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Sánchez-González JL, Almenar-Bonet L, Moreno-Segura N, Gurdiel-Álvarez F, Atef H, Sillero-Sillero A, López-Vilella R, Santolalla-Arnedo I, Juárez-Vela R, Tejada-Garrido CI, Marques-Sule E. Effects of COVID-19 Lockdown on Heart Failure Patients: A Quasi-Experimental Study. J Clin Med 2023; 12:7090. [PMID: 38002701 PMCID: PMC10672384 DOI: 10.3390/jcm12227090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/06/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
INTRODUCTION The COVID-19 lockdown has been associated with reduced levels of physical activity, quality of life, and sleep quality, but limited evidence exists for its impact on heart failure patients. This study examined the influence of the COVID-19 lockdown on these aspects in heart failure patients, with specific comparisons by age and sex. METHODS A quasi-experimental cross-sectional study of patients with heart failure was conducted. The assessment involved two time points: during the COVID-19 lockdown (March to June 2020) and post-lockdown (July to October 2020). A total of 107 HF patients participated, with assessments of overall PA (using the International Physical Activity Questionnaire), QoL (employing the Cantril Ladder of Life), and sleep quality (utilizing the Minimal Insomnia Symptom Scale) conducted during and after the COVID-19 lockdown. RESULTS HF patients reported lower levels of total PA (p = 0.001) and walking PA (p < 0.0001) during lockdown than after lockdown, whilst no differences were observed in QoL nor sleep quality. In addition, both younger and older patients reported lower walking PA and total PA during lockdown than after lockdown, while older patients reported lower QoL during lockdown than after lockdown. Moreover, both men and women reported lower walking PA and total PA during lockdown than after lockdown, whilst women reported lower QoL. CONCLUSIONS HF patients need improved PA programs during lockdowns, as these programs can elevate PA levels and enhance QoL, especially when faced with the risk of decompensation during health crises.
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Affiliation(s)
| | - Luis Almenar-Bonet
- Heart Failure and Transplantation Unit, Department of Cardiology, La Fe University and Polytechnic Hospital, 46026 Valencia, Spain; (L.A.-B.); (R.L.-V.)
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28933 Madrid, Spain
- Department of Medicine, Universidad de Valencia, 46010 Valencia, Spain
| | - Noemí Moreno-Segura
- Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain;
| | - Francisco Gurdiel-Álvarez
- Escuela Internacional de Doctorado, Department of Physical Therapy, Occupational Therapy, Reha-Bilitation and Physical Medicine, Universidad Rey Juan Carlos, 28933 Alcorcón, Spain
| | - Hady Atef
- School of Allied Health Professions (SAHP), Keele University, Keele, Staffordshire ST5 5BG, UK;
| | - Amalia Sillero-Sillero
- University School of Nursing and Physiotherapy “Gimbernat”, Autonomous University of Barcelona, Avd de la Generalitat, 202-206, Sant Cugat del Vallès, 08174 Barcelona, Spain;
- ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra Affiliated, 08018 Barcelona, Spain
- SDHEd (Social Determinants and Health Education Research Group), IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain
| | - Raquel López-Vilella
- Heart Failure and Transplantation Unit, Department of Cardiology, La Fe University and Polytechnic Hospital, 46026 Valencia, Spain; (L.A.-B.); (R.L.-V.)
| | - Iván Santolalla-Arnedo
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Clara Isabel Tejada-Garrido
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Elena Marques-Sule
- Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
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Sillero-Sillero A, Zabalegui A. Analysis of the work environment and intention of perioperative nurses to quit work. Rev Lat Am Enfermagem 2020; 28:e3256. [PMID: 32321043 PMCID: PMC7164898 DOI: 10.1590/1518-8345.3239.3256] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Accepted: 12/09/2019] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE to investigate how the perioperative work environment affects work dissatisfaction, professional exhaustion and the perception of the quality of care about the intention of abandoning the work of perioperative nurses. METHOD cross-sectional study with 130 nurses working in the surgical area of a high-tech Spanish public university hospital. The scale of the nursing practice environment, Maslach's exhaustion inventory, the questions about job satisfaction, the perception of the care quality and intention to abandon work to collect data were used. Descriptive, inferential and logistic regression statistics were made. RESULTS in general, 20% of perioperative nurses would want to quit their work. The dimension of the work environment of staff and resources, dissatisfaction and emotional exhaustion in nurses were factors that indicated the intention of perioperative nurses to abandon work. CONCLUSION the implementation of strategies for the retention of perioperative nurses should be considered, improving the factors that indicate how the work environment, especially the allocation of personnel and resources, dissatisfaction and emotional exhaustion. Creating positive work environments based on magnetic values can be a key strategy.
