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Barroso-Corroto E, Laredo-Aguilera JA, Cobo-Cuenca AI, Carmona-Torres JM. Experiences of nursing students who are victims of dating violence: a qualitative study. BMC Nurs 2024; 23:28. [PMID: 38195560 PMCID: PMC10775457 DOI: 10.1186/s12912-023-01688-w] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Accepted: 12/25/2023] [Indexed: 01/11/2024] Open
Abstract
BACKGROUND Dating Violence (DV) is a type of Intimate Partner Violence that occurs between young people, and they are those behaviours that cause physical, sexual or psychological harm. OBJECTIVE/AIM To know the experience of university students around dating violence. DESIGN AND METHODS Qualitative study with a phenomenological approach was conducted through semi-structured individual interviews with nursing students' victims of dating violence with the same starting categories. The public involve in this study were nursing students who freely agreed to participate in the interviews and gave their informed consent. RESULTS Eleven nursing students participated, the sample was heterogeneous for gender and sexual diversity. Obtaining results about their experience with dating violence, manifestations of dating violence and cyber violence in their relationships, consequences, formal and informal help seeking and proposals for help as nursing students, among others. CONCLUSION Dating violence is a serious problem that seriously affects the victims and requires the creation of prevention programs. The experiences of university students about DV are mainly painful experiences, with serious consequences for those involved, needing help from their close environment and professional help to overcome the problems generated by their partners. IMPLICATIONS It is important due to the high prevalence of this phenomenon, also among nursing students, to provide key points to future health professionals and victims of dating violence on the correct way to act against violence due to lack of knowledge on the subject. This study clarifies the experiences of dating violence and how to offer help to victims from the informal and professional sphere. TRIAL REGISTRATION This study was approved by the Ethics Committee of Clinical Research of the Health Area of Talavera de la Reina (Toledo) with code 01/2021.
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Affiliation(s)
- Esperanza Barroso-Corroto
- Hospital Universitario de Toledo, Toledo, 45007, Spain
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
| | - José Alberto Laredo-Aguilera
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
| | - Ana Isabel Cobo-Cuenca
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, 45071, Spain.
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 45071, Spain.
| | - Juan Manuel Carmona-Torres
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, 45071, Spain
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Serrano Fernandez V, Seldas Palomino M, Laredo-Aguilera JA, Pozuelo-Carrascosa DP, Carmona-Torres JM. High-Fiber Diet and Crohn's Disease: Systematic Review and Meta-Analysis. Nutrients 2023; 15:3114. [PMID: 37513532 PMCID: PMC10384554 DOI: 10.3390/nu15143114] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 07/05/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
Crohn's disease (CD) is a subtype of inflammatory bowel disease (IBD). CD is a health problem in Western countries such as the US and European nations and is an idiopathic disease; however, certain cases of CD have been associated with intestinal dysbiosis. A systematic review with a meta-analysis was carried out to determine the efficacy of a diet rich in fiber with or without cointervention to improve remission rates for CD. The literature in the PubMed, Scopus, Web of Science, and ClinicalTrials databases was reviewed. The quality of the studies was evaluated using the Johanna Briggs Institute (JBI) scale. This review was conducted in accordance with the structure outlined in the PRISMA statement. In addition, a meta-analysis was performed with a 95% confidence interval (CI) and a random effects model. Eleven studies were included, totaling 2389 patients with CD. Applying a diet rich in fiber with or without the administration of routine therapies improved CD remission rates. Data regarding CD activity, remission time, and adverse effects derived from fiber consumption were analyzed. Consumption of fiber in the diet could improve remission rates for CD patients who receive or do not receive other treatment to maintain remission.
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Affiliation(s)
- Victor Serrano Fernandez
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
- Hospital Universitario de Toledo, 45007 Toledo, Spain
| | | | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
| | - Diana Patricia Pozuelo-Carrascosa
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
- Facultad de Enfermería de Cuenca, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
| | - Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
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Carmona-Torres JM, Rodríguez-Borrego MA, Rodríguez-Muñoz PM, Cobo-Cuenca AI, Laredo-Aguilera JA, López-Soto PJ. Formal and Informal Services Used by Women Who Suffer Intimate Partner Violence in Spain. Violence Vict 2023; 38:358-374. [PMID: 37348958 DOI: 10.1891/vv-2022-0026] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/24/2023]
Abstract
Intimate partner violence (IPV) is an important public health problem. Female victims of IPV do not always use the institutional resources available to them. We conducted a cross-sectional study using data from the Spanish 2014 Macro-Survey on Violence Against Women. The findings show that 15% of the survey participants suffered from IPV in the last year. The factors associated with a higher probability of suffering IPV are being of non-Spanish nationality, being a student, having a low-educational level, having no income, being the household head, and not having a current partner. Regarding the resources used by women subjected to IPV, almost half resorted to informal sources, such as female friends and/or their own mothers. The use of formal resources was low. Therefore, IPV continues to be a problem in Spain that seems to remain in the private domain. Consequently, it is necessary to increase the availability of and access to legal resources.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, Toledo, Spain
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla la Mancha, Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
- Departamento de Enfermería, Universidad de Córdoba, Cordoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Cordoba, Spain
| | - Pedro Manuel Rodríguez-Muñoz
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
- Universidad de Salamanca, Salamanca, Spain
| | - Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, Toledo, Spain
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla la Mancha, Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
| | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, Toledo, Spain
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla la Mancha, Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
- Facultad de Ciencias de la Salud, Universidad de Castilla-La Mancha, Talavera de la Reina, Spain
| | - Pablo Jesús López-Soto
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Cordoba, Spain
- Departamento de Enfermería, Universidad de Córdoba, Cordoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Cordoba, Spain
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Guerrero-Agenjo CM, López-Tendero J, López-González Á, Guisado-Requena IM, Laredo-Aguilera JA, Carmona-Torres JM, López-Torres-Hidalgo J, Rabanales-Sotos J. Alcohol Consumption in Nursing Students after the COVID-19 Lockdown. Healthcare (Basel) 2023; 11:healthcare11081185. [PMID: 37108019 PMCID: PMC10138711 DOI: 10.3390/healthcare11081185] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 03/27/2023] [Revised: 04/16/2023] [Accepted: 04/18/2023] [Indexed: 04/29/2023] Open
Abstract
Excessive alcohol consumption is a major public health issue that can negatively affect behavior among university students. The objective of this study was to estimate the frequency of alcohol consumption in nursing students as well as to describe the pattern of alcohol consumption after COVID-19 lockdown. A descriptive, cross-sectional observational study was carried out, in which 1162 degree-level nursing students were evaluated. Sociodemographic characteristics, lifestyles and levels of physical activity were determined using the International Physical Activity Questionnaire: Short Form (IPAQ-SF), and alcohol consumption was determined using the ISCA (Systematized Alcohol Consumption Questionnaire) and AUDIT (Alcohol Use Disorders Inventory Test) questionnaires. According to the AUDIT questionnaire, 36.7% of the students met the criteria for excessive alcohol consumption (26.8% men vs. 39.9% women; p < 0.001). The prevalence of hazardous drinkers was found to be 10.2% (95% CI 5.6-11.7), with the difference between men and women being statistically significant. The IPAQ-SF questionnaire indicated that 26.1% of students were sedentary. No relationship was observed between alcohol consumption and the level of physical activity. The frequency of hazardous drinkers was significantly higher in women (OR: 2.2) and in smokers (OR: 4.2). In conclusion, approximately 10% of nursing students can be considered hazardous drinkers, with significant differences between the sexes. The percentage is higher in women and in smokers. Strategies should be created that encourage healthy lifestyles, emphasizing preventive activities against excessive alcohol consumption. Furthermore, given the differences in excessive alcohol consumption between men and women, it would be advisable to include the gender perspective in these activities.
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Affiliation(s)
- Carmen María Guerrero-Agenjo
- Castilla-La Mancha Health Service (Servido de Salud de Castilla-La Mancha/SESCAM), Universidad de Castilla-La Mancha/UCLM, 02071 Albacete, Spain
| | - Jaime López-Tendero
- Castilla-La Mancha Health Service (Servido de Salud de Castilla-La Mancha/SESCAM), Universidad de Castilla-La Mancha/UCLM, 02071 Albacete, Spain
| | - Ángel López-González
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Campus Univesitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting (UCLM), 02071 Albacete, Spain
| | - Isabel María Guisado-Requena
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Campus Univesitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting (UCLM), 02071 Albacete, Spain
| | - Jose Alberto Laredo-Aguilera
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Campus Univesitario s/n, 02071 Albacete, Spain
- Grupo de Investigación Multidisplinar en Cuidados (IMCU) (UCLM), 45071 Toledo, Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Campus Univesitario s/n, 02071 Albacete, Spain
- Grupo de Investigación Multidisplinar en Cuidados (IMCU) (UCLM), 45071 Toledo, Spain
| | - Jesús López-Torres-Hidalgo
- Castilla-La Mancha Health Service (Servido de Salud de Castilla-La Mancha/SESCAM), Universidad de Castilla-La Mancha/UCLM, 02071 Albacete, Spain
- Albacete Faculty of Medicine (UCLM), 02071 Albacete, Spain
| | - Joseba Rabanales-Sotos
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Campus Univesitario s/n, 02071 Albacete, Spain
- Group of Preventive Activities in the University Health Sciences Setting (UCLM), 02071 Albacete, Spain
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Cobo-Cuenca AI, Fernández-Fernández B, Carmona-Torres JM, Pozuelo-Carrascosa DP, Laredo-Aguilera JA, Romero-Gómez B, Rodríguez-Cañamero S, Barroso-Corroto E, Santacruz-Salas E. Longitudinal Study of the Mental Health, Resilience, and Post-Traumatic Stress of Senior Nursing Students to Nursing Graduates during the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 19:ijerph192013100. [PMID: 36293681 PMCID: PMC9602859 DOI: 10.3390/ijerph192013100] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2022] [Revised: 10/01/2022] [Accepted: 10/09/2022] [Indexed: 05/20/2023]
Abstract
This study analyzed changes in the psychological health of students who were in the final year of their nursing degree during the COVID-19 pandemic and later served as nursing professionals in hospitals. Methods: A prospective longitudinal study was conducted over two periods of time (the first in April 2020 and the second 6 months later, in December 2020) with 296 students for a T0 baseline (rate response 68.83%) and 92 students for a T1 post-test sample (response rate 31.08%). The data were electronically collected using the Hospital Anxiety and Depression Scale, the Life Satisfaction Questionnaire, the Resilience Scale, and a post-traumatic stress questionnaire. The mean age of the sample participants was 24.17 years (SD = 5.51), and 89.11% were female. During the pandemic, 14.11% of students showed scores that indicated depression, and 32.61% showed scores that indicated anxiety. In December 2020, 86.5% of the participants were working as nurses, and the percentages of those with anxiety (12%) and depression (4.3%) were significantly lower than in the first sample period. A total of 20.7% of the participants had post-traumatic stress. High scores for resilience were significantly associated with better quality of life and lower levels of anxiety, depression, and post-traumatic stress. Conclusions: Although the percentages of participants with anxiety and depression decreased, they still presented with mental health problems.
