Enfermeria Clinica最新文献

{"title":"Consumo de alcohol en niños, niñas y adolescentes con dolor crónico. Scoping review","authors":"Pablo Fernández-León ,&nbsp;Marta Lima-Serrano ,&nbsp;Eugenia Gil-García ,&nbsp;Rocío Cáceres-Matos","doi":"10.1016/j.enfcli.2024.01.002","DOIUrl":"10.1016/j.enfcli.2024.01.002","url":null,"abstract":"<div><h3>Aim</h3><p>To examine and map alcohol consumption in children and adolescents with chronic pain (CP).</p></div><div><h3>Method</h3><p>A scoping review of international databases (CINAHL, WOS, PubMed, PsycINFO, Scopus, Embase, and MEDLINE) and grey literature was conducted between September 2022 and February 2023. Documents addressing the relationship between alcohol consumption and CP in children and adolescents, published in English and Spanish between 2012 and 2023, were included. Those papers with a population suffering from CD derived from neurodegenerative diseases, chronic infectious diseases or cognitive impairment were excluded. We assessed the level of evidence (LE) and the degree of recommendation (DR) of the studies included in accordance with the Scottish Intercollegiate Guidelines Network. Finally, 11 documents were considered out of the 479 reviewed.</p></div><div><h3>Results</h3><p>The relationship between substance consumption and CP in adolescents is a scarcely investigated topic. While there is a trend towards lower rates of alcohol consumption in youth with pain, there is evidence suggesting an association, particularly in cases of intense pain. The use of various substances, both legal and illegal, for pain management underscores the importance of comprehensively addressing this phenomenon in this population.</p></div><div><h3>Conclusions</h3><p>Further research is needed to assess the relationship between alcohol consumption in children and adolescents with CP.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 130-140"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283384","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":"La estrategia de higiene de manos en un hospital de Madrid. Una década de evolución","authors":"Carmen Ruiz-Castro ,&nbsp;Pilar Querencias-García ,&nbsp;Claudia Ruiz-Huerta-García de Viedma","doi":"10.1016/j.enfcli.2024.01.004","DOIUrl":"10.1016/j.enfcli.2024.01.004","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 142-143"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468080","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":"Cómo perciben las enfermeras la brecha entre el conocimiento y la práctica","authors":"Roai S. Gassas ,&nbsp;Mohamed E. Ahmed","doi":"10.1016/j.enfcli.2024.01.001","DOIUrl":"10.1016/j.enfcli.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><p>Identifying nurses’ perceptions of the knowledge-practice gap is a critical step toward developing evidence-based practice. Currently, multiple factors contribute to the gap between nursing education and actual practice. Addressing this gap requires a new perspective, not yet adequately represented in the literature, that includes nurses’ perceptions.</p></div><div><h3>Aim</h3><p>This study aims to describe nurses’ perceptions of the knowledge-practice gap in the domains of knowledge, practice, environment, and learning. And it analyzes how nurses’ professional characteristics are associated with their perceptions of the gap in each of these domains as well as the relationships between the domains themselves.</p></div><div><h3>Methods</h3><p>The study used a cross-sectional descriptive correlational design. A sample of 513 staff nurses recruited through a convenience sampling technique provided information on professional variables such as education and experience and completed a Likert-scale survey about their perceptions of the knowledge–practice gap.</p></div><div><h3>Results</h3><p>Their answers were found to vary with educational level and history of workshop attendance. Items from the knowledge domain were positively and significantly correlated with items from the environment and learning domains, which were also positively and significantly correlated with each other. However, the knowledge and practice domains were not significantly correlated. In addition to showing correlations among the major domains (or aspects) of the knowledge-practice gap, the study highlights how nurses’ professional characteristics contribute to differences in their perceptions of this gap.</p></div><div><h3>Conclusion</h3><p>These findings can guide hospital-specific measures for bridging the gap. In addition, the scale can be employed by leaders as a tool for the purpose of conducting assessments.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 120-129"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463568","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":"Mirando al futuro de la Enfermería de Práctica Avanzada en España","authors":"Alfredo Serrano-Ruiz","doi":"10.1016/j.enfcli.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.enfcli.2024.03.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 77-81"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140815403","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":"Enfermería neuropaliativa y modelo de cuidados domiciliarios en la India: experiencia y evidencia","authors":"Priya Baby ,&nbsp;Jobimol John ,&nbsp;Priya Treesa Thomas","doi":"10.1016/j.enfcli.2023.07.002","DOIUrl":"10.1016/j.enfcli.2023.07.002","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 141-142"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469781","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":"Grado de satisfacción de las mujeres tratadas con reconstrucción y dermopigmentación del complejo aréola-pezón tras la reconstrucción mamaria","authors":"Anna Padullés-Escarré ,&nbsp;Anna López-Ojeda ,&nbsp;Antonio Sánchez-Egea ,&nbsp;Jordi Adamuz-Tomás","doi":"10.1016/j.enfcli.2023.12.002","DOIUrl":"10.1016/j.enfcli.