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To analyse the influence of the COVID-19 pandemic and the perception of self-efficacy on the health professionals of the Spanish out-of-hospital emergency services.
Observational, cross-sectional and descriptive with a survey methodology of 1710 participants from Spain (1 February–30 April, 2021).
The mental health of healthcare workers was assesed in terms of stress, anxiety and depression, as well as their self-efficacy. Linear and logistic regression models were fitted to predict these variables. A moderation analysis was conducted to determine the effect of self-efficacy on mental health.
The means of the sample for stress, anxiety, depression and self-efficacy were 20.60, 15.74, 13.07 and 70.87, respectively. In the regression models, being a woman was the most significant factor for severe mental health impairment. Female gender was also a relevant factor for self-efficacy. Self-efficacy had a direct effect on the mental health for working in patient care.
Healthcare workers showed moderate stress, severe anxiety, mild depression and good self-efficacy. Direct patient care was associated with more stress and severe anxiety. Age, female gender, job changes and job adjustment were associated with levels of stress, anxiety and depression. Self-efficacy is a determining factor of mental health in the direct care modality.
The mental health of healthcare workers has been of great importance in the aftermath of the pandemic, but out-of-hospital emergency workers have been neglected in research. The levels of stress, anxiety and depression during the pandemic justify the creation of prevention and early diagnosis programmes, as they are essential in a health disaster. Surprisingly, their high level of perceived self-efficacy directly impact on the mental health of patient helthcare workers, so improving it will reduce the psychological risk.
We have followed the STROBE guidelines. It has been partially funded by the Asistencia Sanitanitaria Interprovincial de Seguros - ASISA Foundation (Spain).
‘No patient or public involvement’.
The pandemic has ensued challenges across all sections of the human population such as livelihood and educational changes, which involve the abrupt shift to online learning, immensely affecting the students’ well-being. Negative health consequences of e-learning among students stem from the increased demand for new technological skills, productivity, information overload and restriction of students to spend time with their peers.
To explore the experiences of the students from the University of Santo Tomas—College of Rehabilitation Sciences (UST-CRS) who participated in the online well-being programme.
A phenomenological design will be used to determine the participants’ perceptions and experiences. Purposive sampling will be used to recruit 8–10 undergraduate students from UST-CRS ages 18–22 years, who participated in the well-being programme, and completed the study’s quantitative counterpart. Semistructured, in-depth questions will be used to conduct a focus group discussion. The transcripts will be analysed using thematic analysis via the NVivo V.12 software.
The study protocol is approved by the UST-CRS Ethical Review Committee (Protocol Number: SI-2022–034 (V.4)). It will be implemented in accordance with the Declaration of Helsinki and the National Ethical Guidelines for Health and Health-Related Research, and Data Privacy Act. Findings will be published in accredited journals and presented in related scientific fora.
PHRR230214-005419; Philippine Health Research Registry.
by Claudia Yahalom, Ana Navarrete, Atara Juster, Ayan Galbinur, Anat Blumenfeld, Karen Hendler
PurposeTo determine if visual maturation continues beyond the first decade of life in children with albinism and whether this is related to albinism type, presence of nystagmus, eye muscle surgery or refractive errors.
DesignCase series based on retrospective study of children with confirmed genetic diagnosis of albinism.
MethodsClinical data were obtained from medical files of children examined during school years, including albinism type, visual acuity, eye muscle surgery, nystagmus, and others on different visits (Visit 1: ages 7–9; Visit 2: ages: 10–12; Visit 3: ages 13–16; Visit 4: ages >16).
ResultsSeventy-five children with albinism were included in the study. Patients were divided into different groups according to the albinism type including OCA1A: 17; OCA1B: 28; OCA2: 26; HPS: 3; OCA4: 1. Follow-up ranged from 3–13 years. Progressive visual acuity improvement was seen in all three main groups. T-test paired samples showed a statistically significant improvement when comparing vision from Visit 1 and Visit 3 in both OCA1A and OCA2 groups, with a mean vision improvement of 2 lines. There was no correlation between visual improvement and refractive error, eye muscle surgery or nystagmus.
ConclusionAn improved visual performance was seen in a large percentage of children with albinism during the second decade of life. The reason for this late improvement in vision is not clear but may be related to late foveal maturation or improvement in nystagmus with time. This information is useful for clinicians of these patients and when counseling parents.