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Affiliation(s)
- Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Beatriz Fernández-Fernández
- Hospital General Nuestra Sra. Del Prado, Servicio de Salud de Castilla-La Mancha (SESCAM), Av. Extremadura KM 114, 45600 Talavera de la Reina, Spain
| | - Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
- Correspondence:
| | - Diana P. Pozuelo-Carrascosa
- Facultad de Enfermería, Grupo IMCU, Universidad de Castilla-La Mancha, Santa Teresa Jornet s/n., 16071 Cuenca, Spain
| | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Benjamín Romero-Gómez
- Hospital El Tomillar de Sevilla, Servicio Andaluz de Salud (SAS), 41500 Alcalá de Guadaira, Spain
| | | | - Esperanza Barroso-Corroto
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
| | - Esmeralda Santacruz-Salas
- Facultad de Fisioterapia y Enfermería, Grupo IMCU, Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla-La Mancha, Campus de Fábrica de Armas, Av de Carlos III s/n, 45071 Toledo, Spain
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Gómez-Manzano FJ, Laredo-Aguilera JA, Cobo-Cuenca AI, Rabanales-Sotos J, Rodríguez-Cañamero S, Martín-Espinosa N, Carmona-Torres JM. Evaluation of Intranasal Midazolam for Pediatric Sedation during the Suturing of Traumatic Lacerations: A Systematic Review. Children 2022; 9:children9050644. [PMID: 35626821 PMCID: PMC9139737 DOI: 10.3390/children9050644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 04/22/2022] [Accepted: 04/27/2022] [Indexed: 11/25/2022]
Abstract
Objective: The objective of this study was to evaluate the efficacy and safety of intranasal midazolam as part of a paediatric sedation and analgesic procedure during the suturing of traumatic lacerations in paediatric emergency departments. Methodology: A systematic review of clinical trials was completed in July 2021. The databases consulted were PUBMED, SCOPUS, WEB OF SCIENCE, NICE and Virtual Health Library. Eligibility criteria: randomised and nonrandomised clinical trials. Two independent, blinded reviewers performed the selection and data extraction. The participants were 746 children, of whom, 377 received intranasal midazolam. All of the children were admitted to an emergency department for traumatic lacerations that required suturing. The quality of the articles was evaluated with the Jadad scale. This systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Results: Nine studies were included in the review. The intranasal administration of midazolam in healthy children produces anxiolysis and minimal/moderate sedation without serious side effects. Although there are combinations of parenteral drugs that produce deeper sedation, they also have greater adverse effects. No significant differences in the initiation of sedation and the suture procedure were found between the intranasal route and the parenteral route. Conclusions: The use of intranasal midazolam in healthy children produces sufficiently intense and long-lasting sedation to allow for the suturing of traumatic lacerations that do not present other complications; therefore, this drug can be used effectively in paediatric emergency departments.
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Affiliation(s)
- Francisco Javier Gómez-Manzano
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla La Mancha, 45071 Toledo, Spain; (F.J.G.-M.); (A.I.C.-C.); (N.M.-E.); (J.M.C.-T.)
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
- IES Juanelo Turriano, Consejería de Educación, Cultura y Deportes de Castilla-La Mancha, 45007 Toledo, Spain
| | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla La Mancha, 45071 Toledo, Spain; (F.J.G.-M.); (A.I.C.-C.); (N.M.-E.); (J.M.C.-T.)
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
- Correspondence: ; Tel.: +34-925-268-800 (ext. 5613)
| | - Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla La Mancha, 45071 Toledo, Spain; (F.J.G.-M.); (A.I.C.-C.); (N.M.-E.); (J.M.C.-T.)
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
| | | | - Sergio Rodríguez-Cañamero
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
- Hospital Universitario de Toledo, Servicio de Salud de Castilla-La Mancha, 45007 Toledo, Spain
| | - Noelia Martín-Espinosa
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla La Mancha, 45071 Toledo, Spain; (F.J.G.-M.); (A.I.C.-C.); (N.M.-E.); (J.M.C.-T.)
| | - Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla La Mancha, 45071 Toledo, Spain; (F.J.G.-M.); (A.I.C.-C.); (N.M.-E.); (J.M.C.-T.)
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, 45071 Toledo, Spain;
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Rodríguez-Cañamero S, Cobo-Cuenca AI, Carmona-Torres JM, Pozuelo-Carrascosa DP, Santacruz-Salas E, Rabanales-Sotos JA, Cuesta-Mateos T, Laredo-Aguilera JA. Impact of physical exercise in advanced-stage cancer patients: Systematic review and meta-analysis. Cancer Med 2022; 11:3714-3727. [PMID: 35411694 PMCID: PMC9554454 DOI: 10.1002/cam4.4746] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 03/26/2022] [Accepted: 03/28/2022] [Indexed: 11/17/2022] Open
Abstract
Health professionals predict that the number of people who will suffer and die from oncological diseases will continue to increase. It is vitally important to provide comprehensive care to these patients and prescribe physical exercise programs as adjuvant therapy. The objective of this systematic review was to determine the impact of physical exercise on advanced‐stage cancer patients. A literature search was performed in eight different databases. This search focused on randomized controlled trials (RCTs) published during the last 10 years. To assess the methodological quality of the sample of 15 RCTs finally obtained, the PEDro scale was used. Aerobic and strength training methods were used. The combination of both aerobic and strength training methods was the most frequently reported. Likewise, different physical and psychological variables were recorded, from which improvements were seen in fatigue, independence, quality of life and sleep, among others. The participation in physical exercise programs by advanced‐stage cancer patients has a positive impact on health. Providing these programs serves as adjuvant therapy, facilitating the comprehensive care of patients. Similarly, aerobic, strength or mixed training programs increase the muscle mass of patients and therefore reduce hypotonia, the main side effect during the advanced‐stages of cancer.
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Affiliation(s)
- Sergio Rodríguez-Cañamero
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Clínica Hemodiálisis Avericum Toledo, Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
| | - Juan Manuel Carmona-Torres
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
| | - Diana Patricia Pozuelo-Carrascosa
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
| | - Esmeralda Santacruz-Salas
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
| | - Joseba Aingerun Rabanales-Sotos
- Department of Nursing, Physiotherapy and Occupational Therapy, Facultad de Enfermería, Universidad de Castilla-La Mancha, Albacete, Spain.,Grupo de Actividades Preventivas en el ámbito Universitario de Ciencias de la Salud (GAP-CS), Universidad de Castilla-La Mancha, Albacete, Spain
| | | | - José Alberto Laredo-Aguilera
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
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Rodríguez-Borrego MA, Rodríguez-Muñoz PM, López-Soto PJ, Carmona-Torres JM. Perceptions of Gender Violence in Spanish Adolescents. J Forensic Nurs 2022; 18:E5-E16. [PMID: 35363643 DOI: 10.1097/jfn.0000000000000386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND Gender violence among adolescents is a global problem. In the context of public healthcare, nursing professionals play an important role. OBJECTIVE The aim of this study was to determine awareness, information, and beliefs regarding gender violence in adolescents and identify their educational needs. PARTICIPANTS AND SETTING Data from a study conducted by the Spanish Centre for Sociological Research and the Government Office for Gender Violence in 2013 are used. The sample contained 698 adolescents aged 15-19 years. METHODS This is a secondary analysis of a data survey. Strengthening the Reporting of Observational Studies in Epidemiology guidelines are followed. Sociodemographic variables and seven topics of interest were analyzed: gender inequality, intimate relationships, definition of abuse, identification of abuse, awareness of cases of abuse in women, and informal and formal support networks. RESULTS The results show that adolescents are well informed, are aware of informal and formal support networks, use the word "respect," identify abuse and consider it unacceptable, and believe media coverage is useful in giving visibility to gender violence. No significant differences were found in gender, social class, or education, and their idea of romantic love remains intact. CONCLUSIONS The researchers conclude that, in Spain, adolescents' awareness of gender violence is strongly influenced by environmental and cultural factors, because of the prevalence of gender and intimate partner violence in the country. Formal interventions such as health education provided by either nursing professionals in schools or the broader community can have a positive effect on adolescent health. Primary care nurses should use these findings to support the development of health promotion programs for young adults.
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9
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Barroso-Corroto E, Cobo-Cuenca AI, Laredo-Aguilera JA, Santacruz-Salas E, Pozuelo-Carrascosa DP, Rodríguez-Cañamero S, Martín-Espinosa NM, Carmona-Torres JM. Dating violence, violence in social networks, anxiety and depression in nursing degree students: A cross-sectional study. J Adv Nurs 2022; 79:1451-1463. [PMID: 35128718 DOI: 10.1111/jan.15170] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 11/08/2021] [Revised: 12/28/2021] [Accepted: 01/18/2022] [Indexed: 01/14/2023]
Abstract
AIM To determine the prevalence and risk factors for dating violence and the correlations between dating violence and violence in social networks, anxiety and depression among nursing students. DESIGN A cross-sectional and correlational study. METHODS This study was conducted with nursing degree students at Spanish university during May 2021. A total of 248 nursing students completed an online survey. The online survey included sociodemographic variables, the Conflict in Adolescent Dating Relationships Inventory, the Social Network Violence Scale and the Hospital Anxiety and Depression Scale. Chi-squared test, Pearson's correlation and logistic regression were used. RESULTS Of the participants, 13.3% were men and 86.7% were women. A total of 53.2% had experienced and/or perpetrated dating violence. About violence in social networks, 22.2% of the participants had perpetrated it, and 20.2% had been victims of it. Strong correlations were found between experiencing and perpetrating dating violence. Significant associated factors were cohabitation with a partner, alcohol consumption, socioeconomic status and history of dating violence. CONCLUSIONS Dating violence is a serious problem given its high prevalence among the surveyed nursing students, who, as future health professionals, must know how to recognize and react to possible cases of abuse. IMPACT The study results add to international literature that men and women university nursing students are equally susceptible to intimate partner violence and report similar prevalence of dating violence. Also, dating violence is correlated with increased levels of anxiety and depression. It seems to be necessary to implement training programmes that help minimize the problem and identify possible cases.
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Affiliation(s)
- Esperanza Barroso-Corroto
- Hospital Universitario de Toledo, Toledo, Spain.,Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
| | - José Alberto Laredo-Aguilera
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
| | - Esmeralda Santacruz-Salas
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
| | - Diana Patricia Pozuelo-Carrascosa
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Enfermería, Universidad de Castilla-La Mancha, Cuenca, Spain
| | - Sergio Rodríguez-Cañamero
- Hospital Universitario de Toledo, Toledo, Spain.,Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain
| | - Noelia María Martín-Espinosa
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
| | - Juan Manuel Carmona-Torres
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla-La Mancha, Toledo, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha, Toledo, Spain
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10
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Patelarou E, Galanis P, Mechili EA, Argyriadi A, Argyriadis A, Asimakopoulou E, Kicaj E, Bucaj J, Carmona-Torres JM, Cobo-Cuenca AI, Doležel J, Finotto S, Jarošová D, Kalokairinou A, Mecugni D, Pulomenaj V, Malaj K, Sopjani I, Zahaj M, Patelarou A. Assessment of COVID-19 Fear in Five European Countries before Mass Vaccination and Key Predictors among Nurses and Nursing Students. Vaccines (Basel) 2022; 10:vaccines10010098. [PMID: 35062759 PMCID: PMC8778275 DOI: 10.3390/vaccines10010098] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/02/2022] [Accepted: 01/05/2022] [Indexed: 02/06/2023] Open
Abstract
Background: Levels of fear have increased since the COVID-19 pandemic outbreak. The absence of a safe and effective vaccine for mass-vaccination deteriorates this situation, which has a significant impact on mental health. This study aimed to assess the feelings of fear among nurses and nursing students in five European countries. Methods: A multicenter cross-sectional study was conducted in five European countries (Greece, Albania, Cyprus, Spain, and Kosovo) before the start of mass vaccination in Europe. Data collection was conducted in December 2020–January 2021 using an online questionnaire for nursing students and professional nurses. Fear of COVID-19 Scale (FCV-19S) was used for measuring levels of fear. IBM SPSS version 21.0 was used for statistical analysis. Results: The study population included 1135 nurses and 1920 nursing students from Kosovo (n = 1085), Spain (n = 663), Greece (n = 534), Albania (n = 529), and Cyprus (n = 244). According to multivariable analysis, females (OR = 2.53, 95% CI = 1.89–3.15), married (OR = 0.86, 95% CI = 0.24–1.48), nurses (OR = 0.87, 95% CI = 0.28–1.45) and those with a chronic disease (OR = 0.86, 95% CI = 0.11–1.62) were more fearful of COVID-19. Conclusions: It is important to decrease fear in the population of nurses who are at the frontlines of the pandemic. The provision of appropriate education and training activities for nurses and students to manage their stress levels is of high importance. Future studies should focus on levels of fear after the administration of several safe and effective vaccines worldwide.
