Enfermeria Clinica最新文献

英文中文

Validación en español del instrumento GAIN para su aplicación en cuidadores de pacientes con multimorbilidad en el entorno domiciliario 以西班牙文验证GAIN文书适用于多疾病家庭护理人员

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2024.10.004

Remedios Reina Campos , José Miguel Morales Asencio , M. Rosa Iglesias Parra , Marina García Gámez

Objective

Validation of the informal care GAIN scale available in Spanish to extend it to a version for caregivers of patients with multimorbidity at home.

Method

Psychometric validation study in family caregivers of people with multimorbidity in home care. Content validation was carried out using a panel of experts and the Delphi technique and subsequent empirical validation in a sample of family caregivers of patients with multimorbidity in home care.

Results

Phase I: 3 of the 10 items were modified to specify the study population. Phase II: A total of 227 subjects, with a median age of 84 years in patients and 59 years in family caregivers. 78.9% of the caregivers were women. The reliability analysis offered McDonald's omega values of 0.82, with an average inter-item correlation of 0.41. The test–retest reliability offered a value of 0.95. The bifactor structure obtained a good fit: RMSEA of 0.08 (90% CI 0.06–0.11), TLI 0.88, explaining 40.6% of the variance. The instrument showed discriminative capacity between caregivers based on overload (p < 0.001).

Conclusions

The GAIN scale is a valid and reliable instrument for measuring the gains of family caregivers of people with multimorbidity in home care. It is easy to use and allows you to understand what factors to enhance in caregivers to preserve their resilience during the process.

目的验证西班牙语的非正式护理GAIN量表，将其扩展到家庭中多种疾病患者护理人员的版本。方法对多病家庭护理人员进行心理测量验证研究。使用专家小组和德尔菲技术进行内容验证，并随后在家庭护理中患有多种疾病的患者的家庭护理人员样本中进行实证验证。结果第一阶段：修改了10项中的3项以确定研究人群。II期：共有227名受试者，患者中位年龄为84岁，家庭护理者中位年龄为59岁。78.9%的护理人员为女性。信度分析得出麦当劳的omega值为0.82，平均项目间相关系数为0.41。重测信度为0.95。双因子结构获得了很好的拟合：RMSEA为0.08 (90% CI为0.06-0.11)，TLI为0.88，解释了40.6%的方差。该仪器显示了照顾者之间基于过载的判别能力(p <；0.001)。结论GAIN量表是衡量多病患者家庭照护中家庭照顾者收益的有效、可靠的工具。它易于使用，并允许您了解在护理人员中增强哪些因素以保持他们在此过程中的恢复力。

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引用次数: 0

Efecto del uso de apósitos estériles de película transparente sobre el tiempo de permanencia del catéter y la aparición de complicaciones relacionadas con el catéter en recién nacidos: ensayo clínico aleatorizado 使用透明薄膜无菌敷料对导管持续时间和新生儿导管相关并发症的影响：随机临床试验

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2024.08.006

Müjde Çalikuşu Incekar , Suzan Yildiz , Yağmur Gül , Ozan Uzunhan

Objective

The aim of this study was to evaluate the effect of sterile transparent film dressing and tape dressing used in peripheral intravenous catheter application in newborns on the catheter dwell time and the development of catheter-related complications.

Methods

The study was conducted in the neonatal intensive care unit of a hospital as a randomized controlled trial design. This study was conducted with the group that sterile transparent film dressing and the group that tape dressing methods. Data were collected using newborn follow-up forms, the Infiltration Scale and Phlebitis Scale.

Results

There was no statistically significant difference between the two groups referring to the signs of extravasation, phlebitis, and occlusion in newborns related to the catheter dwell time and catheter-related complications (p > 0.05). The scores and signs of infiltration were higher in the tape dressing group (p < 0.05).

Conclusion

The use of a sterile transparent film dressing reduces tissue infiltration in neonates with peripheral intravenous catheters. It is recommended that health care professionals working in neonatal intensive care units use sterile transparent film dressings to dress peripheral intravenous catheters.