This paper aims to examine the satisfaction and depressed mood experienced by nursing home workers during the COVID-19 pandemic and associated variables. Specifically, to analyse the factors that may contribute to nursing home workers developing adaptive behaviours that promote satisfaction or, on the contrary, show characteristics associated with a negative mood.
Nursing homes have faced unprecedented pressures to provide appropriately skills to meet the demands of the coronavirus outbreak.
A cross-sectional survey design using the STROBE checklist.
Professionals working in nursing homes (n = 165) completed an online survey measuring sociodemographic and professional characteristics, burnout, resilience, experiential avoidance, satisfaction with life and depression. Data were collected online from April to July 2021, the time in which Spain was experiencing its fifth wave of COVID-19. Two multiple linear regression models were performed to identify salient variables associated with depressive mood and satisfaction.
Resilience, personal accomplishment and satisfaction had a significant and negative relationship with depression and emotional exhaustion, depersonalisation and experiential avoidance had a positive relationship with depression. However, emotional exhaustion, depersonalisation and experiential avoidance had a negative and significant relationship with satisfaction and personal accomplishment, and resilience had a positive and significant relationship with satisfaction. In addition, it was found that accepting thoughts and emotions when they occur is beneficial for developing positive outcomes such as satisfaction.
Experiential avoidance was an important predictor of the effects that the COVID-19 pandemic can have on nursing home workers.
Interventions focusing on resources that represent personal strengths, such as acceptance, resilience and personal accomplishment, should be developed.
The complex and unpredictable circumstances of COVID's strict confinement in the nursing home prohibited access to the centres for external personnel and family members. Contact with the professionals involved could not be made in person but exclusively through online systems. However, professionals related to the work environment have subsequently valued this research positively as it analyses ‘How they felt during this complicated process’.
Rotator cuff calcific tendinopathy (RCCT) involves calcific deposits in the rotator cuff. Non-surgical interventions such as extracorporeal shockwave therapy (ESWT) and ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) are recommended for its early management. Exercise therapy (ET) has shown to be an effective intervention for people with rotator cuff tendinopathy, but it has not been formally tested in RCCT. The main objective of this study is to compare the effectiveness of an ET programme with ESWT and US-PICT in people with RCCT. As a secondary aim, this study aims to describe the natural history of RCCT.
A randomised, single-blinded four-group clinical trial will be conducted. Adults from 30 to 75 years diagnosed with RCCT who accomplish eligibility criteria will be recruited. Participants (n=116) will be randomised into four groups: ET group will receive a 12-week rehabilitation programme; ESWT group will receive four sessions with 1 week rest between sessions during 1 month; US-PICT group will receive two sessions with 3 months of rest between sessions; and (actual) wait-and-see group will not receive any intervention during the 12-month follow-up. The primary outcome will be shoulder pain assessed with the Shoulder Pain and Disability Index at baseline, 2 weeks, 4 months, 6 months and 12 months from baseline. The primary analysis will be performed at 12 months from baseline. Secondary outcomes will include pain, range of motion, patient satisfaction and imaging-related variables. Moreover, the following psychosocial questionnaires with their corresponding outcome measure will be assessed: Central Sensitization Inventory (symptoms related to central sensitization); Pain Catastrophizing Scale (pain catastrophizing); Tampa Scale for Kinesiophobia 11 items (fear of movement); Fear Avoidance Belief Questionnaire (fear avoidance behaviour); Hospital Anxiety and Depression Scale (anxiety and depression); Pittsburgh Sleep Quality Index (sleep quality); and the EuroQol-5D (quality of life). An intention-to-treat analysis will be performed to reduce the risk of bias using a worst-case and best-case scenario analysis.
Ethics committee approval for this study has been obtained (reference number: 1718862). The results of the main trial will be submitted for publication in a peer-reviewed journal.
by Nandana D. Rao, Rozenn N. Lemaitre, Colleen M. Sitlani, Jason G. Umans, Karin Haack, Veronica Handeland, Ana Navas-Acien, Shelley A. Cole, Lyle G. Best, Amanda M. Fretts
ObjectivesTo examine the associations of dietary Mg intake with inflammatory biomarkers (C-reactive protein (CRP) and interleukin 6 (IL-6)), and the interaction of dietary Mg intake with single nucleotide polymorphism (SNP) rs3740393, a SNP related to Mg metabolism and transport, on CRP and IL-6 among American Indians (AIs).
