Enfermeria intensiva最新文献

{"title":"Effect of a music therapy intervention on the mood of the critically ill patient","authors":"M. del Mar Vega Castosa MSN,&nbsp;M. del Carmen Jover Sancho MSN, PhD,&nbsp;Joan Trujols Albet PhD","doi":"10.1016/j.enfie.2025.500549","DOIUrl":"10.1016/j.enfie.2025.500549","url":null,"abstract":"<div><h3>Introduction</h3><div>The critically ill patient is in a state of fragility, helplessness, and vulnerability that hinders the communication of their emotions and feelings. Music therapy could be a valid tool to improve mood. The main objective was to evaluate the effect on mood of an individualised music therapy intervention compared to standard care and analyze the impact on pain and hemodynamic variables.</div></div><div><h3>Methodology</h3><div>randomised, parallel, and open clinical trial. Patients were randomised into the experimental group, receiving combined music therapy and standard care, or the control group, receiving standard care only. The study population consisted of patients admitted to the Intensive Care Unit with a Glasgow 15−11 T score, excluding those with confusion, agitation, and significant cognitive deficits. The primary variable was mood, assessed using the Profile of Mood States questionnaire. Secondary variables included pain, heart rate, blood pressure, respiratory rate, and oxygen saturation.</div></div><div><h3>Results</h3><div>A total of 151 patients were included, randomly distributed into the EG (n = 75) and CG (n = 76). Mood improvement was significant in all 6 subscales of the POMS, in the time effect between pre- and post-intervention assessment, and in the time effect by group interaction for Anger (p = 0.020), Fatigue (p = 0.002), Vigor (p = 0.029), and Tension (p = 0.042), indicating that the improvement was related to the music therapy intervention in the EG. Following the music therapy intervention, a decrease in pain (p = 0.024) and heart rate (p = 0.017) was observed in the time effect, and an increase in systolic blood pressure (p = 0.004) was related to the music therapy intervention.</div></div><div><h3>Discussion</h3><div>This clinical trial demonstrates that music therapy, with a personalised music intervention, has a positive effect on the mood of critically ill patients. Further lines of research are needed to continue advancing scientific knowledge and develop news forms of assistance to improve mood.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500549"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144549399","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":"Descriptive study on nurses' coping with the death of a pediatric patient","authors":"Leire Legorburu Brezmes RN","doi":"10.1016/j.enfie.2025.500547","DOIUrl":"10.1016/j.enfie.2025.500547","url":null,"abstract":"<div><h3>Introduction</h3><div>According to several studies, nurses feel that they are not prepared to face the death of a patient, especially when the patient is paediatric.</div></div><div><h3>Objective</h3><div>To describe the level of coping of nurses in various departments of a paediatric monographic hospital when faced with the death of a patient.</div></div><div><h3>Methods</h3><div>A quantitative, descriptive, cross-sectional, observational, case series study was carried out from February to April 2024 with nurses from the paediatric palliative care, the paediatric intensive care unit and the paediatric oncohematology unit of a monographic paediatric hospital in the Community of Madrid. Several sociodemographic variables were determined and the Bugen Death Coping Scale was used as the main instrument, followed by a descriptive analysis of the data.</div></div><div><h3>Results</h3><div>In the present study, 69% had neutral coping with death, 19 % had optimal coping and 11.9% had inadequate coping. It has been observed that nurses who work in paediatric palliative care, have a fixed shift, have suffered the death of a family member in the last three years and have previous training, have a better coping with death. Likewise, it could be seen that older age and greater work experience, male sex and having children may be factors that favor optimal coping in the face of death.</div></div><div><h3>Conclusions</h3><div>Knowing these data helps to establish strategies for improvement, since it has been seen that greater preparation of professionals decreases anxiety in the face of death and improves patient care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500547"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330521","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":"Relationship between the use of the backboard and the quality of chest compressions","authors":"Ana María Ezquerra-García RN ,&nbsp;María de la O. Casamayor-Lerena RN","doi":"10.1016/j.enfie.2025.500542","DOIUrl":"10.1016/j.enfie.2025.500542","url":null,"abstract":"<div><div>The effectiveness of the backboard in cardiopulmonary resuscitation (CPR) has not been established although it is recommended to perform compressions on a firm surface.