Enfermeria Clinica最新文献_第9页

Reproducibilidad del sistema de triaje pediátrico TRIPED-GM TRIPED-GM儿童分拣系统的可重复性

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2025.502191

M. Concepción Míguez-Navarro , Gloria Guerrero-Márquez , Carmen Ignacio Cerro

Introduction

The triage system aims to determine the level of urgency of patients in order to provide appropriate care and reduce morbidity and mortality. It is essential that the system used is valid, reliable and easy to use. The TRIPED-GM system is a five-level classification system exclusively for pediatric age, which includes 6 steps, 3 of which are mandatory (PAT, guiding sign/symptom, and priority rectifiers).

Objective

To determine the reproducibility of the TRIPED-GM system when used on patients evaluated consecutively by 2 nurses.

Method

Observational, descriptive, cross-sectional study involving 237 patients under 16 years of age who attended a third-level pediatric emergency service. Reliability was measured using kappa (κ), lineal kappa (κp), and quadratic kappa (κp²) índices, which compared the priority assigned by 2 research nurses and 16 paediatric emergency nurses with over a year of experience in triage. Patients were classified consecutively and blindly.

Results

There was agreement in 221 (93.2%) patients. The overall concordance was: κ = 0.84 (95%CI: 0.77-0.91), κp = 0.85 (95%CI: 0.78-0.92), κp² = 0.85 (95%CI: 0.78-0.92). There were no differences in the assignment of more than one priority level in any patient. Concordance in the mandatory steps was: Pediatric Assessment Triangle: κ = 0.82 (95%CI: 0.68-0.96), Main reason for consultation: κ = 0.76 (95%CI: 0.62-0.89), Rectifiers: κ = 0.94 (95%CI: 0.88-1). Concordance was higher in patients who consulted for illness compared to those for trauma/accidents: κ = 0.84 (95%CI: 0.76-0.92) vs. κ = 0.79 (95%CI: 0.57-1).

Conclusion

The TRIPED-GM pediatric triage system is reliable for use in emergency services with patients of similar characteristics.

分诊系统旨在确定患者的紧急程度，以便提供适当的护理，降低发病率和死亡率。系统的有效性、可靠性和易用性是至关重要的。TRIPED-GM系统是一个专门针对儿童年龄的五级分类系统，包括6个步骤，其中3个是强制性的（PAT、指导性体征/症状和优先纠正）。目的探讨TRIPED-GM系统在2名护士连续评价患者时的可重复性。方法采用观察性、描述性、横断面研究，纳入237例16岁以下的三级儿科急诊患者。信度采用kappa （κ）、线性kappa （κp）和二次kappa （κp2） índices进行测量，比较2名研究护士和16名具有一年以上分诊经验的儿科急诊护士分配的优先级。患者按顺序盲目分类。结果221例（93.2%）患者的结论一致。整体和谐是:κ= 0.84(95%置信区间:0.77—-0.91),κp = 0.85(95%置信区间:0.78—-0.92),κp2 = 0.85(95%置信区间:0.78—-0.92)。在任何患者中，分配一个以上的优先级没有差异。强制性步骤的一致性为：儿童评估三角：κ = 0.82 (95%CI: 0.68-0.96)，主要咨询原因：κ = 0.76 (95%CI: 0.62-0.89)，整改因素：κ = 0.94 （95%CI: 0.88-1）。与创伤/意外事故患者相比，疾病患者的一致性更高：κ = 0.84 （95%CI: 0.76-0.92）比κ = 0.79 （95%CI: 0.57-1）。结论TRIPED-GM儿科分诊系统适用于具有相似特点的急诊科。

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引用次数: 0

Comparación de índices de validez de contenido para investigación en enfermería clínica: un caso práctico 临床护理研究内容有效性指数的比较：一个案例

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2025.502214

Paulina Hurtado-Arenas , Miguel R. Guevara , Víctor M. González-Chordá

Objective

To compare techniques to analyze the content validity of measurement instruments applicable to nursing care research through a practical case.

Method

Secondary study derived from validating the Hospital Survey on Patient Safety (HSOPS) in a Chilean hospital. The study setting was hospital care, with a population focused on nursing staff and a sample of 12 expert nurses who are teachers or have clinical experience in quality and patient safety. Design and content validity test based on three phases: identification of primary methods, calculation of methods, comparison of similarities and differences of methods.

