[Effectiveness of a nursing intervention on patient anxiety before transfusion of packed red blood cells]. / La efectividad de una intervención enfermera sobre la ansiedad del paciente ante la transfusión de concentrado de hematíes.

OBJECTIVES: To evaluate the effectiveness of an educational intervention regarding anxiety and satisfaction in patients requiring a red blood cell transfusion. METHOD: Randomised, controlled, single-blind clinical trial in patients requiring a packed red blood cell transfusion. SAMPLE SIZE: alpha=.05, beta=.10, to detect a 10% difference, 70 subjects in each group. The sampling recruitment was randomised to the intervention group (IG) and the control group (CG). INDEPENDENT VARIABLES: an intervention protocol with oral and written information using a published guide on the safety, risks and benefits of haemotherapy for the IG, and an equivalent one on general health topics for the CG. DEPENDENT VARIABLES: pre- and post-anxiety state; Spielberger's validated questionnaire: STAI. Satisfaction, by an ad hoc questionnaire. Sociodemographic and clinical variables: description, reason for transfusion, prescription knowledge, incidents, records. RESULTS: There was a total of 144 subjects, 73 (50.69%) in the IG, and 71 (49.31%) in the CG. The mean age was 55.80 years, with 56.94% males, and a first transfusion in 52.08%. Comparability between the IG and the CG was tested and confirmed. The decrease in anxiety after the intervention for the IG was 19.99, compared to 25.48 in CG. The difference was greater than the proposed 10%, and was statistically significant. The preference for information was 98.60% in IG, compared to 43.70% in CG. CONCLUSIONS: The hypothesis was confirmed; a protocolised nursing educational intervention protocol increased patient satisfaction with nursing care, and decreased patient anxiety, thus preventing complications and providing greater safety to the users.

La efectividad de una intervención enfermera sobre la ansiedad del paciente ante la transfusión de concentrado de hematíes / Effectiveness of a nursing intervention on patient anxiety before transfusion of packed red blood cells

Objetivos: Evaluar la efectividad de una intervención educativa sobre la ansiedad y la satisfacción en pacientes con indicación de transfusión de hematíes. Método Ensayo clínico aleatorizado, controlado, simple ciego, en pacientes con indicación de transfusión de concentrado de hematíes. Tamaño muestralAlfa 0,05, beta 0,10, diferencia a detectar 10%, 70 sujetos en cada grupo. Muestreo por reclutamiento con asignación aleatoria a grupo intervención (GI) y control (GC). Variables independientes: intervención protocolizada en GI mediante información oral y escrita sobre seguridad, riesgos y beneficios de la hemoterapia mediante guía editada; la del GC será equivalente sobre temas de salud general. Variables dependientes: ansiedad-estado preintervención y postintervención; cuestionario validado de Spielberger: STAI. Satisfacción, cuestionario ad hoc. Variables sociodemográficas y clínicas: filiación, motivo de transfusión, conocimiento de la prescripción, incidencias, antecedentes. Resultados Ciento cuarenta y cuatro sujetos, 73 (50,69%) en GI y 71 (49,31%) en GC. Edad media 55,80 años, sexo masculino 56,94%, primera transfusión 52,08%. Comparabilidad entre GI y GC comprobada y ratificada. Tras la intervención la ansiedad disminuyó, siendo en GI de 19,99, frente a 25,48 en GC; la diferencia fue muy superior al 10% propuesto y estadísticamente significativa. La preferencia por la información fue del 98,60% en GI, frente al 43,70% en GC. Conclusiones Se confirma nuestra hipótesis; una intervención educativa enfermera protocolizada aumenta la satisfacción del paciente con los cuidados de enfermería y disminuye su ansiedad, con lo que previene complicaciones y ofrece a los usuarios una mayor seguridad (AU)