</div></div><div><h3>Objectives</h3><div>To determine the relationship between the use of the backboard and the depth of chest compressions (CC). To know the preference of rescuers when performing CC without or with backboard.</div></div><div><h3>Methodology</h3><div>Single-blind, experimental study with paired data. All staff of healthcare workers in the Intensive Care Unit (ICU) performed two one-minute simulations of uninterrupted CC, one without and one with a backboard. The quality of the CC was valued: Rate, depth, complete chest release and compression, performed with and without backboard. The placement of the backboard was simply randomised at the first measurement. The subjects were unaware of the difference between the two scenarios. Participation was voluntary. Two analyses were performed with paired Student’s t-test: one analysing the order of measurement and the other in relation to the presence or absence of the backboard.</div></div><div><h3>Results</h3><div>Seventy-one workers (87.6%) of the staff participated. The presence of the backboard was associated with an increase in the average depth (47.99 mm vs 48.99 mm) <em>P</em> = .008 and the percentage of compression &gt; 50 mm (63.65 vs 76.17) <em>P</em> = .002. When analysing the simulation order, an increase in the frequency of CC was observed in the second measurement (131.14 vs 135.03) P = .009. Participants had no preference between the two simulations (<em>P</em> = .749).</div></div><div><h3>Conclusions</h3><div>The backboard as a hard plane increases the mean depth and percentage of chest compression during CPR on hospital mattress without affecting complete chest release or rate. The rescuers do not perceive the presence of the backboard, and there is not preference in its execution without or with a backboard.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500542"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291556","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":"Allergic myocardial infarction due to bee sting","authors":"Beatriz Gómez-Martín RN, MSN","doi":"10.1016/j.enfie.2025.500550","DOIUrl":"10.1016/j.enfie.2025.500550","url":null,"abstract":"<div><h3>Introduction and case presentation</h3><div>Kounis Syndrome is the association of acute coronary syndrome (ACS) in the context of a hypersensitivity reaction whose prevalence is difficult to identify and its etiology is multifactorial, which makes its early detection difficult. The unusual case of a woman who suffers an acute myocardial infarction (AMI) with cardiorespiratory arrest (CPA) secondary to the accidental sting of a bee is presented. The objective is, regarding the case, to define the nursing interventions and the individualised care plan.</div></div><div><h3>Assessment</h3><div>Based on Virginia Henderson's care model, the assessment of the nursing care process was carried out.</div></div><div><h3>Diagnosis and planning</h3><div>According to the NANDA taxonomy, the nursing diagnoses and potential problems that developed during their stay in the unit were described. Standardized language was used establishing NOC objectives and NIC interventions.</div></div><div><h3>Discussion and conclusions</h3><div>The combination of both pathologies in a single entity can make the management of this syndrome in the acute phase difficult, which modifies the conventional scenario of a PCR. Defining a standardised care plan is a fundamental axis to provide optimal quality of care based on evidence in the absence of standardised algorithms in the literature.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500550"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280859","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":"Incidence of adverse events in patients undergoing continuous renal replacement therapy anticoagulated with sodium citrate","authors":"Juan Carlos Muñoz-Camargo RN, MSc, PhD,&nbsp;Inmaculada Vázquez-Rodríguez-Barbero RN,&nbsp;Alicia Muñoz-Torrero-Peña RN,&nbsp;Amadeo Puebla-Martín RN","doi":"10.1016/j.enfie.2025.500544","DOIUrl":"10.1016/j.enfie.2025.500544","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute kidney injury (AKI) is a frequent complication in Intensive Care Unit (ICU) patients with high morbidity and mortality.</div></div><div><h3>Objective</h3><div>To analyze the incidence of mechanical and metabolic adverse events associated with continuous renal replacement therapy using sodium citrate as a regional anticoagulant.