Results

Lawsche, Tristan-López, Lynn, Polit et al. methods are similar. The modified kappa value is similar to the content validity index (I-CVI) value, with a slight variation when penalizing the value by probability according to chance. There are significant differences between all methods and Hernández Nieto's content validity coefficient (CVC).

Conclusions

The Polit et al. method is more rigorous, and its mathematical formulation is better justified, providing solidity to clinical nursing research. Furthermore, the Hernandez-Nieto method is suggested when validating more than one characteristic.

目的通过一个实际案例，对比分析适用于护理研究的测量工具的内容效度。方法二级研究来源于对智利一家医院患者安全调查（hsop）的验证。研究环境是医院护理，人口集中在护理人员和12名专家护士，他们是教师或在质量和患者安全方面有临床经验。设计和内容效度检验基于三个阶段：确定主要方法、计算方法、比较方法的异同点。结果lawsche， Tristan-López, Lynn， Polit等人的方法相似。修正后的kappa值与内容效度指数（I-CVI）值相似，但在根据偶然性对该值进行概率惩罚时略有变化。各方法与Hernández涅托内容效度系数（CVC）差异显著。结论Polit等方法更为严谨，其数学公式更合理，为临床护理研究提供了坚实依据。此外，在验证多个特征时，建议使用Hernandez-Nieto方法。

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引用次数: 0

Competencias avanzadas de las enfermeras en las enfermedades raras. Una revisión realista rápida 罕见病护士的高级能力。快速现实主义审查

IF 0.7 Q4 NURSING

Enfermeria Clinica

Pub Date : 2025-05-01 DOI: 10.1016/j.enfcli.2024.06.007

Héctor Nafría-Soria , Isabel Salcedo-de Diego , Pilar Serrano-Gallardo

Objective

To identify the advanced competencies developed by nurses in the care of patients with Rare Diseases, exploring how contextual factors interact to generate mechanisms that enable the development of these competencies.

Method

Realist Rapid Review. A reference panel, composed of professionals and stakeholders involved in Rare Diseases, contributed to the development of the research question and the design of the search strategy, which was conducted in Medline, CINAHL, CUIDEN, and grey literature. Data were extracted and analyzed by the researchers, then refined and validated by an expert panel. After data analysis, Context-Mechanism-Outcome configurations (CMOs) were developed, considering the outcomes as nurses’ competencies in the care of patients with Rare Diseases.

Results

A total of 1294 documents were identified, of which 25 were selected. Eight Context-Mechanism-Outcome (CMO) configurations were constructed and grouped into three levels: macro (healthcare management policies), meso (associative movement), and micro (related to patients, family, and professionals). The advanced competencies identified and validated were related to case management/continuity of care/coordination between services; training and education; specialization competencies; development of a humanistic profile and patient advocacy; substitution roles/competencies and development of technological competencies.

Conclusions

The developed CMO configurations provide plausible explanations that may contribute to the potential development of an advanced competency profile for nurses caring for patients with Rare Diseases and their families in the Spanish context, thereby enhancing their healthcare delivery.

目的探讨护士在罕见病患者护理中发展的高级能力，探讨环境因素如何相互作用以产生促进这些能力发展的机制。方法现实主义快速审查。一个由罕见病相关专业人员和利益相关者组成的参考小组对研究问题的发展和搜索策略的设计做出了贡献，该研究在Medline、CINAHL、CUIDEN和灰色文献中进行。数据由研究人员提取和分析，然后由专家小组进行提炼和验证。经过数据分析，开发了情境-机制-结果配置（cmo），将结果视为护士护理罕见病患者的能力。结果共筛选文献1294份，筛选出25份。构建了八种情境-机制-结果（CMO）配置，并将其分为三个层次：宏观（医疗保健管理政策）、中观（关联运动）和微观（与患者、家庭和专业人员相关）。确定和验证的高级能力与病例管理/护理连续性/服务之间的协调有关；培训和教育；专业化能力;发展人文主义形象和患者倡导；替代角色/能力和技术能力的发展。结论发达的CMO结构提供了合理的解释，可能有助于在西班牙背景下护理罕见病患者及其家属的护士的高级能力概况的潜在发展，从而提高他们的医疗服务。

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引用次数: 0

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。

{"title":"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","authors":"Müjde Çalikuşu Incekar , Suzan Yildiz , Yağmur Gül , Ozan Uzunhan","doi":"10.1016/j.enfcli.2024.08.006","DOIUrl":"10.1016/j.enfcli.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em>  <0.05).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":"35 3","pages":"Article 102147"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194878","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

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