Enfermería Cuidándote最新文献

{"title":"Effectiveness of maternal postural changes on the occipitoposterior position of the fetal head","authors":"María Domínguez-Mejías, Laura Falcón-Carvajal","doi":"10.51326/ec.5.1.3918587","DOIUrl":"https://doi.org/10.51326/ec.5.1.3918587","url":null,"abstract":"Introduction: The main dystocia due to fetal position abnormalities is the occipital posterior (OP) position, which in turn is considered the most common malposition at the time of delivery. Although the incidence of deliveries in OPP is low, the complications that accompany it have led to the consideration of a series of methods that attempt to favor the rotation of the fetal head and thus improve maternal-fetal outcomes. Objective: To evaluate the effectiveness of the hands-knees and lateral decubitus positions towards the side of the fetal dorsum on the rate of rotation of the fetal head from an occipital posterior position to an occipital anterior (OA) position. Methodology: A bibliographic search has been carried out in different databases such as: Pubmed, Cochrane and Scielo. Results: Numerous studies have been carried out to find out which is the most indicated maternal position to rotate posterior fetal positions, demonstrating the effectiveness of the modified Sims position. For the quadruped position, statistically significant results have been obtained for the specific variable of persistent low back pain, notably reducing it during the first stage of labor. Conclusions: Postural changes have been found to be beneficial in favoring the rotation of the fetal head and descent through the birth canal; they are also simple and inexpensive techniques that help to favor the fit of the fetal head.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115512220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of a virtual educational intervention on the maintenance of exclusive breastfeeding during the Covid-19 pandemic","authors":"Paula González-Berrocal, Irene Ortiz-Rodríguez","doi":"10.51326/ec.5.1.7444797","DOIUrl":"https://doi.org/10.51326/ec.5.1.7444797","url":null,"abstract":"General objective: To analyze the influence of a virtual educational intervention on the maintenance of Exclusive Breastfeeding at 6 months postpartum in women treated at the Maternal-Infant Hospital of Malaga during the COVID-19 pandemic. Methodology: Qualitative and quantitative mixed study in two phases. In the first, a focus group is held to find out the needs of breastfeeding mothers in our environment. In the second phase, a randomized clinical trial is developed in which a virtual educational intervention is compared with normal clinical practice. Scope and study population: Women cared for in the Maternity area of the Maternity and Infant Hospital of Malaga who meet the inclusion and exclusion criteria. Conclusion: The scenario during the Covid-19 pandemic is an opportunity to explore the needs, improve the experience of women, as well as increase the duration of exclusive breastfeeding up to 6 months, taking advantage of information and communication technologies.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123923925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Listado de verificación para la redacción de un protocolo de investigación en salud","authors":"F. Rivas-Ruiz, E. Martín-Bautista, María Padilla-Ruiz, Eva Timonet-Andreu","doi":"10.51326/ec.4.3.3081862","DOIUrl":"https://doi.org/10.51326/ec.4.3.3081862","url":null,"abstract":"Introducción: El documento que proporciona de forma exhaustiva la descripción de las diferentes etapas del ciclo de investigación es el Protocolo de Investigación. Es un documento escrito que funciona a modo de “carta de navegación” para la correcta ejecución del estudio, mediante la organización del trabajo de una forma lógica, enfocada y eficiente.\u0000\u0000El propósito del presente trabajo es proponer una lista de recomendaciones claves en la redacción de un protocolo de investigación en salud.\u0000\u0000El listado de verificación propuesto lo componen 21 puntos que valoramos como esenciales para una redacción-comunicación adecuada de un proyecto de investigación en ámbito sanitario, adaptado a las memorias científico-técnicas tipo de mayor parte de convocatorias de financiación en salud en ámbito nacional.\u0000\u0000Estos puntos se refieren a cada una de las secciones del protocolo. En concreto la sección general, la introducción, la metodología, y planificación.