Enfermeria clinica (English Edition)最新文献

英文中文

Degree of satisfaction of women treated with reconstruction and dermopigmentation of the nipple-areola complex after breast reconstruction 乳房再造术后接受乳头-乳晕复合体再造和皮肤色素沉着治疗的妇女的满意度。

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.03.002

Anna Padullés-Escarré , Anna López-Ojeda , Antonio Sánchez-Egea , Jordi Adamuz-Tomás

Objective

To evaluate the degree of satisfaction of women treated with dermopigmentation and reconstruction of the Areola-Nipple Complex (ANC) after breast reconstruction, as well as their demographic profile and clinical-evolutionary characteristics.

Methods

Descriptive observational study including 128 women treated with dermopigmentation after oncologic breast reconstruction during 2018. In 2021 they were administered an adapted satisfaction questionnaire, which contains 27 items and categorizes satisfaction from 1–5, in addition other clinical-evolutionary and demographic variables were collected.

Results

Mean age was 51 (±9) years, 89.1% had previously undergone PDA reconstruction. Mean satisfaction with dermopigmentation was 4.4 (±0.88) and 3.79 (±1.06) for PDA reconstruction. Complications were rare, but 54.5% (n = 54) of the patients reported that the CAP reconstruction did not offer the expected projection, 91.6% (n = 98) that the color had faded and 51.4% (n = 55) would choose permanent tattooing. It was perceived that, the higher the satisfaction of the CAP, the higher the satisfaction of dermopigmentation, while the older the age and previous chemotherapy treatment the lower the color durability (p value ≤ 0.05).

Conclusions

Patients who underwent reconstructive breast surgery show a high degree of satisfaction with dermopigmentation and surgical reconstruction of the PDA, but reiterate the low projecticity of the dermopigmentation and the surgical reconstruction of the PDA, but reiterate the low degree of satisfaction with the dermopigmentation.

目的评估乳房重建后接受皮肤色素沉着和乳晕乳头复合体（ANC）重建治疗的女性的满意度，以及她们的人口统计学特征和临床演变特征：描述性观察研究，包括 2018 年期间接受皮肤色素沉着治疗的 128 名肿瘤性乳房重建后妇女。2021年，对她们进行了改编的满意度问卷调查，该问卷包含27个项目，将满意度分为1-5级，此外还收集了其他临床演变和人口统计学变量：平均年龄为 51（±9）岁，89.1% 的人曾接受过 PDA 重建。对皮肤色素沉着的平均满意度为 4.4 (± 0.88)，对 PDA 重建的平均满意度为 3.79 (± 1.06)。并发症很少发生，但54.5%（n = 54）的患者表示CAP重建没有达到预期的投影效果，91.6%（n = 98）的患者表示颜色已经褪去，51.4%（n = 55）的患者表示会选择永久性纹身。据认为，对 CAP 的满意度越高，对皮肤色素沉着的满意度也越高，而年龄越大和之前接受过化疗的患者对颜色的持久性越低（pValue≤0.05）：接受乳房再造手术的患者对皮肤色素沉着和PDA手术再造的满意度较高，但重申皮肤色素沉着和PDA手术再造的投射性较低，但重申皮肤色素沉着的满意度较低。

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引用次数: 0

Alcohol use among children and adolescents with chronic pain. Scoping review 患有慢性疼痛的儿童和青少年中的酒精使用情况。

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.03.003

Pablo Fernández-León , Marta Lima-Serrano , Eugenia Gil-García , Rocío Cáceres-Matos

Aim

To examine and map alcohol consumption in children and adolescents with chronic pain (CP).