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Affiliation(s)
| | - Adelaida Zabalegui
- Hospital Clínic, Deputy of Director of Nursing Research and
Education. Barcelona, Spain
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Sillero-Sillero A, Zabalegui A. Safety and satisfaction of patients with nurse's care in the perioperative. Rev Lat Am Enfermagem 2019; 27:e3142. [PMID: 31038636 PMCID: PMC6528624 DOI: 10.1590/1518-8345.2646.3142] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2018] [Accepted: 01/27/2018] [Indexed: 01/27/2023] Open
Abstract
Objective: to investigate the safety and satisfaction of patients and their relationship
with nurse's care in the perioperative period. Method: cross-sectional, multi-level, correlational study with 105 nurses in the
surgical area and 150 patients operated in a Spanish tertiary hospital. For
the nurses the sociodemographic variables, the perception of the work
environment, the professional burnout and the satisfaction in the work were
collected. For patients, the safety of adverse events and level of
satisfaction, through the application of questionnaires. Univariate and
multivariate analysis were used. Results: job satisfaction, professional commitment, and participation in hospital
issues were negative predictors for adverse events related to the patient,
while postoperative nurse care was a positive predictor. Conclusion: there is an increase in adverse events when nurses are dissatisfied at work,
less professional commitment and low availability to participate in the
subjects of their unit. On the other hand, adverse events decrease when
nurses perform the care in the postoperative period. Satisfaction was good
and there was no association with the characteristics of nurses’ attention.
It is recommended to improve these predictors to increase the safety of
surgical patients.
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Robleda G, Sillero-Sillero A, Puig T, Gich I, Baños JE. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Rev Lat Am Enfermagem 2016; 22:785-91. [PMID: 25493674 PMCID: PMC4292684 DOI: 10.1590/0104-1169.0118.2481] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2014] [Accepted: 08/18/2014] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES: to analyze the relationship between preoperative emotional state and the
prevalence and intensity of postoperative pain and to explore predictors of
postoperative pain. METHOD: observational retrospective study undertaken among 127 adult patients of
orthopedic and trauma surgery. Postoperative pain was assessed with the verbal
numeric scale and with five variables of emotional state: anxiety, sweating,
stress, fear, and crying. The Chi-squared test, Student's t test or ANOVA and a
multivariate logistic regression analysis were used for the statistical analysis.
RESULTS: the prevalence of immediate postoperative pain was 28%. Anxiety was the most
common emotional factor (72%) and a predictive risk factor for moderate to severe
postoperative pain (OR: 4.60, 95% CI 1.38 to 15.3, p<0.05, AUC: 0.72, 95% CI:
0.62 to 0.83). Age exerted a protective effect (OR 0.96, 95% CI: 0.94-0.99,
p<0.01). CONCLUSION: preoperative anxiety and age are predictors of postoperative pain in patients
undergoing orthopedic and trauma surgery.
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Affiliation(s)
- Gemma Robleda
- Departamento de Metodología, Gestión Clínica e Investigación, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
| | | | - Teresa Puig
- Servicio de Epidemiologia Clínica, Institut d'Investigació Biomèdica Sant Pau, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Spain
| | - Ignasi Gich
- Servicio de Epidemiologia Clínica, Institut d'Investigació Biomèdica Sant Pau, Hospital de la Santa Creu i Sant Pau, Universidad Autónoma de Barcelona, Spain
| | - Josep-E Baños
- Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, Spain
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