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1.
AIDS Behav ; 27(4): 1211-1221, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36125565

RESUMO

The Sexual Compulsivity Scale (SCS) has been translated, adapted and validated in general Spanish population, making its application difficult in certain groups, such as men who have sex with men (MSM). This paper evaluates the psychometric properties of the SCS in a sample of MSM in Spain. The SCS was administered to 881 participants. The factorial structure of the SCS was examined with an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Both EFA and CFA confirmed a two-factor structure: (1) Interference of sexual behavior, and (2) Failure to control sexual impulses. Internal consistency was really good for the scale and also for both factors. The SCS also presented adequate psychometric properties. Thus, it is an appropriate measure for assessing sexual compulsivity in MSM, and a tool to be taken into account in future researches to reduce sexual risk behaviors in the MSM Spanish population.


RESUMEN: La Escala de Compulsividad Sexual (SCS) ha sido traducida, adaptada y validada en población general española, siendo difícil su aplicación en determinados colectivos, como los Hombres que tienen Sexo con Hombres (HSH). Este trabajo evalúa las propiedades psicométricas del SCS en una muestra de 881 HSH de España. La estructura factorial del SCS se examinó con un Análisis Factorial Exploratorio (AFE) y un Análisis Factorial Confirmatorio (AFC). Tanto el AFE como el AFC confirmaron una estructura de dos factores: (1) Interferencia del Comportamiento Sexual y (2) Problemas en el Control de los Impulsos Sexuales. La consistencia interna fue muy buena, tanto para la escala como para los dos factores. El SCS también presentó adecuadas propiedades psicométricas. Por tanto, es una herramienta adecuada para evaluar la compulsividad sexual en HSH, y una escala a tener en cuenta en futuras investigaciones para reducir las conductas sexuales de riesgo de HSH en población española.


Assuntos
Infecções por HIV , Minorias Sexuais e de Gênero , Masculino , Humanos , Homossexualidade Masculina , Psicometria , Comportamento Compulsivo/diagnóstico , Comportamento Compulsivo/epidemiologia , Comportamento Sexual , Reprodutibilidade dos Testes , Inquéritos e Questionários
2.
J Nurs Manag ; 30(7): 2633-2641, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36181258

RESUMO

OBJECTIVE: The objective of this work is to measure the knowledge and attitudes of Catalan nursing students regarding lesbian, gay, bisexual, trans, and intersex (LGBTI) patients, as well as their perception of specific training in this area, according to their internship modalities, sociodemographic circumstances, and academic background during the COVID-19 pandemic. BACKGROUND: During the COVID-19 pandemic, the Spanish Government created the "Health-Aid" internship: A paid alternative to curricular internships. There is extensive evidence that paid work environments perpetuate negative attitudes towards LGBTI patients. METHOD: A cross-sectional survey aimed at Catalan nursing students. The "Attitudes Towards and Knowledge About Lesbian, Gay, Bisexual, Trans and Intersex Patients" questionnaire was adapted. A descriptive study and backward regression models were constructed. RESULTS: Three hundred thirty-seven students, mean age 23.80 years (SD: 5.17) participated; 85% women and 54 (16%) completing the Health Aid internship modality. More than 50% did not attend specific training on the care of the lesbian, gay, bisexual, trans, and intersex population. Differences between internship modalities showed higher values in the curricular internship group: Attitudes (U = 6526.50, p = .031) and training perception (U = 5926.50, p = .008). CONCLUSIONS: Nursing students' attitudes towards lesbian, gay, bisexual, trans, and intersex patients and their perception of specific training on care for this population were negatively influenced by the paid Health Aid internship during the pandemic. IMPLICATIONS FOR NURSING MANAGEMENT: Even under dire circumstances, clinical training must be properly managed to address the specific health needs of vulnerable populations, such as lesbian, gay, bisexual, trans, and intersex patients. Paid internships in emergency scenarios may impede these objectives.