Method

A scoping review of international databases (CINAHL, WOS, PubMed, PsycINFO, Scopus, Embase, and MEDLINE) and grey literature was conducted between September 2022 and February 2023. Documents addressing the relationship between alcohol consumption and CP in children and adolescents, published in English and Spanish between 2012 and 2023, were included. Those papers with a population suffering from CP derived from neurodegenerative diseases, chronic infectious diseases or cognitive impairment were excluded. We assessed the level of evidence (LE) and the degree of recommendation (DR) of the studies included in accordance with the Scottish Intercollegiate Guidelines Network. Finally, 11 documents were considered out of the 479 reviewed.

Results

The relationship between substance consumption and CP in adolescents is a scarcely investigated topic. While there is a trend towards lower rates of alcohol consumption in youth with pain, there is evidence suggesting an association, particularly in cases of intense pain. The use of various substances, both legal and illegal, for pain management underscores the importance of comprehensively addressing this phenomenon in this population.

Conclusions

Further research is needed to assess the relationship between alcohol consumption in children and adolescents with CP.

目的：研究并绘制患有慢性疼痛（CP）的儿童和青少年的饮酒情况：在 2022 年 9 月至 2023 年 2 月期间，对国际数据库（CINAHL、WOS、PubMed、PsycINFO、Scopus、Embase 和 MEDLINE）和灰色文献进行了范围审查。研究纳入了 2012 年至 2023 年间以英语和西班牙语发表的有关儿童和青少年饮酒与 CP 之间关系的文献。排除了那些涉及因神经退行性疾病、慢性传染病或认知障碍而患 CD 的人群的文献。我们根据苏格兰校际指南网络评估了所纳入研究的证据级别（LE）和推荐程度（DR）。最后，在审查的 479 份文件中，我们对 11 份文件进行了审议：结果：青少年药物消费与心血管疾病之间的关系是一个鲜有研究的课题。虽然患有疼痛的青少年饮酒率呈下降趋势，但有证据表明两者之间存在关联，尤其是在剧烈疼痛的情况下。使用各种物质（包括合法和非法物质）来控制疼痛突出表明了在这一人群中全面解决这一现象的重要性：需要进一步开展研究，评估儿童和青少年CP患者饮酒之间的关系。

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引用次数: 0

Looking to the future of Advanced Practice Nursing in Spain 展望西班牙高级实践护理的未来

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.04.009

Alfredo Serrano Ruiz

引用次数: 0

Approach to the care process by nurse case managers in a breast unit 乳腺科护士个案管理员的护理流程。

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.03.004

María Isabel López-Pérez , Alonso Molina-Rodríguez , Francisco David Harillo-Acevedo , Ascensión Guillén-Martínez , María Patricia Palacio-Gaviria

Objective

Breast units led by nurse case managers are being implemented to provide comprehensive care in the detection and treatment of breast cancer. However, their implementation is heterogeneous and the results of the care process with this professional have not been studied. The aim of the study is to describe the management in time and the approach of the process by a nurse case manager in the breast unit of women with suspected breast cancer pathology, derived from the breast cancer screening program.

Methods

Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed

Results

A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45).

Conclusions

The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.

目标：目前正在实施由护士个案经理领导的乳腺科，为乳腺癌的检测和治疗提供全面护理。然而，其实施情况不尽相同，对该专业人员护理过程的结果也未进行过研究。本研究的目的是描述护士个案管理员在乳腺科对乳腺癌筛查计划产生的疑似乳腺癌病理妇女的及时管理和过程方法：方法：2021 年开展的描述性、横断面、回顾性研究。研究对象包括在西班牙南部一家医院乳腺科接受治疗的妇女，该科室由一名病例管理护士负责管理。结果：共有 118 名西班牙籍女性（92%）参与研究，平均年龄为 59 岁。其中 74.6% 被诊断为恶性肿瘤。79%的妇女在 3 天内进行了首次就诊。平均诊断时间为 3.98 天（标准差：+3.93），开始治疗时间为 4.2 周（标准差：+1.84），住院总时间为 33 天（标准差：+13.45）：结论：根据国际指南，乳腺科护士个案管理员的管理有助于改善或加快时间，有助于为乳腺癌筛查后转诊的妇女提供连续的护理过程。

