Enfermeria clinica (English Edition)最新文献

Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review.

Enfermeria clinica (English Edition) Pub Date : 2025-03-19 DOI: 10.1016/j.enfcle.2025.502161

María José Rodríguez-Castro, Alda Elena Cortés-Rodríguez

{"title":"Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review.","authors":"María José Rodríguez-Castro, Alda Elena Cortés-Rodríguez","doi":"10.1016/j.enfcle.2025.502161","DOIUrl":"10.1016/j.enfcle.2025.502161","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effects of Platelet-Rich Plasma (PRP) in facial rejuvenation.</p><p><strong>Methods: </strong>A systematic review was conducted from November 2022 to September 2024. Literature searches were performed in the databases PubMed, CINAHL, SCOPUS, Cuiden and Scielo using the terms platelet rich plasma, rejuvenation, skin, plasma skin regeneration, and platelet rich plasma rejuvenation. Studies published with participants over 18 years old, using exclusively PRP for facial rejuvenation, were selected. Reviews and meta-analyses, as well as studies involving patients with conditions that could affect the treatment, were excluded.</p><p><strong>Results: </strong>Nine clinical trials and two observational study were included. Clinically, four studies indicated that PRP improved wrinkles and skin texture. Histologically, this substance induced a cascade of growth factors that increased dermal density, reducing wrinkles and improving skin luminosity and hydration. Despite these observations, discrepancies were observed regarding the different application techniques (topical or injected) and doses administered. Adverse effects were rare, including bruising and edema caused by injections and occasionally, papules, scaling, and dryness at the injection site.</p><p><strong>Conclusion: </strong>Platelet-rich plasma may be effective for facial rejuvenation based on histological results and patient references. However, further studies are needed to determine the most the most appropriate procedure for its administration.</p><p><strong>Prospero register number: </strong>CRD42024513433.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674545","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 trial: Comparison of pressurized infusion saline systems with and without heparin for the maintenance of vascular access in critically ill patients. 临床试验：比较加压输注生理盐水系统（含肝素和不含肝素）在维持重症患者血管通路方面的作用。

Enfermeria clinica (English Edition) Pub Date : 2025-03-19 DOI: 10.1016/j.enfcle.2025.502187

Mònica Maqueda-Palau, Jaime González-Sánchez

{"title":"Clinical trial: Comparison of pressurized infusion saline systems with and without heparin for the maintenance of vascular access in critically ill patients.","authors":"Mònica Maqueda-Palau, Jaime González-Sánchez","doi":"10.1016/j.enfcle.2025.502187","DOIUrl":"10.1016/j.enfcle.2025.502187","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the efficacy of 0.9% saline solution versus heparinized solution for maintaining the patency of intravascular catheters.</p><p><strong>Method: </strong>Single-center, randomized, controlled, single-blind clinical trial.</p><p><strong>Population: </strong>patients with intravascular arterial and/or central venous catheters.</p><p><strong>Variables: </strong>age, sex, admission diagnosis, catheter type and location, duration of catheter placement, catheter functionality, reason for removal, antiplatelet treatment, Activated Partial Thromboplastin Time (APTT), and International Normalized Ratio (INR) values. Data collection was carried out using an ad hoc questionnaire. SPSS v.26 software was used for statistical analysis, including descriptive analysis (median and IQR), Mann-Whitney U test, variable association (chi-square test), and logistic regression. A p-value < 0.05 was considered the indicator of a significant difference.</p><p><strong>Results: </strong>Data were collected from 373 patients, of whom 68,4% were male. Heparin was administered to 202 patients (54,2%) and 0.9% saline to 171 patients (45,8%). A total of 595 catheters were analyzed: 221 (37,1%) arterial catheters, 229 (38,5%) centrally inserted central venous catheters, and 145 (24,4%) peripherally inserted central venous catheters. A total of 51 complications (8,6%) were detected, with a higher incidence in the heparin group (10,4% versus 6,3%). Among all complications, significant differences were observed by catheter type, with an incidence of 11,8% in arterial catheters, compared to 7,4% in centrally inserted central venous catheters and 5,5% in peripherally inserted central venous catheters.</p><p><strong>Conclusions: </strong>No significant differences were observed in maintaining catheter patency between systems using heparinized pressurization and those using 0.9% saline solution.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502187"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674539","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

Quality of life and emotional state of patients who are candidates for CAR-T therapy: Role of the advanced practice nurse.

