Becerra Maya EJ, Palacios Alzaga G, Domínguez Ferrero V
… +3 more, Bejarano Vicario A, Galarraga Rodríguez MI, Navarro Lozano V
Rev Enferm
· 2015 Nov · PMID 26749760
OBJECTIVE: The aim of this study was to compare the difference in perineal pain between women with dressing spray versus no dressing spray applied after perineal repair. DESIGN: Randomized controlled trial. SETTING: The...OBJECTIVE: The aim of this study was to compare the difference in perineal pain between women with dressing spray versus no dressing spray applied after perineal repair. DESIGN: Randomized controlled trial. SETTING: The Hospital Universitario Fundación Alcorcón, a state hospital belonging to the Community of Madrid. SAMPLE: The study involved eighty-two nulliparous women, who had undergone vaginal delivery with episiotomy or second-degree perineal laceration. METHOD: They were randomized. One group was applied the dressing spray directly on the wound (experimental group). The other group was applied the dressing spray on the skin around the wound (control group). MAIN OUTCOME MEASURES: The participants were questioned regarding the sensation of pain (0-100 scale) in repose and during different activities (such as sitting, walking, urinating and during defecation), and the use of painkillers at 24 and 48 hours postpartum. RESULTS: Women treated with plastic dressing spray on the wound had less pain at repose, sitting, walking, urinating and during defecation at 24 hours and 48 hours postpartum. Only reached statistical significance the pain in urination at 48 hours. The difference was 9.5 mm (95 %; 1.2 to 17.4) and the effect size (Cohen's d): d = 0.51). The need for analgesia was higher in the control group than in the experimental, but not significant differences being observed. CONCLUSIONS. Findings suggest that Nobecutan® plastic dressing spray can decrease perineal pain in nulliparous women in the first 48 hours after birth.
Changes in the Spanish families are critical in the planning of health services, in the evolution oftheirdemands, and in their relationships with healthcare staff We describe the characteristics of the new family structu...Changes in the Spanish families are critical in the planning of health services, in the evolution oftheirdemands, and in their relationships with healthcare staff We describe the characteristics of the new family structures (single-parent families, LGBT families, older families, multiple birth families, stepfamilies, adoptive families and families that resort to assisted reproductive techniques), what are their concerns, their needs and their requirements, and what are the implications for the health system.
Pellicer García B, Juarez Vela R, Gracia Carrasco E
… +3 more, Guerrero Portillo S, García Moyano LM, Azón Belarre JC
Rev Enferm
· 2015 Nov · PMID 26749758
UNLABELLED: OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the cons...UNLABELLED: OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric spanish population aged 65 years and over who lives institutionalized in our country. MATERIAL AND METHOD: Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. RESULTS: The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. CONCLUSTON: It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need ofnew researches are appreciated.
The safety of the patient is one of the main priorities in healthcare environment. One of the most commonly used products are bandages and their effectiveness and safety depends on many factors: the quality of the materi...The safety of the patient is one of the main priorities in healthcare environment. One of the most commonly used products are bandages and their effectiveness and safety depends on many factors: the quality of the materials used, their manufacturing process and the main purpose of use. All sanitary products need to comply with the Royal Decree 1591/2009, October 16, that describes the characteristics and functions of each type of these products. Bandages are classified as a Sanitary Products Class l and, hence, they do not require any microbiological control in order to sell them. Therefore, it is fair to ask whether the bandages that are used in healthcare are totally safe for patients.
INTRODUCTION: Limb shaking, which was described by MillerFisher in 1962, is characterized by involuntary, irregular, stereotyped a hemibody triggered by the contralateral hemisphere hypoperfusion. It is associated with a...INTRODUCTION: Limb shaking, which was described by MillerFisher in 1962, is characterized by involuntary, irregular, stereotyped a hemibody triggered by the contralateral hemisphere hypoperfusion. It is associated with an occlusion or stenosis preoclusive of the extracranial internal carotid artery (ICA) contralateral to the movements, and poor circulation contralateral. This causes ischemia resulting in typical clinical manifestations of stroke and these abnormal movements. OBJECTIVE: To describe a case of limb shaking. MATERIALS AND METHODS: 59 years old man, with cardiovascular risk factors, who go to the Emergency room with symptoms and motor dysphasia and sudden loss of strength in right limbs, with distal brachial predominance. Admitted to Stroke Unit for neurological and hemodynamic monitoring, which coincides with the beginning of the sitting have an episode of these involuntary movements. RESULTS: Diagnostic tests confirm a left frontal cortical ischemic stroke. The EEG shows a normal background bioelectric activity. The angio-MRI and angiography showed a left ICA pseudoocclusion. DISCUSSON: A diagnosis of limb shaking based in the clinical examination and additional tests, which confirm the finding of a left ICA pseudo-occlusion and refractory to antiepileptic treatment. CONCLUSION: The limb shaking is a rare syndrome, which must be recognized and differentiated early from other processes to treat it properly. Treatment is aimed at restoring cerebral blood flow through the ischemic hemisphere revascularization.