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Affiliation(s)
- Evridiki Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 714 10 Crete, Greece;
- Correspondence:
| | - Petros Galanis
- Clinical Epidemiology Laboratory, Department of Nursing, National and Kapodistrian University of Athens, 157 72 Athens, Greece; (P.G.); (A.K.)
| | - Enkeleint A. Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, 700 13 Crete, Greece;
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Agathi Argyriadi
- Department of Psychology and Social Sciences, Frederick University, Nicosia 3080, Cyprus;
| | | | | | - Emirjona Kicaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Juan Manuel Carmona-Torres
- IMCU Group, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45004 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.)
| | - Ana Isabel Cobo-Cuenca
- IMCU Group, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45004 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.)
| | - Jakub Doležel
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, 701 03 Ostrava, Czech Republic; (J.D.); (D.J.)
| | - Stefano Finotto
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41121 Reggio Emilia, Italy; (S.F.); (D.M.)
- Degree Course in Nursing, Azienda USL-IRCCS di Reggio Emilia, 41121 Reggio Emilia, Italy
| | - Darja Jarošová
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, 701 03 Ostrava, Czech Republic; (J.D.); (D.J.)
| | - Athina Kalokairinou
- Clinical Epidemiology Laboratory, Department of Nursing, National and Kapodistrian University of Athens, 157 72 Athens, Greece; (P.G.); (A.K.)
| | - Daniela Mecugni
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41121 Reggio Emilia, Italy; (S.F.); (D.M.)
| | - Velide Pulomenaj
- Faculty of Nursing, AAB College, P.O. Box 10000 Pristina, Kosovo; (V.P.); (I.S.)
| | - Krenar Malaj
- Research Centre of Public Health, Faculty of Health, University of Vlora, 9401 Vlora, Albania;
| | - Idriz Sopjani
- Faculty of Nursing, AAB College, P.O. Box 10000 Pristina, Kosovo; (V.P.); (I.S.)
| | - Majlinda Zahaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Athina Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 714 10 Crete, Greece;
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11
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Rodríguez-Muñoz PM, Carmona-Torres JM, Rivera-Picón C, Morales-Cané I, Fabbian F, Manfredini R, Rodríguez-Borrego MA, López-Soto PJ. Risky Behaviours of Spanish University Students: Association with Mediterranean Diet, Sexual Attitude and Chronotype. Nutrients 2021; 13:4042. [PMID: 34836300 PMCID: PMC8620370 DOI: 10.3390/nu13114042] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [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: 09/25/2021] [Revised: 11/05/2021] [Accepted: 11/09/2021] [Indexed: 12/13/2022] Open
Abstract
The most common drugs that are consumed by young people are alcohol and tobacco, which are especially prevalent in universities. These risk behaviours can be determined by a series of intrinsic and extrinsic factors. The aim of this study was to evaluate the consumption of alcohol and tobacco by Spanish university students and the relationship between the Mediterranean diet, sexual attitudes and opinions, and chronotype. A multicentre observational study enrolled 457 students from two public universities in Spain. The study period was from December 2017 to January 2018. The majority of the participants consumed alcohol (90.2%), tobacco consumption was low (27.2%), with a high percentage of students (78.6%) having a low dependence on nicotine. The surveyed students demonstrated a high adherence to the Mediterranean diet, which was shown to be associated with less risky alcohol consumption. The Mediterranean diet is a part of healthy lifestyle, and avoiding heavy drinking results in the intention to maintain such a lifestyle. In addition, unhealthy eating habits (skipping breakfast, eating sweets and pastries daily, and fast-food consumption) had a tendency to induce risky alcohol consumption. Therefore, to promote healthy lifestyle habits, it is considered important to establish programs that promote healthy diets in university settings and to evaluate them periodically.
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Affiliation(s)
- Pedro Manuel Rodríguez-Muñoz
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Córdoba, Spain; (J.M.C.-T.); (I.M.-C.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing and Physiotherapy, Universidad de Salamanca, 37007 Salamanca, Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Córdoba, Spain; (J.M.C.-T.); (I.M.-C.); (M.A.R.-B.); (P.J.L.-S.)
- Faculty of Physiotherapy and Nursing, Universidad de Castilla-La Mancha, 45071 Toledo, Spain
| | - Cristina Rivera-Picón
- Faculty of Health Sciences, Universidad Pontificia de Salamanca, 37002 Salamanca, Spain;
| | - Ignacio Morales-Cané
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Córdoba, Spain; (J.M.C.-T.); (I.M.-C.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Universidad de Córdoba, 14004 Córdoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Fabio Fabbian
- Faculty of Medicine, Surgery and Prevention, University of Ferrara, 44121 Ferrara, Italy; (F.F.); (R.M.)
| | - Roberto Manfredini
- Faculty of Medicine, Surgery and Prevention, University of Ferrara, 44121 Ferrara, Italy; (F.F.); (R.M.)
| | - María Aurora Rodríguez-Borrego
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Córdoba, Spain; (J.M.C.-T.); (I.M.-C.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Universidad de Córdoba, 14004 Córdoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
| | - Pablo Jesús López-Soto
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, 14005 Córdoba, Spain; (J.M.C.-T.); (I.M.-C.); (M.A.R.-B.); (P.J.L.-S.)
- Department of Nursing, Universidad de Córdoba, 14004 Córdoba, Spain
- Department of Nursing, Hospital Universitario Reina Sofía de Córdoba, 14004 Córdoba, Spain
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12
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Patelarou E, Galanis P, Mechili EA, Argyriadi A, Argyriadis A, Asimakopoulou E, Brokaj S, Bucaj J, Carmona-Torres JM, Cobo-Cuenca AI, Doležel J, Finotto S, Jarošová D, Kalokairinou A, Mecugni D, Pulomenaj V, Saliaj A, Sopjani I, Zahaj M, Patelarou A. Factors influencing nursing students' intention to accept COVID-19 vaccination: A pooled analysis of seven European countries. Nurse Educ Today 2021; 104:105010. [PMID: 34126322 PMCID: PMC8189729 DOI: 10.1016/j.nedt.2021.105010] [Citation(s) in RCA: 49] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/30/2021] [Accepted: 06/03/2021] [Indexed: 05/07/2023]
Abstract
BACKGROUND Experiencing the third wave of COVID-19 pandemic, high vaccination coverage by a safe and effective vaccine globally would be a great achievement. Acceptance of vaccination by nursing students is an important issue as they play a decisive role as future professionals in educating patients, counselling, and guiding them to the right clinical decision. OBJECTIVES To explore the intention of nursing students to get vaccinated for SARS-CoV-2 infection and the factors acting either as motivators or as barriers towards vaccination. DESIGN A multicenter cross-sectional design. PARTICIPANTS In total 2249 undergraduate nursing students participated. METHODS The study was conducted in 7 universities in participating countries (Greece, Albania, Cyprus, Spain, Italy, Czech Republic, and Kosovo) through a web survey. Data was collected during December 2020-January 2021 in all countries. RESULTS Forty three point 8% of students agreed to accept a safe and effective COVID-19 vaccine, while the acceptance was higher among Italian students. The factors for intention to get vaccinated were male gender (p = 0.008), no working experience in healthcare facilities during the pandemic (p = 0.001), vaccination for influenza in 2019 and 2020 (p < 0.001), trust in doctors (p < 0.001), governments and experts (p = 0.012), high level of knowledge (p < 0.001) and fear of COVID-19 (p < 0.001). CONCLUSIONS Understanding of factors that influence students' decision to accept COVID-19 vaccination could increase the acceptance rate contributing to a management of the pandemic.
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Affiliation(s)
- Evridiki Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, Crete, Greece.
| | - Petros Galanis
- National and Kapodistrian University of Athens, Athens, Greece.
| | - Enkeleint A Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece; Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | - Agathi Argyriadi
- Department of Psychology and Social Sciences, Frederick University, Nicosia, Cyprus.
| | | | | | - Stiliana Brokaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | | | - Ana Isabel Cobo-Cuenca
- Faculty of Physiotherapy and Nursing, IMCU Group, University of Castilla-La Mancha, Toledo, Spain.
| | - Jakub Doležel
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
| | - Stefano Finotto
- Degree Course in Nursing, University of Modena and Reggio Emilia, seat of Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences, Reggio Emilia, Italy; Degree Course in Nursing, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
| | - Darja Jarošová
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
| | | | - Daniela Mecugni
- Degree Course in Nursing, University of Modena and Reggio Emilia, seat of Reggio Emilia, Department of Surgery, Medicine, Dentistry and Morphological Sciences, Reggio Emilia, Italy.
| | | | - Aurela Saliaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | | | - Majlinda Zahaj
- Department of Healthcare, Faculty of Health, University of Vlora, Vlora, Albania.
| | - Athina Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, Crete, Greece.
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13
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Dios-Guerra C, Carmona-Torres JM, Morales-Cané I, Rodríguez-Borrego MA, López-Soto PJ. Evolution in the use of health services by older people in Spain (2009-2017). Health Soc Care Community 2021; 29:e11-e20. [PMID: 33211360 DOI: 10.1111/hsc.13229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Revised: 08/26/2020] [Accepted: 10/24/2020] [Indexed: 06/11/2023]
Abstract
As people age, they tend to increase their use of health services. For this, the aims of this study were to analyse the frequency and variability in the use of different health services by people over 65 years, their evolution from 2009 to 2017 and the factors associated it. We carried out a cross-sectional study with 25,465 people over 65 years who participated in the National Health Survey in Spain in 2011/2012 and 2017 and the European Health Survey in Spain in 2009 and 2014. A descriptive analysis was performed using the attendance records of family/general physicians, nurse consultations, or both over the last 12 months as well as these data over the following years of study. Our findings show that approximately 93.2% of the participants had consulted with a family/general physician over the last year, and women were almost twice as likely to do so compared with men (61.2% vs. 38.8%). The use of health services gradually increased from 2009 to 2017, being the visits to nursing that more increased their frequency. Being a woman and a widower as well as having no higher education, a low social class, a serious or long-term illness, obesity and bed restraint were associated with a greater use of health services. Findings suggested that the increased health services due to ageing and comorbidities associated with it present new challenges. It is necessary to determine realistic plans that can meet future healthcare demands and not lead to a collapse of the health system. For this it is very important the primary prevention of chronic diseases, functional limitations, obesity and disability.
