Enfermeria clinica (English Edition)最新文献

{"title":"Clinical Outcomes Associated with the use of the 8% Capsaicin Patch in Localized Neuropathic Pain: A Quasi-Experimental Study.","authors":"Cristina García-Librero, Manuel Pabón-Carrasco, Samuel Vilar-Palomo","doi":"10.1016/j.enfcle.2026.502533","DOIUrl":"https://doi.org/10.1016/j.enfcle.2026.502533","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical outcomes associated with the use of an 8% capsaicin patch on pain intensity, quality of life, and sleep quality in patients with localized neuropathic pain, and to analyze the role of nurses in its application and follow-up within a hospital chronic pain unit.</p><p><strong>Methods: </strong>A longitudinal quasi-experimental pre-post study was conducted at the Chronic Pain Unit of Virgen del Rocío University Hospital in Seville (Spain) between 2019 and 2024. A total of 110 patients were included and followed for six months. Pain intensity, quality of life, and sleep quality were assessed at multiple time points using validated instruments (Numerical Verbal Scale, EuroQol-5D, and MOS Sleep Scale). In addition, the Patient Global Impression of Improvement (PGI-I) was used to determine the Minimal Clinically Important Difference (MCID) from the patient's perspective.</p><p><strong>Results: </strong>Of 117 recruited patients, 110 completed the study (mean age 57.2 years; 58.2% women). Most presented lower limb pain (63.6%) and post-surgical neuropathy (75.5%). Significant improvements were observed in pain, quality of life, and sleep quality at both follow-up points. Clinically meaningful pain reductions (≥1.5 points at one month, ≥3 points at three months, p ≤ 0.05) were achieved. Adverse events were minimal and well tolerated.</p><p><strong>Conclusion: </strong>The use of the 8% capsaicin patch was associated with improvements in pain and related outcomes and showed a favourable safety profile. Nurses play an important role in the application, patient education, and follow-up of this intervention. Specific training in this intervention could improve care quality and patient outcomes. Further studies should assess its long-term efficacy and combination with systemic therapies.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502533"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119160","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":"Moderating role of cognitive function in the relationship between stress and stroke recurrence: A descriptive study.","authors":"Nur Aini, Luluk Erna Megawati","doi":"10.1016/j.enfcle.2026.502556","DOIUrl":"10.1016/j.enfcle.2026.502556","url":null,"abstract":"<p><strong>Objective: </strong>Psychological stress is a recognized risk factor for stroke recurrence and is common in post-stroke nursing care. Cognitive impairment may limit patients' ability to manage stress, yet its moderating role in stroke recurrence remains unclear. This study examined whether cognitive function moderates the relationship between stress and stroke recurrence among stroke survivors, with implications for nursing assessment and secondary prevention.</p><p><strong>Method: </strong>A descriptive cross-sectional study was conducted among 84 stroke survivors with recurrent stroke recruited through convenience sampling. Sample size was estimated using G*Power assuming a medium effect size (Cohen's f² = 0.15), α = 0.05, and power = 0.90. Data were collected using a sociodemographic questionnaire, the International Stress Management Association (ISMA) questionnaire, and the Mini-Mental State Examination (MMSE). Data were analyzed using IBM SPSS Statistics version 30 with the PROCESS macro (version 4.2) and 5000 bootstrap resamples.</p><p><strong>Results: </strong>Most participants had ischemic stroke (83.33%), mild cognitive impairment (35.71%), and moderate stress levels (72.62%). Psychological stress was positively associated with stroke recurrence (r = 0.240, p = 0.028), while cognitive function was negatively associated with recurrence (r = -0.270, p = 0.013). A significant interaction effect between stress and cognitive function was identified (β = -0.015, p = 0.040, 95% CI -0.029 to -0.001), indicating that better cognitive function weakened the adverse effect of stress on stroke recurrence.</p><p><strong>Conclusion: </strong>Cognitive function moderates the relationship between psychological stress and stroke recurrence. Routine assessment of stress and cognitive function may help nurses identify patients at higher risk and support targeted secondary prevention strategies.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502556"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119129","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":"The impact of blood gas sample waiting time on laboratory parameters in intensive care patients.","authors":"Havva Sert, Yusuf Aydemir, Ferhat Koc, Merve Gülbahar Eren","doi":"10.1016/j.enfcle.2026.502564","DOIUrl":"10.1016/j.enfcle.2026.502564","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the impact of blood gas sample waiting time on laboratory parameters in intensive care patients, focusing on pH-related changes.