Pub Date : 2025-11-01Epub Date: 2025-02-24DOI: 10.1016/j.enfcli.2025.502193
Jorgina Serra-López , Antonia Miranda , Ana Soria , Nuria López , Eduardo Castañón , Margarita Majem
Introduction
Immunotherapy is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.
Objective
To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.
Method
A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.
Results
The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.
Conclusion
The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.
{"title":"Guía para enfermeras sobre el manejo de pacientes en tratamiento oncológico con inmunoterapia","authors":"Jorgina Serra-López , Antonia Miranda , Ana Soria , Nuria López , Eduardo Castañón , Margarita Majem","doi":"10.1016/j.enfcli.2025.502193","DOIUrl":"10.1016/j.enfcli.2025.502193","url":null,"abstract":"<div><h3>Introduction</h3><div>Immunotherapy is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.</div></div><div><h3>Objective</h3><div>To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.</div></div><div><h3>Method</h3><div>A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.</div></div><div><h3>Results</h3><div>The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.</div></div><div><h3>Conclusion</h3><div>The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502193"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537112","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 : 2025-11-01Epub Date: 2025-03-05DOI: 10.1016/j.enfcli.2025.502212
Isabel Alves , Ana Paula Moreira , Teresa Sousa , Paulo Teles , Filipe Goncalves , Bruno Miguel Magalhães , Carla Sílvia Fernandes
Objectives
This study aimed to describe and test a program implemented by a nurse for cancer patients in the postoperative period of abdominal surgery using Wii Fit games. It explored the relationship between the type of game, its duration, and the score obtained with variables such as quality of life, fatigue, balance, anxiety, and depression.
Methods
A quasi-experimental project was conducted using a one-group pretest-posttest design to assess the effects of a rehabilitation program utilizing Nintendo Wii Fit. The games included were Wii Fit Aerobics – Basic Step, Wii Fit – Balance Games Penguin Slide, Wii Fit Training Plus – Birds Eye Bulls Eye, and Wii Fit – Hula Hoop. Data were collected 48 h post-surgery and on the 7 th day post-surgery.
Results
Thirty-five patients participated in the study. The evaluation revealed that the scores and durations of the games had significantly related to the outcomes on the scales, with the Wii Fit Aerobics – Basic Step and Wii Fit – Hula Hoop games having the most significant impact across multiple aspects.
Conclusions
The study demonstrated that the rehabilitation program had a positive effect on the study population, administered by a rehabilitation nurse. The use of exergames may offer a viable solution to the challenges of traditional rehabilitation methods, particularly for cancer patients in the postoperative period.
{"title":"Programa de exergames para pacientes con cáncer en el periodo postoperatorio de cirugía abdominal: un estudio cuasiexperimental","authors":"Isabel Alves , Ana Paula Moreira , Teresa Sousa , Paulo Teles , Filipe Goncalves , Bruno Miguel Magalhães , Carla Sílvia Fernandes","doi":"10.1016/j.enfcli.2025.502212","DOIUrl":"10.1016/j.enfcli.2025.502212","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to describe and test a program implemented by a nurse for cancer patients in the postoperative period of abdominal surgery using Wii Fit games. It explored the relationship between the type of game, its duration, and the score obtained with variables such as quality of life, fatigue, balance, anxiety, and depression.</div></div><div><h3>Methods</h3><div>A quasi-experimental project was conducted using a one-group pretest-posttest design to assess the effects of a rehabilitation program utilizing Nintendo Wii Fit. The games included were Wii Fit Aerobics – Basic Step, Wii Fit – Balance Games Penguin Slide, Wii Fit Training Plus – Birds Eye Bulls Eye, and Wii Fit – Hula Hoop. Data were collected 48<!--> <!-->h post-surgery and on the 7<!--> <!-->th day post-surgery.</div></div><div><h3>Results</h3><div>Thirty-five patients participated in the study. The evaluation revealed that the scores and durations of the games had significantly related to the outcomes on the scales, with the Wii Fit Aerobics – Basic Step and Wii Fit – Hula Hoop games having the most significant impact across multiple aspects.</div></div><div><h3>Conclusions</h3><div>The study demonstrated that the rehabilitation program had a positive effect on the study population, administered by a rehabilitation nurse. The use of exergames may offer a viable solution to the challenges of traditional rehabilitation methods, particularly for cancer patients in the postoperative period.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502212"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537115","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 : 2025-11-01Epub Date: 2025-05-16DOI: 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}
