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Parás-Bravo P, Fernández-de-Las-Peñas C, Ferrer-Pargada D, Druet-Toquero P, Fernández-Cacho LM, Cifrián-Martínez JM, Arendt-Nielsen L, Herrero-Montes M. Evaluating Sensitization-associated, Neuropathic-like Symptoms and Psychological Factors in Patients With Interstitial Lung Disease. J Pain 2024:104533. [PMID: 38593969 DOI: 10.1016/j.jpain.2024.104533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 04/04/2024] [Accepted: 04/04/2024] [Indexed: 04/11/2024]
Abstract
The aims of this study were to phenotype pain in patients with interstitial lung disease (ILD) by investigating the association between sensitization-associated symptoms with quality of life, anxiety/depression, pain catastrophizing, and kinesiophobia levels and identifying those risk factors explaining the variance of quality of life in individuals with ILD and pain. One hundred and thirty-two (38.6% women, mean age: 70, standard deviation: 10.5 years) patients with ILD completed clinical (age, sex, height, weight), psychological (Hospital Anxiety and Depression Scale [HADS] and the Pittsburgh Sleep Quality Index), and health-related quality of life (EQ-5D-5L) variables, as well as the Central Sensitization Inventory (CSI), the Self-Report Leeds Assessment of Neuropathic Symptoms (S-LANSS), Pain Catastrophizing Scale, and Tampa Scale for Kinesiophobia (TSK-11) questionnaires. The prevalence of sensitization-associated symptomatology (CSI), neuropathic-like features (S-LANSS), anxiety symptoms, depressive symptoms, or poor sleep was 20.5%, 23.5%, 23.6%, 22.9%, or 51.6%. Significant associations between CSI, S-LANSS, HADS-A, HADS-D, Pain Catastrophizing Scale, TSK-11, and EQ-5D-5L (.220 < r < .716) were found. The regression analysis revealed that CSI, TSK-11, and HADS-D explained 44.8% of the variance of EQ-5D-5L (r2 adjusted: .448). This study found the presence of sensitization-associated and neuropathic-like symptoms as well as other central nervous system-derived symptoms, such as anxiety, depression, poor sleep, pain catastrophizing, and kinesiophobia in 25% of ILD patients with pain. Sensitization-associated symptoms, depression, and kinesiophobia were associated with a worse quality of life. These findings would support that individuals with ILD can exhibit different pain phenotypes, including nociplastic-like pain phenotype based on self-reported measurements. PERSPECTIVE: Pain in patients with ILD can fulfill features of different phenotypes, including nociplastic pain, when sensory, emotional, and cognitive mechanisms are involved at the same time.
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Affiliation(s)
- Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain; Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid, Spain; Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Cantabria, Spain
| | | | | | | | - Lars Arendt-Nielsen
- Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark; Department of Gastroenterology & Hepatology, Mech-Sense, Clinical Institute, Aalborg University Hospital, Aalborg, Denmark; Steno Diabetes Center North Denmark, Clinical Institute, Aalborg University Hospital, Aalborg, Denmark
| | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain; Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain
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Parás-Bravo P, Fernández-de-Las-Peñas C, Ferrer-Pargada D, Izquierdo-Cuervo S, Herrero-Montes M. Prevalence of post-COVID symptoms one-year after SARS-CoV-2 infection in patients with interstitial lung disease. Eur J Intern Med 2024:S0953-6205(24)00045-1. [PMID: 38326148 DOI: 10.1016/j.ejim.2024.01.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Revised: 01/24/2024] [Accepted: 01/30/2024] [Indexed: 02/09/2024]
Affiliation(s)
- Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain; Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain
| | - César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid. Spain.
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Cantabria, Spain
| | | | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain; Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Spain
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Herrero-Montes M, Parás-Bravo P, Ferrer-Pargada D, Fernández-de-las-Peñas C, Fernández-Cacho LM, Palacios-Ceña D. Coping with the hospital environment during the COVID-19 pandemic: A qualitative study of the survivors' perspective during their stay at the ICU and inpatient ward. Heliyon 2024; 10:e24661. [PMID: 38298692 PMCID: PMC10828673 DOI: 10.1016/j.heliyon.2024.e24661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 12/18/2023] [Accepted: 01/11/2024] [Indexed: 02/02/2024] Open
Abstract
The COVID-19 pandemic has significantly affected the clinical practice of healthcare professionals. This study aimed to explore the perspectives of COVID-19 survivors regarding the healthcare they received during their stay in the Intensive Care Unit (ICU) and the inpatient COVID-19 ward. A qualitative case-study approach was implemented. Participants were recruited using non-probabilistic purposeful sampling strategy. Inclusion criteria included patients aged ≥18 years who received follow-up from the Pulmonology service at a Hospital in de North of Spain, were diagnosed with COVID-19 and bilateral pneumonia, and were admitted to the ICU before being transferred to a COVID-19 inpatient ward. Data was collected through in-depth interviews and researchers' field notes, and thematic analysis was performed. Techniques such as credibility, transferability, dependability, and confirmability were employed to ensure the trustworthiness of the data. A total of 25 individuals (six women) were included in the study. Three main themes emerged from the analysis: common challenges faced in both units, coping with the hospital stay, and developing strategies. Findings highlighted the need to improve information dissemination, individualize care, and enhance direct patient interaction. Moreover, the study shed light on the psychological impact of hospitalization and ICU experience, including feelings of loneliness, confinement, and the lack of memories from the ICU stay, as well as the influence of care and healthcare language. Finally, strategies such as keeping the mind occupied and maintaining self-discipline were identified as crucial during hospitalization. These findings provide valuable insights for healthcare professionals in delivering care to individuals with COVID-19 in the ICU and hospital ward settings.
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Affiliation(s)
- Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria. Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Santander, Spain
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria. Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Santander, Spain
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - César Fernández-de-las-Peñas
- Research Group of Manual Therapy, Dry Needling and Therapeutic Exercise (GITM-URJC), Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
| | | | - Domingo Palacios-Ceña
- Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
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Fradejas-Sastre V, Parás-Bravo P, Herrero-Montes M, Paz-Zulueta M, Boixadera-Planas E, Fernández-Cacho LM, Veiga-Fernández G, Arnáiz-García ME, De-la-Torre-Hernández JM. Surgical vs. transcatheter aortic valve replacement in patients over 75 years with aortic stenosis: sociodemographic profile, clinical characteristics, quality of life and functionality. PeerJ 2023; 11:e16102. [PMID: 37780383 PMCID: PMC10538279 DOI: 10.7717/peerj.16102] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 08/25/2023] [Indexed: 10/03/2023] Open
Abstract
Background Aortic valve stenosis (AVS) affects 25% of the population over 65 years. At present, there is no curative medical treatment for AVS and therefore the surgical approach, consisting of transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR), is the treatment of choice. Methodology The aim of this study was to analyze the sociodemographic and clinical characteristics, quality of life and functionality of a sample of patients with AVS over 75 years of age, who underwent TAVR or SAVR, applying standard clinical practice. A prospective multicenter observational study was conducted in two hospitals of the Spanish National Health System. Data were collected at baseline, 1, 6 months and 1 year. Results In total, 227 participants were included, with a mean age of 80.6 [SD 4.1]. Statistically significant differences were found in terms of quality of life, which was higher at 1 year in patients who underwent SAVR. In terms of functionality, SAVR patients obtained a better score (p < 0.01). However, patients who underwent TAVR began with a worse baseline situation and managed to increase their quality of life and functionality after 1 year of follow-up. Conclusion The individualized choice of TAVR or SAVR in patients with AVS improves patients' quality of life and function. Moreover, the TAVR procedure in patients with a worse baseline situation and a high surgical risk achieved a similar increase in quality of life and functionality compared to patients undergoing SAVR with a better baseline situation.
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Affiliation(s)
- Víctor Fradejas-Sastre
- Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain
- Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqués de Valdecilla, Spain, Santander, Cantabria, Spain
- Research Group in Cardiovascular, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
| | - Paula Parás-Bravo
- Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain
- Nursing Research Group, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
| | - Manuel Herrero-Montes
- Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain
- Nursing Research Group, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
| | - María Paz-Zulueta
- Nursing Department, Universidad de Cantabria, Santander, Cantabria, Spain
- Research Group in Health Law and Bioethics, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
| | - Ester Boixadera-Planas
- Servei d’Estadística Aplicada, Universidad Autonoma de Barcelona, Barcelona, Cataluña, Spain
| | | | - Gabriela Veiga-Fernández
- Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqués de Valdecilla, Spain, Santander, Cantabria, Spain
- Research Group in Cardiovascular, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
| | - Maria Elena Arnáiz-García
- Cardiac Surgery Service, Hospital Universitario de Salamanca, Spain, Salamanca, Castilla y Leon, Spain
| | - Jose María De-la-Torre-Hernández
- Interventional Cardiology and Hemodynamics Unit, Hospital Universitario Marqués de Valdecilla, Spain, Santander, Cantabria, Spain
- Research Group in Cardiovascular, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain
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Fernández-de-las-Peñas C, Valera-Calero JA, Herrero-Montes M, del-Valle-Loarte P, Rodríguez-Rosado R, Ferrer-Pargada D, Arendt-Nielsen L, Parás-Bravo P. The Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) and PainDETECT Questionnaires in COVID-19 Survivors with Post-COVID Pain. Viruses 2022; 14:v14071486. [PMID: 35891466 PMCID: PMC9324682 DOI: 10.3390/v14071486] [Citation(s) in RCA: 2] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 06/30/2022] [Accepted: 07/05/2022] [Indexed: 12/11/2022] Open
Abstract
This study aimed to analyze correlations between Self-Report Leeds Assessment of Neuropathic Symptoms (S-LANSS) and PainDETECT with proxies of sensitization, pain-related, or psychological/cognitive variables in coronavirus disease, 2019 (COVID-19) survivors exhibiting post-COVID pain. Demographic, clinical, psychological, cognitive, sensitization-associated symptoms, and health-related quality of life were collected in 146 survivors with post-COVID pain. The PainDETECT and S-LANSS questionnaires were used for assessing neuropathic pain-related symptoms. Patients were assessed with a mean of 18.8 (SD 1.8) months after hospitalization. Both questionnaires were positively associated with pain intensity (p < 0.05), anxiety (PainDETECT p < 0.05; S-LANSS p < 0.01), sensitization-associated symptoms (p < 0.01), catastrophism (p < 0.01), and kinesiophobia (p < 0.01) and negatively associated with quality of life (PainDETECT p < 0.05; S-LANSS p < 0.01). Depressive levels were associated with S-LANSS (p < 0.05) but not with PainDETECT. The stepwise regression analyses revealed that 47.2% of S-LANSS was explained by PainDETECT (44.6%), post-COVID pain symptoms duration (1.7%), and weight (1.1%), whereas 51.2% of PainDETECT was explained by S-LANSS (44.6%), sensitization-associated symptoms (5.4%), and anxiety levels (1.2%). A good convergent association between S-LANSS and PainDETECT was found. Additionally, S-LANSS was associated with symptom duration and weight whereas PainDETECT was associated with sensitization-associated symptoms and anxiety levels, suggesting that the two questionnaires evaluate different aspects of the neuropathic pain spectrum in post-COVID pain patients.
