Enfermeria Clinica最新文献

{"title":"Registro del documento de voluntades anticipadas en los pacientes ingresados en una unidad de cuidados intensivos: estudio de prevalencia","authors":"Estela Hernández Bello ,&nbsp;Alberto Hernández Embid ,&nbsp;María Luisa de la Rica Escuin","doi":"10.1016/j.enfcli.2025.502215","DOIUrl":"10.1016/j.enfcli.2025.502215","url":null,"abstract":"<div><h3>Introduction</h3><div>Advance planning, and its registration in the advance directives document, makes it possible to define goals and preferences, assuring patients of the fulfillment of their wishes, and facilitating decision making by professionals in an end-of-life process. In people admitted to an ICU for treatment, life support or pathologies, communication can be difficult.</div></div><div><h3>Objectives</h3><div>To identify how many patients admitted to an ICU had VAD recorded during the years 2019 and 2021, and to study the relationships with age, sex, pathology, population of origin, reason for discharge, and whether the record was before or after admission, and to study whether there were changes in the record after the first year of the pandemic.</div></div><div><h3>Methodology</h3><div>Cross-sectional descriptive study carried out in an ICU in Zaragoza during the years 2019 and 2021. The study population consisted of all patients admitted during the study period. A descriptive and bivariate analysis of the variables under study was performed, establishing a confidence level of <em>P</em>&lt;.05.</div></div><div><h3>Results</h3><div>In 2019 there were 694 people admitted, 63% of whom were men, with a mean age of 66 years (SD: 14.5). 1.7% had VAD registered. Only 3 of 12 persons registered their VAD after ICU admission. In 2021 there were 1,137 patients admitted, the majority being men (64.1%), with mean age 63.43 years (SD: 14.6). Of the patients admitted in 2021, 1.8% had VAD recorded. Only 4 people out of 21 registered VAD after admission to the ICU. Only a relationship could be established between having registered VAD and origin in the year 2021, being more frequent in those who lived in the city.</div></div><div><h3>Conclusion</h3><div>The registration of VAD in patients admitted to our service was scarce, with no differences observed between the years 2019 and 2021. Most had the DVA registered before admission to the ICU, so it is considered important to raise awareness of making adequate planning of care wishes in the last days of life.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502215"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915372","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":"Utilización de los servicios de telesalud entre los pacientes con esclerosis múltiple en Irán","authors":"Farnaz Zare ,&nbsp;Rezvan Rahimi ,&nbsp;Hanieh Zehtab Hashemi","doi":"10.1016/j.enfcli.2024.502186","DOIUrl":"10.1016/j.enfcli.2024.502186","url":null,"abstract":"<div><h3>Introduction</h3><div>Telehealth services, as an innovative solution in the healthcare sector, hold potential benefits for addressing the needs of individuals with multiple sclerosis (MS). This study aims to investigate the level of telehealth service utilization among MS patients in Iran and explore the factors influencing their use.</div></div><div><h3>Method</h3><div>This study adopts a descriptive-analytical approach for its research objective and employs a survey-based method for data collection and analysis. The validity and reliability of the questionnaires underwent evaluation through content analysis and quantitative methods. Hypotheses regarding factors such as age, education level, sex, and type of disease affecting the extent of telehealth service utilization were examined.</div></div><div><h3>Results</h3><div>A majority of patients have availed themselves of telehealth services (78%), with a lower percentage using mobile applications for MS management (18%). Among patients, higher utilization of telehealth services was observed for finding a doctor and scheduling appointments (46%), accessing information about symptoms and disease conditions (39%), and communicating with physicians (38%). The study revealed no significant association between sex, age, and type of disease with the extent of telehealth service usage (<em>P</em>&gt;.05). However, the study demonstrated that education level is linked to the extent of telehealth service utilization (<em>P</em>&lt;.05).</div></div><div><h3>Conclusion</h3><div>The effective advancement of telehealth services for MS patients necessitates a thorough understanding of the needs, preferences, and constraints within this demographic. Consequently, telehealth platforms should be designed to be accessible and user-friendly for all patients, irrespective of age, sex, type of disease, or education level.