Estadísticas

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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El deterioro cognitivo leve supone una p&#233;rdida cognitiva adquirida que sit&#250;a a los pacientes afectados&#44; fundamentalmente ancianos&#44; en un estadio intermedio entre el estado cognitivo normal y la demencia&#46; Supone adem&#225;s una situaci&#243;n de alto riesgo de progresi&#243;n hacia demencia&#44; siendo susceptible de detecci&#243;n precoz para una intervenci&#243;n m&#225;s eficaz&#46; Los profesionales de enfermer&#237;a&#44; sobre todo en un nivel primario de atenci&#243;n en la comunidad&#44; juegan un papel importante en la detecci&#243;n&#44; seguimiento e intervenci&#243;n sobre el deterioro cognitivo leve&#46; Se debe comenzar con una buena anamnesis&#44; en el paciente y sus cuidadores&#44; donde se valoran los cambios que se han producido en la vida diaria&#44; familiar y social del paciente a trav&#233;s de patrones funcionales&#46; La posterior valoraci&#243;n de las funciones cognitivas puede apoyarse sobre diferentes test breves de detecci&#243;n como el Mini Mental State Examinati&#243;n u otros similares&#46; Es necesario prestar especial atenci&#243;n a la presencia de s&#237;ntomas afectivos o depresivos&#44; d&#233;ficits sensoriales&#44; polifarmacia&#44; factores de riesgo cardiovascular descompensados o un r&#225;pido deterioro funcional&#44; dada su especial influencia sobre el cuadro de deterioro cognitivo leve&#46; Finalmente&#44; existen diferentes intervenciones no farmacol&#243;gicas recomendables desde el profesional de enfermer&#237;a&#44; eficaces sobre el deterioro cognitivo leve&#44; basadas en el control de factores de riesgo cardiovascular&#44; ejercicio f&#237;sico e intervenciones cognitivas y psicosociales&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mild cognitive impairment &#40;MCI&#41; is characterized by an acquired cognitive loss that places individuals&#44; mainly older adults&#44; in an intermediate stage between normal cognitive functioning and dementia&#46; This impairment has a high risk of progression to dementia and is suitable for screening&#44; which allows more effective early intervention&#46; Nursing professionals&#44; especially community-based primary care nurses&#44; play an important role in the detection and follow-up of MCI and in interventions for this condition&#46; The first step should be to take a thorough history from both the patient and his or her carers&#44; which should assess the changes occurring in the patient&#39;s daily&#44; family and social life through functional patterns&#46; In subsequent assessment of cognitive function&#44; brief screening tests can be used such as the Mini Mental State Examination &#40;MMSE&#41; or other similar tests&#46; Special attention should be paid to the presence of affective or depressive symptoms&#44; sensory deficits&#44; polypharmacy&#44; decompensated cardiovascular risk factors&#44; and rapid functional deterioration&#44; given their particular influence on MCI&#46; Finally&#44; various nurse-led&#44; non-pharmacological interventions that are effective in MCI can be recommended&#44; based on cardiovascular risk factor control&#44; physical exercise&#44; and cognitive and psychosocial interventions&#46;</p></span>"
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