Enfermeria clinica (English Edition)最新文献

{"title":"Looking to the future of Advanced Practice Nursing in Spain","authors":"Alfredo Serrano Ruiz","doi":"10.1016/j.enfcle.2024.04.009","DOIUrl":"https://doi.org/10.1016/j.enfcle.2024.04.009","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 2","pages":"Pages 77-81"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823311","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":"Approach to the care process by nurse case managers in a breast unit","authors":"María Isabel López-Pérez ,&nbsp;Alonso Molina-Rodríguez ,&nbsp;Francisco David Harillo-Acevedo ,&nbsp;Ascensión Guillén-Martínez ,&nbsp;María Patricia Palacio-Gaviria","doi":"10.1016/j.enfcle.2024.03.004","DOIUrl":"10.1016/j.enfcle.2024.03.004","url":null,"abstract":"<div><h3>Objective</h3><p>Breast units led by nurse case managers are being implemented to provide comprehensive care in the detection and treatment of breast cancer. However, their implementation is heterogeneous and the results of the care process with this professional have not been studied. The aim of the study is to describe the management in time and the approach of the process by a nurse case manager in the breast unit of women with suspected breast cancer pathology, derived from the breast cancer screening program.</p></div><div><h3>Methods</h3><p>Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed</p></div><div><h3>Results</h3><p>A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45).</p></div><div><h3>Conclusions</h3><p>The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 2","pages":"Pages 90-95"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133375","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":"Hand Hygiene strategy in a hospital in Madrid. A decade of evolution","authors":"Carmen Ruiz-Castro ,&nbsp;Pilar Querencias-García ,&nbsp;Claudia Ruiz-Huerta-García de Viedma","doi":"10.1016/j.enfcle.2024.03.001","DOIUrl":"10.1016/j.enfcle.2024.03.001","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 2","pages":"Pages 142-143"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133377","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":"Cost-effectiveness and cost-utility study of a psychoeducational group intervention for people with depression and physical comorbidity in primary care","authors":"Antonia Raya-Tena ,&nbsp;María Isabel Fernández-San-Martín ,&nbsp;Jaume Martín-Royo ,&nbsp;Marc Casajuana-Closas ,&nbsp;María Francisca Jiménez-Herrera","doi":"10.1016/j.enfcle.2024.03.005","DOIUrl":"10.1016/j.enfcle.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the cost-effectiveness and cost-utility of a psychoeducational group intervention led by primary care (PC) nurses in relation to customary care to prevent the depression and improve quality of life in patients with physical comorbidity.</p></div><div><h3>Design</h3><p>Economic evaluation based on data from randomized, multicenter clinical trial with blind response variables and a one-year follow-up, carried in the context of the PSICODEP study.</p></div><div><h3>Location</h3><p>7 PC teams from Catalonia.</p></div><div><h3>Participants</h3><p>&gt;50 year-old patients with depression and some physical comorbidity: diabetes mellitus type 2, ischemic heart disease, chronic obstructive pulmonary disease, and/or asthma.</p></div><div><h3>Intervention</h3><p>12 psychoeducational group sessions, 1 per week, led by 2 PC nurses with prior training.</p></div><div><h3>Measurements</h3><p><em>Effectiveness:</em> depression-free days (DFD) calculated from the BDI-II and quality-adjusted life years (QALYs) from the Euroqol-5D. <em>Direct costs:</em> PC visits, mental health, emergencies and hospitalizations, drugs. <em>Indirect costs:</em> days of temporary disability (TD). The incremental cost-effectiveness ratios (ICER), cost-effectiveness (ΔCost/ΔDLD) and cost-utility (ΔCost/ΔQALY) were estimated.</p></div><div><h3>Results</h3><p>The study includes 380 patients (intervention group [IG] = 204; control group [CG] = 176). 81.6% women; mean age 68.4 (SD = 8.8). The IG had a higher mean cost of visits, less of hospitalizations and less TD than the CG. The difference in costs between the IG and the CG was −357.95€ (95% CI: −2026.96 to 1311.06) at one year of follow-up. There was a mean of 11.95 (95% CI: −15.98 to 39.88) more DFD in the IG than in the CG. QALYs were similar (difference −0.01, 95% CI −0.04 to 0.05). The ICERs were 29.95€/DLD and 35,795€/QALY.</p></div><div><h3>Conclusions</h3><p>Psychoeducational intervention is associated with an improvement in DFD, as well as a reduction in costs at 12 months, although not significantly. QALYs were very similar between groups.