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Educational Interventions in Adults with Type 2 Diabetes Mellitus in Primary Health Care Settings. A Scoping Review 在基层医疗机构对成人 2 型糖尿病患者进行教育干预。范围综述
IF 2 Q3 NURSING Pub Date : 2023-06-20 DOI: 10.17533/udea.iee.v41n2e15.
Yasmin Alejandra Castillo-Merino, Camila Ospina-Ayala, Natalia Esquivel-Garzón, Alba Luz Rodríguez-Acelas, Wilson Cañón-Montañez
Abstract Objective: To synthesize the evidence of studies with educational interventions for adults with type-2 diabetes mellitus (DM2) in primary health care settings. Methods: A scoping review was conducted following the recommendations by the Joanna Briggs Institute and by the PRISMA declaration. The protocol was registered in INPLASY20215009. The search was carried out in: MEDLINE (via PubMed), EMBASE, Web of Science, LILACS, and grey literature. Results: Seventeen studies were included; most were randomized clinical trials of which 65% were conducted in high-income countries, and all the studies represented 5 656 participants. The results showed four big categories derived from educational interventions: therapeutic adherence (significant results on the satisfaction with the treatment); self-care and self-management in diabetes (improvement in self-efficacy, empowerment, and disease awareness); glycemic control in diabetes (significant results in reducing glycosylated hemoglobin); nursing and its role in the educational interventions on patients with DM2 (guidance in restructuring behaviors). Conclusion: The findings of this review suggest that educational interventions on patients with DM2 within the setting of primary health care can impact positively on therapeutic adherence, self-control, and knowledge of the disease. Moreover, it was possible to identify the influence of multidisciplinary health teams, where the relevance of nursing professionals in the construction and implementation of educational interventions is evidenced in obtaining better health results.
摘要 目的:综述在初级医疗机构对成年 2 型糖尿病(DM2)患者进行教育干预的研究证据。方法:按照乔安娜-布里格斯研究所(Joanna Briggs Institute)的建议和 PRISMA 声明进行了范围界定综述。研究方案已在 INPLASY20215009 中注册。搜索范围包括MEDLINE(通过 PubMed)、EMBASE、Web of Science、LILACS 和灰色文献。结果共纳入 17 项研究;大部分是随机临床试验,其中 65% 在高收入国家进行,所有研究有 5 656 人参与。结果显示,教育干预产生了四大类别:治疗依从性(对治疗满意度的显著结果);糖尿病的自我护理和自我管理(自我效能、授权和疾病意识的改善);糖尿病的血糖控制(在降低糖化血红蛋白方面的显著结果);护理及其在 DM2 患者教育干预中的作用(对重组行为的指导)。结论:本综述的研究结果表明,在初级卫生保健环境中对 DM2 患者进行教育干预,可对坚持治疗、自我控制和疾病知识产生积极影响。此外,还发现了多学科医疗团队的影响,其中护理专业人员在构建和实施教育干预措施方面的作用得到了证实,从而获得了更好的健康效果。
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引用次数: 0
Educational Interventions in Adults with Type 2 Diabetes Mellitus in Primary Health Care Settings. A Scoping Review 初级卫生保健机构成人2型糖尿病患者的教育干预范围检讨
Q3 NURSING Pub Date : 2023-06-20 DOI: 10.17533/udea.iee.v41n2e15
Yasmin Alejandra Castillo-Merino, Camila Ospina-Ayala, Natalia Esquivel Garzón, Alba Luz Rodríguez-Acelas, Wilson Cañon-Montañez
Objective. To synthesize the evidence of studies with educational interventions for adults with type-2 diabetes mellitus (DM2) in primary health care settings. Methods. A scoping review was conducted following the recommendations by the Joanna Briggs Institute and by the PRISMA declaration. The protocol was registered in INPLASY20215009. The search was carried out in: MEDLINE (via PubMed), EMBASE, Web of Science, LILACS, and grey literature. Results. Seventeen studies were included; most were randomized clinical trials of which 65% were conducted in high-income countries, and all the studies represented 5 656 participants. The results showed four big categories derived from educational interventions: therapeutic adherence (significant results on the satisfaction with the treatment); self-care and self-management in diabetes (improvement in self-efficacy, empowerment, and disease awareness); glycemic control in diabetes (significant results in reducing glycosylated hemoglobin); nursing and its role in the educational interventions on patients with DM2 (guidance in restructuring behaviors). Conclusion. The findings of this review suggest that educational interventions on patients with DM2 within the setting of primary health care can impact positively on therapeutic adherence, self-control, and knowledge of the disease. Moreover, it was possible to identify the influence of multidisciplinary health teams, where the relevance of nursing professionals in the construction and implementation of educational interventions is evidenced in obtaining better health results.
目标。综合初级卫生保健机构对成人2型糖尿病(DM2)进行教育干预的研究证据。方法。根据乔安娜布里格斯研究所和PRISMA宣言的建议,进行了范围审查。协议注册号为INPLASY20215009。检索在:MEDLINE(通过PubMed), EMBASE, Web of Science, LILACS和灰色文献中进行。结果。纳入了17项研究;大多数是随机临床试验,其中65%在高收入国家进行,所有研究共有5656名参与者。结果显示了来自教育干预的四大类:治疗依从性(对治疗满意度的显著结果);糖尿病患者的自我护理和自我管理(提高自我效能、增强能力和疾病意识);糖尿病患者血糖控制(显著降低糖化血红蛋白);护理在DM2(重组行为指导)患者教育干预中的作用。结论。本综述的结果表明,在初级卫生保健的背景下,对DM2患者的教育干预可以对治疗依从性、自我控制和疾病知识产生积极影响。此外,有可能确定多学科保健小组的影响,其中护理专业人员在教育干预措施的构建和实施方面的相关性在获得更好的保健结果方面得到了证明。
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引用次数: 0
Multilevel Self-Management in Nursing Research: An Approach to Decrease Health Disparities in Chronic Diseases. 护理研究中的多层次自我管理:减少慢性病患者健康差异的途径
IF 2 Q3 NURSING Pub Date : 2023-06-01 DOI: 10.17533/udea.iee.v41n2e10
Evelyn Iriarte, Rosina Cianelli, Madeline Fernandez-Pineda