Professional nurses are internationally sought after, a fact reinforced under the frames of exchange and cooperation promoted by the European Union. Given the high percentage of mobility shown by health professionals, nu...Professional nurses are internationally sought after, a fact reinforced under the frames of exchange and cooperation promoted by the European Union. Given the high percentage of mobility shown by health professionals, nurses need a thorough preparation to facilitate their integration in the countries where they are likely to develop their professional careers. In order to promote exchange and facilitate discussion between nurses from different European countries, the Health School of the Polytechnic Institute of Portalegre (Portugal), organized on the 2nd and 3rd of September the International Health Sciences Meeting ESS 2015 ("Promoting bonds - A newchallenge for the future ofhealth professions in Europe"). The diverse working conditions that nurses are faced with in different countries highlight the need to foster awareness of the profession at European level, facilitating ties, exchange and scientific platforms to address the current reality of the labor market.
Comas Munar MD, Baños Ros MI, Fernández Morales F
… +2 more, Méndez Prieto ML, Mota Cáceres F
Rev Enferm
· 2015 Nov · PMID 26749754
INTRODUCTION: The problems encountered with medical device increase patient morbidity, affect safety professionals and in crease health spending. The Material Resources Committee a the Hospital Clinic of Barcelona decide...INTRODUCTION: The problems encountered with medical device increase patient morbidity, affect safety professionals and in crease health spending. The Material Resources Committee a the Hospital Clinic of Barcelona decided to understand the im plications associated with these products through a system o incident reporting from October2011 to June2013. METHODOLOGY: A descriptive retrospective study. No probabi listic statements consecutive occurrences sampling. Variable studied: type of material, type and time resolution and degre, of impact. For statistical analysis SPSS version 20 software wa used. RESULTS: 103 incident statements of 68 items, of which 83.8% were medical supplies and 16.2% for non-health were collected. The medical supplies impacted more frequently and severely in patients compared to non-health (p = 0.026). According to the family of the material, the incidents were related: 30.9%, to "infusión"; 17.6 %, to "cover material"; 13.2 %, to "cures" and 11.8 %, to "ventilation". Families of infusion and ventilation items got more serious problems in patients (p = 0.001). Incidences sanitary items were resolved in an average of 18.0 ± 28.0 days and non-health at an average of 8 4 ± 6.6 days (p = 0.03). CONCLUSIONS: The medical equipment is the one with most incidents, severely impacting on patient safety. These incidents ar resolved over a long period of time that could be imoroved.
It described a one lumen central venous catheter peripherally inserted drum system whose insertion into the vein is performed through a plastic splittable cannula by braunula technique. The braunula technique is particul...It described a one lumen central venous catheter peripherally inserted drum system whose insertion into the vein is performed through a plastic splittable cannula by braunula technique. The braunula technique is particularly important in certain urgent or emergency situations, where speed and aseptic conditions of which the procedure is performed represent a further improvement over other insertion techniques. The catheter mantains the advantages, in terms of easy placement, that all devices equipped with a drum system have but at the same time eliminates the complications presented by other similar catheters whose insertion to the venous circulation used to be performed through a needle. These catheters allow quick, simple and safe access to the central venous circulation and reduce risks associated with the procedure, improving patient safety.
Mario F, Prieto, Alexandra G
… +4 more, Romero, Maria, Luz F, Fernandez
Rev Enferm
· 2015 Sep · PMID 26738233
In 1978, a year after the integration of nursing studies at the university, was born the first Spanish journal of nursing: ROL de Enfermería. From then until now, this scientific publication has made history with the nur...In 1978, a year after the integration of nursing studies at the university, was born the first Spanish journal of nursing: ROL de Enfermería. From then until now, this scientific publication has made history with the nursing profession. Through this work we have analyzed, by a bibliographical review, the scientific production of this tour between 1978 and December 2014. The number of published articles has been 4651, of which more than half have tried topics about nursing as a profession and problems of collaboration.