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Affiliation(s)
- César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, 28922 Madrid, Spain;
- Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, DK-9220 Aalborg, Denmark;
| | - Juan Antonio Valera-Calero
- Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, 28692 Villanueva de la Cañada, Spain
- VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Camilo Jose Cela University, 28692 Villanueva de la Cañada, Spain
- Correspondence:
| | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, 39008 Santander, Spain; (M.H.-M.); (P.P.-B.)
- Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), 39011 Santander, Spain
| | - Pablo del-Valle-Loarte
- Department of Internal Medicine, Hospital Universitario Severo Ochoa, 28911 Leganes, Spain; (P.d.-V.-L.); (R.R.-R.)
| | - Rafael Rodríguez-Rosado
- Department of Internal Medicine, Hospital Universitario Severo Ochoa, 28911 Leganes, Spain; (P.d.-V.-L.); (R.R.-R.)
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain;
| | - Lars Arendt-Nielsen
- Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, DK-9220 Aalborg, Denmark;
- Department of Medical Gastroenterology, Mech-Sense, Aalborg University Hospital, DK-9000 Aalborg, Denmark
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, 39008 Santander, Spain; (M.H.-M.); (P.P.-B.)
- Grupo de Investigación en Enfermería, Instituto de Investigación Sanitaria Valdecilla (IDIVAL), 39011 Santander, Spain
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Pellico-López A, Fernández-Feito A, Cantarero D, Herrero-Montes M, Cayón-de Las Cuevas J, Parás-Bravo P, Paz-Zulueta M. Cost of stay and characteristics of patients with stroke and delayed discharge for non-clinical reasons. Sci Rep 2022; 12:10854. [PMID: 35760829 PMCID: PMC9237047 DOI: 10.1038/s41598-022-14502-5] [Citation(s) in RCA: 5] [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: 11/09/2021] [Accepted: 06/08/2022] [Indexed: 12/04/2022] Open
Abstract
Delayed discharge for non-clinical reasons (bed-blocking) is characteristic of pathologies associated with ageing, loss of functional capacity and dependence such as stroke. The aims of this study were to describe the costs and characteristics of cases of patients with stroke and delayed discharge for non-clinical reasons (bed-blocking) compared with cases of bed-blocking (BB) for other reasons and to assess the relationship between the length of total stay (LOS) with patient characteristics and the context of care. A descriptive cross-sectional study was conducted at a high complexity public hospital in Northern Spain (2007–2015). 443 stroke patients presented with BB. Delayed discharge increased LOS by approximately one week. The median age was 79.7 years, significantly higher than in cases of BB for other reasons. Patients with stroke and BB are usually older patients, however, when younger patients are affected, their length of stay is longer in relation to the sudden onset of the problem and the lack of adequate functional recovery resources or residential facilities for intermediate care.
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Affiliation(s)
- Amada Pellico-López
- Cantabria Health Service, Avda. Derechos de la Infancia, 31. C.P., 39340, Suances, Cantabria, Spain.,Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n. C.P., 39008, Santander, Cantabria, Spain
| | - Ana Fernández-Feito
- Departamento de Medicina, Facultad de Medicina y Ciencias de la Salud, Universidad de Oviedo, Avda. Julián Clavería s/n C.P., 33006, Oviedo, Principado de Asturias, Spain. .,Área de Investigación en Cuidados, Grupo de Procesos Asistenciales de Enfermería, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Avda del Hospital Universitario, s/n. C.P., 33011, Oviedo, Principado de Asturias, Spain.
| | - David Cantarero
- Departamento de Economía, Universidad de Cantabria, Avda. de los Castros s/n C.P., 39005, Santander, Cantabria, Spain.,IDIVAL, Research Group of Health Economics and Health Services Management-Research Institute Marqués de Valdecilla C/ Cardenal Herrera Oria s/n., 39011, Santander, Cantabria, Spain
| | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n. C.P., 39008, Santander, Cantabria, Spain.,IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n. C.P., 39011, Santander, Cantabria, Spain
| | - Joaquín Cayón-de Las Cuevas
- Departamento de Derecho Privado, Universidad de Cantabria, Avda. de los Castros s/n. C.P.,, 39005, Santander, Cantabria, Spain.,IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n. C.P., 39011, Santander, Cantabria,, Spain
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n. C.P., 39008, Santander, Cantabria, Spain.,IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n. C.P., 39011, Santander, Cantabria, Spain
| | - María Paz-Zulueta
- Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n. C.P., 39008, Santander, Cantabria, Spain.,IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n. C.P., 39011, Santander, Cantabria,, Spain
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Pellico-López A, Herrero-Montes M, Cantarero Prieto D, Fernández-Feito A, Cayon-De las Cuevas J, Parás-Bravo P, Paz-Zulueta M. Patient deaths during the period of prolonged stay in cases of delayed discharge for nonclinical reasons at a university hospital: a cross sectional study. PeerJ 2022; 10:e13596. [PMID: 35734637 PMCID: PMC9208369 DOI: 10.7717/peerj.13596] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 03/18/2022] [Accepted: 05/25/2022] [Indexed: 01/17/2023] Open
Abstract
Background Delayed discharge for non-clinical reasons also affects patients in need of palliative care. Moreover, the number of people dying in hospitals has been increasing in recent years. Our aim was to describe characteristics of patients who died during prolonged stay, in comparison with the rest of patients with delayed discharge, in terms of length of hospital stay, patient characteristics and the context of care. Methods A descriptive cross-sectional study at a high complexity public hospital in Northern Spain (2007-2015) was conducted. To compare the differential characteristics of the groups of patients died during delayed discharge with the rest, Student's T test and Pearson's chi-square test (χ 2) were used. Results A total of 198 patients died (6.57% of the total), with a mean total stay of 27.45 days and a prolonged stay of 10.69 days. Mean age 77.27 years. These were highly complex cases, 77.79% resided in the urban area, were admitted urgently (95.45%), to internal medicine or oncology wards, and the most common diagnosis was pneumonia. In people with terminal illness, clinicians can better identify when therapeutic possibilities are exhausted and acute hospitalization is not an adequate resource for their needs. Living in an urban area with the availability of palliative care hospital beds is related to the decision to die in hospital.
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Affiliation(s)
- Amada Pellico-López
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,Cantabria Health Service, Santander, Spain
| | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,IDIVAL, Grupo de Investigación en Enfermería, Santander, Spain
| | - David Cantarero Prieto
- IDIVAL, Research Group of Health Economics and Health Services Management–Research Institute Marqués de Valdecilla, Santander, Spain,Departamento de Economía, Universidad de Cantabria, Santander, Spain
| | - Ana Fernández-Feito
- Facultad de Medicina y Ciencias de la Salud, Departamento de Medicina, Universidad de Oviedo, Oviedo, Spain,Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Área de Investigación en Cuidados, Grupo de Procesos Asistenciales de Enfermería, Oviedo, Spain
| | - Joaquin Cayon-De las Cuevas
- IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, Santander, Spain,Departamento de Derecho Privado, Universidad de Cantabria, Santander, Spain
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,IDIVAL, Grupo de Investigación en Enfermería, Santander, Spain
| | - María Paz-Zulueta
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, Santander, Spain
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Fernández-de-Las-Peñas C, Herrero-Montes M, Ferrer-Pargada D, Izquierdo-Cuervo S, Palacios-Ceña D, Arendt-Nielsen L, Torres-Macho J, Parás-Bravo P. Development of Neuropathic Post-COVID Pain Symptoms is not Associated with Serological Biomarkers at Hospital Admission in COVID-19 Survivors: A Secondary Analysis. Pain Med 2022; 23:2092-2094. [PMID: 35674380 PMCID: PMC9384210 DOI: 10.1093/pm/pnac086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 05/10/2022] [Accepted: 05/18/2022] [Indexed: 01/12/2023]
Affiliation(s)
- César Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid. Spain.,Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark
| | - Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla, s/n, 39008, Santander, Spain.,Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Calle Cardenal Herrera Oria, s/n, 39011, Santander, Spain
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla, s/n, 39008, Santander, Spain
| | - Sheila Izquierdo-Cuervo
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla, s/n, 39008, Santander, Spain
| | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid. Spain
| | - Lars Arendt-Nielsen
- Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.,Department of Medical Gastroenterology, Mech-Sense, Aalborg University Hospital, Aalborg, Denmark
| | - Juan Torres-Macho
- Department of Internal Medicine, Hospital Universitario Infanta Leonor-Virgen de la Torre, Madrid, Spain.,Department of Medicine, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Avda. Valdecilla, s/n, 39008, Santander, Spain.,Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Calle Cardenal Herrera Oria, s/n, 39011, Santander, Spain
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Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Pellico-López A, Ruiz-Azcona L, Sarabia-Cobo C, Boixadera-Planas E, Parás-Bravo P. Excessive alcohol consumption and binge drinking in college students. PeerJ 2022; 10:e13368. [PMID: 35547188 PMCID: PMC9083527 DOI: 10.7717/peerj.13368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 04/11/2022] [Indexed: 01/13/2023] Open
Abstract
Background Binge drinking (BD) refers to a pattern of alcohol consumption characterized by the consumption of large amounts of alcohol in a short period of time followed by periods of abstinence. This drinking pattern is prevalent worldwide, mainly among young people. Excessive alcohol consumption is the spectrum of consumption patterns that may have or have had health consequences, and includes the concepts of risky alcohol use, harmful alcohol use and alcohol dependence according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV), the latter two are currently grouped into alcohol use disorder (AUD) according to the fifth edition of the DSM (DSM-5). Due to the high prevalence of BD among young people, especially university students, as well as the important consequences of its practice, a study was conducted to evaluate excessive alcohol consumption and its relationship with the practice of BD in university students. Methods A cross-sectional study was conducted among students (aged 18-30 years) enrolled in the academic year 2018-2019 at the Faculty of Nursing at a university in northern Spain. Data collection included sociodemographic information, and alcohol use information, collected using a semi-structured questionnaire. To measure the excessive alcohol consumption, this study used the Alcohol Use Disorders Identification Test (AUDIT). Results A total of 142 participants were included, of which 88.03% were women. Up to 38.03% were classified as BD. Up to 14.77% of non-BD participants and 66.67% of BD participants were classified as risky drinkers (AUDIT Total geq 8 in men or geq 6 in women) (p < 0.001). Up to 3.41% of the non-BD and 24.07% of the BD were drinkers with harmful alcohol use and probable alcohol dependence (AUDIT Total geq 13) (p < 0.001). A total of 5.68% of non-BD and 42.59% of BD were AUD drinkers (AUDIT Total geq 9 in males or geq 8 in females) (p < 0.001). In addition, statistically significant differences were found between the BD and non-BD groups in the responses to each of the AUDIT items, as well as in the total score and also in the scores of the three domains of the questionnaire. Conclusions Excessive alcohol consumption is frequent among university students, especially among those who practice BD.