MethodsThis cross-sectional study included AI participants (n = 1,924) from the Strong Heart Family Study (SHFS). Mg intake from foods and dietary supplements was ascertained using a 119-item Block food frequency questionnaire, CRP and IL-6 were measured from blood, and SNP rs3740393 was genotyped using MetaboChip. Generalized estimating equations were used to examine associations of Mg intake, and the interaction between rs3740393 and dietary Mg, with CRP and IL-6.
ResultsReported Mg intake was not associated with CRP or IL-6, irrespective of genotype. A significant interaction (p-interaction = 0.018) was observed between Mg intake and rs3740393 on IL-6. Among participants with the C/C genotype, for every 1 SD higher in log-Mg, log-IL-6 was 0.04 (95% CI: -0.10 to 0.17) pg/mL higher. Among participants with the C/G genotype, for every 1 SD higher in log-Mg, log-IL-6 was 0.08 (95% CI: -0.21 to 0.05) pg/mL lower, and among participants with the G/G genotype, for every 1 SD higher in log-Mg, log-IL-6 was 0.19 (95% CI: -0.38 to -0.01) pg/mL lower.
ConclusionsMg intake may be associated with lower IL-6 with increasing dosage of the G allele at rs3740393. Future research is necessary to replicate this finding and examine other Mg-related genes that influence associations of Mg intake with inflammation.
Chronic malnutrition is a serious problem in southern Angola with a prevalence of 49.9% and 37.2% in the provinces of Huila and Cunene, respectively. The MuCCUA (Mother and Child Chronic Undernutrition in Angola) trial is a community-based randomised controlled trial (c-RCT) which aims to evaluate the effectiveness of a nutrition supplementation plus standard of care intervention and a cash transfer plus standard of care intervention in preventing stunting, and to compare them with a standard of care alone intervention in southern Angola. This protocol describes the planned economic evaluation associated with the c-RCT.
We will conduct a cost-efficiency and cost-effectiveness analysis nested within the MuCCUA trial with a societal perspective, measuring programme, provider, participant and household costs. We will collect programme costs prospectively using a combined calculation method including quantitative and qualitative data. Financial costs will be estimated by applying activity-based costing methods to accounting records using time allocation sheets. We will estimate costs not included in accounting records by the ingredients approach, and indirect costs incurred by beneficiaries through interviews, household surveys and focus group discussions. Cost-efficiency will be estimated as cost per output achieved by combining activity-specific cost data with routine data on programme outputs. Cost-effectiveness will be assessed as cost per stunting case prevented. We will calculate incremental cost-effectiveness ratios comparing the additional cost per improved outcome of the different intervention arms and the standard of care. We will perform sensitivity analyses to assess robustness of results.
This economic evaluation will provide useful information to the Angolan Government and other policymakers on the most cost-effective intervention to prevent stunting in this and other comparable contexts. The protocol was approved by the República de Angola Ministério da Saúde Comité de Ética (27C.E/MINSA.INIS/2022). The findings of this study will be disseminated within academia and the wider policy sphere.
ClinicalTrials.gov Registry (NCT05571280).
by Tjasa Kunavar, Xiaoxiao Cheng, David W. Franklin, Etienne Burdet, Jan Babič
Error based motor learning can be driven by both sensory prediction error and reward prediction error. Learning based on sensory prediction error is termed sensorimotor adaptation, while learning based on reward prediction error is termed reward learning. To investigate the characteristics and differences between sensorimotor adaptation and reward learning, we adapted a visuomotor paradigm where subjects performed arm movements while presented with either the sensory prediction error, signed end-point error, or binary reward. Before each trial, perturbation indicators in the form of visual cues were presented to inform the subjects of the presence and direction of the perturbation. To analyse the interconnection between sensorimotor adaptation and reward learning, we designed a computational model that distinguishes between the two prediction errors. Our results indicate that subjects adapted to novel perturbations irrespective of the type of prediction error they received during learning, and they converged towards the same movement patterns. Sensorimotor adaptations led to a pronounced aftereffect, while adaptation based on reward consequences produced smaller aftereffects suggesting that reward learning does not alter the internal model to the same degree as sensorimotor adaptation. Even though all subjects had learned to counteract two different perturbations separately, only those who relied on explicit learning using reward prediction error could timely adapt to the randomly changing perturbation. The results from the computational model suggest that sensorimotor and reward learning operate through distinct adaptation processes and that only sensorimotor adaptation changes the internal model, whereas reward learning employs explicit strategies that do not result in aftereffects. Additionally, we demonstrate that when humans learn motor tasks, they utilize both learning processes to successfully adapt to the new environments.Health professionals witness pain and suffering when they care for sick people and their families. Compassion is a necessary quality in their work as it combines the will to help, alleviate suffering and promote the well-being of both the people they are attending and the professionals themselves. The aim of the study was to design and evaluate the psychometric properties of the Capacity for Compassion Scale (CCS).
