Anales del sistema sanitario de Navarra最新文献_第8页

[Impact of hospital architecture on the birthing experience: a phenomenological study with mothers-to-be who are design experts]. [医院建筑对分娩体验的影响：与作为设计专家的准妈妈进行的现象学研究]。

Anales del sistema sanitario de Navarra Pub Date : 2024-02-13 DOI: 10.23938/ASSN.1059

Laura Cambra-Rufino, Angela E Müller, Marta Parra Casado, Azucena Pedraz Marcos

{"title":"[Impact of hospital architecture on the birthing experience: a phenomenological study with mothers-to-be who are design experts].","authors":"Laura Cambra-Rufino, Angela E Müller, Marta Parra Casado, Azucena Pedraz Marcos","doi":"10.23938/ASSN.1059","DOIUrl":"10.23938/ASSN.1059","url":null,"abstract":"Background: The birthplace has a crucial role in shaping the childbirth experience and mothers' satisfaction levels. This study aimed to identify the experiences and perceptions that may have an impact in the long-term on mothers' birthing experience, considering hospital design features in the birthing environment until discharge.Methods: Inductive thematic analysis of twenty-five hospital labor testimonies employing a phenomenological research approach and utilizing a biographical method. Participants were women with a professional background in architecture, landscape architecture, engineering, or interior design.Results: The results are organized into four themes and seven subthemes. The first theme is \"First sight and long term impression\" which is subdivided into the subthemes \"Depersonalized itinerary in entrances and corridors\" and \"Instinctive search for connection with nature\". The second theme deals with \"Accompaniment and tucking in during the birthing process\", subdivided into \"Hotel-like: space for movement and personalized adaptation\" and \"Helplessness, cold and uncertainty: spaces to be against one's will\". The third theme is \"Damage in collateral rooms\", which includes \"The integration of toilets in the birthing process\", \"Operating rooms unchangeable in the face of cesarean delivery\" and \"Neonatal units that do not integrate families\". Finally, the fourth theme includes \"Improvement proposals for new designs\".Conclusions: This study contributes to the existing literature by deepening the understanding of the design features identified in hospitals in recent studies. Further research incorporating the experiences of women in the birthing process is needed to facilitate evidence-based design policies.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11066952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Sense of coherence in breastfeeding women: A scoping review]. [母乳喂养妇女的协调感：范围研究]。

Anales del sistema sanitario de Navarra Pub Date : 2024-02-09 DOI: 10.23938/ASSN.1064

Ester Sierra-García, Carlos Saus-Ortega

{"title":"[Sense of coherence in breastfeeding women: A scoping review].","authors":"Ester Sierra-García, Carlos Saus-Ortega","doi":"10.23938/ASSN.1064","DOIUrl":"10.23938/ASSN.1064","url":null,"abstract":"Background: The establishment of breastfeeding may sometimes be stressful. We aimed to analyze the sense of coherence in lactating women to determine the general resistance resources during lactation and the professional interventions that promote a high sense of coherence.Methods: A search of studies in English, Spanish, or Portuguese on lactating women's sense of coherence was carried out in PubMed, PsycINFO, ScienceDirect, and CINAH databases published between May and November 2022. Study quality and risk of bias were examined according to ICROMS and STROBE criteria.Results: We identified 316 studies, of which eight -all of adequate quality- were included, three qualitative and five quantitative. A high level of maternal sense of coherence was related to longer duration, self-efficacy, attachment, and enjoyment of the breastfeeding experience. The main general resistance resources were to receive social support, particularly from partners, mothers, and health professionals. The interventions that favored the sense of coherence were mainly those related to a close, empathic, personalized, comprehensive, and family-centered professional support.Conclusions: The detection of the level of sense of coherence in lactating mothers may help identify women with a higher risk of weaning and establish professional intervention strategies that improve the breastfeeding experience.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Occupational balance, disability and functionality in people with rheumatic disease]. [风湿病患者的职业平衡、残疾和功能]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-28 DOI: 10.23938/ASSN.1053

Ana M Martín Pérez, Nuria Máximo-Bocanegra, Francisco Rivas Ruíz, Isabel M Alguacil-Diego, Rosa M Martínez-Piédrola