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 2","pages":"Pages 108-119"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178056","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":"Evidence of the acupuncture points stimulation for the treatment of hypogalactia: A systematic review and meta-analysis","authors":"Mario Alberto Bautista-Hernández ,&nbsp;Liliana Argueta-Figueroa ,&nbsp;Daniel Cuauhtémoc Gómez-Jiménez ,&nbsp;Rafael Torres-Rosas","doi":"10.1016/j.enfcle.2024.01.002","DOIUrl":"10.1016/j.enfcle.2024.01.002","url":null,"abstract":"<div><h3>Objective</h3><p>To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity.</p></div><div><h3>Method</h3><p>Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews<span><span> and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, </span>electroacupuncture<span>, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis.</span></span></p></div><div><h3>Results</h3><p>A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI = 1.63 [1.13–2.13]; <em>p</em> &lt; 0.0001).</p></div><div><h3>Conclusion</h3><p>The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 61-73"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378848","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":"Evaluation of a group intervention based on Mindfulness in patients with anxiety and depression cared for in mental health community center: a quasy-experimental study","authors":"Clara Fort-Rocamora ,&nbsp;Rocío Casañas ,&nbsp;Ana Torres-Torres ,&nbsp;Laia Mas-Expósito ,&nbsp;Maria González ,&nbsp;M. Teresa Carbonero-Judez","doi":"10.1016/j.enfcle.2023.11.004","DOIUrl":"10.1016/j.enfcle.2023.11.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>To evaluate the effectiveness a group intervention based on Mindfulness </span>in patients<span> with anxiety and depression treated in a community mental health center. Secondarily, evaluate quality of life and adherence to the intervention.</span></p></div><div><h3>Methods</h3><p>Quasi-experimental study with evaluations pre-post intervention in people over 18 years of age treated at the Les Corts Adult Mental Health Center (AMHC), Barcelona, between March 2015 and December 2019.</p></div><div><h3>Inclusion criteria</h3><p>(1) anxiety symptoms (Hamilton Anxiety Rating Scale &gt;10 points); (2) sign informed consent. Variables collected: (1) anxiety; (2) depression (Beck Depression Inventory); (3) quality of life (EuroQoL) and (4) adherence to the intervention. The intervention (9 weekly sessions; 75<!--> <!-->min) was carried out by two nurses. Each group consisted of 10–15 patients.</p></div><div><h3>Results</h3><p>128 patients were included, of which 103 were women with a mean age of 52.23 years (SD 12.78). Comparisons pre and post measures, its showed improvements in relation to anxiety, depressive symptoms and general quality of life (p<!--> <!-->&lt;<!--> <!-->0.001) and in its dimensions of anxiety-depression (p<!--> <!-->=<!--> <!-->0.003). The mean number of sessions attended was 6.17 (SD 2.31), and they were statistically significant and positively correlated with an improvement in anxiety (p<!--> <!-->&lt;<!--> <!-->0.001) and depressive symptoms (EQ-5D) (p<!--> <!-->=<!--> <!-->0.021). There were no differences between age groups.</p></div><div><h3>Conclusion</h3><p>The group intervention based on Mindfulness improves anxiety and depressive symptoms, as well as the quality of life. This improvement in the symptomatology is associated to greater adherence to the intervention.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 14-22"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466939","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 importance of the patient safety culture in the clinical field","authors":"Claudia Patricia Cañadas-Aragón","doi":"10.1016/j.enfcle.2023.11.003","DOIUrl":"10.1016/j.enfcle.2023.11.003","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 75-76"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433278","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":"Precision nursing and personalized care","authors":"Víctor Manuel González Chordá","doi":"10.1016/j.enfcle.2023.11.002","DOIUrl":"10.1016/j.enfcle.2023.11.002","url":null,"abstract":"","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433273","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":"Web 2.0 as a new support for breastfeeding: Perception of mothers and professionals through a qualitative approach","authors":"Ana Isabel Díaz-Cano ,&nbsp;Ana Esplugues-Cebrián","doi":"10.1016/j.enfcle.2023.11.001","DOIUrl":"10.1016/j.enfcle.