</p><p><strong>Methods: </strong>This prospective longitudinal observational study was conducted in the pulmonary diseases intensive care unit of a training and research hospital in Turkey between July 1 and November 30, 2023. A total of 81 patients were included in the study. Blood gas samples were categorized into three groups based on initial pH levels: acidosis, normal, and alkalosis. The samples were stored at 22 °C and analyzed at 0, 30, and 60 min after collection. Statistical analyses were conducted using ANOVA and the Friedman test, and effect sizes were evaluated with Eta squared and Kendall's W.</p><p><strong>Results: </strong>Significant time-dependent changes were observed in PaO₂ and SaO₂ levels in the acidosis group. In the normal pH group, significant changes occurred in pH, PaCO₂, PaO₂, SaO₂, glucose, and lactate levels. Similarly, in the alkalosis group, significant changes were detected in pH, PaCO₂, SaO₂, HCO₃, glucose, and lactate levels. These findings suggested that slower metabolic activity in acidosis samples led to limited changes, whereas earlier changes were observed in normal and alkalosis samples.</p><p><strong>Conclusions: </strong>To ensure accuracy in laboratory parameters, blood gas samples should be analyzed immediately after collection. Future studies with larger sample sizes and diverse methodologies are required to validate these findings and address the study's limitations, if unavoidable, aim for ≤30 min and document delay for interpretation.</p>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":" ","pages":"502564"},"PeriodicalIF":0.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119154","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":"Perceptions of managerial practice among Spanish nurse managers: a cross-sectional study using the E-EPTGE instrument","authors":"Estefanía Canedo,&nbsp;Paula San Martín-González,&nbsp;Natalia Quintero-Flórez,&nbsp;María Manuela Martins","doi":"10.1016/j.enfcle.2026.502417","DOIUrl":"10.1016/j.enfcle.2026.502417","url":null,"abstract":"<div><h3>Aim</h3><div>To explore Spanish nurse managers’ perceptions of their professional activities using the validated Spanish version of the Nursing Managers’ Work Perception Scale (E-EPTGE).</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive-correlational study was conducted between December 2024 and April 2025. Using non-probabilistic snowball sampling, 140 nurse managers participated via an online survey promoted by national nursing organisations. The E-EPTGE (42 items, eight dimensions) measured the frequency of managerial activities on a 4-point Likert scale. Descriptive and non-parametric statistical analyses (Mann–Whitney, Kruskal–Wallis) were performed.</div></div><div><h3>Results</h3><div>The sample was predominantly female (81.4%), aged 41–50 (45.7%), with substantial nursing experience. The E-EPTGE showed excellent internal consistency (α = .961). Mean overall item score was 3.19, reflecting frequent engagement in managerial activities. Highest-rated dimensions included Professional, Ethical and Legal Practice (M = 3.54) and Planning and Organisation (M = 3.49). The lowest-rated was Political Intervention and Advisory (M = 2.70), suggesting reduced participation in institutional governance. Significant differences were found across age and experience groups (p &lt; .05), indicating a positive correlation between maturity and perceived managerial competence.</div></div><div><h3>Conclusions</h3><div>Spanish nurse managers’ report strong involvement in ethical leadership and operational planning but show limited engagement in strategic roles. Enhancing leadership training and institutional inclusion is critical. The E-EPTGE demonstrates to be a robust tool for evaluating managerial competencies and informing evidence-based strategies for nursing leadership development.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502417"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a nursing intervention on frailty in people aged 65–75 years in primary care. A pilot clinical trial","authors":"Yolanda Rodríguez-Vieira,&nbsp;Vanesa Rojo-Amigo,&nbsp;Carmen Neri Fernández-Pombo","doi":"10.1016/j.enfcle.2026.502507","DOIUrl":"10.1016/j.enfcle.2026.502507","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse whether an intervention carried out by primary care nurses modifies the degree of frailty in people between 65 and 75 years of age.