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引用次数: 0

Hand Hygiene strategy in a hospital in Madrid. A decade of evolution 马德里一家医院的手部卫生策略。十年演变

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.03.001

Carmen Ruiz-Castro , Pilar Querencias-García , Claudia Ruiz-Huerta-García de Viedma

引用次数: 0

Cost-effectiveness and cost-utility study of a psychoeducational group intervention for people with depression and physical comorbidity in primary care 针对初级保健中抑郁症患者和身体合并症患者的心理教育小组干预的成本效益和成本效用研究。

Enfermeria clinica (English Edition)

Pub Date : 2024-03-01 DOI: 10.1016/j.enfcle.2024.03.005

Antonia Raya-Tena , María Isabel Fernández-San-Martín , Jaume Martín-Royo , Marc Casajuana-Closas , María Francisca Jiménez-Herrera

Objective

To evaluate the cost-effectiveness and cost-utility of a psychoeducational group intervention led by primary care (PC) nurses in relation to customary care to prevent the depression and improve quality of life in patients with physical comorbidity.

Design

Economic evaluation based on data from randomized, multicenter clinical trial with blind response variables and a one-year follow-up, carried in the context of the PSICODEP study.

Location

7 PC teams from Catalonia.

Participants

>50 year-old patients with depression and some physical comorbidity: diabetes mellitus type 2, ischemic heart disease, chronic obstructive pulmonary disease, and/or asthma.

Intervention

12 psychoeducational group sessions, 1 per week, led by 2 PC nurses with prior training.

Measurements

Effectiveness: depression-free days (DFD) calculated from the BDI-II and quality-adjusted life years (QALYs) from the Euroqol-5D. Direct costs: PC visits, mental health, emergencies and hospitalizations, drugs. Indirect costs: days of temporary disability (TD). The incremental cost-effectiveness ratios (ICER), cost-effectiveness (ΔCost/ΔDLD) and cost-utility (ΔCost/ΔQALY) were estimated.

Results

The study includes 380 patients (intervention group [IG] = 204; control group [CG] = 176). 81.6% women; mean age 68.4 (SD = 8.8). The IG had a higher mean cost of visits, less of hospitalizations and less TD than the CG. The difference in costs between the IG and the CG was −357.95€ (95% CI: −2026.96 to 1311.06) at one year of follow-up. There was a mean of 11.95 (95% CI: −15.98 to 39.88) more DFD in the IG than in the CG. QALYs were similar (difference −0.01, 95% CI −0.04 to 0.05). The ICERs were 29.95€/DLD and 35,795€/QALY.

Conclusions

Psychoeducational intervention is associated with an improvement in DFD, as well as a reduction in costs at 12 months, although not significantly. QALYs were very similar between groups.

目的评估由初级保健（PC）护士领导的心理教育小组干预的成本效益和成本效用，与常规护理相比，该干预旨在预防抑郁症并提高身体合并症患者的生活质量：地点：加泰罗尼亚地区的 27 个初级保健团队。参与者：年龄超过 50 岁的抑郁症和躯体合并症患者：>干预措施：干预措施：12 节心理教育小组课程，每周 1 节，由 2 名接受过培训的 PC 护士主持：疗效：根据 BDI-II 计算的无抑郁天数（DFD）和根据 Euroqol-5D 计算的质量调整生命年（QALYs）。直接成本：PC 访问、精神健康、急诊和住院、药物。间接成本：暂时性残疾（TD）天数。对增量成本效益比（ICER）、成本效益（ΔCost/ΔDLD）和成本效用（ΔCost/ΔQALY）进行了估算：研究包括 380 名患者（干预组 [IG] = 204 人；对照组 [CG] = 176 人）。81.6%为女性；平均年龄为 68.4 岁（标准差 = 8.8）。与对照组相比，干预组的平均就诊费用更高，住院费用更低，TD 更少。随访一年后，IG 与 CG 的费用差异为-357.95 欧元（95% CI：-2026.96 至 1311.06）。IG 比 CG 的 DFD 平均多 11.95（95% CI：-15.98 至 39.88）。QALY相似（差异为-0.01，95% CI为-0.04至0.05）。ICER为29.95欧元/DLD和35,795欧元/QALY：心理教育干预与 DFD 的改善以及 12 个月费用的降低有关，但效果并不显著。各组的 QALY 非常相似。

