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Associated factors to the cognitive function among indonesian older adult living in nursing home 居住在养老院的印度尼西亚老年人认知功能的相关因素。
Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2023.08.001
Antonius Ngadiran , Amin Husni , Dian Ratna Sawitri , Blacius Dedi , Maria Suryani

Objective

Many older adults in Indonesia decide to live in nursing homes. Living in a nursing home has been associated with the incidence of cognitive decline in older adult that leads to decreasing ability to perform daily activity. This study aimed to determine the association between demographic and clinical characteristics with cognitive functions in older adults living in nursing homes in Indonesia.

Methods

This study used a cross-sectional design and involved 60 older adults in a nursing home. Cognitive function was evaluated using the Montreal Cognitive Assessment (MoCA) instrument. Demographic and clinical characteristics such as age, education level, length of stay in the nursing home, as well as serum levels of brain-derived neurotrophic factor (BDNF) and dopamine were studied. Spearman-Rank test was used for data analysis.

Results

Cognitive function of attention had a positive correlation with age (r = 0.314, P = .015), length of stay in the nursing home (r = 0.268, P = .038), and negative correlation with dopamine serum levels (r = −0.425, P = .001). The cognitive function of naming has a positive correlation with age (r = 0.263, P = .042).

Conclusions

Age, length of stay, and dopamine levels associated with cognitive function in older adult living in nursing homes. The older adult should be assessed in term of factors associated with cognitive function to make the cognitive improvement programs in nursing homes.

目的:印度尼西亚的许多老年人决定住进养老院。住在养老院与老年人认知能力下降有关,认知能力下降会导致老年人日常活动能力下降。本研究旨在确定印度尼西亚居住在养老院的老年人的人口统计学特征和临床特征与认知功能之间的关系:本研究采用横断面设计,涉及一家养老院的 60 名老年人。认知功能使用蒙特利尔认知评估(MoCA)工具进行评估。此外,还研究了人口统计学和临床特征,如年龄、教育水平、入住养老院的时间,以及血清中脑源性神经营养因子(BDNF)和多巴胺的水平。数据分析采用斯皮尔曼-Rank 检验:注意认知功能与年龄(r=0.314,p=0.015)、入住疗养院时间(r=0.268,p=0.038)呈正相关,与多巴胺血清水平(r=-0.425,p=0.001)呈负相关。命名的认知功能与年龄呈正相关(r=0.263,p=0.042):结论:年龄、入住时间和多巴胺水平与入住养老院的老年人的认知功能有关。结论:年龄、入住时间和多巴胺水平与养老院老年人的认知功能相关,应评估与认知功能相关的因素,以制定养老院认知功能改善计划。
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引用次数: 0
Effectiveness of nursing interventions in the prevention of falls in older adults in the community and in health care settings: A systematic review and meta-analysis of RCT 护理干预对预防社区和医疗机构中老年人跌倒的有效性:对研究性试验的系统回顾和荟萃分析。
Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2024.01.001
María Isabel Orts-Cortés , María José Cabañero-Martínez , Cristóbal Meseguer-Liza , Claudia P. Arredondo-González , Carmen de la Cuesta-Benjumea , Eva Abad-Corpa

Objective

To estimate the effectiveness of fall prevention programs in people aged 65 years and older involving nursing professionals.

Methods

We included available full-text randomized clinical trials on nurse-led prevention of falls in the community in people over 65 years of age and reporting the incidence of such falls. An extensive search was performed in 14 databases covering the period 2016–2018 for publications in English, French, Portuguese and Spanish.

The quality of the papers was assessed independently and blindly by reviewers working in pairs using the risk of bias dominios of the Cochrane Collaboration.

The hazard ratio was used as a measure of the effect size of the incidence of falls. A random-effects model was assumed for statistical analyses. The influence of moderator variables of the studies on the effect sizes was performed using ANOVAs and its 95% CI for each moderator category.

Results

A total of 31 randomized clinical trials were selected with 25,551 participants. The most frequent type of intervention was education (57.1%), followed by multifactorial models (37.1%). The probability of falling was significantly reduced by 13% in the intervention groups compared to the control groups (RR+ = 0.87). Multifactorial (RR+ = 0.89) and education-based (RR = +0.84) interventions significantly reduced the probability of falls by 11% and 16%, respectively.

