Pub Date : 2026-01-01DOI: 10.1016/j.enfcli.2025.502295
Zahra Khazir , Mohammad Saeed Jadgal , Javad Shahraki
Introduction and objective
Colorectal cancer is one of the most common gastrointestinal cancers, accounting for approximately 10% of cancer-related deaths. This study aimed to determine factors associated with the intention to perform a fecal occult blood test for colorectal cancer screening, based on the health belief model and health literacy.
Methods
In this descriptive-analytical and cross-sectional study, 170 elderly people were selected through multi-stage simple random sampling. Data were collected using a questionnaire comprising demographic and background characteristics, health literacy questions, and the Health Belief Model constructs. Data were analyzed using SPSS software version 16 through descriptive and analytical tests.
Results
Logistic regression results showed that self-efficacy (OR: 1.40; P=.000), access dimension (OR: 0.28; P=.009), understanding and comprehension dimension (OR: 0.05; P=.000), and history of lower gastrointestinal bleeding in the last month (OR: 0.03; P=.000) increased the likelihood of intending to undergo colorectal cancer screening.
Conclusion
It seems that using a health belief model combined with health literacy with an emphasis on self-efficacy constructs, access, and understanding of health information can increase individuals’ intention to undergo FOBT.
{"title":"Factores relacionados con la intención de realizar una prueba de sangre oculta en heces para el cribado del cáncer colorrectal, basados en el modelo de creencias de salud y la alfabetización en salud: un estudio transversal","authors":"Zahra Khazir , Mohammad Saeed Jadgal , Javad Shahraki","doi":"10.1016/j.enfcli.2025.502295","DOIUrl":"10.1016/j.enfcli.2025.502295","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Colorectal cancer is one of the most common gastrointestinal cancers, accounting for approximately 10% of cancer-related deaths. This study aimed to determine factors associated with the intention to perform a fecal occult blood test for colorectal cancer screening, based on the health belief model and health literacy.</div></div><div><h3>Methods</h3><div>In this descriptive-analytical and cross-sectional study, 170 elderly people were selected through multi-stage simple random sampling. Data were collected using a questionnaire comprising demographic and background characteristics, health literacy questions, and the Health Belief Model constructs. Data were analyzed using SPSS software version 16 through descriptive and analytical tests.</div></div><div><h3>Results</h3><div>Logistic regression results showed that self-efficacy (OR: 1.40; <em>P</em>=.000), access dimension (OR: 0.28; <em>P</em>=.009), understanding and comprehension dimension (OR: 0.05; <em>P</em>=.000), and history of lower gastrointestinal bleeding in the last month (OR: 0.03; <em>P</em>=.000) increased the likelihood of intending to undergo colorectal cancer screening.</div></div><div><h3>Conclusion</h3><div>It seems that using a health belief model combined with health literacy with an emphasis on self-efficacy constructs, access, and understanding of health information can increase individuals’ intention to undergo FOBT.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"36 1","pages":"Article 502295"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145915528","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502332
Agustín Tristán-López
{"title":"Comentario sobre el artículo «Comparación de índices de validez de contenido para investigación en enfermería clínica: un caso práctico»","authors":"Agustín Tristán-López","doi":"10.1016/j.enfcli.2025.502332","DOIUrl":"10.1016/j.enfcli.2025.502332","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502332"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537183","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502242
Melike Durmaz , Saide Faydali
Objective
This study was conducted to examine the relationship between nurses’ moral sensitivity and the culture of patient safety.
Methodology
This study was designed using a cross-sectional design. The data collection was carried out using a “Questionnaire”, the “Moral Sensitivity Questionnaire (MSQ)”, and the “Patient Safety Culture Scale (PSCS)”. The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01-31, 2023.
Results
High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.
Conclusions
Accordingly, it is recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses’ moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, it is suggested.
