Revista de enfermeria (Barcelona, Spain)

Publications in this journal

• Article: [In Process Citation. Interview by María Jesús Nadal Nadal].

  Mónica González
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):40-1.
• Article: [About the last transit. Accompaniment of the soul and the personality].

  María Pilar Fenés
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  ABSTRACT: "Death and its approach represent a field of study for nurses": thus ended his article Montserrat Salvador Borrell in Revista ROL de Enfermería in November 2010. Address it also from the point of view of the soul brings perspective and gives horizon in the sense of one greater understanding. Death, contemplated and lived exclusively from the material side, flees from as a not only traumatic event for which the experience but also unsurpassed for loved ones. Paradoxically, it's a more natural and frequent phenomenon. Why humans so hard that naturalness? Because we have not cultivated, sometimes not even recognized, other spiritual nature which forms us and who has the key to give sense to the decisive events. For many spiritual traditions, death is birth to another world that, from here, we call beyond. In accompaniment of soul seminars, based on the teachings transmitted by Elisabeth Kübler Ros and Marie Lise Labonte, patterns are learned to accompany the personality and soul--which does not always go according to the time of split--and to help the soul to rediscover his way toward the light, toward the origin. The soul knows it well, but the emotional ties forged during his earthly journey can retain it and hinder the process, which becomes slow and painful. The accompaniment of the soul is a "service" human, social and spiritual. Guides in a forgotten and often feared territory is a relief. You have guides to prepare the great journey allows, especially, make peace with himself with others I with the world. The Egyptians used the symbol of the solar boat, which waits for the deceased to cross the great waters. Nurses are, unknowingly, barqueras of small and large transits of existence.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):52-7.
• Article: [In Process Citation].

  Roser Tey Freixa
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):49-50.
• Article: [Teens and sex education].

  M José Buj Pereda
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  ABSTRACT: It is widely debated among mental health professionals, among whom I include myself; the fact that not only teenagers who come to our clinics need good sex education, but that parents and/or legal guardians, often also it would be beneficial. I do not mean much to the sexual practice itself; the mechanics or completion of the act, as well as the training that is not received, when dealing with certain issues with young adolescents. Why can cost both accept that, well before age 17, have already fully developed sexuality? The answer could be as simple as saying that, it's not on focusing on the "do" but, from the "feel" and the latter field seems to be much more muddy and complex than the first. The management process of sexual development of our children and teens, begins when we are ready to grow ourselves in this respect, to overcome conflicts, needs, fears and insecurities of their own. Only then, when we will be able to become true and effective sexual educators and counselors of the young.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):34-8.
• Article: [Comparative study between 20 IU/ml heparin and 5% heparin/urokinase 5000 IU lock in hemodialysis central venous catheters with permeability problems].

  Raquel Pelayo Alonso, Jose Luis Cobo Sánchez, Araceli Sáenz de Buruaga Perea, Raquel Menezo Viadero, Magdalena Gándara Revuelta, Ainhoa Aja Crespo, Alicia Tovar Rincón
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  ABSTRACT: The central venous catheter prevalence as a permanent hemodialysis vascular access is growing in the last years. However, there is no consensus in the scientific community about what is the most appropriate lock solution to avoid complications. To compare the effectiveness and the cost between heparin 20 IU/ml (SH20) lock solution versus usual pattern (UP), consisted on 5% heparin/5000 IU urokinase lock solution in hemodialysis catheters with patency problems. Experimental comparative study. Patients with a permanent hemodialysis central venous catheter with patency problems were included. Catheters were locked with SH20 during 6 sessions and with 5% heparin/5000 IU urokinase during another 6 sessions, depending on the patient. Of 50 patients in our unit, 7 fulfill the inclusion criteria. 42.9% had arterial branch resistance and 57% both branches resistance. Blood flow and venous pressure was similar in both periods. Blood lines reversal percentage was 15.85% using SH20 and 20.61% for UP, not statistically significant in all cases. The lock cost was 1 Euro/session with SH20 and 2.78 Euro/session with UP. 20 IU/ml heparin as a lock solution for hemodialysis catheters is as effective as the usual patterns but involves less systemic risk to the patient, reduced workload for nurses and lower cost per session.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):8-12.
• Article: [Economic containment and satisfaction of nursing staff after the change of infusion sets at Hospital Santa Caterina of salt (Girona)].

