Casado Verdejo I, Postigo Mota S, Muñoz Bermejo L
… +3 more, Vallejo Villalobos JR, Arrabal Léon N, Pinto Montealegre JE
Rev Enferm
· 2016 Jan · PMID 26996044
The process of comprehensive geriatric assessment is one of the key elements of geriatric care management aimed at the population. it includes evaluating the clinical, functional, mental and social aspects of aging resul...The process of comprehensive geriatric assessment is one of the key elements of geriatric care management aimed at the population. it includes evaluating the clinical, functional, mental and social aspects of aging result and/or pathological processes that appear at this stage of the life cycle. For their achievement, as well as other tools, professionals have a large number of validated rating scales specifically designed in the assessment of the different areas or fields. Its use can be very useful, especially for the objectification of evaluation results. The future of research in this area goes through deepening the adequacy of the scales to the characteristics and needs of older people in each care level or place of care.
INTRODUCTION: Epithelitis is a frequent side effect in radiotherapy treatments (RT). OBJECTIVE: To evaluate the effectiveness of Rosehip Oil (ARM, Repavar®) in the prevention of epithelitis in patients with head and neck...INTRODUCTION: Epithelitis is a frequent side effect in radiotherapy treatments (RT). OBJECTIVE: To evaluate the effectiveness of Rosehip Oil (ARM, Repavar®) in the prevention of epithelitis in patients with head and neck cancer (HNC) treated with intensity modulated radiotherapy (IMRT). MATERIAL AND METHODS: An interventionist, prospective, exploratory, controlled and open clinical study. Between May and October 2013, 28 patients were included in the study. After signing the informed consent form, the patients were provided with ARM to apply this twice daily from the beginning of the treatment. All of them had a prescribed dose of IMRT ≥ 60 Gy. They were evaluated weekly by nurses on the ward. A photographic monitoring of the skin with a registered grade of epithelitis and with signs of pain or other was carried out. The control group was formed of 34 consecutive patients with HNC treated with IMRT months prior to the study, whose skin treatment had been different products. RESULTS: Both groups were comparable (age, sex, region and RT dose). In the study group (ARM), the number of treatments per patient (p = 0.3) and the natural days for treatment per patient (p = 0.38) were less; also, the number of patients who required treatments and who suffered from radiodermitis of III-IV grade, were less. It is probable that the limited specimen size may have influenced in the statistics. CONCLUSIONS: The effectiveness of ARM in the prevention of severe epithelitis in patients with HNC treated with RT is, at least, as effective (or more effective) as other and more common skin treatments. A randomized study would be required to confirm these findinas.
Sánchez Sánchez E, Cerón Márquez VJ, Vela Ruiz S
… +1 more, Muñoz Guerrero MJ
Rev Enferm
· 2016 Jan · PMID 26996042
INTRODUCTION: Cases of radiation recall may be experienced by radiotherapy patients, which are named as radiodermitis. To gradate it the RTOG (Radiation Therapy Oncology Group) scale is the most used. Due to the complexi...INTRODUCTION: Cases of radiation recall may be experienced by radiotherapy patients, which are named as radiodermitis. To gradate it the RTOG (Radiation Therapy Oncology Group) scale is the most used. Due to the complexity on the management of radiotherapy, a protocol based on the evidence is stablished to prevent and treat it. MATERIAL AND METHODS: Bibliographic revision of main data bases from last six years. RESULTS: 14 different studies which have the criteria for their inclusion are selected. These studies will gather, with different levels of evidence, several prevention and treatment methods and products for radiodermitis. DISCUSSION: To prevent it from happening, it is a must to clean and dry the skin appropriately. Urea, hyaluronic acid and Tex-OE based creams have shown their effectiveness on grades 0-1. Regarding treatment, the use of medium-high corticoids, the barrier creams, silver sulfadiazine, hyaluronic acid and no sting barrier film can reduce the gravity of the wounds. The use of the healing in humid environments is also recommended on the treatment of radiodermitis. Some products like hydrocolloids, silver dressings and hydrogel also improve the scarring. CONCLUSION: Managing radiodermitis is a complex matter. Therefore the action protocol based on evidence is the ideal tool to improve the efficiency and effectiveness of the cares, giving an increase on the tolerance to treatment and a reduction on the public health cost and a higher quality of life fo rpatients.
