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Percepción y satisfacción de los estudiantes de enfermería con las prácticas clínicas 护理学生对临床实践的感知和满意度
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.02.003
Francisco Miguel Escandell Rico
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引用次数: 0
Metodología enfermera en el paciente con síndrome de Kounis 库尼斯综合征患者的护理方法
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.02.002
Ana Rosa Alconero-Camarero , María Isabel Ibáñez-Rementería , Carmen Sarabia-Cobo
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引用次数: 0
Percepción de estudiantes de ciencias de la salud sobre la violencia obstétrica 健康科学学生对产科暴力的看法
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.02.005
Ainoa Biurrun-Garrido , Serena Brigidi , Desirée Mena-Tudela

Objective

To measure of perception of obstetric violence in students of health sciences.

Method

Cross-sectional design in which the validated questionnaire PercOV-S (Perception of Student Obstetric Violence) was used. The questionnaire was offered to the students who participated in the I Congress of Feminist Medicine of the CEEM (State Councils of Medical Students) held on March 12, 2021. This questionnaire was sent online through Google Forms.

Results

The mean score obtained on the total scale was 3.83 scores (SD = 0.61). For the dimension of protocolized-visible obstetric violence, the mean score is 2.79 points (SD = 0.84) and for the dimension of non-protocolized-invisible obstetric violence, a mean of 4.16 points is obtained (SD = 0.61). The global score of the displayed question differs statistically significantly with the variable scope (p = 0.019), course (p = 0.008), treatment according to ethnicity (p = 0.008), treatment according to socioeconomic level, immigrant status (p <0.001), and prior knowledge about the concept of obstetric violence (p <0.001).

Conclusions

The data show a marked generalised sensitivity of the sample to the issue of obstetric violence, especially with regard to the ethnic characteristics of the women. Likewise, the need to generate ethical-attitudinal training in the response to obstetric violence is observed.

目的了解卫生科学专业学生对产科暴力的认识。方法采用横断面设计,采用经验证的调查问卷PercOV-S(学生产科暴力感知)。本问卷是对参加2021年3月12日召开的中国医学学生理事会第一届女性医学代表大会的学生发放的。这份问卷是通过谷歌表格在线发送的。结果总量表平均得分为3.83分(SD = 0.61)。协议化-可见产科暴力维度的平均得分为2.79分(SD = 0.84),非协议化-无形产科暴力维度的平均得分为4.16分(SD = 0.61)。所显示问题的总体得分在变量范围(p = 0.019)、病程(p = 0.008)、种族治疗(p = 0.008)、社会经济水平治疗、移民身份(p <0.001)和对产科暴力概念的先验知识(p <0.001)方面存在统计学上的显著差异。数据显示,样本对产科暴力问题具有明显的普遍敏感性,特别是在妇女的种族特征方面。同样,有人认为有必要在应对产科暴力方面进行道德态度培训。
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引用次数: 2
Necesidades de atención domiciliaria en el paciente paliativo pediátrico percibidas por los profesionales: Una teoría fundamentada 专业人员感知的儿科姑息治疗患者的家庭护理需求:一个扎根理论
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.01.015
Jesús Santana-Medina , Claudio Alberto Rodríguez-Suárez

Objective

To explore the elements involved in the process of paediatric palliative home care in the Spanish context according to the opinion of professionals.

Method

Qualitative study based on Grounded Theory, adjusted to COREQ standards, using theoretical sampling with in-depth interviews (June 2021 - February 2022) with paediatricians, paediatric nurses and social workers from paediatric palliative care units in Spain, excluding professionals with less than 1 year's experience. Interviews were recorded and transcribed literally for coding and categorisation through a constant comparative process of code co-occurrence until data saturation using Atlas-Ti®. The anonymity of the informants has been guaranteed by using pseudonyms after approval by the Research Ethics Committee of the Hospital Universitario de Gran Canaria Doctor Negrín (Las Palmas, Canary Islands) with registration number 2021-403-1.

Results

18 interviews were conducted and 990 quotes were grouped into 22 categories of analysis and structured into four thematic groups (care, environment, patient and family, and professionals). The findings showed a holistic view emphasising the need to organise and integrate the factors involved in the home-based approach to paediatric palliative home care.

