Enfermeria clinica (English Edition)最新文献_第5页

Assessment of fear of recurrence in cancer patients in the follow-up phase of the Juan Ramón Jiménez University Hospital in Huelva Juan Ramón Huelva jimmednez大学医院随访期癌症患者复发恐惧评估。

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502247

Dolores Merino-Navarro , Cristina Díaz-Periánez , Yolanda Bouzada-Guillén , Teresa Estrada-López , Juan Bayo-Calero , Héctor González de la Torre , Rafaela Camacho-Bejarano

Aim

To describe the levels of fear of recurrence in cancer patients in the follow-up phase.

Method

Cross-sectional descriptive study carried out from June 2023 to February 2024. A sample of 315 adult patients with a diagnosis of non-metastatic cancer in the process of follow-up at least 6 months after the end of active treatment, seen in the oncology department of the Juan Ramón Jiménez University Hospital in Huelva, was included. The FCR7-SP questionnaire was used to measure fear of recurrence. Permission was obtained from the Provincial Ethics Committee. Data analysis was performed using SPSS software v.29.0.1.0.

Results

An average score of 26.5 out of 35 points was observed on the FCR7-SP scale, suggesting a moderate level of fear. Mean age was 57.91 years (SD ± 11.80). The most frequent cancer was breast cancer (63%) followed by mostly stage II colorectal cancer (20%). There is a statistically significant relationship between fear of recurrence and gender, nationality, treatment and type of cancer. Five cut-off points of the FCR7-SP scale are proposed based on the percentiles obtained.

Conclusions

The level of fear of recurrence in cancer patients in the follow-up phase at the Juan Ramón Jiménez University Hospital in Huelva is moderate. It is essential to identify the factors that influence the level of fear of recurrence in order to design preventive interventions and/or an early approach.

目的：描述癌症患者随访期对复发的恐惧程度。方法：横断面描述性研究于2023年6月至2024年2月进行。纳入了在Huelva Juan Ramón jimsamnez大学医院肿瘤科就诊的315名在积极治疗结束后至少6个月随访过程中被诊断为非转移性癌症的成年患者样本。采用FCR7-SP问卷测量复发恐惧。获得了省伦理委员会的许可。数据分析采用SPSS v.29.0.1.0软件。结果：FCR7-SP量表的平均得分为26.5分（满分35分），表明恐惧程度中等。平均年龄57.91岁（SD±11.80）。最常见的癌症是乳腺癌（63%），其次是II期结直肠癌（20%）。对复发的恐惧与性别、国籍、治疗方式和癌症类型有统计学意义的关系。根据得到的百分位数，提出了FCR7-SP量表的5个截止点。结论：Huelva Juan Ramón jimmednez大学医院随访期癌症患者对复发的恐惧程度为中等。必须确定影响对复发的恐惧程度的因素，以便设计预防性干预措施和/或早期办法。

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引用次数: 0

Relationship between the care need levels of patients hospitalized in the pediatric surgery service and the caregiving burden of their parents: A cross-sectional study 儿科外科住院患者护理需求水平与其父母护理负担的关系：一项横断面研究

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502210

Duygu Karaarslan , Nazan Kavak Çelik , Dilek Ergin

Objectives

The study was conducted to determine the relationship between the level of care needs of pediatric patients hospitalized in the pediatric surgery service and the caregiving burden of their parents.

Methods

A cross-sectional observational study was conducted on an estimated non-probabilistic sample of 126 children and their parents, who were hospitalized in the pediatric surgery service between May and December 2022. For the children, the inclusion criteria were to be between 0 and 18 years of age, to be hospitalized in the pediatric surgery service of a university hospital and not to present communication difficulties. In order to include parents, they had to meet the criteria of remaining in the hospital after surgery. Descriptive and inferential analyses were performed using non-parametric tests with SPSS software. The study was approved by the research ethics committee.

Results

The children participating in the study 72.2% (n = 91) were boys. Of the children, 89.7% (n = 113) were hospitalized for 1-10 days, 53.9% (n = 68) were hospitalized due to outpatient surgery and 79.4% (n = 100) were hospitalized for postoperative reasons. The total mean score obtained from the overall Pediatric Surgery Service Patient Classification Scale by children hospitalized in the pediatric surgery service was 28.95 ± 6.25 (level III), and the mean score obtained from the overall Zarit Caregiver Burden Scale by the mothers was 34.04 ± 10.78 (moderate level). There was a significant and positive relationship between the caregiving burden of the mothers and the level of care needs of the children (r = 0.550, P < .001).