Objective: To discuss multilevel self-management intervention research in nursing to decrease health disparities among people living with chronic diseases.

Content synthesis: Multilevel interventions have become the core of nursing research in the last decade. However, a critical limitation of existing interventions targeting health disparities among those living with chronic diseases is the tendency to address single or individual-level factors solely.

Conclusion: Nursing research is creating knowledge that may be translated into clinical practice and promoting evidence-based and innovative self-management practices to decrease health disparities and promote health equity among people living with chronic diseases.

目标。探讨多层次自我管理干预在护理中减少慢性病患者健康差异的研究。内容合成。近十年来,多层次干预已成为护理研究的核心。然而,针对慢性病患者健康差异的现有干预措施的一个关键限制是倾向于单独解决单一或个人水平的因素。护理研究正在创造可转化为临床实践的知识,并促进以证据为基础的创新自我管理实践,以减少健康差距,促进慢性病患者的健康公平。
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引用次数: 0
Right to health and encouragement of social participation in elementary education. 健康权和鼓励社会参与初等教育。
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e08
Maria Luiza Dos Santos Barbosa, Carla Aparecida Arena Ventura, Marina Liberale, Raquel Helena Hernandez Fernandes

Objectives: Develop and validate an ordinary meeting simulation template of the Municipal Health Council applied to students of cycle II of Elementary School.

Methods: Qualitative and descriptive research developed in two phases: construction of simulation scenario of ordinary meeting of the Municipal Health Council and validation by committee of experts who analyzed the representativeness and adequacy of the content. The scenario included the items: prebriefing, additional information about the case, scenario objectives, evaluation criteria (observers), scenario duration time, human and physical resources, instructions for the actors, context, references and debriefing. In order to be able to understand which items should be modified according to the evaluations of the experts, it was used as criterion that only items that had 80% or higher percentage of agreement between the experts for modification would be modified.

