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Conocimiento y concienciación sobre el accidente cerebrovascular en comunidades rurales y urbanas 农村和城市社区对脑卒中的了解和认识
IF 0.5 Q3 Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.01.006
Rahmania Ambarika , Mohamed Saifulaman Mohamed Said , Novian Mahayu Adiutama , Novita Ana Anggraini , Sandeep Poddar , Bibi Florina Abdullah

Introduction

The average stroke morbidity rate, especially in rural communities, is higher when compared to the national average.

Objective

Identify the profile of knowledge and awareness of stroke in rural and urban communities and analyze the differences between the two.

Method

Respondents who met the requirements answered a questionnaire containing a total of 41 items regarding knowledge and awareness of stroke. Characteristic data obtained includes age, gender, education, occupation, and ethnicity. Differences in characteristics were analyzed using Mann-Whitney, and the profiles of knowledge and awareness of stroke in rural and urban groups were analyzed using independent t tests to see differences between the two.

Result

Differences in the characteristics of rural and urban groups were only in education (P = .036) and occupation (P = .021). The mean score of the knowledge domain for the rural group was 72.53 (SD: 11.04), for the urban group it was 81.06 (SD: 11.12). The mean score awareness of stroke domain in the rural group was 72.18 (SD: 11.01), the urban group was 85.51 (SD: 11.67). The profile of knowledge and awareness of stroke in rural communities was significantly lower than in urban communities. The significance value was P = .004 for knowledge and P = .002 for awareness of stroke.

Conclusion

Based on the findings, it is reasonable to suspect that educational and occupational factors contribute to differences in the profile of knowledge and awareness of stroke in the two groups. Therefore, the stroke awareness campaign strategy for rural communities needs to be specifically designed by emphasizing/considering educational and occupational factors.

引言与全国平均水平相比,脑卒中的平均发病率较高,尤其是在农村社区。目的确定农村社区和城市社区对脑卒中知识和认识的概况,并分析二者之间的差异。获得的特征数据包括年龄、性别、教育程度、职业和种族。用 Mann-Whitney 分析特征差异,用独立 t 检验分析农村组和城市组对脑卒中知识和认识的概况,以了解二者之间的差异。结果农村组和城市组的特征差异仅表现在教育程度(P = 0.036)和职业(P = 0.021)上。农村组在知识领域的平均得分为 72.53(标准差:11.04),城市组为 81.06(标准差:11.12)。农村组对脑卒中认知领域的平均得分为 72.18(标 准差:11.01),城市组为 85.51(标准差:11.67)。农村社区居民对脑卒中的了解和认识程度明显低于城市社区。结论根据研究结果,我们有理由怀疑教育和职业因素导致了两组人群在脑卒中知识和意识方面的差异。因此,针对农村社区的脑卒中认知活动策略需要特别强调/考虑教育和职业因素。
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引用次数: 0
Diagnóstico, tratamiento e impacto de la polineuropatía diabética dolorosa en España: encuesta a pacientes 西班牙疼痛性糖尿病多发性神经病变的诊断、治疗和影响:患者调查
IF 0.5 Q3 Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.03.004
Ainhoa Reta-Murua , Mercedes Maderuelo-Labrador
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引用次数: 0
Experiencias de pacientes con enfermedad de Parkinson pertenecientes a una asociación. Un enfoque cualitativo 加入协会的帕金森病患者的经历。定性方法
IF 0.5 Q3 Nursing Pub Date : 2024-05-01 DOI: 10.1016/j.enfcli.2024.03.002
Natalia Brandín-de la Cruz , Carolina Jiménez-Sánchez , Pablo Herrero , Paula Córdova-Alegre , Almudena Buesa-Estéllez , Sandra Calvo

Introduction

Parkinson's disease (PD) affects the physical, cognitive, emotional, and social domains of people who suffer it. A good strategy for patients is to belong to an Association, using the services they offer.

Objective

The aim of this study was to explore the experiences and perceptions of patients with PD in a Parkinson's Association.

Methods

A sample of participants with PD who met the inclusion criteria was selected through purpose and theoretical sampling. Semi-structured qualitative interviews were used to collect the data, which was analyzed by thematic phenomenological analysis. Different strategies such as triangulation between researchers were used to ensure methodological rigor.

Results

The data analyzed from 10 participants led to two themes: the context of the Association, where the importance of interdisciplinary treatments and the relationship with other patients is collected; and how they see their future, which describes the future perspectives that patients with PD have.

Discussion

Patients agree on the importance of belonging to the Association, feeling part of a group, while benefiting from receiving therapies from the interdisciplinary team. The Association plays a relevant role in the evolution of the disease, as it influences how patients imagine their future. Developing strategies based on a good therapeutic alliance with professionals at the service of patients promotes the empowerment, adherence and continuity of treatments at home, which results in improving the quality of life of patients with PD.