Conclusion

The mean scores obtained from the overall pediatric surgery service were at a moderate level. There was a significant, positive relationship between these 2 scales.

目的：研究儿科外科住院患儿护理需求水平与其父母护理负担的关系。方法：对2022年5月至12月在儿科外科住院的126名儿童及其父母进行非概率估计样本的横断面观察研究。对于儿童，纳入标准为年龄在0至18岁之间，在大学医院的儿科外科部门住院，并且没有沟通困难。为了包括父母，他们必须符合手术后留在医院的标准。采用SPSS软件进行非参数检验进行描述性和推断性分析。该研究得到了研究伦理委员会的批准。结果：参与研究的儿童中男孩占72.2% （n = 91）。89.7% （n = 113）患儿住院1 ~ 10天，53.9% （n = 68）患儿因门诊手术住院，79.4% （n = 100）患儿因术后原因住院。在儿科外科住院的患儿在儿科外科服务患者分类量表中获得的总平均得分为28.95±6.25分（三级），母亲在Zarit照顾者负担量表中获得的总平均得分为34.04±10.78分（中等水平）。母亲照料负担与患儿照料需求水平呈显著正相关（r = 0.550, p）。结论：小儿外科整体服务的平均得分处于中等水平。这两个量表之间存在显著的正相关。

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引用次数: 0

An empirical approach to quiet quitting in Argentine nurses 阿根廷护士安静辞职的实证方法。

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502245

Solana Salessi

引用次数: 0

Clinical practice guide for nurses that optimizes nurse’s comprehensive care of patients undergoing immunotherapy 护士临床实践指南，优化护士对接受免疫治疗患者的综合护理。

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502193

Jorgina Serra-López , Antonia Miranda , Ana Soria , Nuria López , Eduardo Castañón , Margarita Majem

Introduction

Immunotherapy is revolutionizing oncological treatment, but its unique toxicity profile emphasizes the need for multidisciplinary teams involving nurses. In the absence of guidelines tailored for nurses, a comprehensive guide focusing on patient history and care is presented.

Objective

To outline the methodology for creating a practical guide for nurses, aimed at improving care for patients undergoing oncologic immunotherapy by focusing on comprehensive support and complementing pharmacological treatment.

Method

A guide was developed following Evidence-Based Nursing principles, with the involvement of experts from Spanish oncology scientific societies. Through evidence searches, external review, and editing, robust and applicable recommendations were ensured.

Results

The guide focuses on toxicity management, incorporating an algorithm for its handling, along with detailed descriptions and recommendations for early symptom identification from the nursing perspective.

Conclusion

The guide emphasizes the essential role of oncology nurses in immunotherapy, highlighting their contribution from advanced roles. Endorsed by scientific societies, it serves as an evidence-based resource.

免疫疗法是革命性的肿瘤治疗，但其独特的毒性特点强调需要多学科团队包括护士。在缺乏针对护士的指导方针的情况下，提出了一份全面的指导，重点是患者的病史和护理。目的：概述为护士创建实用指南的方法，旨在通过注重综合支持和补充药物治疗来改善对接受肿瘤免疫治疗的患者的护理。方法：在西班牙肿瘤科学学会专家的参与下，根据循证护理原则制定指南。通过证据检索、外部审查和编辑，确保了可靠和适用的建议。结果：该指南侧重于毒性管理，包括其处理算法，以及从护理角度对早期症状识别的详细描述和建议。结论：本指南强调肿瘤护士在免疫治疗中的重要作用，突出其在免疫治疗中的先进作用。它得到科学学会的认可，是一种基于证据的资源。

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引用次数: 0

Case report: Autism spectrum disorder as the basis of a feeding problem. A view from nursing care 病例报告：以自闭症谱系障碍为基础的一种喂养问题。从护理的角度来看。

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502360

Sara Martínez-de Castro , Ana Bermúdez-Saiz , José Luis Cobo-Sánchez

This case report presents the nursing approach to a 38-year-old woman diagnosed with restrictive-type anorexia nervosa (AN) since the age of 15 and autism spectrum disorder (ASD) at 35. The patient was admitted due to structured suicidal ideation with a high risk of acting on it, triggered by the experience of significant personal losses. A comprehensive assessment was conducted using Gordon’s functional health patterns, identifying the following nursing diagnoses: ineffective health self-management, impaired social interaction, imbalanced nutrition: less than body requirements, and constipation. Additionally, collaborative problems such as insomnia, chronic pain, and suicidal behaviour risk were identified. The care plan was designed following the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC), incorporating individualised interventions that included adapting the environment to the sensory and communicative needs associated with ASD, as well as implementing a personalized educational strategy to promote health self-management. After three months of hospitalization, notable improvements were observed in emotional regulation, coping mechanisms, and the resolution of suicidal ideation. Furthermore, a weight gain of 7 kg was achieved, placing the patient within the normal BMI range. This case highlights the importance of specialised mental health nursing care and the need to tailor interventions to comprehensively address the needs resulting from the coexistence of ASD and AN.

