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Rodríguez-Alcázar FJ, Juárez-Vela R, Sánchez-González JL, Martín-Vallejo J. Interventions Effective in Decreasing Burden in Caregivers of Persons with Dementia: A Meta-Analysis. Nurs Rep 2024; 14:931-945. [PMID: 38651483 PMCID: PMC11036232 DOI: 10.3390/nursrep14020071] [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: 02/09/2024] [Revised: 04/04/2024] [Accepted: 04/11/2024] [Indexed: 04/25/2024] Open
Abstract
Introduction: Chronic non-communicable diseases, including diseases of mental origin such as Alzheimer's, affect all age groups and countries. These diseases have a major impact on the patient and their family environment. It is interesting that different questionnaires are measured in the same direction, given that different health questionnaires are used to measure caregiver burden. Objectives: To identify which type of intervention is the most appropriate to improve the health of the primary caregiver in patients with dementia. To understand the role played by the nurse within multidisciplinary teams and to know whether the different questionnaires used in the studies measure caregiver health in the same direction. Methods: A systematic search of the published and gray literature was carried out without restriction of the language used in the studies. Caregiver burden of patients with dementia, receiving an intervention to improve caregiver burden, was assessed. Standardized mean difference was used as the effect size measure, and there were possible causes of heterogeneity in the effect size. Results: In total, 1512 records were found, and 39 articles with 4715 participants were included. We found individual information with an effect of 0.48 (CI95%: 0.18; 0.79; I2 = 0%); group therapy with an effect of 0.20 (CI95%: 0.08; 0.31; I2 = 6%); workshops with an effect of 0.21 (CI95%: 0.01; I2 = 48%) and 0.32 (CI95%: 0.01; 0.54; I2 = 0%) when a nurse intervenes; respite care with an effect of 0.22 (CI95%: 0.05; 0.40; I2 = 66%); individual therapy with an effect of 0.28 (CI95%: 0.15; 0.4; I2 = 68%); and support groups with an effect of 0.07 (CI95%: 0; 0.15; I2 = 78%). Conclusions: The magnitude of the effects of the interventions has been low-moderate. Different instruments are not associated with the magnitude of the effect. The presence of nurses improves the effect of the intervention on caregivers when it is carried out in the form of workshops.
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Affiliation(s)
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain;
| | - Juan Luis Sánchez-González
- Department of Physiotherapy, Faculty of Nursing and Physiotherapy, University of Salamanca, 37007 Salamanca, Spain
| | - Javier Martín-Vallejo
- Department of Statistics, Faculty of Medicine; University of Salamanca, 37007 Salamanca, Spain;
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Calderón-Moreno J, Delgado-Rodriguez MJ, Juárez-Vela R, Tejada-Garrido CI, de Viñaspre-Hernández RR, Burgos-Esteban A, Sánchez-Conde P, Andreu-Fernández V, Gea-Caballero V, Santos-Sanchez JA, Quintana-Diaz M, Andrés-Esteban EM. Approximation to the economic cost of healthcare for hypertensive patients diagnosed with COVID-19. Front Public Health 2024; 12:1333081. [PMID: 38566790 PMCID: PMC10986305 DOI: 10.3389/fpubh.2024.1333081] [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: 11/04/2023] [Accepted: 02/16/2024] [Indexed: 04/04/2024] Open
Abstract
Introduction Many researchers have focused their studies on hypertension due to its over-representation among COVID-19 patients. Both retrospective and observational studies conducted close to the Wuhan area have reported that hypertension is the most common comorbidity observed in patients affected by COVID-19. Objective Our objective is that patients with arterial hypertension have a worse prognosis in terms of evolution leading to higher costs. Methods A retrospective cross-sectional study was conducted. A total of 3,581 patients from La Paz University Hospital (LPUH) during the period between 15 July 2020 and 31 July 2020 were included in this study. Results It should be noted that 40.71% of the patients were hypertensive. As expected, hypertension was associated with men, among whom we observed a higher prevalence and a higher age (median age of 77 years (IQI: 65-85) versus 52 years (IQI: 37-64), p-value < 0.001). Hypertensive patients had a higher prevalence of dyspnea (52.14% vs. 47.15%, p-value = 0.004) and altered awareness (14.89% vs. 4.30%, p-value <0.001). The non-parametric Kaplan-Meier curve estimates the survival of patients in the two study groups. We can see how patients with hypertension have a higher associated mortality, with the difference being statistically significant, p-value (log-rank) = 0.004. Only for the appearance of complications during hospitalization, the group of hypertensive patients reached the figure of €1,355,901.71 compared to the total of 421,403.48 € for normotensive patients. Conclusion Our study shows the worse clinical evolution of patients with COVID-19 in terms of associated morbidity and mortality. It also shows that the cost of managing patients with hypertension is greater than that of managing normotensive patients.
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Affiliation(s)
| | | | - Raúl Juárez-Vela
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, Spain
- Research Group Blood Patient Management, IDI-Paz Research Institute, Madrid, Spain
| | | | - Regina Ruiz de Viñaspre-Hernández
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, Spain
- Research Group Blood Patient Management, IDI-Paz Research Institute, Madrid, Spain
| | | | - Pilar Sánchez-Conde
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
- Anesthesia and Resuscitation Service, University Healthcare Complex, Salamanca, Spain
| | | | | | | | - Manuel Quintana-Diaz
- Research Group Blood Patient Management, IDI-Paz Research Institute, Madrid, Spain
- Intensive Care Unit, Hospital La Paz, La Paz, Spain
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Kwaśny A, Uchmanowicz I, Juárez-Vela R, Młynarska A, Łokieć K, Czapla M. Sex-related differences in the impact of nutritional status on in-hospital mortality in heart failure: a retrospective cohort study. Eur J Cardiovasc Nurs 2024; 23:176-187. [PMID: 37226867 DOI: 10.1093/eurjcn/zvad050] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 05/12/2023] [Accepted: 05/16/2023] [Indexed: 05/26/2023]
Abstract
AIMS A nutritional status is related to the length of hospitalization and in-hospital mortality of patients with heart failure (HF). The aim of this study is to assess the prognostic impact of nutritional status and body mass index (BMI) on in-hospital mortality among patients with HF relative to their sex. METHODS AND RESULTS We conducted a retrospective study and analysis of 809 medical records of patients admitted to the Institute of Heart Disease of the University Clinical Hospital in Wroclaw (Poland). Women were statistically significantly older than men (74.67 ± 11.15 vs. 66.76 ± 17.78; P < 0.001). In unadjusted model, significant predictors of the odds of in-hospital mortality for men were underweight (OR = 14.81, P = 0.001) and the risk of malnutrition (OR = 8.979, P < 0.001). In the case of women, none of the traits analysed was significant. In age-adjusted model, significant independent predictors of the odds of in-hospital mortality in the case of men were BMI < 18.5 (OR = 15.423, P = 0.001) and risk of malnutrition (OR = 5.557, P = 0.002). In the case of women, none of the nutritional status traits analysed were significant. In multivariable-adjusted model in men, significant independent predictors of the odds of in-hospital mortality were BMI < 18.5 (OR = 15.978, P = 0.007) compared with having normal body weight and the risk of malnutrition (OR = 4.686, P = 0.015). In the case of women, none of the nutritional status traits analysed were significant. CONCLUSION Both underweight and the risk of malnutrition are direct predictors of the odds of in-hospital mortality in men, but not in women. The study did not find a relationship between nutritional status and in-hospital mortality in women.
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Affiliation(s)
- Adrian Kwaśny
- Institute of Dietetics, The Academy of Business and Health Science, 90-361 Lodz, Poland
| | - Izabella Uchmanowicz
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, ul. Bartla 5, 51-618 Wroclaw, Poland
- Institute of Heart Diseases, University Hospital, ul. Borowska 213, 50-556 Wroclaw, Poland
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain
| | - Agnieszka Młynarska
- Department Gerontology and Geriatric Nursing, School of Health Sciences, Medical University of Silesia, 40-635 Katowice, Poland
| | - Katarzyna Łokieć
- Department of Propaedeutic of Civilization Diseases, Medical University of Lodz, 90-419 Lodz, Poland
| | - Michał Czapla
- Institute of Heart Diseases, University Hospital, ul. Borowska 213, 50-556 Wroclaw, Poland
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain
- Department of Emergency Medical Service, Wroclaw Medical University, 51-616 Wroclaw, Poland
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Gurdiel-Álvarez F, Navarro-López V, Varela-Rodríguez S, Juárez-Vela R, Cobos-Rincón A, Sánchez-González JL. Transcranial magnetic stimulation therapy for central post-stroke pain: systematic review and meta-analysis. Front Neurosci 2024; 18:1345128. [PMID: 38419662 PMCID: PMC10899389 DOI: 10.3389/fnins.2024.1345128] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 02/01/2024] [Indexed: 03/02/2024] Open
Abstract
Introduction Although rare, central post-stroke pain remains one of the most refractory forms of neuropathic pain. It has been reported that repetitive transcranial magnetic stimulation (rTMS) may be effective in these cases of pain. Aim The aim of this study was to investigate the efficacy of rTMS in patients with central post-stroke pain (CPSP). Methods We included randomized controlled trials or Controlled Trials published until October 3rd, 2022, which studied the effect of rTMS compared to placebo in CPSP. We included studies of adult patients (>18 years) with a clinical diagnosis of stroke, in which the intervention consisted of the application of rTMS to treat CSP. Results Nine studies were included in the qualitative analysis; 6 studies (4 RCT and 2 non-RCT), with 180 participants, were included in the quantitative analysis. A significant reduction in CPSP was found in favor of rTMS compared with sham, with a large effect size (SMD: -1.45; 95% CI: -1.87; -1.03; p < 0.001; I2: 58%). Conclusion The findings of the present systematic review with meta-analysis suggest that there is low quality evidence for the effectiveness of rTMS in reducing CPSP. Systematic review registration Identifier (CRD42022365655).
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Affiliation(s)
- Francisco Gurdiel-Álvarez
- International Doctoral School, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain
- Cognitive Neuroscience, Pain, and Rehabilitation Research Group (NECODOR), Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | - Víctor Navarro-López
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain
| | - Sergio Varela-Rodríguez
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain
| | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, University of La Rioja, Research Group GRUPAC, Logroño, Spain
| | - Ana Cobos-Rincón
- Nursing Department, Faculty of Health Sciences, University of La Rioja, Research Group GRUPAC, Logroño, Spain
| | - Juan Luis Sánchez-González
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, Instituto de Investigación Biomédica de Salamanca (IBSAL), Salamanca, Spain
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Gea-Caballero V, Pellín-Carcelén A, Piera-Gomar JL, Mármol-López MI, Santolalla-Arnedo I, Tejada Garrido CI, Burgos-Esteban A, Rasal Sánchez M, Rasal Sánchez A, Carboneres-Tafaner MI, Juárez-Vela R. Evaluation of the impact of "speak out" and "human libraries" educational methodologies on nursing students' attitudes toward immigration. Front Public Health 2024; 12:1308973. [PMID: 38371238 PMCID: PMC10869608 DOI: 10.3389/fpubh.2024.1308973] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 01/08/2024] [Indexed: 02/20/2024] Open
Abstract
Introduction Measuring and understanding attitudes toward migrants is crucial in Health Sciences professionals. Nursing students, as future professionals in the healthcare system, must be comprehensively trained and prepared from the undergraduate level to effectively face the challenges of caring for health and disease processes in an increasingly globalized world. Our study aims to determine the level of attitudinal change in nursing students for immigrants, based on a training intervention with sessions of coexistence with immigrants in Spain. Methods Quasi-experimental controlled and non-randomized study, carried out in 2019 in Nursing School La Fe, Valencia (Spain), with 201 participants (74 intervention group, 127 control group). Instrument: Attitudes toward Immigration Instrument (IAHI) questionnaire. Educational techniques of the training intervention: Speak outs and Human Libraries. Descriptive statistical analysis and comparison of results between groups was performed. Results The participants in the intervention group showed significant changes in attitude modification, both in the total score of the questionnaire and in 4 of the 5 dimensions (pre-post intervention medition). When comparing the differences between the intervention group and the control group, we observed significant differences in 3 of the 5 dimensions: equality principles and policies, positive favorability, and negative favorability. Conclussion Sessions involving coexistence, discussion, and reflection with immigrants, as educational intervention methods for nursing students (Speak outs and Human Libraries), are useful and effective tools to promote positive attitudinal changes toward immigrants within the healthcar context in nursing students.
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Affiliation(s)
- Vicente Gea-Caballero
- Faculty of Health Science, Research Group in Community Health and Care, Valencia International University, Valencia, Spain
| | - Ana Pellín-Carcelén
- Faculty of Health Science, Research Group in Community Health and Care, Valencia International University, Valencia, Spain
| | - José Luís Piera-Gomar
- Nursing School La Fe, Adscript Centre, Research Group GREIACC, Health Research Institute La Fe (IISLaFe), University of Valencia, Valencia, Spain
| | - María Isabel Mármol-López
- Nursing School La Fe, Adscript Centre, Research Group GREIACC, Health Research Institute La Fe (IISLaFe), University of Valencia, Valencia, Spain
| | - Iván Santolalla-Arnedo
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | - Clara Isabel Tejada Garrido
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | - Amaya Burgos-Esteban
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | | | | | | | - Raúl Juárez-Vela
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
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Ruiz de Viñaspre-Hernández R, Garrido-Santamaria R, Urra-Martínez R, Sáenz-Cabredo P, Garrido-Rivas AE, Juárez-Vela R, Sánchez-González JL, Lafuente-Jimenez A, Ramón-Arbués E, Navas-Echazarreta N, Santolalla-Arnedo I. Early removal of the etonogestrel contraceptive implant in Spanish women: a prospective cohort study. Front Med (Lausanne) 2024; 11:1172793. [PMID: 38323032 PMCID: PMC10844390 DOI: 10.3389/fmed.2024.1172793] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 01/05/2024] [Indexed: 02/08/2024] Open
Abstract
Purpose To know the discontinuation rate and characterize predictors and reasons of contraceptive implant removal within 12 months of insertion in our community setting. Methods This prospective cohort study included women receiving the etonogestrel contraceptive implant at sexual and reproductive health centers between September 2019 and September 2020. The variables collected were implanted insertion timing, reproductive and demographic characteristics, medical conditions, sexual activity and counseling. Our primary outcome was implant discontinuation. Kaplan-Meier survival curves were used to show the cumulative discontinuation rate of implants contraceptive within the first year of insertion. We also identified factors that increased the risk of implant removal using the log-rank test and the Cox regression model. Reasons for discontinuation were documented. Results 199 women were followed up. Implant discontinuation was documented in 17.1% of implant users prior to 12 months. Factors that increase the risk of implant removal are living with a partner, being aged 25-34 years and not receiving comprehensive and structured counseling from the midwife. The main reason for removal was unsatisfactory bleeding (97.1%), but this was combined with other reasons such as cessation of sexual intercourse (58.8%), worsening mood (58.8%), weight gain (55.9%) or decreased libido (50.0%). Conclusion The rate of discontinuous implant uses in the first year is relevant in relation to cost-effectiveness, there is room for improvement that should not be overlooked. Comprehensive and structured midwife-led counseling can reduce early implant abandonment removal. The development in different countries of the role of midwives in the management of contraceptives can contribute to the economic benefit of health services and the satisfaction of women.
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Affiliation(s)
- Regina Ruiz de Viñaspre-Hernández
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | | | | | | | - Ana Elena Garrido-Rivas
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
- Rioja Health Service, Logroño, Spain
| | - Raúl Juárez-Vela
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | | | | | - Enrique Ramón-Arbués
- Faculty of Health Sciences, San Jorge University, Villanueva de Gállego, Spain
- SAPIENF Investigation Group, University of Zaragoza, Zaragoza, Spain
| | - Noelia Navas-Echazarreta
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
| | - Ivan Santolalla-Arnedo
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, Spain
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Kopiczko A, Czapla M, Juárez-Vela R, Ross C, Uchmanowicz B. Dairy product consumption, eating habits, sedentary behaviour and physical activity association with bone mineral density among adolescent boys: a cross-sectional observational study. BMC Pediatr 2024; 24:53. [PMID: 38233826 PMCID: PMC10792931 DOI: 10.1186/s12887-024-04539-y] [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] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 01/04/2024] [Indexed: 01/19/2024] Open
Abstract
BACKGROUND During childhood and adolescence, skeletal microarchitecture and bone mineral density (BMD) undergo significant changes. Peak bone mass is built and its level significantly affects the condition of bones in later years of life. Understanding the modifiable factors that improve bone parameters at an early age is necessary to early prevent osteoporosis. To identify these modifiable factors we analysed the relationship between dairy product consumption, eating habits, sedentary behaviour, and level of physical activity with BMD in 115 young boys (14-17 years). METHODS Bone parameters were measured by dual energy x-ray absorptiometry using paediatric specific software to compile the data. Dairy product consumption and eating habits were assessed by means of a dietary interview. Sedentary behaviour and physical activity was assessed in a face-to-face interview conducted using the International Physical Activity Questionnaire. Data collection on total physical activity level was performed by collecting information on the number of days and the duration of vigorous and moderate intensity (MVPA) and average daily time spent in sitting (SIT time). RESULTS The strongest relationships with BMD in distal part of forearm were found for moderate plus vigorous activity, sit time, and intake of dairy products, intake of calcium, protein, vitamin D, phosphorus from diet. Relationships between BMD, bone mineral content (BMC) in the distal and proximal part of the forearm and PA, sit time and eating parameters were evaluated using the multiple forward stepwise regression. The presented model explained 48-67% (adjusted R2 = 0.48-0.67; p < 0.001) of the variance in bone parameters. The predictor of interactions of three variables: protein intake (g/person/day), vitamin D intake (µg/day) and phosphorus intake (mg/day) was significant for BMD dis (adjusted R2 = 0.59; p < 0.001). The predictor of interactions of two variables: SIT time (h/day) and dairy products (n/day) was significant for BMD prox (adjusted R2 = 0.48; p < 0.001). Furthermore, the predictor of interactions dairy products (n/day), protein intake (g/person/day) and phosphorus intake (mg/day) was significant for BMC prox and dis (adjusted R2 = 0.63-0.67; p < 0.001). CONCLUSIONS High physical activity and optimal eating habits especially adequate intake of important dietary components for bone health such as calcium, protein, vitamin D and phosphorus affect the mineralization of forearm bones.
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Affiliation(s)
- Anna Kopiczko
- Department of Human Biology, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland
| | - Michał Czapla
- Department of Emergency Medical Service, Wrocław Medical University, Wrocław, Poland.
- Institute of Heart Diseases, University Hospital, Wroclaw, 50-566, Poland.
- Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logrono, 26006, Spain.
