Enfermeria clinica (English Edition)最新文献

Reproducibility of the TRIPED-GM paediatric triage system. TRIPED-GM儿科分诊系统的可重复性。

Enfermeria clinica (English Edition) Pub Date : 2025-04-25 DOI: 10.1016/j.enfcle.2025.502191

M Concepción Míguez-Navarro, Gloria Guerrero-Márquez, Carmen Ignacio Cerro

{"title":"Reproducibility of the TRIPED-GM paediatric triage system.","authors":"M Concepción Míguez-Navarro, Gloria Guerrero-Márquez, Carmen Ignacio Cerro","doi":"10.1016/j.enfcle.2025.502191","DOIUrl":"10.1016/j.enfcle.2025.502191","url":null,"abstract":"Introduction: The triage system aims to determine the level of urgency of patients in order to provide appropriate care and reduce morbidity and mortality. It is essential that the system used is valid, reliable and easy to use. The TRIPED-GM system is a five-level classification system exclusively for pediatric age, which includes six steps, three of which are mandatory (PAT, guiding sign/symptom, and priority rectifiers).Objective: To determine the reproducibility of the TRIPED-GM system when used on patients evaluated consecutively by 2 nurses.Method: Observational, descriptive, cross-sectional study involving 237 patients under 16 years of age who attended a third-level pediatric emergency service. Reliability was measured using Kappa (κ), linear Kappa (κp), and quadratic Kappa (κp2) indices, which compared the priority assigned by two research nurses and sixteen paediatric emergency nurses with over a year of experience in triage. Patients were classified consecutively and blindly.Results: There was agreement in 221 (93.2%) patients. The overall concordance was: κ = 0.84 (95% CI 0.77-0.91), κp = 0.85 (95% CI 0.78-0.92), κp2 = 0.85 (95% CI 0.78-0.92). There were no differences in the assignment of more than one priority level in any patient. Concordance in the mandatory steps was: Pediatric Assessment Triangle: κ = 0.82 (95% CI 0.68-0.96), Main reason for consultation: κ = 0.76 (95% CI 0.62-0.89), Rectifiers: κ = 0.94 (95% CI 0.88-1). Concordance was higher in patients who consulted for illness compared to those for trauma/accidents: κ = 0.84 (95% CI 0.76-0.92) vs. κ = 0.79 (95% CI 0.57-1).Conclusion: The TRIPED-GM pediatric triage system is reliable for use in emergency services with patients of similar characteristics.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502191"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047724","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

Monitoring of physical activity using accelerometry in patients with chronic obstructive pulmonary disease. 使用加速度计监测慢性阻塞性肺疾病患者的身体活动。

Enfermeria clinica (English Edition) Pub Date : 2025-04-25 DOI: 10.1016/j.enfcle.2025.102160

Cristina Sacristán-Galisteo, Tamara Del Corral, Daniel López-Padilla, M Carmen Gómez, Ibai López-de-Uralde-Villanueva, Patricia Martín-Casas

{"title":"Monitoring of physical activity using accelerometry in patients with chronic obstructive pulmonary disease.","authors":"Cristina Sacristán-Galisteo, Tamara Del Corral, Daniel López-Padilla, M Carmen Gómez, Ibai López-de-Uralde-Villanueva, Patricia Martín-Casas","doi":"10.1016/j.enfcle.2025.102160","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102160","url":null,"abstract":"Objectives: The main objective of the study was to analyze the characteristics of physical activity in people with Chronic Obstructive Pulmonary Disease. Secondarily, the association between the number of steps per day and the baseline sociodemographic and clinical characteristics of the sample was evaluated.Methods: A multicenter longitudinal descriptive study was carried out in four Primary Care centers in Madrid. The participants were 80 people diagnosed with COPD. In a face-to-face interview, sociodemographic information and clinical characteristics were collected. Physical activity was measured over a week with a three-axis accelerometer that recorded wear time, number of steps per day, walking time, and time spent performing light, moderate, vigorous, and very vigorous physical activity.Results: The average time of use of the accelerometer was 6.84 ± 0.4 days. The number of daily steps taken was 6902.24 ± 3994.01 with a walking time of 78.07 ± 41.85 min/day. The time of light physical activity was 69.66 ± 46.42 min/day, of moderate activity 92.76 ± 42.91 min/day, of vigorous activity 9.93 ± 13.6 min/day and of very active activity vigorous 0.26 ± 0.64 min/day.Conclusions: The participants mainly carried out physical activity of light and moderate intensity, complying with current recommendations, while the time dedicated to vigorous and very vigorous activities was reduced and was insufficient.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102160"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059730","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

