Anales Del Sistema Sanitario De Navarra最新文献_第9页

[Importance of the assessment of pain and self-perception of physical condition in frail patients]. [体弱多病患者疼痛和身体状况自我感知评估的重要性]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0983

I Marín-Epelde, A Casas-Herrero

引用次数: 0

[Reliability and validity of the SAPF questionnaire and the Stunkard rating scale amongst elderly Spanish people]. [西班牙老年人中SAPF问卷和Stunkard量表的信度和效度]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0956

D Martínez-Aldao, J Diz, S Varela, M A Sanchez-Lastra, C Ayán Pérez

{"title":"[Reliability and validity of the SAPF questionnaire and the Stunkard rating scale amongst elderly Spanish people].","authors":"D Martínez-Aldao, J Diz, S Varela, M A Sanchez-Lastra, C Ayán Pérez","doi":"10.23938/ASSN.0956","DOIUrl":"https://doi.org/10.23938/ASSN.0956","url":null,"abstract":"Background: The aim of the study was to identify the reliability and validity of the SAPF questionnaire and the Stunkard rating scale in determining self-perceived physical appearance and the degree of body dissatisfaction in a group of elderly Spanish people.Methods: Both instruments were adapted to Spanish people and were administered twice to a group of 86 elderly people. Their reliability and validity were assessed by means of the intraclass correlation coefficient (ICC), Cronbach's alpha and Spearman's rho coefficient, from the physical fitness level of the participants and their body mass index (BMI). ANOVA test was carried out to compare the variables with normal distribution.Results: The questionnaire and the Stunkard rating scale showed a good test-retest reliability (ICC=0.78 and ICC=0.8, respectively). SAPF and fitness level showed a significant, albeit weak, association (rho=0.424), while the association between self-perception of body composition and BMI was moderately strong (rho=0.727). The self-perceived physical appearance of 59.5% of the sample was acknowledged to be normal, 11.4% perceived it as bad and 29.1% as good. Only 27.1% were satisfied with their body image, while the other participants showed a desire to lose the equivalent weight of one (47.06%), two (22.35%) or three or more (3.5%) points in the Stunkard scale.Conclusion: The versions of both instruments adapted to Spanish persons showed reliability and validity, and showed that it was possible to determine that a large part of the sample was dissatisfied with their body image. BMI had a significant influence in this regard.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39243675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Risk factors associated with SARS-CoV-2 infection among health professionals in Spain]. [西班牙卫生专业人员中与SARS-CoV-2感染相关的危险因素]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0971

J L Valera Felices, A Gimeno Cardells, M A Gimeno Peribañez, D Díaz-Pérez, S Miranda Valladares, D Peña-Otero

{"title":"[Risk factors associated with SARS-CoV-2 infection among health professionals in Spain].","authors":"J L Valera Felices, A Gimeno Cardells, M A Gimeno Peribañez, D Díaz-Pérez, S Miranda Valladares, D Peña-Otero","doi":"10.23938/ASSN.0971","DOIUrl":"https://doi.org/10.23938/ASSN.0971","url":null,"abstract":"Background: Occupational infection rates for SARS-CoV-2 among health professionals in Spain are high in comparison to other countries. The objective of the study was to describe and analyze the risk factors associated with this transmission.Methods: Cross-sectional study with non-probabilistic snowball sampling of health professionals (medicine, nursing, physiotherapy, auxiliary care) of different levels of care (primary care, hospital, nursing homes, etc.), who were in contact or not with patients with COVID-19, in June 2020 in Spain. We prepared an electronic survey of 81 questions structured in four blocks: sociodemographic variables, knowledge about COVID-19, availability and use of personal protective equipment (PPE), and environmental protection measures and training received.Results: 855 health workers responded, 81.5% women and the mean age was 44 years (28-68). 93.4% knew the main symptoms but 40.4% did not identify the route of transmission via droplets and contact. 67.5% of them cared for COVID-19 patients without adequate PPE and 29.1% wore the same PPE continuously for more than 4 hours. 25.6% of workers had not received any type of training in donning and removing the PPE and 61.2% of them were unable to previously practice the process. The frequency of coronavirus infection among health professionals was 19.4%, which is higher in those professionals who had not received specific training (25.8 vs 17.2%, p=0.009).Conclusion: Training, drafting protocols and screening programs, supervising the situations of greatest risk, ensuring the availability of material and increasing the commitment of health institutions to support health personnel should be implemented as contagion prevention strategies.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39529824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Effectiveness of respiratory physiotherapy combined with postural education in children with chronic neurological diseases]. [呼吸物理治疗结合体位教育治疗慢性神经系统疾病的疗效]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0982

