Enfermeria Intensiva最新文献

英文中文

Comité Científico del Congreso 国会科学委员会

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-06-01 DOI: 10.1016/S1130-2399(23)00041-X

引用次数: 0

Índice de autoress 作者指数

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-06-01 DOI: 10.1016/S1130-2399(23)00043-3

引用次数: 0

Comunicaciones presentadas en el Congreso 在大会上提交的来文

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-06-01 DOI: 10.1016/S1130-2399(23)00042-1

引用次数: 0

En respuesta a «Metodología enfermera aplicada a una paciente mediante intervencionismo estructural en cardiología» 回应“通过心脏病结构性干预应用于患者的护理方法”

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.05.002

M. Parellada-Vendrell MSc, M. Prat-Masana RN, S. Pérez-Ortega PhD(c)

引用次数: 0

Tratamientos coadyuvantes a la ventilación mecánica invasiva en el manejo del síndrome de distrés respiratorio agudo secundario a covid-19 有创机械通气辅助治疗新型冠状病毒继发急性呼吸窘迫综合征

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.05.001

I. Escribano-Santana MD , M.L. Martínez-Gimeno PhD , L. Herráiz-Bermejo MD

Introduction

This bibliographic review is carried out in order to obtain answers about aspects related to techniques and treatments, as well as care associated with the critically ill patient diagnosed with COVID-19.

Objective

To analyze the available scientific evidence on the effectiveness of the use of invasive mechanical ventilation together with other adjuvant techniques, in reducing the mortality rate in patients with acute respiratory distress syndrome and clinical trial of COVID-19 treated in intensive care units.

Methodology

A systematized bibliographic review was carried out in the PubMed, CUIDEN, LILACS, Medline, CINAHL and Google Scholar databases, using MeSH terms (adult respiratory distress syndrome, mechanical ventilation, prone position, nitric oxide, extracorporeal membrane oxygenation, nursing care) and the corresponding Boolean operators. The selected studies underwent a critical reading carried out between December 6, 2020 and March 27, 2021 using the Critical Appraisal Skills Program tool in Spanish and a cross-sectional epidemiological studies evaluation instrument.

Results

A total of 85 articles were selected. After performing the critical reading, a total of 7 articles were included in the review, 6 being descriptive studies and one a cohort study. After analyzing these studies, it appears that the technique that has obtained the best results is extracorporeal membrane oxygenation, with the care provided by qualified and trained nursing staff being very important.

Conclusion

Mortality from COVID-19 increases in patients treated with invasive mechanical ventilation compared to patients treated with extracorporeal membrane oxygenation. Nursing care and specialization can have an impact on improving patient outcomes.

引言本文献综述旨在获得与诊断为COVID-19的危重患者相关的技术和治疗以及护理方面的答案。目的分析有创机械通气与其他辅助技术的有效性的现有科学证据，降低急性呼吸窘迫综合征患者的死亡率以及在重症监护室接受新冠肺炎治疗的临床试验。方法在PubMed、CUIDEN、LILACS、Medline、CINAHL和Google Scholar数据库中使用MeSH术语（成人呼吸窘迫综合征、机械通气、俯卧位、一氧化氮、体外膜肺氧合、护理）和相应的布尔运算符进行系统化的文献综述。所选研究在2020年12月6日至2021年3月27日期间使用西班牙语的批判性评估技能计划工具和横断面流行病学研究评估工具进行了批判性阅读。结果共筛选出85篇文章。在进行批评性阅读后，共有7篇文章被纳入综述，其中6篇是描述性研究，1篇是队列研究。在对这些研究进行分析后，似乎获得最佳结果的技术是体外膜肺氧合，由合格和训练有素的护理人员提供的护理非常重要。结论与接受体外膜肺氧合治疗的患者相比，接受有创机械通气治疗的新冠肺炎患者死亡率增加。护理和专业化可以对改善患者的预后产生影响。

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引用次数: 0

Metodología enfermera aplicada a una paciente mediante intervencionismo estructural en cardiología 护理方法学在心脏病结构性介入治疗中的应用

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.03.004

A.R. Alconero-Camarero PhD , M.I. Ibáñez-Rementería Grado de Enfermería , C. Sarabia-Cobo PhD

引用次数: 2

Decúbito prono en pacientes COVID-19 con síndrome de distrés respiratorio agudo y ventilación mecánica invasiva 新型冠状病毒急性呼吸窘迫综合征和有创机械通气患者的俯卧

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.09.002

E. Barja-Martínez RN, MSc , S. García-González RN , E. Jiménez-García RN, MSc , I.J. Thuissard-Vasallo MSc, PhD , S. Arias-Rivera RN, MSc, PhDc , S. Blanco-Abril RN, MSc, PhD

Objective

To identify adverse events related to prone positioning in COVID-19 patients with severe disease and acute respiratory distress syndrome, to analyze the risk factors associated with the development of anterior pressure ulcers, to determine whether the recommendation of prone positioning is associated with improved clinical outcomes.