Assuntos
COVID-19 , Minorias Sexuais e de Gênero , Estudantes de Enfermagem , Humanos , Feminino , Adulto Jovem , Adulto , Masculino , Estudos Transversais , COVID-19/epidemiologia , Espanha/epidemiologia , Pandemias
3.
Aten Primaria ; 54(12): 102496, 2022 12.
Artigo em Espanhol | MEDLINE | ID: mdl-36308979

RESUMO

OBJECTIVE: To analyze the implementation of social prescribing guideline in primary care Aragón. DESIGN: Observational, descriptive, cross-sectional study. LOCATION: One hundred twenty-three primary care teams of Aragón. PARTICIPANTS: Social prescribing made with the protocol «Recomendación Activos - AP¼ of electronic health record of primary care Aragón from September 2018 to March 2021. MAIN MEASUREMENTS: The most relevant variables of the protocol were described: age, sex, province, health sector, basic health area, health problem, aspect to be enhanced, asset for health recommended, type of professional, degree of assistance, satisfaction and improvement. RESULTS: The protocol was used 2109 times, 1482 recommendations were made and 428 follow-ups were performed. The use of the protocol increased progressively until March 2020. A total of 1431 people received one recommendation and 51 received more than one recommendation. The average age of the beneficiaries was 67.9years. 74.8% of recommendations were addressed to women. Diagnoses related to social and psychological problems were the most frequently recommended, and the physical sphere was the aspect most promoted. Most social prescribing was linked to physical activity and resources for the promotion of personal autonomy. More than 90% of the people regularly attended the activity, the average satisfaction was 4.8 (0/5) and the degree of improvement 4.3 (0/5). CONCLUSIONS: The implementation of asset for health recommended within the Aragon community care strategy is working, however, some aspects need to be reviewed. It is necessary to continue generating evidence to be able to adapt and make this process more efficient.


Assuntos
Atenção Primária à Saúde , Humanos , Feminino , Idoso , Estudos Transversais , Estudos Observacionais como Assunto
4.
Int J Obes (Lond) ; 45(1): 1-11, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33033393

RESUMO

INTRODUCTION: Large socioeconomic, gender, and ethnic inequalities exist in terms of childhood obesity worldwide. Children from low socioeconomic status families are more likely to have overweight/obesity and related cardiometabolic problems and future cancer risk. A wider concept are social vulnerabilities defined as social or economic characteristics or experiences negatively affecting children through behavioral, biological factors, or mental health. Social vulnerabilities include also therefore low subjective perceptions of social position. OBJECTIVE: This study aims to identify social vulnerabilities and to summarize their impact as obesity development risk factor. Preventive programs implemented targeting these vulnerable groups and their effectiveness are also discussed. METHODS: Literature review based on the experience of the authors social vulnerabilities identified as risk factors for childhood obesity were children whose parents lack of a social network, low support from formal and informal sources, parental unemployment, belonging to a minority group or having migrant background, adverse childhood experiences including household dysfunction, violence and childhood maltreatment and other traumatic experiences, gender inequalities and being part of nontraditional families. RESULTS: The impact of social vulnerabilities on childhood obesity is independent of SES; however, SES exacerbates or buffer the effect social vulnerabilities have on different lifestyles and stress. Behavioral, biological, and mental health mechanisms may explain the association between social vulnerabilities and childhood obesity. CONCLUSIONS: Behaviors such as dietary intake, physical activity, sedentary behaviors, and sleep are negatively affected by the stress and low levels of mental health derived from social vulnerabilities. It seems that high energy intakes rather than low physical activity levels might be the main driving force behind the obesity epidemic in vulnerable groups. Most of the prevention programs identified did not take into account social vulnerabilities and inequalities making them ineffective in most vulnerable groups. Interventions conducted in children from socially vulnerable group suggest modest but promising effects.


Assuntos
Obesidade Infantil/epidemiologia , Obesidade Infantil/prevenção & controle , Adolescente , Criança , Pré-Escolar , Ingestão de Energia , Exercício Físico , Feminino , Humanos , Estilo de Vida , Masculino , Fatores de Risco , Fatores Socioeconômicos
5.
Salud Publica Mex ; 63(2, Mar-Abr): 190-200, 2021 Feb 26.
Artigo em Espanhol | MEDLINE | ID: mdl-33989492

RESUMO

Objetivo. Identificar la existencia de desigualdades de género en utilización de atención primaria (AP), urgencias y consulta de enfermería. Material y métodos. Estudio transversal, con encuestas nacionales y europeas de salud (2006-2017) de población española de 16 o más años (n=98 929 personas). Se estudió la evolución en el tiempo y la influencia de los determinantes de género mediante regresiones logísticas en la utilización de servicios sanitarios. Resultados. La utilización de los tres servicios asistenciales fue mayor en mujeres. Personas pensionistas, aquellas dedi-cadas a labores del hogar, con estudios bajos y clase social manual, tuvieron mayor riesgo de utilización de AP. Urgencias: a mayor edad menor riesgo de utilización. Enfermería: aque-llas dedicadas a las labores del hogar tenían mayor riesgo de utilización. Conclusiones. Son necesarios estudios que analicen las desigualdades de género en contextos como la utilización de servicios sanitarios, así como nuevas estrategias de gestión para conseguir la equidad asistencial.