{"title":"Relación entre la sensibilidad moral y la cultura de seguridad del paciente de los enfermeros. Estudio descriptivo y correlacional","authors":"Melike Durmaz , Saide Faydali","doi":"10.1016/j.enfcli.2025.502242","DOIUrl":"10.1016/j.enfcli.2025.502242","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to examine the relationship between nurses’ moral sensitivity and the culture of patient safety.</div></div><div><h3>Methodology</h3><div>This study was designed using a cross-sectional design. The data collection was carried out using a “Questionnaire”, the “Moral Sensitivity Questionnaire (MSQ)”, and the “Patient Safety Culture Scale (PSCS)”. The data was obtained from 254 nurses who agreed to participate in the research through an online survey method conducted between January 01-31, 2023.</div></div><div><h3>Results</h3><div>High scores on the autonomy and holistic approach sub-dimensions of the moral sensitivity scale were found to contribute to an increase in patient safety culture scores. High levels of both moral sensitivity and patient safety culture were reported among nurses. However, only a negative and weak significant relationship was found between the autonomy subscale of the moral sensitivity scale and the management and leadership subscale of the patient safety culture scale.</div></div><div><h3>Conclusions</h3><div>Accordingly, it is recommended that separate strengthening initiatives be conducted for nurses in terms of moral sensitivity and patient safety culture. To further explore the relationship between nurses’ moral sensitivity and patient safety culture, future studies involving nurses from diverse cultural backgrounds and various healthcare settings, utilizing both qualitative and quantitative research methods, it is suggested.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502242"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537130","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502407
Marta Lima-Serrano
{"title":"Enfermería y escuela: la necesaria presencia con base en la evidencia con foco en la salud de la comunidad educativa","authors":"Marta Lima-Serrano","doi":"10.1016/j.enfcli.2025.502407","DOIUrl":"10.1016/j.enfcli.2025.502407","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502407"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537184","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502216
Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi
Background
Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.
Objectives
To examine the pain behavior of patients on mechanical ventilation during nursing interventions.
Methods
A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a City-Yemen. Pain was evaluated before and during the nursing interventions via the ‘Ramsay Sedation Scale’ and ‘Behavioral Pain Scale’. The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of < 0.05 was considered to indicate statistical significance.
Results
The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous catheterization through fluctuations all physiological parameters during these procedures.
Conclusion
Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.
{"title":"Comportamiento ante el dolor de los pacientes críticos con ventilación mecánica durante las intervenciones enfermeras en los hospitales gubernamentales de Sana’a, en Yemen","authors":"Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi","doi":"10.1016/j.enfcli.2025.502216","DOIUrl":"10.1016/j.enfcli.2025.502216","url":null,"abstract":"<div><h3>Background</h3><div>Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.</div></div><div><h3>Objectives</h3><div>To examine the pain behavior of patients on mechanical ventilation during nursing interventions.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a City-Yemen. Pain was evaluated before and during the nursing interventions via the ‘Ramsay Sedation Scale’ and ‘Behavioral Pain Scale’. The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of < 0.05 was considered to indicate statistical significance.</div></div><div><h3>Results</h3><div>The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous catheterization through fluctuations all physiological parameters during these procedures.</div></div><div><h3>Conclusion</h3><div>Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502216"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537129","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}
The study was conducted to determine the relationship between the level of care needs of pediatric patients hospitalized in the pediatric surgery service and the caregiving burden of their parents.
Methods
A cross-sectional observational study was conducted on an estimated non-probabilistic sample of 126 children and their parents, who were hospitalized in the pediatric surgery service between May and December 2022. For the children, the inclusion criteria were to be between 0 and 18 years of age, to be hospitalized in the pediatric surgery service of a university hospital and not to present communication difficulties. In order to include parents, they had to meet the criteria of remaining in the hospital after surgery. Descriptive and inferential analyses were performed using non-parametric tests with SPSS software. The study was approved by the research ethics committee.
