Enfermeria Clinica最新文献

Análisis de los factores de riesgo asociados a flebitis en el catéter venoso periférico. Proyecto Flebitis Zero 外周静脉导管静脉炎相关危险因素分析。Flebitis Zero项目

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502298

Marta Ferraz-Torres , Maria Elena Sancho-Sena , Amaya Eguillor de la Torre , Laura Cambra Vidart , Maria Belén Suarez-Mier , Maria Ines Corcuera-Martinez

{"title":"Análisis de los factores de riesgo asociados a flebitis en el catéter venoso periférico. Proyecto Flebitis Zero","authors":"Marta Ferraz-Torres , Maria Elena Sancho-Sena , Amaya Eguillor de la Torre , Laura Cambra Vidart , Maria Belén Suarez-Mier , Maria Ines Corcuera-Martinez","doi":"10.1016/j.enfcli.2025.502298","DOIUrl":"10.1016/j.enfcli.2025.502298","url":null,"abstract":"<div><h3>Introduction</h3><div>It is necessary to know the rate of phlebitis associated with its use and the risk factors associated with peripheral vascular catheter management that directly influence the presence of phlebitis.</div></div><div><h3>Methodology</h3><div>observational descriptive study, carried out after the implementation of the Zero Phlebitis Project in a large-capacity (>1,000 beds) urban tertiary hospital of reference in Navarra. The implementation of the Zero Phlebitis Project was carried out progressively, incorporating 4 units (2 medical and 2 surgical) per year, ending in February 2023. Subsequently, data collection for the present study began in May 2023.</div></div><div><h3>Results</h3><div>687 catheters were included, 48.3% (332) catheters were implanted in men versus 51.7% (355) in women with a mean age of 68 (SD 18.64). A phlebitis rate of 11.93% was detected, with catheter caliber and insertion site factors being directly related to the presence of phlebitis.</div></div><div><h3>Conclusions</h3><div>The presence of phlebitis is marked by both modifiable factors, being recommended the use of small caliber devices and the forearm area the indicated ones to decrease the rate of phlebitis.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502298"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720827","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}

引用次数: 0

Gestión del cuidado y mantenimiento de los dispositivos de accesos vasculares: un reto para el cuidado enfermero 血管通路设备的护理管理和维护：对护理的挑战

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502284

Sonia Casanova-Vivas , Pablo López-Guardiola

{"title":"Gestión del cuidado y mantenimiento de los dispositivos de accesos vasculares: un reto para el cuidado enfermero","authors":"Sonia Casanova-Vivas , Pablo López-Guardiola","doi":"10.1016/j.enfcli.2025.502284","DOIUrl":"10.1016/j.enfcli.2025.502284","url":null,"abstract":"<div><div>The use of vascular access devices (VADs) is highly prevalent in patients in the hospital and out-of-hospital settings. Short peripheral venous catheters are the most common used devices. Use of DAVs is not without complications. The literature includes several studies on the prevalence and characteristics of VADs (location, device, fixation, etc.) in hospitalized patients, but few studies have assessed whether the status of this vascular access met the quality standard or not. Quality standards in this care can be obtained by evaluating compliance with the variables that define the adequate care and maintenance of vascular access through observation and daily monitoring of its condition and possible complications. The role of the nurse in this care is fundamental. Evaluating the management and maintenance of VADs to improve the quality of care and patient safety through training and monitoring of good practices for nursing professionals is the objective of the initiative of the nursing research group INCATIV® in the Valencian Community.</div><div>The implementation of this study has led to the evolution of the improvement of the results progressively. Ongoing training and monitoring significantly improve the quality and safety of VAD care. The success of the INCATIV® initiative in adult and paediatric populations underscores the importance of standardized practices and the critical role of nurses in the management of VADs.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502284"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722202","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}

引用次数: 0

Dolor y ansiedad debidos a punción venosa en población adulta 成人静脉穿刺引起的疼痛和焦虑

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2024.07.007

Mario I. Ortiz , Juan de Dios Bautista-Montiel , Héctor Carreto-Díaz , Eduardo Fernández-Martínez , Carlo E. Medina-Solís