Assuntos
Utilização de Instalações e Serviços , Serviços de Saúde , Disparidades em Assistência à Saúde , Adolescente , Adulto , Estudos Transversais , Utilização de Instalações e Serviços/estatística & dados numéricos , Feminino , Pesquisas sobre Atenção à Saúde , Serviços de Saúde/estatística & dados numéricos , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Masculino , Fatores Sexuais , Espanha
6.
J Nurs Manag ; 29(1): 32-42, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33065773

RESUMO

AIM: To determine the frequency of and identify risk factors associated with sexual practices leading to hepatitis A infection in the population of men who have sex with men in Spain. BACKGROUND: The increased incidence of hepatitis A as a result of sexual contact among this population is a public health concern and a challenge in controlling sexually transmitted infections. METHODS: This cross-sectional, online survey-based study included 881 men who have sex with men. Unprotected oro-anal and insertive-anal sex are considered to be unsafe sexual practices associated with hepatitis A infection. RESULTS: Of all respondents, 83.4% engaged in insertive-anal sex and 71.3% in unprotected oro-anal sex during the previous 12 months. An association was found with sociodemographic factors [living alone (OR = 2; 95%CI = 1.13-3.35)] and contextual factors of sexual behaviour [previous diagnosis of sexually transmitted infection(s) (OR = 1.74; 95%CI = 1.15-2.61) and participating in 'chemsex' (OR = 5.15; 95%CI = 1.05-25.15)]. CONCLUSION: The frequency of unsafe sexual practices associated with hepatitis A among men who have sex with men in Spain is high. Interventions based on sociodemographic and contextual factors of sexual behaviour should be implemented. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should update and incorporate the support needs of men who have sex with men and take advantage of the opportunity to implement harm reduction strategies.


Assuntos
Hepatite A , Minorias Sexuais e de Gênero , Estudos Transversais , Hepatite A/epidemiologia , Hepatite A/etiologia , Homossexualidade Masculina , Humanos , Masculino , Assunção de Riscos , Comportamento Sexual , Espanha/epidemiologia
7.
BMC Geriatr ; 20(1): 444, 2020 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-33148216

RESUMO

BACKGROUND: The Balance Evaluation Systems Test (BESTest) and its abbreviated version, the Mini-BESTest are clinical examination of balance impairment, but its psychometric properties have not yet been tested in European Spanish. We aimed to assess the psychometric properties of BESTest and Mini-BESTest in Spanish in community-dwelling elderly people. METHODS: We designed a cross-sectional transcultural adaptation and validation study. Convenience sample of thirty (N-30) adults aged 65 to 89 years old without balance problems were recruited. Two physiotherapists assessed participants at the same time. Internal consistency of Spanish BESTest and Mini-BESTest was carried out by obtaining the Cronbach Alpha. The reproducibility between raters was studied with the Intraclass Correlation Coefficient. The Pearson correlation coefficient was calculated by comparing the relationship between the BESTest, mini-BESTest, Berg Balance Scale (BBS) and Falls Efficacy Scale-International (FES-I). RESULTS: BESTest and Mini-BESTest showed good internal consistency. BESTest and Mini-BESTest total scores showed an excellent inter-rater agreement. There was a significant correlation between total score of the BESTest and the Mini-BESTest (r = 0.65; p < 0.001). BESTest had a moderate association with BBS and a strong association with FES-I. Mini-BESTest had a fair correlation with BBS and FES-I. Total scores obtained by women at BESTest and at Mini-BESTest were significantly lower than those reached by men. The differences observed in all the test when disaggregating data by sex require further research. CONCLUSIONS: Spanish versions of BESTest and Mini-BESTest are comprehensible for new raters. They are reliable tools to provide information on which particular balance systems show impairment in community dwelling older adults. Elderly women had a worse quality of balance and a greater perception of their risk of falling. TRIAL REGISTRATION: This study was registered in ClinicalTrials.gov with NCT03403218 on 2018/01/17.


