Enfermeria Clinica最新文献_第2页

Bienestar, burnout y sueño del personal de enfermería de Urgencias en turnos de 12 horas

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcli.2024.08.002

Indalecio Miguel Sánchez Onrubia , Ernesto José Resta Sánchez , Tamara Cabañero Contreras , Ana Belén Perona Moratalla , Milagros Molina Alarcón

Objective

To know job satisfaction, work-family balance, sleep quality, and burnout in nursing staff after the introduction of the 12-hour rotating shift in the emergency department of a tertiary hospital.

Method

Cross-sectional observational design carried out in February 2023 for the first collection (T1) and October 2023 for the second collection (T2) in emergency nursing staff. Sociodemographic data, work and family reconciliation, job satisfaction, degree of burnout, and sleep quality were collected.

Results

In T1, 66.7% (74) of professionals answered, with an average age of 44.72 years (SD:10.60). 50% were on a 12-hour shift. In T2, 91.9% (102) of professionals answered, with an average age of 44.75 years (SD11.07). 54.9% were on a 12-hour shift. 71.2% in T1 and 66.7% in T2 were somewhat or very satisfied with the flexibility of their work schedules. 8.9% in T1 and 10.3% had a high overall burnout. In T1, the average global PSQI score was 7.66 (SD:3.82) and in T2 it was 8.46 (SD:4.05). Significant differences were found in terms of work and family reconciliation between the different rotating shifts analyzed (p< 0.05), and not significant for the rest of the variables.

Conclusions

Emergency nursing staff prefer 12-hour shifts as they facilitate work-family reconciliation and do not negatively affect sleep, burnout, or job satisfaction.

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引用次数: 0

Mejorar la atención neuropediátrica y la descentralización de la atención médica en Nicaragua mediante la implementación de un programa educativo. Estudio preexperimental 通过实施一项教育计划，改善尼加拉瓜的儿科神经护理和医疗保健分散化。实验前研究

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-01-01 DOI: 10.1016/j.enfcli.2024.06.011

Jean Rémy Mongbet-Ayouné , Giancarlo Lucchetti , Bárbara Badanta

Objective

To improve and decentralize neuropediatric healthcare in Nicaragua by implementing an education program.

Method

This study is carried out as an international cooperation proyecto between September 2018 and June 2019. It has a pre-experimental and before-after design (on a single group) of the implementation of an education program. A total of 19 pediatrics and 6 nurses participated in a training program, and neuropediatric healthcare services were decentralized from the National Children's Hospital in Managua (La Mascota) to 19 regional and departmental hospitals in Nicaragua.

Results

For the implementation of this education program, nine Indicadors were measured during the training process and at the end of the proyecto and different results were obtained. The neuropediatric care, that was totally centered in a single hospital, has suffered drastic changes, increasing the number of electroencephalographs and follow up of patients in the regional hospitals, while reducing external consultations and waiting time for consultations in the central hospital. Likewise, a neuropediatric network was established, training was provided, and brochures were developed, resulting in an improving satisfaction of families with the care provided for their children.

Conclusions

Our results revealed the real-life effectiveness of this education program in improving neuropediatric care in Nicaragua, supporting nonspecialized pediatricians and nurses for acting as decentralizing agents. The proposal reinforces universal access to basic health by focusing on different social determinants and may serve as a model to other low-income countries.

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引用次数: 0

Identidad profesional y desempeño: el complejo desequilibrio entre esfuerzo y recompensa 职业认同与绩效：努力与回报之间的复杂权衡

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.11.001

Ester Arimon-Pagès

引用次数: 0

Desarrollo y Validación de una propuesta de Carta de Derechos y Compromisos de los ciudadanos frente a la e-salud 制定和验证拟议的《公民权利和电子保健承诺宪章

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.06.012

Fernando Campaña-Castillo , Olga Paloma-Castro , José Manuel Romero-Sánchez

Background

There is a new technological paradigm in health care which has been reinforced following the outbreak of the Covid-19 pandemic. Technological innovations create both challenges and opportunities to which citizens, healthcare professionals, and healthcare organizations must adapt to this reality. Although most health services have charters of citizens’ general rights and commitments, there is no specific charter concerning eHealth.

Objectives

To develop and validate a proposal of a minimum set of citizens’ rights and commitments to e-Health.

