Influence of socio-affective factors on quality of life in women diagnosed with fibromyalgia.

Introduction: Fibromyalgia is a disease that involves chronic pain, with high prevalence in the female population and great impact on the bio-psycho-social sphere of people affected by it. However, few studies have analyzed the possible influence of socio-affective factors on the quality of life of people who suffer from this disease. Objective: The aim of this study was to determine the relationships between the impact of this disease on the lives of people with fibromyalgia and these variables. Specifically, we analyzed the quality of partner relationship, perceived loneliness, life satisfaction, and perceived socio-family situation. Method: A descriptive-correlational cross-sectional design was used. The sample consisted of 69 women diagnosed with fibromyalgia. The participants completed different questionnaires that measured their happiness, satisfaction with life, perceived loneliness, quality of partner relationship, socio-family valuation, and the impact of fibromyalgia. Results: The quality of partner relationship, perceived loneliness and socio-family valuation seem to be good predictors of subjective happiness, life satisfaction, and the impact that fibromyalgia has on people's lives, in the sense that the more positive the valuation of the couple relationship and of the socio-family situation, and the lower the perceived loneliness, people feel happier, more satisfied with their lives and the lower the impact that fibromyalgia has on their lives. Conclusion: The 50% of satisfaction with life can be explained from the scores obtained in perceived loneliness and the quality of partner relationship. In this sense, perceived loneliness was a good predictor of the impact of fibromyalgia on the lives of these patients.

Análisis de la respuesta a la pandemia provocada por la COVID-19 en centros residenciales geriátricos de Andalucía / Analysis of the response to the pandemic caused by COVID-19 in geriatric residential centers in Andalucía

La enfermedad por COVID-19 ha afectado a más de 163 millones de personas alrededor de todo el mundo, azotando con mayor incidencia y gravedad a la población mayor que vivía en residencias para personas mayores. La población mayor ha sido la mayor víctima debido a la edad avanzada, a las enfermedades crónicas y al déficit que presenta su sistema inmunitario, todo esto sumado al riesgo de residir en un centro gerontológico, y supone el 25% del total de decesos por COVID-19 en Andalucía. Objetivo: Conocer los factores que han influido en el ámbito residencial geriátrico para que la situación de pandemia haya tenido efectos más graves sobre los residentes. Metodología: Se ha realizado una investigación cuantitativa, un estudio descriptivo observacional, a través de la realización de cuestionario autoadministrado en 20 residencias de la comunidad autónoma de Andalucía analizando lo sucedido desde el inicio de la emergencia sanitaria hasta el 15 de marzo de 2021. Resultados: Los resultados más destacables mostraron dependencia entre el tipo de aislamiento, los recursos humanos disponibles y el modelo de cuidados utilizado, con la incidencia de la pandemia por COVID 19 y los ingresos hospitalarios de residentes y profesionales. Conclusiones: Se hace visible la necesidad de implementar un modelo de cuidados específico centrado en las necesidades de la persona mayor, contando con los recursos humanos necesarios y con la correcta adecuación del entorno para llevar a cabo, si fuese necesario, distintos tipos de aislamiento (AU)

The COVID-19 disease has affected more than 163 million people around the world, hitting the elderly population that lived in nursing homes with greater incidence and severity. The elderly population has been the greatest victim, due to advanced age, chronic diseases and the deficit of their immune system, added to the risk of residing in a gerontological center, accounting for 25% of all deaths from COVID-19 in Andalusia. Objective: to know the factors that have influenced the geriatric residential environment so that the pandemic situation has had more serious effects on residents. Methodology: A quantitative investigation, descriptive observational study, has been carried out, through the completion of a self-administered questionnaire 20 residences of the autonomous community of Andalusia, analyzing what happened from the beginning of the health emergency until March 15, 2021. Results: The most remarkable results showed Dependence between the type of isolation, the human resources available and the care model used, with the incidence of the COVID 19 pandemic and the hospital admissions of residents and professionals. Conclusions: The need to implement a specific care model focused on the needs of the elderly becomes visible, with the necessary human resources and the correct adaptation of the environment to carry out different types of isolation if necessary (AU)

Breastfeeding at 1, 3 and 6 Months after Birth According to the Mode of Birth: A Correlation Study.