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Affiliation(s)
- Caridad Dios-Guerra
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Área de Enfermería, Universidad de Córdoba, Córdoba, Spain
- UGC Occidente. Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Facultad de Fisioterapia y Enfermería, Universidad de Castilla-La Mancha (UCLM), Toledo, Spain
| | - Ignacio Morales-Cané
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Área de Enfermería, Universidad de Córdoba, Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Área de Enfermería, Universidad de Córdoba, Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain
| | - Pablo Jesús López-Soto
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Área de Enfermería, Universidad de Córdoba, Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain
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14
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Santacruz-Salas E, Segura-Fragoso A, Pozuelo-Carrascosa DP, Cobo-Cuenca AI, Carmona-Torres JM, Laredo-Aguilera JA. Maintenance of Maternal Breastfeeding up to 6 Months: Predictive Models. J Pers Med 2021; 11:396. [PMID: 34064697 PMCID: PMC8151230 DOI: 10.3390/jpm11050396] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 04/30/2021] [Accepted: 05/06/2021] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND There is evidence of the benefits of exclusive breastfeeding (EBF) but maintaining EBF for the minimum recommended time of 6 months is challenging. AIMS This study aimed to determine the prevalence of breastfeeding types in a Spanish setting, explore the influencing factors, and analyze the relationships between the reasons for EBF cessation and the EBF durations achieved. METHOD This longitudinal descriptive study included 236 healthy children with standard weight followed up by the public health system. A baseline survey and three telephone interviews (1, 3, and 6 months) were conducted. RESULTS The prevalence of EBF at 6 months was 19.49%. The mean age of the mothers was 32.3 (±5.3). The variables influencing EBF maintenance were the prior decision to practice EBF (p = 0.03), the belief that EBF is sufficient (p = 0.00), not offering water or fluid to the child (p = 0.04), delaying pacifier use (p < 0.001), a longer gestation time (p = 0.05), and previous experience with practicing EBF for more than 6 months (p = 0.00). The reason for the earliest EBF cessation (mean 52.63 ± 56.98 days) was the mother's lack of self-efficacy (p = 0.05). CONCLUSION Knowing the reasons for EBF cessation among mothers is important for helping mothers and preventing early weaning. A safe environment and support can prevent early weaning.
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Affiliation(s)
- Esmeralda Santacruz-Salas
- FACSALUD (Faculty of Health Sciences), Av. Real Fábrica de la seda, s/n., Talavera de la Reina, 45600 Toledo, Spain; (E.S.-S.); (A.S.-F.)
- Multidisciplinary Research Group in Care (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla la Mancha (UCLM), 45071 Toledo, Spain
| | - Antonio Segura-Fragoso
- FACSALUD (Faculty of Health Sciences), Av. Real Fábrica de la seda, s/n., Talavera de la Reina, 45600 Toledo, Spain; (E.S.-S.); (A.S.-F.)
| | - Diana P. Pozuelo-Carrascosa
- Multidisciplinary Research Group in Care (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing of Toledo, University of Castilla la Mancha (UCLM) Av. Carlos III s/n., 45071 Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Multidisciplinary Research Group in Care (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing of Toledo, University of Castilla la Mancha (UCLM) Av. Carlos III s/n., 45071 Toledo, Spain
- Maimónides Institute for Biomedical Research Córdoba (IMIBIC), 14004 Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Multidisciplinary Research Group in Care (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing of Toledo, University of Castilla la Mancha (UCLM) Av. Carlos III s/n., 45071 Toledo, Spain
- Maimónides Institute for Biomedical Research Córdoba (IMIBIC), 14004 Córdoba, Spain
| | - José Alberto Laredo-Aguilera
- Multidisciplinary Research Group in Care (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Department of Nursing, Physiotherapy and Occupational Therapy, University of Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Faculty of Physiotherapy and Nursing of Toledo, University of Castilla la Mancha (UCLM) Av. Carlos III s/n., 45071 Toledo, Spain
- Maimónides Institute for Biomedical Research Córdoba (IMIBIC), 14004 Córdoba, Spain
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15
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Párraga-Montilla JA, Pozuelo-Carrascosa DP, Carmona-Torres JM, Laredo-Aguilera JA, Cobo-Cuenca AI, Latorre-Román PÁ. Gait Performance as an Indicator of Cognitive Deficit in Older People. Int J Environ Res Public Health 2021; 18:ijerph18073428. [PMID: 33806244 PMCID: PMC8037000 DOI: 10.3390/ijerph18073428] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 03/04/2021] [Accepted: 03/23/2021] [Indexed: 11/16/2022]
Abstract
Background: The purpose of this study was to analyze which gait variables are the best for detecting cognitive impairment and to determine if age and gender can influence gait variations in older people. Methods: 65 participants took part in this study (22 men and 43 women; age: 73.88 ± 9.56 years). We use the Montreal Cognitive Assessment (MoCA) to assess mild cognitive impairment (MCI). Gait speed (GS) and the complex gait test (CGT) were analyzed with photocells Witty (Microgate, Italia). The OptoGait system (Microgate, Italia) was used to analyze step length (SL) and step coefficient of variation (CV sl). Results: There was a significant association between MoCA and SL (r = 0.420; p = 0.002), CV sl (r = −0.591; p < 0.001), and CGT (r = −0.406; p = 0.001). Instrumental activities of daily living showed significant association with SL (r = 0.563; p < 0.001); CV sl (r = −0.762; p < 0.001), CGT (r = −0.622; p < 0.001), and GS (r = 0.418; p < 0.001). CV sl showed the best results with MoCA when linear regression analysis was applied (R2 = 0.560; p = 0.007; Y = 23.669 − 0.320x). Participants older than 79 years showed lower MoCA scores and poorer gait parameters than people younger than 79 years. Conclusions: CV sl, SL, CGT, and GS make it possible to detect MCI in older people, especially when these variables are evaluated as a whole.
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Affiliation(s)
- Juan Antonio Párraga-Montilla
- Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, 23071 Jaén, Spain; (J.A.P.-M.); (P.Á.L.-R.)
| | - Diana Patricia Pozuelo-Carrascosa
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (A.I.C.-C.)
- Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
- Social and Health Care Research Center (CESS), University of Castilla-La Mancha, 16071 Cuenca, Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (A.I.C.-C.)
- Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
| | - José Alberto Laredo-Aguilera
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (A.I.C.-C.)
- Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
- Correspondence:
| | - Ana Isabel Cobo-Cuenca
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing of Toledo, University of Castilla-La Mancha, 45005 Toledo, Spain; (D.P.P.-C.); (J.M.C.-T.); (A.I.C.-C.)
- Multidisciplinary Research Group in Care (IMCU), University of Castilla-La Mancha, 45005 Toledo, Spain
| | - Pedro Ángel Latorre-Román
- Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, 23071 Jaén, Spain; (J.A.P.-M.); (P.Á.L.-R.)
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16
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Patelarou A, Mechili EA, Galanis P, Zografakis-Sfakianakis M, Konstantinidis T, Saliaj A, Bucaj J, Alushi E, Carmona-Torres JM, Cobo-Cuenca AI, Laredo-Aguilera JA, Patelarou E. Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries. J Ment Health 2021; 30:164-169. [PMID: 33504241 DOI: 10.1080/09638237.2021.1875420] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND The SARS-CoV2 pandemic obligated most of the European countries to implement strict measures and lockdowns to minimize the spread of the virus. Universities closed and on-line classes started. However, COVID-19 epidemic has significant impact on mental health of population. AIM To assess depression level of nursing students (undergraduate and master) in Greece, Spain and Albania during COVID-19 pandemic as well as to identify possible determinants of depression level. METHODS A multicenter cross-sectional study was conducted between April and May 2020. An on-line questionnaire was used to collect the data. The Patient Health Questionnaire-9 was used to evaluate the depression levels of nursing students. RESULTS Seven hundred and eighty-seven nursing students participated in the study out of which 83.9% were of female gender, 92.9% single and 94.7% lived with others. One third of the nursing student population experienced mild depression, with higher depression levels noted for Spanish students (59.1%) followed by Albanian (34.5%) and Greek (21.8%) students. Multivariate linear regression analysis identified that Spanish students experienced more depression than Greek and Albanian (p < 0.001). Also, decreased age was associated with increased depression. CONCLUSION The impact of lockdown and quarantine on nursing students mental health is clear. Provision of university based mental health interventions should be a priority.
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Affiliation(s)
- Athina Patelarou
- Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Crete, Greece
| | - Enkeleint A Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece.,Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Petros Galanis
- Faculty of Nursing, Center for Health Services Management and Evaluation, National and Kapodistrian University of Athens, Athens, Greece
| | | | | | - Aurela Saliaj
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Evis Alushi
- Department of Nursing, Faculty of Public Health, University of Vlora, Vlora, Albania
| | - Juan Manuel Carmona-Torres
- Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.,Multidisciplinary Research Group in Care (IMCU Group), University of Castilla-La Mancha, Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.,Multidisciplinary Research Group in Care (IMCU Group), University of Castilla-La Mancha, Toledo, Spain
| | - José Alberto Laredo-Aguilera
- Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, Toledo, Spain.,Multidisciplinary Research Group in Care (IMCU Group), University of Castilla-La Mancha, Toledo, Spain
| | - Evridiki Patelarou
- Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Crete, Greece
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17
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Carmona-Torres JM, Cobo-Cuenca AI, Pozuelo-Carrascosa DP, Latorre-Román PÁ, Párraga-Montilla JA, Laredo-Aguilera JA. Physical Activity, Mental Health and Consumption of Medications in Pre-Elderly People: The National Health Survey 2017. Int J Environ Res Public Health 2021; 18:ijerph18031100. [PMID: 33530650 PMCID: PMC7908116 DOI: 10.3390/ijerph18031100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 12/12/2022]
Abstract
Background: The promotion of Physical Activity (PA) is an important public health goal to reduce comorbidity and diseases associated with aging such as anxiety and depression. Aim: To investigate the association between level of PA, mental health and the consumption of medications among a representative cohort of Spanish pre-elderly people. Methods: Cross-sectional study with 5977 participants aged 50 to 64 years who participated in the National Health Survey in Spain 2017. The levels of PA were evaluated using the International Physical Activity Questionnaire and the mental conditions were measured by the Goldberg Health Questionnaire-12 (GHQ-12). The chi-square test was used for qualitative variables; Pearson’s correlation was conducted between GHQ-12 score with different quantitative variables; and a logistic regression was used to determine the association between PA and mental health with the sociodemographic characteristics. Results: The participants were 51.9% women and 48.1% men with a mean age of 56.79 years, and 35.5% of participants had a low level of PA. A low level of PA was associated with cases of mental health vulnerability, anxiety and depression (in women), the consumption of more medications and greater multimorbidity. Conclusion: It is important that people reach old age with an optimal health status in order to reduce age-related disability and morbidity. More than a third of the Spanish pre-elderly do not reach the levels of PA recommended by the WHO. People who had low level of PA consumed more medications and had higher mental health vulnerability and greater multimorbidity.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería, Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.); (J.A.L.-A.)
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería, Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.); (J.A.L.-A.)
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain
| | - Diana P. Pozuelo-Carrascosa
- Facultad de Fisioterapia y Enfermería, Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.); (J.A.L.-A.)
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain
- Correspondence: ; Tel.: +928-268-800 (ext. 4684)
| | - Pedro Ángel Latorre-Román
- Departamento de Didáctica de la Expresión Musical, Plástica y Corporal, Universidad de Jaén, Campus Las Lagunillas s/n, 23071 Jaén, Spain; (P.Á.L.-R.); (J.A.P.-M.)
| | - Juan Antonio Párraga-Montilla
- Departamento de Didáctica de la Expresión Musical, Plástica y Corporal, Universidad de Jaén, Campus Las Lagunillas s/n, 23071 Jaén, Spain; (P.Á.L.-R.); (J.A.P.-M.)
| | - José Alberto Laredo-Aguilera
- Facultad de Fisioterapia y Enfermería, Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.); (J.A.L.-A.)