</div></div><div><h3>Material and methods</h3><div>Observational, descriptive and prospective study performed in a polyvalent ICU during three years. Patients with AKI treated with renal replacement therapy and sodium citrate (Prismocitrate 18/0 mmol/L [0.5%]) were included. Patients with liver failure, active bleeding, severe thrombocytopenia, ICU stay of less than 24 h or treated with other anticoagulants were excluded. Demographic variables, severity index (APACHE II), vasoactive drug use, adverse events, and catheter characteristics were recorded. Anticoagulation efficacy was assessed with filter duration. Statistical analysis was performed with SPSS v.28.0, with <em>P</em> &lt; .05 as the significance level. The study was approved by the ethics committee and informed consent was obtained from the patients or their relatives.</div></div><div><h3>Results</h3><div>We studied 100 patients, 62% men, with a mean age of 63 ± 14.5 years. The main causes of AKI were septic shock, hemorrhagic shock and Covid-19. The median ICU stay was 16 days (RIC 8–43), with intra-ICU mortality of 48%. Therapy lasted a median of 60.5 h (RIC 38–107). Only one patient presented bleeding, and in 26% the filter coagulated. There were no cases of citrate toxicity. Electrolyte complications included hypocalcemia (45%), hypokalemia (41%), hyponatremia (36%) and metabolic acidosis (30%).</div></div><div><h3>Conclusions</h3><div>Mechanical and metabolic complications are common in continuous renal replacement therapies with sodium citrate. It is essential for ICU staff to be aware of their high prevalence in order to optimize clinical management.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500544"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280858","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 effectiveness of family accompaniment and environmental measures to reduce the incidence of delirium incidence in an acute cardiovascular unit: A quasi-experimental study. It is possible to reduce delirium without using drugs, and it is better","authors":"Luis Guerra-Sánchez PhD ,&nbsp;Sara González-Alfonso RN ,&nbsp;Pablo Lerma-Lara RN ,&nbsp;Miguel Bernardino-Santos RN ,&nbsp;Rosario Cortijo-González RN ,&nbsp;Soraya Bustamante-González RN","doi":"10.1016/j.enfie.2025.500546","DOIUrl":"10.1016/j.enfie.2025.500546","url":null,"abstract":"<div><h3>Introduction</h3><div>The occurrence of delirium casts a shadow over the prognosis of patients, especially the critically ill. Prevention and treatment of delirium is more effective and with fewer adverse effects with multicomponent interventions than with pharmacological measures alone. The objective was to assess whether a non-pharmacological care-related intervention can reduce the incidence of delirium in an acute cardiovascular care unit.</div></div><div><h3>Methods</h3><div>Quasi-experimental study (before/after). ‘Before’: From November 2018 to March 2019, 190 patients aged 18 years and older, admitted to an acute cardiovascular care unit, were assessed using the Confusion Assessment Method for the ICU. From April to November 2019, a series of actions related to the physical environment and accompaniment were implemented. The ‘after’ started in November 2019 and 189 patients were assessed until early March 2020.</div></div><div><h3>Results</h3><div>The incidence of delirium before introducing the actions was 11,6%, which fell to 4,2% (<em>P</em> = ,012) after the actions.</div></div><div><h3>Discussion</h3><div>Management of delirium includes effective diagnosis, delirium prevention activities and treatment, which ideally should be free of side effects.</div></div><div><h3>Conclusions</h3><div>The implementation of a bundle of measures related to environmental changes and involving the family, significantly reduced the incidence of delirium, to less than half.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500546"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280857","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":"Intensive care and inpatient nurse’s intention to leave the profession. Association with psychologicosocial variables","authors":"Fernanda Gil-Almagro MSN, PhD ,&nbsp;Fernando J. García-Hedrera PhD ,&nbsp;F. Javier Carmona-Monge PhD ,&nbsp;Cecilia Peñacoba-Puente PhD","doi":"10.1016/j.enfie.2025.500524","DOIUrl":"10.1016/j.enfie.2025.500524","url":null,"abstract":"<div><h3>Introduction</h3><div>The intention to leave the health profession has been studied as one of the consequences of the work and emotional overload experienced by nurses during the pandemic. However, few studies have focused on ICU nurses. The studies on intention to leave the profession focus on working conditions and symptomatology, without analyzing the personal characteristics involved.