BACKGROUND: Breastfeeding is a determinant of child and maternal health. However, evidence is limited on how mode of birth influences breastfeeding. Research aim: To examine the mode of birth and breastfeeding duration and the type of lactation at one, three and six months after birth in XXX, during 2017. METHODS: Correlation study on breastfeeding duration and type of lactation during the six months after birth, and mode of birth, in a randomised sample. Women ≥18 years of age with term singleton infants, were included. Collected data through interviews and hospital records. Pearson's and Spearman's correlation analyses were conducted. SPSSv21 and α = 0.05 were used. RESULTS: Breastfeeding duration was shorter in women with greater parity (-0.055 **) (p < 0.01) and epidural analgesia (0.057 **) (p < 0.01), and longer in mothers with episiotomy (-0.267 **) (p < 0.01). Episiotomy was associated with breastfeeding at one month (0.112 **) (p < 0.01), and at six months (0.347 *) (p < 0.01). The prevalence of breastfeeding was lower in women who received epidural analgesia at three months (-0.140 **) (p < 0.01) and higher at six months (0.013 **) (p < 0.01). The percentages of breastfeeding at three months were significantly greater in women with no perineal tears (2.1) (p < 0.05). At six months, small rates of breastfeeding were found in women with greater parity (0.051 **) (p < 0.01). No significant association was detected, neither between the type of lactation and the mode of birth, nor between breastfeeding duration and the mode of birth. CONCLUSIONS: Epidural analgesia, episiotomy, perineal tears and parity influence the type of lactation and duration of breastfeeding during the six months after birth. The results suggest no association between the type of lactation and the mode of birth or between breastfeeding duration and the mode of birth.

Newly Qualified Nurses' Perception of Their Competency Achievement on Leaving University: A Qualitative Study.

Background: After implementing the Tuning Educational Structures in Europe Project, numerous efforts have been made to define, establish, and evaluate nursing competences. The European Federation of Nurses Association played a key role in enacting the nursing competences included in Directive 2013/55/EU. Nevertheless, assessing competences remains elusive, and there is little research into nurses' perceptions of the competency training provided by their universities. The purpose of the study was to explore the perceptions and experiences of newly qualified nurses about the competences they acquired during their university education. Methods: A qualitative research study was developed in a Spanish university. Twelve semi-structured interviews with newly qualified nurses were conducted, and two focus groups made up of twelve students were carried out in order to triangulate the results. Participants were recruited through email contact. Interviews focused on clinical training, theoretical content, and the reality of healthcare. Data was analyzed thematically. Results: Two main themes emerged: (1) improving theoretical content and (2) rethinking practical lessons and clinical training. A lack of knowledge about mental health, pharmacology, or critical care has been found; in addition, it was highlighted, among others, the need to improve communication skills in difficult and conflictive situations. Conclusions: Considering the participants' perception of deficiency in some aspects of most of the competences established by the European Federation of Nurses Association, further research has been suggested to include other stakeholders' views.

Is It Possible to Become a Nurse in a Refugee Camp?

The history of the Western Sahara has been marked by several events that have contributed to the protracted refugee situation in which the Sahrawi people have found themselves since 1975: the Spanish colonization and the subsequent decolonization process, the armed struggles between the indigenous population and the states of Morocco and Mauritania to occupy Western Saharan territory, assassinations and repression of the Sahrawi population, and the economic interests of external agents with regards to mineral resources. Twenty-five years ago, in the hostile environment of the Sahrawi refugee camps, a nursing school was founded. Essentially depending on foreign aid, this school has been responsible for training nursing professionals to meet the healthcare needs of the population. The aim of this paper is to provide an approach to the origin and evolution of nursing education for the Sahrawi refugee camps. The Sahrawi are the only refugee camps in the world to host such nursing schools.