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logrono, 26006, Spain
| | - Catherine Ross
- Centre for Cardiovascular Health, School of Health and Social Care, Edinburgh Napier University, Edinburgh, EH11 4BN, UK
| | - Bartosz Uchmanowicz
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
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Uchmanowicz I, Lisiak M, Wleklik M, Pawlak AM, Zborowska A, Stańczykiewicz B, Ross C, Czapla M, Juárez-Vela R. The Impact of Rationing Nursing Care on Patient Safety: A Systematic Review. Med Sci Monit 2024; 30:e942031. [PMID: 38196186 PMCID: PMC10787575 DOI: 10.12659/msm.942031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2024] Open
Abstract
BACKGROUND Rationing of nursing care (RONC) has been associated with poor patient outcomes and is a growing concern in healthcare. The aim of this systematic study was to investigate the connection between patient safety and the RONC. MATERIAL AND METHODS A thorough search of electronic databases was done to find research that examined the relationship between restricting nurse services and patient safety. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers (M.L. and A.P.) independently screened the titles and abstracts, and full-text articles were assessed for eligibility. Data were extracted, and a quality assessment was performed using appropriate techniques. RESULTS A total of 15 studies met the inclusion criteria. The studies included in the review demonstrated a correlation between rationing of nursing care and patient safety. The results of these studies revealed that there is an inverse relationship between rationing of nursing care and patient safety. The review found that when nursing care is rationed, there is a higher incidence of falls, medication errors, pressure ulcers, infections, and readmissions. In addition, the review identified that the work characteristics of nurses, such as workload, staffing levels, and experience, were associated with RONC. CONCLUSIONS RONC has a negative impact on patient safety outcomes. It is essential for healthcare organizations to implement effective strategies to prevent the RONC. Improving staffing levels, workload management, and communication amo0ng healthcare providers are some of the strategies that can support this.
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Affiliation(s)
- Izabella Uchmanowicz
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Magdalena Lisiak
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
- Institute of Heart Diseases, University Hospital, Wrocław, Poland
| | - Marta Wleklik
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
- Institute of Heart Diseases, University Hospital, Wrocław, Poland
| | - Andrzej Maciej Pawlak
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Agnieszka Zborowska
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Bartłomiej Stańczykiewicz
- Division of Consultation Psychiatry and Neuroscience, Department of Psychiatry, Wrocław Medical University, Wrocław, Poland
| | - Catherine Ross
- The Centre for Cardiovascular Health, School of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom
| | - Michał Czapla
- Institute of Heart Diseases, University Hospital, Wrocław, Poland
- Department of Emergency Medical Service, Wrocław Medical University, Wrocław, Poland
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
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9
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Sánchez-González JL, Sánchez-Rodríguez JL, Varela-Rodríguez S, González-Sarmiento R, Rivera-Picón C, Juárez-Vela R, Tejada-Garrido CI, Martín-Vallejo J, Navarro-López V. Effects of Physical Exercise on Telomere Length in Healthy Adults: Systematic Review, Meta-Analysis, and Meta-Regression. JMIR Public Health Surveill 2024; 10:e46019. [PMID: 38194261 PMCID: PMC10806448 DOI: 10.2196/46019] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 07/03/2023] [Accepted: 10/24/2023] [Indexed: 01/10/2024] Open
Abstract
BACKGROUND Physical exercise is one of the main nonpharmacological treatments for most pathologies. In addition, physical exercise is beneficial in the prevention of various diseases. The impact of physical exercise has been widely studied; however, existing meta-analyses have included diverse and heterogeneous samples. Therefore, to our knowledge, this is the first meta-analysis to evaluate the impact of different physical exercise modalities on telomere length in healthy populations. OBJECTIVE In this review, we aimed to determine the effect of physical exercise on telomere length in a healthy population through a meta-analysis of randomized controlled trials. METHODS A systematic review with meta-analysis and meta-regression of the published literature on the impact of physical exercise on telomere length in a healthy population was performed. PubMed, Cochrane Library, SCOPUS, Web of Science, and Embase databases were searched for eligible studies. Methodological quality was evaluated using the Risk Of Bias In Nonrandomized Studies of Interventions and the risk-of-bias tool for randomized trials. Finally, the certainty of our findings (closeness of the estimated effect to the true effect) was evaluated using Grading of Recommendations, Assessment, Development, and Evaluations (GRADE). RESULTS We included 9 trials that met the inclusion criteria with fair methodological quality. Random-effects model analysis was used to quantify the difference in telomere length between the exercise and sham groups. Meta-analysis showed that exercise did not significantly increase telomere length compared with the control intervention (mean difference=0.0058, 95% CI -0.05 to 0.06; P=.83). Subgroup analysis suggested that high-intensity interventional exercise significantly increased telomere length compared with the control intervention in healthy individuals (mean difference=0.15, 95% CI 0.03-0.26; P=.01). Furthermore, 56% of the studies had a high risk of bias. Certainty was graded from low to very low for most of the outcomes. CONCLUSIONS The findings of this systematic review and meta-analysis suggest that high-intensity interval training seems to have a positive effect on telomere length compared with other types of exercise such as resistance training or aerobic exercise in a healthy population. TRIAL REGISTRATION PROSPERO CRD42022364518; http://tinyurl.com/4fwb85ff.
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Affiliation(s)
| | - Juan Luis Sánchez-Rodríguez
- Department of Basic Psychology, Psychobiology and Methodology, Faculty of Psychology, University of Salamanca, Salamanca, Spain
| | | | - Rogelio González-Sarmiento
- Molecular Medicine Unit, Instituto de Investigación Biomédica de Salamanca, University of Salamanca-Sanidad de Castilla y León - Consejo Superior de Investigaciones Científicas, Salamanca, Spain
| | - Cristina Rivera-Picón
- Faculty of Health Sciences, Nursing, Pontifical University of Salamanca, Salamanca, Spain
| | - Raúl Juárez-Vela
- Nursing Department, Faculty of Heatlh Sciences, University of La Rioja, Logroño, Spain
| | | | - Javier Martín-Vallejo
- Departament of Stadístics, Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - Víctor Navarro-López
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain
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10
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Lahoz-Pascual I, Jurado-Lopez AR, Juárez-Vela R, Santolalla-Arnedo I, Ruiz de Viñaspre-Hernández R, Repollés-Lasheras S, Tejero Sancho S, Diaz-Vega M, Lou-Mercade AC, Mendoza-Ladrón de Guevara N. A reliable and valid tool to assess the sexual acceptability of contraceptive methods. Front Public Health 2024; 11:1302675. [PMID: 38249389 PMCID: PMC10798038 DOI: 10.3389/fpubh.2023.1302675] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Accepted: 12/04/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction Adequate identification of the sexual acceptability of contraceptive methods is key for designing health promotion interventions, assessing their impacts, and increasing their effectiveness. This study aimed to develop and validate a questionnaire to explore the preferences of women depending on their epidemiological characteristics and their partner relationships-the Sexual Acceptability of Contraceptive Methods Questionnaire [in Spanish, Aceptabilidad Sexual de los Métodos Anticonceptivos (ASMA)]. Methods Psychometric validation was conducted using Exploratory Factorial Analysis (EFA) and confirmatory factor analysis (CFA). The reliability of the final version of the questionnaire was explored using Cronbach's alpha and McDonald omega to estimate internal consistency. Results A three-factor model was identified. Factor 1 (explaining 28.32% of the model) corresponds to questions concerning the use and placement of the contraceptive and includes 6 items; Factor 2 (explaining 24.23%) corresponds to other factors that affect the relationship such as bleeding and side effects of the contraceptive method and includes 10 items; and Factor 3 (explaining 18.94%) corresponds to the couple relationship and includes 8 items. Conclusion and implications The ASMA questionnaire provides a valid and reliable tool for assessing the sexual acceptability of various contraceptive methods. This instrument gathers data that provide information on various aspects of women's sexuality, health, education, and beliefs, all of which can determine the preference for one contraceptive method over another. Moreover, the tool can help to identify profiles of women who have different preferences when selecting a particular method.
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Affiliation(s)
- Isabel Lahoz-Pascual
- Department of Obstetrics and Gynecology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
- Department of Obstetrics and Gynecology, University of Zaragoza, Zaragoza, Spain
| | | | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño, Spain
- Biomedical Research Center of a Rioja, CIBIR, Logroño, Spain
| | - Iván Santolalla-Arnedo
- Department of Nursing, University of La Rioja, Logroño, Spain
- Biomedical Research Center of a Rioja, CIBIR, Logroño, Spain
| | | | - Sira Repollés-Lasheras
- Department of Obstetrics and Gynecology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
| | - Susana Tejero Sancho
- Department of Obstetrics and Gynecology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
- Department of Obstetrics and Gynecology, University of Zaragoza, Zaragoza, Spain
| | - Miguel Diaz-Vega
- Department of Obstetrics and Gynecology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
- Department of Obstetrics and Gynecology, University of Zaragoza, Zaragoza, Spain
| | - Ana Cristina Lou-Mercade
- Department of Obstetrics and Gynecology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
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11
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Ramón-Arbués E, Sagarra-Romero L, Echániz-Serrano E, Granada-López JM, Cobos-Rincón A, Juárez-Vela R, Navas-Echazarreta N, Antón-Solanas I. Health-related behaviors and symptoms of anxiety and depression in Spanish nursing students: an observational study. Front Public Health 2023; 11:1265775. [PMID: 38179570 PMCID: PMC10764461 DOI: 10.3389/fpubh.2023.1265775] [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: 07/24/2023] [Accepted: 12/04/2023] [Indexed: 01/06/2024] Open
Abstract
Background Symptoms of anxiety and depression are prevalent among young adults and are a significant public health issue. College students are at a higher risk of experiencing poor mental health than other young people due to several factors, including moving away from home, financial pressures, heavy workload, poor time management skills, competitivity, new processes of socialization and insufficient coping mechanisms, among others. In addition, nursing students' mental and physical health may also be affected by unhealthy lifestyle habits and health-related behaviors. Aim To determine the prevalence of symptoms of depression and anxiety, and the association between these symptoms and health-related behaviors, in a population of Spanish student nurses. Methods Cross-sectional study on a sample of 339 nursing students. We used the Hospital Anxiety and Depression Scale, the International Physical Activity Questionnaire-Short form, the Spanish Healthy Eating Index and an "ad hoc" questionnaire for sociodemographic variables. The association between psychological symptoms and health-related behaviors was analyzed through binary logistic regression models. Results The prevalence of symptoms of depression and anxiety was 3.8% and 24.5%, respectively. Negative health-related behaviors were frequent, namely tobacco and alcohol consumption, suboptimal physical activity and diet. Moderate physical activity was associated with a lower probability of experiencing depressive symptoms. Symptoms of anxiety were related to a low level of physical activity, an unhealthy diet and alcohol consumption ≥2 times a week. Conclusion Student nurses could benefit from the implementation of both physical and mental health promotion initiatives.
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Affiliation(s)
- Enrique Ramón-Arbués
- Universidad San Jorge, Faculty of Health Sciences, Zaragoza, Spain
- SAPIENF Research Group, University of Zaragoza, Zaragoza, Spain
- GAIAS Research Group, University San Jorge, Zaragoza, Spain
| | - Lucía Sagarra-Romero
- Universidad San Jorge, Faculty of Health Sciences, Zaragoza, Spain
- GAIAS Research Group, University San Jorge, Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- SAPIENF Research Group, University of Zaragoza, Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Faculty of Health Sciences, Zaragoza, Spain
| | - José Manuel Granada-López
- SAPIENF Research Group, University of Zaragoza, Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Faculty of Health Sciences, Zaragoza, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Noelia Navas-Echazarreta
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Isabel Antón-Solanas
- SAPIENF Research Group, University of Zaragoza, Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Faculty of Health Sciences, Zaragoza, Spain
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12
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Quintana-Diaz M, Anania P, Juárez-Vela R, Echaniz-Serrano E, Tejada-Garrido CI, Sanchez-Conde P, Nanwani-Nanwani K, Serrano-Lázaro A, Marcos-Neira P, Gero-Escapa M, García-Criado J, Godoy DA. "COAGULATION": a mnemonic device for treating coagulation disorders following traumatic brain injury-a narrative-based method in the intensive care unit. Front Public Health 2023; 11:1309094. [PMID: 38125841 PMCID: PMC10730733 DOI: 10.3389/fpubh.2023.1309094] [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: 10/07/2023] [Accepted: 11/21/2023] [Indexed: 12/23/2023] Open
Abstract
Introduction Coagulopathy associated with isolated traumatic brain injury (C-iTBI) is a frequent complication associated with poor outcomes, primarily due to its role in the development or progression of haemorrhagic brain lesions. The independent risk factors for its onset are age, severity of traumatic brain injury (TBI), volume of fluids administered during resuscitation, and pre-injury use of antithrombotic drugs. Although the pathophysiology of C-iTBI has not been fully elucidated, two distinct stages have been identified: an initial hypocoagulable phase that begins within the first 24 h, dominated by platelet dysfunction and hyperfibrinolysis, followed by a hypercoagulable state that generally starts 72 h after the trauma. The aim of this study was to design an acronym as a mnemonic device to provide clinicians with an auxiliary tool in the treatment of this complication. Methods A narrative analysis was performed in which intensive care physicians were asked to list the key factors related to C-iTBI. The initial sample was comprised of 33 respondents. Respondents who were not physicians, not currently working in or with experience in coagulopathy were excluded. Interviews were conducted for a month until the sample was saturated. Each participant was asked a single question: Can you identify a factor associated with coagulopathy in patients with TBI? Factors identified by respondents were then submitted to a quality check based on published studies and proven evidence. Because all the factors identified had strong support in the literature, none was eliminated. An acronym was then developed to create the mnemonic device. Results and conclusion Eleven factors were identified: cerebral computed tomography, oral anticoagulant & antiplatelet use, arterial blood pressure (Hypotension), goal-directed haemostatic therapy, use fluids cautiously, low calcium levels, anaemia-transfusion, temperature, international normalised ratio (INR), oral antithrombotic reversal, normal acid-base status, forming the acronym "Coagulation." This acronym is a simple mnemonic device, easy to apply for anyone facing the challenge of treating patients of moderate or severe TBI on a daily basis.
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Affiliation(s)
- Manuel Quintana-Diaz
- Department of Medicine, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- Intensive Care Unit, La Paz University Hospital, Madrid, Spain
- Institute for Health Research (idiPAZ), La Paz University Hospital, Madrid, Spain
| | - Pasquale Anania
- Department of Neurosurgery, Ospedale Policlinico San Martino, Istituto di Ricovero eCura a Carattere Scientifico (IRCCS) for Oncology and Neuroscience, Genoa, Italy
| | - Raúl Juárez-Vela
- Institute for Health Research (idiPAZ), La Paz University Hospital, Madrid, Spain
- Department of Nursing, University of La Rioja, Logroño, Spain
- Health and Healthcare Research Group (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | - Emmanuel Echaniz-Serrano
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Aragon Healthcare Service, Aragon, Zaragoza, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, University of La Rioja, Logroño, Spain
- Health and Healthcare Research Group (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | | | - Kapil Nanwani-Nanwani
- Intensive Care Unit, La Paz University Hospital, Madrid, Spain
- Institute for Health Research (idiPAZ), La Paz University Hospital, Madrid, Spain
| | - Ainhoa Serrano-Lázaro
- Institute for Health Research (idiPAZ), La Paz University Hospital, Madrid, Spain
- Intensive Care Unit, Valencia University Clinical Hospital, Valencia, Spain
| | - Pilar Marcos-Neira
- Intensive Care Unit, Germans Trias i Pujol University Hospital, Badalona, Spain
| | | | | | - Daniel Agustín Godoy
- Critical Care Department, Neurointensive Care Unit, Sanatorio Pasteur, Catamarca, Argentina
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13
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Antonio-Oriola R, Juárez-Vela R, Czapla M, Durante A, Di Nitto M, Benavent-Cervera JV, Saus-Ortega C, Navas-Echazarreta N, Cobos-Rincón A, Tejada-Garrido CI, Santolalla-Arnedo I, Gea-Caballero V. Spanish version of the Heart Failure Somatic Perception Scale (HFSPS v.3) - psychometric properties. Front Cardiovasc Med 2023; 10:1242057. [PMID: 38107264 PMCID: PMC10722411 DOI: 10.3389/fcvm.2023.1242057] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 11/14/2023] [Indexed: 12/19/2023] Open
Abstract
Background The Heart Failure Somatic Perception Scale (HFSPS) is an instrument that examine the existence and gravity of physical signs and symptoms in patients with heart failure, as well as early and subtle symptoms of HF that have clinical value, we aimed to translate and adapt the HFSPS from English to Spanish and evaluate the psychometric properties. Method HFSPS translation and back translation were carried out according to the method established by of Beaton et al. A confirmatory factor analysis (CFA) was performed to test the factor structures. To assess criterion-related validity, HFSPS factor scores were correlated with Kansas City Cardiomyopathy Questionnaire (KCCQ) scores using the Spearman correlation method. The reliability of the internal consistency of the HFSPS was determined by calculating the Cronbach's alpha coefficient and the factor score determination coefficient. Results Data from 173 patients with a mean age of 80.7 years (SD 9.1), women (51.1%), were analyzed. The majority (74.7%) were NYHA class II/III. The confirmatory factor analysis of four factors after eliminating one item showed fit indices close to the recommended indices: χ2 = 169.237, p < 0.001, CFI = 0.920, TLI = 0.901, RMSEA = 0.057 and SRMR = 0.061. Regarding the validity related to the criterion, all the scores of the HFSPS dimensions were correlated with all the scores of the KCCQ dimensions and were statistically significant. The reliability of the HFSPS factors of the coefficient of determination obtained scores of 0.73 for the dyspnea factor and early and subtle and lower for edema and chest discomfort with fewer items. Cronbach's alpha was acceptable for three of the scales >0.71 and poor 0.52 for chest discomfort with two items. The internal consistency index based on the model was 0.850. Conclusion The Spanish version of the HFSPS is a valid and reliable instrument that that would be feasible to use in clinical and research setting to evaluate in the perception of symptoms in patients with heart failure.