Conclusions

Discarding publication bias prevention programs carried out by nurses produce a significant 10% reduction in falls. Education-based and multifactorial interventions are the most effective when conducted by nurses.

目的评估有护理专业人员参与的 65 岁及以上老年人跌倒预防计划的有效性:我们纳入了现有的全文随机临床试验,这些临床试验涉及在护士指导下预防 65 岁以上老年人在社区跌倒,并报告了此类跌倒的发生率。我们在 14 个数据库中对 2016 年至 2018 年期间的英文、法文、葡萄牙文和西班牙文出版物进行了广泛检索。论文质量由两人一组的审稿人使用 Cochrane 协作组织的偏倚风险 dominios 进行独立盲评。采用危险比来衡量跌倒发生率的效应大小。统计分析采用随机效应模型。研究的调节变量对效应大小的影响采用方差分析,每个调节变量类别的 95% CI 采用方差分析:结果:共选取了 31 项随机临床试验,参与人数达 25 551 人。最常见的干预类型是教育(57.1%),其次是多因素模型(37.1%)。与对照组相比,干预组的跌倒概率明显降低了13%(RR + = 0.87)。多因素干预(RR + = 0.89)和基于教育的干预(RR = +0.84)分别显著降低了11%和16%的跌倒概率:撇开出版偏差不谈,护士实施的预防计划可使跌倒发生率大幅降低 10%。由护士实施以教育为基础的多因素干预最为有效。
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引用次数: 0
Primary health care midwives’ perceptions on the use of telemedicine during the COVID-19 pandemic in Spain 西班牙新冠肺炎大流行期间初级保健助产士对远程医疗使用的看法。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.10.002
Mariana Loezar-Hernández , Erica Briones-Vozmediano , Montserrat Gea-Sánchez , Juana Robledo-Martin , Laura Otero-García

Objective

To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the Covid-19 pandemic.

Method

Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021–22.

Results

Five categories were identified: (1) changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups, (2) implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine (3) reaction of women to telemedicine (4) strategies implemented by midwives for a humanized care, (5) learning for the future.

Conclusions

The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.

目的:探讨新冠肺炎疫情期间基层医疗(PHC)助产士在孕产妇保健中实施远程医疗的经验。方法:基于对2021-22年西班牙四个自治区有意选择的PHC助产士进行的15次半结构化访谈的归纳内容分析的探索性定性研究,家访次数的增加和父母教育群体的减少,(2)在不断变化的情况下实施远程医疗:远程医疗的积极和消极方面(3)妇女对远程医疗的反应(4)助产士实施的人性化护理战略,(5)为未来学习。结论:在西班牙疫情期间,初级保健助产士使用远程医疗能够照顾孕妇和产后妇女。实施这类护理的积极方面为向混合医疗模式转变提供了可能性。
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引用次数: 0
Health status of patients with liver transplantation by alcohol-related disease vs another etiology: A cohort study 酒精相关疾病肝移植患者的健康状况与其他病因的比较:一项队列研究。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.10.001
Victor Fernandez-Alonso , Ana Maria Hernandez-Matias , Manuela Perez-Gomez , Maria Nieves Moro-Tejedor

Aim

To study the health status of a group of patients with liver transplantation by alcohol-related disease vs another etiology before and after the transplantation.

Method

Longitudinal cohort study of liver transplant patients from November 2019 to July 2022. Adult patients attended in the unit of transplantation of a hospital for a first liver transplant, both elective and urgent, were included. Patients who already had a transplanted organ and those who required liver re-transplantation in the first month after the first transplant were excluded. Sociodemographic and clinical variables, MELDNa, liver frailty index, emotional–behavioral effects of transplantation, level of anxiety and depression were collected. Pearson’s chi-square, Student’s t, Mann–Whitney U, and Wilcoxon sign tests were used for statistical analysis.

Results

The sample was n = 67 liver transplant patients with a mean age of 56.37 years, 67.2% being men and 39% due to alcohol-related liver disease. 9% of all included patients were urgent transplants. Alcohol consumption was associated with older age, a high rate of liver frailty, and a non-active work situation. Alcoholic etiology correlated with increased concern during the first six months after liver transplantation.