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引用次数: 0

Evidence of the acupuncture points stimulation for the treatment of hypogalactia: A systematic review and meta-analysis 穴位刺激治疗乳汁过少的证据：系统回顾和荟萃分析。

Enfermeria clinica (English Edition)

Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2024.01.002

Mario Alberto Bautista-Hernández , Liliana Argueta-Figueroa , Daniel Cuauhtémoc Gómez-Jiménez , Rafael Torres-Rosas

Objective

To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity.

Method

Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, electroacupuncture, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis.

Results

A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI = 1.63 [1.13–2.13]; p < 0.0001).

Conclusion

The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.

目的分析刺激穴位是否能增加泌乳量：方法：根据系统综述和元分析首选报告项目指南，从五个电子数据库中收集相关研究。资格标准为英文或西班牙文全文文章，采用临床试验设计和观察性研究，发表时间不限，其中评估了传统针灸、电针、激光、火针、手法刺激、推拿或穴位刺激对提高泌乳量的效果。两位作者独立提取了入选研究的特征和主要结果数据。对研究进行了偏倚风险（RoB 2 和 Robins-I）和质量评估（GRADE）。在定量综合方面，对每项入选研究计算标准化平均差，然后采用随机效应荟萃分析法合并数据：本综述共纳入 14 项研究。大部分研究在偏倚风险评估方面存在一些问题。研究质量为中等。荟萃分析表明，人工刺激穴位可提高泌乳量（SMD 95% CI = 1.63 [1.13-2.13]；P 结论：文献表明，人工刺激穴位可提高泌乳量：文献表明，人工刺激穴位可提高哺乳期的产奶量。

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引用次数: 0

Evaluation of a group intervention based on Mindfulness in patients with anxiety and depression cared for in mental health community center: a quasy-experimental study 对心理健康社区中心护理的焦虑症和抑郁症患者进行基于正念的小组干预的评估：一项模拟实验研究。

Enfermeria clinica (English Edition)

Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2023.11.004

Clara Fort-Rocamora , Rocío Casañas , Ana Torres-Torres , Laia Mas-Expósito , Maria González , M. Teresa Carbonero-Judez

Objective

To evaluate the effectiveness a group intervention based on Mindfulness in patients with anxiety and depression treated in a community mental health center. Secondarily, evaluate quality of life and adherence to the intervention.

Methods

Quasi-experimental study with evaluations pre-post intervention in people over 18 years of age treated at the Les Corts Adult Mental Health Center (AMHC), Barcelona, between March 2015 and December 2019.

Inclusion criteria

(1) anxiety symptoms (Hamilton Anxiety Rating Scale >10 points); (2) sign informed consent. Variables collected: (1) anxiety; (2) depression (Beck Depression Inventory); (3) quality of life (EuroQoL) and (4) adherence to the intervention. The intervention (9 weekly sessions; 75 min) was carried out by two nurses. Each group consisted of 10–15 patients.

Results

128 patients were included, of which 103 were women with a mean age of 52.23 years (SD 12.78). Comparisons pre and post measures, its showed improvements in relation to anxiety, depressive symptoms and general quality of life (p < 0.001) and in its dimensions of anxiety-depression (p = 0.003). The mean number of sessions attended was 6.17 (SD 2.31), and they were statistically significant and positively correlated with an improvement in anxiety (p < 0.001) and depressive symptoms (EQ-5D) (p = 0.021). There were no differences between age groups.