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Affiliation(s)
- Rosa Antonio-Oriola
- Doctorate Program in Clinical and Community Nursing, University of Valencia, Valencia, Spain
| | - Raúl Juárez-Vela
- Faculty ofHealth Sciences, GRUPAC Care Research Group, University of La Rioja, Logroño, Spain
| | - Michal Czapla
- Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland
| | - Angela Durante
- Department of Translational Medicine, Università del Piemonte Orientale, Vercelli, Italia
| | - Marco Di Nitto
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - José Vicente Benavent-Cervera
- Faculty of Health Science, Research Group Community Health and Care, Valencia International University, Valencia, Spain
| | - Carlos Saus-Ortega
- Research Group in Art and Science in Care, Institute for Health Research La Fe (IISLAFE), University School of Nursing La Fe, València, Spain
| | | | - Ana Cobos-Rincón
- Faculty ofHealth Sciences, GRUPAC Care Research Group, University of La Rioja, Logroño, Spain
| | | | - Ivan Santolalla-Arnedo
- Faculty ofHealth Sciences, GRUPAC Care Research Group, University of La Rioja, Logroño, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Science, Research Group Community Health and Care, Valencia International University, Valencia, Spain
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Montoya-Hurtado OL, Gómez-Jaramillo N, Criado-Gutiérrez JM, Pérez J, Sancho-Sánchez C, Sánchez-Barba M, Tejada-Garrido CI, Criado-Pérez L, Sánchez-González JL, Santolalla-Arnedo I, del Pozo-Herce P, Juárez-Vela R. Exploring the Link between Interoceptive Body Awareness and Suicidal Orientation in University Students: A Cross-Sectional Study. Behav Sci (Basel) 2023; 13:945. [PMID: 37998691 PMCID: PMC10669022 DOI: 10.3390/bs13110945] [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: 09/28/2023] [Revised: 11/01/2023] [Accepted: 11/15/2023] [Indexed: 11/25/2023] Open
Abstract
INTRODUCTION The transition to college life can impact the mental health of students. There are mental health care strategies that promote connection with the body's internal signals, which can help to improve mental well-being, manage emotions, and reduce the risk of suicide in university students. AIM This study aimed to examine the association between interoceptive body awareness variables and suicidal orientation in a sample of 169 undergraduate students in Colombia. METHODS An observational, cross-sectional study was conducted in 2023 with Colombian students as the participants. RESULTS The findings revealed a significant and moderately negative correlation between the Multidimensional Assessment of Interoceptive Awareness (MAIA) total score and the Inventory of Suicide Orientation (ISO-30) total score (r = -0.54, p < 0.001). Confidence and self-regulation were identified as the most influential factors in the relationship between MAIA and ISO-30. Significant correlations were observed (p < 0.001), indicating moderate correlation values ranging from -0.43 to -0.57. DISCUSSION Our findings support the existence of a negative correlation between interoceptive body awareness and suicidal orientation. Further research is needed to better understand this relationship and to develop specific interventions based on body awareness to prevent suicide orientation. CONCLUSION There are practical implications associated with recognizing the importance of body awareness in relation to decreasing suicidal orientation, and multidisciplinary teams addressing mental health can incorporate this knowledge.
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Affiliation(s)
- Olga Lucia Montoya-Hurtado
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia;
- Doctoral Program in Program in Health, Disability, Dependency, and Well-Being, University of Salamanca, 37007 Salamanca, Spain
| | - Nicolás Gómez-Jaramillo
- Research Department, Universidad de Manizales, Engineering Program, Manizales 170003, Colombia;
| | - José María Criado-Gutiérrez
- Department of Physiology and Pharmacology, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain; (J.M.C.-G.); (C.S.-S.)
| | - Jesús Pérez
- Department of Medicine, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
- Biomedical Research Institute of Salamanca (IBSAL), Prevention, and Early Intervention in Mental Health (PRINT), 26004 Logroño, Spain;
| | - Consuelo Sancho-Sánchez
- Department of Physiology and Pharmacology, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain; (J.M.C.-G.); (C.S.-S.)
| | - Mercedes Sánchez-Barba
- Department of Statistic, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain;
- Research Group in Care, GRUPAC, University of La Rioja, 26004 Logroño, Spain
| | - Laura Criado-Pérez
- Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain
| | - Juan Luis Sánchez-González
- Faculty of Nursing and Physiotherapy, Department of Nursing and Physiotherapy, Instituto de Investigación Biomédica de Salamanca (IBSAL), 37007 Salamanca, Spain;
| | - Iván Santolalla-Arnedo
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain;
- Research Group in Care, GRUPAC, University of La Rioja, 26004 Logroño, Spain
| | - Pablo del Pozo-Herce
- Department of Psychiatry, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain;
- Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz, 28040 Madrid, Spain
| | - Raúl Juárez-Vela
- Biomedical Research Institute of Salamanca (IBSAL), Prevention, and Early Intervention in Mental Health (PRINT), 26004 Logroño, Spain;
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain;
- Research Group in Care, GRUPAC, University of La Rioja, 26004 Logroño, Spain
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Sánchez-Bacaicoa C, Santano-Mogena E, Rico-Martín S, Rey-Sánchez P, Juárez-Vela R, Sánchez Muñoz-Torrero JF, López-Espuela F, Calderón-García JF. Association between Asymptomatic Hyperuricemia with Adiposity Indices: A Cross-Sectional Study in a Spanish Population. Nutrients 2023; 15:4798. [PMID: 38004193 PMCID: PMC10675342 DOI: 10.3390/nu15224798] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Revised: 11/14/2023] [Accepted: 11/14/2023] [Indexed: 11/26/2023] Open
Abstract
INTRODUCTION New anthropometric indices have been developed as an alternative to body mass index (BMI) and waist circumference (WC) to assess body mass and visceral fat. Asymptomatic hyperuricemia is considered an independent cardiovascular risk factor. Currently, little is known about the relationship between asymptomatic hyperuricemia and several new anthropometric indices. This study aimed to assess the association between the presence of asymptomatic hyperuricemia and anthropometric indices, both novel and traditional. METHODS This study analyzed 1094 Spanish subjects who consecutively visited the cardiovascular risk consultation of the University Hospital San Pedro de Alcántara of Cáceres, Spain, between June 2021 and September 2022. Anthropometric measures, including traditional and novel indices, were determined. The asymptomatic hyperuricemia group was defined according to serum uric acid levels. RESULTS All the anthropometric indices studied, including new and traditional, were significantly greater among patients with asymptomatic hyperuricemia, except for WWI. In multiple linear regression analysis, serum uric acid levels were significantly correlated with BMI, WHR, WHtR, AVI, BAI, BRI, CUN-BAE, and WWI but not ABSI or CI. In the univariate analysis, all indices were associated with asymptomatic hyperuricemia (p < 0.05); however, only WHtR (adjusted OR: 2.93; 95% CI: 1.03-8.37; p = 0.044), AVI (adjusted OR: 1.46; 95% CI: 1.04-2.04; p = 0.026), and BRI (adjusted OR: 1.66; 95% CI: 1.19-2.32; p = 0.003) were significantly associated in multivariate analysis. Finally, WHtR, AVI, and BRI provided the largest AUCs. CONCLUSIONS Our findings showed that WHtR, AVI, and BRI were independently positively associated with asymptomatic hyperuricemia and could be good predictors.
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Affiliation(s)
| | - Esperanza Santano-Mogena
- Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain; (E.S.-M.); (P.R.-S.); (F.L.-E.); (J.F.C.-G.)
| | - Sergio Rico-Martín
- Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain; (E.S.-M.); (P.R.-S.); (F.L.-E.); (J.F.C.-G.)
| | - Purificación Rey-Sánchez
- Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain; (E.S.-M.); (P.R.-S.); (F.L.-E.); (J.F.C.-G.)
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain;
| | | | - Fidel López-Espuela
- Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain; (E.S.-M.); (P.R.-S.); (F.L.-E.); (J.F.C.-G.)
| | - Julián F. Calderón-García
- Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain; (E.S.-M.); (P.R.-S.); (F.L.-E.); (J.F.C.-G.)
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Sánchez-González JL, Almenar-Bonet L, Moreno-Segura N, Gurdiel-Álvarez F, Atef H, Sillero-Sillero A, López-Vilella R, Santolalla-Arnedo I, Juárez-Vela R, Tejada-Garrido CI, Marques-Sule E. Effects of COVID-19 Lockdown on Heart Failure Patients: A Quasi-Experimental Study. J Clin Med 2023; 12:7090. [PMID: 38002701 PMCID: PMC10672384 DOI: 10.3390/jcm12227090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/06/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
INTRODUCTION The COVID-19 lockdown has been associated with reduced levels of physical activity, quality of life, and sleep quality, but limited evidence exists for its impact on heart failure patients. This study examined the influence of the COVID-19 lockdown on these aspects in heart failure patients, with specific comparisons by age and sex. METHODS A quasi-experimental cross-sectional study of patients with heart failure was conducted. The assessment involved two time points: during the COVID-19 lockdown (March to June 2020) and post-lockdown (July to October 2020). A total of 107 HF patients participated, with assessments of overall PA (using the International Physical Activity Questionnaire), QoL (employing the Cantril Ladder of Life), and sleep quality (utilizing the Minimal Insomnia Symptom Scale) conducted during and after the COVID-19 lockdown. RESULTS HF patients reported lower levels of total PA (p = 0.001) and walking PA (p < 0.0001) during lockdown than after lockdown, whilst no differences were observed in QoL nor sleep quality. In addition, both younger and older patients reported lower walking PA and total PA during lockdown than after lockdown, while older patients reported lower QoL during lockdown than after lockdown. Moreover, both men and women reported lower walking PA and total PA during lockdown than after lockdown, whilst women reported lower QoL. CONCLUSIONS HF patients need improved PA programs during lockdowns, as these programs can elevate PA levels and enhance QoL, especially when faced with the risk of decompensation during health crises.
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Affiliation(s)
| | - Luis Almenar-Bonet
- Heart Failure and Transplantation Unit, Department of Cardiology, La Fe University and Polytechnic Hospital, 46026 Valencia, Spain; (L.A.-B.); (R.L.-V.)
- Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28933 Madrid, Spain
- Department of Medicine, Universidad de Valencia, 46010 Valencia, Spain
| | - Noemí Moreno-Segura
- Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain;
| | - Francisco Gurdiel-Álvarez
- Escuela Internacional de Doctorado, Department of Physical Therapy, Occupational Therapy, Reha-Bilitation and Physical Medicine, Universidad Rey Juan Carlos, 28933 Alcorcón, Spain
| | - Hady Atef
- School of Allied Health Professions (SAHP), Keele University, Keele, Staffordshire ST5 5BG, UK;
| | - Amalia Sillero-Sillero
- University School of Nursing and Physiotherapy “Gimbernat”, Autonomous University of Barcelona, Avd de la Generalitat, 202-206, Sant Cugat del Vallès, 08174 Barcelona, Spain;
- ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra Affiliated, 08018 Barcelona, Spain
- SDHEd (Social Determinants and Health Education Research Group), IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain
| | - Raquel López-Vilella
- Heart Failure and Transplantation Unit, Department of Cardiology, La Fe University and Polytechnic Hospital, 46026 Valencia, Spain; (L.A.-B.); (R.L.-V.)
| | - Iván Santolalla-Arnedo
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Clara Isabel Tejada-Garrido
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, 26004 Logroño, Spain; (R.J.-V.); (C.I.T.-G.)
| | - Elena Marques-Sule
- Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, 46010 Valencia, Spain
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López-García JC, González-Sanz A, Sutil-Rodríguez E, Saus-Ortega C, Ruiz de Viñaspre-Hernádez R, Juárez-Vela R, Gea-Caballero V, Sánchez-González JL, Tejada-Garrido CI, Cobos-Rincón A, Criado-Gutiérrez JM, Sancho-Sanchez C. Analysis of the Attitudes towards Sexuality in People with Intellectual Disabilities: A Cross-Sectional Study. Nurs Rep 2023; 13:1624-1634. [PMID: 37987413 PMCID: PMC10661252 DOI: 10.3390/nursrep13040134] [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: 08/11/2023] [Revised: 10/11/2023] [Accepted: 10/30/2023] [Indexed: 11/22/2023] Open
Abstract
The barriers faced by people with intellectual disabilities are many. One of the areas in which many problems have been identified is the sexual domain. This descriptive study aims to analyze the attitudes of the family environment, professional carers, and the general population toward their sexuality. A cross-sectional descriptive study was carried out between 2022 and 2023, using convenience sampling among family members and carers from different centers working with people with intellectual disabilities in Spain, and among the general population not related to people with intellectual disabilities. A total of 583 responses were received and significant differences were found for all variables, with the variables related to family or work proximity being those that provided the most significant and relevant results. It was observed that the male sex has a more paternalistic attitude and that in rural areas there is a more permissive attitude towards the sexuality of people with intellectual disabilities. People who work with people with disabilities have more positive attitudes towards this group, while direct relatives have more paternalistic attitudes. Nursing care in the community and specialized centers should be based on an adequate therapeutic relationship and personalized care.
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Affiliation(s)
- José Carlos López-García
- Doctoral Program in Health, Disability, Dependence, and Welfare, University of Salamanca, 37008 Salamanca, Spain;
- Adscript Center of Zamora, School of Nursing, University of Salamanca, 37008 Zamora, Spain; (A.G.-S.); (E.S.-R.)
| | - Azucena González-Sanz
- Adscript Center of Zamora, School of Nursing, University of Salamanca, 37008 Zamora, Spain; (A.G.-S.); (E.S.-R.)
| | - Elena Sutil-Rodríguez
- Adscript Center of Zamora, School of Nursing, University of Salamanca, 37008 Zamora, Spain; (A.G.-S.); (E.S.-R.)
| | - Carlos Saus-Ortega
- Adscript Center of La FE, School of Nursing, University of Valencia, 46003 Valencia, Spain;
| | | | - Raúl Juárez-Vela
- Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, International University of Valencia, 46003 Valencia, Spain;
| | | | | | - Ana Cobos-Rincón
- Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
| | | | - Consuelo Sancho-Sanchez
- Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain; (J.M.C.-G.); (C.S.-S.)
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18
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del Pozo-Herce P, Martínez-Sabater A, Chover-Sierra E, Gea-Caballero V, Satústegui-Dordá PJ, Saus-Ortega C, Tejada-Garrido CI, Sánchez-Barba M, Pérez J, Juárez-Vela R, Santolalla-Arnedo I, Baca-García E. Application of the Delphi Method for Content Validity Analysis of a Questionnaire to Determine the Risk Factors of the Chemsex. Healthcare (Basel) 2023; 11:2905. [PMID: 37958049 PMCID: PMC10649857 DOI: 10.3390/healthcare11212905] [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: 09/19/2023] [Revised: 11/01/2023] [Accepted: 11/03/2023] [Indexed: 11/15/2023] Open
Abstract
Chemsex is understood as "the intentional use of stimulant drugs to have sex for an extended time among gay, bisexual, and other men who have sex with men". It is a public health problem because of the increased incidence of cases and because of the consequences on the physical and mental health of those who practice it. AIM This study aimed to analyze, with the help of the Delphi method, the content validity of a new instrument to assess the risk of behaviors associated with the chemsex phenomenon. METHOD First, a bank of items identified from the literature was elaborated. Secondly, 50 experts with knowledge of the chemsex phenomenon at the national level were contacted. A Delphi group was formed with them to carry out two rounds of item evaluation. The linguistic evaluation (comprehension and appropriateness) was assessed using a Likert scale from 1 to 5 for each item. Items that did not reach a mean score of 4 were eliminated. Content assessment was calculated using each item's content validity index (CVI) and Aiken's V (VdA). A minimum CVI and VdA value of 0.6 was established to include the items in the questionnaire. RESULTS A total of 114 items were identified in the literature. In the first round of Delphi evaluation, 36 experts evaluated the items. A total of 58 items were eliminated for obtaining a CVI or VdA of less than 0.6, leaving 56 items. In a second Delphi round, 30 experts re-evaluated the 56 selected items, where 4 items were eliminated for being similar, and 10 items were also eliminated for not being relevant to the topic even though they had values higher than 0.6, leaving the scale finally composed of 52 items. CONCLUSION A questionnaire has been designed to assess the risk of behaviors associated with the chemsex phenomenon. The items that make up the questionnaire have shown adequate content and linguistic validity. The Delphi method proved to be a helpful technique for the proposed objective.
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Affiliation(s)
- Pablo del Pozo-Herce
- Department of Psychiatry, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; (P.d.P.-H.); (E.B.-G.)
- Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz, 28040 Madrid, Spain
| | - Antonio Martínez-Sabater
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain; (A.M.-S.); (E.C.-S.)
- Care Research Group (INCLIVA), Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain
| | - Elena Chover-Sierra
- Nursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, Spain; (A.M.-S.); (E.C.-S.)
- Internal Medicine, Consorci Hospital University of Valencia, 46014 Valencia, Spain
| | - Vicente Gea-Caballero
- Research Group Community Health and Care, International University of Valencia, 46002 Valencia, Spain;
- Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain
| | - Pedro José Satústegui-Dordá
- SAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, 50018 Zaragoza, Spain;
| | - Carles Saus-Ortega
- Nursing School La Fe, Adscript Centre, University of Valencia, 46026 Valencia, Spain;
- Research Group GREIACC, Health Research Institute La Fe, 46016 Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Research Group in Care, Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (C.I.T.-G.); (I.S.-A.)
| | | | - Jesús Pérez
- Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain; (M.S.-B.); (J.P.)
- Department of Psychiatry, University of Cambridge, Cambridge CB2 1TN, UK
- Prevention and Early Intervention in Mental Health (PRINT), Biomedical Institute of Salamanca, 37008 Salamanca, Spain
| | - Raúl Juárez-Vela
- Research Group in Care, Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (C.I.T.-G.); (I.S.-A.)
- Prevention and Early Intervention in Mental Health (PRINT), Biomedical Institute of Salamanca, 37008 Salamanca, Spain
| | - Iván Santolalla-Arnedo
- Research Group in Care, Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (C.I.T.-G.); (I.S.-A.)
| | - Enrique Baca-García
- Department of Psychiatry, Fundación Jiménez Díaz University Hospital, 28040 Madrid, Spain; (P.d.P.-H.); (E.B.-G.)
- Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz, 28040 Madrid, Spain
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Sufrate-Sorzano T, Di Nitto M, Garrote-Cámara ME, Molina-Luque F, Recio-Rodríguez JI, Asión-Polo P, Durante Á, Gea-Caballero V, Juárez-Vela R, Pérez J, Santolalla-Arnedo I. Media Exposure of Suicidal Behaviour: An Umbrella Review. Nurs Rep 2023; 13:1486-1499. [PMID: 37987404 PMCID: PMC10660843 DOI: 10.3390/nursrep13040125] [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: 08/16/2023] [Revised: 10/14/2023] [Accepted: 10/19/2023] [Indexed: 11/22/2023] Open
Abstract
AIM To analyse recommended interventions for the safe and responsible dissemination of suicidal behaviour in the media for preventive purposes. BACKGROUND Suicide is a serious public health problem that leads to more than 700,000 deaths per year, which translates into one death every forty seconds. The media play a significant role in shaping public perceptions and reflecting societal issues. Because of its active role in the construction of reality, the way in which the media report and expose suicidal behaviour has the capacity to influence the population in either a preventive or harmful way. DESIGN An umbrella review was carried out and a report was written according to the Preferred Reporting Items for Overviews of Reviews. METHODS We systematically searched for reviews published from inception to February 2023 in MEDLINE (PubMed), CINAHL and PsycInfo (via EBSCOhost), Web of Science, Embase, Cochrane Library of Systematic Reviews, Scopus, and Google Scholar. A narrative synthesis of the results was conducted. RESULTS Six systematic reviews with a moderate to high quality level were selected. Among the recommended interventions were the inclusion of positive messages of hope, resilience, or of overcoming the event, narratives with information on available resources or the promotion of support-seeking attitudes as an effective prevention mechanism, as well as the avoidance of repetitive reporting of the same suicide. The appropriate and responsible dissemination of information on suicidal behaviour in the media with complete and up-to-date information on available centres, organisations, institutions, and resources has proven to be effective, especially in vulnerable populations. CONCLUSION Educating and training the media in an appropriate approach to disseminating suicidal behaviour helps to reduce the number of suicidal behaviours. Knowing what information is advisable to include in the news item as well as what information to avoid is a strong point. Guidelines to promote responsible media reporting are a key component of suicide prevention strategies. This study was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO) on 23 April 2022 with the registration number CRD42022320393.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
| | - Marco Di Nitto
- Department of Health Sciences, University of Genoa, 16126 Genova, Italy;
| | - María Elena Garrote-Cámara
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, 25001 Lleida, Spain;
- Group for the Study of Society, Health, Education and Culture (GESEC), University of Lleida, 25001 Lleida, Spain
- Research Institute in Social and Territorial Development (INDEST), University of Lleida, 25001 Lleida, Spain
| | - José Ignacio Recio-Rodríguez
- Faculty of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain;
- Primary Care Research Unit of Salamanca (APISAL), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain
| | | | - Ángela Durante
- Department of Translational Medicine, University of East Piedmonet, 13100 Vercelli, Italy;
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, International University of Valencia, 46002 Valencia, Spain;
| | - Raúl Juárez-Vela
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
- Prevention and Early Intervention in Mental Health (PRINT), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain;
| | - Jesús Pérez
- Prevention and Early Intervention in Mental Health (PRINT), Institute of Biomedical Research of Salamanca (IBSAL), 37008 Salamanca, Spain;
- Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain
- Department of Psychiatry, University of Cambridge, Cambridge CB2 1TN, UK
| | - Iván Santolalla-Arnedo
- Care and Health Research Group, GRUPAC, Nursing Deparment, University of La Rioja, 26006 Logroño, Spain; (T.S.-S.); (M.E.G.-C.); (I.S.-A.)
- Biomedical Research Centre of La Rioja, CIBIR, 26006 Logroño, Spain
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20
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Navas-Echazarreta N, Juárez-Vela R, Subirón-Valera AB, Rodríguez-Roca B, Antón-Solanas I, Fernández-Rodrigo MT, de Viñaspre-Hernandez RR, Sabater AM, Echániz-Serrano E, Saus-Ortega C, Santolalla-Arnedo I, Satústegui-Dordá PJ. Nomophobia in university students during COVID-19 outbreak: a cross-sectional study. Front Public Health 2023; 11:1242092. [PMID: 37808980 PMCID: PMC10556494 DOI: 10.3389/fpubh.2023.1242092] [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: 06/18/2023] [Accepted: 08/30/2023] [Indexed: 10/10/2023] Open
Abstract
Introduction Currently, access to the Internet through smartphones has led to their functions going beyond purely communicative ones, allowing the management of massive, instantaneous, and easily accessible information. This research analyzed the differences in smartphone use and the prevalence of nomophobia, mainly according to gender and university degree of Health Sciences students at the University of Zaragoza during the COVID-19 confinement in Spain. Methods A descriptive cross-sectional study was carried out on a sample of 318 first and second-grade students, who completed an online questionnaire sent to their institutional email, which included sociodemographic questions, other questions about smartphone use, and the Nomophobia Questionnaire (NMP-Q) scale. Results Compared to men (n = 58), women (n = 260) were more likely to use their smartphones more intensively daily, as were occupational therapy students compared to the other degree programs studied. The prevalence of nomophobia was moderate, being around the risk of suffering from it. No significant differences in scores for nomophobia among students were found according to gender, university degree, or population nucleus for the nomophobia scores of the students. Discussion The present study extends the existing literature on nomophobia by providing results of interest in terms of gender and the exceptional healthcare context of COVID-19. The results suggest that despite intense daily smartphone use young people did not reach severe nomophobia figures. This fact underlines the need for appropriate and healthy technology education. Understanding the characteristics of the populations that use the smartphone the most may help to analyze nomophobia rates and the massive use of the device.
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Affiliation(s)
- Noelia Navas-Echazarreta
- Doctoral Program in Health Sciences and Sports, University of Zaragoza, Zaragoza, Aragon, Spain
- Faculty of Health Sciences, University of La Rioja, Logroño, La Rioja, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
| | - Raúl Juárez-Vela
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | - Ana Belén Subirón-Valera
- SAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Beatriz Rodríguez-Roca
- SAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Isabel Antón-Solanas
- SAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | | | - Regina Ruiz de Viñaspre-Hernandez
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
- Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | | | - Emmanuel Echániz-Serrano
- SAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Carles Saus-Ortega
- University of Valencia, Adscript Centre of la Fe, Research Group in Art and Science in Care, Institute for Health Research La Fe (IISLAFE), University School of Nursing La Fe, Valencia, Spain
| | - Iván Santolalla-Arnedo
- Faculty of Health Sciences, University of La Rioja, Logroño, La Rioja, Spain
- Grupac Research Group, Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
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21
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Garrote-Cámara ME, Juárez-Vela R, Rodríguez-Muñoz PM, Pérez J, Sánchez-González JL, Rubinat-Arnaldo E, Navas-Echazarreta N, Sufrate-Sorzano T, Santolalla-Arnedo I. NANDA nursing diagnoses associated with the occurrence of psychomotor agitation in patients with severe mental disorder: a cross-sectional study. BMC Nurs 2023; 22:292. [PMID: 37641035 PMCID: PMC10464465 DOI: 10.1186/s12912-023-01434-2] [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: 03/25/2023] [Accepted: 08/07/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND Psychomotor agitation is increased psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by overreacting to intrinsic and extrinsic stimuli, experiencing stress and/or cognitive impairment. the aim was to analyse the association of nursing diagnoses with the disinhibition dimension, the aggressiveness dimension and the lability dimension of the Corrigan Agitated Behaviour Scale. METHODS This study was conducted in Spain using a multicentre cross-sectional convenience sample of 140 patients who had been admitted to psychiatric hospital units and had presented an episode of psychomotor agitation between 2018 and 2021. RESULTS The Corrigan Agitated Behaviour Scale was used to assess psychomotor agitation. Associated nursing diagnoses, violence directed at professionals and the environment are shown to be predictive values for the severity of the agitation episode. Moderate-severe psychomotor agitation episodes are shown as predictors of violence directed mainly at professionals and the environment. CONCLUSIONS There is an urgent need for mental health nurses to have knowledge of the extended clinic in order to care for users and improve their health conditions in dealing with people, with their social, subjective and biological dimension.
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Affiliation(s)
| | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain.
| | | | - Jesús Pérez
- Department of Psychiatry, University of Cambridge, Cambridge, UK
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22
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López-Peñalver RS, Cañas-Cañas R, Casaña-Mohedo J, Benavent-Cervera JV, Fernández-Garrido J, Juárez-Vela R, Pellín-Carcelén A, Gea-Caballero V, Andreu-Fernández V. Predictive potential of SARS-CoV-2 RNA concentration in wastewater to assess the dynamics of COVID-19 clinical outcomes and infections. Sci Total Environ 2023; 886:163935. [PMID: 37164095 PMCID: PMC10164651 DOI: 10.1016/j.scitotenv.2023.163935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 04/27/2023] [Accepted: 04/30/2023] [Indexed: 05/12/2023]
Abstract
Coronavirus disease 2019 - caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) -, has triggered a worldwide pandemic resulting in 665 million infections and over 6.5 million deaths as of December 15, 2022. The development of different epidemiological tools have helped predict new outbreaks and assess the behavior of clinical variables in different health contexts. In this study, we aimed to monitor concentrations of SARS-CoV-2 in wastewater as a tool to predict the progression of clinical variables during Waves 3, 5, and 6 of the pandemic in the Spanish city of Xátiva from September 2020 to March 2022. We estimated SARS-CoV-2 RNA concentrations in 195 wastewater samples using the RT-PCR Diagnostic Panel validated by the Center for Disease Control and Prevention. We also compared the trends of several clinical variables (14-day cumulative incidence, positive cases, hospital cases and stays, critical cases and stays, primary care visits, and deaths) for each study wave against wastewater SARS-CoV-2 RNA concentrations using Pearson's product-moment correlations, a two-sided Mann-Whitney U test, and a cross-correlation analysis. We found strong correlations between SARS-CoV-2 concentrations with 14-day cumulative incidence and positive cases over time. Wastewater RNA concentrations showed strong correlations with these variables one and two weeks in advance. There were significant correlations with hospitalizations and critical care during Wave 3 and Wave 6; cross-correlations were stronger for hospitalization stays one week before during Wave 6. No association between vaccination percentages and wastewater viral concentrations was observed. Our findings support wastewater SARS-CoV-2 concentrations as a potential surveillance tool to anticipate infection and epidemiological data such as 14-day cumulative incidence, hospitalizations, and critical care stays. Public health authorities could use this epidemiological tool on a similar population as an aid for health care decision-making during an epidemic outbreak.
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Affiliation(s)
- Raimundo Seguí López-Peñalver
- Faculty of Health Sciences, Valencian International University (VIU), 46002, Valencia, Spain; Global Omnium, Valencia, Spain
| | | | - Jorge Casaña-Mohedo
- Faculty of Health Sciences, Valencian International University (VIU), 46002, Valencia, Spain; Faculty of Health Sciences, Universidad Católica de Valencia San Vicente Mártir, 46001, Valencia, Spain
| | | | - Julio Fernández-Garrido
- Consellería de Sanidad Universal y Salud Pública, Generalitat Valenciana, Department of Nursing, University of Valencia, 46001 Jaume Roig St, Valencia, Spain
| | - Raúl Juárez-Vela
- Faculty of Health Sciences, La Rioja University, 26006 Logroño, Spain
| | - Ana Pellín-Carcelén
- Faculty of Health Sciences, Valencian International University (VIU), 46002, Valencia, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencian International University (VIU), 46002, Valencia, Spain
| | - Vicente Andreu-Fernández
- Faculty of Health Sciences, Valencian International University (VIU), 46002, Valencia, Spain; Biosanitary Research Institute, Valencian International University (VIU), 46002, Valencia, Spain.
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Anguas-Gracia A, Antón-Solanas I, Echániz-Serrano E, Subirón-Valera AB, Rodríguez-Roca B, Juárez-Vela R, Satustegui-Dordá PJ, Fernández-Rodríguez MT, Gea-Caballero V, Tejada-Garrido CI, Cobos-Rincón A, Urcola-Pardo F. Quality of Life after Radical Prostatectomy: A Longitudinal Study. Nurs Rep 2023; 13:1051-1063. [PMID: 37606460 PMCID: PMC10443267 DOI: 10.3390/nursrep13030092] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 07/26/2023] [Accepted: 08/02/2023] [Indexed: 08/23/2023] Open
Abstract
BACKGROUND Men with prostate cancer who undergo radical prostatectomy experience a decrease in quality of life, often related to sexual disfunction and urinary incontinence. Knowing and measuring the impact of radical prostatectomy on the individual's social, emotional, and family quality of life could help to plan and develop an appropriate, patient-centred therapeutic approach. AIM In this study, we aimed to evaluate changes in quality of life of patients with prostate cancer before and after radical prostatectomy. METHODS A longitudinal, observational study of 114 participants was conducted using the method of test-retest. Quality of life before and after radical prostatectomy was measured through the following self-administered questionnaires: (1) The EORTC QLQ-C30 in its Spanish version was used to assess the generic quality of life the participants; (2) the EORTC QLQ-PR25 in its Spanish version was used to assess the specific, health-related quality of life of prostate cancer patients. RESULTS A total of 114 men took part in this study. The results from the QLQ-C30 questionnaire indicated an improvement in the dimensions of emotional role and cognitive function, as well as in the symptoms of fatigue, pain, nausea and vomiting, insomnia, and loss of appetite, after surgery. Patients scored lower in the dimensions of role functioning, social function, and economic impact after radical prostatectomy. According to the results from the QLQ-PR25 questionnaire, 61.40% of the participants experienced sexual impotence and 26.31% suffered urinary incontinence after surgery. There were significant differences in some postsurgical outcomes between patients who had neurovascular bundles preserved and those who had not. CONCLUSIONS In-depth knowledge of, and measurement of changes in, quality of life after radical prostatectomy should allow for comprehensive, multidisciplinary, patient-centred care planning. Psychosocial assessment, both before and after surgery, is crucial in patients with prostate cancer. This study was prospectively registered with the CEIC-A on 2012-06-27, with registration number C.P.-C.I. PI12/0088.
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Affiliation(s)
- Ana Anguas-Gracia
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
- Research Group in Care (GIIS081), Institute for Health Research Aragón, University Clinical Hospital Lozano Blesa, 50009 Zaragoza, Spain
| | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Ana Belén Subirón-Valera
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
- Research Group in Care (GIIS081), Institute for Health Research Aragón, University Clinical Hospital Lozano Blesa, 50009 Zaragoza, Spain
| | - Beatriz Rodríguez-Roca
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Pedro José Satustegui-Dordá
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - María Teresa Fernández-Rodríguez
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencia International University, 46002 Valencia, Spain
- Community Health and Care Research Group, Faculty of Health Sciences, Valencian International University, 46002 Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Fernando Urcola-Pardo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
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Czapla M, Kwaśny A, Słoma-Krześlak M, Juárez-Vela R, Karniej P, Janczak S, Mickiewicz A, Uchmanowicz B, Zieliński S, Zielińska M. The Impact of Body Mass Index on In-Hospital Mortality in Post-Cardiac-Arrest Patients-Does Sex Matter? Nutrients 2023; 15:3462. [PMID: 37571399 PMCID: PMC10420814 DOI: 10.3390/nu15153462] [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: 07/18/2023] [Revised: 07/28/2023] [Accepted: 08/04/2023] [Indexed: 08/13/2023] Open
Abstract
BACKGROUND A number of factors influence mortality in post-cardiac-arrest (CA) patients, nutritional status being one of them. The aim of this study was to assess whether there are sex differences in the prognostic impact of BMI, as calculated on admission to an intensive care unit, on in-hospital mortality in sudden cardiac arrest (SCA) survivors. METHODS We carried out a retrospective analysis of data of 129 post-cardiac-arrest patients with return of spontaneous circulation (ROSC) admitted to the Intensive Care Unit (ICU) of the University Teaching Hospital in Wrocław between 2017 and 2022. RESULTS Female patients were significantly older than male patients (68.62 ± 14.77 vs. 62.7 ± 13.95). The results of univariable logistic regression analysis showed that BMI was not associated with the odds of in-hospital death in either male or female patients. In an age-adjusted model, age was an independent predictor of the odds of in-hospital death only in male patients (OR = 1.034). In our final multiple logistic regression model, adjusted for the remaining variables, none of the traits analysed were a significant independent predictor of the odds of in-hospital death in female patients, whereas an initial rhythm of ventricular fibrillation or pulseless ventricular tachycardia (VF/pVT) was an independent predictor of the odds of in-hospital death in male patients (OR = 0.247). CONCLUSIONS BMI on admission to ICU is not a predictor of the odds of in-hospital death in either male or female SCA survivors.
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Affiliation(s)
- Michał Czapla
- Department of Emergency Medical Service, Wrocław Medical University, 51-616 Wrocław, Poland; (M.C.); (A.M.)
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (R.J.-V.); (P.K.)
| | - Adrian Kwaśny
- Institute of Dietetics, Academy of Business and Health Science, 90-361 Łódź, Poland;
| | - Małgorzata Słoma-Krześlak
- Department of Human Nutrition, Department of Dietetics, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 40-055 Katowice, Poland;
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (R.J.-V.); (P.K.)
| | - Piotr Karniej
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, 26006 Logroño, Spain; (R.J.-V.); (P.K.)
- Faculty of Finances and Management, WSB MERITO, University in Wroclaw, 53-609 Wrocław, Poland
| | - Sara Janczak
- Student Research Group, Department of Vascular, General and Transplantation Surgery, Wrocław Medical University, 50-556 Wrocław, Poland;
| | - Aleksander Mickiewicz
- Department of Emergency Medical Service, Wrocław Medical University, 51-616 Wrocław, Poland; (M.C.); (A.M.)
| | - Bartosz Uchmanowicz
- Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wrocław, Poland
| | - Stanisław Zieliński
- Department and Clinic of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Wrocław Medical University, 50-556 Wrocław, Poland; (S.Z.); (M.Z.)
| | - Marzena Zielińska
- Department and Clinic of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Wrocław Medical University, 50-556 Wrocław, Poland; (S.Z.); (M.Z.)
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25
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Laffond A, Rivera-Picón C, Rodríguez-Muñoz PM, Juárez-Vela R, Ruiz de Viñaspre-Hernández R, Navas-Echazarreta N, Sánchez-González JL. Mediterranean Diet for Primary and Secondary Prevention of Cardiovascular Disease and Mortality: An Updated Systematic Review. Nutrients 2023; 15:3356. [PMID: 37571293 PMCID: PMC10421390 DOI: 10.3390/nu15153356] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 07/24/2023] [Accepted: 07/26/2023] [Indexed: 08/13/2023] Open
Abstract
Cardiovascular diseases (CVDs) are currently the leading cause of mortality worldwide, with coronary heart disease being the primary cause. The Mediterranean Diet (MD) has been highlighted for its potential in providing greater protection against CVDs. This study aims to present an updated systematic review that examines the impact of MD on mortality and CVDs, both in the general population and in patients with a prior CVD, while also considering the potential influence of gender. We conducted a systematic review. After the selection process, 24 studies met the inclusion criteria. The findings from these studies consistently demonstrate that higher adherence to the MD is associated with a reduced risk of overall mortality, both in the general population and in patients with previous CVDs. Moreover, evidence suggests that following this dietary pattern likely decreases the risk of CVDs such as heart attacks, various types of coronary artery disease, stroke, and cardiovascular mortality. While some studies have identified differences in the benefits of the MD between men and women, it is important to note that these disparities may be attributed to lower event rates and a generally lower cardiovascular risk profile in women. Thus, the observed variations in outcomes should be interpreted in the context of these factors. Adherence to the MD has the potential to improve survival rates and reduce the risk of CVDs in both the general population and individuals with a prior CVD. Further research is needed to explore the specific mechanisms underlying the protective effects of this dietary pattern and to better understand the role gender-related differences in its outcomes. Nevertheless, promoting the adoption of the MD could be an effective strategy for mitigating the burden of CVDs globally.