Conclusion

There are differences in the health status between liver transplant patients for alcohol-related liver disease vs other etiology. Nurses must consider the etiology of liver disease to guide care and interventions throughout the transplant process.

目的:研究一组酒精相关疾病肝移植患者移植前后的健康状况及其他病因。方法:2019年11月至2022年7月肝移植患者的纵向队列研究。在医院移植室接受第一次肝移植的成年患者,包括选择性和紧急肝移植。已经移植了器官的患者和在第一次移植后的第一个月内需要再次进行肝脏移植的患者被排除在外。收集社会形态和临床变量、MELDNa、肝脏虚弱指数、移植的情绪行为影响、焦虑和抑郁水平。采用Pearson卡方、Student t、Mann-Whitney U和Wilcoxon符号检验进行统计分析。结果:样品n = 67名肝移植患者,平均年龄56.37岁,其中67.2%为男性,39%为酒精相关肝病。在所有纳入的患者中,9%是紧急移植。饮酒与年龄较大、肝脏虚弱率高和工作不活跃有关。在肝移植后的前六个月内,酒精病因与担忧增加相关。结论:酒精相关性肝病肝移植患者与其他病因肝移植患者的健康状况存在差异。护士必须考虑肝病的病因,以指导整个移植过程中的护理和干预。
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引用次数: 0
Redefining Primary Care through the nurse’s perspective and action 通过护士的视角和行动重新定义初级保健。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.09.004
Carmen Ferrer-Arnedo , Aintzane Orkaizagirre-Gómara
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引用次数: 0
Impact of attrition rate and exodus of nursing students on the nursing shortage 流失率和出逃对护理短缺的影响。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.09.003
Nguyen Tram Thi Bich , Riksa Wibawa Resna
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引用次数: 0
Assessment of high fidelity simulation with actors in palliative care in nursing students: a mixed methods study 护理专业学生姑息治疗中参与者高保真模拟的评估:一项混合方法研究。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.10.003
Eva Abad-Corpa , Juan Francisco Guillén-Ríos , María del Mar Pastor-Bravo , Ismael Jiménez-Ruiz

Objective

The most effective training methods are experiential, including those focused on experiences and emotions. Clinical simulation, especially high-fidelity simulation, is one of the most effective methodologies for the acquisition of competencies in care like palliative care. The simulation with actors can train future healthcare science professionals: in technical, intellectual, or interpersonal skills. The objective is to evaluate high-fidelity simulation with actors as a tool in palliative care training for nursing students.

Method

Over three years, the study was conducted in a Faculty of Nursing of the south of Spain with nursing students. A mixed methods study with sequential explanatory design in three moments was conducted: (1) Quasi-experimental study in a single group (n = 12) before and after attending the palliative care course with Clinical Simulation with actors to assess the communication skills (CICAA scale), (2) Qualitative study with phenomenological perspective after Clinical Simulation (174 reflective students’ narratives), (3) Cross-sectional observational study, one year later, to assess the transfer of knowledge and skills to the clinical practice (71 students).

Results

Students who interacted with actors in Clinical Simulation improved their communication skills and the ability to establish an effective helping relationship with both end-of-life patients and their families. The students perceived the Clinical Simulation as an innovative learning methodology that is useful to encourage reflection and transfer of learning during their clinical internship.

Conclusions

Standardization of the use of active learning methodologies is recommended for a better acquisition of transversal skills such as communication skills in palliative care.