Mosquera Pan L, Onandia Garate M, Luces Lago AM
… +1 more, Tizón Bouza E
Rev Enferm
· 2016 Jan · PMID 26996040
INTRODUCTION: The pain during the birth process is the result of a pile of physiological, psychological and socio-cultural stimulus. In our society, epidural analgesia is the most common technique used in obstetrics to r...INTRODUCTION: The pain during the birth process is the result of a pile of physiological, psychological and socio-cultural stimulus. In our society, epidural analgesia is the most common technique used in obstetrics to relieve this pain, despite not being harmless. However, there are other complementary techniques based on methods that have demonstrated analgesic effects and they benefit of lacking adverse effects either on the mother or on the fetus. Among these methods is the immersion in warm water (WI). The aim of this review is to show the usefulness, advantages and disadvantages of WI, to make it an accessible resource for pregnant women and those who are responsible for their care. METHODS: Literature review about Water Immersion during the first and second stage of labor. RESULTS: The WI as a method to relieve discomfort and pain during labor was popularized by the obstetrician Michel Odent in 7980s. The Spanish Society of Gynecology and Obstetrics, among other associations, highly recommend its use during the cervical dilation period. It is benificial for the mother blood circulation, psychologically and for body mechanics; however, this use in the second stage of labor seems to be more controversial. CONCLUSIONS: WI is an analgesic non-invasive, accessible and affordable. Its use is associated with lower rates of intervention by professionals and provide a more focused attention on the needs of pregnant women.
López-Díaz C, Fraille-Calle L, Herrero-Rosado M
… +2 more, Arnés-Muñoz V, De-Dios-De-Dios T
Rev Enferm
· 2016 Jan · PMID 26996039
The Guides of Good Practices (GGP) are necessary tools in the universal healthcare and in the clinical management, providing the user/patient with a major quality in the assistance, in order to optimize and reinforce an...The Guides of Good Practices (GGP) are necessary tools in the universal healthcare and in the clinical management, providing the user/patient with a major quality in the assistance, in order to optimize and reinforce an individualized attention into action, taking into account the best scientific evidence. The literature provides different references to the development of the GGP, but there is little knowledge about the attitude of professionals towards them, since most of the studies that exist are qualitative. Therefore, the aim of this work is to construct and validate a Likert scale which could assess the attitude of the nurse towards GGP. The methodology used was quantitative, descriptive, cross, opinion, anonymous and also it could validate a scale via the following measurements: content validation by experts, correlation between items, external reliability, internal consistency, stability and exploratory factor analysis. The result was a scale consisting of 20 items that refer to the attitude toward the GGP, with a percentage of agreement among experts over 75 % on all the items, and a significant Pearson correlation between the pre-test and post-test in all variables, but for three. The internal consistency measured by Cronbach's alpha was 0.878. These results are acceptable in terms of the psychometric characteristics of the instrument, with easy and fast administration and simple in their interpretation, allowing quantifying and generating knowledge about the attitudes of nurses towards GGP.
INTRODUCTION: Health workers are a risk group for acquisition and transmission of influenza. Therefore each year the vaccine is indicated for them. However vaccination coverage against seaso nable influenza virus in our...INTRODUCTION: Health workers are a risk group for acquisition and transmission of influenza. Therefore each year the vaccine is indicated for them. However vaccination coverage against seaso nable influenza virus in our country is often low. OBJECTVES: To determine why the professionals of health centers have low rates of vaccination against influenza. knowing the reasons for to have intention to be vaccinated and analyze knowledge about influenza and vaccination. MATERIAL AND METHODS: A descriptive study carried out in Hospital Center of Vigo between 2014-2015. Data were collected by a self-administered questionnaire aimed at health professionals. Variables recorded were age, sex, profession, workplace, work experience, previous influenza vaccines, intention to be vaccinated, reasons for non-vaccination and knowledge about the disease and influenza vaccine. Statistical analysis was performed with the PSPP program and the associations between variables were evaluated using Chi-square test. RESULTS: 375 questionnaires were obtained. Only 18 % of workers were vaccinated last season. The reasons for not having intention to be vaccinated were: believe that it is not necessary (28 %), it is not effective (27 %) and risk of side effects (26 %). The main reason to have intention to be vaccinated was self-protection in 71 %. Working in a health center means risk of getting the flu for 66 % of survey respondents, though 68 % of them think unimportant the vaccination in health professionals. Statistical significance between sexand vaccination lastseason was found (p = 0.023). CONCLUSIONS: It is necessary to increase knowledge about influenza and vaccination by developing specific training to improve vaccination coverage among health care workers.