A quantitative, descriptive and cross-sectional study was carried out to evaluate the psychometric properties of the scale (reliability, temporal stability, content validity, criterion validity and construct validity).
The study was carried out in two phases: pilot study and final validation. The data were collected between April and May 2022. The sample was selected by convenience sampling and was made up of a total of 264 participants, 59 in the pilot phase and 205 in the final validation.
The Capacity for Compassion Scale has been shown to have good psychometric properties in relation to reliability, temporal stability, and content, criterion, and construct validity. Factor analysis showed that there were four subdimensions of the scale: motivation/commitment, presence, shared humanity and self-compassion. The results also indicate that compassionate ability is significantly correlated with age and work experience.
The Capacity for Compassion Scale shows adequate psychometric properties. This instrument measures the compassion capacity of health professionals, which is a valuable discovery for new lines of research in this field.
Through this scale, low levels of capacity for compassion can be detected that negatively influence the quality of care provided by health professionals. The Capacity for Compassion Scale can therefore contribute to the identification of needs and promote training around compassion for health professionals.
No patient or public contribution.
Compassion in health professionals has positive effects on improving the quality of care, the satisfaction of professionals and the work environment. There are compassion cultivation programmes whose validity has been proven for the development of the dimensions of compassion. There is no specific instrument that measures capacity for compassion in healthcare professionals.
A scale is designed to measure capacity for compassion in health professionals. This is the only such scale available up until now. The scale measures four dimensions of compassion: motivation/commitment, presence, shared humanity and self-compassion.
The development of specific programmes that can increase the compassion of health professionals with all the benefits that this can bring to health care is encouraged. It will be possible to analyse the effects of training programmes on the cultivation of compassion.
We aimed to prospectively describe incident cardiovascular events among people living with HIV (PLWH) in northern Tanzania. Secondary aims of this study were to understand non-communicable disease care-seeking behaviour and patient preferences for cardiovascular care and education.
A prospective observational study.
This study was conducted at the Majengo HIV Care and Treatment Clinic, an outpatient government-funded clinic in Moshi, Tanzania
Adult patients presenting to an HIV clinic for routine care in northern Tanzania were enrolled from 1 September 2020 to 1 March 2021.
At enrolment, participants completed a survey and a resting 12-lead ECG was obtained. At 6 month follow-up, a repeat survey regarding interim health events and repeat ECG was obtained.
Interim major adverse cardiovascular events (MACE) were defined by: self-reported interim stroke, self-reported hospitalisation for heart failure, self-reported interim myocardial infarction, interim myocardial infarction by ECG criteria (new pathologic Q waves in two contiguous leads) or death due to cardiovascular disease (CVD).
Of 500 enrolled participants, 477 (95.4%) completed 6 month follow-up and 3 (0.6%) died. Over the 6 month follow-up period, 11 MACE occurred (3 strokes, 6 myocardial infarctions, 1 heart failure hospitalisation and 1 cardiovascular death), resulting in an incidence rate of 4.58 MACE per 100 person-years. Of participants completing 6 month follow-up, 31 (6.5%) reported a new non-communicable disease diagnosis, including 23 (4.8%) with a new hypertension diagnosis.
The incidence of MACE among PLWH in Tanzania is high. These findings are an important preliminary step in understanding the landscape of CVD among PLWH in Tanzania and highlight the need for interventions to reduce cardiovascular risk in this population.