目标:最有效的训练方法是体验式的,包括那些专注于体验和情绪的训练方法。临床模拟,尤其是高保真模拟,是获得姑息治疗等护理能力的最有效方法之一。演员模拟可以培训未来的医疗科学专业人员:技术、智力或人际交往技能。目的是评估演员高保真模拟作为护理学生姑息治疗培训的工具。方法:在西班牙南部的一所护理学院对护理专业的学生进行了为期三年的研究。采用三个时刻的顺序解释设计进行了混合方法研究:1)单组的准实验研究(n = 12) 在与参与者一起参加临床模拟姑息治疗课程以评估沟通技能(CICAA量表)前后,2)临床模拟后的现象学视角的定性研究(174名反思性学生的叙述),3)一年后的横断面观察性研究,评估知识和技能向临床实践的转移(71名学生)。结果:在临床模拟中与参与者互动的学生提高了他们的沟通技能,并有能力与临终患者及其家人建立有效的帮助关系。学生们认为临床模拟是一种创新的学习方法,有助于鼓励他们在临床实习期间反思和转移学习。结论:建议将主动学习方法的使用标准化,以更好地获得横向技能,如姑息治疗中的沟通技能。
{"title":"Assessment of high fidelity simulation with actors in palliative care in nursing students: a mixed methods study","authors":"Eva Abad-Corpa ,&nbsp;Juan Francisco Guillén-Ríos ,&nbsp;María del Mar Pastor-Bravo ,&nbsp;Ismael Jiménez-Ruiz","doi":"10.1016/j.enfcle.2023.10.003","DOIUrl":"10.1016/j.enfcle.2023.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>The most effective training methods are experiential, including those focused on experiences and emotions. Clinical simulation, especially high-fidelity simulation, is one of the most effective methodologies for the acquisition of competencies in care like palliative care. The simulation with actors can train future healthcare science professionals: in technical, intellectual, or interpersonal skills. The objective is to evaluate high-fidelity simulation with actors as a tool in palliative care training for nursing students.</p></div><div><h3>Method</h3><p>Over three years, the study was conducted in a Faculty of Nursing of the south of Spain with nursing students. A mixed methods study with sequential explanatory design in three moments was conducted: (1) Quasi-experimental study in a single group (n = 12) before and after attending the palliative care course with Clinical Simulation with actors to assess the communication skills (CICAA scale), (2) Qualitative study with phenomenological perspective after Clinical Simulation (174 reflective students’ narratives), (3) Cross-sectional observational study, one year later, to assess the transfer of knowledge and skills to the clinical practice (71 students).</p></div><div><h3>Results</h3><p>Students who interacted with actors in Clinical Simulation improved their communication skills and the ability to establish an effective helping relationship with both end-of-life patients and their families. The students perceived the Clinical Simulation as an innovative learning methodology that is useful to encourage reflection and transfer of learning during their clinical internship.</p></div><div><h3>Conclusions</h3><p>Standardization of the use of active learning methodologies is recommended for a better acquisition of transversal skills such as communication skills in palliative care.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 6","pages":"Pages 401-411"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66784744","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
Dependency-related skin lesions in the prone critical patient. Incidence study 易危患者的依赖性相关皮肤病变。发病率研究。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.10.005
Josefa Valls-Matarín, Rosa María Peradejordi-Torres, Mercedes del Cotillo-Fuente

Objective

To determine the incidence of dependence-related skin lesions (DRSL) in patients in prone position (PP) and to identify the predisposing factors.

Method

Follow-up study in two polyvalent intensive care units. Patients undergoing invasive mechanical ventilation and PP with no skin lesions on admission were included. We recorded the 3 types of DRSL: (pressure ulcers [PU], moisture-associated skin damage [MASD] and friction injuries [FI]), demographic variables, diagnosis, length of stay, PP episodes, postural changes, APACHE II (Acute Physiology and Chronic Health Disease Classification System), prealbumin level on admission, body mass index (BMI), diabetes, hypertension, smoking, peripheral vascular disease (PVD), vasoactive drugs, Braden scale and mortality. Bivariate analysis: chi-square test, t-test or Mann–Whitney U test. Multivariate analysis: logistic regression.

Results

Forty nine patients were included and 170 PP were performed.Forty-one DRSL appeared in 22 patients with a cumulative incidence of 44.9% (95%CI: 31.6–58.7). PU accounted for 63.4% (73.1% facial; 76.9% stage II), 12.2% were MASD (60% inguinal; 60% stage II) and 24.4% were FI (50% thoracic; 70% stage III).

The median age of the lesion group (LG) was 66.5 [61.8−71.3] vs. 64 [43−71] years old in the non-lesion group (NLG), p = 0.04. Eighty percent of the LG had PVD vs. 20% of the NLG, p = 0.03. The median total hours on PP of the LG was 96.9 [56.1−149.4] vs. 38.2 [18.8−57] of the NIG, p < 0.001. Multivariate analysis selected total PP hours (OR = 1.03; 95%CI:1.01–1.05) and PVD (OR = 8.9; 95%CI:1.3–58.9) as predisposing factors for developing DRSL.

