Revista Cuidarte最新文献

{"title":"Needs of family caregivers of older adults with post-stroke sequelae.","authors":"Gerardo Saucedo-Pahua, María Mercedes Moreno González, María De Jesús Jiménez González, Tirso Duran-Badillo, Clara Teresita Morales Álvarez, Jack Roberto Silva Fhon","doi":"10.15649/cuidarte.4982","DOIUrl":"https://doi.org/10.15649/cuidarte.4982","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is the leading cause of disability, resulting in mobility deficits, cognitive and functional impairments that lead to dependence. As a result, caregivers experience stress, anxiety, and uncertainty during the transition from hospital to home due to inadequate preparation for taking on the role.</p><p><strong>Objective: </strong>To describe the needs of family caregivers of older adults with post-stroke sequelae.</p><p><strong>Materials and methods: </strong>A qualitative, phenomenological study was conducted using in-depth, open-ended interviews, audio-recorded and transcribed, accompanied by field notes. A convenience sample of six participants was selected. An interpretative phenomenological analysis was conducted in light of Edmund Husserl's theoretical and referential framework.</p><p><strong>Results: </strong>Six participants, daughters of older adults with post-stroke sequelae, took part in the study. Most were married, had a secondary education, were homemakers, and reported low economic income. Three core themes of meaning emerged from their caregiving experiences: Awareness of reality, perceived needs, and caregiving coping strategies. They expressed their feelings and interpretations in detail, sharing from their lived experiences the challenges and care required in response to their family member's health deterioration.</p><p><strong>Discussion: </strong>Caregivers face emotional and knowledge-related challenges when caring for older adults after a stroke. According to various studies, professional training and spiritual and family support are key strategies for reducing caregiver burden and improving the quality of care.</p><p><strong>Conclusion: </strong>The identified needs include caregiving support, highlighting preparation for home care, and access to psychological assistance.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 1","pages":"e4982"},"PeriodicalIF":0.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Field's massage therapy in an extremely premature infant: Case report.","authors":"Hernando Parra Reyes, Adriana Camila Rincón Ascanio, Ednna Rocío Peña Vargas, Vanessa Tatiana Galvis Pinto","doi":"10.15649/cuidarte.4762","DOIUrl":"https://doi.org/10.15649/cuidarte.4762","url":null,"abstract":"<p><strong>Introduction: </strong>Field's massage therapy is a simple, practical, and cost-effective intervention for weight gain in premature infants. It has demonstrated significant benefits in increasing gastric motility, improving nutrient absorption, and reducing hospital stays. The present case report aimed to describe the nursing care plan for a premature infant who received Field's massage therapy for weight gain over five days, using standardized nursing language and nursing disciplinary conceptual-theoretical support.</p><p><strong>Case description: </strong>An extremely premature female infant, born at 25.2 weeks of gestational age with low birth weight and multiple comorbidities, underwent Field's massage therapy as the primary intervention for weight gain. The nursing diagnosis identified was Imbalanced nutrition: Less than body requirements [00002], related to prematurity. The nursing intervention on which the application of Field's massage therapy was based was Massage [1480], and the outcome evaluated was Weight: Body mass [1006]. After five days of the intervention, the patient exhibited a 9.6% increase in weight compared to baseline, with an average daily weight gain of 17.5 g/kg/day.</p><p><strong>Conclusion: </strong>Field's massage therapy proved to be an effective nursing intervention to promote weight gain in a premature infant hospitalized in an intensive care unit. The therapy contributed to positive clinical outcomes through an approach of humanization and patient-centered care.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 1","pages":"e4762"},"PeriodicalIF":0.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-patient interaction in hospital care: a cross-sectional study in Peruvian nurses.","authors":"Katherine Jenny Ortiz-Romaní, Miriam Lizbeth Solis-Mallqui, Yonathan Josué Ortiz-Montalvo","doi":"10.15649/cuidarte.4971","DOIUrl":"https://doi.org/10.15649/cuidarte.4971","url":null,"abstract":"<p><strong>Introduction: </strong>Nurse-patient interaction is key to humanized care and improved health outcomes; therefore, updated quantitative studies in hospitals are needed.