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this paper is to explore the influence of Web 2.0 as a complementary support network to traditional networks for the promotion of breastfeeding (BF).</p></div><div><h3>Method</h3><p>Qualitative and exploratory study carried out from September 8 to December 31, 2022, at the Las Vegas Health Centre (Corvera), Health Service of the Principality of Asturias (SESPA). The participants were 5 professional experts in BF and 7 breastfeeding mothers, who made up two focus groups, selected by convenience sampling. The analysis consisted of transcription of data, in-depth reading, analysis by grouping concepts and classification of the information into categories.</p></div><div><h3>Results</h3><p>After the final analysis, seven categories were identified, organised according to the proximity of the topic and the proposed objective, based on the most significant discourses of the study: difficulties during BF, importance of receiving help: first support networks, other support networks, A health system with deficiencies, pandemic and BF 2.0, Health 2.0 and apps in BF: new form of support and characteristics of an “ideal” app on BF.</p></div><div><h3>Conclusions</h3><p>Web 2.0 has revolutionised the way mothers access information and support on BF, creating an online support network connecting mothers and professionals around the world, providing up-to-date information and enabling a source of emotional support through the creation of peer groups.</p><p>This positive influence of Web 2.0 has had a significant impact on promoting BF and empowering mothers to make informed decisions about their breastfeeding process.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 34-48"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138625228","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":"Anxiety and depression in pregnancy: associated variables during the COVID-19 pandemic period","authors":"Carmen Paz-Pascual ,&nbsp;Isabel Artieta-Pinedo ,&nbsp;Paola Bully ,&nbsp;Arturo Garcia-Alvarez ,&nbsp;Maite Espinosa ,&nbsp;ema.Q Group","doi":"10.1016/j.enfcle.2024.01.003","DOIUrl":"10.1016/j.enfcle.2024.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the association between age, parity, nationality, educational level, employment and partner support with depression and anxiety during pregnancy. To determine the impact of the evolution of the COVID-19 pandemic on the anxiety and depression levels of the participants.</p></div><div><h3>Method</h3><p>Cross-sectional descriptive correlational study carried out in the Osakidetza/Basque Health Service, Primary Care, Bizkaia (Spain). A total of 295 pregnant women between 8 and 41 weeks participated. The association between age, parity, nationality, educational level, employment, partner support and COVID-19 incidence rates during the study period and depression (measured with the Edinburgh Postnatal Depression Scale) and anxiety (measured with the State-Anxiety Inventory/STAI-S subscale) scores during pregnancy was measured. A logistic regression model was constructed and odds ratios and their 95% confidence intervals were estimated.</p></div><div><h3>Results</h3><p>The mean score was 18.75 points for anxiety (SD<!--> <!-->=<!--> <!-->8.69) and 6.45 points for depression (SD<!--> <!-->=<!--> <!-->4.32). Women expecting their second or later child had higher scores for depression (OR 2.51[95%IC: 1.26–5.01)) and anxiety (OR 1.98 [95%IC: 1.01–3.89]). Having completed university studies was associated with lower scores in depression (OR 0.28 [95%IC: 0.11−0.77]) and in anxiety (OR 0,2 [95%IC: 0.08−0.54]). A good relationship with the partner was associated with lower levels of anxiety (OR 0.45 [95%IC: 0.24−0.81]). The mean anxiety and depression scores are related to the incidence of COVID-19 cases; the anxiety score was significantly higher in periods of higher incidence.</p></div><div><h3>Conclusions</h3><p>Greater emotional care for pregnant women with low educational level, multiparous and with weak support from their partner, would reduce anxiety and depression in pregnancy. Health emergency situations affect mental health during gestation.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 23-33"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2445147924000158/pdfft?md5=2aa0fd8984c8e5c17fbf79ec3bc69dc2&pid=1-s2.0-S2445147924000158-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473147","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}