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Affiliation(s)
- Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,Research Nursing Group, IDIVAL, Santander, Spain
| | - Cristina Alonso-Blanco
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Universidad Rey Juan Carlos, Móstoles, Spain
| | - María Paz-Zulueta
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,GI Derecho Sanitario y Bioética, GRIDES, IDIVAL, Santander, Spain
| | - Amada Pellico-López
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,Cantabria Health Service, Suances, Spain
| | - Laura Ruiz-Azcona
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain
| | - Carmen Sarabia-Cobo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,Research Nursing Group, IDIVAL, Santander, Spain
| | | | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Spain,Research Nursing Group, IDIVAL, Santander, Spain
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Herrero-Montes M, Fernández-de-las-Peñas C, Ferrer-Pargada D, Tello-Mena S, Cancela-Cilleruelo I, Rodríguez-Jiménez J, Palacios-Ceña D, Parás-Bravo P. Prevalence of Neuropathic Component in Post-COVID Pain Symptoms in Previously Hospitalized COVID-19 Survivors. Int J Clin Pract 2022; 2022:3532917. [PMID: 35685491 PMCID: PMC9159239 DOI: 10.1155/2022/3532917] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 02/18/2022] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES To investigate the prevalence of neuropathic pain symptoms and to analyze the correlation between neuropathic symptoms with pain-related, psychological, and cognitive variables in COVID-19 survivors exhibiting "de novo" post-COVID pain. METHODS Seventy-seven (n = 77) previously hospitalized COVID-19 survivors presenting with post-COVID pain completed demographic (such as age, height, and weight), pain-related (the duration and intensity of pain), psychological (depressive/anxiety levels), and cognitive (catastrophizing and kinesiophobia) variables. The Self-Report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire was also assessed. After conducting multivariable correlation analyses, a stepwise multiple linear regression model was performed to identify S-LANSS predictors. RESULTS Participants were assessed a mean of 6.0 (SD 0.8) months after hospital discharge. Nineteen (24.6%) exhibited neuropathic pain symptoms (S-LANSS score≥12 points). The S-LANSS score was positively associated with the duration of post-COVID pain (r: 0.262), anxiety levels (r: 0.275), and kinesiophobia level (r: 0.291) (all, P < 0.05). The stepwise regression analysis revealed that 12.8% of the S-LANSS variance was just explained by kinesiophobia. CONCLUSION This study found that almost 25% of previously hospitalized COVID-19 survivors with "de novo" post-COVID pain reported a neuropathic pain component. The presence of neuropathic pain symptomatology was associated with more anxiety and kinesiophobia, but only kinesiophobia level was significantly associated explaining 12.8% of the variance of the S-LANSS score.
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Affiliation(s)
- Manuel Herrero-Montes
- Departamento de Enfermería, Universidad de Cantabria, Santander 39008, Spain
- Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Santander 39008, Spain
| | - César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid 28922, Spain
| | - Diego Ferrer-Pargada
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Santander 39008, Spain
| | - Sandra Tello-Mena
- Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Santander 39008, Spain
| | - Ignacio Cancela-Cilleruelo
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid 28922, Spain
| | - Jorge Rodríguez-Jiménez
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid 28922, Spain
| | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), Madrid 28922, Spain
| | - Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander 39008, Spain
- Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Grupo de Investigación en Enfermería, Santander 39008, Spain
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11
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Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Pellico-López A, Ruiz-Azcona L, Sarabia-Cobo C, Fradejas-Sastre V, Boixadera-Planas E, Parás-Bravo P. Relationship between Depressive Symptoms, Personality, and Binge Drinking among University Students in Spain. J Clin Med 2021; 11:jcm11010053. [PMID: 35011792 PMCID: PMC8745157 DOI: 10.3390/jcm11010053] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/10/2021] [Accepted: 12/21/2021] [Indexed: 12/14/2022] Open
Abstract
Binge drinking (BD) is a common practice among college students. Alcohol consumption has been related to depressive symptoms and certain personality factors, although less is known about the relationship of these variables with BD. The aim of this study was to analyze the relationship of BD with depressive symptoms and personality in university students. We performed a cross-sectional study among students (aged 18–30 years) enrolled in the academic year 2018–2019 at the Faculty of Nursing of the University of Cantabria (Spain). Sociodemographic, academic, and alcohol and other drug use information was collected by means of a semi-structured questionnaire. The Beck Depression Inventory-II was used to measure depressive symptomatology and the Neo Five-Factor Inventory was used for personality. A total of 142 participants were included, 88.03% of which were women. Up to 38.03% were classified as BD. Concerning depressive symptoms, 7.41% of BD were at the moderate-severe level compared to 3.41% of non-BD (p = 0.7096). Regarding personality, the median score for extraversion of BD was 35 (Q1 = 29, Q3 = 40), 32 (Q1 = 28, Q3 = 36) in non-BD (p = 0.0062), conscientiousness scored 34 (Q1 = 30.5, Q3 = 38) points in non-BD, 31.50 (Q1 = 27, Q3 = 37) in BD (p = 0.0224). In conclusion, BD students have higher levels of extraversion and lower levels of responsibility than non-BD students. No significant differences were found between the level of depressive symptomatology between BD and non-BD students.
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Affiliation(s)
- Manuel Herrero-Montes
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Cristina Alonso-Blanco
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, 28922 Madrid, Spain;
| | - María Paz-Zulueta
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, 39008 Cantabria, Spain
- Correspondence:
| | - Amada Pellico-López
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- Cantabria Health Service, 39340 Cantabria, Spain
| | - Laura Ruiz-Azcona
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Carmen Sarabia-Cobo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Víctor Fradejas-Sastre
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Ester Boixadera-Planas
- Servei d’Estadística Aplicada, Universitat Autònoma de Barcelona, 08193 Cerdanyola, Spain;
| | - Paula Parás-Bravo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
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12
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Pellico-López A, Fernández-Feito A, Parás-Bravo P, Herrero-Montes M, Cayón-De Las Cuevas J, Cantarero D, Paz-Zulueta M. Differential characteristics of cases of patients diagnosed with pneumonia and delayed discharge for non-clinical reasons in Northern Spain. Int J Clin Pract 2021; 75:e14765. [PMID: 34473876 DOI: 10.1111/ijcp.14765] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 08/30/2021] [Accepted: 08/31/2021] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND Delayed discharge for non-clinical reasons is related to a failure to plan for discharge and a lack of availability of intermediate care resources as an alternative to acute hospitalisation. The literature concerning the relationship with pneumonia is scarce. At present, the coronavirus pandemic is a new cause of complicated pneumonias that can further affect the functionality of the most fragile patients. OBJECTIVE The aim of this study was to understand what characteristics are typical of patients affected by pneumonia, compared with other cases of delayed discharge. METHODS A cross-sectional study was conducted. All cases of delayed discharge were studied at the hospitalisation units of a general university hospital in Northern Spain from 2007 to 2015. In order to compare the differential characteristics of the groups of patients with pneumonia with the total Student's T-test and Pearson's chi-square test (χ²) were used. RESULTS 170 patients were identified with a diagnosis of pneumonia and delayed discharge for non-clinical reasons during the study period. These cases accumulated a total of 4790 days of total stay, of which 1294 days corresponded to the prolonged stay. The mean age of the patients was 80.23 years. The mean DRG weight was 2.28 [SD 0.579], and 14.12% of patients with pneumonia and delayed discharge died. So, patients with pneumonia were older (P = .001), less complex (P = .001) and suffered greater deaths compared with the remaining patients (P = .001). CONCLUSIONS The sum of these factors has to do with comorbidities and complications associated with ageing and the characteristics of conditions such as aspiration pneumonia.
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Affiliation(s)
| | - Ana Fernández-Feito
- Faculty of Medicine and Health Sciences, Nursing Area, Department of Medicine, University of Oviedo, ISPA, Avda, Principado de Asturias, Spain
| | - Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria, Cantabria, Spain
- IDIVAL, Grupo de Investigación en Enfermería, Cantabria, Spain
| | - Manuel Herrero-Montes
- Faculty of Nursing, University of Cantabria, Cantabria, Spain
- IDIVAL, Grupo de Investigación en Enfermería, Cantabria, Spain
| | - Joaquín Cayón-De Las Cuevas
- Faculty of Law, University of Cantabria, Cantabria, Spain
- IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, Cantabria, Spain
| | - David Cantarero
- Department of Economics, University of Cantabria, Cantabria, Spain
- IDIVAL, Cantabria, Spain
| | - Maria Paz-Zulueta
- Faculty of Nursing, University of Cantabria, Cantabria, Spain
- IDIVAL, Grupo de Investigación en Derecho Sanitario y Bioética, GRIDES, Cantabria, Spain
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13
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Pellico-López A, Fernández-Feito A, Cantarero D, Herrero-Montes M, Cayón-De Las Cuevas J, Parás-Bravo P, Paz-Zulueta M. Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost. Int J Environ Res Public Health 2021; 18:ijerph18179407. [PMID: 34502013 PMCID: PMC8431020 DOI: 10.3390/ijerph18179407] [Citation(s) in RCA: 3] [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: 07/15/2021] [Revised: 08/30/2021] [Accepted: 09/01/2021] [Indexed: 11/23/2022]
Abstract
Delayed discharge for non-clinical reasons shares common characteristics with hip procedures. We sought to quantify the length of stay and related costs of hip procedures and compare these with other cases of delayed discharge. A cross-sectional study was conducted at a public hospital in Spain (2007–2015) including 306 patients with 6945 days of total stay and 2178 days of prolonged stay. The mean appropriate stay was 15.58 days, and the mean prolonged stay was 7.12 days. The cost of a prolonged stay was €641,002.09. The opportunity cost according to the value of the hospital complexity unit was €922,997.82. The mean diagnostic-related groups’ weight was 3.40. Up to 85.29% of patients resided in an urban area near the hospital (p = 0.001), and 83.33% were referred to a long-stay facility for functional recovery (p = 0.001). The proportion of patients with hip procedures and delayed discharge was lower than previous reports; however, their length of stay was longer. The cost of prolonged stay could account for 21.17% of the total. Compared with the remaining cases of delayed discharge, the appropriate stay was shorter in hip procedures, with a profile of older women living in an urban area close to the hospital and referred to a long-stay center for functional recovery.