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Affiliation(s)
- Ana Laffond
- Department of Medicine, University Hospital of Salamanca, 37007 Salamanca, Spain;
| | - Cristina Rivera-Picón
- Faculty of Health Sciences, Nursing, Pontifical University of Salamanca, 37002 Salamanca, Spain;
| | | | - Raúl Juárez-Vela
- Research Group GRUPAC, Nursing Department, Faculty of Heatlh Sciences, University of La Rioja, 26004 Logrono, Spain; (R.J.-V.); (N.N.-E.)
| | - Regina Ruiz de Viñaspre-Hernández
- Research Group GRUPAC, Nursing Department, Faculty of Heatlh Sciences, University of La Rioja, 26004 Logrono, Spain; (R.J.-V.); (N.N.-E.)
| | - Noelia Navas-Echazarreta
- Research Group GRUPAC, Nursing Department, Faculty of Heatlh Sciences, University of La Rioja, 26004 Logrono, Spain; (R.J.-V.); (N.N.-E.)
| | - Juan Luis Sánchez-González
- Faculty of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain; (P.M.R.-M.); (J.L.S.-G.)
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26
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Mármol-López MI, Marques-Sule E, Naamanka K, Arnal-Gómez A, Cortés-Amador S, Durante Á, Tejada-Garrido CI, Navas-Echazarreta N, Juárez-Vela R, Gea V. Physiotherapists' ethical behavior in professional practice: a qualitative study. Front Med (Lausanne) 2023; 10:1158434. [PMID: 37529240 PMCID: PMC10390221 DOI: 10.3389/fmed.2023.1158434] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 06/26/2023] [Indexed: 08/03/2023] Open
Abstract
Background In health professions, ethics is considered a fundamental competence. The increase in clinical autonomy in the field of physiotherapy is associated with an increase in ethical situations in their clinical practice. Objective To explore the ethics of the clinical relationship between physiotherapists and patients, the ethics training received by physiotherapists, and if in the clinical context, physiotherapists identify the necessary attitudes and apply the ethical recommendations of the profession for the ethical situations they experience. Methods A qualitative exploratory and descriptive study was performed with physiotherapists. Data were collected through semi-structured interviews. The data were analyzed using content analysis, as proposed by Krippendorf. The study protocol was approved by the University of Valencia Ethics Committee of Human Research. Results This study included 15 physiotherapists (66.66% women, average age = 42.2 years), which was sufficient to reach data saturation. We identified four categories: (i) Ethics of the clinical relationship (ethical values, principles, and norms; type of clinical relationship), (ii) Ethics training received (during the physiotherapy studies; current training of students; low importance of ethics in the curriculum), (iii) Necessary attitudes for professional ethical practice (main attitudes were identified: personal attitudes and professional attitudes); (iv) Experiences from professional practice (general; public sector vs. private sector). Conclusion The ethics of the clinical relationship between physiotherapists and patients is determined by the attitudes of the practitioner, which are the result of his or her values and previous experiences; and are very centered on ethics of indication (founded mainly on the principles of Beneficence and Non-Maleficence). It is necessary to improve the ethical training received by physiotherapists, which is poorly focused on professional attitudes.
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Affiliation(s)
- María Isabel Mármol-López
- Research Group GREIACC, Health Research Institute La Fe (IISLaFe), Nursing School La Fe, Adscript Centre, University of Valencia, Valencia, Spain
| | - Elena Marques-Sule
- Physiotherapy in Motion, Department of Physiotherapy, Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain
| | - Kati Naamanka
- Department of Nursing Science/Turku University of Applied Sciences, University of Turku, Turku, Finland
| | - Anna Arnal-Gómez
- Physiotherapy in Motion, Department of Physiotherapy, Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain
| | - Sara Cortés-Amador
- Physiotherapy in Motion, Department of Physiotherapy, Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain
| | - Ángela Durante
- Department of Nursing, GRUPAC, Universidad de La Rioja, La Rioja, Spain
- Comprehensive Health Care Research Group (INCUiSA) Biomedical Research Center of La Rioja, La Rioja, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, GRUPAC, Universidad de La Rioja, La Rioja, Spain
- Comprehensive Health Care Research Group (INCUiSA) Biomedical Research Center of La Rioja, La Rioja, Spain
| | - Noelia Navas-Echazarreta
- Department of Nursing, GRUPAC, Universidad de La Rioja, La Rioja, Spain
- Comprehensive Health Care Research Group (INCUiSA) Biomedical Research Center of La Rioja, La Rioja, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, GRUPAC, Universidad de La Rioja, La Rioja, Spain
- Comprehensive Health Care Research Group (INCUiSA) Biomedical Research Center of La Rioja, La Rioja, Spain
| | - Vicente Gea
- Faculty of Health Sciences, Research Group Community Health and Care (SALCOM), Valencia International University, Valencia, Spain
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27
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Granada-López JM, Ramón-Arbués E, Echániz-Serrano E, Juárez-Vela R, Cobos-Rincón A, Satústegui-Dordá PJ, Navas-Echazarreta N, Santolalla-Arnedo I, Nash M. Mental health knowledge and classroom experiences of school teachers in Aragon, Spain. Front Public Health 2023; 11:1171994. [PMID: 37441655 PMCID: PMC10335789 DOI: 10.3389/fpubh.2023.1171994] [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: 02/22/2023] [Accepted: 06/08/2023] [Indexed: 07/15/2023] Open
Abstract
Background Research shows that many mental disorders begin in childhood but are sometimes not diagnosed until later years. School-age children spend much of their time in schools and have daily interactions with school teachers. Aim Examine school teachers' experiences of mental disorders in school going children and adolescents and their associated mental health training needs. Method and sample A descriptive cross-sectional study was carried out with teachers in Infant-Primary and Secondary Education-Baccalaureate schools. Results A convenience sample of 685 teachers responded to the online survey. Participants worked in both urban and rural areas and in Infant-Primary and Secondary Education-Baccalaureate schools. Over half of participants reported classroom experiences of learner mental disorders such as ADHD, anxiety, conduct disorders or autism. Most participants acknowledged a training need, both in recognition of symptoms of mental disorders and in care resources and processes. However, 80% of respondents reported having not received any training in this regard. Participant preferences for training included face-to-face or hybrid - combined online learning. Participants also considered the management of their own mental health to be deficient, therefore any training should incorporate personal mental health awareness and self-help strategies. Conclusion In Aragón (Spain), teachers of children and adolescents with mental disorders, recognize a need for training in the identification of symptoms and other aspects of mental healthcare, such as availability and access to services. Protocols for early identification and referral would promote mentally healthy school environments and reduce stigma which could be a barrier to timely intervention. In addition, any training should include mental health self-care for teachers.
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Affiliation(s)
- José Manuel Granada-López
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group GIISA021, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
| | - Enrique Ramón-Arbués
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
- Faculty of Health Sciences, University San Jorge, Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Pedro José Satústegui-Dordá
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Research Group SAPIENF (B53_23R), University of Zaragoza, Zaragoza, Spain
| | - Noelia Navas-Echazarreta
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Iván Santolalla-Arnedo
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Michael Nash
- School of Nursing and Midwifery, Trinity College, Dublin, Ireland
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Sufrate-Sorzano T, Santolalla-Arnedo I, Garrote-Cámara ME, Angulo-Nalda B, Cotelo-Sáenz R, Pastells-Peiró R, Bellon F, Blanco-Blanco J, Juárez-Vela R, Molina-Luque F. Interventions of choice for the prevention and treatment of suicidal behaviours: An umbrella review. Nurs Open 2023. [PMID: 37218123 DOI: 10.1002/nop2.1820] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Revised: 02/25/2023] [Accepted: 05/05/2023] [Indexed: 05/24/2023] Open
Abstract
AIM This umbrella review aims to determine which interventions can be considered as effective in the prevention and treatment of suicidal behaviour. DESIGN Umbrella review. METHODS A systematic search was conducted of works indexed in the PubMed, CINAHL, Cochrane Database of Systematic Reviews, Scopus, ISI Web of Knowledge and Joanna Institute Briggs databases. The search covered works published from 2011 to 2020. RESULTS The scientific literature shows that, in addition to being the most prevalent interventions in use, dialectical and cognitive behavioural therapies are the most effective in the treatment and management of suicide attempts and suicidal ideation. It is shown that the prevention and treatment of suicidal behaviour requires multidisciplinary and comprehensive management. Among the interventions that stand out the most are the promotion of providing coping tools, work based on thought and behaviour, and behavioural, psychoanalytic and psychodynamic therapies for the management of emotions.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Iván Santolalla-Arnedo
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - María Elena Garrote-Cámara
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
| | - Beatriz Angulo-Nalda
- Rioja Health Service, Coordinator Saint Peter's Hospital, Logroño, La Rioja, Spain
| | - Ruth Cotelo-Sáenz
- Rioja Health Service, Primary Care Coordination, Logroño, La Rioja, Spain
| | - Roland Pastells-Peiró
- Department of Nursing and Physiotherapy. Faculty of Nursing and Physiotherapy, University of Lleida. Healthcare Group (GRECS), Lleida, Spain
- Institute of Biomedical Research in Lleida (IRBLleida), Lleida, Spain
- Group for the Study of Society Health Education and Culture (GESEC), Lleida, Spain
| | - Filip Bellon
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS) Biomedical Research Institute of Lleida, IRBLleida, Lleida, Spain
| | - Joan Blanco-Blanco
- Group for the Study of Society Health Education and Culture (GESEC), Lleida, Spain
- Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group (GRECS) Biomedical Research Institute of Lleida, IRBLleida, Lleida, Spain
| | - Raúl Juárez-Vela
- Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR), Logroño, Spain
- Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, Spain
- Group for the Study of Society, Health, Education and Culture (GESEC), University of Lleida, Lleida, Spain
- Research Institute in Social and Territorial Development (INDEST), University of Lleida, Lleida, Spain
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29
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Ramón-Arbués E, Granada-López JM, Antón-Solanas I, Cobos-Rincón A, Rodríguez-Calvo A, Gea-Caballero V, Tejada-Garrido CI, Juárez-Vela R, Echániz-Serrano E. Factors related with nursing students' health literacy: a cross sectional study. Front Public Health 2023; 11:1053016. [PMID: 37275493 PMCID: PMC10234423 DOI: 10.3389/fpubh.2023.1053016] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 04/07/2023] [Indexed: 06/07/2023] Open
Abstract
Background Nursing professionals have a crucial role in promoting health literacy in health services, so it is necessary to ensure health literacy skills in future health professionals. Objective The objective of the study was to examine the health literacy of nursing students and its associated factors. Methods A cross-sectional descriptive study was carried out on 460 nursing students. For data collection, a semi-structured questionnaire was obtained on sociodemographic characteristics, perception and health care, use of the health system and lifestyles. In addition, health literacy was assessed using the European Health Literacy Questionnaire. Results 6.1% of the participants had an inadequate level of health literacy and 36.5% problematic. The probability of having sufficient health literacy is directly associated with age; and inversely with smoking, prolonged screen time and living alone (p < 0.05). Conclusion A large percentage of nursing students need to improve their health literacy skills. It is necessary to integrate a greater number of contents in health literacy in the curriculum of nursing students.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, San Jorge University, Villanueva de Gállego, Spain
- SAPIENF Investigation Group, Zaragoza, Spain
| | - José Manuel Granada-López
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- GIISA021 Seguridad y Cuidados Investigation Group, Zaragoza, Spain
| | - Isabel Antón-Solanas
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Antonio Rodríguez-Calvo
- Department of Anesthesia, Complex University of Salamanca, Salamanca, Spain
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Community Health and Care Research Group, SALCOM, Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, Logroño, Spain
- Biomedical Research Center of La Rioja, CIBIR, Logroño, Spain
| | - Emmanuel Echániz-Serrano
- SAPIENF Investigation Group, Zaragoza, Spain
- Department of Nursing and Physiatry, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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Jiménez-Granero P, Rayo-Madrid JI, Infante-de-la-Torre JR, Serrano-Vicente J, Martínez-Esteve A, Baena-García A, Utrera-Costero A, Juárez-Vela R. Completion of Informed Consent by General Surgery and Nuclear Medicine Services in a Radioguided Surgery Unit. Rev Esp Med Nucl Imagen Mol 2023:S2253-8089(23)00042-3. [PMID: 37201658 DOI: 10.1016/j.remnie.2023.05.003] [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: 03/12/2023] [Revised: 04/19/2023] [Accepted: 04/20/2023] [Indexed: 05/20/2023]
Abstract
OBJECTIVE To identify the frequency of errors in informed consent documents in radioguided surgery in a third level hospital and to detect possible causes or factors associated with a greater risk of error. MATERIAL AND METHODS Informed consent forms of a total of 369 radioguided surgery interventions, completed by the Nuclear Medicine and General Surgery services, were analyzed, and the degree of completion of the forms and its correlation with the physicians responsible, type of pathology, intervention, and waiting time were compared with the completion of consent by another specialty. RESULTS Errors were identified in 22 consent forms from Nuclear Medicine and 71 from General Surgery. The most common error was the absence of identification of the physician responsible (17 in Nuclear Medicine, 51 in General Surgery), and the second most common was the absence of a document (2 in Nuclear Medicine, 20 in General Surgery). There were significant differences in the errors made depending on the doctor in charge, with no significant correlation with the other variables. CONCLUSIONS The physicians responsible were the main factor associated with a greater risk of error in the completion of informed consent forms. Further studies are needed to analyze the causal factors and possible interventions to minimize errors.
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Affiliation(s)
- P Jiménez-Granero
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain.
| | - J I Rayo-Madrid
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - J R Infante-de-la-Torre
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - J Serrano-Vicente
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - A Martínez-Esteve
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - A Baena-García
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - A Utrera-Costero
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
| | - R Juárez-Vela
- Instituto de Investigación, Hospital La Paz de Madrid, Madrid, Spain
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Marques-Sule E, Sánchez-González JL, Carrasco JJ, Pérez-Alenda S, Sentandreu-Mañó T, Moreno-Segura N, Cezón-Serrano N, Ruiz de Viñaspre-Hernández R, Juárez-Vela R, Muñoz-Gómez E. Effectiveness of a blended learning intervention in cardiac physiotherapy. A randomized controlled trial. Front Public Health 2023; 11:1145892. [PMID: 37228724 PMCID: PMC10203476 DOI: 10.3389/fpubh.2023.1145892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 04/17/2023] [Indexed: 05/27/2023] Open
Abstract
Background Blended learning (BL) combines both face-to-face learning (FL) and online learning. This study aims to compare the effectiveness of a BL intervention vs. a FL intervention in relation to the knowledge, competencies, satisfaction, perceptions, usability, and BL acceptance of physiotherapy students. Methods An assessor-blinded randomized trial was performed. A total of 100 students were randomly allocated to either the BL group (BLG, n = 48) or FL group (FLG, n = 52). The BLG received face-to-face classes plus access to online resources (online syllabus, Moodle, scientific-based videos and websites, activities, glossary, and apps). The FLG received face-to-face classes and hardcopy resources (hardcopy syllabus, scientific-based information, activities, and a glossary). Knowledge, ethical and gender competencies, satisfaction, perceptions, usability, and BL acceptance were assessed. Results The BLG showed higher scores than the FLG for knowledge (p = 0.011), three ethical/gender competencies (p < 0.05), increased motivation to prepare themselves before class (p = 0.005), increased motivation and ability of thinking (p = 0.005), improved understanding of important topics (p = 0.015), course organization (p = 0.017), educational material (p = 0.001), easiness of understanding (p = 0.007), comprehensive coverage of the subject (p = 0.001), and clarity of instructions (p = 0.004), while usability was acceptable. Conclusion The BL intervention can be used for improving the knowledge, competencies, perceptions, and satisfaction of the students. In addition, BL acceptance was positive, and usability was found to be acceptable. This study supports the use of BL as a pedagogical approach to foster innovative learning.
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Affiliation(s)
- Elena Marques-Sule
- Physiotherapy in Motion, Multispecialty Research Group, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | | | - Juan J. Carrasco
- Physiotherapy in Motion, Multispecialty Research Group, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | - Sofía Pérez-Alenda
- Physiotherapy in Motion, Multispecialty Research Group, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | | | - Noemí Moreno-Segura
- Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | - Natalia Cezón-Serrano
- Physiotherapy in Motion, Multispecialty Research Group, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | | | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, Logroño, Spain
| | - Elena Muñoz-Gómez
- Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
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Montoya-Hurtado O, Gómez-Jaramillo N, Bermúdez-Jaimes G, Correa-Ortiz L, Cañón S, Juárez-Vela R, Santolalla-Arnedo I, Criado-Pérez L, Pérez J, Sancho-Sánchez MC, Criado-Gutiérrez J. Psychometric Properties of the Multidimensional Assessment of Interoceptive Awareness (MAIA) Questionnaire in Colombian University Students. J Clin Med 2023; 12:jcm12082937. [PMID: 37109273 PMCID: PMC10145849 DOI: 10.3390/jcm12082937] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 04/07/2023] [Accepted: 04/14/2023] [Indexed: 04/29/2023] Open
Abstract
INTRODUCTION The university student population is influenced by multiple factors that affect body awareness. Identifying the body awareness status of students is crucial in creating self-care and emotion management programs to prevent diseases and promote health. The Multidimensional Assessment of Interoceptive Awareness (MAIA) questionnaire evaluates interoceptive body awareness in eight dimensions through 32 questions. It is one of the few tools that enable a comprehensive assessment of interoceptive body awareness by involving eight dimensions of analysis. METHOD The objective of this study is to present the psychometric properties of the Multidimensional Assessment of Interoceptive Awareness (MAIA) to observe to what extent the hypothesized model fits the population of university students in Colombia. A descriptive cross-sectional study was conducted with 202 students who met the inclusion criterion of being undergraduate university students. Data were collected in May 2022. RESULTS A descriptive analysis of the sociodemographic variables of age, gender, city, marital status, discipline, and history of chronic diseases was performed. JASP 0.16.4.0 statistical software was used to conduct confirmatory factor analysis. A confirmatory factor analysis was performed based on the proposed eight-factor model of the original MAIA, giving a significant p-value and 95% confidence interval. However, when performing loading factor analysis, a low p-value was found for item 6 of the Not Distracting factor, and for the entire Not Worrying factor. DISCUSSION A seven-factor model with modifications is proposed. CONCLUSIONS The results of this study confirmed the validity and reliability of the MAIA in the Colombian university student population.