INTRODUCTION: Bladder cancer is one of the most frequent in developed countries. It is the 4th most frequent cancer in men and the 9th in women. The main risk factor is the smoking habit and its main symptom is hematuria...INTRODUCTION: Bladder cancer is one of the most frequent in developed countries. It is the 4th most frequent cancer in men and the 9th in women. The main risk factor is the smoking habit and its main symptom is hematuria. One of the therapies used in its treatment is the Bacillus Calmette-Guerin intravesical (BCG). OBJECTIVE: TO carry out a specific care plan to a patient treated with BCG and improve the information delivered to the patient and family. MATERIAL AND METHODS: An observational study of a nursing plan of care through a clinical case. A bibliographical research was carried out in the main Spanish and English databases to collect articles published in the last 5 years. Subsequently, the studies of the Spanish M.a T Luis, C. Ferndndez and M.a V. Navarro were adopted in the model suggested by V. Henderson and NANDA, NIC and NOC taxonomy. RESULTS: The nursing assessment is performed through V. Henderson's 14 needs and the Collaboration Problem was detected: Hematuria, secondary to bladder cancer and the nursing diagnosis: <<Disposition to improve the management of the own health expressed by the wish of managing the disease>>. For the planning and execution the following NOC were selected: Knowledge: management of the cancer and Knowledge: therapeutic procedure, and the NIC and its corresponding activities and their evaluation. CONCLUSION: The Nursing Care Process application with a personalised and standardised language, guarantees a quality healthcare and continuity. Moreover, it sets common targets for the nursing team. It tries to show how an appropriate control of the symptoms can be carried out at home, when the cares are taught and organised by adapting the oral or written information to each patient.
Muñoz Bermejo L, Postigo Mota S, Casado Verdejo I
… +1 more, De Llanos Peña F
Rev Enferm
· 2015 Dec · PMID 26887179
OBJECTIVE: To determine the burden and social support perceived by elderly caregivers of elderly people. METHOD: Cross-sectional study using a standardized questionnaire for elderly caregivers of elderly people. RESULTS:...OBJECTIVE: To determine the burden and social support perceived by elderly caregivers of elderly people. METHOD: Cross-sectional study using a standardized questionnaire for elderly caregivers of elderly people. RESULTS: In the population of elderly caregivers of elderly people, the prevalent type of care is by couples (84.1 %), and the percentages of men and women correspond to 40.2 % and 59.8 %, respectively. The 53.3 % of caregivers have burden, of which a 31.8 % present an intense burden, and a 21.5 % a slight burden. Regarding to perceived social support of elderly caregivers, it is normal in a 81.3 % of cases, compared to a 18.7 % who reflecting a low perceived social support. Finally, there is correlation between Duke social support questionnaire and Zarit scale caregiver burden. CONCLUSION: Elderly caregivers of elderly people who have higher levels of burden have lower perceived social support.
The advance directives' document involves patients in decisions related to their treatment; it promotes the principle of autonomy. Although advance directives' document has been regulated legally at national state and lo...The advance directives' document involves patients in decisions related to their treatment; it promotes the principle of autonomy. Although advance directives' document has been regulated legally at national state and local levels, nursing professionals still have a huge lack of this issue. How they work directly with patients, it is important nurses have update knowledge to give support and information to the patients, with the aim ofproviding a quality care.
OBJECTIVE: Analyze the necessity of creating and managing a nursing surgery in Primary Care focused exclusively on the discovery, following up and derivation in the cardiovascular risk patient. METHODS: Making use of the...OBJECTIVE: Analyze the necessity of creating and managing a nursing surgery in Primary Care focused exclusively on the discovery, following up and derivation in the cardiovascular risk patient. METHODS: Making use of the available Scientific evidence, consider the advantages of putting into practice a system for a nurse to attend the necessities of a patient with a cardiovascular risk taking into consideration the following: 1) Estimating the risk; 2) Stratagies for nursing supervision and activities; 3) The correct registration of medical diagnosis of the patient; 4) Monitoring. RESULTS: To enable nurses to treat cardiovascular patients in Primary Care, to reduce the time the patient would have to wait to be attended and to supervise the patient's progress. CONCLUSIONS: Making it possible for nurses to use the same registered standard system for controlling the treatment of cardiovascular patients.