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114678603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estudio cualitativo sobre la relación Enfermera-Paciente de Salud Mental desde la perspectiva del usuario. Proyecto de investigación","authors":"Carmen-Isabel Linares-Rueda","doi":"10.51326/ec.4.3.5607492","DOIUrl":"https://doi.org/10.51326/ec.4.3.5607492","url":null,"abstract":"Introducción: La relación terapéutica es considerada una condición necesaria para la efectividad de los cuidados de enfermería, y el instrumento terapéutico básico para la práctica diaria de la Enfermería de Salud Mental. La actual cultura del cuidado, y la concepción del usuario como protagonista del proceso salud/enfermedad, evidencian la importancia de la perspectiva del usuario en el desarrollo de la relación terapéutica enfermera-paciente.\u0000\u0000Objetivos: Identificar los aspectos fundamentales para establecer y afianzar una relación terapéutica con los profesionales de enfermería desde la perspectiva de las personas usuarias del servicio salud mental comunitario.\u0000\u0000Metodología: Estudio cualitativo de diseño fenomenológico.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127122050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocolo de identificación precoz de COVID-19 en pacientes con sospecha de contagio a través de aplicación móvil inteligente","authors":"Eva Timonet-Andreu, Javier Andreu-Pérez, F. Rivas-Ruiz, J. Cebrian-Gallardo, Luisa Hortas-Nieto, Purificación Alcalá-Gutiérrez, María-Carmen Saucedo-Figueredo, Alonso Montiel-Luque, J. Canca-Sánchez","doi":"10.51326/ec.4.2.9497420","DOIUrl":"https://doi.org/10.51326/ec.4.2.9497420","url":null,"abstract":"Antecedentes: La pandemia COVID ha forzado a explorar las oportunidades que ofrece la telemedicina para el diagnóstico, tratamiento y manejo de pacientes en ámbitos tanto de atención especializada como primaria. Igualmente, han proliferado APPs para Smartphone para la gestión de los casos COVID_19 pero es necesario evaluar el rendimiento en la práctica clínica asistencial. Los proyectos de investigación destinados a la prevención de la diseminación de la enfermedad y el contagio, son prioritarios y fundamentales para este problema de salud y económico a nivel mundial. Justificación: Colaborar en la línea estratégica de Salud poblacional mediante la prevención de la infección por COVID_19, búsqueda de una sostenibilidad del SAS dentro de los márgenes éticos legales que marca la ley de investigación biomédica. Objetivos: Objetivos Generales: Evaluar el rendimiento de la aplicación de móvil inteligente de identificación de tos vírica por COVID-19 en la práctica clínica asistencial. Objetivos Específicos: Evaluar la capacidad diagnóstica de la herramienta en diferentes subgrupos de poblaciones tanto del ámbito hospitalario como de atención primaria, de personas sintomáticas y asintomáticas, y evaluar la concordancia de resultados de la carga viral y linfocitos en los pacientes positivos. Método: Estudio transversal descriptivo analítico. La población de estudio será pacientes con sospecha de COVID-19 con resultado PCR positivo y con resultado PCR negativo, del Área Sanitaria Hospital Costa de Sol y Distrito Sanitario Los criterios de inclusión serán pacientes con sospecha de infección por Covid-19, que estén conscientes y orientados, que den su consentimiento escrito de colaborar en el estudio. Los criterios de exclusión serán pacientes inconscientes o que no comprendan el estudio por su dificultad idiomática y/o no quieran participar. Periodo del estudio 1 año; el comprendido desde el 15 enero 2021 hasta el 15 de enero 2022. Muestra: Para una sensibilidad esperada del 95%, Especificad del 90%, y una razón 2:1 en pacientes no COVID entre los que manifiesten síntomas, para una precisión del 4%, y nivel de confianza del 95%, se necesitaran valorar un total de 345 pacientes (115 enfermos y 230 sanos, al menos). Se intentará seguir una segmentación de muestreo similar a la proporcionada por la OMS y la Red Nacional de Vigilancia Epidemiológica (Informes COVID-19, s. f.), en función la distribución demográfica de pacientes de COVID-19 representada en el hospital. Grupos prioritarios de incluir en muestro son 65+ (hombres y mujeres) 40%, 45-64 (hombres y mujeres) 34%, 15-44 (hombres y mujeres) 26%. Plan estadístico: Se realizará análisis descriptivo utilizando medidas de tendencia central, dispersión y posición para