Enfermeria Clinica最新文献_第9页

Determinantes asociados a la activación en pacientes con tratamiento anticoagulante oral: un estudio transversal 与口服抗凝疗法患者活化相关的决定因素：一项横断面研究

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Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.04.003

Alba Vall-Vargas , Mireia Constans , Nuria Torà , Anna Arnau , Albert Altes , M. Ángeles de Juan Pardo

{"title":"Determinantes asociados a la activación en pacientes con tratamiento anticoagulante oral: un estudio transversal","authors":"Alba Vall-Vargas , Mireia Constans , Nuria Torà , Anna Arnau , Albert Altes , M. Ángeles de Juan Pardo","doi":"10.1016/j.enfcli.2024.04.003","DOIUrl":"10.1016/j.enfcli.2024.04.003","url":null,"abstract":"<div><h3>Aims</h3><p>The terms “patient activation” and “patient empowerment” are used to describe the extent to which individuals are able to manage their own healthcare. Health outcomes and quality of life improve in patients who are more active in health care. The aim of this study was to identify sociodemographic, clinical, sociological and psychological determinants associated with activation in a group of chronically anticoagulated patients.</p></div><div><h3>Methods</h3><p>Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulant unit between November 2021 and June 2022. The main dependent variable was the level of patient activation according to the 13-item Patient Activation Measure (PAM-13). Simple and multiple linear regression models were conducted to identify the determinants associated with PAM-13 score.</p></div><div><h3>Results</h3><p>A total of 137 patients who met all the inclusion criteria were recruited for the study. The mean age was 59.6 years (SD 13.8; range 22 - 86) and 60.6% were male. Sixty per cent presented a level IV of activation according to the PAM-13 scale. Mean patient activation score was 73.9 (SD 15.4). The factors independently associated with significantly lower activation were: emergency department visits in the past 12 months, intermediate social risk, anxiety symptoms, stress symptoms and low self-efficacy.</p></div><div><h3>Conclusions</h3><p>Five determinants were found to be associated with activation. Knowing the factors that modify the level of activation can help to identify subgroups of chronic anticoagulated patients who are less likely to engage in self-management and are therefore candidates for tailored educational interventions.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 148-160"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133537","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

La eficacia del Escape Room como metodología educativa en el Código Infarto 逃生室作为《心脏病发作守则》教育方法的有效性

IF 0.5

Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.02.003

Cristina Acebo-Seguín , Sandra Jiménez-Jiménez , Andrea Valdés-Castiello , Marta Berenguer-Almudaina , Jordi Castillo-García

{"title":"La eficacia del Escape Room como metodología educativa en el Código Infarto","authors":"Cristina Acebo-Seguín , Sandra Jiménez-Jiménez , Andrea Valdés-Castiello , Marta Berenguer-Almudaina , Jordi Castillo-García","doi":"10.1016/j.enfcli.2024.02.003","DOIUrl":"10.1016/j.enfcli.2024.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the efficacy of an educational intervention (escape room) in the acquisition and retention of knowledge in relation to the Infarction Code, and to compare the knowledge of other teaching methodologies related to the Infarction Code.</p></div><div><h3>Methods</h3><p>A pre-post study was designed without a control group. After one month of the master class on the Infarction Code given to master's degree (doctors and nurses), an educational intervention was carried out consisting of an Escape Room on the same content, with a questionnaire that collected various sociodemographic data, and a knowledge test on the Infarction Code, which was repeated immediately after the activity and at the end of 2 months after the activity, and a test of knowledge on the Infarction Code. immediately after the activity and 2 months after the master class. Likewise, after the activity, a gamified experience evaluation questionnaire (GAMEX) was completed.</p></div><div><h3>Results</h3><p>Thirty-two students received the educational intervention (12 physicians and 20 nurses), and differences were observed between medical and nursing professionals in terms of initial knowledge of simulation and gamification. After the activity, and based on the initial knowledge test, the score increased by 3.49 points, an increase that was also reflected in the test taken two months after the master class, where an increase of 2.08 points was maintained. The participants rated the experience positively, with no significant overall differences between the two professional groups.</p></div><div><h3>Conclusions</h3><p>The nurses had greater knowledge and contact with clinical simulation, virtual reality and gamification. The escape room showed to be a valid method for the assimilation and retention of knowledge in master's degree students. Medical professionals experienced a greater degree of immersion in the activity.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 187-193"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398582","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

Análisis preliminar del proceso de gestión de datos en salud en España 对西班牙健康数据管理过程的初步分析

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Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.06.002

V. Tíscar-González , J. Cayón-De las Cuevas

引用次数: 0

Transformación del sistema sanitario a través de los datos: acceso y gobernanza como elementos pivotales 通过数据改造卫生系统：获取和管理是关键要素