</p><p><strong>Objective: </strong>To evaluate the levels of nurse-patient interaction and associated factors among nursing professionals.</p><p><strong>Materials and methods: </strong>A cross-sectional analytical study was conducted with 70 nurses from a public hospital in Lima, Peru. The Caring Nurse-Patient Interactions (CNPI-70) was used, which comprises ten dimensions: humanism, hope, sensitivity, helping relationship, expression of emotions, problem-solving, teaching, environment, needs, and spirituality. The instrument, originally developedby Cossetteetal. hasreported Cronbach'salphacoefficients ranging from 0.73 to 0.91. Personal factors were also considered, and bivariate and multivariate analyses were performed.</p><p><strong>Results: </strong>48.57% of nurses demonstrated a moderate level of caring interaction with their patients, indicating a basic functional relationship but lacking emotional depth. Factors associated with caring interactions were having a family member with a chronic illness (aPR = 1.72; 95% CI: 1.01-2.94) and the number of jobs (aPR = 1.84; 95% CI: 1.08-3.12).</p><p><strong>Discussion: </strong>The level of nurse-patient interaction in this study is similar to that reported by other studies in public hospitals, yet differs from that of private hospitals. Regarding the number of jobs, this may be because nurses acquire more experience, develop interpersonal skills, and develop confidence.</p><p><strong>Conclusion: </strong>The predominant level of nurse-patient interaction was moderate. The factors associated with greater interaction were having a family member with a chronic illness and the number of jobs held.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 1","pages":"e4971"},"PeriodicalIF":0.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The global challenge of advanced practice nursing (APN): a call for standardization and recognition.","authors":"Lyda Z Rojas, Angie Cristina Mendoza-Quiñonez, Liliana Andrea Mora Rico","doi":"10.15649/cuidarte.5965","DOIUrl":"https://doi.org/10.15649/cuidarte.5965","url":null,"abstract":"","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 1","pages":"e5965"},"PeriodicalIF":0.4,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal palliative care: challenges and priorities in comprehensive nursing care.","authors":"Damaris Angélica Palomino-Alzate, Jhon Edinson Basto-Rueda, Kenia Yoelis Martínez-Torres, Javier Mauricio Sánchez-Rodríguez, German Andrey Sarmiento-Velasco","doi":"10.15649/cuidarte.5415","DOIUrl":"https://doi.org/10.15649/cuidarte.5415","url":null,"abstract":"","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"17 1","pages":"e5415"},"PeriodicalIF":0.4,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13002927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and associated factors in institutionalized older adults: implications for gerontological nursing. Analytical study.","authors":"Claudia Consuelo Torres Contreras, Albeiro Vargas Romero","doi":"10.15649/cuidarte.5800","DOIUrl":"https://doi.org/10.15649/cuidarte.5800","url":null,"abstract":"<p><strong>Introduction: </strong>Population aging and the rise in chronic diseases demand strengthening strategies to promote the well-being of institutionalized older adults. The FUMAT scale enables the assessment of quality of life across eight dimensions of well-being.</p><p><strong>Objective: </strong>To analyze the factors associated with the quality-of-life profile of institutionalized older adults.</p><p><strong>Materials and methods: </strong>A cross-sectional analytical study was conducted with 250 permanent residents (≥3 months) of a nursing home in Bucaramanga, Colombia. Individuals aged 60 years or older with a reliable informant were included; those with terminal illness, acute psychiatric disorders, or clinical instability were excluded. The FUMAT scale, Barthel Index, PULSES profile, FRAIL scale, Downton Fall Risk Index, and the Short Portable Mental Status Questionnaire (SPMSQ) were applied. Descriptive and bivariate analyses were performed using Pearson's chi-square test, Fisher's exact test, and the Mann-Whitney U test. Multivariate analysis was conducted using binary logistic regression. Data were processed using Stata v17.</p><p><strong>Results: </strong>The lowest-scoring dimensions were material well-being and interpersonal relationships, whereas rights and social inclusion achieved the highest scores. Physical activity and participation in productive activities were associated with better scores on the FUMAT Quality-of-Life Index (FUMAT-QOLI). In the multivariate model, cognitive impairment (OR=0.34; 95% CI: 0.12-0.91) and motor impairment (OR=0.30; 95% CI: 0.14-0.64) significantly reduced the likelihood of belonging to the highest FUMAT-QOLI tertile; physical and productive activities showed a positive but non-significant trend.