Results
The children participating in the study 72.2% (n = 91) were boys. Of the children, 89.7% (n = 113) were hospitalized for 1-10 days, 53.9% (n = 68) were hospitalized due to outpatient surgery and 79.4% (n = 100) were hospitalized for postoperative reasons. The total mean score obtained from the overall Pediatric Surgery Service Patient Classification Scale by children hospitalized in the pediatric surgery service was 28.95 ± 6.25 (level III), and the mean score obtained from the overall Zarit Caregiver Burden Scale by the mothers was 34.04 ± 10.78 (moderate level). There was a significant and positive relationship between the caregiving burden of the mothers and the level of care needs of the children (r = 0.550, P<.001).
Conclusion
The mean scores obtained from the overall pediatric surgery service were at a moderate level. There was a significant, positive relationship between these 2 scales.
{"title":"Relación entre los niveles de necesidad de atención de los pacientes hospitalizados en el servicio de Cirugía Pediátrica y la carga asistencial de sus padres: un estudio transversal","authors":"Duygu Karaarslan , Nazan Kavak Çelik , Dilek Ergin","doi":"10.1016/j.enfcli.2025.502210","DOIUrl":"10.1016/j.enfcli.2025.502210","url":null,"abstract":"<div><h3>Objectives</h3><div>The study was conducted to determine the relationship between the level of care needs of pediatric patients hospitalized in the pediatric surgery service and the caregiving burden of their parents.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was conducted on an estimated non-probabilistic sample of 126 children and their parents, who were hospitalized in the pediatric surgery service between May and December 2022. For the children, the inclusion criteria were to be between 0 and 18 years of age, to be hospitalized in the pediatric surgery service of a university hospital and not to present communication difficulties. In order to include parents, they had to meet the criteria of remaining in the hospital after surgery. Descriptive and inferential analyses were performed using non-parametric tests with SPSS software. The study was approved by the research ethics committee.</div></div><div><h3>Results</h3><div>The children participating in the study 72.2% (n<!--> <!-->=<!--> <!-->91) were boys. Of the children, 89.7% (n<!--> <!-->=<!--> <!-->113) were hospitalized for 1-10 days, 53.9% (n<!--> <!-->=<!--> <!-->68) were hospitalized due to outpatient surgery and 79.4% (n<!--> <!-->=<!--> <!-->100) were hospitalized for postoperative reasons. The total mean score obtained from the overall Pediatric Surgery Service Patient Classification Scale by children hospitalized in the pediatric surgery service was 28.95<!--> <!-->±<!--> <!-->6.25 (level III), and the mean score obtained from the overall Zarit Caregiver Burden Scale by the mothers was 34.04<!--> <!-->±<!--> <!-->10.78 (moderate level). There was a significant and positive relationship between the caregiving burden of the mothers and the level of care needs of the children (r<!--> <!-->=<!--> <!-->0.550, <em>P</em><.001).</div></div><div><h3>Conclusion</h3><div>The mean scores obtained from the overall pediatric surgery service were at a moderate level. There was a significant, positive relationship between these 2<!--> <!-->scales.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502210"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537128","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502247
Dolores Merino-Navarro , Cristina Díaz-Periánez , Yolanda Bouzada-Guillén , Teresa Estrada-López , Juan Bayo-Calero , Héctor González de la Torre , Rafaela Camacho-Bejarano
Aim
To describe the levels of fear of recurrence in cancer patients in the follow-up phase.
Method
Cross-sectional descriptive study carried out from June 2023 to February 2024. A sample of 315 adult patients with a diagnosis of non-metastatic cancer in the process of follow-up at least 6 months after the end of active treatment, seen in the oncology department of the Juan Ramón Jiménez University Hospital in Huelva, was included. The FCR7-SP questionnaire was used to measure fear of recurrence. Permission was obtained from the Provincial Ethics Committee. Data analysis was performed using SPSS software v.29.0.1.0.