  Rocio Jurado Pérez, Núria Batlle Joher, Teresa Vilalta Altés, Margarta Boix Llebot
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  ABSTRACT: In situations such as the current economic crisis it is very important to consider the quality-price of healthcare materials. One of the most commonly used by nurses are the intravenous infusion sets. It is described the features of a new intravenous infusion set, that increases patient safety and improves the nursing care workload. We suggested an analysis of the economic containment, as well as an appraisal of the nursing staff satisfaction, after the change of the intravenous infusion sets by new sets with different performances. The study was conducted in the four hospital units at Hospital Santa Caterina of Salt (Girona): unit A (obstetrics and pediatrics), unit B (traumatology-surgery), unit F (internal medicine) and unit D (convalescence-palliative care). A cost study was developed comparing the costs in 2010 for the old intravenous infusion set with costs in 2011 for the new infusion set. A survey to assess the nursing staff satisfaction on the new infusion set was carried out in 2012 with 91 nurses (75.8% of nurses working in the four units). It has obtained an average decrease of 41.44% in consumption of infusion sets with Y and a 41.09% in infusion sets without Y This change of infusion sets has represented a financial saving of 8.003 Euros on sets with Y and 2.017 Euros on sets without Y And regarding the nursing satisfaction survey the results have mostly shown a high level of satisfaction in their management. In addition nurses surveyed considered that makes their task easier and improves the patient safety in hospital. The change by the new infusion set has reduced the consumption of infusion sets and meant considerable savings in costs of infusion sets, both sets with Y as in without Y. Nurses mostly manifest a high level of satisfaction.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):28-32.
• Article: [Nursing care for psychiatric patients defined by NANDA-NIC-NOC terminology: a literature review].

  Paula Escalada Hernández, Paula Muñoz Hermoso, Itxaso Marro Larrañaga
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  ABSTRACT: The purpose of this literature review is to provide a synthesis of the most relevant studies describing nursing work in mental health by means of NNN taxonomy. Literature from 1990 to September 2011 was reviewed using the "scoping review" methodology. Three independent reviewers examined the articles which were found and selected those fulfilling the inclusion criteria for subsequent analysis. From the 220 articles obtained, 14 studies were finally included and divided into two groups. The aim of the first ten papers was examining the most frequent NANDA nursing diagnosis or/and NIC nursing interventions in different mental health care settings. The remaining four articles describe health care plans for psychiatric patients developed with NNN taxonomy. Combining results from both groups, the most prevalent diagnostic labels are: disturbed thought processes and impaired social interaction. This review has illustrated the lack of evidence in relation to NNN taxonomy in the field of mental health and the need of further research in this area.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):14-6, 19-25.
• Article: [Prevention of thromboembolism in bariatric surgery].

  E Garcia Arnau, M J Del Barrio Martín, M C Madico Cerezo, B Lozano Calvo, M Carcamo Trapero, S Macho Marquez, J Jerez González, C Quiñones Sanchez, C Masdevall Noguera
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  ABSTRACT: Disease thromboembolic (ETEV) is one of the major complications that can occur after surgery, and is the leading cause of death in the postoperative period of Bariatric Surgery. Among other factors, should be aware that these patients are at additional risk of ETEV due to own obesity (IMC > 30). After Bariatric Surgery the risk of thromboembolic events varies according to the surveyed series. In general, it is estimated that danger EP (pulmonary embolism) is 0.8% and DVT (deep vein thrombosis) of 1.7%. ETEV global mortality estimates of 0.1 to 2%.
  Revista de enfermeria (Barcelona, Spain) 03/2013; 36(3):43-6.
• Article: [In Process Citation].

  Maria Jesús Nadal Nadal
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):44-5.
• Article: [Innovation in pressure ulcer care: application of electrotherapy].

