Browsing by browse.metadata.contributordepartment "Enfermería"

Now showing 1 - 20 of 141
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    7-Nitroindazole reduces L-DOPA-induced dyskinesias in non-human Parkinsonian primate
    (The Royal Society Publishing, 2023-03) Herrero Ezquerro, María Trinidad; Yuste, J.E.; Cuenca, L.; Almela, P.; De Pablos, V.; González Cuello, A.; Del Bel, E.; Navarro Zaragoza, J.; Fernández Villalba, E.; Enfermería
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    A New Tool to Study Parkinsonism in the Context of Aging: MPTP Intoxication in a Natural Model of Multimorbidity
    (MDPI, ) Cuenca, Lorena; Pizzichini, Elisa; Gonçalves, Valeria C.; Guillén Díaz, María; Aguilar Moñino, Elena; Sánchez Rodrigo, Consuelo; González Cuello, Ana María; Fernández Villalba, Emiliano; Herrero, María Trinidad; Enfermería
    The diurnal rodent Octodon degus (O. degus) is considered an attractive natural model for Alzheimer’s disease and other human age-related features. However, it has not been explored so far if the O. degus could be used as a model to study Parkinson’s disease. To test this idea, 10 adult male O. degus were divided into control group and MPTP-intoxicated animals. Motor condition and cognition were examined. Dopaminergic degeneration was studied in the ventral mesencephalon and in the striatum. Neuroinflammation was also evaluated in the ventral mesencephalon, in the striatum and in the dorsal hippocampus. MPTP animals showed significant alterations in motor activity and in visuospatial memory. Postmortem analysis revealed a significant decrease in the number of dopaminergic neurons in the ventral mesencephalon of MPTP animals, although no differences were found in their striatal terminals. We observed a significant increase in neuroinflammatory responses in the mesencephalon, in the striatum and in the hippocampus of MPTP-intoxicated animals. Additionally, changes in the subcellular expression of the calcium-binding protein S100 were found in the astrocytes in the nigrostriatal pathway. These findings prove for the first time that O. degus are sensitive to MPTP intoxication and, therefore, is a suitable model for experimental Parkinsonism in the context of aging.
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    Actitudes de médicos y enfermeras ante las actividades preventivas y de promoción en atención primaria
    (Elsevier, 2014-04-25) Ramos Morcillo, Antonio Jesús; Ruzafa Martínez, Maria; Fernández Salazar, Serafín; del Pino Casado, Rafael; Armero Barranco, David; Enfermería
    Objetivo Conocer la actitud de los profesionales de medicina y enfermería del sistema sanitario público andaluz ante las intervenciones preventivas y de promoción de salud (PPS) en el contexto de la atención primaria y la relación con las variables sociolaborales y con las competencias autodeclaradas en PPS. Diseño Estudio multicéntrico, observacional, descriptivo transversal. Emplazamiento Atención primaria, comunidad autónoma de Andalucía, España. Participantes Se incluyeron los 282 profesionales (médicos y enfermeras) que participaron en la validación del cuestionario sobre las actitudes ante PPS en atención primaria (CAPPAP). Pertenecían a 22 centros de salud del sistema sanitario público andaluz. Mediciones principales Actitud de los profesionales ante las actividades de PPS, compuesta por las dimensiones: necesidad de mejora, percepción de la actitud de otros compañeros, importancia, oportunidades de mejora y obstáculos. Se utilizó el cuestionario validado CAPPAP. Se incluyeron variables sociolaborales y preguntas sobre las competencias autodeclaradas en PPS. Resultados Todas las dimensiones del CAPPAP superan el punto medio de la escala (2,5), oscilando sus valores entre 3,06 (DT: 0,76) en «necesidad de mejora» y 4,39 (DT: 0,49) en «importancia». Las variables sociolaborales y de competencias autodeclaradas presentan una relación estadísticamente significativa con las dimensiones de la actitud de los profesionales, excepto: años en atención primaria, formación y realización de actividades programadas de PPS. Conclusiones Las actitudes de los profesionales ante las actividades de PPS son aceptables y se debe trabajar en su mantenimiento. Las organizaciones sanitarias deberían implementar intervenciones adaptadas a distintos perfiles profesionales así como intervenciones que pongan en valor dichas actividades y mejoren la pericia y la seguridad en su realización.