Methods

Retrospective study performed in 63 consecutive patients with COVID-19 pneumonia admitted to intensive care unit on invasive mechanical ventilation and treated with prone positioning between March and April 2020. Association between prone-related pressure ulcers and selected variables was explored by the means of logistic regression.

Results

A total of 139 proning cycles were performed. The mean number of cycles were 2 [1-3] and the mean duration per cycle was of 22 hours [15-24]. The prevalence of adverse events this population was 84.9%, being the physiologic ones (i.e., hypo/hypertension) the most prevalent. 29 out of 63 patients (46%) developed prone-related pressure ulcers. The risk factors for prone-related pressure ulcers were older age, hypertension, levels of pre-albumin < 21 mg/dL, the number of proning cycles and severe disease. We observed a significant increase in the PaO2/FiO2 at different time points during the prone positioning, and a significant decrease after it.

Conclusions

There is a high incidence of adverse events due to PD, with the physiological type being the most frequent. The identification of the main risk factors for the development of prone-related pressure ulcers will help to prevent the occurrence of these lesions during the prone positioning. Prone positioning offered an improvement in the oxygenation in these patients.

目的确定新冠肺炎重症急性呼吸窘迫综合征患者与俯卧位相关的不良事件，分析与前压疮发展相关的危险因素，确定俯卧位的建议是否与改善临床结果相关。方法对2020年3月至4月间连续63例入住重症监护室进行有创机械通气并采用俯卧位治疗的新冠肺炎肺炎患者进行回顾性研究。采用逻辑回归方法探讨了俯卧相关性压疮与所选变量之间的相关性。结果共进行了139次内旋周期。平均循环次数为2[1-3]，每个循环的平均持续时间为22小时[15-24]。该人群不良事件的发生率为84.9%，其中生理性不良事件（即低血压/高血压）最为普遍。63名患者中有29名（46%）出现了与俯卧相关的压疮。易发性相关压疮的危险因素是年龄较大、高血压、前白蛋白水平<；21mg/dL、旋前周期数和严重疾病。我们观察到，在俯卧姿势的不同时间点，PaO2/FiO2显著增加，之后显著降低。结论PD引起的不良事件发生率很高，其中生理类型最为常见。确定发生俯卧相关压疮的主要危险因素将有助于预防俯卧位期间这些病变的发生。俯卧位改善了这些患者的氧合。

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引用次数: 2

El traspaso de información en los cambios de turno de enfermeras en Unidades de Cuidados Críticos 重症监护室护士轮班变化中的信息传递

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.02.002

C. Morán-Pozo RN, MSN , P. Luna-Castaño RN, MSN, PHD

Aim

To know the characteristics of the handover performed by nurses working in Critical Care Units in Spain.

Methods

Descriptive and cross-sectional study, whose population was nurses working in Critical Care Units in Spain. An ad hoc questionnaire was used to explore the characteristics of the process, the training received, the information forgotten and the influence of this activity on patient care. The questionnaire was online and dissemination was done through social networks. The sample was selected by convenience. A descriptive analysis was performed according to the nature of the variables and comparison of groups through ANOVA with R software version 4.0.3 (R Project for Statistical Computing).

Results

The sample was 420 nurses. Most of them answered that (79,5%) perform this activity in an individual way, from outgoing nurse to incoming nurse. Location varied according to the size of the unit (P< 0,05). Interdisciplinary handover was rare (P<.05). In the last month, with regard to the time of data collection, 29,5% had to contact the unit due to forgetting relevant information, using WhatsApp as the first channel to transmit this information.

Conclusions

There is a lack of standardization in the handoff between shifts, in terms of the physical space where it is done, tools to structure the information, participation of other professionals and the use of unofficial communication channels to contact for omitted information during the handover. Shift change was identified as a vital process to ensure continuity of care and patient safety, so further researchs are important for patients handoffs.