I Moreno-Bermejo, P Martín-Casas, A Martín-Nieto, C Bravo-Llatas, M A Atín-Arratibel

{"title":"[Effectiveness of respiratory physiotherapy combined with postural education in children with chronic neurological diseases].","authors":"I Moreno-Bermejo, P Martín-Casas, A Martín-Nieto, C Bravo-Llatas, M A Atín-Arratibel","doi":"10.23938/ASSN.0982","DOIUrl":"https://doi.org/10.23938/ASSN.0982","url":null,"abstract":"Background: Children with chronic neurological diseases present motor disability and increased respiratory morbidity and mortality. The aim of this study was to assess whether children with chronic neurological impairment benefit from respiratory physiotherapy and postural hygiene.Methods: Quasi-experimental study in which six fortnightly respiratory physiotherapy sessions and workshops on postural hygiene were carried out on children aged 0 to 6 years with chronic neurological disease and respiratory impairment. A PedsQL questionnaire assessed respiratory clinical variables, expectorated secretions, respiratory exacerbations and quality of life. Assessments were performed at baseline, post-intervention, and at a 3-month follow-up.Results: After physiotherapy sessions, all participants (n=30) experienced a significant (p<0.001) improvement in average oxygen saturation (94.37 to 98.3%), heart rate (126.03 to 103.6 beats/minute) and respiratory rate (42.13 to 34.27 breaths/minute), as well as a decrease in secretions (from 45.33 to 28.17 mL). This improvement was maintained after a 3-month follow-up. The average respiratory exacerbations decreased (p<0.001) compared to the previous six months: hospitalizations (from 1.6 to 0.5), visits to the emergency department (from 2.59 to 1.53) and to primary care Pediatric consultations (from 7 to 5.03). The mean score on the PedsQL questionnaire demonstrated a significant increase (p<0.001) in the quality of life after the intervention for physical (27%, to 73.4) and mental health (12%, to 70.09%).Conclusion: Respiratory physiotherapy combined with postural hygiene is effective for the clinical status and quality of life in children with chronic neurological diseases, and therefore could be introduced in habitual clinical practice.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39561985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Update on the effectiveness and evidence of ante-natal perineal massage]. [产前会阴按摩的有效性和证据的最新进展]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0976

E Azón, E Mir, J Hernández, J J Aguilón, A M Torres, P J Satústegui

引用次数: 0

[Neonatal pyloroduodenal duplication cyst. A case report]. 新生儿幽门十二指肠重复囊肿。[病例报告]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0980

S Ramallo Varela, I Casal Beloy, A Lema Carril, M A Gómez Tellado

引用次数: 1

[Randomized experimental study to evaluate the effectiveness of the Flebitis Zero project in Navarre]. [评估纳瓦拉Flebitis Zero项目有效性的随机实验研究]。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0975

M Ferraz-Torres, M I Corcuera Martínez, E Sancho Sena, M Aldonza-Torres, S Maali Centeno, M C Martínez-Ortega, M B Suárez-Mier

{"title":"[Randomized experimental study to evaluate the effectiveness of the Flebitis Zero project in Navarre].","authors":"M Ferraz-Torres, M I Corcuera Martínez, E Sancho Sena, M Aldonza-Torres, S Maali Centeno, M C Martínez-Ortega, M B Suárez-Mier","doi":"10.23938/ASSN.0975","DOIUrl":"https://doi.org/10.23938/ASSN.0975","url":null,"abstract":"Background: Phlebitis is one of the most frequent complications in peripheral venous catheters. The aim was to compare the frequency of phlebitis before and after the implementation of the Flebitis Zero project, in order to ascertain its effectiveness and what factors were associated with this complication.Methods: Randomized pre-post intervention (Flebitis Zero project) study performed in the Hospital Universitario de Navarra (Pamplona, Spain) between 2015 and 2019. The intervention consisted of training of professionals along with the implementation of measures in order to lower the incidence of complications associated with the peripheral venous catheters. The control group (CG) was selected prior the intervention and the Intervention Group (IG) in the subsequent five years.Results: The study included 656 patients, 96 (14.6%) in the CG and 569 in the IG. Lower frequency of complications (49.0 vs 37.1%; p<0.001), especially accidental PVC exit (18.8 vs 8.1%), and of phlebitis (13.5 vs 11.8%). The intervention and the use of fully reinforced dressings were associated to happening of phlebitis. The implantation of the Flebitis Zero project prevented the occurrence of phlebitis (OR = 0.78; IC95%: 0.42-0.86; p = 0.042).Conclusion: The implementation of the measures used in the Phlebitis Zero project was associated with a significant reduction of the complications linked to the use of the peripheral venous catheters; the frequency of phlebitis dropped, although nowhere near the recommended level.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39561986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