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    Adaptación y validación de un instrumento de evaluación de la competencia del consejo breve para dejar de fumar. BTI-Prof©
    (Elsevier, 2022-09-30) Ramos Morcillo, Antonio Jesús; García Moralb, Ana Teresa; Fernández Salazaf, Serafín; Leal Costa, César; Ruzafa Martínez, María; Granero Moya, Nani; Enfermería
    Objetivo: Adaptación y validación del BTI-St© para evaluar el nivel de competencia en consejo breve para dejar de fumar en profesionales de medicina y enfermería de Atención Primaria. Diseño: estudio transversal, de adaptación y validación psicométrica de un test referido a criterio. Emplazamiento: Atención Primaria. Participantes: Ciento cincuenta y cinco profesionales de medicina y enfermería de Atención Primaria en activo. Intervenciones: Se disenaron ˜ 3 escenarios clínicos. A través de una plataforma online, los participantes en primer lugar visualizaban cada escenario donde se desarrollaba un consejo breve para dejar de fumar y posteriormente debían valorar si se había realizado de acuerdo con el modelo de las 5A + 5R. Mediciones principales: Competencia en el consejo breve para dejar de fumar medida a través del BTI-Prof©. Resultados: Los resultados vinculados a la fiabilidad se obtuvieron mediante el coeficiente Kuder-Richardson y fueron para el escenario 1: 0,880, para el escenario 2: 0,829 y para el escenario 3: 0,826. El test-retest muestra una adecuada estabilidad temporal, con unos coeficientes de correlación intraclase de 0,857 (IC 95%: 0,734-0,923), p < 0,0001 para el escenario 1, 0,829 (IC 95%: 0,676-0,909), p < 0,001 para el escenario 2 y 0,869 (IC 95%: 0,76-0,928), p < 0,0001 para el escenario 3. Conclusiones: El BTI-Prof© es una herramienta robusta, con adecuadas propiedades psicométricas para evaluar la competencia en consejo breve para dejar de fumar en profesionales de medicina y enfermería de Atención Primaria.
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    Analysis of Anxiety Levels of Nursing Students Because of e- Learning during the COVID-19 Pandemic. Healthcare 2021,9, 252.
    (2021) Garcia-Gonzalez, J.; Ruqiong, Wei; Alarcon-Rodriguez, Raquel; Requena-Mullor, Mar; Ding, Can; Ventura-Miranda, Maria Isabel; Enfermería
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    Aproximación al estudio de la salud mental en mujeres que han realizado una interrupción voluntaria del embarazo.
    (Universidad de Murcia. EDITUM, 2014) Martínez Mellado, Carmen María; González Cuello, Ana María; Enfermería
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    Assessing sexual function in middle-aged sexually active Spanish women: a community-based study focusing on the intimate partner.
    (2021-03) Martinez Madrid, María M.; Arnau Sánchez, José; González Cuello, Ana María; Enfermería
    Objective: This study evaluated sexual function, the influence of the relationship with the intimate partner, and the factors related to sexual function in middle-aged Spanish women. Methods: The methodology entailed a cross-sectional study of 187 sexually active women aged 40-59 years. The participants were randomly recruited from primary public health care. They completed the 6-item Female Sexual Function Index (FSFI-6), the short-form Woman Abuse Screening Tool (WAST), and a sociodemographic questionnaire. Descriptive and inferential analysis was performed. Results: The participants’ median age was 49 years, 90.4% had a steady intimate partner, 54.5% were postmenopausal, 43.3% had chronic diseases, 12.3% reported alcohol abuse, and 35.8% smoked. The prevalence of low sexual function was 33.16% in all the women, and 44.12% in the postmenopausal women (an FSFI-6 total score 19 reflects low sexual function). WAST screening detected 17.65% cases of intimate partner violence (WAST total score 1), with low sexual function in 87.9%. Multiple linear regression analysis models revealed that the lowest total FSFI-6 scores (worst sexual function) were negatively associated with intimate partner violence (IPV), depression, hysterectomy, and associated female issues. The scores in the FSFI-6 domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) were linked to IPV (P < 0.001), except for lubrication (P < 0.001postmenopausal).
