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Medicina Paliativa最新文献

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Impacto en el consumo de recursos de un Programa Integrado de Cuidados Paliativos en Colombia. 哥伦比亚综合姑息治疗方案对资源消耗的影响。
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1335/2021
Zacarías Rodriguez Álvarez-Ossorio, Susana Orrego Villegas, Miguel Ángel Lúcas Díaz, Karine María Posada España, María Jesús Pérez-Solano Vázquez, Silvia Librada Flores
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引用次数: 0
Estudio descriptivo del impacto de la pandemia por COVID-19 sobre las condiciones de trabajo, el cuidado de los pacientes y la calidad de vida profesional de una muestra de profesionales de cuidados paliativos españoles. 对西班牙姑息治疗专业人员样本的COVID-19大流行对工作条件、患者护理和职业生活质量影响的描述性研究。
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1316/2022
Cristina Lluch-Sanz, L. Galiana, Gabriel Vidal-Blanco, Juan Pablo Leiva, Noemí Sansó
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引用次数: 0
Nuevas estrategias de atención y cuidado en el contexto de una pandemia: Desarrollo de un sistema de monitorización de síntomas telemático en pacientes con enfermedades avanzadas (AvanzaT). 大流行背景下的新护理战略:为晚期疾病患者开发远程症状监测系统(AvanzaT)。
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1319/2022
Manuel Ramón Castillo Padrós, Marcelino Mosquera Peña, Miguel Angel Benitez Rosario, M� Carmen Riveira Fraga, Belen Garrido Bernet, Rosa M� García García
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引用次数: 1
Indicadores de un programa de gestión en cuidado paliativo en Colombia: seguimiento retrospectivo 哥伦比亚姑息治疗管理计划的指标:回顾性监测
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1285/2021
Liney Sequeda Ferro, Lady Layton, Jorge Edgar Guevara Muñoz, L. Quintero, S. Carreño-Moreno
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引用次数: 0
Interpretación de las puntuaciones obtenidas con la Escala Breve de Calidad de Vida Profesional 工作生活质量简表得分的解释
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1304/2021
L. Galiana, Gabriel Vidal-Blanco, A. Oliver, Noemí Sansó
Background: The Professional Quality of Life Scale, known by its acronym in English, ProQOL, is one of the most used in the context of health professionals to assess professional quality of life. Recently, a short version of this scale has been presented, the Short Professional Life Quality Scale. The aim of this work is to offer brief guides for the interpretation of the scores obtained with this scale. Materials and methods: A cross-sectional study was carried out in Spanish palliative care professionals. Professional quality of life, mindfulness, self-compassion and personal wellbeing were evaluated. Descriptive statistics were calculated, including percentiles for the interpretation of the Brief Professional Quality of Life Scale, and analysis of variance, to study the goodness of the established cut-off points. Results: Satisfaction with compassion can be considered low with scores of 10 or lower, medium with scores between 11 and 13, and high with scores of 14 or higher. Burnout can be considered low with scores of 6 or lower, medium with scores between 7 and 8, and high with scores of 9 or higher. Compassion fatigue can be considered low with scores of 4 or lower, medium with scores of 5, and high with scores of 6 or higher. The established cut-off point for the scores were related in the expected direction with mindfulness, selfcompassion and personal well-being. Discussion: The cut-off points identified for the Short Professional Quality of Life Scale scores are useful and adequate for the scale use.