</div></div><div><h3>Methods</h3><div>Randomised, single-centre, open-label pilot study. The sample consisted of 24 patients of whom 12 were randomised to the intervention group (IG) and 12 to the control group (CG). Patients included in the IG received a nursing intervention for the management of frailty while the CG received a conventional nursing intervention not specific for the management of frailty. Both interventions were performed in a primary care clinic during a 12–15-week follow-up period. Validated lifestyle and frailty questionnaires were administered and biomedical and anthropometric data were recorded. Data were statistically treated as significant at <em>P</em> <!-->&lt;<!--> <!-->.05.</div></div><div><h3>Results</h3><div>The final sample was 11 patients for the CG and 10 patients for the IG. The IG had significantly lower frailty at the end of follow-up compared to the CG (non-frail IG 80% vs. non-frail CG 18.1%, <em>P</em> <!-->=<!--> <!-->.0041). There were no differences in biomedical measurements, anthropometric data and in the questionnaires applied, however, the IG presented full compliance with physical exercise recommendations compared to the CG (100 vs. 27.3%, <em>P</em> <!-->=<!--> <!-->.002).</div></div><div><h3>Conclusions</h3><div>The nursing intervention for the management of frailty carried out in the IG reduces the number of patients with frailty.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502507"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537579","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":"Midwife management of breastfeeding aversion response in a tandem breastfeeding context. Case report","authors":"Ester Sierra-García","doi":"10.1016/j.enfcle.2026.502526","DOIUrl":"10.1016/j.enfcle.2026.502526","url":null,"abstract":"<div><div>Breastfeeding aversion response (BAR) is a little-recognized phenomenon characterised by a sudden compulsion to remove the infant, accompanied by abrupt physical and emotional discomfort during feeding, particularly in prolonged and tandem breastfeeding due to increased physical and sensory demands. This case report describes a mother who developed BAR while tandem nursing in a context of high emotional load, fragmented sleep, and limited support. The midwife, through a series of visits, identified the triggering factors, which were related to exhaustion, overload, accumulated stress, and an increase in night-time feedings. The professional intervention included education about the phenomenon, emotional validation, promotion of self-care, and sensory- and relationship-based coping strategies, along with adjustments to the tandem breastfeeding routine and a respectful weaning process for the older child. Follow-up showed significant improvements: reduced distress, decision-making aligned with maternal values, and recovery of a positive breastfeeding experience with the younger child. The gradual weaning was successfully completed without compromising the mother-child bond. This case highlights BAR, emphasizes the importance of empathetic and multidimensional support, and underscores the need for further research to optimise its clinical management.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502526"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551691","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":"Mental health and work: the leadership of occupational health nursing in the face of changing labor paradigms","authors":"Javier González-Caballero,&nbsp;José Ramón Sánchez-Isla","doi":"10.1016/j.enfcle.2026.502531","DOIUrl":"10.1016/j.enfcle.2026.502531","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502531"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563965","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":"Impact of unilateral cochlear implants on health, functionality, and quality of life in people over 60 years of age","authors":"Beatriz Tena-García,&nbsp;Sergio Barrientos-Trigo,&nbsp;Francisco Ropero Romero,&nbsp;Ana Lara Delgado,&nbsp;Serafín Sánchez-Gómez","doi":"10.1016/j.enfcle.2026.502483","DOIUrl":"10.1016/j.enfcle.2026.502483","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of unilateral cochlear implantation (CI) on quality of life and audiological, functional and psycho-emotional outcomes in a cohort of individuals aged 60 years or older, and to identify predictors of these outcomes.</div></div><div><h3>Methods</h3><div>A single-center, retrospective observational cohort study was conducted. The primary endpoint was the change in health-related quality of life, measured by the Health Utilities Index-Mark 3 (HUI-3). Audiological outcomes, quality of life (GBI, NCIQ, HISQUI-19), functionality (IADL, Barthel), and psycho-emotional status (GDS-15, DJGLS, DAS) were cross-sectionally assessed using validated instruments. Multivariate linear regression models were used to identify predictors.