Enfermeria Clinica最新文献

{"title":"Complejidad e intensidad de cuidados: elementos clave en la determinación de las necesidades de salud","authors":"Jordi Adamuz, Maribel González-Samartino, Maria Eulàlia Juvé-Udina","doi":"10.1016/j.enfcli.2025.502440","DOIUrl":"10.1016/j.enfcli.2025.502440","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502440"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915525","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":"Alfabetización en salud mental: una respuesta formativa ante el riesgo suicida en estudiantes de enfermería","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.enfcli.2025.502415","DOIUrl":"10.1016/j.enfcli.2025.502415","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502415"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915357","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":"Relación entre la adopción del rol cuidador, el tiempo de cuidado y la sobrecarga en las cuidadoras de personas con enfermedades crónicas","authors":"Sonia Carreño-Moreno ,&nbsp;Lorena Chaparro-Díaz ,&nbsp;Zoraida Rojas-Marín ,&nbsp;Sandra Milena Hernández Zambrano ,&nbsp;Lina Ma. Vargas-Escobar","doi":"10.1016/j.enfcli.2025.502337","DOIUrl":"10.1016/j.enfcli.2025.502337","url":null,"abstract":"<div><h3>Objective</h3><div>To describe and correlate sociodemographic and caregiving characteristics, caregiving overload and general role adoption and medication use among family caregivers of individuals with Non-Communicable Chronic Diseases (NCDs).</div></div><div><h3>Methods</h3><div>Quantitative, descriptive and analytical cross-sectional study conducted between 2021 and 2022 in Bogotá (Colombia). A total of 321 female family caregivers of individuals with non-communicable chronic diseases (NCDs) participated. Validated instruments were applied to assess caregiver and care recipient characteristics, caregiver burden, and adoption of both the general caregiving role and the role in medication management. Descriptive and inferential statistical analyses were performed.</div></div><div><h3>Results</h3><div>Caregivers provide care to elderly individuals with multiple chronic conditions and high dependency. They have achieved satisfactory adoption of the general caregiver role, showing an absence of overload. Correlations and regression models indicate that greater adoption of the general caregiving role, combined with less time spent in caregiving tasks, is associated with lower levels of caregiver burden.</div></div><div><h3>Conclusions</h3><div>The results suggest that the adoption of the general caregiving role and medication management may serve as useful clinical indicators for anticipating assessment enhances the understanding of concepts such as excessive caregiving burden and guides more specific and context-sensitive interventions.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502337"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915530","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":"Prevención y tratamiento de desgarros cutáneos mediante un dispositivo médico de clase I: Un caso clínico con múltiples lesiones","authors":"Sara Chiquero Valenzuela ,&nbsp;José Luis Jiménez Laínez ,&nbsp;María Piedad García Ruíz ,&nbsp;María Dolores López Franco","doi":"10.1016/j.enfcli.2025.502358","DOIUrl":"10.1016/j.enfcli.2025.502358","url":null,"abstract":"<div><div>We present the clinical case of a 64-year-old multi-pathological patient who presents numerous skin tears (ST) in the upper extremities.</div><div>The aim is to restore skin integrity in a patient with numerous ST on both forearms using a new class I medical device composed of elastic and adjustable medical grade encapsulated gel.</div><div>Once the NANDA International diagnostic labels were identified using the NNNConsult online tool, the expected results were planned along with the nursing interventions.</div><div>The care plan and cure guidelines are detailed based on the consensus evidence of the International Skin Tear Advisory Panel, also including preventive activities in risk areas (General Health, Mobility and Skin), in addition to the implementation of a new class I medical device. Finally, skin integrity is restored.</div><div>This work shows the positive preventive and therapeutic results in fragile skin and ST when carrying out a multiple care strategy with a new medical device.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502358"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915373","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":"Factores relacionados con la intención de realizar una prueba de sangre oculta en heces para el cribado del cáncer colorrectal, basados en el modelo de creencias de salud y la alfabetización en salud: un estudio transversal","authors":"Zahra Khazir ,&nbsp;Mohammad Saeed Jadgal ,&nbsp;Javad Shahraki","doi":"10.1016/j.enfcli.2025.502295","DOIUrl":"10.1016/j.enfcli.2025.502295","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Colorectal cancer is one of the most common gastrointestinal cancers, accounting for approximately 10% of cancer-related deaths. This study aimed to determine factors associated with the intention to perform a fecal occult blood test for colorectal cancer screening, based on the health belief model and health literacy.</div></div><div><h3>Methods</h3><div>In this descriptive-analytical and cross-sectional study, 170 elderly people were selected through multi-stage simple random sampling. Data were collected using a questionnaire comprising demographic and background characteristics, health literacy questions, and the Health Belief Model constructs. Data were analyzed using SPSS software version 16 through descriptive and analytical tests.</div></div><div><h3>Results</h3><div>Logistic regression results showed that self-efficacy (OR: 1.40; <em>P</em>=.000), access dimension (OR: 0.28; <em>P</em>=.009), understanding and comprehension dimension (OR: 0.05; <em>P</em>=.000), and history of lower gastrointestinal bleeding in the last month (OR: 0.03; <em>P</em>=.000) increased the likelihood of intending to undergo colorectal cancer screening.</div></div><div><h3>Conclusion</h3><div>It seems that using a health belief model combined with health literacy with an emphasis on self-efficacy constructs, access, and understanding of health information can increase individuals’ intention to undergo FOBT.