Results
An average score of 26.5 out of 35 points was observed on the FCR7-SP scale, suggesting a moderate level of fear. Mean age was 57.91 years (SD: ± 11.80). The most frequent cancer was breast cancer (63%) followed by mostly stage II colorectal cancer (20%). There is a statistically significant relationship between fear of recurrence and gender, nationality, treatment and type of cancer. Five cut-off points of the FCR7-SP scale are proposed based on the percentiles obtained.
Conclusions
The level of fear of recurrence in cancer patients in the follow-up phase at the Juan Ramón Jiménez University Hospital in Huelva is moderate. It is essential to identify the factors that influence the level of fear of recurrence in order to design preventive interventions and/or an early approach.
目的描述癌症患者随访期对复发的恐惧程度。方法横断面描述性研究于2023年6月至2024年2月进行。纳入了在Huelva Juan Ramón jimsamnez大学医院肿瘤科就诊的315名在积极治疗结束后至少6个月随访过程中被诊断为非转移性癌症的成年患者样本。采用FCR7-SP问卷测量复发恐惧。获得了省伦理委员会的许可。数据分析采用SPSS v.29.0.1.0软件。结果FCR7-SP量表35分，平均得分26.5分，表明恐惧程度中等。平均年龄57.91岁（SD：±11.80）。最常见的癌症是乳腺癌（63%），其次是II期结直肠癌（20%）。对复发的恐惧与性别、国籍、治疗方式和癌症类型有统计学意义的关系。根据得到的百分位数，提出了FCR7-SP量表的5个截止点。结论Juan Ramón jimmednez大学医院随访期肿瘤患者对复发的恐惧程度为中等。必须确定影响对复发的恐惧程度的因素，以便设计预防性干预措施和/或早期办法。
{"title":"Valoración del miedo a la recidiva en los pacientes oncológicos en fase de seguimiento del Hospital Universitario Juan Ramón Jiménez de Huelva","authors":"Dolores Merino-Navarro , Cristina Díaz-Periánez , Yolanda Bouzada-Guillén , Teresa Estrada-López , Juan Bayo-Calero , Héctor González de la Torre , Rafaela Camacho-Bejarano","doi":"10.1016/j.enfcli.2025.502247","DOIUrl":"10.1016/j.enfcli.2025.502247","url":null,"abstract":"<div><h3>Aim</h3><div>To describe the levels of fear of recurrence in cancer patients in the follow-up phase.</div></div><div><h3>Method</h3><div>Cross-sectional descriptive study carried out from June 2023 to February 2024. A sample of 315 adult patients with a diagnosis of non-metastatic cancer in the process of follow-up at least 6 months after the end of active treatment, seen in the oncology department of the Juan Ramón Jiménez University Hospital in Huelva, was included. The FCR7-SP questionnaire was used to measure fear of recurrence. Permission was obtained from the Provincial Ethics Committee. Data analysis was performed using SPSS software v.29.0.1.0.</div></div><div><h3>Results</h3><div>An average score of 26.5 out of 35 points was observed on the FCR7-SP scale, suggesting a moderate level of fear. Mean age was 57.91 years (SD: ±<!--> <!-->11.80). The most frequent cancer was breast cancer (63%) followed by mostly stage II colorectal cancer (20%). There is a statistically significant relationship between fear of recurrence and gender, nationality, treatment and type of cancer. Five cut-off points of the FCR7-SP scale are proposed based on the percentiles obtained.</div></div><div><h3>Conclusions</h3><div>The level of fear of recurrence in cancer patients in the follow-up phase at the Juan Ramón Jiménez University Hospital in Huelva is moderate. It is essential to identify the factors that influence the level of fear of recurrence in order to design preventive interventions and/or an early approach.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502247"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537116","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502211
Nilton João Chantre Leite , Armando Manuel Mendonça Raimundo , Romeu Duarte Carneiro Mendes , Soraia Daniela Pires Ferreira , José Francisco Filipe Marmeleira
Aim
This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).