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Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.06.001

V. Tíscar-González , J. Cayón-De las Cuevas

引用次数: 0

Cuidados humanizados de las enfermeras oncológicas en persona con cáncer gástrico: Estudio de un caso 胃癌患者的人性化肿瘤护理：病例报告

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Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.03.005

Dayana Mondol-Hernández , Ana Laura Solano-López

{"title":"Cuidados humanizados de las enfermeras oncológicas en persona con cáncer gástrico: Estudio de un caso","authors":"Dayana Mondol-Hernández , Ana Laura Solano-López","doi":"10.1016/j.enfcli.2024.03.005","DOIUrl":"10.1016/j.enfcli.2024.03.005","url":null,"abstract":"<div><p>Cancer impacts the person's physical health, psychosocial and spiritual wellbeing. The humanization of care is an essential element to achieve integral wellbeing of the individual. The aim of this article is to present a clinical case, using the nursing process with the NANDA, NOC and NIC taxonomies, and based on the principles of Watson's theory of humanized care. The participant is a 45-year-old woman with gastric cancer in palliative stage. The assessment was performed using Gordon's functional patterns and the Watson Caritas Patient Score scale to evaluate the care received previously in the health system. Eight nursing diagnoses were identified, prioritizing 3diagnoses using the clinical reasoning web (decisional conflict, anxiety, and ineffective self-management of health). Expected outcomes and nursing interventions were planned and implemented through moments of care using health education through tele-nursing and the intentional use of Caritas processes of care in the transpersonal relationship. The results were evaluated with the scales of the indicators and anxiety was also evaluated with the Beck Anxiety Inventory. Health education in oncology nursing contributed to improve informed decision making, reducing anxiety and providing emotional support to facilitate self-management of health. The participant perceived as humanized care throughout the sessions, reflected in the final evaluation with the Watson Caritas Patient Score scale.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 224-231"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029875","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

Estrategias de afrontamiento de los directores de enfermería para la gestión de crisis: revisión sistemática cualitativa 护士长的危机管理应对策略：定性系统审查

IF 0.5

Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.01.007

Lucia Filomeno , Eartha Agatha Feller , Federica Raimondi , Sofia Di Mario

引用次数: 0

Impacto de un programa de enfermería de atención domiciliaria basado en aplicaciones móviles en la calidad de vida de los pacientes y la carga familiar 基于移动应用的家庭护理计划对患者生活质量和家庭负担的影响。

IF 0.5

Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.01.008

Kelana Kusuma Dharma , Parellangi , Halina Rahayu , Lucky Prisandy , Alvi Roelanda , Machmud Fajri Saputro

{"title":"Impacto de un programa de enfermería de atención domiciliaria basado en aplicaciones móviles en la calidad de vida de los pacientes y la carga familiar","authors":"Kelana Kusuma Dharma , Parellangi , Halina Rahayu , Lucky Prisandy , Alvi Roelanda , Machmud Fajri Saputro","doi":"10.1016/j.enfcli.2024.01.008","DOIUrl":"10.1016/j.enfcli.2024.01.008","url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to identify the effectiveness of a mobile application-based home care nursing service in improving patient quality of life and healthy lifestyle and reducing the family burden.</p></div><div><h3>Methods</h3><p>This study was a clinical trial with a pre- and post-test control group design. The accessible population in this study was post-discharge patients from general hospitals in West Kalimantan and East Kalimantan, Indonesia, who required home care nursing. We allocated a selected sample of 40 people to the intervention group and 40 people to the control group using a randomized block design. We gave mobile application-based home care nursing to the intervention group and community health nursing care to the control group. This study was conducted in 10 months (January-October 2022). We measure the patient quality of life, healthy lifestyle, and family burden before and 3 months after the intervention.</p></div><div><h3>Results</h3><p>There was no significant difference in the post-test quality of life between the two groups (<em>P</em>=.187), but there was a significant difference in the psychological (<em>P</em>=.014) and environmental health (<em>P</em>=.021) domain of quality of life. There was no significant difference in the post-test of a healthy lifestyle between the two groups (<em>P</em>=.083). There was a significant difference in the post-test family burden between the two groups (<em>P</em>=.015).</p></div><div><h3>Conclusion</h3><p>Mobile Application-Based Home Care Nursing is effective in improving patient quality of life in the psychological and environmental health domains and reducing the family burden for post-discharge patients.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 177-186"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794201","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

Conocimiento y concienciación sobre el accidente cerebrovascular en comunidades rurales y urbanas 农村和城市社区对脑卒中的了解和认识

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Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.01.006