</p><p><strong>Discussion: </strong>The findings indicate that functional capacity and cognitive integrity are key determinants of well-being among institutionalized older adults. Low scores in material well-being and interpersonal relations suggest resource and social support limitations, requiring institutional intervention. The association between activity and well-being supports the implementation of active aging programs.</p><p><strong>Conclusion: </strong>Promoting autonomy, cognitive stimulation, and social integration is essential to improve quality of life.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e5800"},"PeriodicalIF":0.4,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of workloads in two nursing care delivery models in adult intensive care units.","authors":"Katherine Rojas Cárdenas, William Iván López Cárdenas, Natalia Andrea Henao Murillo","doi":"10.15649/cuidarte.4510","DOIUrl":"https://doi.org/10.15649/cuidarte.4510","url":null,"abstract":"<p><strong>Introduction: </strong>Work overload is associated with missed care and a higher prevalence of adverse events. The study aims to generate empirical evidence on nursing workload in intensive care units in Colombia, considering differences in team composition based on qualifications, skills, and competencies (Skill Mix).</p><p><strong>Objective: </strong>To compare the workload and distribution of nursing activities in two intensives cares units with different Nursing Care Models based on the application of the TISS-28.</p><p><strong>Materials and methods: </strong>Quantitative and retrospective study with data from medical records of patients treated between 2018 and 2020 in Medellín. The TISS-28 was calculated upon admission and SAPS-3 was used to control for confounding variables. Mean and proportion comparison tests were used according to the type of variable and data distribution pattern.</p><p><strong>Results: </strong>The nurses in both ICUs had a patient assignment higher than indicated by the TISS-28. Surgical patients, those with vasoactive drugs, transfusions, adverse events, or those who died, had longer care times. The adverse events increased proportionally with the TISS-28 level.</p><p><strong>Discussion: </strong>Key elements include the relationship between care safety and staff qualification, experience and workload; the missed nursing care; and the undervaluation of care as a public good.</p><p><strong>Conclusion: </strong>It was identified that in both ICUs there is a higher workload for nurses regarding the time available for activities and patients. The majority of care provided by the nursing assistants in the ICU2-Assistants do not correspond with their level of training and legal responsibility.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4510"},"PeriodicalIF":0.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors associated with ICU nursing workload in a sample of records collected before and during the first peak of the COVID-19 pandemic: An analytical study.","authors":"Diana Isabel Cáceres Rivera, Luis Alberto López-Romero, Judy Paola Martínez Patiño, Claudia Consuelo Torres Contreras","doi":"10.15649/cuidarte.4255","DOIUrl":"https://doi.org/10.15649/cuidarte.4255","url":null,"abstract":"<p><strong>Introduction: </strong>In recent years, the workload of nursing professionals in intensive care units (ICUs) has been described. Identifying associated factors may contribute to improving nursing care planning.</p><p><strong>Objective: </strong>To determine predictors associated with nursing workload in ICU settings using a sample of records collected before and during the first peak of the COVID-19 pandemic.</p><p><strong>Materials and methods: </strong>This was an analytical cross-sectional study. A total of 97 ICU patient records were included. Descriptive and multivariate analyses were performed using robust linear regression, with the primary outcome being workload measured with the Nursing Activities Score (NAS).</p><p><strong>Results: </strong>The mean age was 57.67 ± 17.78 years, and 68.04% (n=66) were men. Statistically significant differences were observed between the pre-pandemic period and the first peak of the pandemic for variables such as disease category, ICU type, Sequential Organ Failure Assessment (SOFA) score, and number of nurses (p<0.001). A difference in median NAS values was observed, with 60.85 (Q1-Q3: 51.8-68.25) during the pre-pandemic period, compared with 183.40 (Q1-Q3: 149.30-204.40) during the first peak of the pandemic (p=0.001).</p><p><strong>Discussion: </strong>The workload levels identified in this study are consistent with those reported in similar studies. However, the specific scenario examined has scarcely been described in the existing literature.