Assuntos
Vida Independente , Equilíbrio Postural , Acidentes por Quedas , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Avaliação da Deficiência , Feminino , Humanos , Masculino , Psicometria , Reprodutibilidade dos Testes
11.
Healthcare (Basel) ; 12(5)2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38470616

RESUMO

This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.

12.
Rev Esc Enferm USP ; 57: e20230088, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38131440

RESUMO

OBJECTIVE: In this study we explore anxiety and fear of COVID-19 in women in the process of pregnancy during lockdown due to the SARS CoV-2 pandemic and their relationship with sociodemographic and clinical factors in a tertiary referral level hospital. METHOD: A descriptive cross-sectional study was carried out in pregnant women at the Lozano Blesa University Clinical Hospital in Zaragoza (Spain), from April 15, 2020 to May 15, 2020. A total of 168 women was recruited when they went to the hospital for a routine blood test for pregnancy. They answered a sociodemographic and clinical data questionnaire, the Spielberg state-trait anxiety questionnaire for anxiety, and a visual analog scale for fear of COVID. RESULTS: Frequency of Trait anxiety was 50.7% (95% CI: 42.7-58.7) and 52.7% (95% CI: 44.7-60.7) for State anxiety. The mean visual analog scale for fear of COVID-19 in relation to pregnancy was 57.2 (95% CI: 52.4-61.8). A positive correlation was found between the scales. Statistically significant differences were found between rural and urban areas. CONCLUSION: The emotional impact of the COVID-19 is high among pregnant women and the levels of anxiety are higher than usual in these groups of women during the pandemic lockdown.


Assuntos
COVID-19 , Gravidez , Feminino , Humanos , Gestantes , Pandemias , Estudos Transversais , Controle de Doenças Transmissíveis , Ansiedade/epidemiologia , Hospitais Universitários , Estresse Psicológico , Depressão
13.
PLoS One ; 18(7): e0288018, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37432914

RESUMO

Men who have sex with men (MSM) experience a high degree of discrimination and marginalization in Senegal. Homophobia is pervasive in Senegalese society at the cultural, religious, and political levels. Its effects are reflected in the disproportionately high levels of depression, anxiety, and substance abuse among men who have sex with men when compared to the general population. Given the widespread stigma and the lack of structural support, healthcare providers play a critical role in reconciling the physical and psychological needs of men who have sex with men. This led to the design of a training program that aimed to improve the capacity of healthcare providers to deliver MSM-competent psychosocial care. The training was delivered virtually to 37 Senegal-based nurses and physicians. The program was quantitatively and qualitatively evaluated using pre- and post-testing. The findings demonstrate a general post-training increase in knowledge acquisition (9. 23%, p-value = 0.0021) and a 6.39% reduction in homophobia, which was statistically significant (p = 0.0376); with male providers outperforming female providers, and physicians outperforming nurses. This demonstrates the effectiveness and applicability of the program to support the psychosocial needs of men who have sex with men, and its capacity for future and broader implementation among healthcare providers.


Assuntos
Reabilitação Psiquiátrica , Minorias Sexuais e de Gênero , Humanos , Feminino , Masculino , Homossexualidade Masculina , Competência Cultural , Senegal
14.
Nurs Open ; 10(3): 1305-1326, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36322639

RESUMO

AIM: To identify, describe and analyse the gender perspective in the use of the diagnoses contained in the NANDA-I taxonomy in observational studies published in the scientific literature. DESIGN AND METHODS: A systematic review has been conducted spanning from 2002 to 2020. The most frequent NANDA-I nursing diagnoses in care plans reported in observational studies, and the defining characteristics and related factors identified for men and women have been described. The Preferred Reporting Items for Systematic Reviews (PRISMA-P) have guided our research. The main findings have been summarized using a descriptive narrative synthesis approach. RESULTS: Forty-one articles were included in our study. With regard to gender analysis, the percentage of men and women that make up the sample were not specified in all articles, and half of the studies did not identify gender either in the diagnosis label or in their defining characteristics or related factors. Based on the reviewed articles, gender perspectives are not systematically incorporated in the use of the NANDA-I diagnosis. Therefore, gender biases in its use in the scientific literature may exist. This situation poses barriers to determine the health responses that are different and unequal between women and men.