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Affiliation(s)
- Amada Pellico-López
- Cantabria Health Service, Avda. Derechos de la Infancia 31, 39340 Suances, Spain;
| | - Ana Fernández-Feito
- Department of Medicine, Faculty of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería s/n, 33006 Oviedo, Spain
- ISPA, Nursing Research Group, Health Research Institute of Asturias, Avda. del Hospital Universitario s/n, 33011 Oviedo, Spain
- Correspondence:
| | - David Cantarero
- Department of Economics, University of Cantabria, Avda. de los Castros s/n, 39005 Santander, Spain;
- IDIVAL, Research Group of Health Economics and Health Services Management, Research Institute Marqués de Valdecilla, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
| | - Manuel Herrero-Montes
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain; (M.H.-M.); (P.P.-B.); (M.P.-Z.)
- IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
| | - Joaquín Cayón-De Las Cuevas
- Faculty of Law, University of Cantabria, Avda. de los Castros s/n, 39005 Santander, Spain;
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
| | - Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain; (M.H.-M.); (P.P.-B.); (M.P.-Z.)
- IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
| | - María Paz-Zulueta
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain; (M.H.-M.); (P.P.-B.); (M.P.-Z.)
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
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Gutiérrez Villegas C, Paz-Zulueta M, Herrero-Montes M, Parás-Bravo P, Madrazo Pérez M. Cost analysis of chronic obstructive pulmonary disease (COPD): a systematic review. Health Econ Rev 2021; 11:31. [PMID: 34403023 PMCID: PMC8369716 DOI: 10.1186/s13561-021-00329-9] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 08/04/2021] [Indexed: 05/08/2023]
Abstract
BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a treatable disease with a high prevalence, and high morbidity associated with significant socioeconomic costs. OBJECTIVE To carry out a systematic review of the literature to analyze the main cost studies associated with COPD, in order to determine the main factors that influence the costs of the disease. METHODS Searches were conducted in PubMed, SCOPUS and Web of Science databases for cost studies on COPD published in English, between the years 2015 and 2020. The search terms were "COPD" OR "pulmonary disease, chronic obstructive", "cost*" OR "cost of illness", "economic impact" AND "burden of disease". The inclusion criteria included the identification of reported cost of the disease, economic burden, medical care expenses or use resources for COPD, the methodology used, data sources, and variables studied. RESULTS 18 publications were analyzed: 17 included direct health costs, 6 included direct non-medical costs, 12 analyzed indirect costs and two reported intangible costs. Most of the studies reported data for developed and European countries, with direct costs being the most studied. Trends were observed in multiple studies of direct and healthcare costs for European countries measured by patient and year, where the higher costs were associated with more severe COPD and a frequent history of exacerbations. The highest costs reported corresponded to hospitalizations and the associated pharmacological treatment. The importance of the loss of productivity and premature retirement within the profile of the COPD patient was also highlighted as the main generator of indirect costs of the disease. CONCLUSION COPD generates substantial costs for the health system, mainly related to moderate to severe stages and the exacerbations and complications entailed. It is important to strengthen health systems with monitoring, evaluation and health education models that allow these patients to remain stable to avoid decompensation and subsequent hospitalizations.
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Affiliation(s)
- Celia Gutiérrez Villegas
- IDIVAL, Research Institute Marqués de Valdecilla. C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
| | - María Paz-Zulueta
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n. C.P, 39008 Santander, Cantabria Spain
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES. C/ Cardenal Herrera Oria s/n. C.P, 39011 Santander, Cantabria Spain
| | - Manuel Herrero-Montes
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n. C.P, 39008 Santander, Cantabria Spain
- IDIVAL, Grupo de Investigación en Enfermería. C/ Cardenal Herrera Oria s/n. C.P, 39011 Santander, Cantabria Spain
| | - Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n. C.P, 39008 Santander, Cantabria Spain
- IDIVAL, Grupo de Investigación en Enfermería. C/ Cardenal Herrera Oria s/n. C.P, 39011 Santander, Cantabria Spain
| | - María Madrazo Pérez
- Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n. C.P, 39008 Santander, Cantabria Spain
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Fernández-Feito A, García-Cueto E, Díaz-Alonso J, Valcárcel-Álvarez Y, Parás-Bravo P, Andina-Díaz E, Lana A. Contribution of students to nursing practice settings during clinical training: Design and validation of a questionnaire. J Adv Nurs 2021; 77:3940-3951. [PMID: 34002869 DOI: 10.1111/jan.14891] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 03/10/2021] [Accepted: 05/03/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND A validated questionnaire to measure the contributions of nursing students to clinical settings could potentially assist in the improved management of students in healthcare institutions. AIM To develop and test the psychometric properties of the questionnaire 'Nursing Student Contributions to Clinical Settings' (CEEEC, Spanish acronym for 'Contribuciones de los Estudiantes de Enfermería a los Entornos Clínicos'). DESIGN Instrument design and psychometric testing. PARTICIPANTS/SETTINGS A multicentre study involving 1,098 nursing professionals from three universities and five hospitals of Spain, between January 2019 and March 2020. METHODS The study was carried out in two phases. Phase 1 involved the questionnaire design by experts (n = 28), which required a review of the available literature, cognitive interviews and Delphi rounds, and a preliminary validity study, which included a pilot test with responses from a sample of nurses (n = 143). Phase 2 involved a formal validation with a wider sample of nurses (n = 927), including factor analysis and a study of convergent validity with the Practice Environment Scale-Nursing Work Index and Health Sciences-Evidence Based Practice. RESULTS Experts selected 42 items on student contributions. After cognitive interviews, three items were eliminated and seven failed to reach the minimum content validity index (78%). Based on the remaining 32 items, the discrimination index of each item was calculated, and those with <0.3, eight items were sequentially eliminated. The resulting questionnaire contained 24 items grouped into a single factor, which explained 41% of the variance. The internal consistency was excellent (Cronbach's alpha: 0.94), and the convergent validity was confirmed. CONCLUSIONS A 24-item questionnaire was designed and validated to measure the contributions of nursing students to clinical practice settings. IMPACT Most hospitals are also teaching centres where nursing students undergo clinical practice. The application of this test will provide insight into the nursing professionals' perception of the students' role.
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Affiliation(s)
- Ana Fernández-Feito
- Department of Nursing, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain.,Health Research Institute of Asturias, ISPA, Oviedo, Spain
| | - Eduardo García-Cueto
- Department of Psychology, School of Psychology, University of Oviedo, Oviedo, Spain
| | - Julián Díaz-Alonso
- Department of Nursing, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain
| | - Yolanda Valcárcel-Álvarez
- Department of Nursing, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain.,Health Research Institute of Asturias, ISPA, Oviedo, Spain.,Principality of Asturias Health Service, Central University Hospital of Asturias, Oviedo, Spain
| | - Paula Parás-Bravo
- Department of Nursing, School of Nursing, University of Cantabria, Santander, Spain.,Research Group on Public Economics and Health, GIECONPSALUD, Santander, Spain
| | - Elena Andina-Díaz
- Department of Nursing and Physiotheraphy, School of Nursing, University of León, León, Spain.,Health Research Group, Welfare and Social and Health Sustainability, SALBIS, Ponferrada, Spain.,School of Health Sciences, Nursing and Culture of Care Research Group, EYCC, Alicante, Spain
| | - Alberto Lana
- Health Research Institute of Asturias, ISPA, Oviedo, Spain.,Department of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain
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Ruiz-Azcona L, Fernández-Olmo I, Expósito A, Markiv B, Paz-Zulueta M, Parás-Bravo P, Sarabia-Cobo C, Santibáñez M. Impact of Environmental Airborne Manganese Exposure on Cognitive and Motor Functions in Adults: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2021; 18:ijerph18084075. [PMID: 33924318 PMCID: PMC8068914 DOI: 10.3390/ijerph18084075] [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] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/09/2021] [Accepted: 04/10/2021] [Indexed: 12/18/2022]
Abstract
Background/Objective: Whether environmental exposure to Manganese (Mn) in adults is associated with poorer results in cognitive and motor function is unclear. We aimed to determine these associations through a meta-analysis of published studies. Methods: A systematic review was conducted to identify epidemiological studies on a population ≥18 years old exposed to environmental airborne Mn, and in which results on specific tests to evaluate cognitive or motor functions were reported. We consulted Medline through PubMed, Web of Science and SCOPUS databases. We also performed a manual search within the list of bibliographic references of the retrieved studies and systematic reviews. To weight Mn effects, a random effects versus fixed effect model was chosen after studying the heterogeneity of each outcome. Results. Eighteen studies met the inclusion criteria. Among them, eleven studies reported data susceptible for meta-analysis through a pooled correlation or a standardized means difference (SMD) approach between exposed and non-exposed groups. Regarding cognitive function, the results of the studies showed heterogeneity among them (I2 = 76.49%, p < 0.001). The overall effect was a statistically significant negative correlation in the random effects model (pooled r = −0.165; 95%CI: −0.214 to −0.116; p < 0.001). For SMD, the results showed a lower heterogeneity with a negative SMD that did not reach statistical significance under the fixed effects model (SMD = −0.052; 95%CI −0.108 to 0.004; p = 0.068). Regarding motor function, heterogeneity (I2 = 75%) was also observed in the correlation approach with a pooled r (random effect model) = −0.150; 95%CI: −0.219 to −0.079; p < 0.001. Moderate heterogeneity was observed according to the SMD approach (I2 = 52.28%), with a pooled SMD = −0.136; 95%CI: −0.188 to−0.084; p < 0.001, indicating worse motor function in those exposed. Conclusions: Correlation approach results support a negative effect on cognitive and motor functions (the higher the Mn levels, the poorer the scores). Regarding the SMD approach, results also support a worse cognitive and motor functions in those exposed, although only for motor function statistical significance was obtained.
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Affiliation(s)
- Laura Ruiz-Azcona
- Global Health Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain;
| | - Ignacio Fernández-Olmo
- Dpto. de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain; (I.F.-O.); (A.E.); (B.M.)
| | - Andrea Expósito
- Dpto. de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain; (I.F.-O.); (A.E.); (B.M.)
| | - Bohdana Markiv
- Dpto. de Ingenierías Química y Biomolecular, Universidad de Cantabria, Avda. Los Castros s/n, 39005 Santander, Cantabria, Spain; (I.F.-O.); (A.E.); (B.M.)
| | - María Paz-Zulueta
- Economía de la Salud y Gestión de Servicios Sanitarios Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain; (M.P.-Z.); (P.P.-B.)