</p><p><strong>Conclusion: </strong>The pandemic increased the nursing staff's workload threefold. A weak, direct linear correlation was identified between workload and SOFA score. The pandemic year and the presence of cardiopulmonary conditions were identified as workload predictors.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4255"},"PeriodicalIF":0.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience, predictor of empathy in Nursing students.","authors":"Víctor P Díaz-Narváez, Andrea Vallecampo Contreras, Johanna Campos de Chavarría, Nuvia Estrada-Méndez, Doris Alicia Sánchez de Elías, Lindsey W Vilca, Alejandro Reyes-Reyes, José Gamarra-Moncayo","doi":"10.15649/cuidarte.4768","DOIUrl":"https://doi.org/10.15649/cuidarte.4768","url":null,"abstract":"<p><strong>Introduction: </strong>Studies attempting to predict empathy based on resilience are characterized by incomplete theories of both constructs and focus on obtaining empirical evidence.</p><p><strong>Objective: </strong>To verify whether resilience can predict empathy.</p><p><strong>Materials and methods: </strong>A cross- sectional construct validity study was conducted. Salvadorean Nursing students were assessed using the Jefferson Scale of Empathy-Health Professions Students (JSE-HPS) and the Engineering, Ecological and Adaptive (EEA) resilience scale. Psychometric analyses (confirmatory factor analysis, reliability, and invariance) were conducted, and prediction was assessed using structural equations.</p><p><strong>Results: </strong>The compliance of the model of both constructs and the reliability of the data were verified. Some dimensions of resilience positively predicted the dimensions of empathy, while others predicted them negatively.</p><p><strong>Discussion: </strong>Ecological resilience and engineering resilience positively predicted all the dimensions of empathy. However, adaptive resilience negatively predicted empathy, suggesting that students may lack sufficiently developed adaptive traits to prevent declines in \"compassionate care\" and \"standing in the patient's shoes.\" Therefore, their ability to connect emotionally and understand the patient's situation is hampered by a deficit of the traits that support adaptation to new situations.</p><p><strong>Conclusion: </strong>Empathy and resilience education cannot be independent of each other. On the contrary, resilience exerts a protective effect that enables the free expression of empathy that students have developed over the course of their lives.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4768"},"PeriodicalIF":0.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Macrolide resistance in Staphylococcus from COVID-19 patients in Santander.","authors":"Michael J Santos-Angarita, Monica Y Arias Guerrero, Andrea J Parada-Diaz, Natalia A Bravo Granados, Nadia C Alfonso Vargas, Juanita Trejos-Suárez","doi":"10.15649/cuidarte.4924","DOIUrl":"https://doi.org/10.15649/cuidarte.4924","url":null,"abstract":"<p><strong>Introduction: </strong>Intensive use of macrolides, such as azithromycin, during the COVID-19 pandemic has facilitated the development of antimicrobial resistance in Gram-positive bacteria through multiple resistance mechanisms, including ribosomal RNA modification, efflux pumps, and enzymatic inactivation.</p><p><strong>Objective: </strong>To describe the prevalence of resistance genes in bacteria isolated from COVID-19 patients in Santander, Colombia.</p><p><strong>Materials and methods: </strong>A descriptive study was conducted on 112 stored samples from nasopharyngeal and oropharyngeal swabs and tracheal aspirates collected from hospitalized COVID-19 patients in 2020, from which 48 Gram-positive strains were isolated. Macrolide resistance and the presence of the ermA, ermB, ermT, and mef(A/E) genes were evaluated through phenotypic and molecular tests.</p><p><strong>Results: </strong>Staphylococcus aureus was the most prevalent species at 58.33% (28), followed by Staphylococcus epidermidis at 31.25% (15). A total of 47.92% (23) of the strains showed phenotypic resistance to azithromycin, and 81.25% (39) displayed genotypic resistance, with ermB being the most prevalent at 58.33% (28) and ermT at 45.83% (22), with no detection of mef(A/E).</p><p><strong>Discussion: </strong>These findings reveal a high prevalence of macrolide resistance, which may be related to the extensive use of these antibiotics during the pandemic.</p><p><strong>Conclusion: </strong>The increase in macrolide resistance among Gram-positive bacteria represents a critical public health challenge, especially in the context of pandemics. These results underscore the urgent need to implement control measures in antibiotic use.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"16 3","pages":"e4924"},"PeriodicalIF":0.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}