Is it possible to become a midwife in a refugee camp?

The historical backdrop of Western Sahara has meant that, for the last 43 years, part of its indigenous population has survived in refugee camps located in the Algerian desert. International aid from abroad has become the main source of sustenance for all people living in this hostile environment. Since the beginning of this type of settlement, the Sahrawi Arab Democratic Republic has been concerned with creating the necessary infrastructures to meet the health needs of the people living in these conditions. As a result, the Ahmed Abdel-Fatah School of Nursing was created in the Sahrawi refugee camps, which began to train midwives to care for women during the stages of pregnancy, childbirth and postpartum in 2002. The aim of this paper is to provide an approach to the origin and evolution of midwifery education for the Sahrawi refugee camps, in the only school of nursing that exists worldwide in a refugee camp.

Quality Assurance in Nursing Education: A Qualitative Study Involving Students and Newly Graduated Nurses.

Background: Assuring quality training for future nursing professionals is essential to preserving population health and socio-economic development. Quality assurance in the European Higher Education Area places students in a leading role to transform and improve higher education programs. Therefore, an innovative way of reviewing strengths and weaknesses of the nursing education program of a Spanish university has been developed. Objectives: The aim of this paper was to explore the perceptions and opinions of nursing students and newly-qualified nurses regarding the contents of the nursing curriculum in order to improve its quality. Methods: Descriptive and exploratory qualitative research was carried out involving 12 newly-qualified nurses and 12 student nurses. Semi-structured interviews and focus groups were performed. Results: Based on the thematic analysis, two themes emerged: improving clinical practices and reviewing the theoretical curriculum. Conclusions: Among the improvements suggested by the participants, the most relevant ones were establishing a clear structure of learning contents in the practicum, and redistributing the European Credit Transfer and Accumulation System ECTS credits in various courses of the study program. However, additional evidence is needed prior to proceeding with any changes.

Incontinencia Urinaria en mujeres de Jaén: Estudio de prevalencia / Urinary incontinence in Jaén woman: Prevalence study

Objetivo: conocer la prevalencia de la incontinencia urinaria (IU) en mujeres de la ciudad de Jaén (España) y su distribución por edad e identificar el tipo de IU que padecen. Metodología: se diseñó un estudio descriptivo y transversal. Participaron 379 mujeres adscritas a los centros de salud de la ciudad de Jaén de entre 30 y 80 años de edad que acuden a consulta de Enfermería. Se estimó la prevalencia y el tipo de IU con el cuestionario de versión española del International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Resultados: la prevalencia encontrada fue del 43,3%. El número de casos con pérdida de orina presenta una pendiente positiva con la edad. Respecto al tipo de incontinencia 12,2% (20) era de urgencias, un 60,4% (99) de esfuerzo, un 17,1% (28) mixta y otras IU un 10,4%. Conclusión principal: la prevalencia de la IU en mujeres de Jaén aumenta con la edad. El tipo de IU más frecuente es la IU de esfuerzo. Las mujeres con IU presentan mayor pérdida de calidad de vida

Objective: knowing the prevalence of urinary incontinence (UI) in women from the city of Jaen (Andalusia, Spain) and its distribution by age, in addition to identify the type of UI they sufferers. Methods: a descriptive cross-sectional study was designed, in which 379 women participated; all they assigned to Health Centers in the city of Jaen, with ages between 30 and 80; who attend nursing consultation. The prevalence and type of UI was estimated with the Spanish version of the questionnaire International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). Results: the prevalence found in the study was 43.3%; the number of cases with loss of urine has a positive slope with age. Regarding the type of incontinence 12.2% (20) was urge incontinence, 60.4% (99) was stress incontinence, 17.1% (28) UI mixed and other 10.4%. Conclusions: the prevalence of UI of women in Jaén increases with age. The most common type of IU is stress. Women with UI have greater loss of quality of life

Relationship between hospitalization and functional and cognitive impairment in hospitalized older adults patients.