导言帕金森病(PD)会影响患者的身体、认知、情感和社交领域。本研究旨在探讨帕金森氏症患者在帕金森氏症协会中的经历和感知。研究方法:通过目的性和理论性抽样,选择符合纳入标准的帕金森氏症患者作为样本。采用半结构式定性访谈收集数据,并通过主题现象学分析法对数据进行分析。结果对 10 名参与者的数据进行分析后得出两个主题:协会的背景,其中收集了跨学科治疗的重要性以及与其他患者的关系;以及他们如何看待自己的未来,其中描述了帕金森病患者对未来的看法。协会在疾病的演变过程中扮演着重要角色,因为它影响着患者对未来的想象。在与为患者服务的专业人员建立良好治疗联盟的基础上制定策略,可以增强患者的能力、坚持并持续在家接受治疗,从而提高帕金森病患者的生活质量。
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引用次数: 0
Consumo de alcohol en niños, niñas y adolescentes con dolor crónico. Scoping review 患有慢性疼痛的儿童和青少年的饮酒问题。范围审查
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2024.01.002
Pablo Fernández-León , Marta Lima-Serrano , Eugenia Gil-García , Rocío Cáceres-Matos

Aim

To examine and map alcohol consumption in children and adolescents with chronic pain (CP).

Method

A scoping review of international databases (CINAHL, WOS, PubMed, PsycINFO, Scopus, Embase, and MEDLINE) and grey literature was conducted between September 2022 and February 2023. Documents addressing the relationship between alcohol consumption and CP in children and adolescents, published in English and Spanish between 2012 and 2023, were included. Those papers with a population suffering from CD derived from neurodegenerative diseases, chronic infectious diseases or cognitive impairment were excluded. We assessed the level of evidence (LE) and the degree of recommendation (DR) of the studies included in accordance with the Scottish Intercollegiate Guidelines Network. Finally, 11 documents were considered out of the 479 reviewed.

Results

The relationship between substance consumption and CP in adolescents is a scarcely investigated topic. While there is a trend towards lower rates of alcohol consumption in youth with pain, there is evidence suggesting an association, particularly in cases of intense pain. The use of various substances, both legal and illegal, for pain management underscores the importance of comprehensively addressing this phenomenon in this population.

Conclusions

Further research is needed to assess the relationship between alcohol consumption in children and adolescents with CP.

方法 在 2022 年 9 月至 2023 年 2 月期间,对国际数据库(CINAHL、WOS、PubMed、PsycINFO、Scopus、Embase 和 MEDLINE)和灰色文献进行了范围审查。研究纳入了 2012 年至 2023 年期间以英语和西班牙语发表的有关儿童和青少年饮酒与 CP 之间关系的文献。排除了那些涉及因神经退行性疾病、慢性传染病或认知障碍而患 CD 的人群的文献。我们根据苏格兰校际指南网络评估了所纳入研究的证据级别(LE)和推荐程度(DR)。结果青少年药物消费与心血管疾病之间的关系是一个鲜有研究的课题。虽然患有疼痛的青少年饮酒率呈下降趋势,但有证据表明两者之间存在关联,尤其是在剧烈疼痛的情况下。使用各种药物(包括合法和非法药物)来控制疼痛突出表明了在这一人群中全面解决这一现象的重要性。
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引用次数: 0
La estrategia de higiene de manos en un hospital de Madrid. Una década de evolución 马德里一家医院的手部卫生策略。十年演变
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2024.01.004
Carmen Ruiz-Castro , Pilar Querencias-García , Claudia Ruiz-Huerta-García de Viedma
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引用次数: 0
Cómo perciben las enfermeras la brecha entre el conocimiento y la práctica 护士如何看待知识与实践之间的差距
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2024.01.001
Roai S. Gassas , Mohamed E. Ahmed

Background

Identifying nurses’ perceptions of the knowledge-practice gap is a critical step toward developing evidence-based practice. Currently, multiple factors contribute to the gap between nursing education and actual practice. Addressing this gap requires a new perspective, not yet adequately represented in the literature, that includes nurses’ perceptions.

Aim

This study aims to describe nurses’ perceptions of the knowledge-practice gap in the domains of knowledge, practice, environment, and learning. And it analyzes how nurses’ professional characteristics are associated with their perceptions of the gap in each of these domains as well as the relationships between the domains themselves.

Methods

The study used a cross-sectional descriptive correlational design. A sample of 513 staff nurses recruited through a convenience sampling technique provided information on professional variables such as education and experience and completed a Likert-scale survey about their perceptions of the knowledge–practice gap.

