Enfermeria Clinica最新文献

{"title":"Cuidados enfermeros frente al reto planetario de la crisis climática: si no ahora, ¿cuándo?","authors":"Enrique Castro-Sánchez","doi":"10.1016/j.enfcli.2023.05.001","DOIUrl":"10.1016/j.enfcli.2023.05.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 247-250"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46963040","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":"Resultados neonatales tras parto en el agua: Estudio de cohortes retrospectivo","authors":"Susana Iglesias-Casas ,&nbsp;María Reyes Pérez-Fernández ,&nbsp;María Sol Montenegro-Alonso ,&nbsp;María Esther Parada-Cabaleiro ,&nbsp;Lorena Sanmartín-Freitas ,&nbsp;Desirée Mena-Tudela","doi":"10.1016/j.enfcli.2023.05.005","DOIUrl":"10.1016/j.enfcli.2023.05.005","url":null,"abstract":"<div><h3>Objective</h3><p>To compare neonatal outcomes between water births, births with immersion only during labour, and births in which immersion was never used.</p></div><div><h3>Methods</h3><p>A retrospective cohort study was performed including mother-baby dyads attended between 2009 and 2019 at the Hospital do Salnés regional hospital (Pontevedra, Spain). These women were categorised into 3 groups: water birth; immersion only during dilation; and women who never used immersion. Several sociodemographic-obstetric variables were studied and the main outcome was the admission of the neonate to the intensive care unit (NICU). Permission was obtained from the responsible provincial ethics committee. Descriptive statistics were used and between-group comparisons were performed using variance for continuous variables and chi-square for categorical variables. Multivariate analysis was performed with backward stepwise logistic regression and incidence risk ratios with 95%<span>C</span>I were calculated for each independent variable. Data were analysed using IBM SPSS® statistical software.</p></div><div><h3>Results</h3><p>A total of 1,191 cases were included. 404 births without immersions; 397 immersions only during the first stage of labor; and 390 waterbirths were included. No differences were found in the need to transfer new-borns to a NICU (<em>P</em> = .735). In the waterbirth cohort, neonatal resuscitation (<em>P</em> &lt; .001, OR: 0,1), as well as respiratory distress (<em>P</em> = .005 OR: 0,2) or neonatal problems during admission (<em>P</em> &lt; .001, OR: 0,2), were lower. In the immersion only during labor cohort, less neonatal resuscitation (<em>P</em> =.003; OR: 0,4) and respiratory distress (<em>P</em> = .019; OR: 0,4) were found. The probability of not breastfeeding upon discharge was higher for the land birth cohort (<em>P</em> &lt; .001, OR: 0,4;).</p></div><div><h3>Conclusions</h3><p>The results of this study indicated that water birth did not influence the need for NICU admission, but was associated with fewer adverse neonatal outcomes, such as resuscitation, respiratory distress, or problems during admission.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 292-302"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46511066","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":"¿Restricción, rutina o personalización de los fluidos? Una perspectiva para enfermería","authors":"Raquel Ferrero-Franco ,&nbsp;Alejandro González-Castro ,&nbsp;Carmen Blanco Huelga","doi":"10.1016/j.enfcli.2023.05.002","DOIUrl":"10.1016/j.enfcli.2023.05.002","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 311-312"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47163540","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 educational intervention on nurse-midwives' knowledge and management practices of Intimate Partner Violence (IPV) in healthcare Facilities in Ekiti-State, Nigeria.","authors":"T. O. Bamigboye, O. Irinoye, E. O. Ayandiran, A. Olowokere, O. Adedeji, D. Esan","doi":"10.1016/j.enfcli.2023.05.006","DOIUrl":"https://doi.org/10.1016/j.enfcli.2023.05.006","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 5 1","pages":"316-326"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54301599","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":"Valoración clínica y funcional de pacientes ingresados pluripatológicos con disfagia según el modo de alimentación: a través de una sonda de gastrostomía o vía oral","authors":"Cristina López-Muñoz ,&nbsp;Marta Aranda-Gallardo ,&nbsp;Francisco Rivas-Ruiz ,&nbsp;Ana Belén Moya-Suárez ,&nbsp;José Miguel Morales-Asencio ,&nbsp;José Carlos Canca-Sanchez","doi":"10.1016/j.enfcli.2023.05.003","DOIUrl":"10.1016/j.enfcli.2023.