Objetivo principal: la retirada del esmalte de uñas para la medición de los valores de saturación de oxígeno es habitual en la práctica clínica. Sin embargo, su eliminación repercute en el tiempo invertido, el uso de recursos y potenciales conflictos con el paciente. El objetivo es evaluar la influencia del esmalte de uñas en los valores de saturación de oxígeno en pacientes sometidos a pulsioximetría. Metodología: este trabajo sigue el formato estandarizado para la elaboración de un comentario crítico, donde a partir de diez elementos se estructura y se da contenido al trabajo. Resultados principales: Las variaciones debidas a la presencia de esmalte de uñas durante la medición de la saturación de oxígeno no son clínicamente relevantes. Conclusión principal: Se recomienda evitar la eliminación del esmalte de uñas para la medición de la saturación de oxígeno.
Objetivo principal: El tratamiento con insulina basal-bolo es el tratamiento de elección para la hiperglucemia en pacientes hospitalizados con diabetes mellitus tipo 2. La evaluación de glucosa antes de las comidas y a la hora de acostarse mediante la prueba de glucosa capilar a pie de cama es el método estándar de monitorización de glucosa de estos pacientes. Sin embargo, no ofrece las ventajas de la monitorización continua de glucosa, mediante dispositivos como el FreeStyle Libre Pro Flash. Medir la glucosa intersticial cada 5-15 minutos y obtener un perfil glucémico completo de 24 horas de los pacientes hospitalizados son algunas de las virtudes de este dispositivo. Metodología: Este trabajo sigue el formato estandarizado para la elaboración de un comentario crítico, donde a partir de diez elementos se estructura y se da contenido al trabajo. Resultados principales: La prueba de glucosa capilar a pie de cama detecta una proporción menor de episodios de hipoglucemias que la monitorización continua de glucosa. Conclusión principal: Se recomienda la utilización de la monitorización continua de glucosa como método para la vigilancia y control de la glucemia en pacientes con diabetes tipo 2 hospitalizados.
Se presenta el caso clínico de una recién nacida de 3 días de vida que acude a la consulta enfermera de pediatría de Atención Primaria para realizar la primera visita, incluida en el Programa de Salud del Niño Sano. En ella, la madre describe que, durante su ingreso en la maternidad, tras el parto, manifestó su deseo de no lactar, por tanto, se prescribió Cabergolina como fármaco inhibidor. Sin embargo, actualmente, desearía reiniciar la lactancia materna. Tras realizar la valoración enfermera por patrones funcionales de Marjory Gordon, se detectaron dos patrones alterados y se estableció un plan de cuidados individualizado, utilizando la taxonomina NANDA-NOC-NIC.
Finding out whether there are differences in the levels of stress and burnout between workers providing care to dependent adults and those caring for independent older adults would provide comparative information about two different models of care. During the COVID-19 pandemic, workers caring for older adults were subjected to maladaptive situations that produced stress and burnout.
A cross-sectional survey design using the STROBE checklist.
A total of 900 nursing home and égidas workers were assessed for stress and burnout. Data were collected online from October 2020 to February 2021, when Puerto Rico was experiencing the peak of the third wave of COVID-19. MANOVAs were performed to study the interactions between the workplace and having had COVID, the workplace and the size of institution and the workplace and position held.
October 2020 to February 2021.
All interactions were significant. Nursing homes showed higher levels of stress and burnout when workers had undergone COVID, when the size of the institution was larger and for technical staff other services; in égidas, having undergone COVID did not influence stress or burnout, which increased when the institution was smaller and for executive staff.
This study showed that the effects of the COVID-19 pandemic affected nursing home workers more significantly than those working in other types of residential models with independent older adults.
Applying preventive interventions aimed at reducing stress and burnout would facilitate the adaptation of workers caring for older adults and help to improve the quality of care.
This study analysed the impact of COVID-19 on the stress and burnout of workers providing services to older adults. Nursing home workers who have had COVID-19 have higher stress and burnout. The size of the institution has a different effect depending on whether older adults are dependent or independent. Workers in institutions dedicated to the care of the older adults.
This study has adhered to the relevant EQUATOR guidelines: STROBE.