目的探讨无菌透明膜敷料和胶带敷料对新生儿外周静脉置管留置时间及导管相关并发症发生的影响。方法采用随机对照试验设计，在某医院新生儿重症监护病房进行研究。本研究采用无菌透明膜敷料组和胶带敷料组进行。采用新生儿随访表、浸润量表和静脉炎量表收集数据。结果两组新生儿导管外渗、静脉炎、阻塞等体征与留置时间及导管相关并发症的关系比较，差异均无统计学意义(p >；0.05)。胶布敷料组评分及浸润征象较高(p <；0.05)。结论采用无菌透明膜敷料可减少外周静脉留置新生儿的组织浸润。建议在新生儿重症监护病房工作的卫生保健专业人员使用无菌透明膜敷料包扎外周静脉导管。

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引用次数: 0

La irrupción de la IA en torno a la disciplina enfermera: adaptación a las nuevas competencias 人工智能在护理领域的崛起：适应新能力

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2025.502264

Fernando Campaña Castillo , Antonio Rosa Castillo

引用次数: 0

Factores asociados al éxito de un programa de evacuación inducida para la recuperación de la continencia urinaria en adultos mayores hospitalizados: estudio piloto 与住院老年人尿失禁恢复诱导后送方案成功相关的因素：试点研究

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2024.07.006

Laura Martín-Losada , Montserrat Solís-Muñoz , Cristina González-Blázquez , María del Pilar Serrano-Gallardo , Ana Isabel Parro-Moreno , Grupo de investigación en cuidados en Incontinencia Urinaria del Hospital Guadarrama

Aim

To assess the success of a prompted voiding programme for restoring urinary continence at discharge among older adults hospitalized. To identify associated factors with the recovery of urinary continence.

Methods

A quasi-experimental, pre-/post-intervention, without control group study was conducted. Participants were aged 65 and over with a history of urinary incontinence less than one year of current from the Functional Recovery Unit of Guadarrama Hospital throughout a convenience sampling. Patients were on a prompted voiding programme throughout their hospitalisation, individualizing for a voiding diary. Data were collected from October 2019 to March 2020. A descriptive, pre-post intervention, prediction and logistic regression analysis were conducted using SPSS 25 and STATA 15 software. The study was approved by the reference Ethics Committee.

Results

57 patients were included, 86% of them were female (n = 49) who were 82.1 age mean (SD = 9.4). The 56.1% (n = 32) experienced new-onset mixed urinary incontinence and the mean hospital stay was 40.5 (SD:14.7) days. 35.1% (n = 20) achieved urinary continence and reduced the number of urine leaks in those patients who remained incontinent upon discharge (p≤0.001). Factors associated with the recovery of urinary continence were functional ability upon discharge (p˂0.001), frequency of the episodes of urinary incontinence on admission (p≤0.001), frequency of toilet use on admission (p≤0.001), lessened hospital stays (p = 0.041), reduction of the risk of the appearance of pressure wounds (p≤0.001).

Conclusion

Prompted voiding has been shown to be effective in restoring urinary continence in more than a third of the patients studied. Having better functional ability and more frequency of toilet use on admission were associated with the programme's success. It prevents skin wounds and reduces dependency level.

目的评价提示排尿方案对住院老年人出院时尿失禁的恢复效果。目的：探讨尿失禁恢复的相关因素。方法采用准实验、干预前后、不设对照组的方法进行研究。参与者年龄在65岁及以上，在瓜达拉玛医院功能恢复科有尿失禁史，目前不到一年。患者在整个住院期间都在进行提示排尿计划，个体化排尿日记。数据收集时间为2019年10月至2020年3月。采用SPSS 25和STATA 15软件进行描述性、干预前后、预测和logistic回归分析。该研究得到了参考伦理委员会的批准。结果纳入57例患者，女性占86% (n = 49)，平均年龄82.1岁（SD = 9.4）。56.1% （n = 32）出现新发混合性尿失禁，平均住院时间为40.5 （SD:14.7）天。35.1% （n = 20）的患者出院后尿失禁，漏尿次数减少（p≤0.001）。与尿失禁恢复相关的因素是出院时的功能能力（p小于0.001）、入院时尿失禁发作的频率（p≤0.001）、入院时使用厕所的频率（p≤0.001）、住院时间缩短（p = 0.041）、出现压疮的风险降低（p≤0.001）。结论提示排尿对超过三分之一的患者恢复尿失禁是有效的。有更好的功能能力和更频繁的上厕所与该计划的成功有关。防止皮肤损伤，降低依赖性。

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引用次数: 0

Explorando la relación entre el bienestar espiritual y el respeto por la privacidad del paciente entre enfermeras y matronas en Turquía 探索土耳其护士和助产士的精神健康与尊重病人隐私之间的关系

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.502162

Kemal Macit Hisar , Sabriye Uçan Yamaç

Objective

The aim of this study was to examine the relationship between of nurses and midwives spiritual well-being and respect for patient privacy.