Conclusion

The group intervention based on Mindfulness improves anxiety and depressive symptoms, as well as the quality of life. This improvement in the symptomatology is associated to greater adherence to the intervention.

目的评估在社区心理健康中心接受治疗的焦虑症和抑郁症患者接受正念小组干预的效果。其次，评估生活质量和坚持干预的情况：准实验研究，对2015年3月至2019年12月期间在巴塞罗那Les Corts成人心理健康中心（AMHC）接受治疗的18岁以上人群进行干预前-干预后评估：1）有焦虑症状（汉密尔顿焦虑量表大于 10 分）；2）签署知情同意书。收集的变量：1）焦虑；2）抑郁（贝克抑郁量表）；3）生活质量（EuroQoL）；4）坚持干预。干预（每周 9 次，每次 75 分钟）由两名护士实施。每组由 10-15 名患者组成：共纳入 128 名患者，其中 103 人为女性，平均年龄为 52.23 岁（标准差为 12.78）。前后比较结果显示，患者的焦虑、抑郁症状和总体生活质量均有所改善（p 结论：患者的焦虑、抑郁症状和总体生活质量均有所改善：以正念为基础的集体干预改善了焦虑和抑郁症状，也提高了生活质量。症状的改善与更多人坚持干预有关。

{"title":"Evaluation of a group intervention based on Mindfulness in patients with anxiety and depression cared for in mental health community center: a quasy-experimental study","authors":"Clara Fort-Rocamora , Rocío Casañas , Ana Torres-Torres , Laia Mas-Expósito , Maria González , M. Teresa Carbonero-Judez","doi":"10.1016/j.enfcle.2023.11.004","DOIUrl":"10.1016/j.enfcle.2023.11.004","url":null,"abstract":"<div><h3>Objective</h3><p><span>To evaluate the effectiveness a group intervention based on Mindfulness </span>in patients<span> with anxiety and depression treated in a community mental health center. Secondarily, evaluate quality of life and adherence to the intervention.</span></p></div><div><h3>Methods</h3><p>Quasi-experimental study with evaluations pre-post intervention in people over 18 years of age treated at the Les Corts Adult Mental Health Center (AMHC), Barcelona, between March 2015 and December 2019.</p></div><div><h3>Inclusion criteria</h3><p>(1) anxiety symptoms (Hamilton Anxiety Rating Scale >10 points); (2) sign informed consent. Variables collected: (1) anxiety; (2) depression (Beck Depression Inventory); (3) quality of life (EuroQoL) and (4) adherence to the intervention. The intervention (9 weekly sessions; 75min) was carried out by two nurses. Each group consisted of 10–15 patients.</p></div><div><h3>Results</h3><p>128 patients were included, of which 103 were women with a mean age of 52.23 years (SD 12.78). Comparisons pre and post measures, its showed improvements in relation to anxiety, depressive symptoms and general quality of life (p<0.001) and in its dimensions of anxiety-depression (p=0.003). The mean number of sessions attended was 6.17 (SD 2.31), and they were statistically significant and positively correlated with an improvement in anxiety (p<0.001) and depressive symptoms (EQ-5D) (p=0.021). There were no differences between age groups.</p></div><div><h3>Conclusion</h3><p>The group intervention based on Mindfulness improves anxiety and depressive symptoms, as well as the quality of life. This improvement in the symptomatology is associated to greater adherence to the intervention.</p></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 1","pages":"Pages 14-22"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139466939","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

The importance of the patient safety culture in the clinical field 患者安全文化在临床领域的重要性。

Enfermeria clinica (English Edition)

Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2023.11.003

Claudia Patricia Cañadas-Aragón

引用次数: 0

Precision nursing and personalized care 精准护理和个性化关怀。

Enfermeria clinica (English Edition)

Pub Date : 2024-01-01 DOI: 10.1016/j.enfcle.2023.11.002

Víctor Manuel González Chordá

引用次数: 0

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