背景:职业生活质量量表,简称ProQOL,是卫生专业人员评估职业生活质量最常用的量表之一。最近,这个量表的一个简短版本被提出,即短期职业生活质量量表。这项工作的目的是提供简要的指导,以解释与该量表获得的分数。材料和方法:在西班牙姑息治疗专业人员中进行了横断面研究。对职业生活质量、正念、自我同情和个人幸福感进行了评估。计算描述性统计数据,包括解释简要职业生活质量量表的百分位数和方差分析,以研究建立的截止点的优度。结果:同情满意度在10分及以下为低满意度,在11 - 13分为中等满意度,在14分及以上为高满意度。6分及以下为低倦怠,7 - 8分为中等倦怠,9分及以上为高倦怠。同情疲劳可以被认为是低的,得分为4分或更低,5分为中等,6分或更高为高。分数的既定分界点与正念、自我同情和个人幸福感的预期方向相关。讨论:确定的短期职业生活质量量表分数的分界点对量表的使用是有用的和足够的。
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引用次数: 3
Miedo a la muerte en una muestra de estudiantes de Enfermería 护理学生样本中的死亡恐惧
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1345/2022
D. Parra-Giordano, Ignacio Bustos-Donoso, María Albayay-Gatica, Catalina Cepeda-Órdenes, Tatiana Coliboro-Navarro
Objective: To evaluate the fear of death and its relationship with various sociodemographic variables in Nursing students. Method: The study design was descriptive, observational, and cross-sectional, based on a quantitative approach with a positivist paradigm. The participants were 443 students from the first to the fifth year of Nursing at the University of Chile, selected by random sampling stratified by cluster. The Collett-Lester Fear of Death Scale validated in Chile was applied to each participant through a form sent through mass messages, using descriptive statistics. The Ethics Committee approved the research. Results: Average fear of death was moderate to high (3.16 ░ ± ░ 1.43). The highest score was obtained in fear of the death of others (3.64 ░ ± ░ 1.36). The perceived fear decreases as the curriculum progresses, and the female gender has a higher score. Conclusion: The fear of death is inversely related to the years of Nursing training. It is essential to have curricular modifications that favor teaching about the end of life in undergraduate students. That can be implemented within the framework of the current legal norm in Chile.
目的:探讨护生死亡恐惧及其与各种社会人口学变量的关系。方法:本研究采用描述性、观察性和横断面设计,基于实证主义范式的定量方法。研究对象为443名智利大学护理专业一至五年级的学生,采用整群分层随机抽样的方法。在智利验证的科莱特-莱斯特死亡恐惧量表通过通过大众信息发送的表格应用于每个参与者,使用描述性统计。伦理委员会批准了这项研究。结果:对死亡的平均恐惧程度为中高(3.16±1.43)。恐惧他人死亡得分最高(3.64±1.36)。随着课程的进展,感知到的恐惧减少,女性的得分更高。结论:死亡恐惧与护理培训年限呈负相关。有必要对课程进行修改,以便对本科生讲授生命的终结。这可以在智利现行法律规范的框架内实施。
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引用次数: 1
Búsqueda y evaluación de la literatura científica: juego de escape 科学文献搜索与评价:逃生游戏
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1339/2022
María Luisa Maquedano Martínez, Manuel Molina Arias
Es de recursos para seleccionar los más apropiados en cada caso, así como los operadores, vocabularios, filtros y otras opciones de la interfaz implementados en cada una de ellos. En este artículo, con un ejercicio práctico a modo de juego, se han descrito los elementos correspondientes a la lista de verificación PRISMA-S para la presentación de una revisión rápida: criterios de elegibilidad de los estudios en formato PICO, fuentes de información obligatorias, estrategias de búsqueda en PubMed y el formulario peer review para describir la metodología de todo el proceso. ABSTRACT Developing a search strategy in health sciences databases to obtain a balanced evidence result between sensitivity and specificity is a real challenge. It is essential to have a good understanding of the different types of resources in order to select the most appropriate in each case, as well as the operators, vocabularies, filters and other interface options implemented in each of them. In this article, with a practical exercise as a game, the elements corresponding to the PRISMA-S checklist for the presentation of a rapid review have been described: eligibility criteria for studies in PICO format, mandatory information sources, search strategies in PubMed and the peer review form to describe the methodology of the entire process.