目的了解西班牙重症监护病房护士交接工作的特点。方法描述性和横断面研究，研究对象为西班牙重症监护室护士。使用了一份临时问卷来探讨这一过程的特点、接受的培训、遗忘的信息以及这一活动对患者护理的影响。问卷是在线的，通过社交网络进行传播。样品的选择很方便。采用R软件4.0.3版（R Project for Statistical Computing）进行方差分析，根据变量性质和分组比较进行描述性分析。他们中的大多数人回答说（79.5%）以个人的方式进行这项活动，从离职护士到入职护士。位置根据单元的大小而变化（P<；0,05）。跨学科的交接是罕见的（P<；.05）。在上个月，关于数据收集的时间，29.5%的人由于忘记了相关信息而不得不联系单位，使用WhatsApp作为第一个传输这些信息的渠道。结论轮班之间的交接在物理空间、构建信息的工具、其他专业人员的参与以及在交接期间使用非官方沟通渠道联系遗漏的信息方面缺乏标准化。换班被认为是确保护理连续性和患者安全的重要过程，因此进一步的研究对患者换班很重要。

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引用次数: 0

Análisis bibliométrico de los artículos originales de la revista EnfermeríaIntensiva durante el período 2001-2020 2001-2020年《重症监护》杂志原创文章的文献计量学分析

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.02.003

J.M. Estrada-Lorenzo PhD , C. Martín-Arriscado Arroba MD , C. López-López RN, PhD

Introduction

Bibliometric analysis allow the quantitative evaluation of the characteristics of a scientific publication.

Objective

To perform a bibliometric analysis of original articles in the journal EnfermeríaIntensiva from 2001 to 2020.

Results

The journal EnfermeríaIntensiva has published, between 2001 and 2020, 438 works, of which 259 are original articles (59.1%). These original articles are mostly quantitative studies (76.1%), with an average of 30.5 bibliographic references (SD 13.9), 4.9 citations (SD 1.7) in the Web of Science and Scopus repertoires, and 15,489.5 visits/downloads (median 9,090 and interquartile range 4,567-15,260) according to information on the magazine's website. These originals have been signed by 1,345 authors, which represents a collaboration index of 5.2 (SD 0.7). A percentage of 78.0 of the authors are sporadic, having published only one work. Most of the articles come from authors who work in institutionally located in hospitals and university centers, and geographically in the communities of Madrid, Cataluña, Navarra and Andalucía.

Conclusions

There is little international, regional and institutional collaboration, producing the highest level of collaboration between authors from the same center. The journal has established itself in the panorama of scientific nursing research in Spain and shows bibliometric indicators similar or even superior to other publications in its environment.

引言文献计量分析允许对科学出版物的特征进行定量评估。目的对《EnfermeríaIntensiva》杂志2001年至2020年的原创文章进行文献计量分析，根据该杂志网站上的信息，《科学网》和Scopus目录中的引用次数为4.9次（SD 1.7），访问次数/下载次数为15489.5次（中位数9090次，四分位间距4567-15260次）。这些原件有1345位作者签名，这代表了5.2的合作指数（SD 0.7）。78.0的作者是零星的，只发表了一部作品。大多数文章来自于在医院和大学中心的机构工作的作者，以及在马德里、加泰罗尼亚、纳瓦拉和安达卢西亚社区工作的作者。结论几乎没有国际、区域和机构合作，来自同一中心的作者之间的合作水平最高。该杂志已成为西班牙护理科学研究的全景，其文献计量指标与所在环境中的其他出版物相似，甚至优于其他出版物。

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引用次数: 0

A comparison of nurses and elderly patients’ perceptions of caring behaviors in intensive care units 重症监护病房护士与老年患者对护理行为认知的比较。

IF 1.3 Q3 NURSING

Enfermeria Intensiva

Pub Date : 2023-04-01 DOI: 10.1016/j.enfi.2022.04.002

S.E. Asadi MS, RN , M. Khademi PhD, RN , S. Yarahmadi PhD student, RN , F. Ebrahimzadeh PhD , E. Mohammadi PhD, RN

Objective

Differences in patients and nurses’ perceptions of caring behaviors arouse patient dissatisfaction. Continuous monitoring and assessment of caring behaviors has revealed its problems, and this in turn would promote care services by planning rational interventions and removing the problems. The present study aimed to compare nurses and elderly patients’ perceptions of nurses’ caring behaviors in intensive care units in accordance with Watson's transpersonal caring theory.

Methods

In this descriptive-analytical study, 70 nurses were selected using the census method, and 70 elderly patients over 60 years old were also selected using purposive sampling method from the intensive care units of Lorestan University of Medical Sciences during 2012–2013. Caring Behavior Inventory for Elders (CBI-E) was adopted in this research to detect the nurses and elderly patients’ perceptions of caring behaviors. In the data analysis phase, Kruskal–Wallis, Mann–Whitney U, and Pearson correlation tests were used.