Results: There was agreement to modify the prebriefing in: additional information about the case (100%); learning objectives (88.8%); human and physical resources (88.8%); context (88.8%); and in the debriefing (88.8%). The prebriefing did not reach the level of agreement: evaluation criteria (66.6%), duration of the scenario (77.7%), instruction for authors (77.7%), references (77.7%), which were modified.

Conclusions: With the template developed and then validated by the committee of experts, it will be possible to develop in the classroom content related to the right to health and social participation in the scope of elementary education, as well as encourage engagement in important bodies for the maintenance of democracy, justice and social equity.

目的:开发并验证市卫生委员会例会模拟模板,适用于小学二年级学生。方法:定性和描述性研究分为两个阶段:构建市卫生委员会例会模拟场景和专家委员会验证,分析内容的代表性和充分性。情景包括以下项目:预简报、关于案例的附加信息、情景目标、评价标准(观察员)、情景持续时间、人力和物质资源、对行动者的指示、背景、参考资料和汇报。为了能够根据专家的评价来了解哪些项目需要修改,只有专家同意修改的百分比达到80%或更高的项目才会被修改作为标准。结果:同意修改预讲会:病例的附加信息(100%);学习目标(88.8%);人力和物力资源(88.8%);上下文(88.8%);在汇报中(88.8%)。预简报未达到一致的程度:评价标准(66.6%)、场景持续时间(77.7%)、作者指导(77.7%)、参考文献(77.7%),均有修改。结论:有了专家委员会制定并验证的模板,就有可能在课堂上制定与初等教育范围内的健康权和社会参与有关的内容,并鼓励参与维护民主、正义和社会公平的重要机构。
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引用次数: 1
IImpact of the COVID-19 pandemic on the nursing students education in a public university in Colombia. 新冠肺炎疫情对哥伦比亚某公立大学护生教育的影响
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e11
Cecilia Leon Palomino, Sandra Catalina Ochoa Marín, Vanessa Restrepo Betancur, Sonia Semenic

Objectives: To explore the impacts of the COVID-19 pandemic on nursing student education in one public university in Medellin, Colombia.

Methods: This descriptive qualitative study used content analysis to address the following questions: (1) How has the COVID-19 pandemic impacted nursing education at the University of Antioquia? (2) What were the most important challenges experienced by nursing students? (3) What was most supportive for the students during the pandemic? and (4) What were the potential opportunities and lessons learned related to nursing education? Data were collected virtually through individual online interviews with 14 undergraduate nursing students and analysed using qualitative content analysis with constant comparisons.

Results: Four main categories of findings related to the experience of undergraduate nursing students during the COVID-19 pandemic were identified: (1) transitioning to online learning, (2) managing the digital world, (3) impacts on clinical training, and (4) work-related stressors. Key challenges included home environments that were not conducive to learning, reduced social interactions with peers and faculty, accessing technology required for online education and insufficient preparation for clinical practice. Family members and university-provided resources were important sources of student support. Whereas the pandemic limited opportunities for hands-on clinical training, the shift to online learning allowed for the development of skills related to informational technologies and telehealth.

Conclusions: Undergraduate students at the University of Antioquia identified significant barriers to learning during the COVID-19 pandemic restrictions and transition to online learning, as well as new opportunities for the development of digital skills among both students and faculty.