Results

Their answers were found to vary with educational level and history of workshop attendance. Items from the knowledge domain were positively and significantly correlated with items from the environment and learning domains, which were also positively and significantly correlated with each other. However, the knowledge and practice domains were not significantly correlated. In addition to showing correlations among the major domains (or aspects) of the knowledge-practice gap, the study highlights how nurses’ professional characteristics contribute to differences in their perceptions of this gap.

Conclusion

These findings can guide hospital-specific measures for bridging the gap. In addition, the scale can be employed by leaders as a tool for the purpose of conducting assessments.

背景确定护士对知识与实践差距的看法是发展循证实践的关键一步。目前,多种因素导致了护理教育与实际操作之间的差距。本研究旨在从知识、实践、环境和学习等方面描述护士对知识与实践差距的看法。本研究旨在描述护士在知识、实践、环境和学习方面对知识与实践差距的看法,并分析护士的职业特征与他们对上述各领域差距的看法之间的关联,以及各领域之间的关系。研究采用了横断面描述性相关设计,通过便利抽样技术招募了 513 名护士,他们提供了有关教育和经验等专业变量的信息,并完成了有关他们对知识与实践差距的看法的李克特量表调查。知识领域的项目与环境和学习领域的项目呈显著正相关,而环境和学习领域的项目之间也呈显著正相关。但是,知识领域和实践领域之间没有明显的相关性。除了显示知识与实践差距的主要领域(或方面)之间的相关性外,本研究还强调了护士的专业特点如何导致她们对这一差距的认知差异。此外,该量表还可作为领导者进行评估的工具。
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引用次数: 0
Mirando al futuro de la Enfermería de Práctica Avanzada en España 展望西班牙高级实践护理的未来
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2024.03.001
Alfredo Serrano-Ruiz
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引用次数: 0
Enfermería neuropaliativa y modelo de cuidados domiciliarios en la India: experiencia y evidencia 印度的神经姑息护理和家庭护理模式:经验与证据
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2023.07.002
Priya Baby , Jobimol John , Priya Treesa Thomas
{"title":"Enfermería neuropaliativa y modelo de cuidados domiciliarios en la India: experiencia y evidencia","authors":"Priya Baby ,&nbsp;Jobimol John ,&nbsp;Priya Treesa Thomas","doi":"10.1016/j.enfcli.2023.07.002","DOIUrl":"10.1016/j.enfcli.2023.07.002","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469781","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
Grado de satisfacción de las mujeres tratadas con reconstrucción y dermopigmentación del complejo aréola-pezón tras la reconstrucción mamaria 乳房再造术后接受乳头乳晕复合体再造和皮肤色素沉着治疗的妇女的满意度
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2023.12.002
Anna Padullés-Escarré , Anna López-Ojeda , Antonio Sánchez-Egea , Jordi Adamuz-Tomás

Objective

To evaluate the degree of satisfaction of women treated with dermopigmentation and reconstruction of the Areola-Nipple Complex (ANC) after breast reconstruction, as well as their demographic profile and clinical-evolutionary characteristics.

Methods

Descriptive observational study including 128 women treated with dermopigmentation after oncologic breast reconstruction during 2018. In 2021 they were administered an adapted satisfaction questionnaire, which contains 27 items and categorizes satisfaction from 1-5, in addition other clinical-evolutionary and demographic variables were collected.

Results

Mean age was 51 (± 9) years, 89.1% had previously undergone PDA reconstruction. Mean satisfaction with dermopigmentation was 4.4 (± 0.88) and 3.79 (± 1.06) for PDA reconstruction. Complications were rare, but 54.5% (n = 54) of the patients reported that the CAP reconstruction did not offer the expected projection, 91.6% (n = 98) that the color had faded and 51.4% (n = 55) would choose permanent tattooing. It was perceived that, the higher the satisfaction of the CAP, the higher the satisfaction of dermopigmentation, while the older the age and previous chemotherapy treatment the lower the color durability (pValue ≤ 0.05).

Conclusions

Patients who underwent reconstructive breast surgery show a high degree of satisfaction with dermopigmentation and surgical reconstruction of the PDA, but reiterate the low projecticity of the dermopigmentation and the surgical reconstruction of the PDA, but reiterate the low degree of satisfaction with the dermopigmentation.