- Research Health and Bioethics Law Group, GRIDES, IDIVAL, Calle Cardenal Herrera Oria s/n, 39011 Santander, Cantabria, Spain
| | - Paula Parás-Bravo
- Economía de la Salud y Gestión de Servicios Sanitarios Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain; (M.P.-Z.); (P.P.-B.)
- Cuidados Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain;
| | - Carmen Sarabia-Cobo
- Cuidados Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain;
- Research Nursing Group, IDIVAL, Calle Cardenal Herrera Oria s/n, 39011 Santander, Cantabria, Spain
| | - Miguel Santibáñez
- Global Health Research Group, Dpto Enfermería, Universidad de Cantabria, Avda. Valdecilla s/n, 39008 Santander, Cantabria, Spain;
- Research Nursing Group, IDIVAL, Calle Cardenal Herrera Oria s/n, 39011 Santander, Cantabria, Spain
- Correspondence:
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Paz-Zulueta M, Parás-Bravo P, Cantarero-Prieto D, Blázquez-Fernández C, Oterino-Durán A. A literature review of cost-of-illness studies on the economic burden of multiple sclerosis. Mult Scler Relat Disord 2020; 43:102162. [DOI: 10.1016/j.msard.2020.102162] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 02/04/2020] [Accepted: 04/26/2020] [Indexed: 11/16/2022]
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Fuensalida-Novo S, Jiménez-Antona C, Benito-González E, Cigarán-Méndez M, Parás-Bravo P, Fernández-De-Las-Peñas C. Current perspectives on sex differences in tension-type headache. Expert Rev Neurother 2020; 20:659-666. [PMID: 32510251 DOI: 10.1080/14737175.2020.1780121] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Clinical and experimental evidence supports the presence of several gender differences in the pain experience. AREAS COVERED The current paper discusses biological, psychological, emotional, and social differences according to gender and their relevance to TTH. Gender differences have also been observed in men and women with tension-type headache and they should be considered by clinicians managing this condition. It appears that multimodal treatment approaches lead to better outcomes in people with tension-type headache; however, management of tension-type headache should consider these potential gender differences. Different studies have observed the presence of complex interactions between tension-type headache, emotional stress, sleep, and burden and that these interactions are different between men and women. EXPERT OPINION Based on current results, the authors hypothesize that treatment of men with tension-type headache should focus on the improvement of sleep quality and the level of depression whereas treatment of women with TTH should focus on nociceptive mechanisms and emotional/stressful factors. Future trials should investigate the proposed hypotheses.
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Affiliation(s)
- Stella Fuensalida-Novo
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | - Carmen Jiménez-Antona
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | - Elena Benito-González
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | | | - Paula Parás-Bravo
- Department of Nursing, Universidad de Cantabria , Spain.,Nursing Area, Nursing Research Group IDIVAL , Santander, Cantabria, Spain
| | - César Fernández-De-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
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Atance-Pereira D, Zamarro-Arranz ML, Velarde-García JF, Huertas-Hoyas E, Cachón-Pérez JM, Parás-Bravo P, Palacios-Ceña D. Perspectives of Victims of Gender Violence. J Psychosoc Nurs Ment Health Serv 2020; 58:30-39. [PMID: 32286664 DOI: 10.3928/02793695-20200319-01] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 02/07/2020] [Indexed: 11/20/2022]
Abstract
The purpose of the current study was to explore the experiences of women who have been affected by violence and received mental health care. A qualitative phenomenological design was used with in-depth interviews and personal letters in a sample of 29 women from a public mental health center of Madrid, Spain, who were affected by physical, mental, and/or sexual abuse. The analysis revealed three themes: (1) Living With Fear; (2) Feeling Guilty; and (3) Experiencing the Imposition of So-Called "Womanly Duties" (i.e., being a maid, babysitter, and/or sexual slave). The current study highlights the importance of developing educational programs for the prevention of abuse. [Journal of Psychosocial Nursing and Mental Health Services, 58(6), 30-39.].
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Parás-Bravo P, Paz-Zulueta M, Boixadera-Planas E, Fradejas-Sastre V, Palacios-Ceña D, Fernández-de-las-Peñas C, Alonso-Blanco C. Cancer Patients and Anxiety: A Gender Perspective. Int J Environ Res Public Health 2020; 17:ijerph17041302. [PMID: 32085538 PMCID: PMC7175312 DOI: 10.3390/ijerph17041302] [Citation(s) in RCA: 5] [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] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 02/09/2020] [Accepted: 02/15/2020] [Indexed: 12/21/2022]
Abstract
The complexity of the diagnosis and treatment of cancer means that it is often associated with anxiety symptoms. The aim of our study was to further our understanding of the oncological process and the presence of anxiety symptoms, from a gender perspective. A cross-sectional study was performed, examining 402 medical records obtained by simple random sampling of oncology patients at a hospital in northern Spain from July 2012 to July 2014. Data collection took place between February and May 2015. Psychiatric and sociodemographic variables were gathered, as well as pain variables and information regarding the oncological process. The data analysis included a descriptive univariate analysis and a bivariate analysis, and a logistic regression model was performed. Our results suggest that women with cancer suffer more anxiety symptoms than men with cancer. Women with anxiety symptoms represented 76.5% of all patients with anxiety. The OR of suffering anxiety symptoms between women and men was 2.43 (95% CI 1.05–5.63) (p = 0.04). A greater incidence of anxiety symptoms was found in patients with cancer pain and oncological treatment with biological therapy. Our results suggest that the gender perspective is necessary in the management of mental health in patients with cancer. Nonetheless, further studies are necessary to confirm our findings.
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Affiliation(s)
- Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria. Avda Valdecilla s/n, 39008 Santander, Cantabria, Spain; (P.P.-B.); (V.F.-S.)
- Health Research Institute IDIVAL, Research Nursing Group, Cardenal Herrera Oria s/n, 39008 Santander, Cantabria, Spain
| | - María Paz-Zulueta
- Faculty of Nursing, University of Cantabria. Avda Valdecilla s/n, 39008 Santander, Cantabria, Spain; (P.P.-B.); (V.F.-S.)
- Health Research Institute IDIVAL, Health Law and Bioethics Group. GRIDES, Cardenal Herrera Oria s/n, 39008 Santander, Cantabria, Spain
- Correspondence: ; Tel.: +34942200953
| | - Ester Boixadera-Planas
- Ester Boixadera-Planas. 4. Servei d’Estadística Aplicada of the Universitat Autònoma de Barcelona.Plaça Cívica, 08193 Bellaterra, Barcelona, Catalonia, Spain;
| | - Víctor Fradejas-Sastre
- Faculty of Nursing, University of Cantabria. Avda Valdecilla s/n, 39008 Santander, Cantabria, Spain; (P.P.-B.); (V.F.-S.)
| | - Domingo Palacios-Ceña
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Avda de Atenas s/n, 28922 Alcorcón, Madrid, Spain; (D.P.-C.); (C.F.-d.-l.-P.); (C.A.-B.)
- Research Group of Humanities and Qualitative Research in Health Science of University Rey Juan Carlos, Avda de Atenas s/n, 28922 Alcorcón, Madrid, Spain
| | - César Fernández-de-las-Peñas
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Avda de Atenas s/n, 28922 Alcorcón, Madrid, Spain; (D.P.-C.); (C.F.-d.-l.-P.); (C.A.-B.)
| | - Cristina Alonso-Blanco
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Avda de Atenas s/n, 28922 Alcorcón, Madrid, Spain; (D.P.-C.); (C.F.-d.-l.-P.); (C.A.-B.)
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Palacios-Ceña D, León-Pérez E, Martínez-Piedrola RM, Cachón-Pérez JM, Parás-Bravo P, Velarde-García JF. Female Family Caregivers' Experiences During Nursing Home Admission: A Phenomenological Qualitative Study. J Gerontol Nurs 2019; 45:33-43. [PMID: 31135935 DOI: 10.3928/00989134-20190430-01] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Accepted: 04/02/2019] [Indexed: 11/20/2022]
Abstract
The experience of nursing home (NH) admission has a significant impact on older adults and their relatives. The aim of the current study is to describe the life experiences of female family caregivers (N = 20) after long-stay NH admission of their relative. A qualitative phenomenological approach was followed with purposeful sampling. Data were collected over 18 months using unstructured interviews, letters, and diaries and were analyzed using systematic text condensation analysis. Three themes emerged: The Value of Experience: Deciding on Admission and Defending One's Criteria; Living on Two Sides of the Same Coin; and Maintaining Contact. Results provide insight into female caregivers' experiences of NH admission, which may improve relationships established between female family caregivers and NH staff and help inform the decision-making process. [Journal of Gerontological Nursing, 45(6), 33-43.].
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Fuensalida-Novo S, Parás-Bravo P, Jiménez-Antona C, Castaldo M, Wang K, Benito-González E, Arendt-Nielsen L, Fernández-De-Las-Peñas C. Gender differences in clinical and psychological variables associated with the burden of headache in tension-type headache. Women Health 2019; 60:652-663. [PMID: 31795922 DOI: 10.1080/03630242.2019.1696440] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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: 01/03/2023]
Abstract
Our aim was to assess gender differences in variables associated with the emotional and physical burdens of tension-type headache (TTH). Participants with TTH diagnosed according to the ICHD-III were recruited from three university-based hospitals (in Spain, Italy, Denmark) between January 2015 and June 2017. The physical/emotional headache burden was assessed with the Headache Disability Inventory (HDI-P/HDI-E, respectively). Headache features were collected with a four-week diary. Sleep quality was assessed with Pittsburgh Sleep Quality Index. The Hospital Anxiety and Depression Scale evaluated anxiety and depressive symptom levels. Trait and state anxiety levels were evaluated with the State-Trait Anxiety Inventory. Two hundred and twelve (28% men) participants (aged 41-48 years old) participated. Multiple regression models revealed that sleep quality explained 36.7% of the variance of HDI-E and 31.1% of the variance of HDI-P in men, whereas headache intensity, depressive levels, and younger age explained 37.5% of the variance of HDI-E and 32.8% of the variance of HDI-P in women (all p < .001). This study observed gender differences in variables associated with headache burden in TTH. Management of men with TTH should focus on interventions targeting sleep quality, whereas the management of women with TTH should combine psychological approaches and interventions targeting pain mechanisms.
