The role of specialist nurses in detecting spasticity and related symptoms in multiple sclerosis

被引：2

作者：

Artola, Montse ^{[1
]}

Hernando, Ana ^{[1
]}

Vidal, Oscar ^{[2
]}

Vidal, Nuria ^{[3
]}

Cuenca, Ester ^{[4
]}

Horno, Rosalia ^{[5
]}

Robles, Miguel Angel ^{[5
]}

Oriol, Clara ^{[5
]}

Peralta, Silvia ^{[6
]}

Solana, M. A. Jose ^{[6
]}

Rubio, Matilde ^{[7
]}

Montero, Cristina ^{[7
]}

Lleixa, Merce ^{[8
]}

Zabay, Cinta ^{[9
]}

Martin, Montse ^{[10
]}

Leon, Isabel ^{[11
]}

Molinos, Consuelo ^{[12
]}

Matamoros, Mandi ^{[13
]}

Mercade, Laura ^{[14
]}

Fornali, Olga ^{[15
]}

Montero, Laura ^{[16
]}

Saiz, Albert ^{[1
]}

Sola-Valls, Nuria ^{[17
]}

机构：

[1] Univ Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Hosp Clin Barcelona, Unidad Neuroinmunol Esclerosis multiple, Barcelona, Spain

[2] Hosp Univ Mutua Terrassa, Barcelona, Spain

[3] Hosp Santa Creu & Sant Pau, Barcelona, Spain

[4] Hosp Residencia Sant Camil, Barcelona, Spain

[5] Hosp Univ Vall Hebron, Ctr Esclerosi Multiple Catalunya, Barcelona, Spain

[6] Hosp Arnau Vilanova, Lleida, Spain

[7] Hosp Figueres, Fundacio Salut Emporda, Girona, Spain

[8] Hosp Sant Joan Despi Moises Broggi, Barcelona, Spain

[9] Fundacio Esclerosi Multiple, Ctr Neurorehabilitador Mas Sabate, Reus, Spain

[10] Hosp Sant Joan Deu Althaia Manresa, Barcelona, Spain

[11] Hosp Univ Bellvitge, Barcelona, Spain

[12] Hosp Badalona Germans Trias & Pujol, Badalona, Spain

[13] Hosp Verge Cinta Tortosa, Tarragona, Spain

[14] Hosp Vendrell, Tarragona, Spain

[15] Hosp Del Mar, Barcelona, Spain

[16] Consorci Hosp Vic, Barcelona, Spain

[17] Hosp Univ Sant Joan Reus, Inst Invest Sanitaria Pere Virgili IISPV, Secc Neurol, Reus, Spain

来源：

JOURNAL OF CLINICAL NURSING | 2023年 / 32卷 / 13-14期

关键词：

limiting symptoms; multiple sclerosis; quality of life; spasticity; specialist nurses; IMPAIRMENT; MANAGEMENT; GAIT;

D O I：

10.1111/jocn.16421

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background Spasticity is a frequent symptom of multiple sclerosis (MS), which may negatively influence daily living activities (ADL). Objectives To (1) explore the feasibility to conduct a structured interview by specialist nurses about limitations in ADL; (2) determine the percentage of people with MS (PwMS) with limitations in ADL related to spasticity; (3) to assess the knowledge about spasticity and describe its clinical features. Design Observational, cross-sectional, multicentre study in 16 MS units of Catalonia (Spain). Participants were recruited from the outpatient facility and day-care hospital between July 2018 and June 2019 and met the following criteria: (1) age 18 or older, (2) diagnosis of MS according to McDonald criteria 2010 and (3) no clinical relapse in previous 30 days. Methods Specialist nurses conducted a structured interview divided in two parts: the assessment of (1) limitations in the ADL and (2) the presence of spasticity and associated symptoms. The usefulness of this intervention was requested. This study met the STROBE reporting guidelines checklist for observational studies. Results Three hundred sixty eight pwMS (244 women) with a mean age of 46 years and a median Expanded Disability Status Scale score of 2.5 (range, 0-8.5) were included. 262 (71%) pwMS had limitations in the ADL, and spasticity was reported as the most limiting symptom in 59 (23%). As a result of the interview, spasticity was observed in 199 (76%) participants; 47 (24%) of them were unaware that they had spasticity and 102 (51%) would not have reported it spontaneously. The level of the interview satisfaction was high (90%). Conclusions Spasticity is a complex and limiting symptom in MS. The structured interview conducted by specialist nurses is feasible and has good acceptance. Patient contribution Specialist nurses can be proactive in MS clinical assessment, which may help to detect symptoms with negative impact on quality of life.

引用

页码：3496 / 3503

页数：8

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