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Multipathological patients are a vulnerable population with high comorbidity, functional impairment, and nutritional risk. Almost 50% of these hospitalized patients have dysphagia. There is no consensus on whether placement of a percutaneous endoscopic gastrostomy (PEG) tube provides greater clinical benefit. The purpose of this study was to know and compare 2 groups of multipathological patients with dysphagia according to the mode of feeding: PEG vs. oral.</p></div><div><h3>Method</h3><p>Retrospective descriptive study with hospitalized patients (2016-19), pluripathological, with dysphagia, nutritional risk, over 50 years with diagnoses of: dementia, cerebrovascular accident (CVA), neurological disease, or oropharyngeal neoplasia. Terminally ill patients with jejunostomy tube or parenteral nutrition were excluded. Sociodemographic variables, clinical situation, and comorbidities were evaluated. Bivariate analysis was performed to compare both groups according to their diet, establishing a significance level of <em>P</em>&lt;.05.</p></div><div><h3>Results</h3><p>1928 multipathological patients. The PEG group consisted of 84 patients (n=122). A total of 84 were randomly selected to form the non-PEG group (n_434). This group had less history of bronchoaspiration/pneumonia <em>(P</em>=.008), its main diagnosis was stroke versus dementia in the PEG group <em>(P</em>&lt;.001). Both groups had more than a 45% risk of comorbidity <em>(P</em>=.77).</p></div><div><h3>Conclusions</h3><p>Multipathological patients with dysphagia with PEG usually have dementia as their main diagnosis, however, stroke is the most relevant pathology in those fed orally. Both groups have associated risk factors, high comorbidity, and dependence. This causes their vital prognosis to be limited regardless of the mode of feeding.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 251-260"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45506697","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":"Perfil sociodemográfico y descripción del síntoma de presentación en mujeres con cáncer de mama en un estudio de base poblacional: implicaciones y papel de las enfermeras","authors":"Maria Angustias Diaz-Santos ,&nbsp;Alba Marcos-Delgado ,&nbsp;Pilar Amiano ,&nbsp;Eva Ardanaz ,&nbsp;Marina Pollán ,&nbsp;Juan Alguacil ,&nbsp;en nombre del equipo de investigadores del estudio MCC-SPAIN","doi":"10.1016/j.enfcli.2023.02.004","DOIUrl":"10.1016/j.enfcli.2023.02.004","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the frequency and typology of the presenting symptom of women diagnosed of breast cancer in Spain and their socio-demographic profile.</p></div><div><h3>Methods</h3><p>Descriptive study nested in a population epidemiological study (MCC-SPAIN) in 10 Spanish provinces. Between 2008 and 2012, 836 histologically confirmed incident cases of breast cancer were recruited who reported some symptom prior to diagnosis in a direct computerized interview. For the comparison of 2 discrete variables, the Pearson Chi square test was used.</p></div><div><h3>Results</h3><p>The most frequent presenting symptom among women who reported at least one symptom was noticing a «lump in the breast» (73%), followed far behind by noticing «changes in the breast» (11%). The frequency of the presenting symptom showed some geographic heterogeneity as well as with menopausal status. No association was observed between the type of presenting symptom and the rest of the sociodemographic variables explored, except for the educational level in which women with a higher educational level tended to proportionally report other symptoms different from the «lump in the breast» more frequently than less educated. Postmenopausal women reported noticing changes in the breast (13%) more frequently than premenopausal women (8%), although without reaching statistical significance (<em>P</em> <!-->=<!--> <!-->.056).</p></div><div><h3>Conclusions</h3><p>The most frequent presenting symptom is «breast lump», followed by «breast changes». There could be sociodemographic heterogeneity in the type of presenting symptom to be taken into account by nurses in their socio-sanitary interventions.