Methods
A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58 ± 6.15 years, with a diabetes duration of 14.81 ± 8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-min sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-Related Quality of Life was assessed using the EuroQol five-dimensions-3-level questionnaire.
Results
Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.
Conclusions
These results show promising effects of the motor-cognitive intervention on Health-Related Quality of Life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.
{"title":"Impacto de una intervención motora/cognitiva en la calidad de vida relacionada con la salud en los pacientes con diabetes mellitus tipo 2","authors":"Nilton João Chantre Leite , Armando Manuel Mendonça Raimundo , Romeu Duarte Carneiro Mendes , Soraia Daniela Pires Ferreira , José Francisco Filipe Marmeleira","doi":"10.1016/j.enfcli.2025.502211","DOIUrl":"10.1016/j.enfcli.2025.502211","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).</div></div><div><h3>Methods</h3><div>A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58<!--> <!-->±<!--> <!-->6.15 years, with a diabetes duration of 14.81<!--> <!-->±<!--> <!-->8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-min sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-Related Quality of Life was assessed using the EuroQol five-dimensions-3-level questionnaire.</div></div><div><h3>Results</h3><div>Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.</div></div><div><h3>Conclusions</h3><div>These results show promising effects of the motor-cognitive intervention on Health-Related Quality of Life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502211"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537117","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502254
Cristina López-Muñoz , Marta Aranda-Gallardo , Francisco Rivas-Ruiz , Ana Belén Moya-Suárez , José Carlos Canca-Sanchez
Objective
To determine the clinical and functional characteristics and to compare the survival of a group of patients with multiple pathologies with PEG versus another group with similar characteristics of comorbidity and nutritional status, fed orally.
Method
A retrospective cohort study of hospitalized patients at the Costa del Sol Hospital (2016-21) was conducted. The inclusion criteria were multi-pathological patients belonging to categories E and G, defined in the Assistance Process of the Ministry of Health, with dysphagia and nutritional risk. All patients with PEG were included. The non-PEG group was obtained with simple random sampling. Dysphagia was evaluated with the volume-viscosity clinical examination method. Analytical parameters, survival, PROFUND index and nutritional risk were also evaluated. Statistical analysis and a Cox multivariate regression model (95% CI) were performed with a significance level of P < .05.
Results
A total of 1928 patients with multiple pathologies were categorized, almost 30% with dysphagia. 84 patients were fed by PEG. Of the 434 orally fed subjects, 84 were selected, a total sample of 168 patients. The most frequent diagnoses were neurological disease and/or dementia versus stroke in the non-PEG group. Both groups presented malnutrition in more than 70% and an intermediate-high PROFUND. Adjusting the groups with nutritional status and the PROFUND index, the PEG group had a better prognosis (P = .035).
Conclusions
The adjustment of the studied population with the PROFUND index and its nutritional status determines a longer survival of patients with PEG.