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), Campus de Fábrica de Armas, Universidad de Castilla-La Mancha, Av de Carlos III, nº 21, 45071 Toledo, Spain
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18
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Santacruz-Salas E, Segura-Fragoso A, Cobo-Cuenca AI, Carmona-Torres JM, Pozuelo-Carrascosa DP, Laredo-Aguilera JA. Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months. Children (Basel) 2020; 7:E298. [PMID: 33339354 PMCID: PMC7766654 DOI: 10.3390/children7120298] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 12/01/2020] [Accepted: 12/11/2020] [Indexed: 11/16/2022]
Abstract
The commencement and maintenance of exclusive breastfeeding (EB) are dependent on several mother-infant factors. To analyse the prevalence of EB during four different periods and to analyse the factors that can affect its maintenance, we performed a prospective, observational, longitudinal study of 236 mothers and their child between 37 and 42 weeks of gestation and weighing more than 2.5 kg. Four interviews were conducted (T1: on discharge, T2: at 15 days, T3: at one month, T4: at three months). The results showed that EB decreased considerably at three months (69.5% vs. 47.46%). The factors that reduced the risk of abandonment were as following: having decided before giving birth that one wants to offer breastfeeding (T2: odds ratio (OR): 0.02, p = 0.001), T3 (OR: 0.04, p = 0.001) and T4 (OR: 0.07, p = 0.01)) and having previous experience with EB (T2 (OR: 0.36, p = 0.01), T3 (OR: 0.42 p = 0.02) and T4 (OR: 0.51, p = 0.03)). The factors that increased the risk of EB abandonment were offering feeding bottles in the hospital (T2 (OR: 11. 06, p = 0.001); T3 (OR: 5.51, p = 0.001) and T4 (OR: 4.43, p = 0.001)) and thinking that the infant is not satisfied (T2 (OR: 2.39, p = 0.01) and T3 (OR: 2.34, p = 0.01)). In conclusion, the abandonment of EB in the first three months is associated with sociodemographic and clinical variables and psychological factors such as insecurity and doubts of the mother during the process and the absence of a favourable close environment.
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Affiliation(s)
- Esmeralda Santacruz-Salas
- FACSALUD (Facultad de Ciencias de la Salud), University of Castile-La Mancha, Avenida Real Fábrica de la Seda, s/n., Talavera de la Reina, 45600 Toledo, Spain; (E.S.-S.); (A.S.-F.)
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain; (A.I.C.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
| | - Antonio Segura-Fragoso
- FACSALUD (Facultad de Ciencias de la Salud), University of Castile-La Mancha, Avenida Real Fábrica de la Seda, s/n., Talavera de la Reina, 45600 Toledo, Spain; (E.S.-S.); (A.S.-F.)
| | - Ana Isabel Cobo-Cuenca
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain; (A.I.C.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla la Mancha, UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain; (A.I.C.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla la Mancha, UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
| | - Diana P. Pozuelo-Carrascosa
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain; (A.I.C.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla la Mancha, UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
| | - José Alberto Laredo-Aguilera
- Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain; (A.I.C.-C.); (J.M.C.-T.); (J.A.L.-A.)
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla la Mancha, UCLM, Avenida Carlos III s/n., 45071 Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
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19
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Carmona-Torres JM, Carvalhal R, Gálvez-Rioja RM, Ruiz-Gandara Á, Goergen T, Rodríguez-Borrego MA. Elder Abuse in the Iberian Peninsula and Bolivia: A Multicountry Comparative Study. J Interpers Violence 2020; 35:4303-4326. [PMID: 29294793 DOI: 10.1177/0886260517713712] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The objective of this study is to determine the prevalence of abuse of vulnerable older persons in the family and community environment in the following regions-Spain (Andalusia-Córdoba), Portugal (Azores), and Bolivia (Santa Cruz de la Sierra)-and to identify risk factors and delineate a profile of abused older persons. For this, a descriptive cross-sectional study was conducted. The sample consisted of people in the age group 65 years plus living in the catchment areas of health centers. The following were used as instruments to collect data: the medical record of the patients of relevant health centers, Mini-Mental State Examination (MMSE), daily activities autonomy test, adaptability, partnership, growth, affection, and resolve (APGAR) familiar test, The Elder Abuse Suspicion Index (EASI) and the Social Work Evaluation Form. Multivariable logistic regression was performed to identify factors associated with abuse. Suspected abuse was identified in 6.9% of the elderly who participated in the study in Spain, 39% in Bolivia, and 24.5% in Azores. In all areas, studied psychological abuse was the most common type of abuse. In conclusion, although the prevalence of abuse to older people in the family and community environment differs in the areas studied, it is present in all countries and the data are comparable with other developing and European countries. The profile of the abused older persons appears to be similar in all countries.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- Maimónides Institute for Biomedical Research of Córdoba, Spain
- University of Castilla-La Mancha, Ciudad Real, Spain
| | | | | | | | | | - Mª Aurora Rodríguez-Borrego
- Maimónides Institute for Biomedical Research of Córdoba, Spain
- University of Córdoba, Spain
- University Hospital Reina Sofía, Córdoba, Spain
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20
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Delgado-Floody P, Latorre-Román PÁ, Jerez-Mayorga D, Caamaño-Navarrete F, Cano-Montoya J, Laredo-Aguilera JA, Carmona-Torres JM, Cobo-Cuenca AI, Pozuelo-Carrascosa DP, Álvarez C. Poor Sleep Quality Decreases Concurrent Training Benefits in Markers of Metabolic Syndrome and Quality of Life of Morbidly Obese Patients. Int J Environ Res Public Health 2020; 17:ijerph17186804. [PMID: 32961878 PMCID: PMC7558448 DOI: 10.3390/ijerph17186804] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Revised: 09/16/2020] [Accepted: 09/16/2020] [Indexed: 12/18/2022]
Abstract
Background: Sleep quality (SQ) plays a role in multiple activities of daily living, but little is known about its role in concurrent training [CT, high-intensity interval (HIIT) plus resistance training (RT)] adaptations for metabolic syndrome (MetS) and health-related quality of life (HRQoL) markers. The aim of the present study was to determine the effects of a 20-week CT programme on MetS and HRQoL markers according to the SQ of morbidly obese patients. Methods: Twenty-nine morbidly obese patients were allocated to one of two groups: good sleep quality (GSQ, n = 15, 38.07 ± 12.26 years) and poor sleep quality (PSQ, n = 14, 40.79 ± 11.62 years). HRQoL, body mass index, waist circumference (WC), systolic and diastolic blood pressure (SBP and DBP, respectively), and plasma outcomes were measured. Results: The GSQ group reported significant changes (pre- vs. post-intervention) in WC (114.0 ± 3.1 vs. 110.4 ± 3.4 cm, p = 0.012), SBP (137.0 ± 4.3 vs. 125.6 ± 1.8 mmHg, p = 0.006), and HRQoL general health (51.33 ± 21.08 vs. 64.33 ± 16.24, p = 0.020). By contrast, the PSQ group showed significant changes only in SQ (9.00 ± 2.42 vs. 5.36 ± 2.84, p = 0.004). Conclusions: Morbidly obese PSQ patients showed a lower response for improving MetS and HRQoL markers after a 20-week CT programme than GSQ peers. However, there was a greater effect size for decreasing WC and SBP in favour of the GSQ compared with the PSQ group, suggesting that there are limitations to CT benefits on these outcomes in the PSQ group. These results call for more complex future studies.
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Affiliation(s)
- Pedro Delgado-Floody
- Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco 4780000, Chile;
| | | | - Daniel Jerez-Mayorga
- Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile;
| | | | - Johnattan Cano-Montoya
- School of Kinesiology, Faculty of Health Sciences, Universidad San Sebastian, Valdivia 5090000, Chile;
| | - José Alberto Laredo-Aguilera
- Multidisciplinary Research Group in Care (IMCU), Universidad de Castilla-La Mancha, 45004 Toledo, Spain; (J.A.L.-A.); (J.M.C.-T.); (A.I.C.-C.); (D.P.P.-C.)
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
| | - Juan Manuel Carmona-Torres
- Multidisciplinary Research Group in Care (IMCU), Universidad de Castilla-La Mancha, 45004 Toledo, Spain; (J.A.L.-A.); (J.M.C.-T.); (A.I.C.-C.); (D.P.P.-C.)
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
| | - Ana Isabel Cobo-Cuenca
- Multidisciplinary Research Group in Care (IMCU), Universidad de Castilla-La Mancha, 45004 Toledo, Spain; (J.A.L.-A.); (J.M.C.-T.); (A.I.C.-C.); (D.P.P.-C.)
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
| | - Diana P. Pozuelo-Carrascosa
- Multidisciplinary Research Group in Care (IMCU), Universidad de Castilla-La Mancha, 45004 Toledo, Spain; (J.A.L.-A.); (J.M.C.-T.); (A.I.C.-C.); (D.P.P.-C.)
- Facultad de Fisioterapia y Enfermería de Toledo, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
| | - Cristian Álvarez
- Quality of Life and Wellness Research Group API4, Laboratory of Human Performance, Department of Physical Activity Sciences, Universidad de Los Lagos, Osorno 5290000, Chile
- Correspondence: ; Tel.: +56-9-82700720
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21
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Rodríguez-Muñoz PM, Carmona-Torres JM, Rodríguez-Borrego MA. Influence of tobacco, alcohol consumption, eating habits and physical activity in nursing students. Rev Lat Am Enfermagem 2020; 28:e3230. [PMID: 32022150 PMCID: PMC7000186 DOI: 10.1590/1518-8345.3198.3230] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [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: 12/18/2018] [Accepted: 09/16/2019] [Indexed: 01/10/2023] Open
Abstract
Objective: to determine the consumption of alcohol, tobacco, eating habits, and physical
activity among nursing students and to detect whether being a nursing
student is a protective factor against these habits. Method: a questionnaire was used to collect information on age, academic year, sex,
alcohol and tobacco consumption, physical activity, and healthy eating. An
information sheet and informed consent form were given. The sample was
composed of 264 students aged between 18-30 years from four academic years.
Results: of the total sample, 15.5% smoked, 83.7% consumed alcoholic beverages and
97.2% consumed over the weekend. The total of 68.6% did not practice
exercises and 70.5% needed changes in their diet. Conclusion: nursing students have high levels of alcohol consumption and low levels of
smoking compared with other studies. The higher the academic year, the lower
the age of onset of tobacco consumption. The number of men who exercised was
higher, which is considered a protective factor against alcohol and tobacco
consumption and is related to a healthy diet. Smoking has a negative
influence on diet. The students needed to change their diet. Finally, being
a nursing student is not considered a protective factor against alcohol and
tobacco consumption, nor having good eating habits and exercising.
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Affiliation(s)
- Pedro Manuel Rodríguez-Muñoz
- Universidad de Córdoba, Córdoba, Spain.,Instituto Maimónides de Investigación Biomédica de Córdoba, Córdoba, Spain.,Universidad Pontificia de Salamanca, Salamanca, Spain
| | - Juan Manuel Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba, Córdoba, Spain.,Universidad de Castilla-La Mancha, Toledo, Spain
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Debbia F, Rodríguez-Muñoz PM, Carmona-Torres JM, Hidalgo-Lopezosa P, Cobo-Cuenca AI, López-Soto PJ, Rodríguez-Borrego MA. Association between Physical Activity, Food Consumption and Depressive Symptoms Among Young Adults in Spain: Findings of a National Survey. Issues Ment Health Nurs 2020; 41:59-65. [PMID: 31868551 DOI: 10.1080/01612840.2019.1672223] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Young adults have a significant prevalence of mental disorders, which could lead to dysfunctional quality of life. Records of 1,645 Spanish adolescents were examined and multiple logistic regressions were performed. Being a woman, being older and having a sedentary life were all associated with a higher psychological vulnerability, whereas a low frequency of fresh fruit and bread/cereals consumption, as well as regular intense physical activity, were considered protective against such susceptibility. Regular physical activity and a diet with a high consumption of fruit and cereals may help reduce depressive symptoms, but sociodemographic features are as much as important as lifestyle habits.