Enfermeria clinica (English Edition) Pub Date : 2025-03-08 DOI: 10.1016/j.enfcle.2025.502188

Mercedes Montoro-Lorite, Gloria García, Cristina Moreno-García, Ariadna Domènech, Pilar Ayora, Carla Ramos

{"title":"Quality of life and emotional state of patients who are candidates for CAR-T therapy: Role of the advanced practice nurse.","authors":"Mercedes Montoro-Lorite, Gloria García, Cristina Moreno-García, Ariadna Domènech, Pilar Ayora, Carla Ramos","doi":"10.1016/j.enfcle.2025.502188","DOIUrl":"10.1016/j.enfcle.2025.502188","url":null,"abstract":"<p><strong>Introduction: </strong>CAR-T therapy is indicated in patients with refractory disease who usually present comorbidities, toxicities associated with previous treatments, and disease instability. Additionally, they must travel close to the infusion center, incurring financial and psychosocial costs. Our study aims to describe the quality of life and psycho-emotional state of candidates for CAR-T therapy.</p><p><strong>Methods: </strong>An observational study was conducted from January to December 2022. The inclusion criteria were being 18 years or older, eligible for CAR-T therapy, and able to understand Spanish. Sociodemographic, clinical variables and Hospital Anxiety and Depression and quality of life scales were collected.</p><p><strong>Results: </strong>One hundred and four participants were recruited, among them, seventy percent did not live in their usual residence. Seventy-five percent of the participants had depression, 76% anxiety, and 78% emotional function impairment. No statistically significant differences between the presence of anxiety/depression associated with not residing in their usual address (p 0.056) or receiving psychological care in their center of origin (p 0.583) were found. However, a correlation between the presence of anxiety/depression among participants referred to the psychology service by the Advanced Practice Nurse (APN) (p < 0.001) was found.</p><p><strong>Conclusions: </strong>In conclusion, assessing the quality of life and psycho-emotional state of candidates for CAR-T therapy with validated scales allows us to identify candidates presenting anxiety and depression with the goal of improving the management of their emotional health. The APN's role is crucial in detecting complications and facilitating early referral to the psychology team.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502188"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598026","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

Advanced nursing competencies in rare diseases. A rapid realistic review. 罕见病高级护理能力。快速现实审查。

Enfermeria clinica (English Edition) Pub Date : 2025-03-03 DOI: 10.1016/j.enfcle.2025.102127

Héctor Nafría-Soria, Isabel Salcedo-de Diego, Pilar Serrano-Gallardo

{"title":"Advanced nursing competencies in rare diseases. A rapid realistic review.","authors":"Héctor Nafría-Soria, Isabel Salcedo-de Diego, Pilar Serrano-Gallardo","doi":"10.1016/j.enfcle.2025.102127","DOIUrl":"https://doi.org/10.1016/j.enfcle.2025.102127","url":null,"abstract":"<p><strong>Objective: </strong>To identify the advanced competencies developed by nurses in the care of patients with Rare Diseases, exploring how contextual factors interact to generate mechanisms that enable the development of these competencies.</p><p><strong>Method: </strong>Realist Rapid Review. A reference panel, composed of professionals and stakeholders involved in Rare Diseases, contributed to the development of the research question and the design of the search strategy, which was conducted in Medline, CINAHL, CUIDEN, and grey literature. Data were extracted and analyzed by the researchers, then refined and validated by an expert panel. After data analysis, Context-Mechanism-Outcome configurations (CMOs) were developed, considering the outcomes as nurses´competencies in the care of patients with Rare Diseases.</p><p><strong>Results: </strong>A total of 1294 documents were identified, of which 25 were selected. Eight Context-Mechanism-Outcome (CMO) configurations were constructed and grouped into three levels: macro (healthcare management policies), meso (associative movement), and micro (related to patients, family, and professionals). The advanced competencies identified and validated were related to case management/continuity of care/coordination between services; training and education; specialization competencies; development of a humanistic profile and patient advocacy; substitution roles/competencies and development of technological competencies.</p><p><strong>Conclusions: </strong>The developed CMO configurations provide plausible explanations that can contribute to the potential development of an advanced competency profile for nurses caring for patients with Rare Diseases and their families in the Spanish context, thereby enhancing their healthcare delivery.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"102127"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569029","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

New challenges: Advanced nurse practitioners and genomics in personalised, precision-based care for cancer patients

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502218

Celia Diez de los Ríos de la Serna , Paz Fernández-Ortega

引用次数: 0

GloVANet and WoCoVA: platforms that integrate evidence and practice in vascular access.