在每种情况下选择最合适的资源,以及在每种情况下实现的操作符、词汇表、过滤器和其他接口选项。在本文中,与实际演习游戏模式,已报告有相应内容清单PRISMA-S提交一个快速的检查一下:研究的资格标准格式,强制性的信息来源,在PubMed和搜索表单策略peer review来形容整个过程的方法。在卫生科学数据库中制定一项搜索战略,以便在敏感性和专用性之间取得平衡的证据结果,这是一项真正的挑战。必须充分了解不同类型的资源,以便在每一种情况下选择最合适的资源,以及在每一种情况下实现的操作符、词汇表、过滤器和其他接口选项。在这条,with a practical行使as a game, the elements的to the PRISMA-S checklist for the presentation of a快速review得到公民:资格标准for studies In嘴格式的信息来源,PubMed搜索strategies In and the peer review form to the方法描述of the entire process。
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引用次数: 0
Implicaciones clínicas de la retirada de alimentación e hidratación artificial en pacientes pediátricos en el final de vida 儿科患者在生命结束时停止喂养和人工水合作用的临床意义
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1334/2022
C. Solito, Laura Plaza Luna, Lucía Navarro Marchena, Sergi Navarro Villarubi
Introduction: In the literature on adult patients, there is evidence that continuing artificial nutrition and hydration (ANH) during end of life is associated with numerous adverse effects. The withdrawal of ANH could lead to a reduction in these negative effects, without resulting in a reduced survival time. In pediatrics, evidence regarding this subject is sorely lacking. The objective of this study is to describe the use of ANH in pediatric patients at end of life, along with the clinical implications of continuing or withdrawing it. Methodology: Observational (prospective and retrospective) study in a tertiary pediatric hospital. Patients older than 24 hours who died at our center or at home between 07/15/2019 and 07/15/2020 were included. The information was collected via interviews with the healthcare team and by reviewing clinical records. Results: Of the patients who received ANH, in half of them this support was reduced or withdrawn prior to death. ANH was withdrawn/reduced in a higher percentage in patients who died in the hospital versus at home. A greater incidence of clinical signs of dehydration was seen in the groups that did not receive ANH. When compared with the groups that did receive ANH, a slight increase in these signs was observed for the group in which ANH was withdrawn versus that in which it was continued, without this difference being statistically significant. The median time elapsed between withdrawing ANH and death was one day. Conclusions: The reduction or withdrawal of ANH in pediatric patients does not appear to increase the signs of dehydration.
在成人患者的文献中,有证据表明,在生命末期继续人工营养和水合作用(ANH)与许多不良反应有关。停用ANH可以减少这些负面影响,而不会减少生存时间。在儿科,关于这个问题的证据非常缺乏。本研究的目的是描述在生命末期儿科患者中ANH的使用,以及继续或退出ANH的临床意义。方法:在一家三级儿科医院进行观察性(前瞻性和回顾性)研究。纳入2019年7月15日至2020年7月15日期间在我们中心或家中死亡的24小时以上患者。这些信息是通过与医疗团队的访谈和审查临床记录收集的。结果:在接受ANH治疗的患者中,有一半的患者在死亡前减少或取消了这种支持。与在家死亡的患者相比,在医院死亡的患者中,停用/减少ANH的比例更高。在未接受ANH治疗的组中,脱水临床症状的发生率更高。与接受ANH治疗的组相比,停用ANH治疗的组与继续接受ANH治疗的组相比,这些症状略有增加,但差异无统计学意义。从停用ANH到死亡的中位时间为1天。结论:儿科患者减少或停用ANH并不会增加脱水症状。
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引用次数: 0
Efectos de los cuidados paliativos tempranos en adultos con enfermedades crónicas: una revisión sistemática 成人慢性疾病早期姑息治疗的效果:系统综述
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1322/2022
Raquel Toca Martínez
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引用次数: 0
Cómo escribir y publicar artículos científicos (y III). Llegamos a puerto: elección de la revista, envío del manuscrito, proceso editorial y aspectos éticos 如何撰写和发表科学文章(III)。我们到达港口:期刊的选择,手稿的提交,编辑过程和伦理方面
Q3 Nursing Pub Date : 2022-01-01 DOI: 10.20986/medpal.2022.1311/2022
Ana M. García, E. Fernández
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引用次数: 0
期刊
Medicina Paliativa
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