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Affiliation(s)
- Stella Fuensalida-Novo
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | - Paula Parás-Bravo
- Department of Nursing, Universidad de Cantabria , Santander, Spain.,Nursing Group IDIVAL , Santander, Spain
| | - Carmen Jiménez-Antona
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | - Matteo Castaldo
- CNAP, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University , Aalborg, Denmark.,Master in Sport Physiotherapy, University of Siena , Siena, Italy.,Department of Physical Therapy, Poliambulatorio Fisiocenter , Collecchio (Parma), Italy
| | - Kelun Wang
- CNAP, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University , Aalborg, Denmark
| | - Elena Benito-González
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain
| | - Lars Arendt-Nielsen
- CNAP, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University , Aalborg, Denmark
| | - César Fernández-De-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos , Alcorcón, Spain.,CNAP, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University , Aalborg, Denmark
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Collado-Garrido L, Parás-Bravo P, Calvo-Martín P, Santibáñez-Margüello M. Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2019; 16:E4513. [PMID: 31731636 PMCID: PMC6888121 DOI: 10.3390/ijerph16224513] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [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: 09/27/2019] [Revised: 11/03/2019] [Accepted: 11/11/2019] [Indexed: 11/16/2022]
Abstract
Cerebral palsy is one of the main causes of disability in childhood. Resistance therapy shows benefits in increasing strength and gait in these patients, but its impact on motor function is not yet clear. The objective was to analyze the impact of resistance therapy on the improvement in the motor function using a review and meta-analysis. A comprehensive literature research was conducted in Medline (PubMed), Institute for Scientific Information (ISI) Web of Knowledge, and Physiotherapy Evidence Database (PEDro) in relation to clinical trials in which resistance therapy was used and motor function was assessed. Twelve controlled clinical trials and three non-controlled clinical trials (only one intervention arm) studies were identified. In terms of pre-post difference, the overall intra-group effect was in favor of resistance therapy intervention: standardized mean difference (SMD) = 0.37, 95% confidence interval (CI) = 0.21 to 0.52, p < 0.001 (random-effects model), with moderate heterogeneity (I2 = 59.82%). SMDs were also positive by restricting to each of the analyzed scales: SMD = 0.37, 1.33, 0.10, and 0.36 for Gross Motor Function Measure (GMFM), Lateral Step Up (LSU), Time Up and Go (TUG), and Mobility Questionnaire (MobQue) scales, respectively. Regarding the difference between groups, the results showed a high heterogeneity (I2 < 99%), with the mean difference (MD) also favorable for the GMFM scale: MD = 1.73, 95% CI = 0.81 to 2.64, p < 0.001 (random-effects model). Our results support a positive impact of resistance therapy on motor function. Further studies should delve into the clinical relevance of these results.
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Affiliation(s)
- Luisa Collado-Garrido
- Rehabilitation Service, The Marqués de Valdecilla University Hospital, Valdecilla Avenue s/n. C.P.: 39008 Santander, Cantabria, Spain; (L.C.-G.); (P.C.-M.)
| | - Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria, Valdecilla Avenue s/n., 39008 Santander, Cantabria, Spain;
- Research Nursing Group IDIVAL; Cardenal Herrera Oria Street s/n. C.P., 3901 Cantabria, Spain
| | - Pilar Calvo-Martín
- Rehabilitation Service, The Marqués de Valdecilla University Hospital, Valdecilla Avenue s/n. C.P.: 39008 Santander, Cantabria, Spain; (L.C.-G.); (P.C.-M.)
| | - Miguel Santibáñez-Margüello
- Faculty of Nursing, University of Cantabria, Valdecilla Avenue s/n., 39008 Santander, Cantabria, Spain;
- Research Nursing Group IDIVAL; Cardenal Herrera Oria Street s/n. C.P., 3901 Cantabria, Spain
- Global Health Research Group, University of Cantabria, 39008 Santander, Cantabria, Spain
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Amo-Setién F, Abajas-Bustillo R, Sarabia-Cobo C, Parás-Bravo P, Leal-Costa C, Redondo-Figuero C, Bandini L. Prevalence and factors associated with overweight and obesity among Spanish students attending special education schools. J Appl Res Intellect Disabil 2019; 33:364-372. [PMID: 31701604 DOI: 10.1111/jar.12679] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [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: 11/28/2018] [Revised: 09/23/2019] [Accepted: 10/12/2019] [Indexed: 01/23/2023]
Abstract
BACKGROUND Some studies suggest that children and adolescents with intellectual disability (ID) are at elevated risk of obesity. The objective was to determine the prevalence of and factors associated with overweight and obesity among students attending special education schools in Cantabria, Spain. METHODS Cross-sectional design. A sample of n = 220 students with intellectual disability attending seven special education schools was selected using convenience sampling. Body mass index was classified into four categories according to the International Obesity Task Force (IOTF) criteria: underweight; normal weight; overweight; obesity. RESULTS The prevalence of overweight/obesity was 40.9% (95% CI: 34.6-47.5). Obesity was more frequent among females (26.0%) than males (9.8%), with an OR = 3.23 (95% CI: 1.53-6.85). Participants with Down syndrome showed an increased risk of obesity compared to other conditions (p = .005). CONCLUSIONS The prevalence of overweight/obesity among children, adolescents and young adults with intellectual disability was remarkably high, with females in general and students of both sexes with Down syndrome at particularly high risk.
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Affiliation(s)
- Francisco Amo-Setién
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Rebeca Abajas-Bustillo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Carmen Sarabia-Cobo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - Paula Parás-Bravo
- Department of Nursing, IDIVAL Nursing Research Group, University of Cantabria, Santander, Spain
| | - César Leal-Costa
- Department of Nursing, Catholic University of Murcia, Murcia, Spain
| | | | - Linda Bandini
- Department of Health Sciences, Boston University, Boston, Massachusetts
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Soto-Arnáez F, Sebastián-Viana T, Carrasco-Garrido P, Fernández-de-las-Peñas C, Parás-Bravo P, Palacios-Ceña D. Estudio descriptivo del conocimiento de enfermeras y médicos de las abreviaturas en los informes de alta hospitalaria. Enfermería Clínica 2019; 29:302-307. [DOI: 10.1016/j.enfcli.2018.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 07/31/2018] [Accepted: 10/17/2018] [Indexed: 11/16/2022]
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Álvarez-Paredes L, Santibañez M, Galiana A, Rodríguez Díaz JC, Parás-Bravo P, Andrada-Becerra ME, Ruiz García MM, Rodríguez-Ingelmo JM, Portilla-Sogorb J, Paz-Zulueta M. Association of Human Papillomavirus Genotype 16 Viral Variant and Viral Load with Cervical High-grade Intraepithelial Lesions. Cancer Prev Res (Phila) 2019; 12:547-556. [PMID: 31208965 DOI: 10.1158/1940-6207.capr-18-0397] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2018] [Revised: 05/15/2019] [Accepted: 06/11/2019] [Indexed: 11/16/2022]
Abstract
Human papillomavirus genotype 16 (HPV16) is by far the genotype most strongly associated with cervical cancer; viral variant and/or viral load of HPV16 could modulate this association. The objective was to determine the association between the viral variant and viral load of HPV16 and the presence of cervical high-grade lesions. This cross-sectional study included all women in whom HPV infection was found by cervical smear during routine gynecologic health checks. Women with single or multiple HPV16 infections (n = 176) were selected for viral variant and viral load analysis. Smear results were classified using the Bethesda system. HPV types were classified according to the International Agency for Research on Cancer. Odds ratios (OR) with their 95% confidence intervals (CI) were estimated by logistic regression, adjusted for age, immigrant status, and coinfection with other high-risk genotypes. No statistically significant associations were found regarding the detected viral variants. A viral load above the median (>1,367.79 copies/cell) was associated with a significant risk of high-grade epithelial lesion or carcinoma, after adjusting for age, immigrant status, coinfections, and viral variant: (adjusted OR 7.89; 95% CI: 2.75-22.68). This relationship showed a statistically significant dose-response pattern after categorizing by viral load tertiles: adjusted OR for a viral load greater than the third tertile was 17.23 (95% CI: 4.20-70.65), with adjusted linear P trend = 0.001. In patients infected with HPV16, viral load is associated with high-grade intraepithelial lesions or cervical carcinoma. This could be useful as prognostic biomarker of neoplastic progression and as screening for cervical cancer.
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Affiliation(s)
| | - Miguel Santibañez
- Department of Nursing, Nursing Research Group-IDIVAL, University of Cantabria, Cantabria, Spain
| | - Antonio Galiana
- Department of Microbiology, University General Hospital of Elche, Alicante, Spain
| | | | - Paula Parás-Bravo
- Department of Nursing, Nursing Research Group-IDIVAL, University of Cantabria, Cantabria, Spain
| | | | | | | | | | - María Paz-Zulueta
- Department of Nursing, University of Cantabria, Cantabria, Spain. IDIVAL, GI Derecho Sanitario y Bioetica, GRIDES, Cantabria, Spain.
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Pérez-Corrales J, Pérez-de-Heredia-Torres M, Martínez-Piedrola R, Sánchez-Camarero C, Parás-Bravo P, Palacios-Ceña D. 'Being normal' and self-identity: the experience of volunteering in individuals with severe mental disorders-a qualitative study. BMJ Open 2019; 9:e025363. [PMID: 30904862 PMCID: PMC6475362 DOI: 10.1136/bmjopen-2018-025363] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 01/14/2019] [Accepted: 01/30/2019] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE This study sought to explore the views and experiences of a group of people with severe mental disorders (SMDs) who performed volunteer services. DESIGN A qualitative phenomenological study. SETTING Community public mental health services of the Community of Madrid and the province of Barcelona (Spain). PARTICIPANTS Purposive sampling techniques were used between September 2016 and April 2017. The inclusion criteria were: individuals aged 18-65 years who participated in volunteer activities during the performance of this study, based on the regulations of volunteer services in Spain and the community of Madrid; a diagnosis of non-organic psychotic disorder (F20.x, F21, F22, F24, F25, F28, F29, F31.x, F32.3 and F33) according to the International Classification of Diseases, 10th Revision; an evolution of ≥2 years; and a moderate to severe dysfunction of global functioning with scores ≤70 in the Global Assessment of Functioning Scale. Ultimately, 23 people with SMD participated in the study with a mean age of 47 years (SD 8.23). METHODS Data were collected through in-depth interviews and researcher field notes. A thematic analysis was performed following appropriate guidelines for qualitative research. RESULTS Two main themes emerged to describe the experience of participating in volunteer activities: (1) rebuilding self-identity, based on the participant's experience of volunteering, of acquiring a new role and a new perceived identity that made them feel valued and respected; and (2) being a so-called normal person with a 'normal' life, based on recovering a sense of normality, unmarked by the illness, thanks to daily responsibilities and occupations. CONCLUSIONS Qualitative research offers insight into the way people with SMD experience volunteering and may help to improve understanding of the underlying motivations that drive these individuals. These findings may be applied to improve guidance during their process of recovery and subsequent inclusion into society.