variables cuantitativas, y distribución de frecuencias, tanto para la muestra completa de estudio, como diferentes segmentaciones que se determinen. Los resultados principales del estudio serán el rendimiento diagnóstico utilizando ","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125396942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protocolo de estudio: Impacto de implementar una app para notificar eventos adversos en urgencias hospitalarias","authors":"Vanesa Ruiz-Palma, Marta Aranda-Gallardo","doi":"10.51326/ec.4.2.8247628","DOIUrl":"https://doi.org/10.51326/ec.4.2.8247628","url":null,"abstract":"Introducción: La prestación de asistencia sanitaria lleva asociado un riesgo que puede poner en peligro la vida de los pacientes, provocando un aumento en la estancia hospitalaria, un empeoramiento del estado de salud, una lesión permanente o la muerte. Un evento adverso (EA) es un “daño no intencional causado al paciente como resultado clínico no esperado de la asistencia sanitaria, que puede o no estar asociado a un error clínico”. La notificación de eventos adversos es un elemento clave para poder conocer el mecanismo de producción y prevenir su aparición. En Andalucía existe una aplicación móvil creada por el Observatorio de Seguridad del Paciente para comunicar los riesgos relacionados con la seguridad del paciente, denominada AVIZOR. \u0000\u0000Objetivos: Evaluar el impacto de la utilización de una APP en la notificación de eventos adversos, en el servicio de urgencias del Hospital Costa del Sol. \u0000\u0000Metodología: Estudio cuasi experimental tipo pre-post con grupo control no equivalente, realizado en urgencias del Hospital Costa del Sol. Se realizará una comparativa entre los registros de EA del año previo a la utilización de AVIZOR y el año de implantación de la APP. Previo a su utilización, se realizará un cuestionario de conocimientos sobre seguridad clínica y EA y al finalizar el periodo se realizará un cuestionario de satisfacción sobre la utilización de la APP a los profesionales que participen en el estudio.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"603 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123229580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of a Occupational Health Nursing intervention to reduce sedentarism in hospital health professionals. Research Protocol","authors":"Alba Rubio Trujillo","doi":"10.51326/ec.6.7715389","DOIUrl":"https://doi.org/10.51326/ec.6.7715389","url":null,"abstract":"Introduction: Lack of physical activity is a major problem for physical, mental and occupational health. From occupational nursing we must ensure to promote and to protect the worker health to obtain optimal levels of well-being. Objective: To assess whether there is an improvement in the level of physical activity of HRUM workers through interventions by occupational nursing. Method: This study is a randomized clinical trial consisting of an intervention and control group. The population will be the professionals of the Hospital and the sample will be randomized with a systematic rule, following the order of arrival at the occupational medical examinations. Sociodemographic data will be asked and the level of physical activity will be assessed using the International Physical Activity Questionnaire IPAQ, the aptitude to exercise with the PAR-Q Questionnaire and the degree of motivation to change. The nursing intervention will be a prescription of physical exercise through motivacional advice.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"173 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114267198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complications in continuous renal replacement techniques: a literature review","authors":"Lourdes Mena Sánchez","doi":"10.51326/ec.6.1812127","DOIUrl":"https://doi.org/10.51326/ec.6.1812127","url":null,"abstract":"Introduction: One of the treatments for acute renal failure is continuous renal replacement techniques, affecting 25% of patients hospitalized in intensive care units. Renal replacement techniques are considered an important technological advance to treat patients with ARF, allowing greater purifying quality and better control of complications and reducing mortality in these patients. Objective: For this reason, the main objective of this study is to analyze the most frequent complications of continuous renal replacement techniques, reviewing the scientific evidence