目的:探讨2019冠状病毒病疫情对哥伦比亚麦德林市一所公立大学护生教育的影响。方法:本描述性定性研究采用内容分析方法解决以下问题:(1)2019冠状病毒病大流行如何影响安蒂奥基亚大学的护理教育?(2)护生最重要的挑战是什么?(3)疫情期间对学生最大的支持是什么?与护理教育相关的潜在机会和经验教训是什么?通过对14名本科护理学生的在线访谈收集虚拟数据,并使用定性内容分析和不断比较进行分析。结果:确定了与COVID-19大流行期间本科护理学生体验相关的四大类发现:(1)向在线学习的过渡,(2)管理数字世界,(3)对临床培训的影响,以及(4)工作压力源。主要挑战包括不利于学习的家庭环境,与同伴和教师的社会互动减少,获取在线教育所需的技术以及临床实践准备不足。家庭成员和学校提供的资源是学生支持的重要来源。大流行限制了临床实践培训的机会,而向在线学习的转变使与信息技术和远程保健相关的技能得以发展。结论:安蒂奥基亚大学的本科生发现,在2019冠状病毒病大流行的限制和向在线学习的过渡期间,学习存在重大障碍,同时也发现了学生和教师发展数字技能的新机遇。
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引用次数: 2
Usefulness of Acceptability and Feasibility Assessment in Studies of Nursing Interventions. 可接受性和可行性评估在护理干预研究中的作用。
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e02
Claudia Milena Garizábalo-Dávila, Alba Luz Rodríguez-Acelas, Wilson Cañon-Montañez
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引用次数: 0
Nursing care for the transgender population in primary health care: an integrative review. 初级卫生保健中跨性别人群的护理:一项综合综述
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e07
Manoella Alves Carneiro Chagas, Adriano Maia Dos Santos, Naila Neves de Jesus

Objective: To describe the care provided to the transgender population by nursing in Primary Health Care (PHC).

Methods: Integrative literature review performed in the Virtual Health Library (VHL), Medline/PubMed and Web of Science (WoS) databases without a pre-established time frame, using the descriptors "transgender persons", "gender identity", "nursing care" and "primary health care".

Results: Eleven articles published between 2008-2021 were included. They were categorized as follows: Embracement and healthcare; Implementation of Public Health Policies; Weaknesses in academic training; Barriers between theory and practice. The articles showed a limited scenario of nursing care for the transgender population. The scarcity of research focused on this theme is an important sign of how care has been incipient or even non- existent in the context of PHC.

Conclusions: Structural and interpersonal stigmas materialized in discriminatory and prejudiced practices perpetrated by managers, professionals and health institutions constitute the greatest challenges to be overcome for comprehensive, equitable and humanized care provided to the transgender population by nursing.

目的:描述初级卫生保健(PHC)对跨性别人群的护理。方法:使用“跨性别者”、“性别认同”、“护理”和“初级卫生保健”等描述词,在虚拟健康图书馆(VHL)、Medline/PubMed和Web of Science (WoS)数据库中进行综合文献综述,没有预先设定时间框架。结果:纳入了2008-2021年间发表的11篇文章。它们被分类如下:拥抱和保健;公共卫生政策的实施;学术培训的薄弱环节;理论与实践之间的障碍。这些文章显示了对跨性别人群护理的有限情况。关注这一主题的研究的稀缺性是一个重要的标志,表明在初级保健的背景下,护理是如何开始甚至不存在的。结论:管理人员、专业人员和卫生机构实施的歧视性和偏见做法所带来的结构性和人际耻辱是护理人员向跨性别人群提供全面、公平和人性化护理所要克服的最大挑战。
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引用次数: 0
Impact of COVID-19 on lifestyles related etiquette among nursing staff in India: a cross sectional descriptive e-survey. COVID-19对印度护理人员生活方式相关礼仪的影响:一项横断面描述性电子调查。
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e06
Nipin Kalal, Suresh K Sharma, Nimarta Rana, Ashok Kumar

Objective: To analyze the impact of COVID-19 pandemics on lifestyle-related etiquettes like eating, physical activity, and sleep behavior among nursing staff in India.

Methods: A crosssectional descriptive E-survey was conducted among 942 nursing staff. The validated electronic survey questionnaire was used to assess the changes in lifestyle-related etiquette before and during COVID-19 Pandemic.

Results: Pandemic. Results. A total of 942 responses (mean age 29.01±5.7years) were collected, 53% of the respondents were men. A slight decline in healthy meal consumption pattern (p<0.0001) and a restriction of unhealthy food items were observed (p<0.0001), and also reduction in physical activity coupled with decreased participation in leisure-related activities was seen (p<0.0001). The stress and anxiety slightly increase during COVID-19 pandemics (p<0.0001). Additionally, social support extended by family and friends to maintain healthy lifestyle-related behaviors also significantly decreased during COVID-19 PANDEMIC pandemics compared to before (p<0.0001). Although the COVID-19 Pandemic slightly reduced the intake of healthy meals and deterred participants from consuming unhealthy food, this this may have led to individual weight loss.

