Enfermeria Clinica最新文献

英文中文

Navegando por el panorama ético de los profesionales sanitarios en las redes sociales: reflexiones para evitar naufragios 在社交媒体上浏览医疗保健专业人员的道德图景：避免灾难的思考

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2025.502194

Sara Chiquero-Valenzuela , Joan Enric Torra-Bou , Pablo López-Casanova , Luis Aranton-Areosa

引用次数: 0

Reducción del miedo al entorno sanitario en niños usando espacios simulados: un ensayo controlado aleatorizado 利用模拟空间减少儿童对健康环境的恐惧：一项随机对照试验

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.06.006

Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Marta Ferraz-Torres , Amaia Saralegui-Gainza , Leticia San Martín-Rodríguez

Purpose

This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.

Methods

An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised «Child Medical Fear Scale», which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.

Results

The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.

Conclusion

The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.

目的本研究旨在评估在模拟医疗空间内进行互动的干预措施对减少婴儿班儿童对医疗的恐惧的效果。方法本研究进行了一项实验研究，将 86 名儿童分为干预组和对照组，并对干预前后进行了测量。干预措施被称为 "健康友好计划"，包括向儿童展示各种模拟不同医疗环境的场景，让他们在其中进行互动、试用材料并提出问题。对医疗恐惧的评估使用的是西班牙文版的修订版 "儿童医疗恐惧量表"，该量表可提供 0 至 34 分的医疗恐惧水平分值。结果与对照组相比，干预组儿童的恐惧感显著降低了 3.21 分（标准差：6.50）。结果干预组儿童的恐惧感比对照组儿童明显降低了 3.21 分（标准差：6.50），恐惧感的降低表现在量表的所有四个维度上：个人恐惧、程序恐惧、环境恐惧和人际恐惧。这项研究表明，与大学和医疗保健模拟中心合作，在学校开展教育干预可能会带来益处。

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引用次数: 0

Nuevos desafíos: Enfermera de Práctica Avanzada y genómica en la atención personalizada y de precisión al paciente oncológico 新挑战：为癌症患者提供精准个性化护理的高级基因组学执业护士

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2025.502218

Celia Diez de los Ríos de la Serna , Paz Fernández-Ortega

引用次数: 0

Manejo interdisciplinar y cuidados enfermeros anestésicos a un paciente pediátrico con epidermólisis ampollosa 对患有大疱性表皮松解症的儿童进行跨学科管理和麻醉护士护理a

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.10.007

Luis García-Costa , Susana Raquel Pérez-Rayo , Alejandro Bosch-Alcaraz , Andrea Ruiz-Romero

Epidermolysis bullosa (EB) is a rare disease characterized by the formation of blisters and vesicles on the skin and mucous membranes. There are 4 types: simple, junctional, dystrophic, and Kindler syndrome. They can have serious complications such as difficult airway, syndactyly, wound superinfection, or squamous cell carcinoma.

We present the case of a 6-year-old male patient with severe generalized recessive dystrophic EB, surgically intervened for syndactyly in the left upper limb and cures in both lower limbs.

These patients have a high risk of suffering adverse events related to the surgical process secondary to the fragility of their tegumentary system, mucous membranes, and noble organs. For this reason, prior to the surgical procedure, an anamnesis and planning was performed, confirming that the patient had a difficult airway as evidenced by previous anesthesia and by the Mallampati scale, a mouth opening greater than or equal to 3 cm and a reduced degree of head-neck mobility. Therefore, minimally invasive measures were taken such as a single venoclysis and maintenance of spontaneous breathing and control of this through nasal glasses with capnography and pulse oximetry. An alternative plan was considered in case these measures failed. In addition, special care was applied, such as the use of dressings and vaseline for skin protection, avoiding friction in mobilizations, pain management with intravenous analgesia and nerve blocks, and anxiolysis through family accompaniment.

大疱性表皮松解症（EB）是一种罕见的疾病，其特征是在皮肤和粘膜上形成水疱和囊泡。有4种类型：单纯性、交界性、营养不良性和Kindler综合征。它们可能有严重的并发症，如气道困难、并指、伤口重复感染或鳞状细胞癌。我们报告一名6岁男性患者，患有严重的全身性隐性营养不良EB，手术干预左上肢并指，并治愈双下肢。这些患者有很高的风险遭受与手术过程相关的不良事件，继发于他们的被膜系统、粘膜和高贵器官的脆弱性。因此，在手术之前，进行了一次记忆和计划，确认患者有气道困难，这可以通过先前的麻醉和Mallampati量表来证明，嘴巴张开大于或等于3厘米，头颈部活动程度降低。因此，我们采取了微创措施，如单静脉溶栓，通过鼻镜配合血管造影和脉搏血氧仪维持和控制自主呼吸。如果这些措施失败，就会考虑另一项计划。此外，还采用了特殊护理，如使用敷料和凡士林保护皮肤，避免活动时摩擦，静脉镇痛和神经阻滞治疗疼痛，以及通过家庭陪伴缓解焦虑。