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the degree of satisfaction of women treated with dermopigmentation and reconstruction of the Areola-Nipple Complex (ANC) after breast reconstruction, as well as their demographic profile and clinical-evolutionary characteristics.</p></div><div><h3>Methods</h3><p>Descriptive observational study including 128 women treated with dermopigmentation after oncologic breast reconstruction during 2018. In 2021 they were administered an adapted satisfaction questionnaire, which contains 27 items and categorizes satisfaction from 1-5, in addition other clinical-evolutionary and demographic variables were collected.</p></div><div><h3>Results</h3><p>Mean age was 51 (±<!--> <!-->9) years, 89.1% had previously undergone PDA reconstruction. Mean satisfaction with dermopigmentation was 4.4 (±<!--> <!-->0.88) and 3.79 (±<!--> <!-->1.06) for PDA reconstruction. Complications were rare, but 54.5% (n<!--> <!-->=<!--> <!-->54) of the patients reported that the CAP reconstruction did not offer the expected projection, 91.6% (n<!--> <!-->=<!--> <!-->98) that the color had faded and 51.4% (n<!--> <!-->=<!--> <!-->55) would choose permanent tattooing. It was perceived that, the higher the satisfaction of the CAP, the higher the satisfaction of dermopigmentation, while the older the age and previous chemotherapy treatment the lower the color durability (pValue ≤<!--> <!-->0.05).</p></div><div><h3>Conclusions</h3><p>Patients who underwent reconstructive breast surgery show a high degree of satisfaction with dermopigmentation and surgical reconstruction of the PDA, but reiterate the low projecticity of the dermopigmentation and the surgical reconstruction of the PDA, but reiterate the low degree of satisfaction with the dermopigmentation.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 82-89"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1130862124000020/pdfft?md5=03a56cb9c34759dced952aa54f65d655&pid=1-s2.0-S1130862124000020-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273876","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":"Niveles de depresión y de autoestima en mujeres con cáncer de endometrio y de cuello uterino que reciben tratamiento de quimioterapia en Turquía","authors":"Selin Kiziltaş ,&nbsp;Ekin Dila Topaloğlu Ören","doi":"10.1016/j.enfcli.2023.12.003","DOIUrl":"10.1016/j.enfcli.2023.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>Endometrium and cervical cancer is a common and important health problem that affects women in many physical, emotional and psychological aspects. This study aimed to determine the levels of depression and self-esteem in women with endometrial and cervical cancer receiving chemotherapy, determine the factors affecting them, and examine the relationship between the levels of depression and self-esteem.</p></div><div><h3>Methods</h3><p>This descriptive and cross-sectional study was conducted with 158 women who came to the gynecology-oncology policlinic and chemotherapy unit of a training and research hospital in Izmir, western Türkiye, between April 2022 and April 2023. Data were collected with the “Descriptive Information Form”, “Beck Depression Inventory” and “Rosenberg Self-Esteem Scale”. Descriptive and inferential statistics were performed to analyse the association between the study variables.</p></div><div><h3>Results</h3><p>In this study, 52.5% of women were diagnosed with endometrial cancer and 47.5% with cervical cancer. Beck Depression Inventory mean total score was 11.28<!--> <!-->±<!--> <!-->6.35, and 20.3% of them were at risk of depression (BDI≥17). Rosenberg Self-Esteem Scale mean total score was 21.06<!--> <!-->±<!--> <!-->3.85, and 97.5% of them had high self-esteem. There was a statistically significant and strong negative correlation between the mean total scores of the Beck Depression Inventory and Rosenberg Self-Esteem Scale (r=.723; <em>P</em>&lt;.05). It was determined that an increase in the Rosenberg Self-Esteem Scale mean total score by 1 unit decreased the Beck Depression Inventory mean total score by 1.2 units and was responsible for 52% of the variance (B=–1.192; R²=.523).</p></div><div><h3>Conclusion</h3><p>It was determined that one-fifth of women experienced moderate/severe depression and the majority of them had high self-esteem. The increase in women's depression levels decreased their self-esteem. Healthcare professionals and oncology nurses should perform screenings to determine the depression and self-esteem levels of women with endometrial and cervical cancer and provide necessary education, counseling, and care to women.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 96-107"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463327","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":"Coste-efectividad y coste-utilidad de una intervención grupal psicoeducativa para personas con depresión y comorbilidad física en atención primaria","authors":"Antonia Raya-Tena ,&nbsp;María Isabel Fernández-San-Martín ,&nbsp;Jaume Martín-Royo ,&nbsp;Marc Casajuana-Closas ,&nbsp;María Francisca Jiménez-Herrera","doi":"10.1016/j.enfcli.2023.12.001","DOIUrl":"10.1016/j.enfcli.2023.12.001","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the cost-effectiveness and cost-utility of a psychoeducational group intervention led by primary care (PC) nurses in relation to customary care to prevent the depression and improve quality of life in patients with physical comorbidity.