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 303-310"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42235182","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":"Ansiedad y miedo ante la muerte en los profesionales sanitarios de los servicios de urgencias hospitalarios en Aragón","authors":"Daniel Vázquez-García ,&nbsp;Marisa de-la-Rica-Escuín ,&nbsp;Concepción Germán-Bes ,&nbsp;Ana-Luisa Caballero-Navarro","doi":"10.1016/j.enfcli.2023.03.002","DOIUrl":"10.1016/j.enfcli.2023.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe the levels of anxiety in the face of death in professionals from emergency hospital services of Aragon. To analyze its association with sociodemographic, perception and labor variables.</p></div><div><h3>Methodology</h3><p>Observational, descriptive and cross-sectional study. Population and context of the study were health professionals of the hospital emergency services of Aragon. A non-probabilistic sampling selection was applied (n<!--> <!-->=<!--> <!-->230 participants). The “Collet-Lester-Fear-of-Death-Scale” instrument was introduced to measure death anxiety. The data was collected with a self-applied telematic questionnaire. Descriptive and inferential statistics were performed to analyze the association between the study variables.</p></div><div><h3>Results</h3><p>Anxiety in the face of death mean values of 94,58<!--> <!-->±<!--> <!-->21,66 with 95% CI: (91,76-97,39) (scale range: 28-140 points) were obtained. A significant association was obtained with the variables professional category (physicians, medical residents, nurses, and nursing assistants) (p: 0,006), sex (p: 0,001), level of training in emotional self-management (p: 0,03), self-perceived level of mental health (p: 0,07) and perception of lack of support from palliative care/mental health professionals (p: 0,006). This association was not obtained with the variables age (Sig.: 0.558), total professional experience (p: 0.762) and in emergencies (p: 0.191).</p></div><div><h3>Conclusion</h3><p>The levels of anxiety in the face of death in the emergency hospital services are lower than those presented in other hospital units. Variables such as professional category, degree of training in emotional self-management and self-perceived level of mental health are related to levels of anxiety in the face of death and their study requires further work.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 269-277"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44005637","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":"Análisis de las necesidades de atención paliativa en pacientes hospitalizados","authors":"Joana Maria Julià-Móra ,&nbsp;Ian Blanco-Mavillard ,&nbsp;Araceli Prieto-Alomar ,&nbsp;Enriqueta Márquez-Villaverde ,&nbsp;Margalida Terrassa-Solé ,&nbsp;Juan Pablo Leiva-Santos ,&nbsp;Miguel Ángel Rodríguez-Calero","doi":"10.1016/j.enfcli.2023.04.002","DOIUrl":"10.1016/j.enfcli.2023.04.002","url":null,"abstract":"<div><h3>Aim</h3><p>To determine the prevalence of palliative care needs in patients in an acute care hospital and to analyze the profile of these patients.</p></div><div><h3>Design</h3><p>We conducted a prospective cross-sectional study in an acute care hospital, in April 2018. The study population consisted of all patients over 18 years of age admitted to hospital wards and intensive care units. Variables were collected on a single day by six micro-teams using the NECPAL CCOMS-ICO© instrument. The descriptive analysis, on patient mortality and length of stay, was performed at a one-month follow-up.</p></div><div><h3>Results</h3><p>We assessed 153 patients, of whom 65 (42.5%) were female, with a mean age of 68.17<!--> <!-->±<!--> <!-->17.03 years. A total of 45 patients (29.4%) were found to be SQ+, of which 42 were NECPAL+ (27.5%), with a mean age of 76.64<!--> <!-->±<!--> <!-->12.70 years. According to the disease indicators, 33.35% had cancer, 28.6% had heart disease, and 19% had COPD, resulting in a ratio of 1:3 between patients with cancer and non-cancer disease. Half of the inpatients in need of palliative care were in the Internal Medicine Unit.</p></div><div><h3>Conclusions</h3><p>Almost 28% of patients were identified as NECPAL+, most of them not identified as under palliative care in clinical records. Greater awareness and knowledge from healthcare professionals would facilitate the early identification of these patients and avoid overlooking palliative care needs.