Mental health in nurses: Challenges and opportunities in the post-pandemic context. 护士的精神卫生：大流行后背景下的挑战和机遇。

Enfermeria clinica (English Edition) Pub Date : 2025-04-25 DOI: 10.1016/j.enfcle.2025.502164

Mónica Regalado Chamorro, Aldo Medina Gamero

引用次数: 0

Catastrophism, myalgic encephalomyelitis-chronic fatigue syndrome and fibromyalgia: How research questions 'construct' realities. 灾变，肌痛性脑脊髓炎-慢性疲劳综合征和纤维肌痛：研究问题如何“构建”现实。

Enfermeria clinica (English Edition) Pub Date : 2025-04-25 DOI: 10.1016/j.enfcle.2025.102150

Cristina Oter-Quintana, Almudena Alameda-Cuesta

引用次数: 0

Validation in Spanish of the gain instrument for its application in caregivers of patients with multimorbility in the home environment. 西班牙语验证增益仪器在家庭环境中多行动病人护理人员中的应用。

Enfermeria clinica (English Edition) Pub Date : 2025-04-25 DOI: 10.1016/j.enfcle.2025.102152

Remedios Reina Campos, José Miguel Morales Asencio, M Rosa Iglesias Parra, Marina García Gámez

{"title":"Validation in Spanish of the gain instrument for its application in caregivers of patients with multimorbility in the home environment.","authors":"Remedios Reina Campos, José Miguel Morales Asencio, M Rosa Iglesias Parra, Marina García Gámez","doi":"10.1016/j.enfcle.2025.102152","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102152","url":null,"abstract":"Objective: Validation of the informal care gains scale available in Spanish to extend it to a version for caregivers of patients with multimorbidity at home.Method: Psychometric validation study in family caregivers of people with multimorbidity in home care. Content validation was carried out using a panel of experts and the Delphi technique and subsequent empirical validation in a sample of family caregivers of patients with multimorbidity in home care.Results: PHASE I: 3 of the 10 items were modified to specify the study population.Phase ii: A total of 227 subjects, with a median age of 84 years in patients and 59 years in family caregivers. 78.9% of the caregivers were women. The reliability analysis offered McDonald's omega values of 0.82, with an average inter-item correlation of 0.41. The test-retest reliability offered a value of 0.95. The bifactor structure obtained a good fit: RMSEA of 0.08 (90% CI 0.06 to 0.11), TLI 0.88, explaining 40.6% of the variance. The instrument showed discriminative capacity between caregivers based on overload (p < 0.001).Conclusions: The GAIN scale is a valid and reliable instrument for measuring the gains of family caregivers of people with multimorbidity in home care. It is easy to use and allows you to understand what factors to enhance in caregivers to preserve their resilience during the process.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102152"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043140","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

Sleep quality in patients admitted to an intermediate care unit. 中级护理病房病人的睡眠质量。

Enfermeria clinica (English Edition) Pub Date : 2025-04-23 DOI: 10.1016/j.enfcle.2025.102157

Paula Itxaso Sirera-Pérez, Adriana Martín-Sanjoaquín, Beatriz Juandeaburre-Pedroarena, Itziar Luquin-Iturmendi, Rosana Goñi-Viguria