Results

The research findings revealed no statistically significant difference between the total scores of nurses’ 83.80 (22.93), 95% CI [78.40, 89.20] and elderly patients’ 80.09 (26.00), 95% CI [74, 86.20] perception of nurses’ caring behaviors (P = 0.379). From the viewpoint of the nurses and elderly patients, responding quickly to a patient's call 100.00 (0.00), 95% CI [100.00, 100.00] had the highest mean scores and patient participation in caring process had the lowest mean scores among nurses 22.86 (33.71), 95% CI [15.00, 30.80] and elderly patients 14.29 (28.41), 95% CI [7.63, 20.90].

Conclusion

This study indicated the elderlies and nurses’ similar perceptions of caring behaviors in intensive care units. This finding would help nurses to recognize and prioritize the elderly patients’ care needs, thereby promoting the quality of care services.

目的患者与护士对护理行为认知的差异引起患者的不满。对护理行为的持续监测和评估揭示了其存在的问题，这反过来又会通过规划合理的干预措施和消除问题来促进护理服务。本研究旨在比较重症监护室护士和老年患者对护士护理行为的认知，并依据Watson的超个人护理理论进行研究。方法采用描述性分析方法，选取2012-2013年洛雷斯坦医科大学重症监护病房的70名护士和70名60岁以上的老年患者，采用目的抽样方法进行研究。本研究采用长者护理行为量表(CBI-E)来检测护理人员和老年患者对护理行为的认知。在数据分析阶段，采用Kruskal-Wallis、Mann-Whitney U和Pearson相关检验。结果研究结果显示，护士对护理行为感知总分83.80分(22.93分)，95% CI[78.40, 89.20分]与老年患者对护理行为感知总分80.09分(26.00分)，95% CI[74, 86.20分]差异无统计学意义(P = 0.379)。从护士和老年患者的角度来看，护士对患者呼叫的反应速度为100.00 (0.00)，95% CI[100.00, 100.00]的平均得分最高，患者参与护理过程的平均得分最低，分别为22.86 (33.71)，95% CI[15.00, 30.80]和14.29 (28.41)，95% CI[7.63, 20.90]。结论本研究显示老年人与护士对重症监护病房护理行为的认知相似。这一发现有助于护士认识和优先考虑老年患者的护理需求，从而提高护理服务质量。

{"title":"A comparison of nurses and elderly patients’ perceptions of caring behaviors in intensive care units","authors":"S.E. Asadi MS, RN , M. Khademi PhD, RN , S. Yarahmadi PhD student, RN , F. Ebrahimzadeh PhD , E. Mohammadi PhD, RN","doi":"10.1016/j.enfi.2022.04.002","DOIUrl":"10.1016/j.enfi.2022.04.002","url":null,"abstract":"<div><h3>Objective</h3><p>Differences in patients and nurses’ perceptions of caring behaviors arouse patient dissatisfaction. Continuous monitoring and assessment of caring behaviors has revealed its problems, and this in turn would promote care services by planning rational interventions and removing the problems. The present study aimed to compare nurses and elderly patients’ perceptions of nurses’ caring behaviors in intensive care units in accordance with Watson's transpersonal caring theory.</p></div><div><h3>Methods</h3><p>In this descriptive-analytical study, 70 nurses were selected using the census method, and 70 elderly patients over 60 years old were also selected using purposive sampling method from the intensive care units of Lorestan University of Medical Sciences during 2012–2013. Caring Behavior Inventory for Elders (CBI-E) was adopted in this research to detect the nurses and elderly patients’ perceptions of caring behaviors. In the data analysis phase, Kruskal–Wallis, Mann–Whitney U, and Pearson correlation tests were used.</p></div><div><h3>Results</h3><p>The research findings revealed no statistically significant difference between the total scores of nurses’ 83.80 (22.93), 95% CI [78.40, 89.20] and elderly patients’ 80.09 (26.00), 95% CI [74, 86.20] perception of nurses’ caring behaviors (<em>P</em>  <!-->0.379). From the viewpoint of the nurses and elderly patients, responding quickly to a patient's call 100.00 (0.00), 95% CI [100.00, 100.00] had the highest mean scores and patient participation in caring process had the lowest mean scores among nurses 22.86 (33.71), 95% CI [15.00, 30.80] and elderly patients 14.29 (28.41), 95% CI [7.63, 20.90].</p></div><div><h3>Conclusion</h3><p>This study indicated the elderlies and nurses’ similar perceptions of caring behaviors in intensive care units. This finding would help nurses to recognize and prioritize the elderly patients’ care needs, thereby promoting the quality of care services.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 2","pages":"Pages 70-79"},"PeriodicalIF":1.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45103370","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}

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