Enfermeria clinica (English Edition)最新文献_第10页

Nursing methodology in the patient with Kounis syndrome 库尼斯综合征患者的护理方法

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.02.004

Ana Rosa Alconero-Camarero , María Isabel Ibáñez-Rementería , Carmen Sarabia-Cobo

引用次数: 0

Home care needs of paediatric palliative patients perceived by professionals: A grounded theory 专业人员感知的儿科姑息治疗患者的家庭护理需求：一个有根据的理论

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.01.001

Jesús Santana-Medina , Claudio Alberto Rodríguez-Suárez

{"title":"Home care needs of paediatric palliative patients perceived by professionals: A grounded theory","authors":"Jesús Santana-Medina , Claudio Alberto Rodríguez-Suárez","doi":"10.1016/j.enfcle.2023.01.001","DOIUrl":"10.1016/j.enfcle.2023.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the elements involved in the process of paediatric palliative home care in the Spanish context according to the opinion of professionals.</p></div><div><h3>Method</h3><p>Qualitative study based on Grounded Theory, adjusted to COREQ standards, using theoretical sampling with in-depth interviews (June 2021–February 2022) with paediatricians, paediatric nurses and social workers from paediatric palliative care units in Spain, excluding professionals with less than 1 years’ experience. Interviews were recorded and transcribed literally for coding and categorisation through a constant comparative process of code co-occurrence until data saturation using Atlas-Ti®. The anonymity of the informants has been guaranteed by using pseudonyms after approval by the Research Ethics Committee of the <em>Hospital Universitario de Gran Canaria Doctor Negrín</em> (Las Palmas, Canary Islands) with registration number 2021-403-1.</p></div><div><h3>Results</h3><p>18 interviews were conducted and 990 quotes were grouped into 22 categories of analysis and structured into four thematic groups (care, environment, patient and family, and professionals). The findings showed a holistic view emphasising the need to organise and integrate the factors involved in the home-based approach to paediatric palliative home care.</p></div><div><h3>Conclusions</h3><p>In our context, the home environment meets appropriate conditions for the development of paediatric palliative care. The categories of analysis identified establish a starting point for further deepening the approach from the thematic areas involved: care, the environment, the patient and family, and professionals.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 184-194"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939780","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

Perception and satisfaction of nursing students with clinical practices 护生对临床实践的感知与满意度

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.02.005

Francisco Miguel Escandell-Rico, Lucia Pérez-Fernández

引用次数: 0

Identification of hospitalized patients with nutritional risk at admission assessed with the Nutrition Risk Screening 用营养风险筛查评估住院患者的营养风险

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.02.003

Gemma Robleda-Font , Mariona Victòria-Moix-Gómez , Cristina Serrano-Herrera , Gemma Navarro-Cano

{"title":"Identification of hospitalized patients with nutritional risk at admission assessed with the Nutrition Risk Screening","authors":"Gemma Robleda-Font , Mariona Victòria-Moix-Gómez , Cristina Serrano-Herrera , Gemma Navarro-Cano","doi":"10.1016/j.enfcle.2023.02.003","DOIUrl":"10.1016/j.enfcle.2023.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the prevalence of nutritional risk in hospital admission of adult patients and to analyse its association with sociodemographic and clinical factors of the patients.</p></div><div><h3>Method</h3><p>Cross-sectional, analytical and prospective study carried out on patients at the Hospital de la Santa Creu i Sant Pau in Barcelona between November and December 2018, during the first 48 h of hospital admission. Nutrition Risk Screening (NRS-2002) was used to detect malnutrition. Sociodemographic (age, sex), clinical (admission diagnosis, unit and comorbidities) and anthropometric<span> (weight, height and BMI) data were collected. The association between the NRS and the study factors was estimated using a logistic regression model.</span></p></div><div><h3>Result</h3><p><span>285 patients with a mean age of 69.6 years (SD 15) were included, of which 56.5% (161) were ≥70 years. The prevalence of risk of malnutrition at hospital admission was 35.1% (95% CI: 29.8 %–41.1 %), this being 15.9 times higher in patients with a previous stay in intensive care (OR 15.90, 1.82–139.11: </span><em>p</em> 0.012); 10.35 times higher in patients with severe pneumonia (OR 10.35; 2.48–41.91: <em>p</em> 0.004) and 5.6 times higher in patients with stroke (OR 5.63; 1.71–18.53: <em>p</em> 0.004).</p></div><div><h3>Conclusions</h3><p>The prevalence of nutritional risk at admission was high and factors such as severe pneumonia, stroke and previous ICU admissions were associated with a higher risk of malnutrition. However, the findings of this study should be interpreted with caution due to the limitations of the severity criteria of the Nutrition Risk Screening.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 175-183"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9884877","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