  Navarro Susana Postigo, Puerta Francisco Rivera
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  ABSTRACT: Nowadays, pressure ulcers are a mayor health problem with serious consequences for the patient, directly influence by the increase of morbid-mortality and the detriment of the quality of life. Today we know that the best care for pressure ulcers is the prevention and every effort must be oriented in this direction, specially when it is estimated that almost the 95% of the pressure ulcers are preventable and a 60% of the occasions are initiated and developed in hospital. The study's objective is to promote healing of ulcers with a joint technical nursing care and the application of electric current by physiotherapist. This is a descriptive research design and intervention. The sample is composed grade IV ulcer patients who are admitted to the high level of nursing care unit in Complejo Asistencial Benito Menni (Ciempozuelos-Madrid). These patients have different associated pathologies and the study shows the process from the beginning of the ulcer until the end of treatment. The most relevant results show that the application of electric currents favors nursing techniques, promoting a better and faster cleaning, vascularization and subsequent the healing of ulcers.
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):60-4.
• Article: [Pathophysiology of healing].

  Mar Pastor Armendáriz, F Javier Domínguez Hernández, Pedro Bas Caro, Pedro Pablo Herrera González, Salvador Postigo Mota, Juan Carlos López Corral
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  ABSTRACT: Treatment of wounds is part of the daily practice of the nursing staff and the knowledge of the physiology of healing, as well as modern treatment techniques are of great importance to provide the most effective and rapid healing method. The response of living tissues to injury constitutes the basis for understanding the process of healing. A reset of the total or partial integrity of tissues is part of a basic response. An alteration of the barrier of tissues can cause a loss of homeostasis generating a State of systemic hipermetabolism. Therefore, any wound caused a discontinuity of epithelium covering the body, triggers a cascade of events in a process to achieve that protection barrier will not disintegrate. These events will allow the regeneration of the tissue that has suffered the injury; forming a scar tissue that has the ability to maintain the barrier protection and support of the elements that it protects. Defined as scarring, to a natural repair process ofa wound by forming a scar. It is important to make a reminder of how you act reparative physiological mechanisms i.e. the cascade of healing processes, it is important to take into account these repair mechanisms to know the basis of how tissues work so you can assess and diagnose the alterations to this patient, in order to apply a right and proper treatment according to the needs of the patient.
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):10-8.
• Article: [Resource materials for the treatment of wounds].

  Juan Francisco Jiménez García, María Del Mar Abad García
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  ABSTRACT: When we are presented within our sphere of activity in health, a patient with a wound, our interventions to the detection, assessment, care, monitoring and evaluation of their health problems, in order to provide the most relevantcare to thesepatients. This makes it necessary and obligatory on the part of the health staff an exhaustive knowledge of the material resources and the various existing therapeutic in the market for the treatment of wounds and ulcers. In the present study, we analyzed the different treatments using wet cure, biological treatments and therapeutic treatments using physical, their characteristics and specifications that can provide a favorable environment for healing.
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):20-31.
• Article: [Prevention of ulcers by pressure as a universal right].

  Jaime Zabala Blanco
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  ABSTRACT: The title of the article matches the of the "Declaration of Rio de Janeiro on the prevention of ulcers by pressure as a Universal right" [ 1], promoted by numerous groups and associations related to the problematic of ulcers by pressure (UPP) at the international level, and is a decisive step for joint efforts to give visibility to a problem of global dimension. Efforts previously, and in what refers to our country, have been left reflected in statements [2] pressure driven by the National group for study and advice on ulcers and wounds chronicles (GNEAUPP). The Declaration dealt with masterfully what will be our thesis, beyond a clinical problem--that is--the UPP, and specifically its prevention, constitute a problem primarily ethical character and, more specifically, minimum ethics, as we already reflected more widely in another article [3], by what remains essential to influencing this aspect often underestimated.
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):33-5.
• Article: [Controversies over heel pressure ulcers].

  J Rueda López
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  ABSTRACT: Article whose content was exposed in the workshops of the GNEAUPP Congress, held in Seville in November2012, and which refers to ulcers by pressure on the heels as a location exposed to the analysis. A pressure ulcer is a lesion located in skin I underlying tissue usually over a bone prominence, as a result of the pressure, or pressure in combination with the shears. A number of contributing factors or confounding factors are also associated with ulcers by pressure; the importance of these factors still not been elucidated. The heels are next to the sacred area, parts of the body that most frequently presents ulcers by pressure, The importance of the predisposing factors for ulcers in the sacral area as humidity has been studied in recent years, but in heels, remains one of the most important locations in the extremities, which entails adverse outcomes such as amputation in persons with comorbid diseases like Diabetes Mellitus (DM). The incidence of ulcers on heels in patients with DM and without it, is approximately 19-32%. Everything and be a problem associated with elderly people and chronic pathologies, in acute patients are a problem that this underrated, but not devoid of controversy. In hospitals of treble in 2006, the NPUAP encrypted the incidence of UPPin heels in a 43%; in one systematic review conducted by Reddy et al. (2006) puts revealed that 60% of pressure ulcers is produced. The problem of the UPP in heels is present in all the areas of intervention and particularly in paediatric units intensive care, where the first localization it is the occipital area followed by the heels.
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):50-6.
• Article: [In Process Citation].