</div></div><div><h3>Results</h3><div>From a target population of 278 individuals, a final sample of 71 was included (31.1% participation rate). The intervention yielded statistically significant and clinically relevant improvements in the primary endpoint of quality of life (mean HUI-3 gain: 0.14; <em>p</em> &lt; 0.001) and in audiological outcomes (mean PTA gain: 63.6 dB; <em>p</em> &lt; 0.001 and in intelligibility: 53%; <em>p</em> = 0.033). Regression analyses identified that higher perceived sound quality (HISQUI-19) was associated with higher HUI-3, higher apathy (DAS) with lower GBI, and greater functional independence (Barthel) with better PTA.</div></div><div><h3>Conclusions</h3><div>Unilateral CI is highly effective in older adults, but the perceived benefit is strongly modulated by psycho-emotional factors and the subjective experience of sound, beyond objective audiological gain. Apathy and poor perceived sound quality emerge as key barriers to success. A nursing care model that systematically integrates psycho-emotional assessment and expectation management into the preoperative phase is needed to maximize the benefits of this technology.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502483"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551605","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":"Experiences of families of surviving patients in critical care units: A grounded theory analysis","authors":"Yulieth María Zabaleta Polo,&nbsp;Angela María Henao-Castaño","doi":"10.1016/j.enfcle.2026.502488","DOIUrl":"10.1016/j.enfcle.2026.502488","url":null,"abstract":"<div><h3>Introduction</h3><div>Being a family member of a critically ill survivor often involves a process of familial and physical changes during recovery and rehabilitation at home.</div></div><div><h3>Objective</h3><div>Understanding the experiences of families of patients discharged from the intensive care unit.</div></div><div><h3>Method</h3><div>A qualitative study using grounded theory, the constructivist approach of Kathy Charmaz. Data collection was conducted through in-depth interviews and journals written by fourteen family members during hospitalization and ninety days after discharge from critical care. Data analysis used clustering, focused coding, and selective coding.</div></div><div><h3>Results</h3><div>The participants were 14, spouses and children, ages 23–68 years. The central category included experiencing positive and negative emotions and physical changes and experiencing different emotions during the recovery process at home.</div></div><div><h3>Conclusion</h3><div>After discharge, different situations also make the family's experience variable, with positive and negative emotions. These emotions always depended on the patient's clinical condition or the recovery process and limitations on basic needs, such as eating and sleeping, manifesting as physical changes related to weight loss.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502488"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537449","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":"Interobserver concordance in simulated vignettes using the Manchester Triage System in emergency departments in Asturias","authors":"Víctor Cabrera,&nbsp;Pablo Avanzas,&nbsp;Graciela Álvarez-Cuervo,&nbsp;Tatiana Cuartas-Álvarez,&nbsp;Rafael Castro-Delgado","doi":"10.1016/j.enfcle.2026.502449","DOIUrl":"10.1016/j.enfcle.2026.502449","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the inter-observer concordance of the Manchester Triage System (MTS) through clinical vignettes among emergency nurses in Asturias, Spain.</div></div><div><h3>Method</h3><div>Prospective multicenter study in seven emergency departments using questionnaires containing 40 simulated triage cases based on real cases. Interobserver agreement was calculated, as well as the level of accuracy (correctness) and the level of inaccuracy in triage (over- and under-triage).</div></div><div><h3>Results</h3><div>A total of 100 nurses participated in the study (median age: 39.1 years). Substantial inter-observer agreement was observed (κ = 0.681; 95% CI 0.614−0.759; <em>P</em> &lt; .001). The median number of correctly triaged vignettes was 30 (SD = 3.93). A positive correlation was found between accuracy and MTS experience was r = 0.250; <em>P</em> = .012. Among the 4000 vignettes evaluated, 403 (10.1%) were undertriage, while overtriage occurred in 253 vignettes (6.3%). Sensitivity was 83.7% and specificity was 94.8%, with undertriage (10%) was more frequent than overtriage (6%).</div></div><div><h3>Conclusion</h3><div>The study demonstrated substantial inter-observer agreement among emergency nurses in seven hospitals using the MTS, with an overall accuracy of 80%. Triage accuracy has a slight correlation with increased years of experience.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"36 5","pages":"Article 502449"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551627","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}