Pub Date : 2025-11-01Epub Date: 2025-05-19DOI: 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 : 2025-11-01Epub Date: 2025-10-17DOI: 10.1016/j.enfcli.2025.502360
Sara Martínez-de Castro , Ana Bermúdez-Saiz , José Luis Cobo-Sánchez
This case report presents the nursing approach to a 38-year-old woman diagnosed with restrictive-type anorexia nervosa (AN) since the age of 15 and autism spectrum disorder (ASD) at 35. The patient was admitted due to structured suicidal ideation with a high risk of acting on it, triggered by the experience of significant personal losses. A comprehensive assessment was conducted using Gordon's functional health patterns, identifying the following nursing diagnoses: ineffective health self-management, impaired social interaction, imbalanced nutrition: less than body requirements, and constipation. Additionally, collaborative problems such as insomnia, chronic pain, and suicidal behavior risk were identified. The care plan was designed following the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC), incorporating individualized interventions that included adapting the environment to the sensory and communicative needs associated with ASD, as well as implementing a personalized educational strategy to promote health self-management. After three months of hospitalization, notable improvements were observed in emotional regulation, coping mechanisms, and the resolution of suicidal ideation. Furthermore, a weight gain of 7 kg was achieved, placing the patient within the normal BMI range. This case highlights the importance of specialized mental health nursing care and the need to tailor interventions to comprehensively address the needs resulting from the coexistence of ASD and AN.
{"title":"Informe de caso: El trastorno del espectro autista como base de un problema de alimentación. Una visión desde el cuidado enfermero","authors":"Sara Martínez-de Castro , Ana Bermúdez-Saiz , José Luis Cobo-Sánchez","doi":"10.1016/j.enfcli.2025.502360","DOIUrl":"10.1016/j.enfcli.2025.502360","url":null,"abstract":"<div><div>This case report presents the nursing approach to a 38-year-old woman diagnosed with restrictive-type anorexia nervosa (AN) since the age of 15 and autism spectrum disorder (ASD) at 35. The patient was admitted due to structured suicidal ideation with a high risk of acting on it, triggered by the experience of significant personal losses. A comprehensive assessment was conducted using Gordon's functional health patterns, identifying the following nursing diagnoses: ineffective health self-management, impaired social interaction, imbalanced nutrition: less than body requirements, and constipation. Additionally, collaborative problems such as insomnia, chronic pain, and suicidal behavior risk were identified. The care plan was designed following the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC), incorporating individualized interventions that included adapting the environment to the sensory and communicative needs associated with ASD, as well as implementing a personalized educational strategy to promote health self-management. After three months of hospitalization, notable improvements were observed in emotional regulation, coping mechanisms, and the resolution of suicidal ideation. Furthermore, a weight gain of 7<!--> <!-->kg was achieved, placing the patient within the normal BMI range. This case highlights the importance of specialized mental health nursing care and the need to tailor interventions to comprehensively address the needs resulting from the coexistence of ASD and AN.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502360"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537113","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 : 2025-11-01Epub Date: 2025-04-22DOI: 10.1016/j.enfcli.2025.502244
Guillermo Moreno , Pedro Cuesta-Álvaro , Marina Martín-Núñez , Leyre Rodriguez-Leal , Jennifer P. López-Ovando , L.Iván Mayor-Silva
Objective
Suicide is the fourth leading cause of death among people aged 15-29. The aim of this study is to measure the risk of suicide among nursing students after the COVID-19 pandemic and to identify the factors associated with the risk of suicidal ideation.
Methods
A cross-sectional study was carried out with nursing students. A convenience sample was selected with all first-year undergraduate students from a single university center in Madrid, Spain (n = 196). Suicide risk (Plutchik scale) was measured as a dependent variable, and sex, age, emotional regulation (ERQ questionnaire), resilience (RS-14 scale), personality traits (BPI inventory) and quality of life (EQ-5D questionnaire) as independent variables. A predictive model was created using a classification tree algorithm to identify the most important predictors of high suicide risk.
Results
The results showed that a total of 16.4% of the students were at high risk for suicide. The independent predictors of high suicide risk were age (OR 1.10), responsibility (OR 0.83), neuroticism (OR 1.64), and quality of life (OR 0.98). In the classification tree prediction model, neuroticism increased suicide risk (62.5%) and responsibility decreased suicide risk.