Methods

Experts in a discussion group developed a charter composed of twenty items, ten rights and ten commitments to e-Health. Two rounds of consensus were necessary to obtain a final version of the charter. The twenty items were validated for content and assessed for appropriateness, relevance, and understandability using an internet-based 2-round Delphi approach in which 134 experts, patients and healthcare professionals participated. They rated the assessed attributes for each item on a 5-point Likert scale for consensus. The content validity index was calculated with kappa statistic, a consensus measure of inter-rater agreement.

Results

In the first round, 18 items were validated, leaving only two commitments with unacceptable indices. Both were modified using the experts’ contributions and entered a second round of evaluation, after which the indices met the established requirements.

Conclusions

A proposal for a chart of patient rights and commitments to eHealth was developed and showed adequate content validity and inter-observer reliability. This chart is expected to become a starting point for the debate on the role of technology in the way patients, professionals, and health services interact in the current context.

背景医疗保健领域出现了一种新的技术模式，这种模式在 Covid-19 大流行爆发后得到了加强。技术创新既带来了挑战，也带来了机遇，公民、医疗保健专业人员和医疗保健组织必须适应这一现实。尽管大多数医疗服务机构都有关于公民一般权利和承诺的章程，但却没有关于电子医疗的具体章程。方法专家们在一个讨论小组中制定了一份章程，其中包括二十个项目，十项权利和十项电子医疗承诺。宪章的最终版本需要经过两轮协商一致。134 名专家、患者和医疗保健专业人员参与了这两轮德尔菲法，对这 20 个项目的内容进行了验证，并对其适当性、相关性和可理解性进行了评估。他们采用 5 点李克特量表对每个项目的评估属性进行评分，以达成共识。结果在第一轮中，有 18 个项目通过验证，只有两项承诺的指数无法接受。结果第一轮验证了 18 个项目，只有两项承诺的指数无法接受，根据专家的意见对这两项承诺进行了修改，并进行了第二轮评估，之后这两项承诺的指数符合既定要求。在当前情况下，该图表有望成为讨论技术在患者、专业人员和医疗服务互动方式中的作用的起点。

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引用次数: 0

Aplicación del análisis Rasch en la investigación enfermera: una introducción metodológica 拉施分析在护理研究中的应用：方法介绍

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.10.005

José Verdú-Soriano , Héctor González-de la Torre

The design and validation of tools constitutes a fundamental pillar of nursing research, where it is essential to incorporate the most current methodologies and analyses in order to guarantee validity and reliability in their clinical application.

The aim of this paper is to describe the characteristics of the Rasch analysis and the methodology for its development as well as to discuss its relevance and applicability in nursing research, highlighting its potential contribution to the improvement of the qual

ity and accuracy of measurement instruments in the discipline.

Through a narrative synthesis, the theoretical foundations of Rasch analysis are described and the characteristics and assumptions that must be fulfilled to carry out this type of analysis are presented. Subsequently, the implementation methodology is presented in 11 steps: definition of objectives and preparation, instrument design, data collection, initial and unidimensionality analysis, goodness-of-fit assessment (infit-outfit, reliability and separation), item local independence assessment (Yen's Q3 coefficient), item calibration and estimation of skills, measurement invariance analysis (DIF analysis), review and modification of the instrument, final analysis and validation, interpretation of results. Examples of use are presented, as well as the advantages and limitations of the method. In conclusion, the Rasch analysis provides a valuable methodology for the evaluation of clinical competencies and skills, as well as for the development and validation of measurement instruments of great utility for research in care, although it would be necessary to promote training and standardization in its use.

工具的设计和验证是护理研究的一个基本支柱，必须采用最先进的方法和分析，以保证其在临床应用中的有效性和可靠性。本文旨在描述拉施分析的特点及其开发方法，并讨论其在护理研究中的相关性和适用性，强调其对提高该学科测量工具的质量和准确性的潜在贡献。通过叙述性综合，描述了拉施分析的理论基础，并介绍了进行此类分析必须满足的特点和假设。随后，介绍了 11 个步骤的实施方法：确定目标和准备工作、工具设计、数据收集、初始分析和单维分析、拟合度评估（infit-outfit、可靠性和分离度）、项目局部独立性评估（Yen's Q3 系数）、项目校准和技能估计、测量不变性分析（DIF 分析）、工具审查和修改、最终分析和验证、结果解释。介绍了使用实例以及该方法的优势和局限性。总之，拉施分析法为评估临床能力和技能以及开发和验证测量工具提供了一种宝贵的方法，对护理研究具有极大的实用价值，但有必要促进其使用方面的培训和标准化。

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引用次数: 0

Análisis del esfuerzo terapéutico y el coste económico que se producen en la actividad asistencial a un grupo de pacientes ingresados en proceso de final de vida 分析为一组临终病人提供护理的治疗努力和经济成本。

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.08.001

Estela Hernández-Bello , Raquel Sánchez-Recio , Àngel Gasch-Gallén

Aim

There are social inequalities in access to health care that affect therapeutic effort. The aim of the present study was to determine whether there are differences in expenditure according to days of admission and tests performed by age, sex and population of origin in patients at the end of life.