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502166

Gloria Ortiz Miluy, Timothy Spencer

引用次数: 0

Exploring the relationship between spiritual well-being and respect for patient privacy among nurses and midwives in Turkey

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.502162

Kemal Macit Hisar , Sabriye Uçan Yamaç

{"title":"Exploring the relationship between spiritual well-being and respect for patient privacy among nurses and midwives in Turkey","authors":"Kemal Macit Hisar , Sabriye Uçan Yamaç","doi":"10.1016/j.enfcle.2025.502162","DOIUrl":"10.1016/j.enfcle.2025.502162","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to examine the relationship between of nurses and midwives spiritual well-being and respect for patient privacy.</div></div><div><h3>Methods</h3><div>The target population of this descriptive research consisted of nurses and midwives employed in healthcare institutions in a district located in the Mediterranean Region of Turkey. The data were collected from 494 nurses and midwives between January 18 and April 29, 2022 using a demographic information form, the Spiritual Well-Being Scale, and the Patient Privacy Scale.</div></div><div><h3>Results</h3><div>The sample consisted of 494 participants, 422 (85.4%) females and 72 (14.6%) males. The findings revealed that the midwives had significantly higher levels of respect for patient privacy and spiritual well-being than the nurses. Moreover, the participants’ spiritual well-being and respect for patient privacy were positively correlated with age and clinical experience but negatively associated with weekly working hours.</div></div><div><h3>Conclusions</h3><div>In light of these findings, increasing midwives’ and nurses’ awareness of spiritual well-being and patient privacy through formal education, in-service training, drama activities, and case analyses can contribute to improving the quality of care. In further research, it may be recommended to evaluate the perceptions, opinions and practices of midwives and nurses regarding patient privacy and spiritual well-being.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 502162"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434421","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

Delphi consensus on a questionnaire of information, knowledge and promotion of living donor kidney transplantation

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102159

Laura Rota-Musoll , Xavier Palomar-Aumatell , Meritxell Mondejar-Pont , Guillermo Pedreira-Robles , Sergi Cazorla-Calderon , Mireia Subirana-Casacuberta

{"title":"Delphi consensus on a questionnaire of information, knowledge and promotion of living donor kidney transplantation","authors":"Laura Rota-Musoll , Xavier Palomar-Aumatell , Meritxell Mondejar-Pont , Guillermo Pedreira-Robles , Sergi Cazorla-Calderon , Mireia Subirana-Casacuberta","doi":"10.1016/j.enfcle.2025.102159","DOIUrl":"10.1016/j.enfcle.2025.102159","url":null,"abstract":"<div><h3>Objective</h3><div>To match the items of a questionnaire on the information process of renal replacement therapy and the degree of information and promotion of living donor kidney transplantation by nephrology nurses, taking into account the gender perspective.</div></div><div><h3>Methods</h3><div>This study was developed in 2 phases: 1) elaboration of an initial questionnaire by the research team, which consisted of 4 nurses, and 2) completion of two rounds of the Delphi method to agree on the research team's proposal.</div></div><div><h3>Results</h3><div>16 specialist nurses from all areas of nephrology nursing participated. Of the original questionnaire with 35 questions, 31 items were agreed upon. After the two Delphi rounds, consensus was reached on all questions and a new question was included, which was introduced by the panelists. The consensus made it possible to identify 7 dimensions, which were grouped into 4 themes: Profile of professionals, type of information on renal replacement therapy, knowledge and promotion of kidney transplantation in vivo.</div></div><div><h3>Conclusions</h3><div>This research has made it possible to create a questionnaire agreed by experts to identify the type of information that nephrology nurses give to people with kidney disease and how the gender perspective influences the information process. At the same time, this tool will facilitate the identification of nurses' level of knowledge about living donor kidney transplantation and the way they promote this renal treatment to the people they care for.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 102159"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544783","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