OBJECTIVES: To evaluate the effectiveness of an educational intervention regarding anxiety and satisfaction in patients requiring a red blood cell transfusion. METHOD: Randomised, controlled, single-blind clinical trial in patients requiring a packed red blood cell transfusion. Sample size: alpha=.05, beta=.10, to detect a 10% difference, 70 subjects in each group. The sampling recruitment was randomised to the intervention group (IG) and the control group (CG). Independent variables: an intervention protocol with oral and written information using a published guide on the safety, risks and benefits of haemotherapy for the IG, and an equivalent one on general health topics for the CG. Dependent variables: pre- and post-anxiety state; Spielberger's validated questionnaire: STAI. Satisfaction, by an ad hoc questionnaire. Sociodemographic and clinical variables: description, reason for transfusion, prescription knowledge, incidents, records .RESULTS: There was a total of 144 subjects, 73 (50.69%) in the IG, and 71 (49.31%) in the CG. The mean age was 55.80 years, with 56.94% males, and a first transfusion in 52.08%. Comparability between the IG and the CG was tested and confirmed. The decrease in anxiety after the intervention for the IG was 19.99, compared to 25.48 in CG. The difference was greater than the proposed 10%, and was statistically significant. The preference for information was 98.60% in IG, compared to 43.70% in CG.CONCLUSIONS: The hypothesis was confirmed; a protocolised nursing educational intervention protocol increased patient satisfaction with nursing care, and decreased patient anxiety, thus preventing complications and providing greater safety to the users (AU)

Estrés y satisfacción laboral de las enfermeras de hospitales toledanos / Stress and occupational satisfaction of nurses in hospitals of the province of Toledo

Objetivos: determinar el nivel de satisfacción laboral y estresores laborales percibidos por los profesionales de Enfermería del ámbito hospitalario y analizarla influencia del centro de trabajo y factores sociolaborales tanto en la satisfacción como en los estresores laborales. Material y método: diseño descriptivo y transversal, multicéntrico. Población: enfermeras de los hospitales toledanos. Diseño muestral y muestreo: probabilístico estratificado proporcional. Tamaño muestral n = 299 sujetos. Variables y medición: sociolaborales mediante hoja de registro de elaboración propia y las principales del estudio (satisfacción laboral y estresores laborales) mediante cuestionarios validados Font Roja y Escala de Estresores Laborales. Tras un primer análisis descriptivo, la significación estadística de las diferencias de medias se valoró mediante la prueba de T de Student, ANOVA y pruebas post hoc. Resultados: satisfacción laboral global: 74,59 (IC95%:73,79-75,38). Estresores laborales 42,84 (IC95%:41,29-44,37). Relación estresores y turno rotatorio (p< 0,05). La dimensión relación con los compañeros presenta relación con edad y experiencia laboral (p = 0,001 y p = 0,047). Factores estresores: muerte y sufrimiento relacionados con edad, turno y experiencia laboral (p < 0,05).Conclusiones: la satisfacción en los profesionales enfermeros de los hospitales toledanos es intermedia y los estresores están más elevados que lo encontrado en bibliografía. Existe una importante influencia negativa del turno rotatorio sobre los estresores. La carga de trabajo, la muerte y el sufrimiento son los estresores más frecuentes, concordando con otros trabajos similares. Los resultados obtenidos plantean la necesidad de estrategias de afrontamiento para los profesionales enfermeros, especialmente los más jóvenes y con menor experiencia (AU)

Objectives: To determine the level of occupational satisfaction and work relatedor occupational stressors perceived by nursing professionals in the hospital setting and to analyse the influence of the work place and sociooccupational factors both on satisfaction as well as on work-related stressors. Material and method: Design: descriptive and cross-sectional multicenter study. Study population: Nurses from Toledo hospitals. Sample design and sampling: proportional, probabilistic, stratified. Sample size n = 299 subjects.Variables and measurements: socio-occupational variables collected by means of a self-developed registry form and main study variables (occupational satisfaction and work-related stressors) collected by means of Font Roja validated questionnaires and the Occupational Stressors Inventory. Following an initial first descriptive analysis, the statistical significance of mean differences was assessed by using the Student t test, ANOVA and posthoc tests. Results: Overall satisfaction at the work place: 74,59 (CI 95%:73,79-75,38).Occupational stressors 42,84 (IC95%:41,29-44,37). Relationship between stressors and rotation shift (p < 0,05). The dimension relationship with workpeers is related to age and work experience (p = 0,001 and p = 0,047). Stressorfactors: death and age-related suffering, shift and work experience (p < 0,05).Conclusions: The level of satisfaction in nursing professionals working in Toledo hospitals is intermediate and the stressors rank higher than those foundin the literature. There is a strong negative influence involving rotation shiftson the stressors. The work load, death and suffering are the most frequently found stressors, coinciding with other similar jobs. The results obtained point to the necessity of developing coping strategies for nursing professionals, especially among the youngest ones and those with less experience (AU)