Conclusions

In our context, the home environment meets appropriate conditions for the development of paediatric palliative care. The categories of analysis identified establish a starting point for further deepening the approach from the thematic areas involved: care, the environment, the patient and family, and professionals.

目的根据专业人士的意见,探讨西班牙儿科姑息家庭护理过程中涉及的因素。方法定性研究基于扎根理论,调整为COREQ标准,采用理论抽样,深度访谈(2021年6月至2022年2月)来自西班牙儿科姑息治疗单位的儿科医生、儿科护士和社会工作者,不包括经验不足1年的专业人员。通过使用Atlas-Ti®进行代码共现的持续比较过程,记录和转录访谈,以进行编码和分类,直到数据饱和。通过注册编号2021-403-1的大加那利群岛拉斯帕尔马斯医院医生研究伦理委员会Negrín(加那利群岛)的批准,举报人的匿名性得到了化名的保证。结果共进行了18次访谈,990条引文被分为22类分析,并被分为4个主题组(护理、环境、患者和家庭、专业人员)。调查结果显示了一个整体的观点,强调需要组织和整合的因素涉及到以家庭为基础的方法,以儿科姑息家庭护理。结论在我国,家庭环境适合开展儿科姑息治疗。所确定的分析类别为进一步深化有关专题领域的方法奠定了起点:护理、环境、病人和家属以及专业人员。
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引用次数: 0
Fomento de la investigación en cuidados en las organizaciones sanitarias: Proyecto Nursing Research Challenge 促进卫生组织的护理研究:护理研究挑战项目
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.04.001
Verónica Tíscar-González , Jesús Larrañaga-Garitano , Mª de los Ángeles CidonchaMoreno
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引用次数: 0
Identificación de pacientes hospitalizados con riesgo nutricional al ingreso valorado con la Nutritional Risk Screening 通过营养风险筛查确定有营养风险的住院患者
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2022.12.003
Gemma Robleda-Font , Mariona Victòria-Moix-Gómez , Cristina Serrano-Herrera , Gemma Navarro-Cano

Objective

To determine the prevalence of nutritional risk in the hospital admission of adult patients and to analyze its association with sociodemographic and clinical factors of the patients.

Method

Cross-sectional, analytical and prospective study carried out on patients at the Hospital de la Santa Creu i Sant Pau in Barcelona between November and December 2018, during the first 48 hours of hospital admission. The Nutritional Risk Screening (NRS-2002) was used to detect malnutrition. Sociodemographic (age, sex), clinical (admission diagnosis, unit and comorbidities) and anthropometric (weight, height and BMI) data were collected. The association between the NRS and the study factors was estimated using a logistic regression model.

Result

285 patients with a mean age of 69.6 years (SD 15) were included, of which 56.5% (161) were ≥ 70 years. The prevalence of risk of malnutrition on hospital admission was 35.1% (95% CI: 29.8%-41.1%), being 15.9 times higher in patients with a previous stay in intensive care (OR 15 .90, 1.82-139.11: p 0.012); 10.35 times higher in patients with severe pneumonia (OR 10.35; 2.48-41.91: p 0.004) and 5.6 times higher in patients with stroke (OR 5.63; 1.71-18.53: p 0.004).

Conclusions

The prevalence of nutritional risk at admission was high and factors such as severe pneumonia, stroke and previous ICU admissions were associated with a higher risk of malnutrition. However, the findings of this study should be interpreted with caution due to the limitations of the severity criteria of the Nutrition Risk Screening.