Berlanga Fernández S, Solà Pola MM, Fabrellas-Padrgs N
… +1 more, Berlanga Fernández F
Rev Enferm
· 2015 Sep · PMID 26738232
Primary Health Care sets up an area influenced by the relationship between professionals and users, in which different disciplines, such as nursing, develop their learning procedures both in graduate and postgraduate tra...Primary Health Care sets up an area influenced by the relationship between professionals and users, in which different disciplines, such as nursing, develop their learning procedures both in graduate and postgraduate training. In this context, students are tutored by professionals who have developed teaching skills. Along these lines, this manuscript aims to identifying the different types of nursing students and tutors who develop their teaching skills in Primary Health Centers. To this purpose, we invite the reader to know the historical and current milestones that characterize teaching systems and influence learning profiles of students and teachers.
Cryopreservation ofhuman oocytes to delay fertility also be an option for women who are going to be subjected to a cancer/autoimmune treatment. It allows for creating a bank of oocytes for donation in assisted reproducti...Cryopreservation ofhuman oocytes to delay fertility also be an option for women who are going to be subjected to a cancer/autoimmune treatment. It allows for creating a bank of oocytes for donation in assisted reproduction centers. The legislation allows the use of cryopreserved oocytes throughout the reproductive life of women with what conservation could last up to 48-50 years. Oocyte vitrification is a ultrafast freezing method in which cryoprotectants are used to prevent the formation of ice crystals within the cell. Treatment for oocyte vitrification process is similar to IVF treatment, ending at the time of obtaining the ova. The eggs obtained in the laboratory are classified according to maturity and quality. The apartments will be cryopreserved by vitrification technique tanks and maintained in liquid nitrogen until used for reproductive purposes.
Tizón Bouza E, Couto Caldelas N, Álvarez Díaz M
… +4 more, Marcos Espino MP, Eiroa Mejuto ME, Domínguez Blanco V, Domínguez Soto I
Rev Enferm
· 2015 Sep · PMID 26738230
AIM: By 2013, 35.3 million people are living with HIV in the world. The objective of our study is to evaluate the scientific activity and the production of VIH in Spanish between the years 2008 and 2012. MATERIAL AND MET...AIM: By 2013, 35.3 million people are living with HIV in the world. The objective of our study is to evaluate the scientific activity and the production of VIH in Spanish between the years 2008 and 2012. MATERIAL AND METHODS: Bibliometric, descriptive of cross section study of articles published between 2008 and 2012 into Spanish and Portuguese with about 14 variables. RESULTS: 830 articles have been reviewed (46.9% original articles) 141 journals other than 18 countries. In 61% of cases the main author was a graduate in medicine and 27.7% was a nurse. 38.9% of the articles are based on issues of treatment and tertiary prevention of HIV infection. DISCUSSION: Despite being a problem with high incidence, the Spanish nursing published little about HIV/AIDS infection, unlike the Brazilian companions, who either by rebound or topicality of the theme, see increased their publications and interventions in recent years.
Vaz Rodríguez JA, Díaz Estrella A, González Pérez MA
… +1 more, Romero Moreno FJ
Rev Enferm
· 2015 Sep · PMID 26738229
Enteral nutrition (NE) is a technique of artificial nutrition that enables management by digestive tract of a defined mixture of nutrients and water, by means of probes implanted nasally or by enterostomies (eg: gastrost...Enteral nutrition (NE) is a technique of artificial nutrition that enables management by digestive tract of a defined mixture of nutrients and water, by means of probes implanted nasally or by enterostomies (eg: gastrostomy). Whenever the patient present limitations for voluntary oral ingestion or swallowing of the nutrients, and digestive capacity permitted to absorb nutrients, will draw the administration through a tube. Concern for the nutritional status of the patients is a more present reality among health professionals have demonstrated the direct relationship between malnutrition and morbidity and mortality of hospitalized patients. Enteral nutrition has become a useful procedure for the treatment of these patients, reducing their morbidity and mortality. The NE can be administered by infusion by gravity drip (less clinical use) pump and syringe (bolus), taking into account the speed of it, thus avoiding a large number of complications (usually due to too rapid administrations), so the method employed will be adjusted to the needs of each patient, whereas, the tolerance and its risk of aspiration. In this paper we will focus on the NE by infusion pump administration emphasizing the reduction of complications with this methodology against the administration by bolus (syringe).