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502186"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915358","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":"Implementación de un protocolo de comunicación de malas noticias en enfermería: evaluación de impacto en las habilidades comunicativas","authors":"Enoc Isaí Hernández-Cantú ,&nbsp;Kareli Montserrath Alcaraz-Ávalos ,&nbsp;María Guadalupe Martínez-León ,&nbsp;Héctor Alberto Covarrubias-Arriaga ,&nbsp;Giselle Alexandra Luevano-Díaz","doi":"10.1016/j.enfcli.2025.502401","DOIUrl":"10.1016/j.enfcli.2025.502401","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the impact of implementing a Bad News Communication Protocol (BNCP) on nurses’ communication skills, patients’/families’ perceived communication quality, and the frequency of communication-related hospital conflicts.</div></div><div><h3>Method</h3><div>Quasi-experimental pretest–posttest study with 247 nurses at a secondary-level hospital. Communication skills were measured using a 5-point Likert questionnaire (α=0.89). Patients’/families’ perception was assessed with 356 structured 5-point Likert surveys (pre<!--> <!-->=<!--> <!-->178; post<!--> <!-->=<!--> <!-->178). Communication-related conflicts were extracted from institutional complaint and internal-report records six months before and after implementation. Paired t-tests, Chi-square tests, and ANOVA were used.</div></div><div><h3>Results</h3><div>Communication-skills scores increased from 2.8<!--> <!-->±<!--> <!-->0.9 to 4.2<!--> <!-->±<!--> <!-->0.7 (t<!--> <!-->=<!--> <!-->15.87; p&lt;<!--> <!-->0.001). In patients’/families’ perception, “poor” decreased from 18.5% to 5.6%, “fair” from 28.7% to 6.7%, “good” rose from 34.3% to 44.9%, and “excellent” from 18.5% to 42.7% (χ² <!-->=<!--> <!-->36.21; p&lt;<!--> <!-->0.001). Communication-related conflicts dropped from 78 to 29 (–62.8%; p&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>BNCP implementation improved nurses’ communication skills, enhanced patients’/families’ perception, and reduced conflicts. Embedding structured communication protocols in nursing continuing education may enhance care quality.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502401"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915371","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":"Efectividad de un programa de seguimiento telemático para promover la actividad física postrasplante hematológico: ensayo clínico aleatorizado","authors":"María Ángeles Pera-Jambrina ,&nbsp;Anna María Esteve Gómez ,&nbsp;Andrea González ,&nbsp;Lidia Hurtado Ortega ,&nbsp;Alberto Mussetti ,&nbsp;Paz Fernández-Ortega","doi":"10.1016/j.enfcli.2025.502303","DOIUrl":"10.1016/j.enfcli.2025.502303","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse benefits of tele-monitoring to promote adherence to a home-based physical activity for patients under hematopoietic stem cell transplantation.</div></div><div><h3>Methods</h3><div>A randomized clinical trial controlled. Patients, in total 56 with 28 in control group (CG) and 28 intervention group (IG). Autologous and allogeneic transplant patients in ratio 1:1. Both groups received advice on physical activity recommendations to be performed at home, based on walking and squats. The intervention IG consisted in physical activity monitored with a pedometer and tele-monitoring by physiotherapist weekly, during 3<!--> <!-->months. Variables as exercise tolerance, muscle strength, fatigue, dyspnoea, and quality of life were measured presently with validated scales, at hospital admission, discharge and 3<!--> <!-->months after discharge. P value was stablished &lt;<!--> <!-->.05. Comparative analysis was performed using R software v.4.1.</div></div><div><h3>Results</h3><div>In terms of quality of life (EQ-5D-5L), at 3<!--> <!-->months after discharge, the IG showed better ability to perform daily activities than the CG (<em>P</em> <!-->=<!--> <!-->.009). In the 6-minute walk test, the GI recovered the meters they had made before admission, but the GC was 41<!--> <!-->m below (<em>P</em> <!-->=<!--> <!-->.048). In the 30-second chair stand test: IG recovered baseline and performed 1.7 but CG performed 0.8 repetitions below baseline. These differences between groups were more pronounced in patients who underwent allogeneic transplant compared to patient under autologous transplant.</div></div><div><h3>Conclusion</h3><div>The results indicate that physical telematic support improves the functional capacity and adherence of patients undergoing transplantation to perform physical activity at home.