目的了解成人住院患者营养风险的发生率,并分析其与患者社会人口学及临床因素的关系。方法对2018年11月至12月在巴塞罗那Santa Creu i Sant Pau医院住院的患者在入院前48小时内进行横断面、分析和前瞻性研究。营养风险筛查(NRS-2002)用于检测营养不良。收集社会人口学(年龄、性别)、临床(入院诊断、单位和合并症)和人体测量学(体重、身高和BMI)数据。使用逻辑回归模型估计NRS与研究因素之间的相关性。结果共纳入285例患者,平均年龄69.6岁(SD 15),其中年龄≥70岁的患者161例(56.5%)。入院时营养不良风险患病率为35.1% (95% CI: 29.8%-41.1%),有重症监护史的患者营养不良风险患病率为15.9倍(OR: 15.90, 1.82-139.11: p 0.012);重症肺炎患者为10.35倍(OR 10.35;2.48 ~ 41.91: p 0.004),是脑卒中患者的5.6倍(OR 5.63;1.71-18.53: p 0.004)。结论住院时营养风险发生率较高,重症肺炎、脑卒中及既往ICU住院史等因素与营养不良风险较高相关。然而,由于营养风险筛查的严重程度标准的局限性,本研究的结果应谨慎解释。
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引用次数: 0
Actitudes y asesoramiento de los profesionales de la salud sobre el aumento de la leche materna: estudio transversal 卫生专业人员对母乳增加的态度和建议:横断面研究
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.03.001
Mine Gökduman-Keleş , Nevin Akdolun-Balkaya , Eylem Toker

Objective

To determine the breast milk-increasing practices healthcare professionals used with their children and their recommendations to mothers.

Method

A descriptive cross-sectional study in a Mediterranean region of Turkey. It was carried out with 301 healthcare professionals working in 64 Family Health Centers between January and June 2018. The data were collected by the researchers with a questionnaire including 28 questions.

Results

The mean age of healthcare professionals was 36.89 ± 8.5. All the healthcare professionals encountered mothers with the perception of insufficient breast milk. 73.7% of those with children had breast milk-increasing practices. Increased age negatively affected these practices (OR: 0.923), and increased education positively affected the practices (OR: 3.489). Having received training on breastfeeding and breast milk-increasing measures positively affected the use of practices (OR: 2.118). The use of breast milk-increasing practices by healthcare professionals positively affected their recommendations to mothers (OR: 2.506).

Conclusions

Health professionals had their own breast milk boosting practices that they recommended to women as well. This result is especially significant in terms of guiding mothers who wish to increase breast milk supply and seek reliable information and contributes to the protection of maternal and newborn health.

目的了解卫生保健专业人员对其孩子使用的母乳喂养方法及其对母亲的建议。方法在土耳其地中海地区进行描述性横断面研究。在2018年1月至6月期间,在64个家庭健康中心工作的301名医疗保健专业人员进行了这项研究。研究人员通过一份包含28个问题的调查问卷收集了这些数据。结果卫生专业人员平均年龄为36.89±8.5岁。所有的保健专业人员都遇到过感觉母乳不足的母亲。73.7%有孩子的妇女有母乳喂养习惯。年龄的增加对实践有负向影响(OR: 0.923),教育程度的增加对实践有正向影响(OR: 3.489)。接受了关于母乳喂养和母乳增加措施的培训对做法的使用产生了积极影响(OR: 2.118)。保健专业人员使用母乳增加做法对他们对母亲的建议产生积极影响(OR: 2.506)。结论卫生专业人员也有自己的母乳促进方法,并向妇女推荐。这一结果在指导希望增加母乳供应和寻求可靠信息的母亲方面尤其重要,并有助于保护孕产妇和新生儿健康。
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引用次数: 0
Autocuidado de los pies en personas con diabetes tipo 2. Un estudio cualitativo 2型糖尿病患者的足部自我护理。定性研究
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2023.01.016
María Isabel Bonilla-Carrasco , Elisabeth Rasero-Fernández , Mariela Aguayo-González , Sabiniana San Rafael-Gutiérrez

Objective

To understand the experiences of adults over 65 years of age with type 2 diabetes mellitus, regarding foot self-care.

Method

Qualitative phenomenological study with a descriptive approach. It is carried out in the facilities of the Primary Care Center of Les Planes de Sant Joan Despí, Barcelona, belonging to the Catalan Institute of Health. For the data collection, a semi-structured and individual interview was used, with a script of basic aspects to be explored, not closed and focused on the objectives of the research. The interviews were carried out between June 2019 and December 2020. A thematic analysis was carried out concomitantly with the collection of these.

Results

A final sample of 13 persons (4 men and 9 women) participated in the study. Adherence to diabetic foot self-care recommendations is irregular. Participants explain risky behaviors despite knowing that they can cause injury to feet previously considered high risk. The evaluation of the podiatrist supposes an economic cost that some people cannot afford.