Methods

Cross-sectional descriptive study, with review of clinical histories of terminally ill patients admitted to a hospital, recruited on the basis of the administration of transfusions, who underwent numerous tests and interventions during their last admission before death. Sociodemographic and clinical variables were studied, as well as the cost of admission and tests.

Results

The 140 patients were hospitalized for an average of 17.41 days (SD: 14.323), with an average cost of €8,264.19 (SD: 6,799.8788) per stay. They underwent 59 tests, which amounted to €532,209.68. Being male, of advanced age and of rural origin saw an increase in the number of days of admission. Older people and women received more tests. No relationship was found between days of hospitalization and expenditure with sociodemographic and clinical variables. There was a relationship between surgical interventions and sex (p = 0.047); between age and receiving oncological treatments (p < 0), other techniques (p < 0), nuclear medicine tests (p = 0.02) and electrocardiograms (p = 0.052).

Conclusions

Many palliative patients die in hospitals receiving numerous tests that increase the number of days of hospitalization and costs. Advanced age determines hospital admissions, but not sex or population of origin.

目的在获得医疗服务方面存在着社会不平等，从而影响了治疗效果。本研究的目的是确定生命末期患者的入院天数和所做检查的费用是否因年龄、性别和原籍人口而存在差异。研究方法：横断面描述性研究，对一家医院收治的末期患者的临床病史进行回顾，这些患者是根据输血情况入院的，在临终前的最后一次住院期间接受了多项检查和干预。结果 140 名患者平均住院 17.41 天（标清：14.323 天），每次住院平均花费 8264.19 欧元（标清：6799.8788 欧元）。他们接受了 59 项检查，总费用达 532 209.68 欧元。男性、高龄和农村人口的入院天数有所增加。老年人和女性接受的检查更多。住院天数和支出与社会人口学和临床变量之间没有关系。手术干预与性别之间存在关系（p = 0.047）；年龄与接受肿瘤治疗（p <0）、其他技术（p <0）、核医学检查（p = 0.02）和心电图检查（p = 0.052）之间存在关系。高龄决定了入院人数，但与性别或原籍人口无关。

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引用次数: 0

Calidad de vida y necesidades espirituales de los pacientes diagnosticados de cáncer en un hospital terciario del sudoeste de Nigeria 尼日利亚西南部一家三级医院确诊癌症患者的生活质量和精神需求

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.08.004

Deborah Tolulope Esan , Falilat Idowu Bolarinwa , Blessed Obem Oyama , Oluwaseyi Isaiah Olabisi , Joel Adeleke Afolayan , Carlos Guillermo Ramos , Oladimeji Akeem Bolarinwa

Objective

In Africa, cancer is considered a death sentence. Its impact can be debilitating for the patient and those who care for them. This study therefore assessed the spiritual needs and quality of life of cancer patients in a tertiary hospital in Nigeria.

Methods

This study utilized a cross-sectional descriptive design. We systematically recruited 302 cancer patients who visited the cancer registry and outpatient departments. A standardized and validated Spiritual needs questionnaire (SpNQ) and WHO Quality of Life (WHOQL) were used to collect data. Data was analyzed with SPSS version 23 with a significance level set at P < 0.05.

Results

The preponderance cancer among respondents was breast cancer (146, 48.4%) followed by prostate cancer (41, 13.6%). Most of the respondents admitted having «strong» spiritual needs. Categorization of the spiritual need score was below average in 20% of the respondents which indicated those with low spiritual needs and the majority (241, 79.8%) of the patients had high spiritual needs. Most respondents had poor quality of life in all 4 domains. The spiritual care needs of respondents were significantly associated with the quality of life of the respondents particularly in the psychological domain (P = 0.040) and social domain (P = 0.005).