{"title":"Dolor y ansiedad debidos a punción venosa en población adulta","authors":"Mario I. Ortiz , Juan de Dios Bautista-Montiel , Héctor Carreto-Díaz , Eduardo Fernández-Martínez , Carlo E. Medina-Solís","doi":"10.1016/j.enfcli.2024.07.007","DOIUrl":"10.1016/j.enfcli.2024.07.007","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate anxiety and pain induced by venipuncture and its statistical association with sociodemographic variables and history of previous venipuncture in the adult population.</div></div><div><h3>Method</h3><div>An observational, cross-sectional, quantitative and analytical study was conducted. A questionnaire was used to collect data on sociodemographic variables and variables related to pain and anxiety induced by venipuncture in the adult population attending a Mexican ambulatory care center. A descriptive and inferential analysis of the variables studied was performed using the IBM program SPSS®.</div></div><div><h3>Results</h3><div>A total of 2,157 adults participated, of whom 1,464 (67.9%) were men. The mean age (± standard deviation) of the participants was 34.9 (12.7) years. Of the total venipunctures, 1592 (73.8%) were painful and 1,206 (55.9%) were classified as distressing. Age, gender, history of previous venipuncture and venipuncture anxiety were statistically significant risk factors for venipuncture pain. On the other hand, age, venipuncture pain and history of previous venipuncture were risk factors for anxiety during venipuncture.</div></div><div><h3>Conclusions</h3><div>A high incidence of pain and anxiety due to venipuncture was found, as well as several factors that may increase it in the Mexican adult population. Healthcare professionals should consider pharmacological and non-pharmacological interventions to reduce venipuncture anxiety and pain, which would facilitate patient self-management and outpatient visits for therapeutic, diagnostic, preventive, or rehabilitative care as needed.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 102143"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720828","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}

引用次数: 0

Ensayo clínico: comparación de sistemas presurizados de infusión con suero salino con y sin heparina para el mantenimiento de accesos vasculares en el paciente crítico 临床试验：比较加压盐水输注系统加肝素和不加肝素维持危重病人血管通路

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2024.502187

Mònica Maqueda-Palau , Jaime González-Sánchez

{"title":"Ensayo clínico: comparación de sistemas presurizados de infusión con suero salino con y sin heparina para el mantenimiento de accesos vasculares en el paciente crítico","authors":"Mònica Maqueda-Palau , Jaime González-Sánchez","doi":"10.1016/j.enfcli.2024.502187","DOIUrl":"10.1016/j.enfcli.2024.502187","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the efficacy of 0.9% saline solution versus heparinized solution for maintaining the patency of intravascular catheters.</div></div><div><h3>Method</h3><div>Single-center, randomized, controlled, single-blind clinical trial. Population: patients with intravascular arterial and/or central venous catheters. Variables: age, sex, admission diagnosis, catheter type and location, duration of catheter placement, catheter functionality, reason for removal, antiplatelet treatment, Activated Partial Thromboplastin Time (APTT), and International Normalized Ratio (INR) values. Data collection was carried out using an ad hoc questionnaire. SPSS v.26 software was used for statistical analysis, including descriptive analysis (median and IQR), Mann-Whitney U test, variable association (chi-square test), and logistic regression. A p-value <.05 was considered the indicator of a significant difference.</div></div><div><h3>Results</h3><div>Data were collected from 373 patients, of whom 68,4% were male. Heparin was administered to 202 patients (54,2%) and 0.9% saline to 171 patients (45,8%). A total of 595 catheters were analyzed: 221 (37,1%) arterial catheters, 229 (38,5%) centrally inserted central venous catheters, and 145 (24,4%) peripherally inserted central venous catheters. A total of 51 complications (8,6%) were detected, with a higher incidence in the heparin group (10,4% versus 6,3%). Among all complications, significant differences were observed by catheter type, with an incidence of 11,8% in arterial catheters, compared to 7,4% in centrally inserted central venous catheters and 5,5% in peripherally inserted central venous catheters.</div></div><div><h3>Conclusions</h3><div>No significant differences were observed in maintaining catheter patency between systems using heparinized pressurization and those using 0.9% saline solution.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502187"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722203","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}

引用次数: 0

Instrumentos para medir la calidad de vida de los pacientes que portan dispositivos de acceso vascular de inserción periférica: una revisión de alcance 佩戴外周血管通路装置的患者的生活质量测量仪器：范围回顾