Conclusions
Around 16% of the nursing students are at high risk of suicide after the COVID-19 pandemic. This prevalence may change when considering neuroticism and responsibility personality traits.
{"title":"Predicción mediante un árbol de decisión del riesgo alto de suicidio en los estudiantes de enfermería después de la pandemia por COVID-19","authors":"Guillermo Moreno , Pedro Cuesta-Álvaro , Marina Martín-Núñez , Leyre Rodriguez-Leal , Jennifer P. López-Ovando , L.Iván Mayor-Silva","doi":"10.1016/j.enfcli.2025.502244","DOIUrl":"10.1016/j.enfcli.2025.502244","url":null,"abstract":"<div><h3>Objective</h3><div>Suicide is the fourth leading cause of death among people aged 15-29. The aim of this study is to measure the risk of suicide among nursing students after the COVID-19 pandemic and to identify the factors associated with the risk of suicidal ideation.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out with nursing students. A convenience sample was selected with all first-year undergraduate students from a single university center in Madrid, Spain (n<!--> <!-->=<!--> <!-->196). Suicide risk (Plutchik scale) was measured as a dependent variable, and sex, age, emotional regulation (ERQ questionnaire), resilience (RS-14 scale), personality traits (BPI inventory) and quality of life (EQ-5D questionnaire) as independent variables. A predictive model was created using a classification tree algorithm to identify the most important predictors of high suicide risk.</div></div><div><h3>Results</h3><div>The results showed that a total of 16.4% of the students were at high risk for suicide. The independent predictors of high suicide risk were age (OR 1.10), responsibility (OR 0.83), neuroticism (OR 1.64), and quality of life (OR 0.98). In the classification tree prediction model, neuroticism increased suicide risk (62.5%) and responsibility decreased suicide risk.</div></div><div><h3>Conclusions</h3><div>Around 16% of the nursing students are at high risk of suicide after the COVID-19 pandemic. This prevalence may change when considering neuroticism and responsibility personality traits.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502244"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537111","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 : 2025-11-01Epub Date: 2025-04-21DOI: 10.1016/j.enfcli.2025.502245
Solana Salessi
{"title":"Una aproximación empírica a la renuncia silenciosa en enfermeros/as argentinos/as","authors":"Solana Salessi","doi":"10.1016/j.enfcli.2025.502245","DOIUrl":"10.1016/j.enfcli.2025.502245","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 6","pages":"Article 502245"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537114","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 : 2025-09-01Epub Date: 2025-02-25DOI: 10.1016/j.enfcli.2024.502164
Mónica Regalado Chamorro , Aldo Medina Gamero
{"title":"Salud mental en las enfermeras: desafíos y oportunidades en el contexto pospandémico","authors":"Mónica Regalado Chamorro , Aldo Medina Gamero","doi":"10.1016/j.enfcli.2024.502164","DOIUrl":"10.1016/j.enfcli.2024.502164","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502164"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120328","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 : 2025-09-01Epub Date: 2025-06-09DOI: 10.1016/j.enfcli.2025.502190
Sara Gonçalves , Rita S. Matos
Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of mental health disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.
{"title":"Comprender la fatiga emocional: revisión sistemática de sus causas, consecuencias y estrategias de afrontamiento","authors":"Sara Gonçalves , Rita S. Matos","doi":"10.1016/j.enfcli.2025.502190","DOIUrl":"10.1016/j.enfcli.2025.502190","url":null,"abstract":"<div><div>Emotional fatigue, a significant component of burnout, is increasingly recognized as a critical issue affecting healthcare professionals and other high-stress occupations. This systematic review identifies the causes, consequences, and coping strategies associated with emotional fatigue in healthcare workers. A comprehensive search of peer-reviewed articles was conducted across multiple databases. The selection criteria focused on studies that explicitly addressed emotional fatigue, its determinants, impacts, and coping mechanisms. The review identified common causes of emotional fatigue, such as prolonged exposure to high-stress environments, lack of social support, and insufficient recovery time. Consequences include decreased job performance, increased absenteeism, and a higher risk of mental health disorders. Coping strategies include mindfulness practices, organizational support, and the implementation of work-life balance interventions. The findings underscore the importance of addressing emotional fatigue through both individual and systemic approaches. While coping strategies can mitigate some effects, organizational changes are essential to create a supportive work environment. Emotional fatigue is a critical issue that requires attention at both the individual and organizational levels.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502190"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120415","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 issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students’ learning motivation during the Covid-19 era.