Assuntos
Diagnóstico de Enfermagem , Terminologia Padronizada em Enfermagem , Feminino , Humanos , Masculino , Metanálise como Assunto
15.
Gac Sanit ; 36(5): 439-445, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35307248

RESUMO

OBJECTIVE: To know the characteristics of the studies that have paid attention to women who have sex with women (WSW) and to identify possible gaps in the interest of comprehensive sexual health in WSW. METHOD: A scoping review on sexual health on WSW was conducted from 2000 to 2019. Papers with lack of focus on sexual health on WSW were excluded and a web tool was used to guarantee blindness. Information was extracted on the key characteristics of the studies and the quality of the evidence. The sexual health categories were comprehensive sexual health, specification of sexual practices in WSW, and recommendations provided. RESULTS: 39 studies were included, mostly cross-sectional. The gaps identified were the lack of evidence on sexual health, confusion about sexual orientation and sexual practices, lack of specific interest in comprehensive sexual health and the life cycle approach. Recommendations focused on WSW self-care; interventions aimed at clinical practice, research, education and prevention; and contributions of a feminist approach on sexual health of WSW. CONCLUSIONS: There are several gaps about in the knowledge about sexual health among WSW. Self-care improvement and specific strategies addressed to the unique characteristics of these women and their different and specific situation and health determinants are highlighted.


Assuntos
Homossexualidade Feminina , Saúde Sexual , Minorias Sexuais e de Gênero , Infecções Sexualmente Transmissíveis , Estudos Transversais , Feminino , Humanos , Masculino , Comportamento Sexual , Infecções Sexualmente Transmissíveis/prevenção & controle
16.
Gac Sanit ; 36(2): 146-151, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-33131905

RESUMO

OBJECTIVE: To determine the attitudes towards equality and prevention of gender-based violence, and analyze variables associated with a higher awareness of gender-based violence by students of the health sciences and social work degrees. METHOD: A cross-sectional descriptive study was carried out. The sample consisted of 437 students of the health sciences and social work degrees at the University of Zaragoza (Spain) during 2018 and 2019. The variables of the study were: Socio-demographic variables, academic variables, feminism attitudes towards women's movement using Feminism and the women's movement scale (FWMS), attitudes on gender-based violence using the Gender Equality and Prevention of Gender-based Violence Scale (GEPGVS). A correlational study and multiple linear regression were performed, in order to analyze the associated variables. RESULTS: Differences in attitudes towards gender-based violence were observed according to sex, age and attitudes in line with the feminist movement. Regarding the linear regression model, the results showed that the FWMS is a predictor of GEPGVS, as well as sex. CONCLUSIONS: Holding attitudes in line with the feminist movement is a factor that may be promoted in order to increase the awareness of gender-based violence.


Assuntos
Violência de Gênero , Medicina , Estudos Transversais , Feminino , Humanos , Serviço Social , Estudantes
17.
Gac Sanit ; 36(2): 152-155, 2022.
Artigo em Espanhol | MEDLINE | ID: mdl-33934945

RESUMO

OBJECTIVE: There is strong evidence that individuals' feminist orientation is a significant predictor of gender-based violence awareness and capability to intervene. The objective of this study is to validate the Spanish version of the Feminism and the Women's Movement Scale (FWMS) that assesses the feminist orientation. METHOD: A cross-sectional descriptive study was carried out, administering the FWMS to 407 university students of Health Sciences and Social Work. A confirmatory factor analysis was carried out and the adjustment of the model was examined through confirmatory factor analysis, analyzing structural equations. RESULTS: The results revealed Cronbach's alpha=0.869 and KMO=0.923; Bartlett <0.001. The factorial model found a sole factor that merged the 10 items into a latent variable called feminist movement and explained 99.15% of the total variance. The factorial model yielded one factor that explained 99.15% of the variance. The factorial loads of the items exceeded 0.837. CONCLUSIONS: These results confirm the validity of the Spanish version of FWMS questionnaire.