</div></div><div><h3>Objective</h3><div>To explore the evolution of the intention to leave the profession in ICU nurses (with respect to hospitalization nurses). In addition, to analyse the possible differences in anxiety, burnout and psychosocial variables (self-efficacy, resilience, cognitive fusion) between nurses who intend to quit and those who do not.</div></div><div><h3>Method</h3><div>Observational, descriptive, longitudinal, prospective study with three data collection periods. Non-probabilistic convenience sampling was performed.</div></div><div><h3>Results</h3><div>Six months after the end of the confinement period in Spain, higher dropout percentages were observed in ICU (49.2%) than in hospitalization (33.3%) (<em>p</em> = .07). One year later, the percentages of intention to leave tend to be equal (50.8% in ICU and 43.9% in hospitalization) (<em>p</em> = .438). With respect to the differential profile of ICU nurses who intend to leave the profession (compared to those who do not), higher scores were observed in anxiety (<em>p</em> = .037), emotional exhaustion (<em>p</em> &lt; .001), decreased personal fulfilment (<em>p</em> = .031) and cognitive fusion (<em>p</em> = .023).</div></div><div><h3>Conclusion</h3><div>A high percentage of ICU nurses show intention to leave the profession, and associations were found with the anxiety experienced at the beginning of the pandemic, with high emotional exhaustion and low personal fulfilment. It is important to highlight in our study the relationship between intention to leave the profession and personal variables such as cognitive fusion.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500524"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769150","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":"Development and psychometric validation of the Behavioral Indicators of Pain Scale-Brain Injury (ESCID-DC) for pain assessment in critically ill patients with acquired brain injury, unable to self-report and with artificial airway","authors":"Candelas López-López ,&nbsp;Gemma Robleda-Font ,&nbsp;Antonio Arranz-Esteban ,&nbsp;Teresa Pérez-Pérez ,&nbsp;Montserrat Solís-Muñoz ,&nbsp;María Carmen Sarabia-Cobo ,&nbsp;María Jesús Frade-Mera ,&nbsp;Susana Temprano-Vázquez ,&nbsp;Francisco Paredes-Garza ,&nbsp;Aaron Castanera-Duro ,&nbsp;Mónica Bragado-León ,&nbsp;Emilia Romero de-San-Pío ,&nbsp;Isabel Gil-Saaf ,&nbsp;David Alonso-Crespo ,&nbsp;Carolina Rojas-Ballines ,&nbsp;Ignacio Latorre-Marco ,&nbsp;Grupo ESCID-DC","doi":"10.1016/j.enfie.2025.500523","DOIUrl":"10.1016/j.enfie.2025.500523","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to develop and validate the adaptation of the behavioural indicators of pain scale (ESCID) for patients with acquired brain injury (ESCID-DC), unable to self-report and with artificial airway.</div></div><div><h3>Methods</h3><div>Multicenter study conducted in 2 phases: scale development and evaluation of psychometric properties. Two blinded observers simultaneously assessed pain behaviours with two scales: ESCID-DC and Nociception Coma Scale-Revised version-adapted for Intubated patients (NCS-R-I). Assessments were performed at 3 time points: 5 min before, during and 15 min after the application of the painfull procedures (tracheal suction and application of pressure to the right and left nail bed) and a non-painful procedure (rubbing with gauze). On the day of measurement, the Glasgow Coma Score (GCS) and the Richmond Agitation Sedation Scale (RASS) were evaluated. A descriptive and psychometric analysis was performed.</div></div><div><h3>Results</h3><div>A total of 4152 pain evaluations were performed in 346 patients, 70% men with a mean age of 56 years (SD = 16.4). The most frequent etiologies of brain damage were vascular 155 (44.8%) and traumatic 144 (41.6%). The median GCS and RASS on the day of evaluation were 8.50 (IQR = 7 to 9) and −2 (RIQ = −3 to −2) respectively. In ESCID-DC the median score was 6 (IQR = 4 to 7) during suction, 3 (RIQ = 1 to 4) for right pressure and 3 (RIQ = 1 to 5) for left pressure. During the non-painful procedure it was 0. The ESCID-DC showed a high discrimination capacity between painful and non-painful procedures (AUC &gt; 0.83) and is sensitive to change depending on the time of application of the scale. High interobserver agreement (Kappa &gt; 0.87), good internal consistency during procedures (α-Cronbach≥0.80) and a high correlation between the ESCID-DC and the NCS-R-I (<em>r</em> ≥ 0.75) were obtained.