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    Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program
    (MDPI, 2020-08-27) Ramos Morcillo, Antonio Jesús; Harillo Aceved, David; Armero Barranco, David; Leal Costa, César; Moral García, José Enrique; Ruzafa Martínez, María; Enfermería
    : International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.
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    Benefits of a community physical exercise program prescribed from primary care for perimenopausal/menopausal women
    (2021) Aviles - Martinez, M. A.; Lopez Roman, F. J.; Galiana Gómez de Cádiz, María José; Arnau Sánchez, José; Martinez Ros, M. T.; Fernandez Lopez, L.; Garcia Sanchez, E.; Menárguez Puche, Juan Francisco; Enfermería
    Objetivo: Medir los beneficios de un programa comunitario de ejercicio físico, a través de las modificaciones que se producen en calidad de vida, y condición física de mujeres perimenopáusicas-menopáusicas. Emplazamiento: Las participantes fueron reclutadas en consultas de Atención Primaria (AP) de dos centros de Salud de Molina de Segura (Murcia). Participantes: Mujeres de entre 40 y 70 anos ˜ o menores de 40 diagnosticadas de menopausia precoz. Diseno: ˜ Estudio cuasiexperimental, no aleatorizado, controlado, abierto y unicéntrico con dos ramas paralelas a estudio. Intervención: Grupo experimental: programa de ejercicio ACTIVA-Salud Ósea durante seis meses. Control: Inactivos. Mediciones principales: Calidad de vida mediante cuestionario SF36. Condición física: Condición aeróbica, flexibilidad, equilibrio y fuerza, medida con los test de la milla, flamenco y el cajón, así como lanzamiento del balón medicinal, respectivamente. Nivel de actividad física a través del General practice physical activity questionnaire (GPPAQ). Se recogieron variables sociodemográficas y se midió la adherencia al programa. Resultados: La calidad de vida mejoró en el grupo intervención vs. control, salvo la dimensión «dolor corporal» (p = 0,412). A nivel intragrupo, presentan mejoría significativa todas las dimensiones, a excepción de «función física» (p = 0,263) y «dolor corporal» (p = 0,136). Las capacidades físicas que más se beneficiaron fueron la condición aeróbica, fuerza y equilibrio. Conclusiones: El pilotaje del Programa de ejercicio físico Activa Salud Ósea demostró beneficios sobre la calidad de vida física y mental de las participantes. Además, se constata que la realización de un ejercicio específico para mujeres premenopáusicas-menopáusicas mejora su condición física
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    Cardiac Changes in Parkinson’s Disease: Lessons from Clinical and Experimental Evidence
    (MDPI, 2021-12) Cuenca Bermejo, Lorena; Almela, Pilar; Navarro Zaragoza, Javier; Fernández Villalba, Emiliano; González Cuello, Ana María; Laorden, María Luisa; Herrero, María Trinidad; Enfermería
    Dysautonomia is a common non-motor symptom in Parkinson’s disease (PD). Most dysautonomic symptoms appear due to alterations in the peripheral nerves of the autonomic nervous system, including both the sympathetic and parasympathetic nervous systems. The degeneration of sympathetic nerve fibers and neurons leads to cardiovascular dysfunction, which is highly prevalent in PD patients. Cardiac alterations such as orthostatic hypotension, heart rate variability, modifications in cardiogram parameters and baroreflex dysfunction can appear in both the early and late stages of PD, worsening as the disease progresses. In PD patients it is generally found that parasympathetic activity is decreased, while sympathetic activity is increased. This situation gives rise to an imbalance of both tonicities which might, in turn, promote a higher risk of cardiac damage through tachycardia and vasoconstriction. Cardiovascular abnormalities can also appear as a side effect of PD treatment: L-DOPA can decrease blood pressure and aggravate orthostatic hypotension as a result of a negative inotropic effect on the heart. This unwanted side effect limits the therapeutic use of L-DOPA in geriatric patients with PD and can contribute to the number of hospital admissions. Therefore, it is essential to define the cardiac features related to PD for the monitorization of the heart condition in parkinsonian individuals. This information can allow the application of intervention strategies to improve the course of the disease and the proposition of new alternatives for its treatment to eliminate or reverse the motor and non-motor symptoms, especially in geriatric patients.