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502295"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915528","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":"Comentario sobre el artículo «Comparación de índices de validez de contenido para investigación en enfermería clínica: un caso práctico»","authors":"Agustín Tristán-López","doi":"10.1016/j.enfcli.2025.502332","DOIUrl":"10.1016/j.enfcli.2025.502332","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502332"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537183","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":"Relación entre la sensibilidad moral y la cultura de seguridad del paciente de los enfermeros. Estudio descriptivo y correlacional","authors":"Melike Durmaz ,&nbsp;Saide Faydali","doi":"10.1016/j.enfcli.2025.502242","DOIUrl":"10.1016/j.enfcli.2025.502242","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to examine the relationship between nurses’ moral sensitivity and the culture of patient safety.</div></div><div><h3>Methodology</h3><div>This study was designed using a cross-sectional design. The data collection was carried out using a “Questionnaire”, the “Moral Sensitivity Questionnaire (MSQ)”, and the “Patient Safety Culture Scale (PSCS)”. The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01-31, 2023.</div></div><div><h3>Results</h3><div>High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.</div></div><div><h3>Conclusions</h3><div>Accordingly, it is recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses’ moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, it is suggested.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502242"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537130","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 y escuela: la necesaria presencia con base en la evidencia con foco en la salud de la comunidad educativa","authors":"Marta Lima-Serrano","doi":"10.1016/j.enfcli.2025.502407","DOIUrl":"10.1016/j.enfcli.2025.502407","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502407"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537184","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":"Comportamiento ante el dolor de los pacientes críticos con ventilación mecánica durante las intervenciones enfermeras en los hospitales gubernamentales de Sana’a, en Yemen","authors":"Abdulnasser Ahmed Haza’a ,&nbsp;Marzoq Ali Odhah ,&nbsp;Saddam Ahmed Al-Ahdal ,&nbsp;Mohammed Sadeq Al-Awar ,&nbsp;Abdulfatah Saleh Al-Jaradi ,&nbsp;Laila Mutahar Al-Nathariy ,&nbsp;Lama Mohammed Al-Jaboobi","doi":"10.1016/j.enfcli.2025.502216","DOIUrl":"10.1016/j.enfcli.2025.502216","url":null,"abstract":"<div><h3>Background</h3><div>Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.</div></div><div><h3>Objectives</h3><div>To examine the pain behavior of patients on mechanical ventilation during nursing interventions.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a City-Yemen. Pain was evaluated before and during the nursing interventions via the ‘Ramsay Sedation Scale’ and ‘Behavioral Pain Scale’. The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of &lt; 0.05 was considered to indicate statistical significance.</div></div><div><h3>Results</h3><div>The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous catheterization through fluctuations all physiological parameters during these procedures.</div></div><div><h3>Conclusion</h3><div>Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502216"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537129","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":"Relación entre los niveles de necesidad de atención de los pacientes hospitalizados en el servicio de Cirugía Pediátrica y la carga asistencial de sus padres: un estudio transversal","authors":"Duygu Karaarslan ,&nbsp;Nazan Kavak Çelik ,&nbsp;Dilek Ergin","doi":"10.1016/j.enfcli.2025.502210","DOIUrl":"10.1016/j.enfcli.2025.502210","url":null,"abstract":"<div><h3>Objectives</h3><div>The study was conducted to determine the relationship between the level of care needs of pediatric patients hospitalized in the pediatric surgery service and the caregiving burden of their parents.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was conducted on an estimated non-probabilistic sample of 126 children and their parents, who were hospitalized in the pediatric surgery service between May and December 2022. For the children, the inclusion criteria were to be between 0 and 18 years of age, to be hospitalized in the pediatric surgery service of a university hospital and not to present communication difficulties. In order to include parents, they had to meet the criteria of remaining in the hospital after surgery. Descriptive and inferential analyses were performed using non-parametric tests with SPSS software. The study was approved by the research ethics committee.</div></div><div><h3>Results</h3><div>The children participating in the study 72.2% (n<!--> <!-->=<!--> <!-->91) were boys. Of the children, 89.7% (n<!--> <!-->=<!--> <!-->113) were hospitalized for 1-10 days, 53.9% (n<!--> <!-->=<!--> <!-->68) were hospitalized due to outpatient surgery and 79.4% (n<!--> <!-->=<!--> <!-->100) were hospitalized for postoperative reasons. The total mean score obtained from the overall Pediatric Surgery Service Patient Classification Scale by children hospitalized in the pediatric surgery service was 28.95<!--> <!-->±<!--> <!-->6.25 (level III), and the mean score obtained from the overall Zarit Caregiver Burden Scale by the mothers was 34.04<!--> <!-->±<!--> <!-->10.78 (moderate level). There was a significant and positive relationship between the caregiving burden of the mothers and the level of care needs of the children (r<!--> <!-->=<!--> <!-->0.550, <em>P</em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>The mean scores obtained from the overall pediatric surgery service were at a moderate level. There was a significant, positive relationship between these 2<!--> <!-->scales.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502210"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537128","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}