Manrique Tejedor J, Figuerol Calderó MI, Cuéllar De Frutos A
Rev Enferm
· 2015 Dec · PMID 26887176
INTRODUCTION: Breast cancer is the most common type or cancer in women with an incidence of about 720,000 cases per year and a mortality between 6 and 23 per 100,000, what it means a very important global health problem....INTRODUCTION: Breast cancer is the most common type or cancer in women with an incidence of about 720,000 cases per year and a mortality between 6 and 23 per 100,000, what it means a very important global health problem. METHOD: Sistematic review in the following databases: PubMed, SciELO, Cochrane Plus, Medline, Cuiden and Embase. The search was limited to English and Spanish languages, between 2005 and 2015 and human studies. RESULTS: All studies are observational by the characteristics of the studied pathology. It is observed that there is a decreased risk of breast cancer in women who had ever breastfed compared to those who had not. This reduced risk is most evident in postmenopausal women but also happens in premenopausal. It has also been observed that protection is increased with increasing lactation duration. The protective effect of breastfeeding happens by differentiation of breast cells, by reduction of the number of ovulatory cycles and by estrogen and carcinogens excretion through human milk. CONCLUSTONS: Breastfeeding is associated with a decreased risk of breast cancer, and health teams must therefore educate mothers about its beneficial effects to themselves and their children.
The incidence of neoplasia of vulva round 1-2 per 100,000 women with predominance in ranges age of diagnosis between 65-75years. This type of cancer pathology is tackled with surgical techniques summarized in simple vulv...The incidence of neoplasia of vulva round 1-2 per 100,000 women with predominance in ranges age of diagnosis between 65-75years. This type of cancer pathology is tackled with surgical techniques summarized in simple vulvectomy or vulvectomy with unilateral or bilateral lymphadenectomy according to staging of cutaneous involvement. The morbidity of this surgical process is mainly grouped in skin moisture, dehiscence and infection. The use of Nobecutan® as a plastic dressing aerosol barrier reduces cutaneous surgical comorbidity.
OBJECTIVE: The objective of this research is to identify nursing diagnosis NANDA which is predominant within the immigrant community, linked to the migratory process and part of the framework of the Outcome Present State...OBJECTIVE: The objective of this research is to identify nursing diagnosis NANDA which is predominant within the immigrant community, linked to the migratory process and part of the framework of the Outcome Present State Test (OPT) of Pesut and Herman's critical awareness. METHODOLOGY: Keeping in mind the objectives of this research, this approaches the quality-based paradigm and follows the proposals of phenomenology research. The study was carried out using an individual semi-structured interview of 30 immigrants. A categorization of the data has been applied in accordance with the domains of NANDA for the identification of nursing diagnosis and its analysis has been carried with computer support with Atlas-ti 6.0. RESULTS: Twenty three diagnoses were identified in nine out of thirteen taxonomy NANDA domains. Analysis of their interrelationships according to the OPT model were carried out and a clinical reasoning net was created. The main diagnoses achieved in our study was: Readiness for Enhanced Coping. CONCLUSIONS: NANDA taxonomy doesn't include the migratory process in the characteristics and related factors of this nursing diagnosis. We consider that nursing taxonomy should be reassessed in order to describe more in depth the specific responses derived from the migratory experience so it can lead to a high quality health care.
Arrabal León N, Postigo Mota S, Casado Verdejo I
… +3 more, Muñoz Bermejo L, Rayego Sánchez C, Pinto Montealegre JE
Rev Enferm
· 2015 Nov · PMID 26749761
Nowadays, acquiring, managing, disseminating and understanding information through new technologies is an important aspect of our daily life. We can search for and store information, but we can also spread it. The proper...Nowadays, acquiring, managing, disseminating and understanding information through new technologies is an important aspect of our daily life. We can search for and store information, but we can also spread it. The proper handling of information and communications technology (TICs) is beneficial, but does not reach all alike. The difficulties posed by the elderly when adapting to TICs are increased by the fact that they are unknown and unfamiliar to them, resulting in rejection from the elderly and thus an increased risk of inequality and social exclusion. TICs value in aging lies in the improvement of self-learning and personal development as well as in promoting participation, social integration and healthy aging.