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    Cessation of oral anticoagulation is an important risk factor for stroke and mortality in atrial fibrillation patients
    (2017) Rivera Caravaca, José Miguel; Roldán Schilling, Vanessa; Esteve Pastor, María Asunción; Valdés Chávarri, Mariano; Vicente García, Vicente; Lip, Gregory YH; Marín Ortuño, Francisco; Enfermería
    Oral anticoagulation (OAC) is highly effective preventing stroke and mortality in AF, but withdrawal is common in the elderly, when high bleeding risk and when are difficulties achieving an optimal time in therapeutic range (TTR). We analysed the rate of OAC cessation, predisposing factors to cessation and the relation to clinical outcomes in a large ‘real world’ cohort of AF patients over a long follow-up period. Consecutive non-valvular AF outpatients clinically stables for six months were recruited. Rates of cardiovascular events, major bleeding and mortality were recorded and related to OAC cessation. We included 1361 patients (48.7 % male; aged 76, IQR 71–81), followed-up for a median of 6.5 years. During follow-up, 244 patients suffered thrombotic events, 250 suffered from major bleeding and 551 patients died. 10 % of patients stopped OAC. After OAC withdrawal, there were 36 thromboembolic events (22 strokes), 10 major bleedings and 75 deaths. OAC cessation was independently associated with adverse cardiovascular events (HR 1.45; 95 % CI 1.01–2.08), stroke/TIA (HR 1.85; 1.17–2.94) and all-cause mortality (HR 1.30; 1.02–1.67). Independent predictors of OAC cessation were age 80 (HR 2.29; 1.60–3.29), previous coronary artery disease (HR 0.32; 0.15–0.71), major bleeding (HR 5.00; 3.49–7.15), heart failure (HR 2.38; 1.26-4.47), cancer (HR 5.24; 3.25–8.44) and renal impairment developed during follow-up (HR 2.70; 1.26–5.75). In conclusion, in non-valvular AF patients, cessation of OAC was independently associated with the risk of stroke, adverse cardiovascular events and mortality. Bleeding events and some variables associated with higher bleeding risk are responsible for OAC cessation.
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    Changes in nurse job outcomes after 4 years of a Best Practice Spotlight Organization® programme implementation in the Spanish National Health Context
    (2021-05) Ruzafa Martinez, Maria; Hernández Méndez, Solanger; Garcia Gonzalez, Jessica; Leal Costa, Cesar; Martínez González, Miguel Ángel; Ramos Morcillo, Antonio Jesús; Enfermería
    Aim: To evaluate the changes produced after the application of the Best Practice Spotlight Organization® (BPSO® ) Program on the attitude towards the evidence-based practice, the nurses' perception of the organisational climate and nurse outcomes in a health area of the Spanish National Health System. Background: There is limited research that associates strategies of evidence-based practice implementation with changes on the work environment and nurse outcomes. Methods: Cross-sectional study that compared data on the nurses' perception of the work environment. Five guidelines were implemented between 2012 and 2015 in a health area. Data were collected in 2012 and 2016/2017, using a questionnaire consisting of five previously validated tools. X2 , t test, ANOVA and multivariate analysis were carried out. Results: A total of 451 nurses participated. Compared with the baseline evaluation in 2012, several outcomes changed significantly (p < .001), nurses were younger and were more satisfied with "salary", "annual leaves" and "sick leave". The rest of the nurse outcomes were not modified. Conclusions: Nurses' perception of the work environment is favourable, although the application of the BPSO® Program has not produced any major changes. Implications for nursing management: Measures are suggested that are oriented towards the planning of staffing and the increase in the participation of the nursing staff in programmes of implementation of guidelines.