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Affiliation(s)
- Olga Montoya-Hurtado
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
- Postgraduate Unit, Program in Health, Disability, Dependency, and Well-Being, University of Salamanca, 37007 Salamanca, Spain
| | - Nicolás Gómez-Jaramillo
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
| | - Gloria Bermúdez-Jaimes
- Research Department, Escuela Colombiana de Rehabilitación, Health and Sports Sciences, Bogota 110121, Colombia
| | - Luis Correa-Ortiz
- Research Department, Universidad de Manizales, Engineering and Medicine, Manizales 170003, Colombia
| | - Sandra Cañón
- Research Department, Universidad de Manizales, Engineering and Medicine, Manizales 170003, Colombia
| | - Raúl Juárez-Vela
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain
- Centro de Investigación Biomédica de La Rioja, 26006 Logroño, Spain
| | - Iván Santolalla-Arnedo
- Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain
- Centro de Investigación Biomédica de La Rioja, 26006 Logroño, Spain
| | - Laura Criado-Pérez
- Faculty of Medicine, Department of Surgery, University of Salamanca, 37007 Salamanca, Spain
| | - Jesús Pérez
- Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain
- Department of Psychiatry, University of Cambridge, Cambridge CB2 0SL, UK
- Norwich Medical School, University of East Anglia, Norwich NR4 7TJ, UK
| | - María Consuelo Sancho-Sánchez
- Department of Physiology and Pharmacology, University of Salamanca, 37007 Salamanca, Spain
- Institute of Neurosciences of Castilla y León (INCYL), 37007 Salamanca, Spain
| | - José Criado-Gutiérrez
- Department of Physiology and Pharmacology, University of Salamanca, 37007 Salamanca, Spain
- Institute of Neurosciences of Castilla y León (INCYL), 37007 Salamanca, Spain
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Gea-Caballero V, Ruíz de Viñaspre-Hernández R, Saus-Ortega C, Celda-Belinchón L, Santolalla-Arnedo I, Marques-Sule E, Juárez-Vela R. Gender equity in the scientific nursing journals indexed in Journal Citation Reports: A cross-sectional study. Front Public Health 2023; 11:1119117. [PMID: 37006582 PMCID: PMC10064143 DOI: 10.3389/fpubh.2023.1119117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 02/27/2023] [Indexed: 03/19/2023] Open
Abstract
BackgroundScientific activity has been connected to the proven inequality between women and men. To examine the state of gender equality in nursing research by analyzing the representation of male and female as editors and as authors of articles published in scientific journals.MethodA cross-sectional study was carried out between September-2019 and May-2020. All the scientific publications published in 115 nursing journals indexed in the Journal Citation Reports in the years 2008, 2013, and 2017 were chosen as analysis units. The main variables studied were gender of the “journal editor”; gender of the “first author”, “last author”, “corresponding author”, and “first author in funded articles”. Descriptive and inferential analysis was performed.ResultsThe proportion of male editors in 2008, 2013, and 2017 was 23.3, 19, and 18.5% respectively, with a male/female ratio of 1:3, 1:4 and 1:5. Male editors are mainly found in the journals of the first quartile (Q1 = 33.8%, ratio1:2), compared to the journals of the fourth quartile (Q4 = 6.6%, ratio1:14), p < 0.01. The male authorship position was “last author” (30.9%, ratio1:2), “corresponding author” (23.3%, ratio 1:3), “first author” (22.1%, ratio 1:4) and “first author in funded articles” (21.8%, ratio 1:4). Furthermore, in 19.5%, of the articles there were more male authors. The percentage of articles with male authorship increased from 2008 to 2017, “first author” (21.1–23.4%; p < 0.01), “last author” (30.0–31.1%; p = 0.22), “corresponding author” (22.5–24.2; p = 0.01), and “first author in funded articles” (18.1–25.9%; p < 0.001).ConclusionsMen are over-represented in the editor role in the most prestigious nursing journals. There are a higher proportion of male authors in the main positions of authorship.
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Affiliation(s)
- Vicente Gea-Caballero
- Research Group in Community Health and Care (SALCOM), Faculty of Health Science, Valencian International University, Castelló de la Plana, Spain
| | - Regina Ruíz de Viñaspre-Hernández
- Grupo de Investigación en Cuidados y Salud (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, La Rioja, Spain
- *Correspondence: Regina Ruíz de Viñaspre-Hernández
| | - Carlos Saus-Ortega
- Grupo de Investigación en Arte y Ciencia en Cuidados (GREAIC), Instituto de Investigación Sanitaria La Fe (IIS La Fe), Escuela Universitaria de Enfermería La Fe, Valencia, Spain
- Carlos Saus-Ortega
| | - Luís Celda-Belinchón
- Grupo de Investigación en Arte y Ciencia en Cuidados (GREAIC), Instituto de Investigación Sanitaria La Fe (IIS La Fe), Escuela Universitaria de Enfermería La Fe, Valencia, Spain
| | - Ivan Santolalla-Arnedo
- Grupo de Investigación en Cuidados y Salud (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, La Rioja, Spain
| | - Elena Marques-Sule
- Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Raúl Juárez-Vela
- Grupo de Investigación en Cuidados y Salud (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, La Rioja, Spain
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Rivera-Picón C, Benavente-Cuesta MH, Quevedo-Aguado MP, Juárez-Vela R, Martinez-Tofe J, Sánchez-González JL, Rodríguez-Muñoz PM. Influence of state of health and personality factors of resilience and coping in healthy subjects and those with diabetes. Front Public Health 2023; 11:1074613. [PMID: 36935663 PMCID: PMC10017435 DOI: 10.3389/fpubh.2023.1074613] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 02/14/2023] [Indexed: 03/06/2023] Open
Abstract
Introduction Currently, the most common chronic metabolic disease in our society is Diabetes Mellitus. The diagnosis of Diabetes Mellitus supposes an impact for the patient, since it requires a modification in the lifestyle, which demands a great capacity for adaptation and modification of habits. The aim of the study was to determine whether personality factors and health status influence resilience and coping strategies in a sample of healthy and diabetic subjects. Methodology The sample included a total of 401 subjects (201 patients with Diabetes and 200 without pathology). The instruments applied for data collection were: Sociodemographic data questionnaire, the Resilience Scale, the Coping Strategies Questionnaire and The "Big Five" factor taxonomy. The data collection period was approximately 2 years (between February 2018 and January 2020). Results Certain personality factors, such as Emotional Stability, Integrity, Conscientiousness and Extraversion, were positively related to Resilience. Additionally, Emotional Stability, Integrity, and Extraversion were positively associated with Rational Coping. On the other hand, emotional stability, agreeableness and extraversion were negatively related to emotional coping. In relation to health status, the absence of pathology is related to the use of rational strategies more than to the diagnosis of diabetes. Therefore, the participants in this study present different psychological patterns depending on personality and health status. Conclusions The present study shows that the subjects of the sample present different psychological patterns depending on Personality and health status.
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Affiliation(s)
- Cristina Rivera-Picón
- Faculty of Health Sciences, Nursing, Pontifical University of Salamanca, Salamanca, Spain
| | | | | | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, Logroño, Spain
| | - Jesús Martinez-Tofe
- Nursing Department, Faculty of Health Sciences, Research Group GRUPAC, University of La Rioja, Logroño, Spain
| | | | - Pedro Manuel Rodríguez-Muñoz
- Faculty of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain
- Department of Nursing, Instituto Maimónides de Investigación Biomédica de Córboda, Córdona, Spain
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Sánchez-González JL, Navarro-López V, Cañada-Sánchez P, Juárez-Vela R, de Viñaspre-Hernández RR, Varela-Rodríguez S. Efficacy of different intensities of percutaneous electrolysis for musculoskeletal pain: A systematic review and meta-analysis. Front Med (Lausanne) 2023; 10:1101447. [PMID: 36817790 PMCID: PMC9932994 DOI: 10.3389/fmed.2023.1101447] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/10/2023] [Indexed: 02/05/2023] Open
Abstract
Objective A meta-analysis of randomized controlled trials (RCTs) was conducted to determine the effect of ultrasound-guided percutaneous electrolysis (PE) alone or as an adjunct to other interventions on pain intensity generated by musculoskeletal disorders, depending on the intensity of the technique. Data sources PUBMED, EMBASE, Cochrane Library, Web of Science, SCOPUS, Health Medical Collection, and CINALH from inception to September 2022 were searched to identify documents. Study selection Publications investigating the effect of ultrasound-guided PE in musculoskeletal pain. Data extraction Data were extracted into predesigned data extraction and tables. Risk of bias was evaluated with the Cochrane Risk of Bias Tool (Rob 2.0). Thirteen articles met inclusion criteria. Data analysis Random-effects meta-analysis models were used to quantify the difference in pain between the PE and control groups. Data synthesis A significant reduction in pain was found in favor of low- (-1.89; 95% CI: -2.69; -1.10; p < 0.001) and high-intensity PE (-0.74; 95% CI: -1.36; -0.11; p: 0.02) compared to control group. Low-intensity PE showed significant reduction in pain in the short (-1.73; 95% CI: -3.13; -0.34; p < 0.02) and long term (-2.10; 95% CI: -2.93; -1.28; p = 0.005), with large effect sizes compared to control group. High-intensity PE only showed significant lower pain than control group in the long term (-0.92; 95% CI: -1.78; -0.07; p < 0.03), with a small effect size, but not in the short term. Conclusion We found small evidence suggesting that low-intensity PE could be more effective for musculoskeletal pain reduction than high-intensity PE. Nevertheless, scientific evidence on this subject is still scarce and studies comparing the two modalities are warranted. Systematic review registration www.crd.york.ac.uk/prospero, identifier CRD42022366935.
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Affiliation(s)
| | - Víctor Navarro-López
- Faculty of Health Sciences, International Doctoral School, Rey Juan Carlos University, Madrid, Spain
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Madrid, Spain
| | | | - Raúl Juárez-Vela
- Faculty of Health Science, University of La Rioja, Logroño, Spain
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Domenech-Briz V, Gea-Caballero V, Czapla M, Chover-Sierra E, Juárez-Vela R, Santolalla Arnedo I, Villanueva-Blasco VJ, Sánchez-González JL, Martínez-Sabater A. Importance of nutritional assessment tools in the critically ill patient: A systematic review. Front Nutr 2023; 9:1073782. [PMID: 36793999 PMCID: PMC9923005 DOI: 10.3389/fnut.2022.1073782] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 12/22/2022] [Indexed: 01/31/2023] Open
Abstract
Background Among the risks of the critically ill patient, one of the aspects to be taken into account is the high probability of occurrence of malnutrition risk (40-50%). This process leads to increased morbimortality and worsening. The use of assessment tools allows the individualization of care. Objective To analyze the different nutritional assessment tools used during the admission of critically ill patients. Methods Systematic review of the scientific literature related to the nutritional assessment of critically ill patients. Between January 2017 and February 2022, articles were rescued from the electronic databases "Pubmed," "Scopus," "CINAHL" and "The Cochrane Library"; which will analyze which instruments are used during nutritional assessment in the ICU, as well as their impact on mortality and comorbidity of patients. Results The systematic review was made up of 14 scientific articles that met the selection criteria, obtained from seven different countries. The instruments described were: mNUTRIC, NRS 2002, NUTRIC, SGA, MUST and the ASPEN and ASPEN criteria. All the included studies demonstrated beneficial effects after nutritional risk assessment. mNUTRIC was the most widely used assessment instrument, with the best predictive validity for mortality and adverse outcomes. Conclusion The use of nutritional assessment tools makes it possible to know the real situation of patients, and by objectifying situations, to allow different interventions to improve the nutritional level of patients. The best effectiveness has been achieved using tools such as mNUTRIC, NRS 2002 and SGA.
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Affiliation(s)
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencian International University, Valencia, Spain,Research Group Community Health and Care, SALCOM, Valencian International University, Valencia, Spain
| | - Michal Czapla
- Department of Emergency Medical Service, Wrocław Medical University, Wrocław, Poland,Nursing Department, Faculty of Health Sciences, University of La Rioja, Research Group GRUPAC, Logroño, Spain
| | - Elena Chover-Sierra
- Facultat d’Infermeria i Podologia, Nursing Department, Nursing Care and Education Research Group (GRIECE), Care Research Group (INCLIVA), Hospital Clínico Universitario de Valencia, Universitat de Valencia, Valencia, Spain
| | - Raúl Juárez-Vela
- Nursing Department, Faculty of Health Sciences, University of La Rioja, Research Group GRUPAC, Logroño, Spain,Center of Biomedical Research – CIBIR, Logroño, Spain
| | - Ivan Santolalla Arnedo
- Nursing Department, Faculty of Health Sciences, University of La Rioja, Research Group GRUPAC, Logroño, Spain,Center of Biomedical Research – CIBIR, Logroño, Spain,*Correspondence: Ivan Santolalla Arnedo,
| | - Víctor J. Villanueva-Blasco
- Faculty of Health Sciences, Valencian International University, Valencia, Spain,Research Group on Health and Psycho-Social Adjustment (GI-SAPS), Valencian International University, Valencia, Spain
| | | | - Antonio Martínez-Sabater
- Facultat d’Infermeria i Podologia, Nursing Department, Nursing Care and Education Research Group (GRIECE), Care Research Group (INCLIVA), Hospital Clínico Universitario de Valencia, Universitat de Valencia, Valencia, Spain
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Rypicz Ł, Rozensztrauch A, Fedorowicz O, Włodarczyk A, Zatońska K, Juárez-Vela R, Witczak I. Polish Adaptation of the Alarm Fatigue Assessment Questionnaire as an Element of Improving Patient Safety. Int J Environ Res Public Health 2023; 20:1734. [PMID: 36767101 PMCID: PMC9914244 DOI: 10.3390/ijerph20031734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 01/11/2023] [Accepted: 01/14/2023] [Indexed: 06/18/2023]
Abstract
Medical personnel, working in medical intensive care units, are exposed to fatigue associated with alarms emitted by numerous medical devices used for diagnosing, treating, and monitoring patients. Alarm fatigue is a safety and quality problem in patient care and actions should be taken to reduce this by, among other measures, building an effective safety culture. In the present study, an adaptation of a questionnaire to assess alarm fatigue was carried out. The study obtained good reliability of the questionnaire at Cronbach's alpha level of 0.88. The Polish research team has successfully adapted the Alarm Fatigue Assessment Questionnaire so that it can be used in healthcare settings as a tool to improve patient safety.
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Affiliation(s)
- Łukasz Rypicz
- Department of Population Health, Division of Public Health, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Anna Rozensztrauch
- Department of Nursing and Midwifery, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Olga Fedorowicz
- Department of Clinical Pharmacology, Faculty of Pharmacy, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Aleksander Włodarczyk
- Faculty of Medical Sciences named after Professor Zbigniew Religa, Academy of Silesia, 40-007 Katowice, Poland
| | - Katarzyna Zatońska
- Department of Population Health, Division of Public Health, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Raúl Juárez-Vela
- Research Group GRUPAC, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
| | - Izabela Witczak
- Department of Population Health, Division of Public Health, Faculty of Health Sciences, Wroclaw Medical University, 51-618 Wroclaw, Poland
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Karniej P, Pérez J, Juárez-Vela R, Santolalla-Arnedo I, Gea-Caballero V, del Pozo-Herce P, Dissen A, Czapla M. Orthorexia nervosa in gay men-the result of a spanish-polish eating disorders study. BMC Public Health 2023; 23:58. [PMID: 36624429 PMCID: PMC9830745 DOI: 10.1186/s12889-022-14943-7] [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: 06/14/2022] [Accepted: 12/26/2022] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND The purpose of this exploratory study was to identifying demographic factors and unique predictors of ON e.g., the use of pre-exposure prophylaxis (PrEP), the use of social media and the Grindr ® dating application among a sample group of Spanish and Polish identifying gay men. METHODS The study was conducted in Poland and Spain between March and June 2021 using questionary: ORTO-15. Data was collected using a three-section self-administered questionnaire. The first section contained demographic data, the second part was the Polish and Spanish version of the Orto-15, and the third part was the Polish and Spanish version of the EAT-26. RESULTS Total enrollment was 394 gay men. In regression proportional hazards single model, significant predictors of ON were: age (OR = 0.964, 95% CI, 0.944-0.984), BMI (OR = 0.895, 95% CI, 0.848-0.944), staying in an informal relationship compared to being single (OR = 2.138, 95%CI, 1.225-3.732), occasional use of Pre-exposure Prophylaxis (OR = 4.667, 95%CI, 1.186-18.362) and use of the Grindr application (OR = 5.312, 95%CI, 3.373-8.365). Instagram users had lower risk of ON (OR = 0.479, 95%CI, 0.279-0.822). The multivariate analysis showed that Grindr usages (OR = 4.72; 95%CI, 2.89-7.72) correlated with higher risk of ON. Higher BMI (OR = 0.913, 95%CI, 0.861-0.98) and daily use of Pre-exposure Prophylaxis (OR = 0.142, 95%CI, 0.03-0.674) is associated with lower risk of ON. CONCLUSIONS The most important predictors of orthorexia nervosa in gay men are: low BMI and the use of Grindr. The effect of daily usage of PrEP is associated with lower risk, and occasional use is associated with increased risk, of orthorexia nervosa.
