Enfermeria clinica (English Edition)最新文献_第4页

Impact of a mobile application-based home care nursing program on patients’ quality of life and family burden 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。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.04.002

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

{"title":"Impact of a mobile application-based home care nursing program on patients’ quality of life and family burden","authors":"Kelana Kusuma Dharma , Parellangi , Halina Rahayu , Lucky Prisandy , Alvi Roelanda , Machmud Fajri Saputro","doi":"10.1016/j.enfcle.2024.04.002","DOIUrl":"10.1016/j.enfcle.2024.04.002","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> = 0.187), but there was a significant difference in the psychological (<em>p</em> = 0.014) and environmental health (<em>p</em> = 0.021) 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> = 0.083). There was a significant difference in the post-test family burden between the two groups (<em>p</em> = 0.015).</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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 177-186"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854560","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

Nurse managers coping strategies for crisis management: qualitative systematic review 护士长的危机管理应对策略：定性系统回顾。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.04.006

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

引用次数: 0

Determinants associated with activation in patients with oral anticoagulant treatment: A cross-sectional study 与口服抗凝剂治疗患者活化相关的决定因素：一项横断面研究

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.05.002

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

{"title":"Determinants associated with activation in patients with oral anticoagulant treatment: A cross-sectional study","authors":"Alba Vall-Vargas , Mireia Constans , Núria Torà , Anna Arnau , Albert Altés , M. Ángeles de Juan Pardo","doi":"10.1016/j.enfcle.2024.05.002","DOIUrl":"10.1016/j.enfcle.2024.05.002","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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 148-160"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142825","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

Knowledge and awareness of stroke in rural and urban communities 印度尼西亚农村和城市社区对中风的了解和认识。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.04.004

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

{"title":"Knowledge and awareness of stroke in rural and urban communities","authors":"Rahmania Ambarika , Mohamed Saifulaman Mohamed Said , Novian Mahayu Adiutama , Novita Ana Anggraini , Sandeep Poddar , Bibi Florina Abdullah","doi":"10.1016/j.enfcle.2024.04.004","DOIUrl":"10.1016/j.enfcle.2024.04.004","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 (p = 0.036) and occupation (p = 0.021). 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 (p = 0.004) for knowledge and (p = 0.002) 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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 168-176"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790118","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

Humanized oncology nursing care in a person with gastric cancer: A case report 胃癌患者的人性化肿瘤护理：病例报告。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.05.004

Dayana Mondol-Hernández , Ana Laura Solano-López

{"title":"Humanized oncology nursing care in a person with gastric cancer: A case report","authors":"Dayana Mondol-Hernández , Ana Laura Solano-López","doi":"10.1016/j.enfcle.2024.05.004","DOIUrl":"10.1016/j.enfcle.2024.05.004","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 3 diagnoses 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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 224-231"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184640","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

Beliefs and conditioning factors of adherence to COVID-19 vaccination among university teachers in Nigeria 尼日利亚大学教师坚持接种 COVID-19 疫苗的信念和条件因素。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.04.005

Deborah Tolulope Esan , Moses Eterigho Emetere , Blessed Obem Oyama

引用次数: 0

Diagnosis, management and impact of painful diabetic polyneuropathy in Spain: survey of patients 西班牙疼痛性糖尿病多发性神经病变的诊断、管理和影响：患者调查。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.05.005

Ainhoa Reta-Murua , Mercedes Maderuelo-Labrador

引用次数: 0

Experiences of patients with Parkinson’s disease belonging to an association. A qualitative approach 加入协会的帕金森病患者的经历。定性方法

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.05.001

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

{"title":"Experiences of patients with Parkinson’s disease belonging to an association. A qualitative approach","authors":"Natalia Brandín-de la Cruz , Carolina Jiménez-Sánchez , Pablo Herrero , Paula Córdova-Alegre , Almudena Buesa-Estéllez , Sandra Calvo","doi":"10.1016/j.enfcle.2024.05.001","DOIUrl":"10.1016/j.enfcle.2024.05.001","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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 161-167"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130564","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

Deductive Care Methodology: Describing and testing modes of care research 演绎护理方法：描述和测试护理研究模式。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.04.001

José María Santamaría-García , Alexandra González-Aguña , Marta Fernández-Batalla , Sara Herrero-Jaén , María Lourdes Jiménez-Rodríguez , León Atilano González-Sotos

{"title":"Deductive Care Methodology: Describing and testing modes of care research","authors":"José María Santamaría-García , Alexandra González-Aguña , Marta Fernández-Batalla , Sara Herrero-Jaén , María Lourdes Jiménez-Rodríguez , León Atilano González-Sotos","doi":"10.1016/j.enfcle.2024.04.001","DOIUrl":"10.1016/j.enfcle.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><p>Define the modes of procedure of the Deductive Care Methodology (DCM) in the generation of knowledge about person's health care.</p></div><div><h3>Methodology</h3><p>Design and test of the DCM modes based on three phases: mapping of the DCM, generation of models from this methodology and testing of the models through studies in a clinical context.</p></div><div><h3>Results</h3><p>The DCM presents five levels of abstraction with three modes broken down to 16 types. The modes are: Philosophical Mode to conceptualize and obtain generalities about reality, Mathematical Mode to operate with generalities, and Physical Mode to operationally verify, validating the results and the predictive capacity of the model. This MDC allows the creation of three models: Knowledge Model about Person Care, an ontology of care, Vulnerability Model about the person and Taxonomic Triangulation Model for knowledge management. All models generate products for computational knowledge management. In addition, the models are applied in teaching and generate research with more than a hundred participations in conferences and journals, of which five impact publications (from 2008 to 2022) classified in the categories of Nursing and Informatics are analysed.</p></div><div><h3>Conclusions</h3><p>The DCM collects prior knowledge to work with certainties, evidence and applying inferences that do not depend on the number of cases or inductive designs. This research presents a formal structure of the DCM with an interdisciplinary orientation between Health Sciences and Computer Sciences.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 3","pages":"Pages 194-206"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2445147924000250/pdfft?md5=997fcf91d8b920968ed31b671d2913fd&pid=1-s2.0-S2445147924000250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713732","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}

引用次数: 0

Preliminary analysis of the healthcare data management process in Spain 对西班牙医疗数据管理流程的初步分析。

Enfermeria clinica (English Edition) Pub Date : 2024-05-01 DOI: 10.1016/j.enfcle.2024.06.003

Tíscar-González V , Cayón-De las Cuevas J

引用次数: 0