{"title":"Sleep quality in patients admitted to an intermediate care unit.","authors":"Paula Itxaso Sirera-Pérez, Adriana Martín-Sanjoaquín, Beatriz Juandeaburre-Pedroarena, Itziar Luquin-Iturmendi, Rosana Goñi-Viguria","doi":"10.1016/j.enfcle.2025.102157","DOIUrl":"10.1016/j.enfcle.2025.102157","url":null,"abstract":"Introduction: Patients admitted to critical care units (ICU) are subject to develop sleep disturbances, caused by multiple factors that are present in this type of units.Objetive: Describe patients' perceptions of night rest, to relate them to sociodemographic variables, and determine factors that interfere with their sleep quality.Methodology: Descriptive, prospective, observational study in an ICU of a tertiary level university hospital. Sleep perception was assessed with the five-item Richards-Campbell Sleep Questionnaire (RCSQ). Sociodemographic and clinical variables were collected. A self-developed questionnaire with 9 questions addressing the main factors mentioned in the literature that influence sleep was utilized. Descriptive and inferential statistics were performed, being considered statistically significant p < ,05.Results: The sleep of 75 patients was studied, for 146 nights. The sleep perception was rated as fair, with moderate ease in falling asleep, average awakenings, and moderate ease in returning to sleep. The mean RCSQ score was 60.22 (SD: 24.81). It was observed that concern (p < .001), noise (p = .016), pain (p = .008), discomfort (p = .001), ambient light (p = .026), and the presence of nearby patients (p = .027) significantly influenced in the sleep.Conclusions: Patients' perception of night sleep was fair. Keeping patients informed, minimizing ambient light and noise, optimizing analgesic guidelines, and promoting a comfortable position could facilitate night rest.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102157"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035991","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

Changes in the attitude of health care professionals towards influenza vaccination after the COVID-19 pandemic. COVID-19大流行后卫生保健专业人员对流感疫苗接种态度的变化

Enfermeria clinica (English Edition) Pub Date : 2025-04-23 DOI: 10.1016/j.enfcle.2025.502189

Marta Sánchez-Zaballos, David Zuazua-Rico, Lucía Alonso-Méndez, Yolanda Queipo-Herías, María Pilar Mosteiro-Díaz, Alba Maestro-González

{"title":"Changes in the attitude of health care professionals towards influenza vaccination after the COVID-19 pandemic.","authors":"Marta Sánchez-Zaballos, David Zuazua-Rico, Lucía Alonso-Méndez, Yolanda Queipo-Herías, María Pilar Mosteiro-Díaz, Alba Maestro-González","doi":"10.1016/j.enfcle.2025.502189","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502189","url":null,"abstract":"Objective: To analyse the attitude of health professionals towards influenza vaccination before and during the COVID-19 pandemic, as well as to identify differences between them and with respect to sociodemographic and occupational variables.Methods: Cross-sectional descriptive study comparing the results of the 2017-2018 and 2020-2021 influenza vaccination campaigns. Sociodemographic, occupational, and vaccination-related variables were collected. A descriptive and bivariate analysis were performed, as well as a binary logistic regression model.Results: A total of 973 health professionals participated, with an average age of 41,13 (SD 11,16), showing a higher prevalence of vaccination during the 2020-2021 season (OR=1,04; IC 95% 1,03-1,05; P<,001). The percentage of men who were vaccinated was higher in the 2020-2021 campaign (P=.02), in which a greater number of professionals with a non-stable contract (P<.001) and lower mean age (P=.03) were also vaccinated. There were multiple statistical differences when comparing the reasons for accepting or refusing the vaccine, with more people being more likely to be vaccinated during the pandemic if there was a favourable atmosphere in the work or family environment (P<.001).Conclusions: Health professionals' attitude towards influenza vaccination during the COVID-19 pandemic showed better results than the previous campaign, with a higher number of professionals vaccinated and a better perception of immunisation. Differences were also found between the campaigns and socio-demographic variables (sex, age, and type of employment contract).","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502189"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000748","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