Interdisciplinary management and anesthetic nursing care for a pediatric patient with epidermolysis bullosa

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102155

Luis García-Costa , Susana Raquel Pérez-Rayo , Alejandro Bosch-Alcaraz , Andrea Ruiz-Romero

{"title":"Interdisciplinary management and anesthetic nursing care for a pediatric patient with epidermolysis bullosa","authors":"Luis García-Costa , Susana Raquel Pérez-Rayo , Alejandro Bosch-Alcaraz , Andrea Ruiz-Romero","doi":"10.1016/j.enfcle.2025.102155","DOIUrl":"10.1016/j.enfcle.2025.102155","url":null,"abstract":"<div><div>Epidermolysis Bullosa (EB) is a rare disease characterized by the formation of blisters and vesicles on the skin and mucous membranes. There are 4 types: simple, junctional, dystrophic, and Kindler syndrome. They can have serious complications such as difficult airway, syndactyly, wound superinfection, or squamous cell carcinoma.</div><div>We present the case of a 6-year-old male patient with severe generalized recessive dystrophic EB, surgically intervened for syndactyly in the left upper limb and cures in both lower limbs.</div><div>These patients have a high risk of suffering adverse events related to the surgical process secondary to the fragility of their tegumentary system, mucous membranes, and noble organs. For this reason, prior to the surgical procedure, an anamnesis and planning was performed, confirming that the patient had a difficult airway as evidenced by previous anesthesia and by the Mallampati scale, a mouth opening greater than or equal to 3 cm and a reduced degree of head-neck mobility. Therefore, minimally invasive measures were taken such as a single venoclysis and maintenance of spontaneous breathing and control of this through nasal glasses with capnography and pulse oximetry. An alternative plan was considered in case these measures failed. In addition, special care was applied, such as the use of dressings and vaseline for skin protection, avoiding friction in mobilizations, pain management with intravenous analgesia and nerve blocks, and anxiolysis through family accompaniment.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 102155"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544812","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

Obstetric violence during the SARS-CoV-2 pandemic in Spain: A descriptive study 西班牙 SARS-CoV-2 大流行期间的产科暴力：描述性研究。

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 DOI: 10.1016/j.enfcle.2025.102151

Desirée Mena-Tudela , Susana Iglesias-Casás , María Jesús Valero-Chillerón , Irene Llagostera-Reverter , Julián Mahiques-Llopis

{"title":"Obstetric violence during the SARS-CoV-2 pandemic in Spain: A descriptive study","authors":"Desirée Mena-Tudela , Susana Iglesias-Casás , María Jesús Valero-Chillerón , Irene Llagostera-Reverter , Julián Mahiques-Llopis","doi":"10.1016/j.enfcle.2025.102151","DOIUrl":"10.1016/j.enfcle.2025.102151","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to describe women’s perceptions of obstetric violence, medicalisation, and interventionism at childbirth in Spain during the SARS-CoV-2 pandemic.</div></div><div><h3>Method</h3><div>A cross-sectional design was used. For data collection, an online questionnaire with closed questions was designed and distributed via social media. Women who gave birth between March 2020 and April 2021 in Spain were recruited.</div></div><div><h3>Results</h3><div>The sample consisted of 6060 questionnaires. Sixty-two percent of respondents thought that the measures taken were arbitrary and ineffective in curbing the pandemic. For the following variables, statistically significant differences were found between groups related to maternal SARS-CoV-2 diagnosis: feeling rejected for suspected positive SARS-CoV-2 status (p<0.001), being encouraged to breastfeed (p=0.048), offering bottles without consent (p<0.001), not being allowed to be accompanied (p<0.001), and separating the healthy baby from the mother at birth (p=0.009). Women who tested positive were also less satisfied with their care and felt less empowered. Thirty-three point five percent of women (n=2030) report having suffered obstetric violence. Of these, 67.8% (n=1376) believe that such obstetric violence is not justified by the pandemic.</div></div><div><h3>Discussion</h3><div>Understanding these experiences during a pandemic provides an opportunity to develop specific protection policies for women in the event of future health crises.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 2","pages":"Article 102151"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442907","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