Conclusions

There is a high incidence of skin lesions related to prone decubitus dependence, mostly pressure lesions, although of low severity.The accumulated hours in probe position and peripheral vascular disease favor their development.

目的:确定俯卧位(PP)患者依赖性相关皮肤病变(DRSL)的发生率,并确定易感因素。方法:在两个多价重症监护室进行随访研究。纳入入院时接受有创机械通气和PP且无皮肤损伤的患者。我们记录了3种类型的DRSL:(压疮(PU)、水分相关皮肤损伤(MASD)和摩擦损伤(FI))、人口统计学变量、诊断、住院时间、PP发作、姿势变化、APACHE II(急性生理学和慢性健康疾病分类系统)、入院时的前白蛋白水平、体重指数(BMI)、糖尿病、高血压、吸烟、外周血管疾病(PVD),血管活性药物、Braden量表和死亡率。双变量分析:卡方检验、t检验或Mann-Whitney U检验。多因素分析:逻辑回归。结果:49名患者和170名 进行PP。22例患者中出现41例DRSL,累计发病率为44.9%(95%可信区间:31.6-58.7)。PU占63.4%(面部73.1%;II期76.9%),MASD占12.2%(腹股沟60%;II期60%),FI占24.4%(胸部50%;III期70%)。病变组(LG)的中位年龄为66.5[618-71.3],而非病变组(NLG)为64[43-71],p = 0.04.80%的LG患有PVD,而NLG为20%,p = 0.03。LG在PP上的中位总小时数为96.9[56-149.4],而NIG为38.2[18.8-57],p 结论:与俯卧依赖性相关的皮肤病变发生率较高,主要是压力性病变,尽管严重程度较低。探针位置的累积时间和外周血管疾病有利于它们的发展。
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引用次数: 0
Healing techniques for split-thickness skin grafts donor sites. Umbrella review 分层皮肤移植物供区的愈合技术。伞式评论。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.10.004
Núria Babot-Pereña , Joan Blanco-Blanco

Objectives

To summarize the existing evidence and provide recommendations for the most effective management of partial-thickness graft donor sites in adults, with the goals of enhancing re-epithelialization, reducing pain, and preventing infection.

Methodology

Umbrella review. A systematic search was conducted encompassing databases such as Pubmed, CUIDEN, Cochrane Library, CINHAL Plus, SCOPUS, and LILACS. The search targeted systematic reviews published since 2011 that focused on examining the effectiveness of different approaches for the treatment of partial-thickness graft donor sites. Reviews with a low critical appraisal score according to AMSTAR 2 were excluded. The included reviews were evaluated using the SIGN scale to assess the level of evidence and grade the recommendations.

Results

Five systematic reviews with meta-analysis were incorporated in the analysis. Platelet-rich plasma and human amniotic membrane demonstrated statistically significant improvements in re-epithelialization and pain reduction when compared to the control group. Moreover, platelet-rich plasma also exhibited a decrease in wound infection rates. Recombinant human growth hormone was found to expedite the re-epithelialization process.

Conclusions

Based on the findings, the use of platelet-rich plasma is recommended to enhance re-epithelialization, alleviate pain, and reduce infection in partial-thickness graft donor sites among adults. Application of human amniotic membrane is recommended to accelerate re-epithelialization and alleviate pain, while recombinant human growth hormone is suggested to expedite the overall healing time of these wounds.