{"title":"[Occupational balance, disability and functionality in people with rheumatic disease].","authors":"Ana M Martín Pérez, Nuria Máximo-Bocanegra, Francisco Rivas Ruíz, Isabel M Alguacil-Diego, Rosa M Martínez-Piédrola","doi":"10.23938/ASSN.1053","DOIUrl":"10.23938/ASSN.1053","url":null,"abstract":"Background: We aimed to assess the occupational balance of people with rheumatic disease, analyze its relationship with participation, performance, and satisfaction with daily life activities, and evaluate whether age or receiving non-pharmacological treatment affects the outcome.Methods: Cross-sectional study carried out between March and November 2021; patients with non-advanced stage of rheumatic disease from the ConArtritis Association - selected through simple random sampling -, were included. Sociodemographic data and scores from the OBQ, IMPACT-S, COPM questionnaires, and a questionnaire created ad hoc for daily life activities were collected online and/or by telephone.Results: The occupational balance of the 47 participants was low (OBQ: 34.2; SD: 13.7). Despite a high participation in daily life activities (IMPACT-S: 76.8; SD: 13.1), the degree of performance and satisfaction with these activities was far from optimal (COPM-R: 3.9; SD: 2.0 and COPM-S: 4.3; SD: 2.5); 46.8% of the participants found limitations in at least four daily life activities (basic and instrumental) and 61.7% used at least one support product in their daily lives. These limitations reduced their resting time and affected their jobs, hobbies, and personal relationships. The level of performance was negatively related to age (p=0.04); No changes in the scores were found in patients who received non-pharmacological treatment.Conclusions: Our results suggest that individuals with non- advanced stage of a rheumatic disease perceive that their occupational balance may be improved should they have fewer limitations in daily life activities.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139050045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health-System Pharmacy services for outpatients are evolving]. [为门诊病人提供的医疗系统药房服务在不断发展]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-26 DOI: 10.23938/ASSN.1062

Javier Garjón Parra, Lorea Sanz Álvarez

引用次数: 0

[Impact of training schoolchildren how to perform cardiopulmonary resuscitation using stories and animated cartoons]. [利用故事和动画片培训学童如何进行心肺复苏术的影响]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-26 DOI: 10.23938/ASSN.1061

Manuel Pardo Ríos, Petronila Mireia Alcázar Artero, Carolina Cánovas Martínez, José Manuel Salas Rodríguez, Mercedes Cánovas Martínez, María Isabel Rodríguez Entrena, Ana Belén Ocampo Cervantes, Esther Chicharro Luna, Laura Juguera Rodríguez

{"title":"[Impact of training schoolchildren how to perform cardiopulmonary resuscitation using stories and animated cartoons].","authors":"Manuel Pardo Ríos, Petronila Mireia Alcázar Artero, Carolina Cánovas Martínez, José Manuel Salas Rodríguez, Mercedes Cánovas Martínez, María Isabel Rodríguez Entrena, Ana Belén Ocampo Cervantes, Esther Chicharro Luna, Laura Juguera Rodríguez","doi":"10.23938/ASSN.1061","DOIUrl":"10.23938/ASSN.1061","url":null,"abstract":"Background: We compared the outcome of training schoolchildren how to perform CPR by parents/legal guardians in the family environment versus by teachers at school.Methods: Randomized study of CPR learning in primary school children (1st and 2nd grades) in the Region of Murcia. Parents/legal guardians (family group) and teachers (teacher group) trained the children using didactic material adapted for that age population (one story and one cartoon video) from the educational series Jacinto y sus Amigos©. We evaluated eight theoretical knowledge items and five practical skills.Results: One hundred and sixty schoolchildren were selected and 116 completed the study; in the family group, 51.3% did not finish the study. Children trained by teachers obtained significantly higher median scores in comparison with the family group both in theoretical knowledge (6.7; IQR=1.8 vs 4.7; IQR=3.1, respectively; p < 0.001) and in all practical skills except for \"recognizing an emergency situation\". Children in the family group, learning CPR with one story and one cartoon video achieved significantly better scores in five theoretical knowledge items and four skills than with only the story.Conclusions: Using non-technological educational resources, e.g., stories and animated cartoons for teaching CPR to primary school students, increases their knowledge and skills. Schoolchildren trained in the educational environment acquired more knowledge and skills than those trained by parents. Within the family environment, CPR teaching was more effective through one story and one cartoon video than when only the story was used.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10810174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139050044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Series of patients operated for masses and cysts in the heart in a Spanish general hospital: A 20-year experience. [西班牙综合医院心脏肿块和囊肿手术患者系列：20年的经验]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-26 DOI: 10.23938/ASSN.1060

Adrián Gil-Korilis, Claudia Esquíroz-Patiño, Aroa Llamas-Llamazares, Rebeca Manrique, Agnes Diaz-Dorronsoro