Methods

The target population of this descriptive research consisted of nurses and midwives employed in healthcare institutions in a district located in the Mediterranean Region of Turkey. The data were collected from 494 nurses and midwives between January 18 and April 29, 2022 using a demographic information form, the Spiritual Well-Being Scale, and the Patient Privacy Scale.

Results

The sample consisted of 494 participants, 422 (85.4%) females and 72 (14.6%) males. The findings revealed that the midwives had significantly higher levels of respect for patient privacy and spiritual well-being than the nurses. Moreover, the participants’ spiritual well-being and respect for patient privacy were positively correlated with age and clinical experience but negatively associated with weekly working hours.

Conclusions

In light of these findings, increasing midwives’ and nurses’ awareness of spiritual well-being and patient privacy through formal education, in-service training, drama activities, and case analyses can contribute to improving the quality of care. In further research, it may be recommended to evaluate the perceptions, opinions and practices of midwives and nurses regarding patient privacy and spiritual well-being.

目的探讨护士和助产士精神幸福感与尊重病人隐私的关系。方法本描述性研究的目标人群为土耳其地中海地区某地区医疗机构的护士和助产士。这些数据是在2022年1月18日至4月29日期间从494名护士和助产士中收集的，使用人口统计信息表、精神健康量表和患者隐私量表。结果共纳入调查对象494人，其中女性422人（85.4%），男性72人（14.6%）。调查结果显示，助产士对病人隐私和精神健康的尊重程度明显高于护士。此外，参与者的精神健康和对患者隐私的尊重与年龄和临床经验呈正相关，而与每周工作时间负相关。结论通过正规教育、在职培训、戏剧活动和案例分析，提高助产士和护士对精神健康和患者隐私的意识，有助于提高护理质量。在进一步的研究中，可能会建议评估助产士和护士对患者隐私和精神健康的看法、意见和做法。

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引用次数: 0

La experiencia de cuidar: ser mujer, madre y cuidadora de pacientes diagnosticados con mucopolisacaridosis 护理经验：作为一名妇女、一名母亲和一名护理被诊断为粘多糖病的病人

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.502167

Marcela Campos-Sánchez , Nolly Nataly Castañeda-Ibáñez

Introduction

Rare or orphan diseases represent a challenge for the health system and the quality of life of patients and their families. In Colombia, mothers assume the main role of caregivers, facing physical, emotional, and financial challenges. This study aims to understand the experience of women who are mothers and caregivers of patients with Mucopolysaccharidosis in Colombia, and the variables associated with caregiver burden.

Method

A mixed study was conducted in which the Zarit Caregiver Overload Scale was applied to 48 female caregivers of children with Mucopolysaccharidosis, and they were given an individual structured interview.

Results

The Zarit scale showed that 92% of the participants did not have overload. However, the interviews revealed a variety of negative emotions and feelings, such as loneliness, sadness, fear, and guilt. The women expressed an unfinished life project, with overloaded social roles and a constant permanent crisis. The main emotional resource and support wase faith in God. Tensions were found in the relational fabric with the child or patient, between overprotection and independence.

Conclusions

Understanding the experience of the caregivers of patients with MPS allowed unveiling the complex elements of caregiving through the 3 intertwined roles: being a woman, being a mother and being a caregiver. The use of religiosity as an indicator of physical and mental well-being confirms its benefit in the processes of coping with the difficulties related to the experience of diagnosis and treatment.