目的:综合目前的证据,并为优化成人部分厚度移植供体区域的管理提供建议,以改善再上皮化,减少疼痛和预防感染。方法:雨伞回顾。对PubMed、Cuiden、Cochrane Library、Cinhal Plus、Scopus和Lilacs等数据库进行了系统搜索,重点是自2011年以来发布的系统审查,这些审查评估了任何IPEP捐赠地区护理战略的有效性。根据评估系统审查的测量工具(AMSTAR 2)方法,排除了置信水平非常低的审查。使用SIGN量表对纳入的修订进行分析,以确定其证据水平(NE)和推荐程度。结果:纳入了5项系统的Meta分析修订。与对照组相比,使用富含血小板的血浆(PRP)或人羊膜(MAH)在再上皮化和疼痛缓解方面有统计学意义的改善。此外,PRP还显示捐赠地区的感染率有所下降。另一方面,使用重组人生长激素与再上皮化时间缩短有关。结论:建议在成人IPEP供区使用PRP来改善再上皮化,减轻疼痛和预防感染。此外,还建议使用MAH来加速再上皮化和减轻疼痛,并使用人类生长激素。
{"title":"Healing techniques for split-thickness skin grafts donor sites. Umbrella review","authors":"Núria Babot-Pereña ,&nbsp;Joan Blanco-Blanco","doi":"10.1016/j.enfcle.2023.10.004","DOIUrl":"10.1016/j.enfcle.2023.10.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To summarize the existing evidence and provide recommendations for the most effective management of partial-thickness graft donor sites in adults, with the goals of enhancing re-epithelialization, reducing pain, and preventing infection.</p></div><div><h3>Methodology</h3><p>Umbrella review. A systematic search was conducted encompassing databases such as Pubmed, CUIDEN, Cochrane Library, CINHAL Plus, SCOPUS, and LILACS. The search targeted systematic reviews published since 2011 that focused on examining the effectiveness of different approaches for the treatment of partial-thickness graft donor sites. Reviews with a low critical appraisal score according to AMSTAR 2 were excluded. The included reviews were evaluated using the SIGN scale to assess the level of evidence and grade the recommendations.</p></div><div><h3>Results</h3><p>Five systematic reviews with meta-analysis were incorporated in the analysis. Platelet-rich plasma and human amniotic membrane demonstrated statistically significant improvements in re-epithelialization and pain reduction when compared to the control group. Moreover, platelet-rich plasma also exhibited a decrease in wound infection rates. Recombinant human growth hormone was found to expedite the re-epithelialization process.</p></div><div><h3>Conclusions</h3><p>Based on the findings, the use of platelet-rich plasma is recommended to enhance re-epithelialization, alleviate pain, and reduce infection in partial-thickness graft donor sites among adults. Application of human amniotic membrane is recommended to accelerate re-epithelialization and alleviate pain, while recombinant human growth hormone is suggested to expedite the overall healing time of these wounds.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"33 6","pages":"Pages 432-437"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66784746","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
Nursing care for women with rusty-pipe syndrome: About a case 女性锈管综合征的护理:约1例。
Pub Date : 2023-11-01 DOI: 10.1016/j.enfcle.2023.09.002
Lidia Sanz Durán

At the beginning of breastfeeding, difficulties such as rusty-pipe syndrome may appear. Very little known, it presents with colostrum that is brown in color, rusty or bloody in appearance bilaterally. Despite having a spontaneous resolution and being painless, it requires education and training in its approach by health personnel.

This syndrome generates stress and maternal concern. The clinical case of a postpartum woman who wishes to breastfeed is presented, the situation experienced during the first postpartum week and the care plan that is designed and applied in the midwife's primary care consultation to achieve the initial objective are reported. and maintenance of breastfeeding.

Resolution is spontaneous during the first days, it is recommended to assess the newborn's tolerance to colostrum and not suspend breastfeeding in general for this reason. More research is required to publicize this syndrome and improve the advice and counselling of breastfeeding professionals.

母乳喂养初期,可能会出现诸如锈管综合征之类的困难。鲜为人知的是,它呈现出棕色的初乳,双侧出现铁锈色或带血的外观。尽管它具有自发的解决方案和无痛性,但它需要卫生人员对其方法进行教育和培训。这种综合征会产生压力和母亲的担忧。介绍了一位希望母乳喂养的产后妇女的临床案例,产后第一周的情况,以及为实现最初目标而在助产士的初级保健咨询中设计和应用的护理计划。以及维持母乳喂养。在最初的几天里,解决方案是自发的,建议评估新生儿对初乳的耐受性,而不是因为这个原因而暂停母乳喂养。需要更多的研究来宣传这种综合征,并改进母乳喂养专业人员的建议和咨询。
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引用次数: 0
期刊
Enfermeria clinica (English Edition)
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