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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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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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Younas A, Zeb H, Tejada-Garrido CI, Durante A. Social suffering in individuals with chronic obstructive pulmonary disease: a secondary analysis of interpretative phenomenological study. PSYCHOL HEALTH MED 2024; 29:236-241. [PMID: 36154546 DOI: 10.1080/13548506.2022.2128195] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 09/16/2022] [Indexed: 10/14/2022]
Abstract
Individuals with chronic obstructive pulmonary disease experience suffering that affects their families and community relationships. However, no studies provide an explicit account of social suffering among these individuals. This secondary analysis was conducted to understand the lived experiences of social suffering in individuals with chronic obstructive pulmonary disease. The theory of social suffering guided the analysis of an interpretative phenomenological study. Thirteen individuals were recruited using purposive sampling. Data were analyzed using reflexive thematic analysis. Three themes were generated: a) prevailing hopelessness and burden, b) progressing relational adversities, and c) struggling with co-dependency. Social suffering is a complex entity experienced by the patients and the family caregivers. For enhanced caregiving, health professionals could prepare patients to tackle the suffering through collective actions.
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Affiliation(s)
- Ahtisham Younas
- Faculty of Nursing, Memorial University of Newfoundland, Canada
| | - Hussan Zeb
- Swat College of Nursing, Mingora, Pakistan
| | | | - Angela Durante
- Department of Nursing, University of La Rioja, Logroño Spain
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4
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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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5
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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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7
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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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8
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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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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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10
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Younas A, Shahzad S, Tejada-Garrido CI, Monari EN, Durante A. Sociocultural and patient-health care professional related factors influencing self-management of multiethnic patients with multimorbidities: A thematic synthesis. PLOS Glob Public Health 2023; 3:e0002132. [PMID: 37733662 PMCID: PMC10513255 DOI: 10.1371/journal.pgph.0002132] [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] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 08/23/2023] [Indexed: 09/23/2023]
Abstract
Self-management is critical for the general well-being and disease management of individuals with multimorbidities. A better understanding of sociocultural and patient-professional level factors affecting self-management can be valuable for designing individual and community-based strategies to promote optimal self-management. The purpose of this review was to explore sociocultural and patient-health care professional related factors affecting self-management among patients with multimorbidities. A metasynthesis was conducted. Literature was searched in PubMed, CINAHL, Scopus, Web of Science, and OVID databases. In total, 21 qualitative studies published from January 2010-March 2023 were critically appraised and reviewed. Thematic synthesis was used for analysis and eight descriptive and three analytical themes were generated. The analytical themes illustrated that personal and structural vulnerabilities, social and family struggles, and fragmented interpersonal relationships with health care professionals affect health care access, navigation, and self-management of individuals with multimorbidities. Engagement in self-management for individuals with multiple chronic conditions is hampered by under-resourced community and health care environments, structural vulnerabilities, familial and interpersonal conflicts, and disjointed relationships. There is a dire need to ensure optimal community resources to support individuals to address and navigate complexities associated with accessing care and effectively managing their illnesses.
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11
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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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12
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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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13
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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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14
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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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15
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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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Juárez-Vela R, Andrés-Esteban EM, Santolalla-Arnedo I, Ruiz de Viñaspre-Hernández R, Benito-Puncel C, Serrano-Lázaro A, Marcos-Neira P, López-Fernández A, Tejada-Garrido CI, Sánchez-González JL, Quintana-Díaz M, García-Erce JA. Epidemiology and Associated Factors in Transfusion Management in Intensive Care Unit. J Clin Med 2022; 11:jcm11123532. [PMID: 35743602 PMCID: PMC9225042 DOI: 10.3390/jcm11123532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 06/16/2022] [Accepted: 06/16/2022] [Indexed: 11/16/2022] Open
Abstract
Severe traumatic injury is one of the main global health issues which annually causes more than 5.8 million worldwide deaths. Uncontrolled haemorrhage is the main avoidable cause of death among severely injured individuals. Management of trauma patients is the greatest challenge in trauma emergency care, and its proper diagnosis and early management of bleeding trauma patients, including blood transfusion, are critical for patient outcomes. Aim: We aimed to describe the epidemiology of transfusion practices in severe trauma patients admitted into Spanish Intensive Care Units. Material and Methods: We performed a multicenter cross-sectional study in 111 Intensive Care Units across Spain. Adult patients with moderate or severe trauma were eligible. Distribution of frequencies was used for qualitative variables and the mean, with its 95% CI, for quantitative variables. Transfusion programmes, the number of transfusions performed, and the blood component transfused were recorded. Demographic variables, mortality rate, hospital stay, SOFA-score and haemoglobin levels were also gathered. Results: We obtained results from 109 patients. The most transfused blood component was packet red blood cells with 93.8% of total transfusions versus 43.8% of platelets and 37.5% of fresh plasma. The main criteria for transfusion were analytical criteria (43.75%), and acute anaemia with shock (18.75%) and without haemodynamic impact (18.75%). Conclusion: Clinical practice shows a ratio of red blood cells, platelets, and Fresh Frozen Plasma (FFP) of 2:1:1. It is necessary to implement Massive Transfusion Protocols as they appear to improve outcomes. Our study suggests that transfusion of RBC, platelets and FFP in a 2:1:1 ratio could be beneficial for trauma patients.
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Affiliation(s)
- Raúl Juárez-Vela
- Doctoral Programme in Medicine and Surgery, Faculty of Medicine, Autonomous University of Madrid, 28049 Madrid, Spain;
- GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (R.R.d.V.-H.)
- Research Institute IdiPaz, 28029 Madrid, Spain;
| | - Eva María Andrés-Esteban
- Research Institute IdiPaz, 28029 Madrid, Spain;
- Department of Business Economics and Applied Economy, Faculty of Legal and Economic Sciences, Rey Juan Carlos University, 28933 Madrid, Spain
| | - Ivan Santolalla-Arnedo
- GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (R.R.d.V.-H.)
| | | | | | | | - Pilar Marcos-Neira
- Intensive Care Unit, Hospital Germans Trias i Pujol, 08916 Badalona, Spain;
| | | | - Clara Isabel Tejada-Garrido
- GRUPAC, Department of Nursing, University of La Rioja, 26004 Logroño, Spain; (I.S.-A.); (R.R.d.V.-H.)
- Correspondence: (C.I.T.-G.); (M.Q.-D.)
| | | | - Manuel Quintana-Díaz
- Research Institute IdiPaz, 28029 Madrid, Spain;
- Intensive Care Unit, University Hospital of La Paz, 28046 Madrid, Spain;
- Correspondence: (C.I.T.-G.); (M.Q.-D.)
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