Conclusions

The nurse has to do an exhaustive follow-up of how persons with diabetes take care of her feet, insisting on preventive recommendations not only in the annual review but every time the person attends the diabetes follow-up consultation. Effective nurse-podiatrist communication is needed to improve prevention and follow-up of people at risk of diabetic foot disease.

目的了解65岁以上成人2型糖尿病患者足部自我护理的经验。方法采用描述性方法进行定性现象学研究。它是在巴塞罗那圣琼飞机Despí初级保健中心的设施中进行的,该中心属于加泰罗尼亚卫生研究所。对于数据收集,使用了半结构化和个人访谈,其中包含要探索的基本方面的脚本,而不是封闭的,并专注于研究的目标。这些采访是在2019年6月至2020年12月期间进行的。在收集这些资料的同时,还进行了专题分析。结果最终共13人(男4人,女9人)参与研究。坚持糖尿病足自我保健建议是不规律的。参与者解释了危险行为,尽管他们知道这些行为会导致先前被认为是高风险的足部受伤。足病医生的评估假设了一些人无法承受的经济成本。结论:护士必须对糖尿病患者的足部护理情况进行详尽的随访,不仅在年度检查中,而且在患者每次参加糖尿病随访咨询时,坚持提出预防性建议。需要有效的护士-足科医生沟通,以改善糖尿病足病风险人群的预防和随访。
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引用次数: 2
Estrés psicológico y sus factores relacionados entre estudiantes de enfermería marroquíes: un estudio transversal 摩洛哥护生心理压力及其相关因素的横断面研究
IF 0.5 Q3 Nursing Pub Date : 2023-05-01 DOI: 10.1016/j.enfcli.2022.11.004
Hakima El Madani , Ibtissam El Harch , Nabil Tachfouti , Samira El Fakir , Rachid Aalouane , Mohamed Berraho

Objective

This study was performed to evaluate the prevalence and related factors of perceived stress among nursing students at Fez High Institute of Nursing Professions and Health Technics in Morocco.

Method

A cross-sectional study was carried out, in which The Perceived Stress Scale 10, Pittsburgh Sleep Quality Index scale, and Academic Competence, Test Competence, Time Management, and Strategic Studying scale were used to collect data from students enrolled in nursing courses. Univariate and bivariate analyses were conducted using SPSS version 20.

Results

Of the 437 nursing students, 405 (105 men and 300 women) completed the survey. A low prevalence of perceived stress (17%; N = 69) was found, with a mean (standard deviation) stress score of 17.17 (4.15). The stress level of the students was significantly associated with the academic year, the practice of professional extracurricular activities, the monthly income of the family, and the use of public transportation. In addition, the stress level was associated with the subjective quality of the sleep of the students, sleep latency, diurnal dysfunction, and usual sleep efficiency. In addition, a positive correlation was observed between «time management» scores and «test adaptation skills» scores. However, no significant association was observed between stress scores and the age and gender of the students.

Conclusion

Although it was found level levels of perceived stress by the nurse students, there are personal and curricular factors, as well as factors regarding the sleeping quality, which as associated with its presence. Considering these results, universities should employ adequate preventive interventions to disseminating and controlling to this subset of the population.

目的了解摩洛哥非斯护理职业与卫生技术高等学院护生感知压力的患病率及相关因素。方法采用感知压力量表、匹兹堡睡眠质量指数量表、学业能力量表、测试能力量表、时间管理量表和策略学习量表,对护理专业学生进行横断面研究。采用SPSS version 20进行单因素和双因素分析。结果437名护生中,405人(男105人,女300人)完成了问卷调查。感知压力的患病率较低(17%;N = 69),平均(标准差)应激评分为17.17(4.15)。学生的压力水平与学年、专业课外活动的实践、家庭月收入和公共交通的使用显著相关。此外,压力水平与学生主观睡眠质量、睡眠潜伏期、昼夜功能障碍和平时睡眠效率有关。此外,在“时间管理”分数和“测试适应技能”分数之间观察到正相关。然而,压力得分与学生的年龄和性别之间没有明显的联系。结论护生的压力感知水平较高,但与个人因素、课程因素以及睡眠质量因素有关。考虑到这些结果,大学应该采取适当的预防干预措施来传播和控制这部分人口。
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引用次数: 1
Clinical determinants of oxygen saturation and length of hospitalisation of COVID-19 patients: A cross-sectional study in Indonesia COVID-19患者血氧饱和度和住院时间的临床决定因素:印度尼西亚的一项横断面研究
IF 0.5 Q3 Nursing Pub Date : 2023-03-01 DOI: 10.1016/j.enfcli.2023.01.007
Evi Susanti , Maria Rista Okstoria , Siti Wijayanti , Hilda Damayanti , Hasriza Eka Putra , Roselyn Chipojola , Muhammad Fauzi Rahman , Maria Dyah Kurniasari , Mega Hasanul Huda