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2024.08.005

Saloa Unanue-Arza , Orlaith Hernon , Selene Lurueña-Rodríguez , Caitriona Duggan , Victoria Armenteros-Yeguas , Peter J. Carr

{"title":"Instrumentos para medir la calidad de vida de los pacientes que portan dispositivos de acceso vascular de inserción periférica: una revisión de alcance","authors":"Saloa Unanue-Arza , Orlaith Hernon , Selene Lurueña-Rodríguez , Caitriona Duggan , Victoria Armenteros-Yeguas , Peter J. Carr","doi":"10.1016/j.enfcli.2024.08.005","DOIUrl":"10.1016/j.enfcli.2024.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>To identify studies that assess the quality of life of people with a peripheral intravenous catheter (PIVC), a midline catheter (MC) and a peripheral insertion central catheter (PICC).</div></div><div><h3>Method</h3><div>Using a scoping review design we included studies that reported the quality of life of adult patients with the aforementioned vascular access devices. With a specific keyword search strategy performed in December 2023 we searched, CINAHL, Embase, Cochrane, Scopus and ProQuest databases. There were no restrictions on the date of publication and studies in English, Spanish or Portuguese were included. Following our inclusion an exclusion criteria, extracted findings reported with the patterns, advances, gaps, evidence for practice and research framework.</div></div><div><h3>Results</h3><div>Of 6317 sources we included 151 papers for full text screening and included 21 studies for data extraction and interpretation. PICCs were the primary catheter reported in seven studies. All remaining studies included more than one device. The most frequently used questionnaire was European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (eight studies) followed by the Short Form Health Survey, the Karnofsky scale, Functional Living Index-Cancer questionnaire, Palliative Care Outcome Scale FACT-B questionnaire. In eight studies a researcher developed without validated questions were used alone or combined with other validated instruments.</div></div><div><h3>Conclusion</h3><div>There are no validated questionnaires measuring patient quality of life with specifically for three of the most commonly inserted vascular access devices used in healthcare to date. Opportunities exist to develop and validate a patient related and catheter device specific quality of life instrument.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 102145"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720830","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}

引用次数: 0

Transición a la práctica. Experiencia de estudiantes de enfermería en el aprendizaje de la venopunción y la canulación intravenosa periférica 过渡到实践。护理专业学生学习静脉穿刺和外周静脉抽吸的经验

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502256

Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr

{"title":"Transición a la práctica. Experiencia de estudiantes de enfermería en el aprendizaje de la venopunción y la canulación intravenosa periférica","authors":"Orlaith Hernon , Edel McSharry , Caitríona Duggan , Iain MacLaren , Peter J. Carr","doi":"10.1016/j.enfcli.2025.502256","DOIUrl":"10.1016/j.enfcli.2025.502256","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores final-year nursing students’ experiences with venepuncture and peripheral intravenous cannulation, focusing on both educational and clinical practice settings.</div></div><div><h3>Methods</h3><div>This study is qualitative descriptive design. Data were collected from three focus group sessions using a semi-structured interview approach. Interviews were transcribed verbatim, and data analysis was guided by Braun and Clarke's six-step model for thematic analysis.</div></div><div><h3>Results</h3><div>Eight final-year nursing students participated, with each student attending one focus group session. Data analysis resulted in four main themes 1) Practice, practice, practice 2) Not the way it's done here 3) Luck of the draw and 4) Experiential learning. The results highlight what hindered and helped students learn these skills in both the educational and clinical environment.</div></div><div><h3>Conclusion</h3><div>Improvements are recommended which can be made to the teaching of nursing students on these skills. The findings of this study can inform educational programmes which incorporate these types of skills.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502256"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720834","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}

引用次数: 0

Repensar el mundo del manejo del acceso vascular, poniendo un foco en la colaboración 以合作为重点，重新思考血管获取管理

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502334

Sally M. Havers , Claire M. Rickard

引用次数: 0

Reflexiones y experiencias de la realización de una encuesta europea con relación a las prácticas clínicas sobre dispositivos de acceso vascular para terapia sistémica contra el cáncer 关于全欧洲血管通路癌症治疗装置临床实践调查的反思和经验

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502248

Caitriona Duggan , Martha Killilea , Veronica McInerney , Onagh O’Grady , Jacqueline Daly , Aoife Lowery