[Level of empowerment of hospitalized chronic heart failure patient]. 住院慢性心力衰竭患者的赋权水平。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0960

B Paloma, M Olano-Lizarraga, C Rumeu-Casares, A Quesada, M Saracíbar-Razquin, M Vázquez-Calatayud

{"title":"[Level of empowerment of hospitalized chronic heart failure patient].","authors":"B Paloma, M Olano-Lizarraga, C Rumeu-Casares, A Quesada, M Saracíbar-Razquin, M Vázquez-Calatayud","doi":"10.23938/ASSN.0960","DOIUrl":"https://doi.org/10.23938/ASSN.0960","url":null,"abstract":"Background: Establishing the level of chronic cardiac inpatient empowerment is essential. By doing so, it is possible to identify groups with a lower level. It also provides a basis for designing effective strategies to improve their control over decision making and the actions that affect their health and wellness. The shortage of studies of this phenomenon for this particular population and context suggests that such patients are not receiving proper care.Methods: A prospective and descriptive study was carried out. A validated Spanish version of the Patient empowerment in long-term conditions scale was used. The survey has 47 items, grouped into three dimensions: Positive attitude and feeling of control, Knowledge in shared decision making, and Seeking information and sharing with other patients. It was distrib-uted 24 hours before hospital discharge.Results: Twenty five questionnaires were collected (81%). The mean global empowerment score of the patients was 165.92 ± 20.9. The dimension Positive attitude and sense of control showed the lowest score, with a mean of 3.4 ± 0.5. An inverse weak relationship was found between the level of empowerment and age (rho = -0.240; p = 0.000) while a positive one was found with 10-year survival (rho = 0,316; p = 0.01).Conclusion: The level of empowerment of the patients in this study was medium-high. The strategies used to address the care of this population should focus on working on their attitude towards the disease and perceived control of the situation, and should be individualized according to age.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39243676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Perioperative management of the patient with chronic spinal cord injury using bilateral diaphragmatic pacemaker. Clinical case]. 双侧膈肌起搏器在慢性脊髓损伤患者围手术期的应用。临床病例)。

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0951

E Sepúlveda Haro, J Díaz Crespo, S Romero Molina, J J Escalona Belmonte, J L Guerrero Orriach, J Cruz Mañas

引用次数: 0

[Impact of charge nurses' span of control on the work attitudes of nurses]. 主管护士控制广度对护士工作态度的影响

IF 1 4区医学

Anales Del Sistema Sanitario De Navarra Pub Date : 2021-12-27 DOI: 10.23938/ASSN.0970

N López Ibort, A Boned Galán, M Cañete Lairla, T Antoñanzas Lombarte, A Gascón Catalán

{"title":"[Impact of charge nurses' span of control on the work attitudes of nurses].","authors":"N López Ibort, A Boned Galán, M Cañete Lairla, T Antoñanzas Lombarte, A Gascón Catalán","doi":"10.23938/ASSN.0970","DOIUrl":"https://doi.org/10.23938/ASSN.0970","url":null,"abstract":"Background: To determine the number of nurses who are supervised by a charge nurse in the Nursing Units of Aragonese general public hospitals and to analyze how this affects the organizational behaviors of nurses and the quality of the relationships established with the charge nurses.Methods: Cross-sectional study carried out in nine public hospitals. Validated questionnaires were used to assess the working behavior of nurses and the quality of their relationships with charge nurses, and the charge nurse's relationship with their immediate superior and nursing staff. We analyzed whether there was an association between these variables and the number of nurses per unit.Results: The study included 2,541 nurses and 192 supervisors. The mean span of control was 29 (SD=22.4). Statistically significant differences were observed with respect to empowerment (p<0.001), satisfaction (p=0.027), perceived organizational support (p<0.001) and the quality of the nurse's relationships with the supervisor (p<0.001) and the supervisor with her immediate superior (p<0.001), obtaining lower scores as the span of control increased. No significant associations were observed with respect to turnover intention, organizational citizenship behavior and organizational commitment.Conclusions: The span of control is related to the perception of nurses' organizational behaviors and with the quality of interpersonal relationships with the charge nurse, indicating a need to adjust the span of of control per unit in order to improve the quality of the management of the units.","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39530167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1