OBJECTIVES: To study changes in the cognitive status and dependency of patients aged over 65 years during hospitalization for bone fracture and how these changes relate to the total number of days of admission and absolute rest during hospitalization. Along with cognitive decline, musculoskeletal disorders are considered key factors in this patient population. As well as requiring hospital admission and/or surgical treatment, fractures increase the risk factors that contribute to disability and dependency in older adults. METHOD: A longitudinal case-series study with repeated follow-up assessments was conducted. The sample consisted of 259 older adults. The following tests were administered: Barthel index, Lawton-Brody's scale, Phototest, and informant questionnaire on cognitive decline in the elderly. RESULTS: The main variable which fosters functional dependency, cognitive decline, and functional loss and diminishes functional gain (both in the hospital and at home) is the number of days of bed rest during hospitalization. CONCLUSIONS: The present study reveals that the greater impact on levels of functional dependency and cognitive decline comes from the patient's days of bed rest in hospital, rather than the total days of hospitalization. These findings could be taken into consideration when discussing post-discharge functional recovery.

La mejora de la salud de la población saharaui a través de la innovación docente en educación: un proyecto de formación en cascada / The improvement of saharan population health through the educational innovation: a cascade training project

La educación es un pilar básico en la población Saharaui. Sin embargo, la población refugiada tiene un difícil acceso a la misma, sobre todo a la educación secundaria, superior o especializada en competencias profesionales. En los Campamentos de Refugiados Saharauis se ha realizado un importante esfuerzo desde el Ministerio de Educación, apoyado por diferentes OG/ONG, para paliar esta situación y ofrecer nuevas oportunidades. No obstante, en las profesiones sanitarias se ha visto como la fuga de cerebros ha dado lugar a que muchos de los profesionales formados no regresen. Ante esto, el Ministerio de Salud busca nuevas fórmulas de formación de estos profesionales y de incentivación de los mismos. La Facultad de Ciencias de la Salud de la Universidad de Jaén participa en un sistema de formación continuada en cascada que cumple el objetivo de incentivar a los profesionales de nivel superior y a la vez formar a promotoras de salud

Education is a basic pillar in the Saharan population. However, the refugee population doesn’t have an easy access to this education, especially to secondary, postsecondary or specialized in professionals competences. An important effort has been done by the Education Ministry in Saharan Refugee Camps, supported by several GO/NGO, to relieve this situation and to offer news opportunities. All the same, in medical professions is common to see that those professionals who have be informed in other countries don’t return to their origin place. In light of that, the Health Ministry looks for new ways of professional training and motivation. The Faculty of Health Sciences of the University of Jaén takes part in a cascade training method to incentive the higher level professionals and, at the same time, to train health promoters

Impact of admissions for bone fractures on the dependency ratio of adults over 65 years of age in Southern Spain.

Hospital admission for acute illness, as in the case of bone fractures, means for some elderly people a loss of autonomy, not always associated with the illness causing hospitalization. The factors and/or modulators contributing to this situation have not been sufficiently studied. The aim of this study was to describe the characteristics of hospitalized elderly patients diagnosed with bone fractures, after surgery is carried out, and to establish the associated variables to their cognitive and functional dependency at discharge. The outcomes show that functional deterioration significantly correlates (positively) to anxiety self-control at discharge and knowledge about the therapy at discharge and inversely (negatively), to the patient's age, polypharmacy, and length of inpatient stay until surgery. From our outcomes we conclude the need to design and apply actions leading toward a reduction of the pre-surgery inpatient stay, immediate mobilization programs as well as training and information about therapeutic procedures.