Assuntos
Feminismo , Estudantes , Estudos Transversais , Feminino , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Universidades
18.
PeerJ ; 10: e13041, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35265400

RESUMO

Background: There is insufficient evidence about the impact of health promoting schools on the student's health and academic performance. The aim of this study was to compare the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in health promoting and non-health promoting schools in the Autonomous Community of Aragon. Methods: An observational, descriptive, comparative study of the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in 43 randomly selected health promoting and non-health promoting schools was carried out. We used an adapted tool, which was validated through the expert panel technique, to evaluate the students' life skills (self-efficacy, social skills and affect balance), lifestyle habits (diet, sleep, physical exercise, use of screen and substance abuse) and academic performance. Results: The socioeconomic level of the mothers and fathers of the students who attended non-health promoting schools was significantly higher than that of the parents of the adolescents who attended health promoting schools (p < 0.001). The students who attended non-health promoting schools had better self-efficacy, led a healthier life generally and achieved better academic results (p = 0.03). Conclusions: As opposed to previous studies, which found a positive association between health promoting schools and life skills, lifestyle habits and academic performance, our findings suggest that the impact of these health programs on the students' health and academic performance is limited. We recommend that the degree of implementation of health promotion programs in health promoting schools is systematically evaluated, and the health promoting school accreditation process and requirements reviewed, in order to ensure that the health of school children and adolescents is safeguarded and promoted in the short, medium and long term.


Assuntos
Desempenho Acadêmico , Estilo de Vida , Criança , Adolescente , Humanos , Espanha/epidemiologia , Promoção da Saúde , Hábitos
19.
Artigo em Inglês | MEDLINE | ID: mdl-35410092

RESUMO

The prevalence of pediatric respiratory diseases in Spain is 23%. Inhalation is the preferred route of administration but there are frequent errors in the performance of the inhalation technique leading a poor control of the disease. The aim of this research was to detect errors in the execution of the inhalation technique at a Pediatric Pulmonology Unit in a hospital of Aragón (Spain). In order to improve the administration of inhaled medication, an educational intervention for 1 year by nursing was conducted. This interventional study, including children aged 1 to 15 years with an inhalation therapy and who attended the Pediatric Pulmonology Unit, was conducted between September 2017 and September 2018. Logistic Regression models were conducted in SPSS. This study involved 393 children (61.1% boys). Before the intervention, 39.4% achieved a correct inhalation technique increasing up to 62.1% after the intervention. Those who had their first visit to the Unit, young children and girls had a higher risk of incorrect performance than those with subsequent visits, older children, and boys, respectively. The most common errors in the inhalation technique were not performing adequate apnoea after inhaling and not rinsing the mouth at the end of the procedure. The education given by nurses to pediatric patients improved the inhalation technique, achieving better control of the disease and use of the health system.


Assuntos
Papel do Profissional de Enfermagem , Doença Pulmonar Obstrutiva Crônica , Administração por Inalação , Adolescente , Criança , Pré-Escolar , Escolaridade , Feminino , Humanos , Masculino , Nebulizadores e Vaporizadores , Preparações Farmacêuticas , Doença Pulmonar Obstrutiva Crônica/diagnóstico
20.
PLoS One ; 17(7): e0269644, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35849557

RESUMO

Promoting the adoption of healthy habits represents a great challenge for health and education professionals. In this sense, childhood and adolescence are propitious times for the acquisition and consolidation of behaviors and skills, being that numerous and different determinants act in the genesis of behavior. The purpose of this study was to test the Psychometric properties and cultural adaptation of "LifeConScale" -Life Conditions Scale for Adolescents-. A cross-sectional and multicenter study was carried out in a representative sample of adolescents enrolled in 1st and 2nd year of Compulsory Secondary Education in 18 educational centers in Aragon, during the 2018-2019 school year. Sociodemographic characteristics, life skills, daily habits, and academic performance were analyzed using an adapted questionnaire from different scales and previous studies. For the adaptation of the questionnaire, the expert panel technique was used and for its validation, exploratory factor analysis was carried out and Cronbach's Alpha was applied, assessing the global internal consistency and of each one of the factors. The instrument showed a Kaiser-Meyer-Olkin sample size adequacy of 0.8122. A 6-dimensional model was chosen that explained 75.25% of the variance. The goodness of fit obtained a value of 0.802 in the Nomed Fix Index. The Comparative Fit Index was 0.891. The result of the analysis of variances and covariances carried out according to the Standardized Root Mean Square Residual yielded a value of 0.093 The analysis showed excellent application conditions in the study population and construct validity. This instrument will be useful for the evaluation of educational programs that work to promote health in educational centers, such as Health Promoting Schools.


Assuntos
Promoção da Saúde , Adolescente , Criança , Estudos Transversais , Análise Fatorial , Humanos , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
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