本病例报告介绍了一名38岁女性的护理方法，该女性自15岁起被诊断为限制性神经性厌食症（AN）， 35岁时被诊断为自闭症谱系障碍（ASD）。患者因结构性自杀意念而入院，并有很高的付诸行动的风险，由重大个人损失的经历引发。使用戈登的功能健康模式进行了全面的评估，确定了以下护理诊断：无效的健康自我管理，社会互动受损，营养不平衡：低于身体需求，便秘。此外，还发现了失眠、慢性疼痛和自杀行为风险等合作问题。护理计划是根据护理结果分类（NOC）和护理干预分类（NIC）设计的，纳入了个性化的干预措施，包括使环境适应与ASD相关的感觉和交流需求，以及实施个性化的教育策略以促进健康自我管理。住院治疗3个月后，患者的情绪调节、应对机制和自杀意念的消退均有显著改善。此外，体重增加了7公斤，将患者置于正常的BMI范围内。本病例强调了专业心理健康护理的重要性，以及量身定制干预措施的必要性，以全面解决ASD和AN共存所产生的需求。

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引用次数: 0

Nursing and school: the necessary evidence-based presence with a focus on the health of the educational community 护理和学校：必要的循证存在，重点是教育社区的健康

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502407

Marta Lima-Serrano

引用次数: 0

Pain behaviour of critically ill patients on mechanical ventilation during nursing interventions at governmental hospitals–Sana'a-Yemen 也门萨那政府医院护理干预期间机械通气危重患者的疼痛行为

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502216

Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi

Background

Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.

Objectives

To examine the pain behavior of patients on mechanical ventilation during nursing interventions.

Methods

A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a -Yemen. Pain was evaluated before and during the nursing interventions via the "Ramsay Sedation Scale" and "Behavioral Pain Scale". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of 0.05 was considered to indicate statistical significance.

Results

The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation, oral care, repositioning, perineum care, and intravenous cateterización through fluctuations all physiological parameters during these procedures.

Conclusion

Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.

背景：疼痛是机械通气患者的常见经历。机械通气患者的疼痛因疾病分期、侵入性手术和手术干预等因素而加重。目的：探讨护理干预中机械通气患者的疼痛行为。方法：描述性横断面研究。数据收集自也门萨那市政府医院的150名机械通气患者。采用“拉姆齐镇静量表”和“行为疼痛量表”对护理干预前和干预期间的疼痛进行评估。使用Wilcoxon符号秩检验评估手术前和手术中疼痛水平和血流动力学参数的差异。p值为0.05认为有统计学意义。结果：导致疼痛评分差异的干预措施有床浴、气管吸痰、口咽吸痰、鼻胃插管、口腔护理、重新定位、会阴护理和静脉注射cateterización，这些干预措施在这些过程中通过波动所有生理参数。结论：机械通气患者在护理干预前及干预中均有疼痛感。事实上，无害和舒适的手术可能会伤害患者。护士的实践必须考虑到护理相关的痛苦与他们的干预，而照顾危重的非语言病人。使用生命体征的变化作为疼痛的主要指标可能是有用的。