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502303"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915526","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":"Relación entre la vacilación ante la vacuna contra el VPH y las actitudes hacia la detección temprana del cáncer de cuello uterino en mujeres en edad reproductiva","authors":"Cigdem Bilge ,&nbsp;Meltem Kaydirak ,&nbsp;Sema Nur Gurel ,&nbsp;Defne Yurtsever ,&nbsp;Nuriye Dik","doi":"10.1016/j.enfcli.2025.502363","DOIUrl":"10.1016/j.enfcli.2025.502363","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to examine the association between HPV vaccine hesitancy and attitudes towards the early detection of cervical cancer among women of reproductive age.</div></div><div><h3>Method</h3><div>This study uses a descriptive and correlational design. Data were collected between 15 May and 15 October 2023 from a sample of 1,240 women of reproductive age using Google's online snowball survey tool. Data collection tools included an Information Form, the Attitudes Towards Early Diagnosis of Cervical Cancer Scale, and the Vaccination Hesitancy and Reasons Form based on the WHO 3<!--> <!-->Cs model. Descriptive statistics (mean, standard deviation, frequency), the Mann-Whitney U test, Kruskal-Wallis test and Bonferroni post-hoc analysis were used to analyse the data. The reliability of the scale was assessed using Cronbach's alpha. Ethical approval was obtained from the Ethics Committee of Mugla Sitki Kocman University (Protocol No: 220186 / Decision No: 15), and participants gave informed consent electronically prior to participation.</div></div><div><h3>Results</h3><div>The participants’ mean age was 20.66<!--> <!-->±<!--> <!-->2.38 years. Statistically significant differences were observed between variables such as educational status, income level, and primary residence, and attitudes toward HPV vaccination (p &lt;<!--> <!-->0.05). Smoking status was identified as a significant factor influencing vaccination attitudes (p<!--> <!-->=<!--> <!-->0.001). Friends (38.4%) and the Internet (31.1%) were reported as the primary sources of information about HPV vaccination. Regarding barriers, 54.7% of participants stated they did not know where to obtain the vaccine, and 25% identified the requirement for multiple doses as a challenge. Concerns about vaccine safety (51.4%), fear of infertility (28.2%), and potential allergic reactions (19.7%) were also noted. Beliefs about the necessity of vaccination and its role in preventing cancer significantly influenced attitudes and hesitancy (p &lt;<!--> <!-->0.001). Overall, HPV vaccine hesitancy was closely associated with participants’ level of knowledge, beliefs, and sociodemographic characteristics.</div></div><div><h3>Conclusions</h3><div>To reduce vaccine hesitancy, it is important to establish accessible and trustworthy information channels, engage healthcare professionals more actively in HPV vaccination advocacy, and conduct public health campaigns targeting young adults through popular digital platforms. In addition, addressing structural barriers —such as the cost of the vaccine, access to vaccination centres and concerns about side effects— through policy-level action could significantly improve uptake of the vaccine and encourage participation in cervical cancer screening programs.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502363"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915527","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":"¿Son determinantes de la baja masa muscular el nivel cognitivo y el estado nutricional? Estudio transversal en personas mayores institucionalizadas","authors":"Rubén López ,&nbsp;Paula Cisternas-Vallejos ,&nbsp;Valentina Vilches-Gómez ,&nbsp;Lydia Lera ,&nbsp;Ignacio Roa ,&nbsp;Alejandro Gómez-Bruton ,&nbsp;Pablo A. Lizana","doi":"10.1016/j.enfcli.2025.502362","DOIUrl":"10.1016/j.enfcli.2025.502362","url":null,"abstract":"<div><h3>Objectives</h3><div>The number of older adults is rising annually, which is accompanied by an increase in the number of individuals residing in long-term care facilities. Muscle mass is a determinant of mobility and autonomy in these individuals. Therefore, the aim of the present study is to evaluate the association between malnutrition and cognitive impairment with low muscle mass among institutionalized older adults.</div></div><div><h3>Methods</h3><div>Patients’ sociodemographic data and body measurements were analyzed. Low muscle mass was determined by leg perimeter being &lt;<!--> <!-->31<!--> <!-->cm; cognitive status was evaluated with the Pfeiffer test; and nutritional status, was assessed with the Mini Nutritional Assessment Short-Form. Logistic regression models were used to analyze whether malnutrition and cognitive impairment are associated with low muscle mass, adjusted for gender and age.</div></div><div><h3>Results</h3><div>Among participants with low muscle mass, 50% presented malnutrition and 59% presented high cognitive deterioration. Participants with a high cognitive deterioration and malnutrition showed a greater risk of low muscle mass (OR 6.75; P=.003 and OR 6.58; <em>P</em>=.007, respectively) regardless of gender and age.