Conclusions: In general, there was a negative impact on, lifestyle like diet, sleep and mental health was observed. A detailed understanding of these factors can help to develop interventions to mitigate the harmful lifestyle-related etiquette that has manifested during COVID-19 Pandemic.

目的:分析2019冠状病毒病大流行对印度护理人员饮食、身体活动和睡眠行为等生活方式相关礼仪的影响。方法:对942名护理人员进行横断面描述性电子调查。使用经过验证的电子调查问卷来评估2019冠状病毒病大流行之前和期间生活方式相关礼仪的变化。结果:大流行。结果。共收集942例患者(平均年龄29.01±5.7岁),其中男性占53%。结论:总体而言,对饮食、睡眠和心理健康等生活方式有负面影响。详细了解这些因素有助于制定干预措施,以减轻在COVID-19大流行期间出现的与生活方式有关的有害礼仪。
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引用次数: 0
Nursing Care Related with Surgical Position. 与手术体位相关的护理
IF 2 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e03
Ángela María Salazar Maya, Sandra Patrícia Osorio Galeano

Abstract: The patient's correct position is necessary to conduct a safe and effective surgical procedure. This position depends on the access route, duration of the procedure, kind of anesthesia, devices to use, among other factors. This procedure requires planning and effort by the surgical team where they share responsibility to establish and maintain the correct positions for patients. Each surgical position fulfills an objective and implies risks to patients, which is why nursing professionals must be very attentive to provide the necessary care and ensure reliable practices in each position during the perioperative, the importance of the documentation, and the NANDA, NIC, and NOC taxonomy to consider.

摘要:患者的正确体位是进行安全有效手术的必要条件。这个位置取决于进入路径、手术持续时间、麻醉种类、使用的器械等因素。这个过程需要手术团队的计划和努力,他们共同负责为患者建立和保持正确的体位。每个手术体位都有一个目标,同时也意味着患者的风险,这就是为什么护理专业人员必须非常注意提供必要的护理,并确保围手术期每个体位的可靠操作,文件的重要性,以及NANDA, NIC和NOC分类需要考虑。
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引用次数: 0
Men's health care: concept analysis. 男性保健:概念分析。
IF 1.3 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.17533/udea.iee.v41n1e14
Anderson Reis de Sousa, Nuno Damácio de Carvalho Félix, Richardson Augusto Rosendo da Silva, Evanilda Souza de Santana Carvalho, Álvaro Pereira

Objectives: To analyze the concept of men's health care and identify its essential, antecedent and consequent attributes in the health context.

Methods: This is a concept analysis structured in the theoretical-methodological framework of the Walker and Avant Model. An integrative review was carried out between May and July 2020, using keywords and descriptors: Men's Care and Health.

Results: The concept of men's health care is structured by 240 attributes, 14 categories, 82 antecedents and 159 consequents, from the selection of 26 published manuscripts. The design was evidenced from the dimensions: Intrapersonal, psychological and behavioral related to masculinities, interpersonal, organizational and structural, ecological, ethnoracial, cross-cultural and transpersonal.

Conclusions: The concept of men's health care revealed the male specificities regarding the recognition of the place of health care and the daily exercise in the lived experience.

目的分析男性保健的概念,并确定其在保健方面的基本特征、前因和后果:方法:这是在沃克和阿凡特模式的理论-方法框架下进行的概念分析。在 2020 年 5 月至 7 月期间,使用关键词和描述符进行了综合综述:结果:从已发表的 26 篇手稿中选取了 240 个属性、14 个类别、82 个前因和 159 个后果,构建了男性保健的概念。该设计从以下几个方面进行了论证:结论:男性医疗保健概念揭示了男性在认识医疗保健和日常锻炼在生活经验中的地位方面的特殊性。
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引用次数: 0
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Investigacion y Educacion en Enfermeria
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