Conclusion

This study revealed high spiritual needs and poor quality of life among cancer patients. Healthcare practitioners should provide for the spiritual needs of cancer patients to enhance their quality of life.

目标在非洲，癌症被视为死刑。癌症对患者和护理人员的影响可能会使人衰弱。因此，本研究对尼日利亚一家三级医院癌症患者的精神需求和生活质量进行了评估。方法本研究采用横断面描述性设计。我们系统地招募了 302 名癌症患者，他们都曾在癌症登记处和门诊部就诊。收集数据时使用了经过验证的标准化精神需求问卷（SpNQ）和世界卫生组织生活质量标准（WHOQL）。结果受访者中最常见的癌症是乳腺癌（146 人，占 48.4%），其次是前列腺癌（41 人，占 13.6%）。大多数受访者承认有 "强烈 "的精神需求。20% 的受访者的精神需求分类得分低于平均分，这表明他们的精神需求较低，而大多数患者（241 人，79.8%）的精神需求较高。大多数受访者在所有 4 个领域的生活质量都较差。受访者的精神护理需求与受访者的生活质量显著相关，尤其是在心理领域（P = 0.040）和社交领域（P = 0.005）。医护人员应满足癌症患者的精神需求，以提高他们的生活质量。

{"title":"Calidad de vida y necesidades espirituales de los pacientes diagnosticados de cáncer en un hospital terciario del sudoeste de Nigeria","authors":"Deborah Tolulope Esan , Falilat Idowu Bolarinwa , Blessed Obem Oyama , Oluwaseyi Isaiah Olabisi , Joel Adeleke Afolayan , Carlos Guillermo Ramos , Oladimeji Akeem Bolarinwa","doi":"10.1016/j.enfcli.2024.08.004","DOIUrl":"10.1016/j.enfcli.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>In Africa, cancer is considered a death sentence. Its impact can be debilitating for the patient and those who care for them. This study therefore assessed the spiritual needs and quality of life of cancer patients in a tertiary hospital in Nigeria.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional descriptive design. We systematically recruited 302 cancer patients who visited the cancer registry and outpatient departments. A standardized and validated Spiritual needs questionnaire (SpNQ) and WHO Quality of Life (WHOQL) were used to collect data. Data was analyzed with SPSS version 23 with a significance level set at <em>P</em> <0.05.</div></div><div><h3>Results</h3><div>The preponderance cancer among respondents was breast cancer (146, 48.4%) followed by prostate cancer (41, 13.6%). Most of the respondents admitted having «strong» spiritual needs. Categorization of the spiritual need score was below average in 20% of the respondents which indicated those with low spiritual needs and the majority (241, 79.8%) of the patients had high spiritual needs. Most respondents had poor quality of life in all 4domains. The spiritual care needs of respondents were significantly associated with the quality of life of the respondents particularly in the psychological domain (<em>P</em>  =0.005).</div></div><div><h3>Conclusion</h3><div>This study revealed high spiritual needs and poor quality of life among cancer patients. Healthcare practitioners should provide for the spiritual needs of cancer patients to enhance their quality of life.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"34 6","pages":"Pages 468-477"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723925","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}

引用次数: 0

Propuesta de abordaje de cuidados en un paciente con prurigo crónico: caso clínico 慢性瘙痒症患者的护理方法建议：病例报告

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.07.002

Sara Chiquero Valenzuela , Francisco Pedro García Fernández , María Piedad García Ruíz , María Dolores López Franco

We present the clinical case of an 87-year-old man who presents with chronic prurigo without skin treatment.

The aim is to apply an individualized care plan that allows, based on the latest evidence, to achieve skin integrity, which is deteriorated, and improve its quality of life due to the current failure toad dress the pathology.

Several NANDA International diagnostic labels were identified using the NNNConsult online tool and the expected outcomes were plan along with the planned nursing interventions.

The care plan shows the intrinsic difficulty of a multifactorial pathology that is little known and rare but that entails a notable impact on the quality of life and skin integrity, especially when new treatment approaches are currently emerging that are un explored by patients and professionals. This situation makes it necessary to expose and train cases like the one presented, update treatment path ways, real involvement of professionals for adaptation, individualization and continuous search to meet the needs and problems suffered by the people we care for, as well as the need to know new skin approaches.

This work outlines a line of skin care that respects skin integrity, following the latest evidence, and points out the therapeutic medical approach without going into depth as it is not the aim of the work or nursing competence.