</div></div><div><h3>Conclusions</h3><div>Both malnutrition and cognitive deterioration were associated with low muscle mass which is determinant to maintain mobility and independence in older adults.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502362"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915529","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":"Complejidad e intensidad de cuidados: elementos clave en la determinación de las necesidades de salud","authors":"Jordi Adamuz,&nbsp;Maribel González-Samartino,&nbsp;Maria Eulàlia Juvé-Udina","doi":"10.1016/j.enfcli.2025.502440","DOIUrl":"10.1016/j.enfcli.2025.502440","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502440"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915525","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":"Relación entre la adopción del rol cuidador, el tiempo de cuidado y la sobrecarga en las cuidadoras de personas con enfermedades crónicas","authors":"Sonia Carreño-Moreno ,&nbsp;Lorena Chaparro-Díaz ,&nbsp;Zoraida Rojas-Marín ,&nbsp;Sandra Milena Hernández Zambrano ,&nbsp;Lina Ma. Vargas-Escobar","doi":"10.1016/j.enfcli.2025.502337","DOIUrl":"10.1016/j.enfcli.2025.502337","url":null,"abstract":"<div><h3>Objective</h3><div>To describe and correlate sociodemographic and caregiving characteristics, caregiving overload and general role adoption and medication use among family caregivers of individuals with Non-Communicable Chronic Diseases (NCDs).</div></div><div><h3>Methods</h3><div>Quantitative, descriptive and analytical cross-sectional study conducted between 2021 and 2022 in Bogotá (Colombia). A total of 321 female family caregivers of individuals with non-communicable chronic diseases (NCDs) participated. Validated instruments were applied to assess caregiver and care recipient characteristics, caregiver burden, and adoption of both the general caregiving role and the role in medication management. Descriptive and inferential statistical analyses were performed.</div></div><div><h3>Results</h3><div>Caregivers provide care to elderly individuals with multiple chronic conditions and high dependency. They have achieved satisfactory adoption of the general caregiver role, showing an absence of overload. Correlations and regression models indicate that greater adoption of the general caregiving role, combined with less time spent in caregiving tasks, is associated with lower levels of caregiver burden.</div></div><div><h3>Conclusions</h3><div>The results suggest that the adoption of the general caregiving role and medication management may serve as useful clinical indicators for anticipating assessment enhances the understanding of concepts such as excessive caregiving burden and guides more specific and context-sensitive interventions.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502337"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915530","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":"Alfabetización en salud mental: una respuesta formativa ante el riesgo suicida en estudiantes de enfermería","authors":"Edwin Gustavo Estrada-Araoz","doi":"10.1016/j.enfcli.2025.502415","DOIUrl":"10.1016/j.enfcli.2025.502415","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502415"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915357","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":"Prevención y tratamiento de desgarros cutáneos mediante un dispositivo médico de clase I: Un caso clínico con múltiples lesiones","authors":"Sara Chiquero Valenzuela ,&nbsp;José Luis Jiménez Laínez ,&nbsp;María Piedad García Ruíz ,&nbsp;María Dolores López Franco","doi":"10.1016/j.enfcli.2025.502358","DOIUrl":"10.1016/j.enfcli.2025.502358","url":null,"abstract":"<div><div>We present the clinical case of a 64-year-old multi-pathological patient who presents numerous skin tears (ST) in the upper extremities.</div><div>The aim is to restore skin integrity in a patient with numerous ST on both forearms using a new class I medical device composed of elastic and adjustable medical grade encapsulated gel.</div><div>Once the NANDA International diagnostic labels were identified using the NNNConsult online tool, the expected results were planned along with the nursing interventions.</div><div>The care plan and cure guidelines are detailed based on the consensus evidence of the International Skin Tear Advisory Panel, also including preventive activities in risk areas (General Health, Mobility and Skin), in addition to the implementation of a new class I medical device. Finally, skin integrity is restored.</div><div>This work shows the positive preventive and therapeutic results in fragile skin and ST when carrying out a multiple care strategy with a new medical device.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502358"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915373","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}