from a nursing point of view in patients hospitalized in an intensive care unit. Method: A bibliographic search was carried out in four Health Sciences databases (PubMed, Elsevier, Ibecs and UpTodate) from which a significant number of valid articles were obtained for the review. Results: A total of 2436 articles were obtained, of which, after the exclusion criteria applied, 14 were selected for review. Conclusions: To guarantee success in continuous renal replacement techniques, it is essential to have a protocol in which the technique of the procedure carried out by the nursing staff must be collected, as well as the care required by patients, and a nursing team excellently trained in knowledge and skills, to be able to face and anticipate any type of complication in this type of therapy.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121936484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of stress in caregiving role of cancer patients","authors":"Adriana Katheryn Villalba Paredes, Yeisy Cristina Guarate Coronado","doi":"10.51326/ec.6.7793743","DOIUrl":"https://doi.org/10.51326/ec.6.7793743","url":null,"abstract":"Objective: To analyze the risk of stress in the role of caregivers of cancer patients. Method: Qualitative, descriptive, phenomenological research. The participants of the study were caregivers of a patient with cancer, taking as inclusion criteria that they had more than 1 year of uninterrupted care of the patient. The information was collected through semi-structured interviews that were recorded and then transcribed word by word. The information saturation criterion was taken into account, at which time the information collection was completed; therefore, 10 interviews were carried out. The data analysis was carried out following the grounded theory in the data, emerging categories and subcategories from the discourse of the study participants; triangulating the data with previous studies and theoretical aspects on the subject. Results: The risk of caregiver stress is related to physiological, emotional, economic aspects and expectations with the recovery of the family member having as a basis the support of the family and the activities performed by them. Conclusions: The risk of caregiver stress was evidenced with greater relevance from the physiological point of view, since most caregivers presented body aches, tiredness and insomnia. From the emotional point of view, the caregivers presented alterations such as sadness, anxiety and from the economic point of view, there were resignations from their work places, their profession and their life projects.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129483767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective mechanics for successful extubation in invasive mechanical ventilation. Literature review","authors":"Alicia Riveros Gil, Ana Belén Ruiz Pérez","doi":"10.51326/ec.6.7299107","DOIUrl":"https://doi.org/10.51326/ec.6.7299107","url":null,"abstract":"Objectives: to know the effectiveness of alternative measures to Conventional Oxygen Therapy (COT) that have been proposed for the prevention of post-extubation complications in adult patients admitted to the Intensive Care Unit (ICU) and connected to Invasive Mechanical Ventilation (IMV) in the first 72 hours. Methods: Bibliographic searches were carried out in different search engines, highlighting PubMed and Cochrane. These searches were limited to clinical trials and systematic reviews published between 2016-2022. To assess the quality of the evidence, the CASPe and GRADE tools were used. Results: The High Flow Nasal Cannula (HFNC) and Non Invasive Mechanical Ventilation (NIMV) present an effectiveness in the prevention of reintubation against COT of RR 0.54 (CI 95% 0.32–0.89) and RR 0.55 (95% CI 0.30 - 1.00) respectively. Regarding post-extubation acute respiratory failure, the values ​​are RR 0.66 (95% CI 0.43 - 1.02) and RR 0.86 (95% CI 0.54 - 1.38), respectively. Conclusion: HFNC and NIMV are significantly superior to COT in preventing reintubation, having both similar effectiveness. On the other hand, HFNC is shown to be slightly superior to NIMV in the prevention of post-extubation acute respiratory failure. However, more research is required in the ICU setting.","PeriodicalId":137638,"journal":{"name":"Enfermería Cuidándote","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116738981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}