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Affiliation(s)
- Piotr Karniej
- grid.119021.a0000 0001 2174 6969Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004 Logroño, Spain ,grid.445642.50000 0004 0503 033XFaculty of Finance and Management, WSB University in Wrocław, 53-609 Wrocław, Poland
| | - Jesús Pérez
- grid.11762.330000 0001 2180 1817Institute of Biomedical Research of Salamanca (IBSAL), Psychiatry Unit, Department of Medicine, Universidad de Salamanca, Salamanca, Spain ,grid.5335.00000000121885934Department of Psychiatry, University of Cambridge, Cambridge, UK ,grid.450563.10000 0004 0412 9303Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK ,grid.8273.e0000 0001 1092 7967Norwich Medical School, University of East Anglia, Norwich, UK
| | - Raúl Juárez-Vela
- grid.119021.a0000 0001 2174 6969Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004 Logroño, Spain , Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), La Rioja, Spain
| | - Iván Santolalla-Arnedo
- grid.119021.a0000 0001 2174 6969Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004 Logroño, Spain , Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), La Rioja, Spain
| | - Vicente Gea-Caballero
- grid.440832.90000 0004 1766 8613Faculty of Health Sciences, Valencian International University, Pintor Sorolla 21 46002, Valencia, Spain ,grid.440832.90000 0004 1766 8613 Research Group in Community Health and Care (SALCOM), Valencian International University, Valencia, Spain
| | - Pablo del Pozo-Herce
- Group of Research in Sustainability of the Health System, Biomedical Research Center of La Rioja (CIBIR), La Rioja, Spain ,grid.419651.e0000 0000 9538 1950Department of Psychiatry, Fundación Jiménez Díaz University Hospital, Madrid, Spain ,grid.419651.e0000 0000 9538 1950Health Research Institute, Fundación Jiménez Diaz, Madrid, Spain ,grid.419651.e0000 0000 9538 1950School of Nursing, Fundación Jiménez Diaz. Autonomous University, Madrid, Spain
| | - Anthony Dissen
- grid.262550.60000 0001 2231 9854Health Science Faculty, Stockton University, Stockton, New Jersey USA
| | - Michał Czapla
- grid.119021.a0000 0001 2174 6969Faculty of Health Sciences, Group of Research in Care (GRUPAC), University of La Rioja, 26004 Logroño, Spain ,grid.4495.c0000 0001 1090 049XDepartment of Emergency Medical Service, Wroclaw Medical University, 51-618 Wroclaw, Poland ,grid.412700.00000 0001 1216 0093Institute of Heart Disease, University Hospital, Wroclaw, Poland
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Navolokina A, Smereka J, Böttiger BW, Pruc M, Juárez-Vela R, Rahnama-Hezavah M, Rafique Z, Peacock FW, Safiejko K, Szarpak L. The Impact of COVID-19 on Pediatric Cardiac Arrest Outcomes: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2023; 20:1104. [PMID: 36673858 PMCID: PMC9858656 DOI: 10.3390/ijerph20021104] [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] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Revised: 12/14/2022] [Accepted: 01/06/2023] [Indexed: 06/17/2023]
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic, required the donning of personal protective equipment during clinical contact, and continues to be a significant worldwide public health concern. Pediatric cardiac arrest is a rare but critical condition with a high mortality rate, the outcomes of which may be negatively affected by donning personal protective equipment. The aim of this study is to perform a systematic review and meta-analysis of the impact of the COVID-19 pandemic on pediatric cardiac arrest outcomes. We conducted a systematic review with meta-analysis in the following databases: PubMed, EMBASE, Scopus, Web of Science, and Cochrane Library from their inception to 1 October 2022. We included studies published in English on pediatric patients with cardiac arrest, dichotomized by the pre- and during-COVID-19 periods and then stratified by COVID-19 positive or negative status, to evaluate clinical outcomes associated with cardiac arrest. Six studies were included in the meta-analysis. In witnessed out-of-hospital cardiac arrest patients, there were no differences between the pandemic and pre-pandemic periods for witnessed cardiac arrest (28.5% vs. 28.7%; odds ratio (OR) = 0.99; 95% confidence interval (CI): 0.87 to 1.14; p = 0.93), administration of bystander cardiopulmonary resuscitation (61.5 vs. 63.6%; OR = 1.11; 95%CI: 0.98 to 1.26; p = 0.11), bystander automated external defibrillator use (both 2.8%; OR = 1.00; 95%CI: 0.69 to 1.45; p = 0.99), return of spontaneous circulation(8.4 vs. 8.9%; OR = 0.93; 95%CI: 0.47 to 1.88; p = 0.85), survival to hospital admission (9.0 vs. 10.2%, OR = 0.81; 95%CI: 0.45 to 1.44; p = 0.47), or survival to hospital discharge (13.4 vs. 12.4%; OR = 0.62; 95%CI: 0.22 to 1.72; p = 0.35). COVID-19 did not change pediatric cardiac arrest bystander interventions or outcomes.
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Affiliation(s)
- Alla Navolokina
- European School of Medicine, International European University, 03187 Kyiv, Ukraine
| | - Jacek Smereka
- Department of Emergency Medical Service, Wroclaw Medical University, 51-616 Wroclaw, Poland
- Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland
| | - Bernd W. Böttiger
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, 50937 Cologne, Germany
| | - Michal Pruc
- Research Unit, Polish Society of Disaster Medicine, 05-806 Warsaw, Poland
| | - Raúl Juárez-Vela
- GRUPAC, Department in Nursing, University of La Rioja, 26006 Logroño, Spain
| | - Mansur Rahnama-Hezavah
- Chair and Department of Oral Surgery, Medical University of Lublin, 20-093 Lublin, Poland
| | - Zubaid Rafique
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Frank W. Peacock
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
| | - Kamil Safiejko
- Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, 15-294 Bialystok, Poland
| | - Lukasz Szarpak
- Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA
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Juárez-Vela R, Quintana-Diaz M, Rodríguez-Calvo A, Santos-Sánchez JÁ, Gero-Escapa M, Gallego-Curto E, Satústegui-Dordá PJ, Sánchez-González JL, Jericó C, Ruiz de Viñaspre-Hernández R, Gil-Fernández G, García-Erce JA. Profile and characteristics of the adequacy of blood transfusions in Trauma Intensive Care. A cross sectional multicenter study. Front Public Health 2023; 11:1133191. [PMID: 37020819 PMCID: PMC10067921 DOI: 10.3389/fpubh.2023.1133191] [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: 12/28/2022] [Accepted: 02/24/2023] [Indexed: 04/07/2023] Open
Abstract
Introduction Major trauma is one of the major health care problems facing modern society, trauma systems require careful planning to achieve an ideal level of coverage for the population. The Patient Blood Management Program is an integrated and global strategy to provide patient care that aims to assess and address, when possible, the etiology of blood abnormalities rather than transfuse without treating the underlying cause. We aimed to describe the factors that are associated with the clinical decision to transfuse polytraumatized patients admitted to the Intensive Care Unit (ICU). Method We performed a cross sectional multicenter study of patients admitted to ICUs for trauma in 14 Spanish hospitals from September 2020 to December 2021. Results A total of 69 patients were treated in the emergency room due to polytrauma, 46% of them were considered serious in the initial triage. Thirty were caused by a fall from considerable height (43.47%), followed by 39 patients admitted due to trac accidents (56.52%). The location of the trauma was mainly cranioencephalic, followed by thoracic trauma. Of the 69 patients, 25 received a blood transfusion during their ICU stay (36.23%). Discussion No significant differences were observed between transfused and non-transfused patients, except for the severity scales, where transfused patients have a higher score on all the scales assessed in the ICU except for the Revised Trauma Score. As we can see, the incidence of kidney failure was also different between the groups analyzed, reaching 44.00% in transfused patients and 13.64% in the group of patients without blood transfusion, p = 0.005. In this sense, 92.00% of the transfusions performed were inadequate according to the criteria of Hb in blood prior to the decision to transfuse (Hb < 9). Our data support the need to consider clinical practice guidelines regarding blood transfusion and its practices.
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Affiliation(s)
- Raúl Juárez-Vela
- Doctoral Program in Medicine and Surgery, Autonomous University of Madrid, Madrid, Spain
- Department of Nursing, Research Group in Care (GRUPAC), University of La Rioja, Logroño, Spain
- Center of Biomedical Research of La Rioja (CIBIR), Logroño, Spain
| | - Manuel Quintana-Diaz
- Doctoral Program in Medicine and Surgery, Autonomous University of Madrid, Madrid, Spain
- Intensive Care Unit, PBM Group, IdiPAZ, Hospital La Paz, Madrid, Spain
| | - Antonio Rodríguez-Calvo
- Complex Hospital University of Salamanca, Salamanca, Spain
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | - José Ángel Santos-Sánchez
- Complex Hospital University of Salamanca, Salamanca, Spain
- Faculty of Medicine, University of Salamanca, Salamanca, Spain
| | | | | | - Pedro José Satústegui-Dordá
- Research Group of the University of Zaragoza B43_20R Water and Environmental Health, Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | | | - Carlos Jericó
- Internal Medicine Department, Complex Hospitalari Moisés Broggi, Sant Joan Despí, Spain
| | - Regina Ruiz de Viñaspre-Hernández
- Department of Nursing, Research Group in Care (GRUPAC), University of La Rioja, Logroño, Spain
- Center of Biomedical Research of La Rioja (CIBIR), Logroño, Spain
- *Correspondence: Regina Ruiz de Viñaspre-Hernández
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Olczak-Pruc M, Szarpak L, Navolokina A, Chmielewski J, Panasiuk L, Juárez-Vela R, Pruc M, Swieczkowski D, Majer R, Rafique Z, Peacock FW. The effect of zinc supplementation on the course of COVID-19 - A systematic review and meta-analysis. Ann Agric Environ Med 2022; 29:568-574. [PMID: 36583325 DOI: 10.26444/aaem/155846] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
INTRODUCTION AND OBJECTIVE Zinc is a trace element that plays a role in stimulating innate and acquired immunity. The aim of the study was to determine the antiviral effect of the administration of zinc in COVID-19 patients. MATERIAL AND METHODS A literature search was performed in P Web of Science, PubMed, Scopus and Cochrane databases from 1 January 2020 - 22 August 2022. In addition, reference lists of the included articles and their related citations in PubMed were also reviewed for additional pertinent studies. RESULTS A total of 9 eligible studies were identified. In-hospital mortality in zinc supplementation patients, and patients treated without zinc, varied and amounted to 21.6% vs. 23.04% difference (OR=0.71; 95%CI: 0.62-0.81; p<0.001). 28-day to 30-day mortality in patients treated with zinc was 7.7%, compared to 11.9% for patients treated without zinc (OR=0.61; 95%CI: 0.35-1.06; p=0.08). In-hospital adverse events among patients treated with and without COVID-19 did not show any statistically significant differences in relation to acute kidney injury occurrence (12.8% vs. 12.4%, respectively; OR=0.63; 95%CI: 0.19-2.12; p=0.45, as well as need for mechanical ventilation (13.2% vs. 14.1%; OR=0.83; 95%CI: 0.52-1.32; p=0.43). CONCLUSIONS Zinc supplementation is associated with lower COVID-19 in-hospital mortality. Additionally, it is risk-free in COVID-19 patients since there have been no negative side effects, such as acute renal damage or the requirement for mechanical ventilation compared to patients without COVID-19. Due to scientific evidence and the role it represents in the human body, zinc supplementation should be taken into consideration for COVID-19 patients as an adjunct therapy.
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Affiliation(s)
| | - Lukasz Szarpak
- Baylor College of Medicine, Houston (TX), USA
- Maria Sklodowska-Curie Medical Academy, Warsaw, Poland
| | | | - Jaroslaw Chmielewski
- Institute of Environmental Protection - National Research Institute, Warsaw, Poland
| | | | | | - Michal Pruc
- Polish Society of Disaster Medicine, Warsaw, Poland
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Czapla M, Uchmanowicz I, Juárez-Vela R, Durante A, Kałużna-Oleksy M, Łokieć K, Baeza-Trinidad R, Smereka J. Relationship between nutritional status and length of hospital stay among patients with atrial fibrillation - a result of the nutritional status heart study. Front Nutr 2022; 9:1086715. [PMID: 36590210 PMCID: PMC9794855 DOI: 10.3389/fnut.2022.1086715] [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: 11/08/2022] [Accepted: 11/30/2022] [Indexed: 12/15/2022] Open
Abstract
Background Nutritional status is related to the prognosis and length of hospital stay (LOHS) of patients with atrial fibrillation (AF). This study aimed to assess how nutritional status affects LOHS for patients with AF. Methods We performed retrospective analysis of the medical records of 1,813 patients admitted urgently with a diagnosis of AF to the Institute of Heart Diseases of the University Clinical Hospital in Wroclaw, Poland. Results In total, 1,813 patients were included in the analysis. The average LOHS in the entire group was 3.53 ± 3.41 days. The mean BMI was 28.7 kg/m2 (SD: 5.02). Patients who were hospitalized longer were statistically more likely to have a Nutritional Risk Score (NRS) ≥3 (p = 0.028). A higher percentage of longer hospitalized patients with LDL levels below 70 mg/dl (p < 0.001) and those with HDL ≥40 mg/dl (p < 0.001) were observed. Study participants with NRS ≥3 were an older group (M = 76.3 years), with longer mean LOHS (M = 4.44 days). The predictors of LOHS in the univariate model were age (OR = 1.04), LDL (OR = 0.99), HDL (OR = 0.98), TC (OR = 0.996), CRP (OR = 1, 02, p < 0.001), lymphocytes (OR = 0.97, p = 0.008) and in the multivariate model were age, LDL (mg/dl), HDL (mg/dl), Na, and K. Conclusion For nutritional status, factors indicating the risk of prolonged hospitalization in patients with AF are malnutrition, lower serum LDL, HDL, potassium, and sodium levels identified at the time of admission to the cardiology department. Assessment of nutritional status in patients with AF is important both in the context of evaluating obesity and malnutrition status, as both conditions can alter the prognosis of patients. Further studies are needed to determine the exact impact of the above on the risk of prolonged hospitalization.
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Affiliation(s)
- Michał Czapla
- Department of Emergency Medical Service, Wroclaw Medical University, Wrocław, Poland,Institute of Heart Diseases, University Hospital, Wrocław, Poland,Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | - Izabella Uchmanowicz
- Institute of Heart Diseases, University Hospital, Wrocław, Poland,Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland
| | - Raúl Juárez-Vela
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain
| | - Angela Durante
- Group of Research in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, Logroño, Spain,*Correspondence: Angela Durante,
| | - Marta Kałużna-Oleksy
- 1st Department of Cardiology, Poznań University of Medical Sciences, Poznań, Poland
| | - Katarzyna Łokieć
- Department of Propaedeutic of Civilization Diseases, Medical University of Lodz, Lodz, Poland
| | | | - Jacek Smereka
- Department of Emergency Medical Service, Wroclaw Medical University, Wrocław, Poland
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Garrote-Cámara ME, Gea-Caballero V, Sufrate-Sorzano T, Rubinat-Arnaldo E, Santos-Sánchez JÁ, Cobos-Rincón A, Santolalla-Arnedo I, Juárez-Vela R. Clinical and Sociodemographic Profile of Psychomotor Agitation in Mental Health Hospitalisation: A Multicentre Study. Int J Environ Res Public Health 2022; 19:15972. [PMID: 36498042 PMCID: PMC9735933 DOI: 10.3390/ijerph192315972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 11/27/2022] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
Psychomotor agitation is characterised by an increase in psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by over-reacting to both intrinsic and extrinsic stimuli, experiencing stress and/or altered cognition. The objective of this study is to assess the clinical and sociodemographic profile of psychomotor agitation in patients with severe mental disorders. The study was carried out in Spain by means of multicentre cross-sectional convenience sampling involving 140 patients who had been admitted to psychiatric hospital units and had experienced an episode of psychomotor agitation between 2018 and 2021.Corrigan's Agitated Behaviour Scale was used to assess psychomotor agitation. The results show that the predominant characteristic in psychomotor agitation is aggressiveness, which is also the most reported factor in patients with severe mental disorder. Patients who also have anxiety develop psychomotor agitation symptoms of moderate/severe intensity. The clinical and sociodemographic profile found in our study is consistent with other studies on the prevalence of psychomotor agitation.
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Affiliation(s)
- María Elena Garrote-Cámara
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Vicente Gea-Caballero
- Research Group on Community Health and Care, Faculty of Health Science, Valencia International University, 46002 Valencia, Spain
| | - Teresa Sufrate-Sorzano
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Esther Rubinat-Arnaldo
- Society, Health, Education and Culture Study Group, Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, 25003 Lleida, Spain
| | | | - Ana Cobos-Rincón
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Iván Santolalla-Arnedo
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
| | - Raúl Juárez-Vela
- Care and Health Research Group, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain
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Aguilón-Leiva JJ, Tejada-Garrido CI, Echániz-Serrano E, Mir-Ramos E, Torres-Pérez AM, Lafuente-Jiménez A, Martínez-Soriano M, Santolalla-Arnedo I, Czapla M, Smereka J, Juárez-Vela R, Satústegui-Dordá PJ. Clinical and sociodemographic profile of acute intoxications in an emergency department: A retrospective cross-sectional study. Front Public Health 2022; 10:990262. [PMID: 36339228 PMCID: PMC9628748 DOI: 10.3389/fpubh.2022.990262] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Accepted: 09/20/2022] [Indexed: 01/26/2023] Open
Abstract
Background Epidemiological studies about acute poisoning are useful for developing clinical toxicology, especially those carried out in hospital emergency departments. We aimed to evaluate acute intoxication clinical and sociodemographic profile in South Aragon Hospital, Spain. Methods We carried out a retrospective cross-sectional study. We included 442 patients treated for acute poisoning in the emergency department during the 3 years 2015-2018. In the inferential analysis, the Chi-square test was used to compare proportions, and the Mann-Whitney U-test was used to compare ranges. A confidence level of 95 per cent was considered in all tests. Results The mean age was 44.1 years. 57.2% were men. Drugs of abuse were present in 243 patients (55%), drugs in 172 (38.9%), chemicals in 57 (12.9%) and three patients (0.7%) were poisoned by mushrooms. Nine different drugs of abuse, 73 drugs, 15 chemical compounds and 2 varieties of mushrooms were registered. Of the intoxicated patients, 92.3% had symptoms, 84.2% received treatment and 78.7% were discharged from the emergency department. Conclusions We obtain a clear clinical and sociodemographic profile of intoxicated patients who come to the emergency department; the five toxins that cause most acute poisoning are: alcohol, benzodiazepines, antiarrhythmics, cannabis and carbon monoxide.