我们介绍了一位 87 岁男性患者的临床病例，他患有慢性瘙痒症，但未进行皮肤治疗。我们的目的是根据最新证据，制定个性化护理计划，以实现皮肤完整性（由于目前无法对病症进行治疗，皮肤完整性已经恶化），并改善其生活质量。该护理计划显示了多因素病理的内在困难，这种病理鲜为人知且罕见，但却对生活质量和皮肤完整性造成显著影响，尤其是在目前新的治疗方法不断涌现，但患者和专业人员却未加以探索的情况下。在这种情况下，有必要对类似的病例进行揭露和培训，更新治疗方法，让专业人员真正参与其中，以适应、个性化和不断探索，满足我们所护理的人群的需求和问题，同时也有必要了解新的皮肤治疗方法。

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引用次数: 0

Efectividad de la implantación de recomendaciones de una Guía de Buenas Prácticas para manejar el dolor en los pacientes oncológicos hospitalizados 住院肿瘤患者疼痛管理良好实践指南建议的实施效果

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.07.001

Ana-Isabel Alcañiz-Mesas , María-Victoria Ruiz-García , María-Pilar Córcoles-Jiménez , María-José Caballero-García , María Teresa González Álvarez

Objective

To evaluate the effectiveness of implementing the Clinical Best Practice Guideline (BPG) “Assessment and Management of Pain” recommendations for pain control in oncological/oncohaematological hospitalized patients.

Methods

Ambispective cohort study. Sample and Setting: Adults admitted to oncological unit in Hospital of Albacete. Intervention: Implementation of GBP recommendations. Variables: 1) Demographic data; 2) On implementation of GBP recommendations; 3) Outcome in patients: pain intensity in the first 24 h after admission and maximum intensity during admission Tools: Numeric and Visual Scales. Data collection: indicators exported from clinical history for evaluation of the BPSO® program. Ethical aspects: anonymous data. Data analysis (SPSS®): Descriptive during periods: baseline (T0 = December 2015); initial (T1 = 2017); consolidation (T2 = 2018-2019); sustainability (T3 = 2021-2022). Measurements of central tendency and dispersion, absolute and relative frequencies. Comparison of proportions (Chi-Square) and averages (Student t-test, ANOVA). Statistical significance: P<.05.

Results

Included 572 patients, 61.5% (352) men. Daily intervention of pain detection was performed in 94.6% (538) of patients (20%-T0; 98.3%-T1; 98.4%-T2; 91.2%-T3; P<.001), pain assessment using an appropriate scale in 97.6% (558) (0%-T0; 98.3%-T1; 99.2%-T2; 100%-T3; P<.001); 93.7% (535) had a care plan for assessment and management of pain (0%-T0; 98.3%-T1; 96.3%-T2; 92.3%-T3; P<.001). The percentage of patients who had severe pain (6-10) during the first 24 hours was reduced from T1 to T3 (5.1%-T1; 6.6%-T2; 2.1%-T3; P=.145), but throughout hospitalization increased from T1 to T3 (19.2%-T1; 17%-T2; 22.5%-T3; P=.21).

Conclusions

Implementation of recommendations has led to a statistically significant improvement over the periods in the study; however, no effectiveness has been shown to reduce pain intensity.

目的评估肿瘤/血液病住院患者疼痛控制中实施临床最佳实践指南（BPG）"疼痛评估与管理 "建议的效果。样本和环境：阿尔瓦塞特医院肿瘤科的成人住院患者。干预：实施 GBP 建议。变量：1) 人口统计学数据；2) GBP 建议的实施情况；3) 患者的结果：入院后 24 小时内的疼痛强度和入院期间的最大疼痛强度：数字和视觉量表。数据收集：从临床病历中导出指标，用于评估 BPSO® 程序。伦理方面：匿名数据。数据分析（SPSS®）：描述性期间：基线（T0 = 2015 年 12 月）；初始（T1 = 2017 年）；巩固（T2 = 2018-2019 年）；持续（T3 = 2021-2022 年）。中心倾向和离散度、绝对频率和相对频率的测量。比例（Chi-Square）和平均值（学生 t 检验、方差分析）比较。统计显著性：P<.05.结果包括 572 名患者，61.5%（352 名）为男性。94.6%（538 例）的患者进行了日常疼痛检测干预（20%-T0；98.3%-T1；98.4%-T2；91.2%-T3；P<.001），97.6%（558 例）的患者使用适当的量表进行疼痛评估（0%-T0；98.3%-T1；98.4%-T2；91.2%-T3；P<.001）。6%（558 例）（0%-T0；98.3%-T1；99.2%-T2；100%-T3；P<；.001）；93.7%（535 例）有疼痛评估和管理护理计划（0%-T0；98.3%-T1；96.3%-T2；92.3%-T3；P<；.001）。头 24 小时内疼痛剧烈（6-10 级）的患者比例从 T1 到 T3 有所下降（5.1%-T1；6.6%-T2；2.1%-T3；P=.145），但在整个住院期间，疼痛剧烈的患者比例从 T1 到 T3 有所上升（19.2%-T1；17%-T2；22.5%-T3；P=.21）。