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 261-268"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45704244","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":"Actitudes, capacidades y barreras percibidas en investigación de las enfermeras del Servicio Canario de la Salud","authors":"Héctor González-de la Torre ,&nbsp;David Díaz-Pérez ,&nbsp;Ricardo José Pinto-Plasencia ,&nbsp;Begoña Reyero-Ortega ,&nbsp;Elizabeth Hernández-González ,&nbsp;Conrado Domínguez-Trujillo","doi":"10.1016/j.enfcli.2023.05.004","DOIUrl":"10.1016/j.enfcli.2023.05.004","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the attitudes, capacities and perceived barriers associated with research among nurses and midwives of the Canary Health Service (SCS).</p></div><div><h3>Methods</h3><p>Descriptive observational cross-sectional study with an analytical component carried out in the different SCS departments by means of an online survey in which sociodemographic and specific variables, the Spanish version of the Attitudes towards Research and Development within Nursing Questionnaire (ATRDNQ-e) instrument and the BARRIERS scale were collected. Authorisation was obtained from the two provincial ethics committees. A descriptive and inferential analysis (Mann-Whitney U test and Kruskal-Wallis test, post hoc contrast by Dwass-Steel-Critchlow-Fligne test) was performed with JAMOVI® v.2.3.24 software.</p></div><div><h3>Results</h3><p>A total of 512 nurses and midwives with a mean age of 41.82 years participated in the study. Regarding the scores with the ATRDNQ-e instrument, the dimension with the lowest score was «Language of research» (Mean = 3.55/SD = 0.84) and the highest «Assessment of nursing research and development of the nursing discipline» (Mean = 4.54/SD = 0.52). The total mean score with the BARRIERS scale was 54.33 (SD = 16.52), with «Organizational characteristics» being the highest scoring subscale (Mean = 17.25/SD = 5.90). The two highest perceived barriers were «Not enough time at work to implement new ideas» (Mean = 2.55/SD = 1.11) and «Nursing does not have time to read research» (Mean = 2.46/ SD = 1.11).</p></div><div><h3>Conclusions</h3><p>SCS nurses have a positive attitude towards research, although there are some barriers where improvement actions for nursing research should be implemented.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 4","pages":"Pages 278-291"},"PeriodicalIF":0.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47081882","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":"Debilidad muscular en pacientes críticos: efectos de un programa de rehabilitación sistematizado de enfermería","authors":"Paulo Azevedo ,&nbsp;Bárbara Gomes ,&nbsp;José Macedo ,&nbsp;Soraia Ferreira ,&nbsp;José Pereira ,&nbsp;Ana Pires","doi":"10.1016/j.enfcli.2022.11.001","DOIUrl":"10.1016/j.enfcli.2022.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>Intensive care unit-acquired muscle weakness (ICUAW) in critically ill patients is frequent and associated with negative outcomes. Early rehabilitation is a strategy to improve outcomes. The aim was to assess the effects of a rehabilitation nursing programme at discharge from intensive care unit.</p></div><div><h3>Methods</h3><p>Quasi-experimental study with the comparison between two groups: one enrolled in a systematized nursing rehabilitation program and the other with usual nursing rehabilitation care. A non-probabilistic sample, sequential, of 42 critically ill ventilated patients, 21 patients in the control group and 21 patients the intervention group (June 2017 to June 2019), in three intensive care units of one large Portuguese teaching hospital. Mann-Whitney test was performed to compare Medical Research Council Sum Score (MRC-SS) values between groups.</p></div><div><h3>Results</h3><p>Patients undergoing the rehabilitation program had a decrease in ICUAW (at ICU discharge mean MRC-SS<!--> <!-->=<!--> <!-->38 vs. mean MRC-SS<!--> <!-->=<!--> <!-->42.7; p<!--> <!-->=<!--> <!-->0.043; U<!--> <!-->=<!--> <!-->152.5). There was a decrease in severe muscle weakness (9.5% vs. 28.6%) and significant muscle weakness (42.9% vs. 52.4%) and an increase without muscle weakness (47,6% vs. 19%).</p></div><div><h3>Conclusions</h3><p>The systematic rehabilitation nursing program can improve muscle strength and reduce functional disability at the time of discharge from intensive care.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"33 3","pages":"Pages 216-222"},"PeriodicalIF":0.5,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42943543","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}