30 / 58
30
Informaciones
Psiquiátricas
2019 - n.º
237
la sobrecarga del cuidador. Hay que destacar
la mejoría de la apatía en los pacientes con
enfermedad de Huntington dado que es un
síntoma refractario al tratamiento farmaco-
lógico. Se propone incluir grupos de reha-
bilitación física en otros recursos de la red
de tóxicos.
Palabras clave:
hospital de día, neurop-
siquiatría, multidisciplinar, daño cerebral
sobrevenido, enfermedad de Huntington,
demencias degenerativas de inicio precoz,
enfermedad mental.
Abstract
MULTIDISCIPLINARY APPROACH EXPERIENCE
OF THE NEUROPSYCHIATRY DAY HOSPITAL
OF THE HOSPITAL MARE DE DEU DE LA
MERCE (PERIOD 2016 TO 2018).
Introduction:
The Neuropsychiatry day
hospital is a specialized health care ser-
vice that attends adults who present cog-
nitive symptoms in the context of acqui-
red brain damage, substance use disorder,
Huntington's disease and early onset de-
mentias. The manuscript exhibits the mul-
tidisciplinary approach experience from the
period 2016 to 2018.
Methods:
The information has been ob-
tained from the assessments made accor-
ding to the multidisciplinary evaluation
protocols of the hospital. A descriptive
statistic has been performed and the t-test
for means of two paired samples has been
used to assess significant differences bet-
ween admission and discharge assessments.
A sample of 179 patients, with an average
age of 50.47 years, of which 75 (41.90%)
were women, is presented. As measuring
instruments, tests of cognitive screening,
behavioral assessment, balance and functio-
nality, and a quality of life questionnaire
have been used.
Results:
There is a significant improve-
ment in the tests of cognitive screening,
behavior assessment and caregiver burden.
In patients with substance use disorder
there is also a significant improvement in
balance. In patients with Huntington's di-
sease there is a significant improvement in
apathy.
Conclusions:
The Neuropsychiatric day
hospital intervention seems to be effective
to improve cognitive abilities, behavior and
caregiver burden. It is noteworthy the im-
provement of apathy in Huntington’ disease
patients, because it is a pharmacological re-
fractory symptom. It is proposed to include
physical rehabilitation groups in substance
abuse programs.
Key Words:
day hospital, neuropsychiatry,
multidisciplinary, acquired brain damage,
Huntington’s disease, early onset demen-
tias, mental disease.
Introducción
La Unidad de Neuropsiquiatría (NPQ) de la
Unitat Polivalent Barcelona Nord (UPBN) del
Hospital Mare de Déu de la Mercè (HMDM) es
un recurso sanitario especializado suprasec-
torial, que atiende a personas adultas con
patología psiquiátrica y alteraciones de con-
ducta en el contexto de distintas enfermeda-
des neurológicas, que comparten un grado de
deterioro cognitivo y dependencia funcional.
Se trata de una población joven con patolo-
gías cuyas necesidades son sustancialmente
diferentes de otros grupos de población. En-
tre ellos se encuentran pacientes con daño
cerebral sobrevenido, pacientes con deterio-
Dra. Misericòrdia Floriach Robert