</p></div><div><h3>Design</h3><p>Economic evaluation based on data from randomized, multicenter clinical trial with blind response variables and a one-year follow-up, carried in the context of the PSICODEP study. <em>Location:</em> 27 PC teams from Catalonia. <em>Participants:</em> &gt;<!--> <!-->50<!--> <!-->year-old patients with depression and some physical comorbidity: diabetes mellitus type<!--> <!-->2, ischemic heart disease, chronic obstructive pulmonary disease, and/or asthma. <em>Intervention:</em> 12 psychoeducational group sessions, 1 per week, led by 2 PC nurses with prior training.</p></div><div><h3>Measurements</h3><p><em>Effectiveness:</em> depression-free days (DFD) calculated from the BDI-II and quality-adjusted life years (QALYs) from the Euroqol-5D. <em>Direct costs:</em> PC visits, mental health, emergencies and hospitalizations, drugs. <em>Indirect costs:</em> days of temporary disability (TD). The incremental cost-effectiveness ratios (ICER), cost-effectiveness (ΔCost/ΔDLD) and cost-utility (ΔCost/ΔQALY) were estimated.</p></div><div><h3>Results</h3><p>The study includes 380 patients (intervention group [IG]<!--> <!-->=<!--> <!-->204; control group [CG]<!--> <!-->=<!--> <!-->176). 81.6% women; mean age 68.4 (SD<!--> <!-->=<!--> <!-->8.8). The IG had a higher mean cost of visits, less of hospitalizations and less TD than the CG. The difference in costs between the IG and the CG was −357.95€ (95%<!--> <!-->CI: −2026.96 to 1311.06) at one year of follow-up. There was a mean of 11.95 (95%<!--> <!-->CI: −15.98 to 39.88) more DFD in the IG than in the CG. QALYs were similar (difference −0.01, 95%<!--> <!-->CI −0.04 to 0.05). The ICERs were 29.95€/DLD and 35,795€/QALY.</p></div><div><h3>Conclusions</h3><p>Psychoeducational intervention is associated with an improvement in DFD, as well as a reduction in costs at 12 months, although not significantly. QALYs were very similar between groups.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 108-119"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088618","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":"Abordaje del proceso asistencial por enfermeras gestoras de casos en una Unidad de Mama","authors":"María Isabel López-Pérez ,&nbsp;Alonso Molina-Rodríguez ,&nbsp;Francisco David Harillo-Acevedo ,&nbsp;Ascensión Guillén-Martínez ,&nbsp;María Patricia Palacio-Gaviria","doi":"10.1016/j.enfcli.2024.01.003","DOIUrl":"10.1016/j.enfcli.2024.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>Breast units led by nurse case managers are being implemented to provide comprehensive care in the detection and treatment of breast cancer. However, their implementation is heterogeneous and the results of the care process with this professional have not been studied. The aim of the study is to describe the management in time and the approach of the process by a nurse case manager in the breast unit of women with suspected breast cancer pathology, derived from the breast cancer screening program.</p></div><div><h3>Methods</h3><p>Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed.</p></div><div><h3>Results</h3><p>A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45).</p></div><div><h3>Discussion</h3><p>The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 2","pages":"Pages 90-95"},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464885","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":"La web 2.0 como un nuevo apoyo a la lactancia materna: percepción de madres y profesionales mediante un enfoque cualitativo","authors":"Ana Isabel Díaz-Cano ,&nbsp;Ana Esplugues-Cebrián","doi":"10.1016/j.enfcli.2023.11.001","DOIUrl":"10.1016/j.enfcli.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this paper is to explore the influence of web 2.0 as a complementary support network to traditional networks for the promotion of breastfeeding (BF).</p></div><div><h3>Method</h3><p>Qualitative and exploratory study carried out from September 8 to December 31, 2022, at the Las Vegas Health Centre (Corvera), Health Service of the Principality of Asturias (SESPA). The participants were 5 professional experts in BF and 7 breastfeeding mothers, who made up two focus groups, selected by convenience sampling. The analysis consisted of transcription of data, in-depth reading, analysis by grouping concepts and classification of the information into categories.</p></div><div><h3>Results</h3><p>After the final analysis, seven categories were identified, organised according to the proximity of the topic and the proposed objective, based on the most significant discourses of the study: Difficulties during BF, Importance of receiving help: First support networks, Other support networks, A health system with deficiencies, Pandemic and BF 2.0, Health 2.0 and apps in BF: new form of support and Characteristics of an “ideal” app on BF.</p></div><div><h3>Conclusions</h3><p>Web 2.0 has revolutionised the way mothers access information and support on BF, creating an online support network connecting mothers and professionals around the world, providing up-to-date information and enabling a source of emotional support through the creation of peer groups. This positive influence of web 2.0 has had a significant impact on promoting BF and empowering mothers to make informed decisions about their breastfeeding process.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 1","pages":"Pages 34-48"},"PeriodicalIF":0.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020648","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}