Perception of health sciences and feminist medical students about obstetric violence 健康科学和女性主义医学生对产科暴力的认知

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.02.007

Ainoa Biurrun-Garrido , Serena Brigidi , Desirée Mena-Tudela

{"title":"Perception of health sciences and feminist medical students about obstetric violence","authors":"Ainoa Biurrun-Garrido , Serena Brigidi , Desirée Mena-Tudela","doi":"10.1016/j.enfcle.2023.02.007","DOIUrl":"10.1016/j.enfcle.2023.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>To measure the perception of obstetric violence among health sciences students.</p></div><div><h3>Method</h3><p>Cross-sectional design in which the validated questionnaire PercOV-S (Perception of Student Obstetric Violence) was used. The questionnaire was offered to the students who participated in the I Congress of Feminist Medicine of the CEEM (State Councils of Medical Students) held on March 12, 2021. This questionnaire was sent online through Google Forms.</p></div><div><h3>Results</h3><p>The mean score obtained on the total scale was 3.83 scores (SD=0.61). For the dimension of protocolized-visible obstetric violence, the mean score is 2.79 points (SD=0.84) and for the dimension of non-protocolized-invisible obstetric violence, a mean of 4.16 points is obtained (SD=0.61). The global score of the displayed question differs statistically significantly with the variable scope (p=0.019), course (p=0.008), treatment according to ethnicity (p=0.008), treatment according to socioeconomic level, immigrant status (p<0.001), and prior knowledge about the concept of obstetric violence (p<0.001).</p></div><div><h3>Conclusions</h3><p>The data show a marked generalised sensitivity of the sample to the issue of obstetric violence, especially with regard to the ethnic characteristics of the women. Likewise, the need to generate ethical-attitudinal training in the response to obstetric violence is observed.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 234-243"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885665","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: 2

Muscle weakness in critically ill patients: Effects of a systematized rehabilitation nursing program 危重病人肌肉无力：系统化康复护理方案的效果

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2022.11.001

Paulo Azevedo , Bárbara Gomes , José Macedo , Soraia Ferreira , José Pereira , Ana Pires

{"title":"Muscle weakness in critically ill patients: Effects of a systematized rehabilitation nursing program","authors":"Paulo Azevedo , Bárbara Gomes , José Macedo , Soraia Ferreira , José Pereira , Ana Pires","doi":"10.1016/j.enfcle.2022.11.001","DOIUrl":"10.1016/j.enfcle.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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 216-222"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9882371","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

Self-care of the feet in people with type 2 diabetes. A qualitative study 2型糖尿病患者足部的自我护理。定性研究

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.01.002

María Isabel Bonilla-Carrasco , Elisabeth Rasero-Fernández , Mariela Aguayo-González , Sabiniana San Rafael-Gutiérrez

{"title":"Self-care of the feet in people with type 2 diabetes. A qualitative study","authors":"María Isabel Bonilla-Carrasco , Elisabeth Rasero-Fernández , Mariela Aguayo-González , Sabiniana San Rafael-Gutiérrez","doi":"10.1016/j.enfcle.2023.01.002","DOIUrl":"10.1016/j.enfcle.2023.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>To understand the experiences of adults over 65 years of age with type 2 diabetes mellitus, regarding foot self-care.</p></div><div><h3>Method</h3><p>Qualitative phenomenological study with a descriptive approach. It is carried out in the facilities of the Primary Care Center of Les Planes de Sant Joan Despí, Barcelona, belonging to the Catalan Institute of Health. For the data collection, a semi-structured and individual interview was used, with a script of basic aspects to be explored, not closed and focused on the objectives of the research. The interviews were carried out between June 2019 and December 2020. A thematic analysis was carried out concomitantly with the collection of these.</p></div><div><h3>Results</h3><p>A final sample of 13 persons (4 men and 9 women) participated in the study. Adherence to diabetic foot self-care recommendations is irregular. Participants explain risky behaviours despite knowing that they can cause injury to feet previously considered high risk. The evaluation of the podiatrist supposes an economic cost that some people cannot afford.</p></div><div><h3>Conclusions</h3><p>The nurse has to do an exhaustive follow-up of how persons with diabetes take care of her feet, insisting on preventive recommendations not only in the annual review but every time the person attends the diabetes follow-up consultation. Effective nurse-podiatrist communication is needed to improve prevention and follow-up of people at risk of diabetic foot disease.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 223-233"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885664","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