{"title":"Reflexiones y experiencias de la realización de una encuesta europea con relación a las prácticas clínicas sobre dispositivos de acceso vascular para terapia sistémica contra el cáncer","authors":"Caitriona Duggan , Martha Killilea , Veronica McInerney , Onagh O’Grady , Jacqueline Daly , Aoife Lowery","doi":"10.1016/j.enfcli.2025.502248","DOIUrl":"10.1016/j.enfcli.2025.502248","url":null,"abstract":"<div><h3>Background</h3><div>Intravenous infusion is the principal way of providing systemic anti-cancer therapy (SACT) for the vast majority of malignant diseases with approximately one million infusions conducted worldwide each day. A recent scoping review discovered a significant deficit in the literature covering clinical aspects of vascular access device (VAD) selection, insertion, and, in particular, training and education. To answer some of these questions, we are conducting a quantitative survey throughout Europe to investigate healthcare professionals’ current practices surrounding vascular access devices used for systemic anti-cancer therapy.</div></div><div><h3>Methods</h3><div>This methods paper describes the actions that a research team studying vascular access took to carry out a comprehensive survey across Europe. The purpose of this paper is to share some reflections regarding the survey design. It also covers the steps involved in creating a high-quality questionnaire, the extent, quality, and impact of Public Patient Involvement (PPI) in survey design, the methodologies used to measure the questionnaire's face and content validity, and the experiences gained about stakeholder engagement and dissemination.</div></div><div><h3>Conclusion</h3><div>This paper summarizes some of the findings acquired from integrating and interacting with PPI during different stages of clinical research. It also provides practical tactics for managing a large global team of collaborators, as well as an explanation of the many methodologies used to increase the survey's validity and accuracy.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502248"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722200","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}

引用次数: 0

CuidaVen®, una app para el cuidado de las personas con accesos vasculares. Proyecto de innovación en cuidados CuidaVen®，一款护理血管通路患者的应用程序。护理创新项目

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502297

Jesús Bujalance-Hoyos , Margarita Enríquez de Luna-Rodríguez , Ana Carmen González-Escobosa , Ana María Oña-González , María José Fernández Álvarez , Raquel López Suárez

引用次数: 0

Equipos de infusión y acceso vascular como estrategia para afrontar los desafíos futuros de la terapia intravenosa 输液设备和血管通路作为应对未来静脉注射治疗挑战的战略

IF 1.1

Enfermeria Clinica Pub Date : 2025-07-01 DOI: 10.1016/j.enfcli.2025.502217

Miguel Ángel Rodríguez-Calero , Peter J. Carr , Paulo Santos-Costa , Ian Blanco-Mavillard

{"title":"Equipos de infusión y acceso vascular como estrategia para afrontar los desafíos futuros de la terapia intravenosa","authors":"Miguel Ángel Rodríguez-Calero , Peter J. Carr , Paulo Santos-Costa , Ian Blanco-Mavillard","doi":"10.1016/j.enfcli.2025.502217","DOIUrl":"10.1016/j.enfcli.2025.502217","url":null,"abstract":"<div><div>This special article addresses a highly relevant issue in healthcare, where the demand for care and attention has significantly increased, coinciding with a progressively aging population and the prevalence of multiple chronic conditions. These factors pose considerable challenges for contemporary healthcare systems. Vascular access devices, including peripheral intravenous catheters, are widely utilized for intravenous therapy in hospitals; however, they are associated with risks and complications. Nearly 50% of these catheters are removed in an unplanned manner, which exacerbates the problem of catheter-associated bloodstream infections, leading to serious consequences such as increased mortality and higher hospital costs.</div><div>Despite the interventions proposed by governmental organizations aimed at reducing these complications and enhancing healthcare quality, achieving this goal requires comprehensive knowledge and resources. This includes the use of various lancing devices and technologies, highlighting the imperative need for coordinated and collaborative actions by multidisciplinary teams. Moreover, the importance of professional specialization is crucial for transforming work dynamics into effective collaborative practices. In this context, Vascular Access Specialist Teams (VAST) have the potential to improve patient health, alleviate the discomfort associated with catheterization, and enhance patient satisfaction. They present a promising solution for optimizing the delivery of intravenous therapy and future challenges in this field.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 4","pages":"Article 502217"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720831","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}

引用次数: 0