{"title":"Series of patients operated for masses and cysts in the heart in a Spanish general hospital: A 20-year experience.","authors":"Adrián Gil-Korilis, Claudia Esquíroz-Patiño, Aroa Llamas-Llamazares, Rebeca Manrique, Agnes Diaz-Dorronsoro","doi":"10.23938/ASSN.1060","DOIUrl":"10.23938/ASSN.1060","url":null,"abstract":"Background: Masses and cysts in the heart are well-known entities, but their low prevalence and non-specific symptoms makes the diagnosis difficult. We aimed to characterize the features of these entities in our environment.Methods: We carried out a search of patients who underwent surgery for tumors and cysts in the heart between 2002 and 2022 in the registry of the Department of Cardiology and Cardiac Surgery of Clínica Universidad de Navarra (Pamplona, Spain). Sociodemographic, clinical, histological, and surgical variables were collected.Results: We identified 13 patients; mean age was 63.08 ± 15.17 years, 76.92% were female and 92.31% had at least one cardiovascular risk factor, e.g., BMI = 25 kg/m2 and high blood pressure (61.54% and 53.85%, respectively). The most common type of cardiac tumors were myxomas (69.23%). Around half (46.15%) were incidental; the most frequent symptom was dyspnea (53.85%); 30.77% of the patients were asymptomatic. The most commonly used imaging technique for the diagnosis was transthoracic Doppler echocardiography (69.23%). The agreement between the mean diameters before and after surgery was very high (ICC = 0.807, 95% CI: 0.450 - 0.943).Conclusions: We describe the features of masses and cysts in the heart (77% female patients) and provide information scarcely available in the literature, e.g., the most frequent cardiovascular risk factors for this population. A case of cardiac leiomyosarcoma and a case of intimal sarcoma of the pulmonary trunk are described, two extremely rare tumors for which there are few described cases.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Morbi-mortality of lower respiratory tract infections and vaccination]. [下呼吸道感染的死亡率与疫苗接种]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-26 DOI: 10.23938/ASSN.1063

Manuel García Cenoz, Iván Martínez Baz

引用次数: 0

[Nirmatrelvir/ritonavir drug-drug interactions in primary care outpatients]. [初级保健门诊患者中的尼马瑞韦/利托那韦药物相互作用]。

Anales del sistema sanitario de Navarra Pub Date : 2023-12-26 DOI: 10.23938/ASSN.1056

Andrea Rodríguez Esquíroz, Lorea Sanz Álvarez, Marta Marín Marín, Patricia García González, Paula Aldave Cobos, Javier Garjón Parra

{"title":"[Nirmatrelvir/ritonavir drug-drug interactions in primary care outpatients].","authors":"Andrea Rodríguez Esquíroz, Lorea Sanz Álvarez, Marta Marín Marín, Patricia García González, Paula Aldave Cobos, Javier Garjón Parra","doi":"10.23938/ASSN.1056","DOIUrl":"10.23938/ASSN.1056","url":null,"abstract":"Background: The oral antiviral nirmatrelvir/ritonavir interacts with a range of drugs. Candidate patients to receive this antiviral agent are usually vulnerable, multipathological and polymedicated. The objective is to evaluate the pharmaceutical validation prior to the administration of the antiviral.Material and methods: Drug-drug interactions between nirmatrelvir/ritonavir and patients' usual treatment medications were checked in product information and in the UpToDate® and the University of Liverpool® interaction tools. We included validated prescriptions between April/2022 and April/2023 by a Primary Care pharmacist.Results: Of the 159 study patients, 168 interactions were found in 83 individuals, which may have led to changes of their usual treatment. Statins (25.6%), anticoagulants (10.7%), and antihypertensives (10.7%) were the most frequently implicated therapeutic groups. Discontinuation (53.0%) and dose reduction (22.6%) were the most common treatment changes.Conclusions: Our search of potential drug interactions and subsequent dose adjustments and modifications of the patient's usual treatment has helped avoid potential toxicities ensuring a safe use of nirmatrelvir/ritonavir.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10807205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Relationship between treatment and cost with visual acuity improvementin age-related macular degeneration]. [老年性黄斑变性视力改善的治疗与成本关系]。

Anales del sistema sanitario de Navarra Pub Date : 2023-11-27 DOI: 10.23938/ASSN.1052

Josep-Oriol Casanovas-Marsal, Elisa Viladés Palomar, Francisco de Asís Bartol-Puyal, Rubén Hernández Vian, Luis E Pablo Júlvez