{"title":"Pain behaviour of critically ill patients on mechanical ventilation during nursing interventions at governmental hospitals–Sana'a-Yemen","authors":"Abdulnasser Ahmed Haza’a , Marzoq Ali Odhah , Saddam Ahmed Al-Ahdal , Mohammed Sadeq Al-Awar , Abdulfatah Saleh Al-Jaradi , Laila Mutahar Al-Nathariy , Lama Mohammed Al-Jaboobi","doi":"10.1016/j.enfcle.2025.502216","DOIUrl":"10.1016/j.enfcle.2025.502216","url":null,"abstract":"<div><h3>Background</h3><div>Pain is a common experience among mechanically ventilated patients. Pain among mechanically ventilated patients is aggravated by factors such as stage of illness, invasive procedures, and surgical interventions.</div></div><div><h3>Objectives</h3><div>To examine the pain behavior of patients on mechanical ventilation during nursing interventions.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study. Data were collected from 150 mechanically ventilated patients at government hospitals at Sana’a -Yemen. Pain was evaluated before and during the nursing interventions via the \"Ramsay Sedation Scale\" and \"Behavioral Pain Scale\". The difference between pain level and hemodynamic parameters before and during the procedure was assessed using the Wilcoxon signed-rank test. A p value of 0.05 was considered to indicate statistical significance.</div></div><div><h3>Results</h3><div>The interventions that resulted in differences in pain scores were bed bathing, tracheal suction, oropharyngeal suction, nasogastric intubation<span>, oral care, repositioning, perineum care, and intravenous cateterización through fluctuations all physiological parameters during these procedures.</span></div></div><div><h3>Conclusion</h3><div>Patients on mechanical ventilation feel pain before and during nursing intervention. In fact, harmless and comforting operations can injure patients. Nurses practice must take care-related suffering linked with their interventions into consideration while caring for critically sick nonverbal patients. It might be useful to use changes in vital signs as the main indicator of pain.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"35 6","pages":"Article 502216"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327971","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

Impact of a motor-cognitive intervention on Health-Related Quality of Life in patients with type 2 diabetes 运动认知干预对2型糖尿病患者健康相关生活质量的影响

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502211

Nilton João Chantre Leite , Armando Manuel Mendonça Raimundo , Romeu Duarte Carneiro Mendes , Soraia Daniela Pires Ferreira , José Francisco Filipe Marmeleira

Aim

This study aimed to investigate the impact of a multimodal exercise programme on the Health-Related Quality of Life (HRQoL) in patients with type 2 diabetes mellitus (T2DM).

Methods

A quasi-experimental study with a single-group design and repeated measures was used. Twenty-six patients with T2DM (aged 68.58 ± 6.15 years, with a diabetes duration of 14.81 ± 8.35 years) participated in a motor-cognitive exercise programme that consisted of 60-minute sessions, three times per week for eight weeks. Data were collected at two baseline measurements (pretest 1 and pretest 2) and the final measurement (post-test). Health-related quality of life was assessed using the EuroQol five-dimensions-3-level questionnaire.

Results

Although the repeated measure analysis showed no significant differences between measures at all time points, a small positive effect was found on the pain/discomfort domain and EuroQol visual analogue scale eight weeks after participating in the exercise programme.

Conclusions

These results show promising effects of the motor-cognitive intervention on health-related quality of life in patients with T2DM. However, given the study's limitations, such as the small sample size and lack of a control group, further research is needed to investigate the intervention's efficacy.

目的：本研究旨在探讨多模式运动对2型糖尿病（T2DM）患者健康相关生活质量（HRQoL）的影响。方法：采用准实验研究，单组设计，重复测量。26例T2DM患者（年龄68.58±6.15岁，糖尿病病程14.81±8.35年）参加了一项运动-认知锻炼计划，该计划包括60分钟的锻炼，每周3次，持续8周。在两次基线测量（前测1和前测2）和最终测量（后测）中收集数据。使用EuroQol五维度3级问卷评估与健康相关的生活质量。结果：虽然重复测量分析显示在所有时间点测量之间没有显著差异，但在参加运动计划八周后，在疼痛/不适领域和EuroQol视觉模拟量表上发现了小的积极影响。结论：这些结果显示运动认知干预对T2DM患者健康相关生活质量的有希望的影响。然而，考虑到研究的局限性，如样本量小，缺乏对照组，需要进一步的研究来调查干预的有效性。

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引用次数: 0

Evolution of health-related quality of life in adult liver transplant recipients 成人肝移植受者健康相关生活质量的演变

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502253

Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Marina Gómez de Quero-Cordoba , Maria Nieves Moro-Tejedor

Aim

To analyze the health-related quality of life perceived by patients undergoing a liver transplant and the relationship with mental health and other factors. clinical and sociodemographic characteristics during the first year after transplant.

Method

Observational, descriptive study, carried out in a tertiary hospital in Madrid from January 2020 to December 2021. Sociodemographic and clinical variables, Model for End-Stage Liver Disease sodium, health-related quality of life questionnaire. and scale were collected. hospital anxiety and depression. A descriptive and regression analysis of effects was performed to assess health-related quality of life.