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Affiliation(s)
| | | | - Emmanuel Echániz-Serrano
- Research Group of the Transfercult, Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - Eduardo Mir-Ramos
- Health Emergencies 061 ARAGÓN, Aragon Health Service, Zaragoza, Spain
| | | | | | | | - Iván Santolalla-Arnedo
- Group in Research in Care (GRUPAC), Department of Nursing, University of La Rioja, Logrono, Spain
| | - Michal Czapla
- Group in Research in Care (GRUPAC), Department of Nursing, University of La Rioja, Logrono, Spain
- Department of Emergency Medical Service, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Jacek Smereka
- Department of Emergency Medical Service, Wroclaw Medical University, 51-618 Wroclaw, Poland
| | - Raúl Juárez-Vela
- Group in Research in Care (GRUPAC), Department of Nursing, University of La Rioja, Logrono, Spain
| | - Pedro José Satústegui-Dordá
- Research Group Water and Environmental Health (B43_20R), Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
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Ramón-Arbués E, Echániz-Serrano E, Martínez-Abadía B, Antón-Solanas I, Cobos-Rincón A, Santolalla-Arnedo I, Juárez-Vela R, Adam Jerue B. Predictors of the Quality of Life of University Students: A Cross-Sectional Study. Int J Environ Res Public Health 2022; 19:ijerph191912043. [PMID: 36231345 PMCID: PMC9564890 DOI: 10.3390/ijerph191912043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/12/2022] [Accepted: 09/19/2022] [Indexed: 05/06/2023]
Abstract
UNLABELLED Quality of life (QOL) is a complex and multifaceted concept that has been used to study different aspects of people's lives, including physical and psychological wellbeing, financial independence, social relationships, personal beliefs and living situation. In this study, we aimed to assess the QOL of a group of Spanish university students and identify associated factors. METHOD We completed a cross-sectional study of the QOL of 868 university students using the WHOQOL-BREF questionnaire. In addition, data regarding sociodemographic information and self-esteem (Rosenberg Self-Esteem Scale), physical activity (International Physical Activity Questionnaire-Short version), diet (Spanish Index of Healthy Eating), alcohol consumption (CAGE questionnaire) and sleep quality (Pittsburgh Sleep Quality Index) were collected. RESULTS A total of 66.2% of participants assessed their QOL positively, while 58.8% favorably evaluated their overall health. Students reported the highest scores for the physical health domain of QOL, whereas they gave the lowest scores for the psychological health domain. Age was inversely associated with QOL. Higher self-esteem and satisfaction with academic performance, as well as sleep and diet quality, were directly associated with higher QOL. The physical health domain of QOL was scored more highly by participants who had a healthy body weight or those who reported moderate levels of physical activity. Higher scores in the social relationships domain of QOL were directly linked to alcohol intake, smoking and low body weight in addition to being inversely associated with screen time. The psychological domain of QOL was lower for those who were overweight or lived alone. CONCLUSION Many sociodemographic, academic and behavioral variables are associated with university students' QOL. The present findings underscore the need to direct further initiatives toward identifying and overcoming barriers to increased QOL for university students.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, 50830 Saragossa, Spain
- H27_20D Transfercult, Investigation Group, Aragón, 50009 Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- H27_20D Transfercult, Investigation Group, Aragón, 50009 Zaragoza, Spain
- Faculty of Health Sciences, Zaragoza University, 50009 Zaragoza, Spain
- Correspondence: (E.E.-S.); (R.J.-V.)
| | - Blanca Martínez-Abadía
- Occupational Health and Prevention Service of the Zaragoza City Council, 50003 Saragossa, Spain
| | | | - Ana Cobos-Rincón
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
| | - Iván Santolalla-Arnedo
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
| | - Raúl Juárez-Vela
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
- Correspondence: (E.E.-S.); (R.J.-V.)
| | - Benjamin Adam Jerue
- Faculty of Communication and Social Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, 50830 Saragossa, Spain
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Arnal-Gómez A, Muñoz-Gómez E, Espí-López GV, Juárez-Vela R, Tolsada-Velasco C, Marques-Sule E. Professional values and perception of knowledge regarding professional ethics in physical therapy students: A STROBE compliant cross-sectional study. Medicine (Baltimore) 2022; 101:e30181. [PMID: 36107566 PMCID: PMC9439820 DOI: 10.1097/md.0000000000030181] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Undergraduate students start the acquisition of a professional identity, and begin to achieve professional values and consciousness of an ethical behavior as future health professionals. The aim of this study was describe professional values and perception of knowledge regarding professional ethics of physical therapy students. A cross-sectional study was performed. A total of 351 students participated in the study. Professional values and perception of knowledge regarding professional ethics were assessed. Ethical approval was obtained from the University Ethics Review Board. The most important value was equity, while the least one was abnegation. The second educational year showed higher scores in importance of scientific quality (P = .010 vs first year), the third year in respect for life (P = .041 vs first year, respectively), and the fourth year in respect to patient's autonomy (P = .033 vs first year). First-year students showed lower scores in perception of knowledge regarding professional ethics (P < .001 vs second, third, and fourth year), while second-year students had higher scores (P < .001 vs first and third; P = .006 vs fourth year) and no differences between third- and fourth-year students were found. Those professional values highly considered by the students were mainly shared professional values, with equity ranked highest and abnegation lowest. Furthermore, second-year students had a well-established perception of knowledge regarding professional ethics, showing significant higher scores when compared to the rest of the educational years. This is the first cross-sectional study that describes these variables among physical therapy students and it is a starting point for future. Physical therapy educators might want to take into account these findings when teaching and guiding students in developing awareness for their professional values and perception of knowledge regarding professional ethics.
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Affiliation(s)
| | | | - Gemma Victoria Espí-López
- Department of Physiotherapy, University of Valencia, Spain
- *Correspondence: Gemma Victoria Espí-López, Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag Street, 5, 46010 Valencia, Spain (e-mail: )
| | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Spain
- Hospital La Paz Institute for Health Research (IdiPAZ), Spain
| | | | - Elena Marques-Sule
- Department of Physiotherapy, University of Valencia, Spain
- Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Spain
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47
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Sufrate-Sorzano T, Pérez J, Juárez-Vela R, Garrote-Cámara M, de Viñaspre RR, Molina-Luque F, Santolalla-Arnedo I. Umbrella review of nursing interventions NIC for the treatment and prevention of suicidal behavior. Int J Nurs Knowl 2022. [PMID: 35997164 DOI: 10.1111/2047-3095.12392] [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: 04/28/2022] [Accepted: 07/27/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE The aim of this umbrella review was to determine the most effective nursing interventions for the prevention and management of suicidal behavior. In order to do so, the review identifies interventions from the Nursing Interventions Classifications taxonomy with evidence to this end. METHODS A systematic search was conducted for systematic reviews included in the PubMed, CINAHL, Cochrane, Scopus, Web of Knowledge, and Joanna Briggs Institute databases between January 1, 2011 and May 1, 2020. FINDINGS The review is made up of 21 systematic reviews. In order to carefully analyze the interventions described, these were coded into categories, grouping the interventions into those based on psychological therapy, interventions related to pharmacotherapy, interventions related to the professional relationship between health professional and patient, and interventions aimed at the general public. CONCLUSIONS Nursing interventions for suicide risk management are prevalent in the scientific literature and are shown to be effective for patients with suicidal ideation or suicide attempts. Prevention and treatment of suicidal behavior require the provision of coping tools, behavioral interventions that directly address suicidal thoughts and behaviors, and support through therapeutic partnerships, among others. IMPLICATIONS FOR NURSING PRACTICE This paper synthesizes the most current evidence on the most effective Nursing Interventions Classifications interventions for the treatment and prevention of suicidal behavior. It provides nursing practitioners with a comprehensive review of the therapeutic interventions with the best evidence and is useful for the development of clinical guidelines and protocols, as well as for the development of health policies and plans.
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Affiliation(s)
- Teresa Sufrate-Sorzano
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - Jesús Pérez
- Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK
| | - Raúl Juárez-Vela
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
| | - MaríaElena Garrote-Cámara
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain
| | - Regina Ruiz de Viñaspre
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain
| | - Fidel Molina-Luque
- Faculty of Education, Psychology and Social Work, University of Lleida, Lleida, Spain.,Group for the Study of Society, Health, Education and Culture (GESEC). University of Lleida, Lleida, Spain.,Research Institute in Social and Territorial Development (INDEST), University of Lleida, Lleida, Spain
| | - Iván Santolalla-Arnedo
- Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.,Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain
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48
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Jorge-Samitier P, Juárez-Vela R, Santolalla-Arnedo I, Cobos-Rincón A, Santos-Sánchez JÁ, Gea-Caballero V, Satústegui-Dorda PJ, Anguas-Gracia A, Tejada-Garrido CI, Urcola-Pardo F, Fernández-Rodrigo MT. Clinical and Epidemiological Approach to Delirium in an Acute Care Unit: A Cross-Sectional Study. IJERPH 2022; 19:ijerph19159406. [PMID: 35954759 PMCID: PMC9368652 DOI: 10.3390/ijerph19159406] [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] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 07/28/2022] [Accepted: 07/29/2022] [Indexed: 11/16/2022]
Abstract
During hospital admissions, the union of various factors, those related to acute pathology, dependency conditions, cognitive impairment, change of habitual environment, and others, can cause delirium. Acute delirium in the elderly (ADE) occurs in around a third of patients over 70 years of age. The syndrome generates serious complications that increase hospital morbidity and mortality and a high cost for the health administration. This study aimed to determine the clinical and epidemiological profile of ADE in an internal medicine unit. A descriptive cross-sectional study was carried out using a convenience test. A total of 356 patients participated between September and November 2021. Sociodemographic variables, predisposing and precipitating factors of ADE, methods of action against ADE, and the impact on functional and cognitive deterioration were analyzed. A total of 35.1% of the patients developed ADE, mostly of the hyperactive type and of nocturnal appearance. ADE was mainly treated with psychoactive drugs and 22% required mechanical restraint, with non-pharmacological preventive strategies, support, and caregiver training being the main tools for controlling ADE during hospital admission.
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Affiliation(s)
- Pablo Jorge-Samitier
- Hospital Clínico Lozano Blesa, Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain;
- Department of Physiatry and Nursing, University of Zaragoza, 50009 Zaragoza, Spain
| | - Raúl Juárez-Vela
- GRUPAC, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain; (R.J.-V.); (I.S.-A.); (C.I.T.-G.)
| | - Iván Santolalla-Arnedo
- GRUPAC, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain; (R.J.-V.); (I.S.-A.); (C.I.T.-G.)
| | - Ana Cobos-Rincón
- GRUPAC, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain; (R.J.-V.); (I.S.-A.); (C.I.T.-G.)
- Correspondence: (A.C.-R.); (J.Á.S.-S.)
| | - José Ángel Santos-Sánchez
- Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain
- Radiodiagnostic Unit, Castilla Leon Health Care Service (SACYL), University Hospital of Salamanca, 37008 Salamanca, Spain
- Correspondence: (A.C.-R.); (J.Á.S.-S.)
| | - Vicente Gea-Caballero
- Community Health and Care Research Group, Faculty of Health Sciences, Valencia International University, 46003 Valencia, Spain;
| | - Pedro José Satústegui-Dorda
- Research Group Water and Environmental Health (B43_20R), Department of Physiatry and Nursing, University of Zaragoza, Calle Domingo Miral, s/n, 50009 Zaragoza, Spain; (P.J.S.-D.); (A.A.-G.); (F.U.-P.); (M.T.F.-R.)
| | - Ana Anguas-Gracia
- Research Group Water and Environmental Health (B43_20R), Department of Physiatry and Nursing, University of Zaragoza, Calle Domingo Miral, s/n, 50009 Zaragoza, Spain; (P.J.S.-D.); (A.A.-G.); (F.U.-P.); (M.T.F.-R.)
| | - Clara Isabel Tejada-Garrido
- GRUPAC, Department in Nursing, University of La Rioja, C/Duquesa de la Victoria 88, 26004 Logroño, Spain; (R.J.-V.); (I.S.-A.); (C.I.T.-G.)
| | - Fernando Urcola-Pardo
- Research Group Water and Environmental Health (B43_20R), Department of Physiatry and Nursing, University of Zaragoza, Calle Domingo Miral, s/n, 50009 Zaragoza, Spain; (P.J.S.-D.); (A.A.-G.); (F.U.-P.); (M.T.F.-R.)
| | - María Teresa Fernández-Rodrigo
- Research Group Water and Environmental Health (B43_20R), Department of Physiatry and Nursing, University of Zaragoza, Calle Domingo Miral, s/n, 50009 Zaragoza, Spain; (P.J.S.-D.); (A.A.-G.); (F.U.-P.); (M.T.F.-R.)
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49
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Juárez-Vela R, García-Erce JA, Gea-Caballero V, Ruiz de Viñaspre-Hernandez R, Santos-Sánchez JÁ, Sánchez-González JL, Andrés-Esteban EM, Czapla M, Tejada CI, Nanwani-Nanwani KL, Serrano-Lázaro A, Quintana-Díaz M. A Cohort Study in Intensive Care Units: Health Decisions Related to Blood Transfusion during the COVID-19 Pandemic. J Clin Med 2022; 11:jcm11154396. [PMID: 35956012 PMCID: PMC9368991 DOI: 10.3390/jcm11154396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 07/05/2022] [Accepted: 07/26/2022] [Indexed: 02/04/2023] Open
Abstract
Critically ill polytrauma patients with hemorrhage require a rapid assessment to initiate hemostatic resuscitation in the shortest possible time with the activation of a massive transfusion or a critical hemorrhage management protocol. The hospital reality experienced during the COVID-19 pandemic in all countries was critical, as it was in Spain; according to the data published daily by the Ministry of Health on its website, during the period of this study, the occupancy rate of intensive care units (ICUs) by patients diagnosed with the novel coronavirus disease (COVID-19) rose to 23.09% in Spain, even reaching 45.23% at the end of January 2021. We aimed to analyze the changes observed during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic period regarding the effectiveness of Spanish ICUs in terms of mortality reduction. We present a cross-sectional study that compares two cohorts of patients admitted to ICUs across all autonomous communities of Spain with a diagnosis of polytrauma. Results: Only age was slightly higher at admission during the first wave of the pandemic (47.74 ± 18.65 vs. 41.42 ± 18.82 years, p = 0.014). The transfusion rate during the pandemic increased by 10.4% compared to the previous stage (p = 0.058). Regarding hemostatic components, the use of tranexamic acid increased from 1.8% to 10.7% and fibrinogen concentrates from 0.9% to 1.9%. In the case of prothrombin complex concentrates, although there was a slight increase in their use, there were no significant differences during the pandemic compared to the previous period. Conclusion: Mortality showed no difference before and during the pandemic, despite the observed change in the transfusion policy. In summary, the immediate and global implementation of patient blood management (PBM) based on clinical transfusion algorithms should be mandatory in all hospitals in our country.
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Affiliation(s)
- Raúl Juárez-Vela
- Doctoral Program in Medicine and Surgery, Faculty of Medicine, Autonomous University of Madrid, 28049 Madrid, Spain; (R.J.-V.); (M.Q.-D.)
- Research Group in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, C/Duquesa Victoria 88, 26006 Logrono, Spain; (R.R.d.V.-H.); (M.C.); (C.I.T.)
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
| | - José Antonio García-Erce
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- Bank of Blood and Tissue of Navarra, Government of Navarra, 31008 Pamplona, Spain
- Correspondence:
| | - Vicente Gea-Caballero
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- Faculty of Health Sciences, Valencian International University, 46002 Valencia, Spain
| | - Regina Ruiz de Viñaspre-Hernandez
- Research Group in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, C/Duquesa Victoria 88, 26006 Logrono, Spain; (R.R.d.V.-H.); (M.C.); (C.I.T.)
| | - José Ángel Santos-Sánchez
- Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain;
- Salamanca Hospital Complex, 37008 Salamanca, Spain
| | | | - Eva María Andrés-Esteban
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- Department of Business Economics and Applied Economy, Faculty of Legal and Economic Sciences, University Rey Juan Carlos, 28032 Madrid, Spain
| | - Michał Czapla
- Research Group in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, C/Duquesa Victoria 88, 26006 Logrono, Spain; (R.R.d.V.-H.); (M.C.); (C.I.T.)
- Department of Emergency Medical Service, Wroclaw Medical University, 51-616 Wroclaw, Poland
- Institute of Heart Diseases, University Hospital, 50-566 Wroclaw, Poland
| | - Clara Isabel Tejada
- Research Group in Care (GRUPAC), Faculty of Health Sciences, University of La Rioja, C/Duquesa Victoria 88, 26006 Logrono, Spain; (R.R.d.V.-H.); (M.C.); (C.I.T.)
| | - Kapil Laxman Nanwani-Nanwani
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- La Paz Hospital Intensive Care Unit, 28046 Madrid, Spain
| | - Ainhoa Serrano-Lázaro
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- Intensive Care Unit, Hospital Clinico de Valencia, 46010 Valencia, Spain
| | - Manuel Quintana-Díaz
- Doctoral Program in Medicine and Surgery, Faculty of Medicine, Autonomous University of Madrid, 28049 Madrid, Spain; (R.J.-V.); (M.Q.-D.)
- Blood Management Patient Group, Research Institute Idi-Paz, 28046 Madrid, Spain; (V.G.-C.); (E.M.A.-E.); (K.L.N.-N.); (A.S.-L.)
- La Paz Hospital Intensive Care Unit, 28046 Madrid, Spain
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50
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Sánchez-Hernando B, Gasch-Gallén Á, Antón-Solanas I, Gea-Caballero V, Gállego-Diéguez J, Sánchez-González JL, Santolalla-Arnedo I, Juárez-Vela R, Durante Á. Psychometric properties and cultural adaptation of “LifeConScale” -Life Conditions Scale for Adolescents. PLoS One 2022; 17:e0269644. [PMID: 35849557 PMCID: PMC9292085 DOI: 10.1371/journal.pone.0269644] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 12/19/2021] [Accepted: 05/24/2022] [Indexed: 11/26/2022] Open
Abstract
Promoting the adoption of healthy habits represents a great challenge for health and education professionals. In this sense, childhood and adolescence are propitious times for the acquisition and consolidation of behaviors and skills, being that numerous and different determinants act in the genesis of behavior. The purpose of this study was to test the Psychometric properties and cultural adaptation of “LifeConScale” -Life Conditions Scale for Adolescents-. A cross-sectional and multicenter study was carried out in a representative sample of adolescents enrolled in 1st and 2nd year of Compulsory Secondary Education in 18 educational centers in Aragon, during the 2018–2019 school year. Sociodemographic characteristics, life skills, daily habits, and academic performance were analyzed using an adapted questionnaire from different scales and previous studies. For the adaptation of the questionnaire, the expert panel technique was used and for its validation, exploratory factor analysis was carried out and Cronbach’s Alpha was applied, assessing the global internal consistency and of each one of the factors. The instrument showed a Kaiser-Meyer-Olkin sample size adequacy of 0.8122. A 6-dimensional model was chosen that explained 75.25% of the variance. The goodness of fit obtained a value of 0.802 in the Nomed Fix Index. The Comparative Fit Index was 0.891. The result of the analysis of variances and covariances carried out according to the Standardized Root Mean Square Residual yielded a value of 0.093 The analysis showed excellent application conditions in the study population and construct validity. This instrument will be useful for the evaluation of educational programs that work to promote health in educational centers, such as Health Promoting Schools.
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Affiliation(s)
- Beatriz Sánchez-Hernando
- Health Center “Amparo Poch”, Aragón Health Care System (SALUD), Zaragoza, Spain
- Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Aragón Health Research Institute, Zaragoza, Spain
| | - Ángel Gasch-Gallén
- Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Aragón Health Research Institute, Zaragoza, Spain
- Research Group in Primary Care of Aragon (GAIAP-GIIS011), Aragón Health Research Institute, Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
- * E-mail:
| | - Isabel Antón-Solanas
- Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Aragón Health Research Institute, Zaragoza, Spain
- Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Science, International University of Valencia, Valencia, Spain
- Research Group Blood Patient Management, IDIPAZ Madrid, Madrid, Spain
| | - Javier Gállego-Diéguez
- Head of the Information, Transparency and Participation Service, Health Department, Government of Aragon, Zaragoza, Spain
| | | | | | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
| | - Ángela Durante
- Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain
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