</div></div><div><h3>Conclusions</h3><div>The results of this study demonstrate that the ESCID-DC is a valid and reliable tool for assessing pain in patients with acquired brain injury, unable to self-report and with artificial airway.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500523"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828265","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":"Rapid response system and continuity of nursing care programme for the prevention of post-ICU syndrome","authors":"Gemma Leiva-Aguado RN, MSc ,&nbsp;Maria Isabel Calleja-Serrano RN ,&nbsp;Mara del Carmen Cuenca-Soriano RN ,&nbsp;Faustino Álvarez-Cebrián MD, PhD ,&nbsp;Álvaro Castellanos-Ortega MD, PhD","doi":"10.1016/j.enfie.2025.500543","DOIUrl":"10.1016/j.enfie.2025.500543","url":null,"abstract":"<div><div>The clinical deterioration of patients admitted to hospital wards, characterised by physiological abnormalities, can be predicted 6–24 h in advance and often depends on the nurse's ability to detect it early. In addition, advances in the treatment and care of the critically ill patient have increased survival after discharge from the intensive care unit (ICU). This, together with increased severity, frailty, prolonged stays and special treatment needs, means that ICU survivors may have physical weakness and mental and/or cognitive impairment that persists over time. In this context, it is necessary to provide personalised care that guarantees the continuity of nursing care in the different care settings through which patients and their families pass.</div><div>For all these reasons, a continuity of care nursing consultation was designed and implemented in conjunction with a surveillance system on all hospital wards and nurse monitoring for the prevention of post-acute syndrome after discharge from a critical care unit.</div><div>More than 665 adult inpatient beds are currently under surveillance. In the study period from February 2023 to January 2024, of the 2126 patients discharged from the critical care unit, 87 were in post-ICU follow-up, 55 in full follow-up and 32 in partial follow-up.</div><div>The implementation of a surveillance system, monitoring in the continuity of nursing care throughout the disease and during the recovery phases, at the different levels of care (critical care, hospitalisation, primary care), can prevent and/or minimise the physical, psychological and cognitive alterations of the post-ICU syndrome and can contribute to the recovery of the quality of life of patients and their families.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500543"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089482","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":"Nursing diagnoses for patients hospitalized with COVID-19 in critical care units in Brazil: A cross-sectional study","authors":"Giovanna Maria de Lima-Medeiros RN ,&nbsp;Caio Rodrigo Menezes-dos-Santos RN ,&nbsp;Thiago de Jesus-Santos MSN ,&nbsp;Edilza Fraga-Santos RN ,&nbsp;Andreia Centenaro-Vaez PhD ,&nbsp;Fernanda Gomes de Magalhães Soares-Pinheiro PhD ,&nbsp;Damião da Conceição-Araújo PhD","doi":"10.1016/j.enfie.2025.500541","DOIUrl":"10.1016/j.enfie.2025.500541","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic had a significant global impact, particularly on patients hospitalized in critical care units. Studies addressing nursing diagnoses in the context of the pandemic are essential to strengthen the evidence and contribute to the development of clinical practice.</div></div><div><h3>Objective</h3><div>Analyze the prevalence of nursing diagnoses in hospitalizations of critically ill adult patients with COVID-19 in northeastern Brazil.</div></div><div><h3>Method</h3><div>This is a cross-sectional study conducted in a university hospital in northeastern Brazil. The sample included 117 hospitalizations between 2020 and 2021. Data were retrospectively collected from electronic medical records and analyzed using absolute frequencies, percentages, and bivariate and multivariate analyses.</div></div><div><h3>Results</h3><div>The results revealed a predominance of nursing diagnoses such as risk for falls in adults (95.7%), risk for infection (94%), and bathing self-care deficit (89.7%). Patients on mechanical ventilation had higher prevalence rates of imbalanced nutrition, diarrhea and impaired physical mobility.</div></div><div><h3>Conclusions</h3><div>The prevalence of nursing diagnoses in critically ill COVID-19 patients highlights the complexity of care required and the importance of evidence-based practice to improve clinical outcomes.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500541"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203943","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}