Results

The patient sample was n = 56, with n = 45 (67.2%) men. The physical quality of life score was lower in women, presence of depressive symptoms and greater risk of liver disease. After the transplant, cardiovascular risk factors worsened, but quality of life improved significantly, maintaining a relationship with anxiety/depression.

Conclusion

Liver transplant impacts patient’s quality of life with significant physical improvement. Mental health is significantly impacted by depressive and anxious symptoms. The level of risk of the disease appears to play an important role, although with effects that vary over time. The nurse must guide post-transplant care towards an optimal quality of life, promoting adherence to treatment, and reducing risks by promoting physical activity and healthy habits.

目的：分析肝移植患者的健康相关生活质量及其与心理健康等因素的关系。移植后第一年的临床和社会人口学特征。方法：观察性、描述性研究，于2020年1月至2021年12月在马德里一家三级医院进行。社会人口学和临床变量，终末期肝病钠模型，健康相关生活质量问卷。并收集鳞片。医院焦虑和抑郁。对效果进行描述性和回归分析，以评估与健康相关的生活质量。结果：患者样本56例，其中男性45例（67.2%）。女性的身体生活质量得分较低，存在抑郁症状，患肝病的风险更高。移植后，心血管危险因素恶化，但生活质量显著改善，与焦虑/抑郁保持关系。结论：肝移植对患者的生活质量有明显的改善。心理健康受到抑郁和焦虑症状的显著影响。患这种疾病的风险水平似乎起着重要作用，尽管其影响随时间而变化。护士必须指导移植后护理，以达到最佳的生活质量，促进坚持治疗，并通过促进身体活动和健康习惯来降低风险。

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引用次数: 0

Survival of multi-pathological inpatients with nutritional risk according to their PROFUND index 根据多病状住院患者的PROFUND指数分析其营养风险。

Enfermeria clinica (English Edition)

Pub Date : 2025-11-01 DOI: 10.1016/j.enfcle.2025.502254

Cristina López-Muñoz , Marta Aranda-Gallardo , Francisco Rivas-Ruiz , Ana Belén Moya-Suárez , José Carlos Canca-Sanchez

Objective

To determine the clinical and functional characteristics and to compare the survival of a group of patients with multiple pathologies with PEG versus another group with similar characteristics of comorbidity and nutritional status, fed orally.

Method

A retrospective cohort study of hospitalized patients at the Costa del Sol Hospital (2016−21) was conducted. The inclusion criteria were multi-pathological patients belonging to categories E and G, defined in the Assistance Process of the Ministry of Health, with dysphagia and nutritional risk. All patients with PEG were included. The non-PEG group was obtained with simple random sampling. Dysphagia was evaluated with the volume-viscosity clinical examination method. Analytical parameters, survival, PROFUND index and nutritional risk were also evaluated. Statistical analysis and a Cox multivariate regression model (95% CI) were performed with a significance level of P < .05.

Results

A total of 1928 patients with multiple pathologies were categorized, almost 30% with dysphagia. 84 patients were fed by PEG. Of the 434 orally fed subjects, 84 were selected, a total sample of 168 patients. The most frequent diagnoses were neurological disease and/or dementia versus stroke in the non-PEG group. Both groups presented malnutrition in more than 70% and an intermediate-high PROFUND. Adjusting the groups with nutritional status and the PROFUND index, the PEG group had a better prognosis (P = .035).

Conclusions

The adjustment of the studied population with the PROFUND index and its nutritional status determines a longer survival of patients with PEG.

目的：确定临床和功能特征，并比较一组患有多种病理的PEG患者与另一组具有相似合并症和营养状况的口服喂养患者的生存。方法：对2016-21年在太阳海岸医院住院的患者进行回顾性队列研究。纳入标准是卫生部援助程序中定义的属于E类和G类的多病理患者，存在吞咽困难和营养风险。纳入所有PEG患者。非peg组采用简单随机抽样。吞咽困难用容积-黏度临床检查法进行评估。并对分析参数、生存率、PROFUND指数和营养风险进行了评价。统计学分析和Cox多元回归模型（95% CI），显著性水平为P。结果：共分类多种病理患者1928例，其中近30%为吞咽困难。84例患者采用PEG灌胃。在434名口服喂养的受试者中，84名被选中，共168名患者。在非peg组中，最常见的诊断是神经系统疾病和/或痴呆与中风。两组均有超过70%的营养不良和中高深度营养不良。调整营养状况组和PROFUND指数，PEG组预后较好（P = 0.035）。结论：调整研究人群的PROFUND指数及其营养状况决定了PEG患者更长的生存期。

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引用次数: 0