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Affiliation(s)
- Fabio Debbia
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy
| | - Pedro Manuel Rodríguez-Muñoz
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Facultad de Ciencias de la Salud, Universidad Pontificia de Salamanca, Salamanca, Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla la Mancha, Ciudad Real, Spain
| | - Pedro Hidalgo-Lopezosa
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Department of Nursing, Universidad de Córdoba, Córdoba, Spain.,Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Ana Isabel Cobo-Cuenca
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Facultad de Fisioterapia y Enfermería, Universidad de Castilla la Mancha, Ciudad Real, Spain
| | - Pablo Jesús López-Soto
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Department of Nursing, Universidad de Córdoba, Córdoba, Spain.,Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Maria Aurora Rodríguez-Borrego
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córdoba, Cordoba, Spain.,Department of Nursing, Universidad de Córdoba, Córdoba, Spain.,Hospital Universitario Reina Sofía, Córdoba, Spain
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Romero-Gómez B, Guerrero-Alonso P, Carmona-Torres JM, Notario-Pacheco B, Cobo-Cuenca AI. Mood Disorders in Levothyroxine-Treated Hypothyroid Women. Int J Environ Res Public Health 2019; 16:ijerph16234776. [PMID: 31795239 PMCID: PMC6926863 DOI: 10.3390/ijerph16234776] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 11/26/2019] [Accepted: 11/27/2019] [Indexed: 02/07/2023]
Abstract
Background: Hypothyroidism has several symptoms (weight gain, arrhythmias, mood changes, etc.). The aims of this study were (1) to assess the prevalence of anxiety and depression in levothyroxine-treated hypothyroid women and in women without hypothyroidism; (2) to identify variables associated with anxiety and depression. Methods: A case-control study was performed with 393 women. Case-group: 153 levothyroxine-treated hypothyroid women. Control-group: 240 women without hypothyroidism. Convenience sampling. Instrument: The Hamilton Hospital Anxiety and Depression Scale (HADS), and a sociodemographic questionnaire. Results: The prevalence of anxiety in levothyroxine-treated hypothyroid women was higher than in women without hypothyroidism (29.4% vs. 16.7%, χ2 p < 0.001). The prevalence of depression in the case group was higher than in the control group (13.1% vs. 4.6%, χ2 p < 0.001). Levothyroxine-treated hypothyroid women were more likely to have anxiety (OR = 2.08, CI: 1.28-3.38) and depression (OR = 3.13, IC = 1.45-6.45). Conclusion: In spite of receiving treatment with levothyroxine, women with hypothyroidism are more likely to have depression and anxiety. Health professionals need to assess the mood of women with hypothyroidism. Although levothyroxine is a good treatment for the symptoms of hypothyroidism, it may not be enough to prevent development or persistence of depression and anxiety by itself.
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Affiliation(s)
- Benjamín Romero-Gómez
- Hospital El Tomillar de Sevilla, Servicio Andaluz de Salud (SAS), 41500 Alcalá de Guadaira, Spain;
| | | | - Juan Manuel Carmona-Torres
- Facultad de Fisioterapia y Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha, 45005 Toledo, Spain;
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla la Mancha, 45005 Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
- Correspondence: ; Tel./Fax: +34-925-268800 (ext. 5819)
| | - Blanca Notario-Pacheco
- Facultad de Enfermería de Cuenca, Universidad de Castilla la Mancha, 16071 Cuenca Toledo, Spain;
- Grupo de Investigación CESS, Universidad de Castilla la Mancha, 16071 Cuenca, Spain
| | - Ana Isabel Cobo-Cuenca
- Facultad de Fisioterapia y Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha, 45005 Toledo, Spain;
- Grupo de Investigación Multidisciplinar en Cuidados, Universidad de Castilla la Mancha, 45005 Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
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López-Soto PJ, Morales-Cané I, Fabbian F, Manfredini R, Dios-Guerra C, Carmona-Torres JM, Rodríguez-Borrego MA. Characteristics of the Spanish Older People in the Use of Accidents and Emergency Unit Services (2014-2017). Clin Nurs Res 2019; 30:406-414. [PMID: 31007041 DOI: 10.1177/1054773819843627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study was to determine which factors are related to Accidents and Emergency Unit (AEU) use by the elderly Spanish population. Observational analysis of the 2014 European Survey of Health in Spain (ESHS-2014; N = 6,520) and the 2017 Spanish Health Survey (SHS-2017; N = 7,024) was employed. About one third (4,095, 30.2%) of the sample used the AEU, and they were primarily women (32.6%). Comorbidity (p = .01), presence of physical limitation in the prior 6 months to the survey, and a history of several diseases (p < .001)-as in diabetes (p < .001), osteoarthritis (p < .001), and chronic bronchitis, emphysema, or chronic obstructive pulmonary disease (p < .001)-were associated with AEU visits in both surveys. Female sex and several cardiovascular diseases were only significant in the ESHS-2014. In the SHS-2017, depressive status was an independent risk factor. This epidemiological data allow a better understanding of the use of AEU, suggesting indications for the care process.
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Affiliation(s)
- Pablo J López-Soto
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Cordoba, Spain.,Reina Sofia University Hospital, Cordoba, Spain
| | - Ignacio Morales-Cané
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Cordoba, Spain.,Reina Sofia University Hospital, Cordoba, Spain
| | - Fabio Fabbian
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Ferrara, Italy
| | - Roberto Manfredini
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Ferrara, Italy
| | - Caridad Dios-Guerra
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Cordoba, Spain
| | - Juan Manuel Carmona-Torres
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Castilla-La Mancha, Ciudad Real, Spain
| | - María Aurora Rodríguez-Borrego
- Maimonides Biomedical Research Institute of Cordoba, Spain.,University of Cordoba, Spain.,Reina Sofia University Hospital, Cordoba, Spain
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López-Soto PJ, Morales-Cané I, Smolensky MH, Manfredini R, Dios-Guerra C, Rodríguez-Borrego MA, Carmona-Torres JM. Gender, socioeconomic, medical, and environmental factors related to domestic accidents of the elderly in Spain. Findings of a national survey. Women Health 2019; 59:985-996. [PMID: 30880631 DOI: 10.1080/03630242.2019.1587665] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Domestic accidents pose serious threats to the independence of the elderly. We explored associations between domestic accidents and gender, socioeconomic, medical, and environmental factors using data from the European Health Survey 2014 for elderly Spanish female and male nationals. Records of 5960 participants (mean age ± SD: 75.9 ± 7.6 years), 59.8% of whom were women, were examined. Domestic accidents occurred in 460 (7.1%) seniors, predominately in women (78.5%). Age (adjusted odds ratio [aOR]: 1.02 [95% confidence interval [CI]: 1.00-1.03, p = .003], female gender (aOR 2.04 [95% CI 1.60-2.60, p < .001]), difficulty managing 12 stairs (reference: none) (some: aOR 2.03 [95% CI 1.53-2.68, p < .001]; much: aOR 2.88 [95% CI 2.15-3.87, p < .001]; inability: aOR 3.09 [95% CI 2.14-4.45, p < .001]), and depressive symptoms severity (reference: absent) (mild: aOR 1.44 [95% CI 1.10-1.89, p = .008]; moderate: aOR 1.91 [95% CI 1.35-2.71, p < .001];. Very severe: aOR 2.53 [95% CI 1.72-3.71, p < .001]; extremely severe: aOR 2.38 [95% CI 1.45-3.93, p = .001]) were independently associated with domestic accidents. Severity of depressive symptoms was the most prominent feature for women, while inability to manage 12 stairs was the most prominent for men. Our results suggest important gender differences in factors associated with domestic accidents that are relevant to intervention and preventive programs.
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Affiliation(s)
- Pablo J López-Soto
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC) , Córdoba , Spain.,Department of Nursing, University of Cordoba , Córdoba , Spain
| | - Ignacio Morales-Cané
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC) , Córdoba , Spain.,Department of Nursing, University of Cordoba , Córdoba , Spain
| | - Michael H Smolensky
- Department of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin , Austin , TX , USA
| | - Roberto Manfredini
- Clinica Medica, Department of Medical Sciences, University of Ferrara , Ferrara , Italy
| | - Caridad Dios-Guerra
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC) , Córdoba , Spain.,Department of Nursing, University of Cordoba , Córdoba , Spain
| | - María Aurora Rodríguez-Borrego
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC) , Córdoba , Spain.,Department of Nursing, University of Cordoba , Córdoba , Spain.,Department of Nursing, Reina Sofia University Hospital , Córdoba , Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC) , Córdoba , Spain.,School of Nursing and Physiotherapy, University of Castilla-La Mancha (UCLM) , Ciudad Real , Spain
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Carmona-Torres JM, Cobo-Cuenca AI, Recio-Andrade B, Dios-Guerra C, Lopez-Soto PJ, Hidalgo-Lopezosa P, Rodríguez-Borrego MA. Health Professionals Who Suffer Intimate Partner Violence: A Descriptive, Multicenter, and Cross-Sectional Study. J Forensic Nurs 2019; 15:9-17. [PMID: 30789465 DOI: 10.1097/jfn.0000000000000231] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
OBJECTIVE The purpose of this study was to know who are the people who assist women, who work as a health professional in the Spanish Public Health System, when they suffer intimate partner violence (IPV). METHODS A descriptive, cross-sectional, multicenter study was conducted. The participants were female health professionals (N = 794) working within the Spanish Public Health System. The instrument used was Delgado, Aguar, Castellano, and Luna del Castillo's (2006) scale to measure ill-treatment of women. RESULTS Two hundred seventy women suffered IPV (34%). Of the female health professionals who suffered IPV, 25.9% had spoken with someone about the violence, most commonly talking to trusted people (24.3%), a psychologist (24.3%), health professionals (20%), and others (20%). Married female health professionals living with their current or last partner/husband, residing in an urban area, and with their own salary were least likely to speak about their problem. CONCLUSION Female health professionals who suffer IPV usually speak about this problem with trusted people instead of consulting a health professional, which may leave the problem in the private sphere. This can be because of victims not wanting to report the violence for fear of their intimate partner or wanting it to remain private. This may deprive the victims of the help they need. For this reason, the health services should establish screening for IPV not only for their patients but also for their workers.
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Affiliation(s)
| | | | | | - Caridad Dios-Guerra
- UGC Occidente, Distrito Sanitario Córdoba y Guadalquivir
- Universidad de Córdoba
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27
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López-Soto PJ, Fabbian F, Cappadona R, Zucchi B, Manfredini F, García-Arcos A, Carmona-Torres JM, Manfredini R, Rodríguez-Borrego MA. Chronotype, nursing activity, and gender: A systematic review. J Adv Nurs 2018; 75:734-748. [PMID: 30307057 DOI: 10.1111/jan.13876] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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: 02/21/2018] [Revised: 08/18/2018] [Accepted: 09/04/2018] [Indexed: 12/12/2022]
Abstract
AIM To synthesize evidence about the effect of individual circadian preference (chronotype) and gender in the development of sleep and mood problems in nursing professionals. BACKGROUND Shift workers are more prone to having unhealthy habits and unfavourable clinical conditions than nonshift workers. These associations are mediated by chronotype and gender differences have also been detected. DESIGN A quantitative systematic review. DATA SOURCES Electronic searches were performed in MEDLINE, Scopus, ScienceDirect, and Web of Science from 1 July 2012 - 1 July 2017. REVIEW METHODS A systematic review was conducted using the Cochrane Collaboration guidelines and two quality assessment tools: the National Heart, Lung and Blood Institute and GRADE. Inclusion criteria were quantitative studies where the sample consists entirely of nurses, analysing circadian rhythms or individual chronotype or gender and sleep/mood disturbances in nursing activity. The review was reported using the PRISMA statement. RESULTS A total of 23 studies were included in the review (five cohort studies and 18 cross-sectional studies). Data on gender-specific attention were scarce (two studies) and showed a higher incidence of sleep problems. Female nurses with eveningness-oriented personality seem to be more prone to having sleep disorders, insomnia, fatigue, and anxiety than male and morningness ones. CONCLUSIONS Evidence seems to show that female nurses with an evening-oriented preference suffer more problems of insomnia, sleepiness, fatigue, and anxiety. The impact of our results may affect nurses, patient safety and the quality of clinical practice.