目的 评估乳房重建后接受皮肤色素沉着和乳晕乳头复合体(ANC)重建治疗的妇女的满意度,以及她们的人口统计学特征和临床演变特征。方法 描述性观察研究,包括2018年期间接受肿瘤性乳房重建后皮肤色素沉着治疗的128名妇女。2021年,对她们进行了改编的满意度问卷调查,该问卷包含27个项目,将满意度分为1-5级,此外还收集了其他临床演变和人口统计学变量。结果平均年龄为51(±9)岁,89.1%曾接受过PDA重建。对皮肤色素沉着的平均满意度为 4.4 (± 0.88),对 PDA 重建的平均满意度为 3.79 (± 1.06)。并发症很少发生,但54.5%(n = 54)的患者表示CAP重建没有达到预期的投影效果,91.6%(n = 98)的患者表示颜色已经褪去,51.4%(n = 55)的患者表示会选择永久性纹身。据认为,对 CAP 的满意度越高,对皮肤色素沉着的满意度也越高,而年龄越大和之前接受过化疗的患者对颜色的持久性越低(pValue ≤ 0.05)。结论接受乳房再造手术的患者对皮肤色素沉着和 PDA 手术再造的满意度较高,但重申皮肤色素沉着和 PDA 手术再造的投射性较低,但重申对皮肤色素沉着的满意度较低。
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引用次数: 0
Niveles de depresión y de autoestima en mujeres con cáncer de endometrio y de cuello uterino que reciben tratamiento de quimioterapia en Turquía 土耳其接受化疗的子宫内膜癌和宫颈癌妇女的抑郁和自尊水平
IF 0.5 Q3 Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.enfcli.2023.12.003
Selin Kiziltaş , Ekin Dila Topaloğlu Ören

Objective

Endometrium and cervical cancer is a common and important health problem that affects women in many physical, emotional and psychological aspects. This study aimed to determine the levels of depression and self-esteem in women with endometrial and cervical cancer receiving chemotherapy, determine the factors affecting them, and examine the relationship between the levels of depression and self-esteem.

Methods

This descriptive and cross-sectional study was conducted with 158 women who came to the gynecology-oncology policlinic and chemotherapy unit of a training and research hospital in Izmir, western Türkiye, between April 2022 and April 2023. Data were collected with the “Descriptive Information Form”, “Beck Depression Inventory” and “Rosenberg Self-Esteem Scale”. Descriptive and inferential statistics were performed to analyse the association between the study variables.

Results

In this study, 52.5% of women were diagnosed with endometrial cancer and 47.5% with cervical cancer. Beck Depression Inventory mean total score was 11.28 ± 6.35, and 20.3% of them were at risk of depression (BDI≥17). Rosenberg Self-Esteem Scale mean total score was 21.06 ± 3.85, and 97.5% of them had high self-esteem. There was a statistically significant and strong negative correlation between the mean total scores of the Beck Depression Inventory and Rosenberg Self-Esteem Scale (r=.723; P<.05). It was determined that an increase in the Rosenberg Self-Esteem Scale mean total score by 1 unit decreased the Beck Depression Inventory mean total score by 1.2 units and was responsible for 52% of the variance (B=–1.192; R2=.523).

Conclusion

It was determined that one-fifth of women experienced moderate/severe depression and the majority of them had high self-esteem. The increase in women's depression levels decreased their self-esteem. Healthcare professionals and oncology nurses should perform screenings to determine the depression and self-esteem levels of women with endometrial and cervical cancer and provide necessary education, counseling, and care to women.

目的 子宫内膜癌和宫颈癌是一种常见的重要健康问题,对妇女的身体、情感和心理造成多方面的影响。本研究旨在确定接受化疗的子宫内膜癌和宫颈癌女性患者的抑郁和自尊水平,确定影响抑郁和自尊的因素,并研究抑郁和自尊水平之间的关系。 本研究为描述性横断面研究,对象为 2022 年 4 月至 2023 年 4 月期间到土耳其西部伊兹密尔一家培训和研究医院妇科肿瘤科和化疗室就诊的 158 名女性。通过 "描述性信息表"、"贝克抑郁量表 "和 "罗森伯格自尊量表 "收集数据。结果在这项研究中,52.5% 的妇女被诊断为子宫内膜癌,47.5% 的妇女被诊断为宫颈癌。贝克抑郁量表平均总分(11.28±6.35)分,20.3%的妇女有抑郁风险(BDI≥17)。罗森伯格自尊量表平均总分(21.06±3.85)分,97.5%的患者自尊心强。贝克抑郁量表的平均总分与罗森伯格自尊量表的平均总分之间存在统计学意义上的强负相关(r=.723;P<.05)。罗森伯格自尊量表的平均总分每增加 1 个单位,贝克抑郁量表的平均总分就会减少 1.2 个单位,并造成 52% 的差异(B=-1.192;R2=.523)。妇女抑郁程度的增加降低了她们的自尊。医护人员和肿瘤科护士应进行筛查,以确定子宫内膜癌和宫颈癌妇女的抑郁和自尊水平,并为妇女提供必要的教育、咨询和护理。
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引用次数: 0
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Enfermeria Clinica
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