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引用次数: 0

Violencia obstétrica durante la pandemia del SARS-CoV-2 en España: estudio descriptivo 西班牙SARS-CoV-2大流行期间的产科暴力：描述性研究

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.10.003

Desirée Mena-Tudela , Susana Iglesias-Casás , María Jesús Valero-Chillerón , Irene Llagostera-Reverter , Julián Mahiques-Llopis

Aim

The aim of this study was to describe women's perceptions of obstetric violence, medicalisation, and interventionism at childbirth in Spain during the SARS-CoV-2 pandemic.

Method

A cross-sectional design was used. For data collection, an online questionnaire with closed questions was designed and distributed via social media. Women who gave birth between March 2020 and April 2021 in Spain were recruited.

Results

The sample consisted of 6,060 questionnaires. Sixty-two percent of respondents thought that the measures taken were arbitrary and ineffective in curbing the pandemic. For the following variables, statistically significant differences were found between groups related to maternal SARS-CoV-2 diagnosis: feeling rejected for suspected positive SARS-CoV-2 status (p < 0.001), being encouraged to breastfeed (p = 0.048), offering bottles without consent (p < 0.001), not being allowed to be accompanied (p < 0.001), and separating the healthy baby from the mother at birth (p = 0.009). Women who tested positive were also less satisfied with their care and felt less empowered. Thirty-three point five percent of women (n = 2,030) report having suffered obstetric violence. Of these, 67.8% (n = 1,376) believe that such obstetric violence is not justified by the pandemic.

Discussion

Understanding these experiences during a pandemic provides an opportunity to develop specific protection policies for women in the event of future health crises.

本研究的目的是描述在SARS-CoV-2大流行期间西班牙妇女对分娩时的产科暴力、医疗化和干预主义的看法。方法采用横断面设计。在数据收集方面，我们设计了一份带有封闭式问题的在线问卷，并通过社交媒体分发。研究人员招募了2020年3月至2021年4月在西班牙分娩的女性。结果共收集问卷6060份。62%的答复者认为所采取的措施是武断的，在遏制大流行方面没有效果。对于以下变量，与母体SARS-CoV-2诊断相关的组间差异有统计学意义：对疑似阳性的SARS-CoV-2状态感到排斥(p <；0.001)，鼓励母乳喂养（p = 0.048），未经同意提供奶瓶(p <；0.001)，不允许陪同(p <；0.001)，以及在出生时将健康婴儿与母亲分开（p = 0.009）。检测呈阳性的女性对她们的护理也不太满意，感觉自己的权力也更小。33.5%的妇女（n = 2,030）报告曾遭受产科暴力。其中，67.8% （n = 1,376）认为，这种产科暴力不能以流行病为理由。讨论了解大流行期间的这些经验，可以为今后发生健康危机时制定针对妇女的具体保护政策提供机会。

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引用次数: 0

Diseño y consenso Delphi sobre un cuestionario de información, conocimientos y promoción del trasplante renal de donante vivo Delphi关于活体肾脏移植的信息、知识和推广问卷的设计和共识

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.10.010

Laura Rota-Musoll , Xavier Palomar-Aumatell , Meritxell Mondéjar-Pont , Guillermo Pedreira-Robles , Sergi Cazorla-Calderon , Mireia Subirana-Casacuberta

Objective

To match the items of a questionnaire on the information process of renal replacement therapy and the degree of information and promotion of living donor kidney transplantation by nephrology nurses, taking into account the gender perspective.

Methods

This study was developed in 2 phases: 1) elaboration of an initial questionnaire by the research team, which consisted of 4 nurses, and 2) completion of two rounds of the Delphi method to agree on the research team's proposal.

Results

16 specialist nurses from all areas of nephrology nursing participated. Of the original questionnaire with 35 questions, 31 items were agreed upon. After the two Delphi rounds, consensus was reached on all questions and a new question was included, which was introduced by the panelists. The consensus made it possible to identify 7 dimensions, which were grouped into 4 themes: Profile of professionals, type of information on renal replacement therapy, knowledge and promotion of kidney transplantation in vivo.