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Affiliation(s)
- Pablo J López-Soto
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.,Faculty of Medicine and Nursing, University of Cordoba, Córdoba, Spain
| | - Fabio Fabbian
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy.,Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy
| | - Rosaria Cappadona
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy.,Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy
| | - Beatrice Zucchi
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy.,Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy
| | - Fabio Manfredini
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy
| | - Aurora García-Arcos
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.,Faculty of Medicine and Nursing, University of Cordoba, Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.,University of Castilla-La Mancha (UCLM), E.U. Enfermería y Fisioterapia de Toledo, Toledo, Spain
| | - Roberto Manfredini
- Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, Ferrara, Italy.,Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy
| | - María Aurora Rodríguez-Borrego
- Department of Nursing, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.,Faculty of Medicine and Nursing, University of Cordoba, Córdoba, Spain.,Reina Sofia University Hospital, Córdoba, Spain
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Cobo-Cuenca AI, Martín-Espinosa NM, Rodríguez-Borrego MA, Carmona-Torres JM. Determinants of satisfaction with life and self-esteem in women with breast cancer. Qual Life Res 2018; 28:379-387. [DOI: 10.1007/s11136-018-2017-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/27/2018] [Indexed: 12/20/2022]
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Cobo-Cuenca AI, Martín-Espinosa NM, Sampietro-Crespo A, Rodríguez-Borrego MA, Carmona-Torres JM. Sexual dysfunction in Spanish women with breast cancer. PLoS One 2018; 13:e0203151. [PMID: 30169506 PMCID: PMC6118366 DOI: 10.1371/journal.pone.0203151] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 08/15/2018] [Indexed: 12/15/2022] Open
Abstract
Purpose To determine whether there are changes in sexuality after breast cancer, to better understand the sexual function of women with breast cancer, and to investigate the potential relationship between sexual dysfunction and socio-demographic and clinical variables. Methods A cross-sectional study. This study included 514 women with breast cancer between 21- and 66-years-old. The cases were gathered between June 2016 and January 2017. The instruments used were the questionnaire on Women’s Sexual Function and a questionnaire to collect socio-demographic and clinical data. Results The average age (± standard deviation, SD) of participants was 46.34 ± 8.28 years. Their average age at date of diagnosis was 42.26 ± 8.56 years, and the average time suffering from cancer was 4.05 ± 5.23 years. There were significant differences (p = 0.002) in the presence of sexual dysfunction before (32.1%) and after (91.2%) cancer. The primary sexual dysfunctions were due to penetration pain (50.6%), lubrication (50.6%), dysfunctional desire (44.6%), and dysfunctional excitement (44.6%). Two-thirds of participants were satisfied with their sexual relations. The women who presented most sexual dysfunction were those that had a bilateral mastectomy (p = 0.009) and those who received chemotherapy, radiotherapy and hormonal-therapy (p < 0.001). Conclusion Sexual function was changed in women with breast cancer. The main problems included penetration pain, desire, lubrication, and dysfunctional excitement. It is important that Health professionals recognize which circumstances influence the sexual function of women with breast cancer and to make interventions that facilitate sexual adjustment.
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Affiliation(s)
- Ana Isabel Cobo-Cuenca
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, E.U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha (UCLM), Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- * E-mail:
| | - Noelia María Martín-Espinosa
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, E.U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha (UCLM), Toledo, Spain
| | | | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
- Departamento de Enfermería, Facultad de Medicina y Enfermería, Universidad de Córdoba, Córdoba, Spain
- Hospital Universitario Reina Sofía de Córdoba, Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, E.U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha (UCLM), Toledo, Spain
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
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Abstract
AIMS To determine what social support is available in Spain to people over 65 who also dedicate hours of their time to the care of others who are older. BACKGROUND Demographic and social changes are leading to growth of the population. The social support available to older people in the final stage of life affects their health. METHODS A cross-sectional study was conducted involving the records of older, non-institutionalized individuals residing in Spain, obtained from the European Health Survey of 2014. The method of collecting information used in the European Survey was personal interviews assisted by a computer. RESULTS The records of 6520 older people were studied; 40.1% of the participants studied had expressed the possibility of having three to five people available in case of a serious problem, and 83.6% reported that the rest of the people around them were very interested in what happens to them. With respect to care, only 7% of the older people studied mentioned performing care tasks. CONCLUSIONS Social support is beneficial to older people, regardless of whether they perform care tasks, because it acts as a protective factor against problems such as loneliness, stress and depression. The profile of a primary caregiver in this age range is a married, middle-class woman with primary schooling who is caring for a first-degree relative. IMPLICATIONS FOR NURSING AND HEALTH POLICY These data suggest that it is necessary for nurses to know about the needs of older people to implement societal measures of health promotion, prevention and education that favour social cohort. In addition, health policymakers should establish programmes that improve the social support of non-institutionalized older people.
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Affiliation(s)
- E López-Cerdá
- Universidad de Córdoba (UCO).,Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC).,Hospital Universitario Reina Sofía de Córdoba (HURS)
| | - J M Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC).,Universidad de Castilla la Mancha (UCLM), E.U. Enfermería y Fisioterapia de Toledo
| | - M A Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC).,Hospital Universitario Reina Sofía de Córdoba (HURS).,Facultad de Medicina y Enfermería, Universidad de Córdoba (UCO)
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Laredo-Aguilera JA, Carmona-Torres JM, García-Pinillos F, Latorre-Román PÁ. Effects of a 10-week functional training programme on pain, mood state, depression, and sleep in healthy older adults. Psychogeriatrics 2018; 18:292-298. [PMID: 30133938 DOI: 10.1111/psyg.12323] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 10/19/2017] [Accepted: 02/03/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND The purpose of this study was to analyze the effects of a 10-week functional training (FT) programme on pain, mood state, sleep, and depression in healthy older adults. METHOD A group of 38 older adults (32 women, 6 men) voluntarily participated in this study. Participants were randomly assigned to either the experimental group (n = 20; age: 75.44 ± 5.31 years) or the control group (n = 18: age: 76.35 ± 6.45 years). Pain, depression, mood state, and sleep were tested before and after FT. RESULTS After the treatment, the experimental group experienced significant improvements in geriatric depression (P < 0.001), vigour (P = 0.044), fatigue (P = 0.002), depression (P = 0.005), and hypersomnia (P = 0.014), whereas the control group experienced significant deterioration in geriatric depression (P = 0.003), pain (P < 0.001), vigour (P = 0.011), depression (P = 0.009), and hypersomnia (P = 0.018). In addition, the experimental group showed an iceberg profile of mood; the control group did not show this profile. CONCLUSION Ten-week FT improved mood state, depression, and sleep in healthy older adults. Therefore, FT exercises may be recommended for the prevention and treatment of insomnia, depression, and alterations in mood state.
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Affiliation(s)
- José Alberto Laredo-Aguilera
- Center for University Studies, Talavera de la Reina, University of Castilla-La Mancha, Talavera de la Reina, Spain
| | | | - Felipe García-Pinillos
- Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, Chile
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Carmona-Torres JM, Cobo-Cuenca AI, Recio-Andrade B, Laredo-Aguilera JA, Martins MM, Rodríguez-Borrego MA. Prevalence and factors associated with polypharmacy in the older people: 2006-2014. J Clin Nurs 2018; 27:2942-2952. [PMID: 29603814 DOI: 10.1111/jocn.14371] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2018] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES To analyse the prevalence, risk factors and evolution over time of polypharmacy and self-medication in the older people in Spain from 2006-2014. BACKGROUND Polypharmacy is a public health problem for older people worldwide which causes different negative effects on their health, increasing health costs and pharmaceutical spending. However, previous studies do not include nationally representative samples and none of them provide updated data. DESIGN Cross-sectional study with community-dwelling older adults (N = 26,277) who participated in the National Health Survey in Spain in 2006 and 2011/2012 and the European Health Survey in Spain in 2009 and 2014. METHODS Polypharmacy (defined as use of five or more medications in the last 2 weeks), excessive polypharmacy (defined as use of ten or more medications in the last 2 weeks) and self-medication (defined as use of medications without a prescription) were evaluated. A logistic regression was used for to know the association between polypharmacy and self-medication with the sociodemographic characteristic. RESULTS The participants were 62% female and 38% male. The mean medication consumption was 2.96 (SD ± 2.11). Prevalence of polypharmacy was present in 21.9%, prevalence of excessive polypharmacy was 0.6%, and prevalence of self-medication was 10.7%. The most commonly used medications were for blood pressure (51.6%), pain (42.8%) and cholesterol (28.2%). Polypharmacy is associated with sex (females), age, being separated/divorced/widowed, lack of education, higher body mass index, being bedridden during the last 2 weeks and self-medication. CONCLUSIONS The prevalence of polypharmacy and prevalence of self-medication are considerable, and they increased significantly from 2006-2014. RELEVANCE TO CLINICAL PRACTICE To deal with polypharmacy is a big challenge for nurses. These data suggest to establish innovative clinical strategies in which the health professionals and the patients are involved to improve the personal behaviour with medicines and to reduce the risks and costs of polypharmacy and self-medication.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- E. U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla-La Mancha, Toledo, Spain.,Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
| | - Ana Isabel Cobo-Cuenca
- E. U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla-La Mancha, Toledo, Spain.,Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain
| | | | - José Alberto Laredo-Aguilera
- Facultad de Terapia Ocupacional, Logopedia y Enfermería de Talavera de la Reina, Universidad de Castilla-La Mancha, Talavera de la Reina, Spain
| | - María Manuela Martins
- Escola de Enfermagem do Porto/ICBAS, UP - Grupo de Investigação - NursID: Inovação e Desenvolvimento em Enfermagem, CINTESIS - center for health technology and services research - FMUP, Porto, Portugal
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.,Facultad de Medicina y Enfermería, Universidad de Córdoba, Córdoba, Spain.,Hospital Universitario Reina Sofía, Córdoba, Spain
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Carmona-Torres JM, Recio-Andrade B, Rodríguez-Borrego MA. Violence committed by intimate partners of physicians, nurses and nursing assistants. Int Nurs Rev 2018; 65:441-449. [PMID: 29480550 DOI: 10.1111/inr.12433] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIM To estimate the prevalence of intimate partner abuse in physicians, nurses and nursing assistants and risk factors in the Spanish Health Service. BACKGROUND In Spain, the national public health service is the most likely point of primary care access for victims of intimate partner violence. However, health professionals are also victims of violence by their intimate partner. Little research has been undertaken exploring the prevalence and risk factors of this abuse in health professionals. METHODS A cross-sectional multicenter study in professionals of both sexes who were working in the Spanish Public Health Service was performed. The health professionals completed an online survey of intimate violence abuse: for women, the screening of abuse against women by an intimate partner, and for men, the domestic violence screening tool in a family setting. A descriptive and comparative analysis was performed. RESULTS The sample consisted of 1071 professionals: 49.9% were physicians, 46.9% were nurses and 3.3% were nursing assistants. Of the participants, 26.6% had experienced some form of abuse, and 73.3% of the abused professionals had not spoken of their experience of abuse with anyone else. CONCLUSION Men experienced a lower incidence of intimate partner violence than women. In fact, 34% of the female participants were in an abusive relationship, which is a higher percentage than that observed in studies of the general Spanish female population (11.7%). It appears that being female and a nurse are risk factors for abuse. IMPLICATIONS FOR NURSING AND HEALTH POLICY These data suggest the urgent implementation of action plans for the provision of support for the victims and for interventions aimed at reducing the problem. Better training and awareness-raising programmes that improve the detection of intimate partner violence and the care of its victims are also necessary.