Aims

Indonesia was one of the countries with the highest COVID-19 positive cases. Understanding the length of hospitalisation is critical for anticipating bed demand and resource allocation, such as oxygen. This study aims to examine the determinants of oxygen saturation and the length of hospitalisation in Hermina Mekarsari Hospital, West Java, Indonesia.

Methods

This cross-sectional study uses medical records from June to August 2021. The inclusion criteria were: COVID-19 patients aged between18 and 65, fully conscious, and not using mechanical ventilation. Participants who passed away during hospital stay were excluded. We used demographic information, laboratory data, and the clinician's assessments of the patients admitted to the hospital. Linear regression was performed for oxygen saturation on day seven, while logistic regression analysis was conducted to predict the length of hospital stay.

Results

In total, 371 participants with an average age of 47.2 (standard deviation 15.8) years were included. Most participants were female (57.7%) and smoking (78.4%). The results indicated that decreasing oxygen saturation was reported in vomiting patients (β = 1.63, p-value = .001), hypertensive patients (β 1.18 with, p-value = .034), and patients with the increased respiratory rate (β = 0.28, p-value = .000). In the logistic regression, we found that respondents who experienced dyspnoea, headache, fever, an increasing number of D-Dimer and blood glucose, and those with diabetes mellitus were more likely to stay more than 14 days.

Conclusions

Oxygen saturation was influenced by vomiting, hypertension, and increasing respiratory rate. Length of hospitalisation of more than 14 days was influenced by dyspnoea, headache, fever, increased number of D-Dimer, blood glucose, and diabetes mellitus. Identifying the determinants of oxygen saturation and length of stay can inform health professionals in designing a suitable intervention to reduce mortality and length of stay among COVID-19 patients in Indonesia.

印度尼西亚是新冠肺炎阳性病例最多的国家之一。了解住院时间对于预测床位需求和氧气等资源分配至关重要。本研究旨在检验印度尼西亚西爪哇省Hermina Mekarsari医院血氧饱和度和住院时间的决定因素。方法本横断面研究使用2021年6月至8月的医疗记录。纳入标准为:年龄在18至65岁之间的新冠肺炎患者,完全清醒,不使用机械通气。在住院期间去世的参与者被排除在外。我们使用了人口统计信息、实验室数据和临床医生对入院患者的评估。对第7天的血氧饱和度进行线性回归,同时进行逻辑回归分析来预测住院时间。结果共纳入371名参与者,平均年龄47.2岁(标准差15.8)。大多数参与者是女性(57.7%)和吸烟(78.4%)。结果表明,呕吐患者(β=1.63,p值=0.001)、高血压患者(β1.18,p值=0.034)和呼吸频率增加的患者(β=0.28,p值=.000)的血氧饱和度降低。在逻辑回归中,我们发现,头痛、发烧、D-二聚体和血糖数量增加,以及糖尿病患者更有可能停留超过14天。结论氧饱和度受呕吐、高血压和呼吸频率增加的影响。住院时间超过14天受呼吸困难、头痛、发烧、D-二聚体数量增加、血糖和糖尿病的影响。确定氧饱和度和住院时间的决定因素可以为卫生专业人员设计合适的干预措施提供信息,以降低印度尼西亚新冠肺炎患者的死亡率和住院时间。
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引用次数: 0
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Enfermeria Clinica
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