Exergames rehabilitation program for postoperative cancer patients undergoing abdominal surgery: A quasi-experimental study. 腹部手术后癌症患者的运动康复计划：一项准实验研究。

Enfermeria clinica (English Edition) Pub Date : 2025-04-16 DOI: 10.1016/j.enfcle.2025.502212

Isabel Alves, Ana Paula Moreira, Teresa Sousa, Paulo Teles, Filipe Goncalves, Bruno Miguel Magalhães, Carla Sílvia Fernandes

{"title":"Exergames rehabilitation program for postoperative cancer patients undergoing abdominal surgery: A quasi-experimental study.","authors":"Isabel Alves, Ana Paula Moreira, Teresa Sousa, Paulo Teles, Filipe Goncalves, Bruno Miguel Magalhães, Carla Sílvia Fernandes","doi":"10.1016/j.enfcle.2025.502212","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502212","url":null,"abstract":"Objectives: This study aimed to describe and test a program implemented by a nurse for cancer patients in the postoperative period of abdominal surgery using Wii Fit games. It explored the relationship between the type of game, its duration, and the score obtained with variables such as quality of life, fatigue, balance, anxiety, and depression.Methods: A quasi-experimental project was conducted using a one-group pretest-posttest design to assess the effects of a rehabilitation program utilizing Nintendo Wii Fit. The games included were Wii Fit Aerobics - Basic Step, Wii Fit - Balance Games Penguin Slide, Wii Fit Training Plus - Birds Eye Bulls Eye, and Wii Fit - Hula Hoop. Data were collected 48h post-surgery and on the 7th day post-surgery.Results: Thirty-five patients participated in the study. The evaluation revealed that the scores and durations of the games had significantly related to the outcomes on the scales, with the \"Wii Fit Aerobics - Basic Step\" and \"Wii Fit - Hula Hoop\" games having the most significant impact across multiple aspects.Conclusions: The study demonstrated that the rehabilitation program had a positive effect on the study population, administered by a rehabilitation nurse. The use of exergames may offer a viable solution to the challenges of traditional rehabilitation methods, particularly for cancer patients in the postoperative period.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036794","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

Relationship between the care need levels of patients hospitalized in the pediatric surgery service and the caregiving burden of their parents: A cross-sectional study. 儿科外科住院患者护理需求水平与其父母护理负担的关系：一项横断面研究

Enfermeria clinica (English Edition) Pub Date : 2025-04-07 DOI: 10.1016/j.enfcle.2025.502210

Duygu Karaarslan, Nazan Kavak Çelik, Dilek Ergin

{"title":"Relationship between the care need levels of patients hospitalized in the pediatric surgery service and the caregiving burden of their parents: A cross-sectional study.","authors":"Duygu Karaarslan, Nazan Kavak Çelik, Dilek Ergin","doi":"10.1016/j.enfcle.2025.502210","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502210","url":null,"abstract":"Objectives: 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.Methods: 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.Results: 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, p < 0.001).Conclusion: 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.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502210"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022347","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

Clinical practice guide for nurses that optimizes nurse's comprehensive care of patients undergoing immunotherapy. 护士临床实践指南，优化护士对接受免疫治疗患者的综合护理。

Enfermeria clinica (English Edition) Pub Date : 2025-04-07 DOI: 10.1016/j.enfcle.2025.502193

Jorgina Serra-López, Antonia Miranda, Ana Soria, Nuria López, Eduardo Castañón, Margarita Majem

{"title":"Clinical practice guide for nurses that optimizes nurse's comprehensive care of patients undergoing immunotherapy.","authors":"Jorgina Serra-López, Antonia Miranda, Ana Soria, Nuria López, Eduardo Castañón, Margarita Majem","doi":"10.1016/j.enfcle.2025.502193","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.502193","url":null,"abstract":"Introduction: Immunotherapy is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.Objective: To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.Method: A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.Results: The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.Conclusion: The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502193"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059792","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