{"title":"[Relationship between treatment and cost with visual acuity improvement\u0000in age-related macular degeneration].","authors":"Josep-Oriol Casanovas-Marsal, Elisa Viladés Palomar, Francisco de Asís Bartol-Puyal, Rubén Hernández Vian, Luis E Pablo Júlvez","doi":"10.23938/ASSN.1052","DOIUrl":"10.23938/ASSN.1052","url":null,"abstract":"Background: We examined the relationship between visual acuity changes (VA) and the cost of care and treatment with anti-vascular endothelial growth factors (antiVEGF) in patients diagnosed with age-related exudative macular degeneration (exudative AMD).Methods: Observational, longitudinal, retrospective study of patients ≥50 years of age diagnosed with exudative AMD, with a log-MAR VA between 0.6 and 0.06. and 0.06. Follow-up and treatment were done in our tertiary hospital between January 1, 2014 and December 31, 2018.Results: The study included 778 patients; 62.2% female and mean age 79.83±7.94 years; 957 eyes had exudative AMD. Mean of final VA (0.65±0.45) increasing 3.2% compared to initial values. Ranibizumab was administered to 60.3% of the eyes, aflibercept to 10.2% and ranibizumab + aflibercept (mixed group) to 29.5%. Significant increase in VA was seen in the group with the mixed treatment, with no inter-group differences. Although follow-up/treatment was longer for the mixed group, they received fewer anti-VEGF injections and optical coherence tomography (OCT). The total expenditure per year and treated eye was € 1,972.7±824.5; costs were higher for visit, OCT, and treatment in the aflibercept group, and lower for fluorescein angiography, antiVEGF treatment, and total costs in the mixed group. Decimal VA gain had a cost of € 872±1,077.7 with no significant inter-group differences.Conclusions: AntiVEGF treatments (ranibizumab, aflibercept, or both) maintained VA in patients with exudative AMD. Overall, care and treatment costs were lower in the group that received both drugs.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10783600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of a cardiac rehabilitation program in a municipal sports center compared to the hospital program: randomized controlled trial eCARCEX. [市政体育中心心脏康复方案与医院方案的疗效比较:随机对照试验eCARCEX]。

Anales del sistema sanitario de Navarra Pub Date : 2023-11-24 DOI: 10.23938/ASSN.1050

Juan Izquierdo-García, Adrián Arranz-Escudero, Rocío Tello de Meneses, Noelia De la Torre, Isabel M Amat-Macías, Juan I Castillo Martín, M Paz Sanz-Ayán, Guillermo Moreno

{"title":"Efficacy of a cardiac rehabilitation program in a municipal sports center compared to the hospital program: randomized controlled trial eCARCEX.","authors":"Juan Izquierdo-García, Adrián Arranz-Escudero, Rocío Tello de Meneses, Noelia De la Torre, Isabel M Amat-Macías, Juan I Castillo Martín, M Paz Sanz-Ayán, Guillermo Moreno","doi":"10.23938/ASSN.1050","DOIUrl":"10.23938/ASSN.1050","url":null,"abstract":"Background: This study aimed to analyze the effects of an outpatient cardiac rehabilitation program in a municipal sports center on functional capacity and adherence to physical exercise - among other variables - compared to an in-hospital program.Methods: Randomized clinical trial that included two parallel groups of acute coronary syndrome patients who performed a cardiac rehabilitation program that consisted of moderate physical exercise intervals along with learning healthy habits in a municipal sports center (experimental group) and in a tertiary hospital (control group) between September 2019 and June 2020. We collected the following data: compliance, anthropometrical, clinical, psychological variables, diet and tobacco habits, strength and functional capacity from ergospirometry.Results: Twenty-two patients completed the cardiac rehabilitation program (experimental group=12, control group=10). Significant improvement was observed for cholesterol, the sit-and-stand test, cardiac frequency in VT1 and VT2, and watts in VT1 in the control group, and for HDL-cholesterol, triglycerides, the sit-and-stand test, and frequency, and watts in VT1 in the experimental group. Better achievement was found in the control group for cardiac frequency in VT2 (11.17 vs 2.88 bpm) and in EG for HDL-cholesterol (11.0 vs 0.63 mg/dL).Conclusions: We are unable to determine the effectiveness of the out-of-hospital cardiac rehabilitation program due to a lack of power (high number of withdrawals caused by COVID-19 lockdown). However, the experimented group achieved higher HDL-cholesterol levels, while cardiac frequency in VT2 was higher in the control group.","PeriodicalId":500996,"journal":{"name":"Anales del sistema sanitario de Navarra","volume":"46 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10750805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0