Methods
In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.
Results
The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health: r = 0.4, P = 0.001; energy/fatigue: r = 0.3, P = 0.013; emotional well-being: r = 0.3, P = 0.019; social functioning: r = 0.2, P = 0.05 and learning motivation: r = 0.3, P = 0.029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (r = 0.2, P = 0.113).
Conclusion
The findings of the present study showed that there is a strong and significant relationship between students’ mental health and their motivation to learn. In this way, increasing students’ mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.
生活质量问题及其与学习动机的关系在社会的不同阶层，特别是那些有特殊身体、精神和心理状况的人群中是非常重要的。本研究的目的是确定Covid-19时代学生健康相关生活质量的状况及其与学习动机的关系。方法采用横断面描述性分析方法，对恰巴哈尔省护理学院63名学生进行调查。数据收集工具为人口统计信息、SF-36健康相关生活质量问卷和学习动机问卷。数据分析采用SPSS 16版统计软件。使用描述性检验（平均值、标准差和百分比）和分析性检验（Spearman、Mann-Whitney和Kruskal-Wallis检验）对数据进行分析。结果与身体健康相关的身体功能量表与各心理健康量表（情绪健康导致的角色破坏：r = 0.4, P = 0.001；精力/疲劳：r = 0.3, P = 0.013；情绪幸福感：r = 0.3, P = 0.019；社会功能：r = 0.2, P = 0.05；学习动机：r = 0.3, P = 0.029）均存在显著相关。学习动机与总体身体健康无显著相关（r = 0.2, P = 0.113）。结论本研究结果表明，大学生心理健康与学习动机之间存在着显著的关系。这样，提高学生的心理健康对他们的学习动机有积极的影响。因此，为了提高学生的学习动机，在心理健康领域提供特殊照顾可以对这一群体有用，并为提高他们的生活质量提供基础。
{"title":"Estudio de la relación entre la calidad de vida relacionada con la salud y de la motivación para aprender de los estudiantes de enfermería en la pandemia de covid-19: estudio transversal","authors":"Fatemeh Dadashzadeh , Tayebeh Samieizadeh-toosi , Hosein Hoseini , Mohammad Saeed Jadgal , Khaled Badpa","doi":"10.1016/j.enfcli.2025.502192","DOIUrl":"10.1016/j.enfcli.2025.502192","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The issue of quality of life and its relationship with learning motivation is very important in different sections of the society, especially people who have special physical, mental and psychological conditions. The aim of this study was to determine the status of the health-related quality of life and its relationship with students’ learning motivation during the Covid-19 era.</div></div><div><h3>Methods</h3><div>In this cross-sectional descriptive analytical study, 63 students of Chabahar nursing faculty participated in the study. Data collection tools were demographic information, SF-36 health related quality of life questionnaire and learning motivation questionnaire. Data analysis was done in SPSS version 16 statistical software. Descriptive (mean, standard deviation, and percentage) and analytical (Spearman, Mann-Whitney, and Kruskal-Wallis tests) tests were used to analyze the data.</div></div><div><h3>Results</h3><div>The physical function subscale related to physical health had a significant relationship with all the mental health subscales (role disruption due to emotional health: <em>r</em> <!-->=<!--> <!-->0.4, <em>P</em> <!-->=<!--> <!-->0.001; energy/fatigue: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.013; emotional well-being: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.019; social functioning: <em>r</em> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->0.05 and learning motivation: <em>r</em> <!-->=<!--> <!-->0.3, <em>P</em> <!-->=<!--> <!-->0.029) in the students participating in the study. There was no significant relationship between learning motivation and general physical health (<em>r</em> <!-->=<!--> <!-->0.2, <em>P</em> <!-->=<!--> <!-->0.113).</div></div><div><h3>Conclusion</h3><div>The findings of the present study showed that there is a strong and significant relationship between students’ mental health and their motivation to learn. In this way, increasing students’ mental health has a positive effect on their motivation to learn. Therefore, in order to increase the motivation to learn among students, providing special care in the field of mental health can be useful for this group and provide a basis for improving their quality of life.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 5","pages":"Article 502192"},"PeriodicalIF":1.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120420","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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