnaire. Results: A total of 111 patients were enrolled (59.61% male, 40.39% women), mean age was 74.35 years. Only 40.35% of patients stated they had received information from nursing staff regarding nursing care related to amputation. Health care education was considered important by 88.18% of patients. Conclusions: We feel educational programs ruled by nurses are important as a therapeutic tool for a healthcare education that our patients need and request.

Objetivo: Úlceras de o pé diabético preceder cerca de 85% das amputações. A gestão debe ser uma abordagem multidisciplinar cujo eixo central é a prevenção e, avaliar a percepção do paciente do diabético amputado a educação em saúde (ES) ministrada por profissionais enfermeiros, que institui a relevância de estratégias de educação em saúde visando diabético amputado. Método: foi realizado um estudo retrospectivo, transversal em pacientes diabéticos que sofreram amputação, com úlceras vasculares prévios, admitiu a nossa unidade de Angiologia e Cirurgia Vascular. Obtenção de informações por meio de um questionário. Resultados: participaram do estudo 111 pacientes (59,61% do sexo masculino, 40,39% do sexo feminino), com média de idade de 74,35 anos. Apenas 40,35% relataram ter recebido informações de enfermeiros profissionais sobre os cuidados de enfermagem relacionados com a amputação. A% 88,18 acreditar que conferem ES importantes. Conclusão: Consideramos que é importante criar programas de treinamento e educação liderados por enfermagem, sendo a educação em saúde a ferramenta terapêutica processada pelo paciente.