Rahmania Ambarika , Mohamed Saifulaman Mohamed Said , Novian Mahayu Adiutama , Novita Ana Anggraini , Sandeep Poddar , Bibi Florina Abdullah

{"title":"Conocimiento y concienciación sobre el accidente cerebrovascular en comunidades rurales y urbanas","authors":"Rahmania Ambarika , Mohamed Saifulaman Mohamed Said , Novian Mahayu Adiutama , Novita Ana Anggraini , Sandeep Poddar , Bibi Florina Abdullah","doi":"10.1016/j.enfcli.2024.01.006","DOIUrl":"10.1016/j.enfcli.2024.01.006","url":null,"abstract":"<div><h3>Introduction</h3><p>The average stroke morbidity rate, especially in rural communities, is higher when compared to the national average.</p></div><div><h3>Objective</h3><p>Identify the profile of knowledge and awareness of stroke in rural and urban communities and analyze the differences between the two.</p></div><div><h3>Method</h3><p>Respondents who met the requirements answered a questionnaire containing a total of 41 items regarding knowledge and awareness of stroke. Characteristic data obtained includes age, gender, education, occupation, and ethnicity. Differences in characteristics were analyzed using Mann-Whitney, and the profiles of knowledge and awareness of stroke in rural and urban groups were analyzed using independent t tests to see differences between the two.</p></div><div><h3>Result</h3><p>Differences in the characteristics of rural and urban groups were only in education (<em>P</em>  =.021). The mean score of the knowledge domain for the rural group was 72.53 (SD: 11.04), for the urban group it was 81.06 (SD: 11.12). The mean score awareness of stroke domain in the rural group was 72.18 (SD: 11.01), the urban group was 85.51 (SD: 11.67). The profile of knowledge and awareness of stroke in rural communities was significantly lower than in urban communities. The significance value was <em>P</em>  =.002 for awareness of stroke.</p></div><div><h3>Conclusion</h3><p>Based on the findings, it is reasonable to suspect that educational and occupational factors contribute to differences in the profile of knowledge and awareness of stroke in the two groups. Therefore, the stroke awareness campaign strategy for rural communities needs to be specifically designed by emphasizing/considering educational and occupational factors.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 168-176"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790738","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

Diagnóstico, tratamiento e impacto de la polineuropatía diabética dolorosa en España: encuesta a pacientes 西班牙疼痛性糖尿病多发性神经病变的诊断、治疗和影响：患者调查

IF 0.5

Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.03.004

Ainhoa Reta-Murua , Mercedes Maderuelo-Labrador

引用次数: 0

Experiencias de pacientes con enfermedad de Parkinson pertenecientes a una asociación. Un enfoque cualitativo 加入协会的帕金森病患者的经历。定性方法

IF 0.5

Enfermeria Clinica Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.03.002

Natalia Brandín-de la Cruz , Carolina Jiménez-Sánchez , Pablo Herrero , Paula Córdova-Alegre , Almudena Buesa-Estéllez , Sandra Calvo

{"title":"Experiencias de pacientes con enfermedad de Parkinson pertenecientes a una asociación. Un enfoque cualitativo","authors":"Natalia Brandín-de la Cruz , Carolina Jiménez-Sánchez , Pablo Herrero , Paula Córdova-Alegre , Almudena Buesa-Estéllez , Sandra Calvo","doi":"10.1016/j.enfcli.2024.03.002","DOIUrl":"https://doi.org/10.1016/j.enfcli.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Parkinson's disease (PD) affects the physical, cognitive, emotional, and social domains of people who suffer it. A good strategy for patients is to belong to an Association, using the services they offer.</p></div><div><h3>Objective</h3><p>The aim of this study was to explore the experiences and perceptions of patients with PD in a Parkinson's Association.</p></div><div><h3>Methods</h3><p>A sample of participants with PD who met the inclusion criteria was selected through purpose and theoretical sampling. Semi-structured qualitative interviews were used to collect the data, which was analyzed by thematic phenomenological analysis. Different strategies such as triangulation between researchers were used to ensure methodological rigor.</p></div><div><h3>Results</h3><p>The data analyzed from 10 participants led to two themes: the context of the Association, where the importance of interdisciplinary treatments and the relationship with other patients is collected; and how they see their future, which describes the future perspectives that patients with PD have.</p></div><div><h3>Discussion</h3><p>Patients agree on the importance of belonging to the Association, feeling part of a group, while benefiting from receiving therapies from the interdisciplinary team. The Association plays a relevant role in the evolution of the disease, as it influences how patients imagine their future. Developing strategies based on a good therapeutic alliance with professionals at the service of patients promotes the empowerment, adherence and continuity of treatments at home, which results in improving the quality of life of patients with PD.</p></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 3","pages":"Pages 161-167"},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424428","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