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Affiliation(s)
- Jorge Pérez-Corrales
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - Marta Pérez-de-Heredia-Torres
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - Rosa Martínez-Piedrola
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - Carlos Sánchez-Camarero
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - Paula Parás-Bravo
- Department of Nursing, Nursing Group IDIVAL, Faculty of Nursing, University of Cantabria, Santander, Cantabria, Spain
| | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
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Casteleiro A, Santibañez M, Parás-Bravo P, Pellico López A, Amo Setién F, Paz-Zulueta M. Clinical practice and differential results in maternal and neonatal morbidity in pregnant women who are candidates for a normal birth. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Parás-Bravo P, Paz-Zulueta M, Alonso-Blanco C, Salvadores-Fuentes P, Ruiz-Azcona L, Santibañez M. Presence of cancer pain, inadequate pain control and psychotropic drug use: A cross-selectional study. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Hernández C, Paz-Zulueta M, Parás-Bravo P, Pellico A, Sarabia R, Santibáñez M. Impact of active video games on body mass index in children and adolescents: Systematic review and meta-analysis evaluating the quality of primary studies. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Pellico López A, Paz-Zulueta M, Fernández-Feito A, Parás-Bravo P, Santibañez M, Cantarero Prieto D. Cases of bed blockage in Northern Spain during 2010–2014: Delayed discharge from acute hospitalization to long-term care. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Paz-Zulueta M, Álvarez-Paredes L, Rodríguez Díaz J, Parás-Bravo P, Portilla J, Santibañez M. Association of human papillomavirus genotype 16 viral variant and viral load with cervical high-grade intraepithelial lesions. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Paz-Zulueta M, Álvarez-Paredes L, Rodríguez Díaz JC, Parás-Bravo P, Andrada Becerra ME, Rodríguez Ingelmo JM, Ruiz García MM, Portilla J, Santibañez M. Prevalence of high-risk HPV genotypes, categorised by their quadrivalent and nine-valent HPV vaccination coverage, and the genotype association with high-grade lesions. BMC Cancer 2018; 18:112. [PMID: 29382323 PMCID: PMC5791190 DOI: 10.1186/s12885-018-4033-2] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2017] [Accepted: 01/23/2018] [Indexed: 01/02/2023] Open
Abstract
Background The new nine-valent vaccine against human papillomavirus (HPV) includes the four HPV genotypes (6, 11, 16, and 18) that are targeted by the older quadrivalent HPV vaccine, plus five additional oncogenic types (31, 33, 45, 52, and 58) remain significantly associated with high grade lesions. We aimed to determine the prevalence of high-risk HPV genotypes in unvaccinated subjects and the association of these genotypes with the incidence of high-grade lesions. We also assessed which, if either, of these two HPV vaccines could have prevented these cases. Methods This cross-sectional study, conducted from 4 January 2010 to 30 December 2011, was composed of 595 women attending the Hospital General Universitario de Elche (Spain) gynaecology department who were positively screened for opportunistic cervical cancer by pap smears and HPV detection during a routine gynaecological health check. The pap smear results were classified using the Bethesda system. HPV genotyping was performed with the Linear Array HPV genotyping test, and viruses were classified by the International Agency for Research on Cancer assessment of HPV carcinogenicity. Odds ratios (ORs) with their 95% confidence intervals (95% CI) were estimated by logistic regression, adjusting for age and immigrant status. The prevented fraction among those exposed (PFe-adjusted) was determined as a measure of impact. Results At least one of the additional five high-risk HPV genotypes present in the nine-valent HPV vaccine was detected in 20.5% of subjects. After excluding women with genotype 16 and/or 18 co-infection, high-risk genotypes (31, 33, 45, 52, and 58) were associated with a higher risk of intraepithelial lesion or malignancy: adjusted OR = 3.51 (95% CI, 1.29–9.56), PFe-adjusted = 0.72 (95% CI, 0.22–0.90). Genotypes that are still non-vaccine-targeted were detected in 17.98% of the women, but these were not significantly associated with high-grade lesions. Conclusion The greater protection of the nine-valent HPV vaccine is likely to have a positive impact because, in the absence of genotype 16 or 18 infection, these five genotypes on their own remained significantly associated with high-grade lesions. Electronic supplementary material The online version of this article (10.1186/s12885-018-4033-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- María Paz-Zulueta
- Faculty of Nursing, University of Cantabria, Avda Valdecilla s/n. C.P.: 39008, Cantabria, Spain.
| | - Ledicia Álvarez-Paredes
- Department of Microbiology and Parasitology, University Hospital of Burgos, C/ Islas Baleares, 3 - C.P.: 09006, Burgos, Spain
| | - Juan Carlos Rodríguez Díaz
- Department of Microbiology, University General Hospital of Alicante. Pintor Baeza, 11- C.P.: 03010, Alicante, Spain
| | - Paula Parás-Bravo
- Faculty of Nursing, University of Cantabria, Avda Valdecilla s/n. C.P.: 39008, Cantabria, Spain
| | - Ma Encarnación Andrada Becerra
- Department of Pathological Anatomy, University General Hospital of Elche. Camí de l'Almazara, 11 - C.P.: 03203, Alicante, Spain
| | - José María Rodríguez Ingelmo
- Department of Gynecology, University General Hospital of Elche. Camí de l'Almazara, 11 - C.P.: 03203, Alicante, Spain
| | - María Montserrat Ruiz García
- Department of Microbiology, University General Hospital of Elche. Camí de l'Almazara, 11 - C.P.: 03203, Alicante, Spain
| | - Joaquín Portilla
- Department of Infectious Diseases, University Hospital of Alicante. Pintor Baeza, 11- C.P.: 03010, Alicante, Spain
| | - Miguel Santibañez
- Faculty of Nursing, University of Cantabria, Avda Valdecilla s/n. C.P.: 39008, Cantabria, Spain
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Fernández-Muñoz JJ, Cigarán-Méndez M, Navarro-Pardo E, Pérez-de-Heredia-Torres M, Parás-Bravo P, Fernández-de-las-Peñas C. Is the association between health-related quality of life and fatigue mediated by depression in patients with multiple sclerosis? A Spanish cross-sectional study. BMJ Open 2018; 8:e016297. [PMID: 29362245 PMCID: PMC5786117 DOI: 10.1136/bmjopen-2017-016297] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES To determine the mediating effects of depression on health-related quality of life and fatigue in individuals with multiple sclerosis (MS). DESIGN A cross-sectional study. SETTING Tertiary urban hospital. PARTICIPANTS One hundred and eight patients (54% women) with MS participated in this study. OUTCOME MEASURES Demographic and clinical data (weight, height, medication and neurological impairment), fatigue (Fatigue Impact Scale), depression (Beck Depression Inventory-II) and health-related quality of life (Short-Form Health Survey 36) were collected. RESULTS Fatigue was significantly associated with bodily pain, physical function, mental health and depression. Depression was associated with bodily pain and mental health. The path analysis found direct effects from physical function, bodily pain and depression to fatigue (all, P<0.01). The path model analysis revealed that depression exerted a mediator effect from bodily pain to fatigue (B=-0.04, P<0.01), and from mental health to fatigue (B=-0.16, P<0.01). The amount of fatigue explained by all predictors in the path model was 37%. CONCLUSIONS This study found that depression mediates the relationship between some health-related quality of life domains and fatigue in people with MS. Future longitudinal studies focusing on proper management of depressive symptoms in individuals with MS will help determine the clinical implications of these findings.
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Affiliation(s)
| | | | - Esperanza Navarro-Pardo
- Departamento de Psicología Evolutiva y de la Educación, Universitat de Valencia, Valencia, Comunitat Valenciana, Spain
| | - Marta Pérez-de-Heredia-Torres
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
| | - Paula Parás-Bravo
- Department of Nursing, Universidad de Cantabria, Santander, Cantabria, Spain
| | - César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain
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Fernández-de-las-Peñas C, Fernández-Muñoz JJ, Palacios-Ceña M, Parás-Bravo P, Cigarán-Méndez M, Navarro-Pardo E. Sleep disturbances in tension-type headache and migraine. Ther Adv Neurol Disord 2017; 11:1756285617745444. [PMID: 29399051 PMCID: PMC5784553 DOI: 10.1177/1756285617745444] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [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: 07/03/2017] [Accepted: 10/31/2017] [Indexed: 12/11/2022] Open
Abstract
Current research into the pathogenesis of tension-type headache (TTH) and migraine is focused on altered nociceptive pain processing. Among the potential factors that influence sensitization mechanisms, emotional stress, depression, or sleep disorders all have an essential role: they increase the excitability of nociceptive firing and trigger hyperalgesic responses. Sleep disturbances and headache disorders share common brain structures and pathogenic mechanisms and TTH, migraine, and sleep disturbances often occur together; for example, 50% of individuals who have either TTH or migraine have insomnia. Moreover, insomnia and poor sleep quality have been associated with a higher frequency and intensity of headache attacks, supporting the notion that severity and prevalence of sleep problems correlate with headache burden. It should be noted that the association between headaches and sleep problems is bidirectional: headache can promote sleep disturbances, and sleep disturbances can also precede or trigger a headache attack. Therefore, a better understanding of the factors that affect sleep quality in TTH and migraine can assist clinicians in determining better and adequate therapeutic programs. In this review, the role of sleep disturbances in headaches, and the association with depression, emotional stress, and pain sensitivity in individuals with TTH or migraine are discussed.
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Affiliation(s)
- César Fernández-de-las-Peñas
- Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Avenida de Atenas s/n, 28922 Alcorcón, Madrid, Spain
| | | | - María Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Alcorcón, Spain
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Cigarán-Méndez M, Fernández-Muñoz JJ, Navarro-Pardo E, Jiménez-Antona C, Parás-Bravo P, Alburquerque-Sendín F, Fernández-de-las-Peñas C. Gender differences in variables associated with sleep quality in chronic tension type headache. Women Health 2017; 58:1037-1049. [DOI: 10.1080/03630242.2017.1372845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
| | | | - Esperanza Navarro-Pardo
- Department of Developmental and Educational Psychology, Universitat de Valencia, Valencia, Spain
| | - Carmen Jiménez-Antona
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain
| | | | | | - César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain
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Parás-Bravo P, Salvadores-Fuentes P, Alonso-Blanco C, Paz-Zulueta M, Santibañez-Margüello M, Palacios-Ceña D, Boixadera-Planas E, Fernández-de-las-Peñas C. The impact of muscle relaxation techniques on the quality of life of cancer patients, as measured by the FACT-G questionnaire. PLoS One 2017; 12:e0184147. [PMID: 29049283 PMCID: PMC5648131 DOI: 10.1371/journal.pone.0184147] [Citation(s) in RCA: 65] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 08/16/2017] [Indexed: 12/17/2022] Open
Abstract
INTRODUCTION Patients with cancer frequently suffer from emotional distress, characterized by psychological symptoms such as anxiety or depression. The presence of psychological symptoms combined with the complex nature of oncology processes can negatively impact patients' quality of life. We aimed to determine the impact of a relaxation protocol on improving quality of life in a sample of oncological patients treated in the Spanish National Public Health System. MATERIALS AND METHODS We conducted a multicenter interventional study without a control group. In total, 272 patients with different oncologic pathologies and showing symptoms of anxiety were recruited from 10 Spanish public hospitals. The intervention comprised abbreviated progressive muscle relaxation training, according to Bernstein and Borkovec. This was followed by weekly telephone calls to each patient over a 1-month period. We collected sociodemographic variables related to the disease process, including information about mental health and the intervention. Patients' quality of life was assessed using the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire. Bivariate and univariate analyses were performed, along with an analysis of multiple correspondences to identify subgroups of patients with similar variations on the FACT-G. RESULTS Patients showed statistically significant improvements on the FACT-G overall score (W = 16806; p<0.001), with an initial mean score of 55.33±10.42 and a final mean score of 64.49±7.70. We also found significant improvements for all subscales: emotional wellbeing (W = 13118; p<0.001), functional wellbeing (W = 16155.5; p<0.001), physical wellbeing (W = 8885.5; p<0.001), and social and family context (W = -1840; p = 0.037). CONCLUSIONS Patients with cancer who learned and practiced abbreviated progressive muscle relaxation experienced improvement in their perceived quality of life as measured by the FACT-G. Our findings support a previous assumption that complementary techniques (including relaxation techniques) are effective in improving the quality of life of patients with cancer.