Conclusions

This research has made it possible to create a questionnaire agreed by experts to identify the type of information that nephrology nurses give to people with kidney disease and how the gender perspective influences the information process. At the same time, this tool will facilitate the identification of nurses’ level of knowledge about living donor kidney transplantation and the way they promote this renal treatment to the people they care for.

目的在考虑性别因素的情况下，将肾脏替代治疗的信息处理与肾内科护士对活体肾移植的了解程度和推广程度问卷的项目进行匹配。方法本研究分2个阶段进行：1)由4名护士组成的研究小组编制初步问卷，2)完成两轮德尔菲法，以同意研究小组的建议。结果16名来自肾内科各个护理领域的专科护士参与了调查。原来的调查表有35个问题，其中31个项目获得了同意。经过两轮德尔菲讨论，所有问题都达成了共识，并加入了一个新的问题，由小组成员介绍。共识使得确定7个维度成为可能，这些维度分为4个主题：专业人员概况，肾脏替代治疗的信息类型，体内肾移植的知识和促进。结论：本研究可以制作专家同意的问卷，以确定肾脏病护士向肾病患者提供的信息类型，以及性别观点如何影响信息处理。同时，该工具将有助于识别护士对活体供肾移植的知识水平，以及他们向他们所照顾的人推广这种肾脏治疗的方式。

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引用次数: 0

Percepciones de enfermeras y estudiantes de Enfermería sobre su conocimiento y satisfacción en el manejo de infecciones en heridas. Estudio transversal 护士和护理学生对他们在伤口感染管理方面的知识和满意度的看法。调查

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.502165

Javier Sánchez-Gálvez , Míriam Sánchez-Hernández , Eva Vegue-Parra , José María Rumbo-Prieto , Daniel Fernández-García , Santiago Martínez-Isasi

Objective

To analyze the perception and satisfaction of nurses and nursing students regarding their knowledge of the clinical management of infected wounds in Spain.

Methods

A cross-sectional descriptive study was conducted using an ad hoc questionnaire with 18 questions on knowledge of infected wounds, divided into three sections, and was distributed electronically to nurses and nursing students over a two-month period. The questionnaire was piloted with a group of nurses and students, and data were collected anonymously and voluntarily.

Results

A total of 520 completed questionnaires were collected, including 158 from professionals and 362 from students. Professionals demonstrated a significantly higher average knowledge score than students (4.7 ± 0.13 vs 3.8 ± 0.09; P < .001). Students performed worse in questions related to biofilm and assessment of subtle and manifest signs of infection in wounds. Specifically, only 45% of students correctly identified the role of bacterial biofilm in wound infections. Significant differences were observed in various items (P < .05) favoring non-clinical professionals over clinical professionals, particularly regarding biofilm and the use of topical antiseptics. Overall, professionals expressed significant satisfaction with their knowledge compared to students (P < .05).

Conclusion

Nursing professionals, especially those with teaching, research, and/or managerial roles, demonstrate a greater perception of knowledge in specific areas. However, both professionals and students exhibit gaps in perceived knowledge regarding the management of wound infections, highlighting the importance of continuous education and the review of teaching strategies to address these deficiencies. Implementing a specific mandatory subject is suggested to ensure the quality of nursing education in this area from undergraduate level.

目的分析西班牙护士和护生对感染伤口临床管理知识的认知及满意度。方法采用一份特设调查问卷进行横断面描述性研究，问卷共18个问题，分为三个部分，在两个月的时间内以电子方式发放给护士和护生。问卷调查是在一组护士和学生中试行的，数据是匿名和自愿收集的。结果共收集问卷520份，其中专业人员158份，学生362份。专业人员的平均知识得分显著高于学生（4.7±0.13比3.8±0.09）；P & lt;措施)。学生在与生物膜和评估伤口感染的细微和明显迹象有关的问题上表现更差。具体来说，只有45%的学生正确识别了细菌生物膜在伤口感染中的作用。在各个项目上观察到显著差异(P <；（0.05）与临床专业人员相比，更倾向于非临床专业人员，特别是在生物膜和局部防腐剂的使用方面。总体而言，与学生相比，专业人士对自己的知识表达了显著的满意度(P <；. 05)。结论护理专业人员，特别是那些从事教学、研究和/或管理工作的护理专业人员，在特定领域表现出更强的知识感知能力。然而，专业人员和学生在伤口感染管理的认知知识方面都存在差距，这突出了继续教育和审查教学策略以解决这些缺陷的重要性。建议实施特定的必修科目，以确保该地区从本科阶段开始的护理教育质量。

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引用次数: 0

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01

引用次数: 0

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01

引用次数: 0

IF 1.1 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01

引用次数: 0

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