Attitudes and counselling of healthcare professionals on increasing breast milk: cross-sectional study 医疗保健专业人员对增加母乳的态度和咨询：横断面研究

Enfermeria clinica (English Edition) Pub Date : 2023-05-01 DOI: 10.1016/j.enfcle.2023.03.002

Mine Gökduman-Keleş , Nevin Akdolun-Balkaya , Eylem Toker

{"title":"Attitudes and counselling of healthcare professionals on increasing breast milk: cross-sectional study","authors":"Mine Gökduman-Keleş , Nevin Akdolun-Balkaya , Eylem Toker","doi":"10.1016/j.enfcle.2023.03.002","DOIUrl":"10.1016/j.enfcle.2023.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the breast milk-increasing practices healthcare professionals used with their children and their recommendations to mothers.</p></div><div><h3>Method</h3><p>A descriptive cross-sectional study in a Mediterranean region of Turkey. It was carried out with 301 healthcare professionals working in 64 Family Health Centers between January and June 2018. The data were collected by the researchers with a questionnaire including 28 questions.</p></div><div><h3>Results</h3><p>The mean age of healthcare professionals was 36.89±8.5. All the healthcare professionals encountered mothers with the perception of insufficient breast milk. 73.7% of those with children had breast milk-increasing practices. Increased age negatively affected these practices (OR: 0.923), and increased education positively affected the practices (OR: 3.489). Having received training on breastfeeding and breast milk-increasing measures positively affected the use of practices (OR: 2.118). The use of breast milk-increasing practices by healthcare professionals positively affected their recommendations to mothers (OR: 2.506).</p></div><div><h3>Conclusions</h3><p>Health professionals had their own breast milk boosting practices that they recommended to women as well. This result is especially significant in terms of guiding mothers who wish to increase breast milk supply and seek reliable information and contributes to the protection of maternal and newborn health.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 3","pages":"Pages 195-204"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885666","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

Analysis of the activity of the telephone nursing consultation on demand for patients with heart failure 心衰患者按需电话护理咨询活动分析

Enfermeria clinica (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.enfcle.2022.11.003

Concepción Cruzado-Álvarez , Alejandro Isidoro Pérez-Cabeza , Ainhoa Robles-Mezcua , María Robles-Mezcua , José Manuel García-Pinilla

{"title":"Analysis of the activity of the telephone nursing consultation on demand for patients with heart failure","authors":"Concepción Cruzado-Álvarez , Alejandro Isidoro Pérez-Cabeza , Ainhoa Robles-Mezcua , María Robles-Mezcua , José Manuel García-Pinilla","doi":"10.1016/j.enfcle.2022.11.003","DOIUrl":"10.1016/j.enfcle.2022.11.003","url":null,"abstract":"<div><h3>Objective</h3><p>Analyzing the most frequent reasons for telephone demand in the heart failure nurse's consultation and to evaluate the response resolution capacity after the call.</p></div><div><h3>Method</h3><p>Descriptive, retrospective study of all telephone calls recorded between June 2020 and April 2021 in a specific nursing consultation for heart failure care. The main sociodemographic and clinical variables, reason for calling and action carried out by the nurse were extracted from the electronic medical records. For its subsequent descriptive análisis.</p></div><div><h3>Results</h3><p>643 calls were analyzed, 354 (55.1%) were made by the patients. The most frequent reason for calling was to consult symptoms 45.8% (<em>n</em> = 162). 71.6% (<em>n</em> = 116) of the consultations were resolved by adjusting the pharmacological treatment by telephone, 24.7% (<em>n</em> = 40) required a face-to-face visit in the nurse's consultation, 22 (13.6%) needed emergency care. 5 due to worsening heart failure. The patients who consulted for symptoms had a worse functional class (<em>p</em> = 0.007) and had been referred from hospitalization (<em>p</em> = 0.023).</p></div><div><h3>Conclusions</h3><p>The telephone consultation was shown to be useful for patients with heart failure, being mainly demanded by users who present symptoms of worsening of their disease.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 2","pages":"Pages 137-140"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279840","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: 1

Secondary school students’ knowledge and attitudes about blood donation 中学生对献血的知识和态度

Enfermeria clinica (English Edition) Pub Date : 2023-03-01 DOI: 10.1016/j.enfcle.2022.10.002

Laura Martín-Ojeda , Sara Martín-Ojeda , Claudio Alberto Rodríguez-Suárez

引用次数: 0