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    Clinical profile and prognosis in patients on oral anticoagulation before admission for COVID-19
    (Wiley, 2020) Rivera-Caravaca, José Miguel; Núñez-Gil, Iván J.; Vivas, David; Viana-Llamas, María C.; Uribarri, Aitor; Becerra-Muñoz, Víctor Manuel; Trabattoni, Daniela; Fernández Rozas, Inmaculada; Feltes, Gisela; López-Pais, Javier; El-Battrawy, Ibrahim; Macaya, Carlos; Fernández-Ortiz, Antonio; Estrada, Vicente; Marín Ortuño, Francisco; Enfermería
    Background: The coronavirus disease 2019 (COVID-19) shows high morbidity and mortality, particularly in patients with concomitant cardiovascular diseases. Some of these patients are under oral anticoagulation (OAC) at admission, but to date, there are no data on the clinical profile, prognosis and risk factors of such patients during hospitalization for COVID-19. Design: Subanalysis of the international ‘real-world’ HOPE COVID-19 registry. All patients with prior OAC at hospital admission for COVID-19 were suitable for the study. All-cause mortality was the primary endpoint. Results: From 1002 patients included, 110 (60.9% male, median age of 81.5 [IQR 75-87] years, median Short-Form Charlson Comorbidity Index [CCI] of 1 [IQR 1-3]) were on OAC at admission, mainly for atrial fibrillation and venous thromboembolism. After propensity score matching, 67.9% of these patients died during hospitalization, which translated into a significantly higher mortality risk compared to patients without prior OAC (HR 1.53, 95% CI 1.08-2.16). After multivariate Cox regression analysis, respiratory insufficiency during hospitalization (HR 6.02, 95% CI 2.18-16.62), systemic inflammatory response syndrome (SIRS) during hospitalization (HR 2.29, 95% CI 1.34-3.91) and the Short-Form CCI (HR 1.24, 95% CI 1.03-1.49) were the main risk factors for mortality in patients on prior OAC. Conclusions: Compared to patients without prior OAC, COVID-19 patients on OAC therapy at hospital admission showed lower survival and higher mortality risk. In these patients on OAC therapy, the prevalence of several comorbidities is high. Respiratory insufficiency and SIRS during hospitalization, as well as higher comorbidity, pointed out those anticoagulated patients with increased mortality risk.
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    Communication Skills and Professional Practice: Does It Increase Self-Efficacy in Nurses?
    (Frontiers Media, 2020-06-12) Leal Costa, César; Tirano González, Sonia; Ramos Morcillo, Antonio Jesús; Ruzafa Martínez, María; Díaz Agea, José Luis; Hofstadt Román, Carlos Javier van der; Enfermería
    The relationship between nurses and their patients is changing significantly, resulting in a patient-focused model. This work aims to contribute new knowledge about the effect of communication skills on perceived self-efficacy of nursing professionals. A cross-sectional descriptive study was conducted with a final sample consisting of 242 nurses. Different instruments that measured communication skills and the general and specific self-efficacy of nursing professionals were utilized. A positive and statistically significant correlation (p < 0.01) between the communication skills and the perceived general and specific self-efficacy was obtained. Nursing professionals who have adequate communication skills feel more confident and more competent, fostering good interpersonal relationships with their patients, and therefore, their perceived general and specific self-efficacy improved as well. Teaching communication skills is important to help nurses cope with a broad range of stressors in their daily interactions with patients, increasing their perceived self-efficacy.