  Pablo García Molina
  Revista de enfermeria (Barcelona, Spain) 02/2013; 36(2):46-8.
• Article: [In Process Citation].

  Ada Parellada
  Revista de enfermeria (Barcelona, Spain) 01/2013; 36(1):30-1.
• Article: [Promotion of physical activity].

  Victoria Morín Fraile
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  ABSTRACT: To know the influence of the factors that determine physical exercise in adults and elderly by the analysis of the determinants categories of health-promoting behaviors in the health promotion nursing model (MPS) of Pender. A descriptive review of the literature was conducted in order to identify the influencing factors in the adoption and maintenance of physical exercise as a health promotes behavior. The databases consulted were PubMed-MEDLINE via RefWorks bibliography manager, CUIDEN and CUIDATGE. The search was conducted in 2010 and 2011, including publications in English and Spanish. 18 articles were reviewed to assess the influence, in adult and elderly population, of the factors: prior related behavior; personal factors; perceived benefits of action; perceived barriers to action; perceived self-efficacy; activity-related affect; interpersonal influences; situational influences; immediate competing demands and preferences; commitment to a plan of action. DEVELOPMENT AND DISCUSSION: Many studies have demonstrated the validity and predictive ability of the model studied in this article (MPS). There are complex biopsychosocial processes that motivate individuals to engage in behaviors to promote health. The MPS variables and their relationship are relevant in the decision to adopt increased physical activity behaviors. The Health Promotion Model facilitates the evaluation of the elements that influence behavior and helps nurses to identify how willing a person to exercise, what are their difficulties and can decide what interventions are most seek to promote physical activity.
  Revista de enfermeria (Barcelona, Spain) 01/2013; 36(1):8-16.
• Article: [Nursing care for psychiatric patients defined by NANDA-NIC-NOC terminology: a literature review].

  Juan Antonio Carrillo Norte
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  ABSTRACT: Not all patients respond to drug therapy in a uniform and beneficial fashion. The goal of this article is to describe the contribution of genetic variation to drug response, with a focus on drugs used in cardiovascular therapy. The rapid development of techniques in the area of genome analysis has facilitated identification of new pharmacogenomic biomarkers that can provide predictive tools for improvement of drug response and fewer incidence of adverse drug reactions. Such biomarkers mainly originate from genes encoding drug-metabolizing enzymes, drug transporters, drug targets and human leukocyte antigens. However, despite significant progress in pharmacogenomic research, only a few drugs require a pharmacogenetic test before prescription. Among the several gaps that limit the application of pharmacogenetics, it deserves to be mentioned the complex nature of drug response, that makes difficult to disentangle the interplay between genetics and environment leading to pharmacological phenotype. We have to spare no effort in the identification of genetic biomarkers related to the pathogenesis of the diseases and therapeutic targets. It may help clinicians to individualize dosing drug regimen, maximize drug efficacy and enhance drug safety with certain drugs and populations at risk.
  Revista de enfermeria (Barcelona, Spain) 01/2013; 36(1):41-50.
• Article: [Negative pressure therapy. A step forward in the burned units].

  Raquel Varga del Hoyo, M Carmen Peñas Raigoso
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  ABSTRACT: This work has been the winner of the Award of 2012 Negative Pressure Therapy in its fourth edition. This award is organized by Revista ROL de Enfermería and has the endorsement of the Spanish Association of Vascular Nursing (AEEV) and the collaboration of KCI Clínic Spain. The objective of this work is to show a clinical case in which the therapy pressure negative topical (PTN), known by the initials of its name in English (Vacuum Assisted Closure), as the system VAC has helped simplify the cutaneous coverage of a patient who has a very deep and extensive burns in the back, avoiding the use of complex reconstructive media.
  Revista de enfermeria (Barcelona, Spain) 01/2013; 36(1):24-9.