During the different waves of the COVID-19 pandemic, it was difficult to establish direct contact with workers providing care to older adults; this reason made it necessary to apply online systems to obtain information. The workers appreciated the fact that the implications for stress and burnout of the situation experienced during this difficult process were investigated.
Objetivo principal: El desarrollo de flebitis es una complicación frecuente y dolorosa que se produce en la aplicación de catéteres venosos periféricos. Se trata de un comentario crítico que identifica la tasa de desarrollo de flebitis en la aplicación catéter venoso periférico y los factores que afectan al desarrollo de la flebitis. Metodología: El comentario crítico sigue el formato estandarizado para la elaboración de un comentario crítico a partir de los diez elementos estructurados que dan estructura y contenido al trabajo. Resultados principales: Los resultados más importantes son que los factores que afectan al desarrollo de flebitis es la duración del cateterismo, la presencia de una enfermedad crónica y el tipo de líquido utilizado. Conclusión principal: El nivel de evidencia de los resultados según la clasificación GRADE es baja. No obstante, hay significación estadística en los resultados, por lo que se podría recomendar la aplicación de estos hallazgos.
Objetivo: Estimar la relación entre la autorregulación del peso con la actividad física y hábitos de alimentación en adolescentes. Material y métodos: Estudio descriptivo, correlacional y trasversal. Muestra de 470 participantes. Muestreo no probabilístico por conveniencia. Se empleó la cédula de datos sociodemográficos y clínicos; Inventario de Autorregulación del peso y cuestionario Health Behaviour in School-aged Children-HBSC. Se utilizó el Statistical Package for the Social Sciences para el análisis de resultados, estadística descriptiva e inferencial con el coeficiente de correlación Rho de Spearman. Resultados: La autorregulación del peso en la actividad física y en los hábitos alimentarios fue baja Ⱦ = 22.90 y Ⱦ = 20.41, respectivamente. El 74.3% de los adolescentes obtuvo un nivel bajo de actividad física y el 54.6% hábitos de alimentación regular. La autorregulación del peso en los hábitos alimentarios mostró correlación positiva con la actividad física (rs = .35, p < .01) y hábitos de alimentación (rs = .22, p < .01). Discusión: La autorregulación del peso en los hábitos alimentarios se relacionó positivamente con la actividad física global y los hábitos de alimentación. Aunque, el adolescente tenga autorregulación del peso, pueden presentarse barreras que impiden el cumplimiento en la frecuencia e intensidad de la actividad física, como, falta de tiempo, ausencia de práctica de algún deporte, ambiente e instalaciones inapropiadas para realizar la actividad física.
ABSTRACT
Objective: Estimate the relationship between self-regulation of weight with physical activity and eating habits in adolescents with normal weight and overweight. Methodology: Descriptive, correlational and cross-sectional study. Sample of 470 participants. Non-probabilistic sampling for convenience. The sociodemographic and clinical data card was used; Weight Self-Regulation Inventory and Health Behavior in School-aged Children-HBSC questionnaire. The Statistical Package for the Social Sciences was used for the analysis of results, descriptive and inferential statistics with Spearman's correlation coefficient. Results: Weight self-regulation in physical activity and eating habits was low Ⱦ = 22.90 and Ⱦ = 20.41, respectively. 74.3% of adolescents obtained a low level of physical activity and 54.6% regular eating habits. Weight self-regulation in eating habits showed a positive correlation with physical activity (rs = .35, p < .01) and eating habits (rs = .22, p < .01). Discussion: Weight self-regulation in eating habits was positively related to global physical activity and eating habits. Although the adolescent has self-regulation of weight, there may be barriers that prevent compliance in the frequency and intensity of physical activity, such as lack of time, absence of practice of any sport, environment and inappropriate facilities to perform physical activity.