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    Comparative study analysing women’s childbirth satisfaction and obstetric outcomes across two different models of maternity care
    (BMJ Publishing Group, 2021-06-21) Conesa Ferrer, María Belén; Canteras Jordana, Manuel; Ballesteros Meseguer, Carmen; Carrillo García, César; Martínez Roche, María Emilia; Enfermería
    Objectives: To describe the differences in obstetrical results and women’s childbirth satisfaction across 2 different models of maternity care (biomedical model and humanised birth). Setting: 2 university hospitals in south-eastern Spain from April to October 2013. Design: A correlational descriptive study. Participants: A convenience sample of 406 women participated in the study, 204 of the biomedical model and 202 of the humanised model. Results: The differences in obstetrical results were (biomedical model/humanised model): onset of labour (spontaneous 66/137, augmentation 70/1, p=0.0005), pain relief (epidural 172/132, no pain relief 9/40, p=0.0005), mode of delivery (normal vaginal 140/165, instrumental 48/23, p=0.004), length of labour (0–4 hours 69/93, >4 hours 133/108, p=0.011), condition of perineum (intact perineum or tear 94/178, episiotomy 100/24, p=0.0005). The total questionnaire score (100) gave a mean (M) of 78.33 and SD of 8.46 in the biomedical model of care and an M of 82.01 and SD of 7.97 in the humanised model of care (p=0.0005). In the analysis of the results per items, statistical differences were found in 8 of the 9 subscales. The highest scores were reached in the humanised model of maternity care. Conclusions: The humanised model of maternity care offers better obstetrical outcomes and women’s satisfaction scores during the labour, birth and immediate postnatal period than does the biomedical model.
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    El concepto del Baby Café como red internacional de apoyo a la lactancia materna
    (2015) Carrillo García, César; Martínez Roche, M. E.; Enfermería
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    Connections between academic burnout, resilience, and psychological well-being in nursing students: A longitudinal study
    (2001) Ríos Risquez, María Isabel; Sabuco Tebar, E.; Carrillo Garcia, C.; García‐Izquierdo, Mariano; Solano-Ruiz, Carmen; Enfermería
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    Consequences of the Covid-19 pandemic on complex multimorbid elderly: Follow-up of a community-based cohort. SAMAC3 Study
    (2023) Ruzafa Martinez, Maria; García González, Jessica; Morales Asencio, José Miguel; Leal Costa, Cesar; Hernández Méndez, Solanger; Albarracín Olmedo, Juana; Ramos Morcillo, Antonio Jesús; Enfermería
    Background: The restrictions imposed during the management of the pandemic led to lack of care of other health problems. Purpose: To assess changes in the health status of complex multimorbidity elderly, functional and cognitive capacities, perception of the social surroundings, care pro vided by the nurses, including nursing diagnosis and interventions, use of health ser vices, adverse events, and use of devices and technical help during the first 6 months of the Covid-19 pandemic. Design: A 1-year longitudinal cohort study was conducted. Methods: Ninety-seven complex multimorbid elderly attended in primary care were evaluated every 3 months in a health area of the Spanish National Health System (SNHS). The research was called “SAMAC3 study”. Results: Significant negative changes were observed in the functional and cognitive ca pacity of the elderly, and in several nursing diagnoses. A decrease was observed in the frequency of visit to the nurses, hospital admittance, length of hospital stays, and falls. Conclusions: The functional and cognitive capacities of the cohort became worse. However, a significant decrease in the frequency of use of health services was ob served. The nurses detected significant changes in activity-exercise, cognitive perception, and roles-relationships, but their interventions were mostly centered on resolving clinical matters that required immediate attention. Clinical Relevance: The present study allowed us to observe that a situation of social and health stress has worsened the health indicators of multimorbid elderly, and the clinical care of community nurses was insufficient to providing care for the deteriora tion of the physical and cognitive domains.