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Affiliation(s)
- Paula Parás-Bravo
- Department of Nursing, University of Cantabria, Santander, Spain
- * E-mail:
| | | | - Cristina Alonso-Blanco
- Department Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Alcorcón, Spain
| | | | | | - Domingo Palacios-Ceña
- Department Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Alcorcón, Spain
| | | | - César Fernández-de-las-Peñas
- Department Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, Alcorcón, Spain
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Parás-Bravo P, Paz-Zulueta M, Santibañez M, Fernández-de-Las-Peñas C, Herrero-Montes M, Caso-Álvarez V, Palacios-Ceña D. Living with a peripherally inserted central catheter: the perspective of cancer outpatients-a qualitative study. Support Care Cancer 2017; 26:441-449. [PMID: 28707169 PMCID: PMC5752737 DOI: 10.1007/s00520-017-3815-4] [Citation(s) in RCA: 23] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 07/03/2017] [Indexed: 11/03/2022]
Abstract
PURPOSE The aim of this study was to describe the experience of using a peripherally inserted central catheter (PICC) in cancer sufferers receiving outpatient treatment. METHODS A qualitative, phenomenological study was performed. Purposeful sampling methods were used. Data collection methods included semi-structured interviews and researcher field notes. Thematic analysis was used to analyze data. The study was conducted following the Consolidated Criteria for Reporting Qualitative Research guidelines. RESULTS Eighteen patients (61% women, mean age 58 years) participated. They spent a mean duration of 155 days with the line in place. Two themes were identified with different subgroups. The theme "Living with a PICC line," including the subthemes "Benefits" and "Disadvantages," displays how the implantation is experienced by patients in a dichotomous manner. This highlighted both the beneficial and negative aspects of the implantation. The second theme was "Adapting to life with the catheter" and comprised three subthemes: "Advantages," "Lifestyle modifications," and "Overall assessment of the peripherally inserted central catheter," which shows how patients gradually accept the catheter by adapting their lifestyle. CONCLUSIONS Over time, most patients considered having a PICC line to be a positive experience that they would recommend to other patients, as they found that it did not alter their quality of life. These results can be applied in Oncology Units for developing specific protocols for patients.
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Affiliation(s)
| | | | | | - Cesar Fernández-de-Las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University of Madrid, Madrid, Spain
| | | | | | - Domingo Palacios-Ceña
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University of Madrid, Madrid, Spain
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Parás-Bravo P, Paz-Zulueta M, Alonso-Blanco MC, Salvadores-Fuentes P, Alconero-Camarero AR, Santibañez M. Association among presence of cancer pain, inadequate pain control, and psychotropic drug use. PLoS One 2017; 12:e0178742. [PMID: 28594871 PMCID: PMC5464574 DOI: 10.1371/journal.pone.0178742] [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] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 05/18/2017] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Pain is a common symptom in cancer patients, and its control and management are complex. Despite the high concomitant use of psychotropic drugs among such patients, the association among pain, inadequate pain control, and psychotropic drug use has not been fully determined. This study examined the prevalence of cancer pain and inadequate pain control and the association with psychotropic drug use. MATERIALS AND METHODS In this cross-sectional study, we investigated 402 medical records obtained by simple random sampling of oncology patients at a hospital in northern Spain from July 2012 to July 2014. Adjusted odds ratios (ORs) were estimated together with their 95% confidence intervals (95% CIs) by unconditional logistic regression for each type of psychotropic drug (anxiolytics, hypnotics, and antidepressants). RESULTS The mean patient age was 61.17 (standard deviation ± 13.14) years; 57.5% were women, 42.5% men. Pain was present in 18.4% of patients and inadequate pain control in 54.2%. We found a statistically significant association between the presence of cancer pain and anxiolytic use (adjusted OR, 3.15; 95% CI, 1.49-6.68) and hypnotic use (adjusted OR, 5.19; 95% CI, 1.77-15.25). Inadequate pain control was associated to a greater extent with the use of those drugs: adjusted OR for anxiolytic use, 4.74 (95% CI, 1.91-11.80); adjusted OR for hypnotic use, 6.09 (95% CI, 1.74-21.32). By contrast, no association was found between pain and antidepressant use (adjusted OR, 0.99). CONCLUSION The presence of pain and (to a greater extent) poor pain control were associated with increased use of certain psychotropic drugs, such as anxiolytics and hypnotics. There appeared to be no association between pain and antidepressant use.
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Affiliation(s)
| | - María Paz-Zulueta
- Department of Nursing, University of Cantabria, Santander, Spain
- * E-mail:
| | | | - Paloma Salvadores-Fuentes
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Division of Physical Therapy, University “Rey Juan Carlos”, Madrid, Spain
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Sarabia-Cobo CM, Parás-Bravo P, Amo-Setién FJ, Alconero-Camarero AR, Sáenz-Jalón M, Torres-Manrique B, Sarabia-Lavín R, Fernández-Rodríguez A, Silio-García T, Fernández-Peña R, Paz-Zulueta M, Santibáñez-Margüello M. Validation of the Spanish Version of the ICECAP-O for Nursing Home Residents with Dementia. PLoS One 2017; 12:e0169354. [PMID: 28068375 PMCID: PMC5222189 DOI: 10.1371/journal.pone.0169354] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [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: 10/06/2016] [Accepted: 12/15/2016] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Measurement of health-related quality of life (HRQoL) is important for a chronic disease, such as dementia, which impairs the quality of life of affected patients in addition to their length of life. This is important in the context of economic evaluations when interventions do not (only) affect HRQoL and these other factors also affect overall quality of life. OBJECTIVE To validate the Spanish translation of the ICECAP-O's capability to measure Health-related quality of life in elderly with dementia who live in nursing homes. METHOD Cross-sectional study. For 217 residents living in 8 Spanish nursing homes, questionnaires were completed by nursing professionals serving as proxy respondents. We analyzed the internal consistency and other psychometric properties. We investigated the convergent validity of the ICECAP-O with other HRQoL instruments, the EQ-5D extended with a cognitive dimension (EQ-5D+C), the Alzheimer's Disease Related Quality of Life (ADRQL) measures, and the Barthel Index measure of activities of daily living (ADL). RESULTS The ICECAP-O presents satisfactory internal consistency (alpha 0.820). The factorial analysis indicated a structure of five principal dimensions that explain 66.57% of the total variance. Convergent validity between the ICECAP-O, EQ-5D+C, ADRQL, and Barthel Index scores was moderate to good (with correlations of 0.62, 0.61, and 0.68, respectively), but differed between dimensions of the instruments. Discriminant validity was confirmed by finding differences in ICECAP-O scores between subgroups based on ADL scores (0.70 low, 0.59 medium, and 0.39 high level care), dementia severity (0.72 mild, 0.63 medium, and 0.50 severe), and ages (0.59 below 75 years and 0.84 above 75 years). CONCLUSIONS This study presented the first use of a Spanish version of the ICECAP-O. The results indicate that the ICECAP-O appears to be a reliable Health-related quality of life measurement instrument showing good convergent and discriminant validity for people with dementia.
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Parás-Bravo P, Paz-Zulueta M, Sarabia-Lavin R, Jose Amo-Setién F, Herrero-Montes M, Olavarría-Beivíde E, Rodríguez-Rodríguez M, Torres-Manrique B, Rodríguez-de la Vega C, Caso-Álvarez V, González-Parralo L, Antolín-Juárez FM. Complications of Peripherally Inserted Central Venous Catheters: A Retrospective Cohort Study. PLoS One 2016; 11:e0162479. [PMID: 27588946 PMCID: PMC5010186 DOI: 10.1371/journal.pone.0162479] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [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: 02/16/2016] [Accepted: 08/04/2016] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND AIM The use of venous catheters is a widespread practice, especially in oncological and oncohematological units. The objective of this study was to evaluate the complications associated with peripherally inserted central catheters (PICCs) in a cohort of patients. MATERIALS AND METHODS In this retrospective cohort study, we included all patient carrying PICCs (n = 603) inserted at our institute between October 2010 and December 2013. The main variables collected were medical diagnosis, catheter care, location, duration of catheterization, reasons for catheter removal, complications, and nursing care. Complications were classified as infection, thrombosis, phlebitis, migration, edema, and/or ecchymosis. RESULTS All patients were treated according to the same "nursing care" protocol. The incidence rate of complications was two cases per 1000 days of catheter duration. The most relevant complications were infection and thrombosis, both with an incidence of 0.17 cases per 1000 days of the total catheterization period. The total average duration of catheterization was 170 days [SD 6.06]. Additionally to "end of treatment" (48.42%) and "exitus", (22.53%) the most frequent cause of removal was migration (displacement towards the exterior) of the catheter (5.80%). CONCLUSIONS PICCs are safe devices that allow the administration of long-term treatment and preserve the integrity of the venous system of the patient. Proper care of the catheter is very important to improve the quality life of patients with oncologic and hematologic conditions. Therefore, correct training of professionals and patients as well as following the latest scientific recommendations are particularly relevant.
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Affiliation(s)
- Paula Parás-Bravo
- Departamento de Enfermería, Universidad de Cantabria, Santander, Cantabria, España
| | - María Paz-Zulueta
- Departamento de Enfermería, Universidad de Cantabria, Santander, Cantabria, España
| | - Raquel Sarabia-Lavin
- Departamento de Enfermería, Universidad de Cantabria, Santander, Cantabria, España
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