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Affiliation(s)
- J M Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.,E. U. Enfermería y Fisioterapia de Toledo, Universidad de Castilla la Mancha (UCLM), Toledo, Toledo, Spain
| | | | - M A Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.,Departamento de Enfermería, Facultad de Medicina y Enfermería, Universidad de Córdoba (UCO), Córdoba, Spain.,Hospital Universitario Reina Sofía de Córdoba (HURS), Córdoba, Spain
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Carmona-Torres JM, López-Soto PJ, Coimbra-Roca AI, Gálvez-Rioja RM, Goergen T, Rodríguez-Borrego MA. Elder Abuse in a Developing Area in Bolivia. J Interpers Violence 2018; 33:339-356. [PMID: 26442955 DOI: 10.1177/0886260515608803] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
In many parts of the world, elder abuse happens almost unnoticed. Until recently, this serious social problem was hidden from public view and was regarded as an essentially private matter. However, there is growing evidence that elder abuse is an important problem of public health and in the society. The objective of this study is to determine the degree of abuse of elder and vulnerable people in the families and communities of Eastern Bolivia. With this end in mind, we conducted a cross-sectional descriptive study with a sample size of 210 60-year-old people coming from different health care areas. Elder Abuse Suspicion Index (EASI) and Yaffe's Evaluation Form of Social Work were used. An abuse rate of 39% of the older adults was identified. The most common type of abuse observed was psychological abuse (32.4% of cases), followed by neglect (21.9%). Children were identified as triggers of the abuse in 66.7% of cases of abuse. The prevalence of elder abuse was similar to the prevalence of other types of abuse that exist in Bolivia, such as the gender-based abuse. Also, this prevalence is comparable to other developing countries and European countries. The profile of abused older adult is as follows: woman, widow, 70 years old, incomplete primary education, without an occupation, and an average of 4.59 children. The information obtained shows that dysfunctional families have a higher percentage of elder abuse.
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Carmona-Torres JM, Recio-Andrade B, Rodríguez-Borrego MA. Intimate partner violence among health professionals: distribution by autonomous communities in Spain. Rev Esc Enferm USP 2017; 51:e03256. [DOI: 10.1590/s1980-220x2016049803256] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2017] [Accepted: 05/04/2017] [Indexed: 11/21/2022] Open
Abstract
Abstract OBJECTIVE To determine the prevalence of intimate partner violence among health care professionals who work in the Spanish National Health System, according to the autonomous communities of Spain. METHOD This was a descriptive cross-sectional multicenter study conducted with male and female health professionals (doctors, nurses, and nursing aides) in the different autonomous communities that are part of the Spanish National Health System. The following instruments were employed: among women, an intimate partner violence screening questionnaire; and among men, a questionnaire that screened for violence in the family environment. RESULTS A total of 1,039 health professionals participated in the study. Of these, 26% had suffered some type of abuse. Among the men, this prevalence was 2.7%, while among the women, it was 33.8%. There were differences in the prevalence of intimate partner violence among different autonomous communities, with the highest percentages in the Canary Islands. In terms of profession, 19.5% of the doctors had been exposed to intimate partner violence, while this percentage was 31% and 48.6% for nurses and nursing professionals, respectively. CONCLUSION The results indicate the presence of intimate partner violence among healthcare personnel in most of the autonomous communities of Spain. The data demonstrate the need to implement action plans, both to support victims and to mitigate the problem.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba, Spain; Universidad de Castilla la Mancha, Spain
| | | | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba, Spain; Universidad de Córdoba, Spain; Hospital Universitario Reina Sofía de Córdoba, Spain
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Dios-Guerra C, Carmona-Torres JM, López-Soto PJ, Morales-Cané I, Rodríguez-Borrego MA. Prevalence and factors associated with influenza vaccination of persons over 65 years old in Spain (2009-2014). Vaccine 2017; 35:7095-7100. [PMID: 29122385 DOI: 10.1016/j.vaccine.2017.10.086] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2017] [Revised: 10/27/2017] [Accepted: 10/30/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Influenza is a major public health problem. Achieving 65% coverage in people over 65 years old is a health policy priority in Spain. OBJECTIVE To determine the coverage of influenza vaccination in Spain in 2014 for people over 65 years and to analyze the factors associated with coverage and its progression between 2009 and 2014. METHODS A descriptive cross-sectional study was conducted that included 18,442 non-institutionalized individuals over 65 years who had participated in the National Health Survey in Spain in 2011 and in the European Health Survey in Spain in 2009 and 2014. Socio-demographic variables, health variables, and influenza vaccination data were used. A logistic regression analysis was performed to determine the variables associated with anti-influenza vaccination. RESULTS Influenza vaccination coverage has declined from 2009 (74.5%) to 2014 (57.4%). There are significant differences in the vaccination coverage among the different Spanish autonomous communities in the different years studied. Influenza vaccination was associated with males, low social class, and low level of education. There is greater participation in other preventive measures, such as assessing blood pressure, blood glucose, and cholesterol, than in influenza vaccination. CONCLUSIONS Fewer people over 65 years old than recommended by the WHO participated in the influenza vaccination campaign in Spain in 2014. This coverage declined progressively from 2009 to 2014.
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Affiliation(s)
- Caridad Dios-Guerra
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; UGC Occidente, Distrito Sanitario Córdoba y Guadalquivir, Córdoba, Spain
| | - Juan Manuel Carmona-Torres
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Universidad de Castilla-La Mancha (UCLM), E. U. Enfermería y Fisioterapia de Toledo, Toledo, Spain.
| | - Pablo Jesús López-Soto
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
| | - Ignacio Morales-Cané
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
| | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain; Departamento de Enfermería, Universidad de Córdoba, Córdoba, Spain; Hospital Universitario Reina Sofía, Córdoba, Spain
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Carmona-Torres JM, Carvalhal-Silva RM, Viera-Mendes MH, Recio-Andrade B, Goergen T, Rodríguez-Borrego MA. Elder abuse within the family environment in the Azores Islands. Rev Lat Am Enfermagem 2017. [PMCID: PMC5614239 DOI: 10.1590/1518-8345.1871.2932] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objectives: to dimension abuse against vulnerable adults within the family and community
environment in the Azores Islands, identify risk factors for abuse and describe
the profile of an abused elder. Method: descriptive cross-sectional study. Random sampling. The instruments used were:
clinical histories of the users, Mini-Mental State Examination, Index of
Independence in Basic Activities of Daily Living, Family APGAR Scale, Elder Abuse
Suspicion Index and Social Work Assessment Form. Descriptive statistical analysis
was used for qualitative and quantitative variables and multiple logistic
regression was used to identify factors associated with elder mistreatment. Results: abuse suspicion was identified in 24.5% of elderly participants. Psychological
abuse was the most common type of abuse and sons were the main abusers. Conclusion: being a woman and belonging to a dysfunctional family is associated with an
increased risk of becoming a victim of abuse; the high level of domestic violence
against the elderly in the Azores Islands is in line with the rest of
Portugal.
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Carmona-Torres JM, Cobo-Cuenca AI, Martín-Espinosa NM, Piriz-Campos RM, Laredo-Aguilera JA, Rodríguez-Borrego MA. [Prevalence in the performance of mammographies in Spain: Analysis by Communities 2006-2014 and influencing factors]. Aten Primaria 2017; 50:228-237. [PMID: 28732722 PMCID: PMC6836949 DOI: 10.1016/j.aprim.2017.03.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Revised: 02/27/2017] [Accepted: 03/08/2017] [Indexed: 11/26/2022] Open
Abstract
Objetivo Conocer la frecuencia de la realización de mamografías con finalidad preventiva del cribado de cáncer de mama en mujeres en España, su evolución entre los años 2006-2014, el perfil sociodemográfico de las mujeres que se realizan la mamografía y analizar los factores que influyen en su adhesión. Diseño Estudio descriptivo de tipo transversal. Emplazamiento España. Participantes Un total de 53.628 mujeres mayores de 15 años encuestadas en la Encuesta Nacional de Salud en España de 2006 y 2011/12 y la Encuesta Europea de Salud en España de 2009 y 2014. Mediciones Se utilizaron las variables: realización de mamografía, frecuencia de realización de mamografías y motivo de realización, además de las variables sociodemográficas. La clase social se obtuvo a partir de la última ocupación del sustentador principal de la unidad familiar. Se realizó un análisis de regresión logística con las variables sociodemográficas. Resultados La realización de mamografías ha ido en aumento desde 2006 a 2014, y su realización se ha incrementado por el hecho de que las participantes hayan recibido una carta, hayan sido llamadas por teléfono o se les haya dicho en su centro de salud si querían hacerse esta prueba. Existen diferencias significativas en la realización de mamografías en las diferentes comunidades autónomas. Conclusiones La realización de las mamografías ha aumentado considerablemente de 2006 a 2014, aunque siguen existiendo diferencias entre comunidades autónomas, siendo Ceuta y Melilla donde los porcentajes son más bajos. Los factores que se relacionan con mayor realización de mamografías son: mayor nivel educativo, mayor clase social, estado civil casada, nacionalidad española y edad.
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Affiliation(s)
- Juan Manuel Carmona-Torres
- Universidad de Castilla-La Mancha (UCLM), E.U. Enfermería y Fisioterapia de Toledo, Toledo, España; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España
| | - Ana Isabel Cobo-Cuenca
- Universidad de Castilla-La Mancha (UCLM), E.U. Enfermería y Fisioterapia de Toledo, Toledo, España; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España.
| | | | - Rosa María Piriz-Campos
- Universidad de Castilla-La Mancha (UCLM), E.U. Enfermería y Fisioterapia de Toledo, Toledo, España
| | | | - María Aurora Rodríguez-Borrego
- Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, España; Universidad de Córdoba, Córdoba, España; Hospital Universitario Reina Sofía, Córdoba, España
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Dios-Guerra C, Carmona-Torres JM, Ruíz-Gándara Á, Muñoz-Alonso A, Rodríguez-Borrego MA. Programmed home visits by nursing professionals to older adults: prevention or treatment? Rev Lat Am Enfermagem 2017; 23:535-42. [PMID: 26312638 PMCID: PMC4547078 DOI: 10.1590/0104-1169.0338.2585] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 07/29/2014] [Accepted: 02/23/2015] [Indexed: 11/21/2022] Open
Abstract
OBJETIVOS: conocer la repercusión de la visita domiciliaria de los profesionales en
enfermería a personas de 65 años o más, pluripatológicas, en morbimortalidad. MÉTODO: estudio retrospectivo caso-control por auditoria de historias clínicas. Muestreo
aleatorio. Variables principales morbilidad, mortalidad; descriptivas: visitas de
la enfermera, filiación, datos clínicos y socio sanitarios. Análisis por medidas
de tendencia central, dispersión, posición, tabulación, frecuencias relativas,
absolutas; no paramétricas, contrastes χ2; Wilcoxon-Mann-Whitney. RESULTADOS: se estudiaron a 1743 pacientes, de ellos 199 recibieron visita domiciliaria; la
edad media de quien recibe visita es de 81,99 años; estos presentan mayor número
de patologías de media 3,76; habitan en domicilio particular, si bien en conjunto
presentan más institucionalización que los controles; el 50% no tiene identificado
el Cuidador Principal; es mayor el número de visitas de las enfermeras a los
pacientes que viven en residencias (p < 0,001). El 50% de casos no tiene plan
de cuidados, con relación significativa (p < 0,001). No existen diferencias
significativas en tiempo de vida entre los casos y los controles. CONCLUSIÓN: la visita domiciliaria del profesional en enfermería no repercute en la
morbimortalidad; visita a los pacientes cuando ya ha aparecido el problema de
salud, no hay datos de prevención.
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Affiliation(s)
- Caridad Dios-Guerra
- Departamento de Enfermería, Facultad de Medicina y Enfermería, Universidad de Córdoba, Córdoba, Andalucía, ES
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