导言罕见病或孤儿病是对医疗系统和患者及其家庭生活质量的挑战。在哥伦比亚，母亲是照顾者的主要角色，她们面临着身体、情感和经济方面的挑战。本研究旨在了解哥伦比亚身为粘多糖病患者母亲和照顾者的女性的经历，以及与照顾者负担相关的变量。方法本研究采用扎里特（Zarit）照顾者超负荷量表，对48名照顾粘多糖患儿的女性进行了混合研究，并对她们进行了个别结构化访谈。然而，访谈显示了各种负面情绪和感受，如孤独、悲伤、恐惧和内疚。妇女们表达了一种未完成的生活计划，社会角色超负荷，危机持续不断。主要的情感资源和支持是对上帝的信仰。在与孩子或病人的关系结构中，发现了过度保护与独立之间的紧张关系。结论通过了解马普托瘫痪病人护理者的经历，可以揭示出护理工作中的复杂因素，包括三个相互交织的角色：作为一个女人、作为一个母亲和作为一个护理者。使用宗教信仰作为身心健康的指标，证实了宗教信仰在应对与诊断和治疗经历相关的困难过程中的益处。

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引用次数: 0

Aplicación de la ecografía vesical para reducir sondajes en pacientes con sospecha de retención aguda de orina: una revisión sistemática 使用膀胱超声减少对疑似急性尿潴留患者的导管：系统复查

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-03-01 DOI: 10.1016/j.enfcli.2024.502163

Iván Fernández-Prada , Sendoa Ballesteros-Peña

Aim

To evaluate the impact of the use of bladder ultrasound in the reduction of urinary catheterization in patients suspected of acute urinary retention or at risk of suffering from it.

Method

A systematic literature review was conducted across various databases to identify studies comparing the use of bladder ultrasound to standard practice in managing acute urinary retention. Both observational and experimental studies that reported the number of urinary catheterizations performed were included.

Results

A total of 8 studies involving 3210 participants were included. The findings indicated that the use of bladder ultrasound was associated with a significant reduction in the number of urinary catheterizations, with decreases ranging from 20 to 90% compared to control groups. Even in studies where a reduction in the number of catheterizations was not observed, there was a decrease in adverse effects associated with this procedure, such as urinary tract infections and extended hospital stays.

Conclusions

This systematic review provides evidence on the benefits of bladder ultrasound in diagnosing and managing acute urinary retention, enabling a reduction in the number of urinary catheterizations. Implementing this technology, along with proper training for nursing staff, could enhance patient care and safety, as well as the efficiency of healthcare systems.

目的探讨膀胱超声对急性尿潴留或有急性尿潴留危险的患者减少导尿的作用。方法对不同数据库进行系统的文献综述，以确定在处理急性尿潴留中使用膀胱超声与标准做法的比较研究。观察性和实验性研究均包括了导尿次数的报告。结果共纳入8项研究，涉及3210名受试者。研究结果表明，膀胱超声的使用与导尿次数的显著减少有关，与对照组相比减少了20%至90%。即使在没有观察到导尿次数减少的研究中，与此过程相关的不良反应（如尿路感染和延长住院时间）也有所减少。结论：本系统综述提供了膀胱超声在诊断和治疗急性尿潴留中的益处，可以减少导尿次数。实施这项技术，加上对护理人员的适当培训，可以提高患者护理和安全，以及医疗保健系统的效率。

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引用次数: 0

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

IF 0.7 Q4 NURSING

Enfermeria Clinica

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

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

引用次数: 0

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

IF 0.7 Q4 NURSING

Enfermeria Clinica

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

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

Purpose

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

Methods

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

Results

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

Conclusion

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

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

{"title":"Reducción del miedo al entorno sanitario en niños usando espacios simulados: un ensayo controlado aleatorizado","authors":"Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Marta Ferraz-Torres , Amaia Saralegui-Gainza , Leticia San Martín-Rodríguez","doi":"10.1016/j.enfcli.2024.06.006","DOIUrl":"10.1016/j.enfcli.2024.06.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.</div></div><div><h3>Methods</h3><div>An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised «Child Medical Fear Scale», which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.</div></div><div><h3>Results</h3><div>The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.</div></div><div><h3>Conclusion</h3><div>The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 2","pages":"Article 102126"},"PeriodicalIF":0.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808232","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

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

IF 0.7 Q4 NURSING

Enfermeria Clinica

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

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

引用次数: 0

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