Educación sanitaria pra enfermería sobre la epidermólisis bullosa / Education on health nursing epidermolysis bullosa

Introducción. La epidermólisis bullosa es una enfermedad de baja prevalencia caracterizada por la formación de ampollas tanto en el exterior del cuerpo como en el interior. El desconocimiento de esta enfermedad rara por parte del personal sanitario supone un problema para los afectados y sus familiares a la hora de aplicar los cuidados necesarios. Existen recursos escasos para su tratamiento. Objetivo. Dar a conocer a los profesionales las características, el tratamiento y los cuidados de la epidermólisis bullosa. Material y método. Estudio con metodología cualitativa y orientación teórica fundamentada. Resultados. Recolección de las actuaciones más relevantes de enfermería sobre los cuidados y la atención sanitaria integral del paciente y su familia. Conclusión. Dar a conocer las medidas paliativas para la epidermólisis bullosa (AU)

Introduction. The epidermolysis bullosa is a disease of low prevalence characterized by the formation of blister both in the exterior and in the interior of the body. The ignorance of this rare disease on the part of the sanitary personnel implies a problem for the affected ones and his relatives, at the moment of applying the necessary cares. There ara scanty resources for its treatment. Objective. To publish to the sanitary personnel the characteristics, the treatment and the cares of this disease. Material and method. Study with qualitative methodology and theoretical based orientation. Results. Gathering of the most relevant actions of infirmary on cares and sanitary integral attention to the patient and his family. Conclusion. Make the palliative measures on the epidermolysis bullosa public (AU)

[Patients with oral anticoagulant therapy]. / Pacientes con tratamiento anticoagulante oral.

INTRODUCTION: patients with ACO treatment must have some knowledge about the risks it causes. For this, that medical personnel must give and proper education in quality and quantity both the patient and the family. OBJECTIVES: determine the knowledge level in relation with the treatment ACO that the patients treated have in an AP query in a rural healthy area like is Plasencia. MATERIAL AND METHOD: an observational descriptive retrospective study was conducted with 34 patients who was being treated with ACO. Data about pathologies, biometrics parameters about the clinical historical and interviews with the patients in the nurse query were picked up. RESULTS: when the data were analyzed, the number of the patients according to the sex was equaled. Not according to the ages: people between 80-90 years old were the 26.5% from the total. About the pathologies causatives of the treatment, the FA is the most frequent with the 50%, followed by the pulmonary thromboembolism with the 23%. The control of the results was distributed controlling the youngest people at the hospital, the oldest people in AP. In relation with the tracing of the treatment, people with FA and valve prosthesis were the people most fulfilled. DISCUSSION: To the medical personnel it is necessary to know the patient ACO profile, as the risk associated treatment. Young patients with cardiovascular pathologies are controlled at the hospital for they most variation in results, controlled in older primary care patients (AP) and rural residents have greater grip and better control. With this knowledge, medical personnel would make interventions for help adherence, monitoring control, treatment as well as the collaboration of family.

Pacientes con tratamiento anticoagulante oral. ¿qué saben sobre su tratamiento? / Profile of women with breast disease wich does self-exploration. Which are the factors associated with this practice?

Introducción. Los pacientes anticoagulados con tratamiento oral (ACO) deben tener unos conocimientos de los riesgos que dicho tratamiento conlleva. Para ello el personal sanitario debe formar tanto al paciente como a su familia. Objetivos. Determinar el nivel de adhesión terapéutica que tienen los pacientes tratados con ACO en una consulta de atención primaria (AP) y en un área de salud urbana, como Plasencia. Material y método. Se realizó un estudio observacional descriptivo retrospectivo con 34 pacientes con tratamiento ACO. Se recogen datos de patologías, parámetros biométricos de las historias clínicas y entrevistas a los sujetos que acuden a la consulta de enfermería. Resultados. Una vez analizados los datos, el número de pacientes –según el sexo– estaba igualado; no sucedía lo mismo por edades donde la población entre 80-90 años constituía el 26,5 % del total; dentro de las patologías de las que se deriva el tratamiento, la fibrilación auricular (FA) es la más frecuente, con un 50%, siguiéndole el tromboembolismo pulmonar, con un 23%. El control de los resultados se distribuía de la siguiente manera: los más jóvenes se controlaban en atención especializada (AE), en su hospital de referencia; los de mayor edad en AP. En relación con la adhesión al tratamiento y la patología principal, quienes padecían FA y portaban una prótesis valvular cumplían el tratamiento en mayor número. Discusión. Para el profesional sanitario es necesario conocer el perfil del paciente con ACO, y si este sabe los riesgos que conlleva el tratamiento. Los enfermos jóvenes con patología cardiovasculares son controlados en el hospital por sus mayores oscilaciones en los resultados; la población mayor es vigilada en la consulta de atención primaria (AP), y los residentes en zonas rurales cuentan con una mayor adherencia y un mejor control. Con una completa información el personal sanitario puede efectuar intervenciones que ayuden a la adhesión, seguimiento del control y tratamiento, así como a la colaboración de familiares(AU)

Background/Aims: In recent decades the fight against breast cancer has focused primarily on the treatment and secondary prevention (early detection mainly). In the case of breast self-examination, althought it has not been prove to reduce mortality, it is important in cases detected by women themselves (it is estimated 90% of total), mainly in the interval cancers. Objectives: To identify within women with breast cancer, how many do self-examination and identify associated factors. Describe the clinical and pathological features of cancers in women who do perform self-examination. Methodology: In women diagnosed with breast cancer during 2007 in a hospital in the province of Cadiz, Spain, is reconstructed in retrospect the story related the cancer process: symptoms, psychosocial factors that determine the contact with the health system, preventive practices (self-examination, mammography screening). A description of the pathological tumor: presenting symptom, tumor size, node negative, grade of differentiation… Results: We studied 149 women with breast cancer, from whom 52% did self-exploration. Women who performed self-examination were younger (54.78 years) against the women who did not (65.63 years), married (66.2%), active workers and have a higher educational level. The assessment of the first symptoms in these women as «important» is positively correlated with those women who practice self-examination. For other preventive practices, women who does self-examination are also the most actives in early detection programs (74.4% against 29.5% which didn’t do self-examination). For the pathologic characteristics of tumor in women who did self-examination: the tumor size was 2.5 cm, 50.7 / are well differentiated, and 59.1% of cases the nodes are negative. Conclusions: Women who does self-examination are younger, have higher educational level, are married, are active workers and are often involved in other preventive practices. On them, the tumors diagnosed have a smaller size, are diagnosed at earlier stages and usually present better degree of differentiation (AU)