Objetivo principal: el objetivo de esta investigación es describir los hábitos de consumo alimentario y determinar qué variables sociodemográficas, dentro del colectivo de los estudiantes jóvenes universitarios, están implicadas en la elección de los alimentos. Metodología: se aplicó un cuestionario ad hoc, anónimo y auto-administrado a 599 estudiantes de la Universidad de Alicante, matriculados en el curso académico 2018/2019. Resultados principales: los resultados muestran que los jóvenes universitarios concentran sus ingestas en la comida (90,2%) y la cena (82%). Se evidenció, además, que los alimentos incluidos en la dieta mediterránea se consumen dos o tres veces por semana en esta población, pero en porcentajes diferentes. Los datos confirman que los educados en un estilo democrático consumen, en un 59%, alimentos enriquecidos con vitaminas y minerales por encima de otros estilos educativos familiares. De los estudiantes que afirmaban consumir alimentos precocinados un 51,9% pertenecen a un estilo educativo democrático, un 32,3% al permisivo, un 14,6% al autoritario y un 1,2% al negligente, lo que confirma la influencia de la cultura educativa familiar en los hábitos de alimentación de este grupo etario para esta variable. Conclusión principal: se concluye que las pautas definitorias de la dieta mediterránea han perdido protagonismo en este grupo poblacional, al comparar sus resultados con los de otros momentos históricos. Además, los resultados obtenidos muestran que los estilos de crianza no influyen de forma determinante en la elección de la alimentación en la etapa universitaria, a excepción del consumo alimentos precocinados.
Objetivo principal: Conocer los conocimientos y percepciones de los profesionales sanitarios sobre el método madre canguro (MMC) en las unidades neonatales españolas. Metodología: Estudio transversal, observacional y descriptivo, mediante encuesta online. Resultados principales: 331 profesionales respondieron la encuesta. 83,7% estaban formados en MMC. Respecto a las percepciones y barreras, no hubo diferencias significativas entre profesionales según su formación en MMC. La limitación con mayor porcentaje fue la inestabilidad hemodinámica con un 82,8%. Un 55,3% afirmó haber puesto limitaciones al MMC debido a la pandemia por SARS-CoV-2 y un 96,4% estableció que sería útil disponer de una guía de consenso sobre MMC a nivel nacional. Conclusión principal: Los profesionales sanitarios de las unidades neonatales españolas están formados en el cuidado MMC, conociendo bien cuáles son sus beneficios, pero todavía afloran algunas percepciones que pueden interferir en la implantación eficaz del MMC.
Objetivo: analizar los factores de riesgo cardiovascular del personal sanitario mediante la tabla REGICOR, en función edad, sexo, categoría profesional y turno de trabajo, así como el estrés laboral que experimenta nuestro equipo. Método: estudio descriptivo transversal cuya población fueron profesionales quirúrgicos Área V, Murcia, entre Enero y julio de 2020. Búsqueda bibliográfica y el instrumento un cuestionario con variables sociodemográficas y los factores de riesgo. Se explicó todo el proceso y firmaron Consentimiento Informado. Se calculó el RCV mediante REGICOR. El estrés con test de Hock y Escala General de Satisfacción. Resultados: muestra final n= 55, 18,2% (n =10) hombres y 81,8% (n= 45) mujeres, edades 35 y 64 y X= 49,4 años (DT = 8,7). Según la categoría profesional: 60% enferme-ros/as y 45,5% turno rodado. FRCV recogidos: IMC X=24,6 Kg/m2 presentando sobrepeso 32,1%, colesterol 30,9%, 22,6% hipertensos y 7,3% diabéticos. Edad y el riesgo coronario se relacionan de forma directa y significativa (r=0,550, p<0,001). Estrés< 42 puntos. Escala de satisfacción laboral 61,1 (DT=1,06). Conclusiones: los resultados obtenidos muestran elevadas prevalencias de factores de riesgo modificables especialmente obesidad, dislipemia y tabaquismo. Según la tabla Regicor elevada prevalencia de riesgo alto o muy alto. Sexo y edad fuertemente asociados al riesgo coronario. Mientras que el turno de trabajo y categoría profesional no existe asociación. El estrés no está relacionado en la población del Hospital Virgen del Castillo.
Actualmente, la salud digital permite incorporar la tecnología de la información y comunicación para mejorar la asistencia sanitaria, incrementando su efectividad y eficiencia. El desarrollo de herramientas digitales relacionadas con la lactancia materna facilita que los profesionales de la salud puedan mantenerse actualizados, buscar información o resolver dudas relacionadas con la lactancia, así como permite mejorar la atención y proporcionar un apoyo más eficaz a las madres que desean lactar o están lactando. Este artículo trata de describir una serie de recursos e intervenciones digitales relacionadas con la lactancia materna.
FreshRSS 