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引用次数: 0

Estudio descriptivo sobre el nivel de sobrecarga del cuidador principal de pacientes oncológicos con astenia tumoral 关于患有肿瘤性气喘的癌症患者的主要照顾者的超负荷程度的描述性研究。

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2024-11-01 DOI: 10.1016/j.enfcli.2024.05.003

Samuel Jiménez-Sánchez , Eduardo José Fernández-Rodríguez , Alberto García-Martín , Celia Sánchez-Gómez , María Isabel Rihuete-Galve

Introduction

The incidence of oncology patients is increasing due to the ageing of the population and advances in research leading to early diagnoses. This has resulted in an increase in the care required for patients at all stages of their illness. To describe the current situation of the overload of informal caregivers of cancer patients with tumour asthenia belonging to the Medical Oncology Service of the University Health Care Complex of Salamanca and the Palliative Care Unit of the Hospital de los Montalvos, we employed the following.

Methods

This is a cross-sectional descriptive observational study conducted at the Complejo Asistencial Universitario de Salamanca and the Palliative Care Unit of the Hospital de los Montalvos from February to May 2023. The study involved 75 informal caregivers of oncology patients with tumour asthenia. Data was collected through interviews, which included sociodemographic information and measurement scales. The study employed the Barthel Scale, PERFORM questionnaire, and Reduced Zarit Caregiver Overload Scale to assess the informal caregivers’ ability to care for cancer patients with tumour asthenia.

Results

Of the caregivers, 58.7% were female, and the mean age was 60.0 years (± 14.10). Over half (50.7%) of the caregivers experienced high levels of overload, making it impossible to care for the patient. Among patients with tumour asthenia, 37.3% were totally dependent, and 8.0% were moderately dependent. Of these caregivers, 58.7% had no prior caregiving experience, 80.7% had no training, and 77.3% never received help in caring for the patient.

Conclusions

In the Medical Oncology service of the Complejo Asistencial Universitario de Salamanca (CAUSA) and the Palliative Care Unit of the Hospital de los Montalvos, over one third of caregivers of oncology patients with tumour asthenia experienced caregiver overload. Variables such as the patient's age, the caregiver's age, the number of care hours, and the willingness to seek help can influence the perception of overload. This can worsen the effective care of the patient. It is important to consider these factors when providing care.

导言：由于人口老龄化和早期诊断研究的进展，肿瘤患者的发病率不断上升。这导致患者在疾病的各个阶段所需的护理都在增加。为了描述萨拉曼卡大学医疗保健综合体肿瘤内科服务处和蒙塔尔沃斯医院姑息治疗科的肿瘤气喘患者的非正式护理人员超负荷工作的现状，我们采用了以下方法。这项研究涉及 75 名肿瘤气喘患者的非正式护理人员。数据通过访谈收集，其中包括社会人口学信息和测量量表。研究采用了巴特尔量表、PERFORM问卷和Reduced Zarit照顾者超负荷量表来评估非正式照顾者照顾肿瘤气喘患者的能力。半数以上（50.7%）的护理人员感到工作负担过重，无法照顾病人。在肿瘤气喘患者中，37.3%完全依赖他人，8.0%中度依赖他人。结论在萨拉曼卡大学辅助综合医院（CAUSA）肿瘤内科服务部门和蒙塔尔沃斯医院姑息治疗部，超过三分之一的肿瘤气喘患者护理人员出现了护理负担过重的情况。病人的年龄、护理者的年龄、护理时数和寻求帮助的意愿等变量都会影响对超负荷的感知。这可能会恶化对患者的有效护理。在提供护理时考虑这些因素非常重要。

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引用次数: 0