{"title":"Supervivencia de pacientes pluripatológicos hospitalizados con riesgo nutricional según su índice PROFUND","authors":"Cristina López-Muñoz , Marta Aranda-Gallardo , Francisco Rivas-Ruiz , Ana Belén Moya-Suárez , José Carlos Canca-Sanchez","doi":"10.1016/j.enfcli.2025.502254","DOIUrl":"10.1016/j.enfcli.2025.502254","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the clinical and functional characteristics and to compare the survival of a group of patients with multiple pathologies with PEG versus another group with similar characteristics of comorbidity and nutritional status, fed orally.</div></div><div><h3>Method</h3><div>A retrospective cohort study of hospitalized patients at the Costa del Sol Hospital (2016-21) was conducted. The inclusion criteria were multi-pathological patients belonging to categories E and G, defined in the Assistance Process of the Ministry of Health, with dysphagia and nutritional risk. All patients with PEG were included. The non-PEG group was obtained with simple random sampling. Dysphagia was evaluated with the volume-viscosity clinical examination method. Analytical parameters, survival, PROFUND index and nutritional risk were also evaluated. Statistical analysis and a Cox multivariate regression model (95% CI) were performed with a significance level of <em>P</em> <!--><<!--> <!-->.05.</div></div><div><h3>Results</h3><div>A total of 1928 patients with multiple pathologies were categorized, almost 30% with dysphagia. 84 patients were fed by PEG. Of the 434 orally fed subjects, 84 were selected, a total sample of 168 patients. The most frequent diagnoses were neurological disease and/or dementia versus stroke in the non-PEG group. Both groups presented malnutrition in more than 70% and an intermediate-high PROFUND. Adjusting the groups with nutritional status and the PROFUND index, the PEG group had a better prognosis <em>(P</em> <!-->=<!--> <!-->.035).</div></div><div><h3>Conclusions</h3><div>The adjustment of the studied population with the PROFUND index and its nutritional status determines a longer survival of patients with PEG.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502254"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537119","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}
Pub Date : 2025-11-01DOI: 10.1016/j.enfcli.2025.502253
Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Marina Gómez de Quero Cordoba , Maria Nieves Moro-Tejedor
Aim
To analyze the health-related quality of life perceived by patients undergoing a liver transplant and the relationship with mental health and other clinical and sociodemographic characteristics during the first year after transplant.
Method
Observational, descriptive study, carried out in a tertiary hospital in Madrid from January 2020 to December 2021. Sociodemographic and clinical variables, Model for End-Stage Liver Disease sodium, health-related quality of life questionnaire scale were collected and Hospital Anxiety and Depression scale. A descriptive and regression analysis of effects was performed to assess health-related quality of life.
Results
The patient sample was n = 56, with n = 45 (67.2%) men. The physical quality of life score was lower in women, presence of depressive symptoms and greater risk of liver disease. After the transplant, cardiovascular risk factors worsened, but quality of life improved significantly, maintaining a relationship with anxiety/depression.
Conclusion
Liver transplant impacts patient's quality of life with significant physical improvement. Mental health is significantly impacted by depressive and anxious symptoms. The level of risk of the disease appears to play an important role, although with effects that vary over time. The nurse must guide post-transplant care towards an optimal quality of life, promoting adherence to treatment, and reducing risks by promoting physical activity and healthy habits.
{"title":"Evolución de la calidad de vida relacionada con la salud en pacientes adultos trasplantados hepáticos","authors":"Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Marina Gómez de Quero Cordoba , Maria Nieves Moro-Tejedor","doi":"10.1016/j.enfcli.2025.502253","DOIUrl":"10.1016/j.enfcli.2025.502253","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the health-related quality of life perceived by patients undergoing a liver transplant and the relationship with mental health and other clinical and sociodemographic characteristics during the first year after transplant.</div></div><div><h3>Method</h3><div>Observational, descriptive study, carried out in a tertiary hospital in Madrid from January 2020 to December 2021. Sociodemographic and clinical variables, Model for End-Stage Liver Disease sodium, health-related quality of life questionnaire scale were collected and Hospital Anxiety and Depression scale. A descriptive and regression analysis of effects was performed to assess health-related quality of life.</div></div><div><h3>Results</h3><div>The patient sample was n<!--> <!-->=<!--> <!-->56, with n<!--> <!-->=<!--> <!-->45 (67.2%) men. The physical quality of life score was lower in women, presence of depressive symptoms and greater risk of liver disease. After the transplant, cardiovascular risk factors worsened, but quality of life improved significantly, maintaining a relationship with anxiety/depression.</div></div><div><h3>Conclusion</h3><div>Liver transplant impacts patient's quality of life with significant physical improvement. Mental health is significantly impacted by depressive and anxious symptoms. The level of risk of the disease appears to play an important role, although with effects that vary over time. The nurse must guide post-transplant care towards an optimal quality of life, promoting adherence to treatment, and reducing risks by promoting physical activity and healthy habits.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502253"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537127","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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