Desigualdades de género, edad y situación sociolaboral. Programa de actividad fisica Activa-Murcia / Gender, Age and Socio-Occupational Inequalities. Activa-Murcia Physical Activity Program

El objetivo de este estudio fue describir las características diferenciales por sexo y edad en un Programa de actividad física (ACTIVA-Murcia) desde una perspectiva de género. Se realizó un estudio descriptivo mediante análisis secundario en 411 participantes de dos centros de salud de Murcia. El 62,3% fueron mujeres y el 71,8% tenían entre 45 y 64 años. Entre los hombres, el 57,8% estaban laboralmente activos y tenían una actividad física cuya mediana fue de 1.939,5 METs/semanales. Entre las mujeres, el 37,4% estaban activas laboralmente y realizaban una mediana de 1.386,0 METs/semanales. El motivo de ausencia a alguna sesión por enfermedad fue del 53,4% para las mujeres y el 30,4% para los hombres. Los profesionales deben considerar estas diferencias en la promoción de actividad física

The objective of this study was to describe the differential characteristics by sex and age in a physical activity Program (ACTIVA-Murcia) from a gender perspective. A descriptive study by secondary analysis was conducted on 411 participants from two municipality health centers in Murcia. 62.3% were women and 71.8% were between 45 and 64 years of age. Among men, 57.8% were working and they had a median physical activity of 1,939.5 METs/week. Among women, 37.4% were active in work, performing a median of 1,386.0 METs/week. The most declared reason of absence from any session was illness, as stated by 53.4% of women and 30.4% of men. Professionals should consider these differences in the promotion of physical activity

Estudio descriptivo sobre resultados de salud de pacientes oncohematológicos e intervenciones enfermeras / Descriptive study of nursing-sensitive outcomes in oncohematological patients and nursing interventions

Objetivo. Conocer el estado de los principales resultados de salud de los pacientes oncohematológicos durante su ingreso y evaluar algunas de sus intervenciones enfermeras. Material y métodos. Estudio prospectivo observacional realizado en las unidades de oncohematología del Hospital Morales Meseguer, con pacientes que precisaron ingreso entre marzo de 2006 y junio de 2007. Resultados. Se estudiaron a 56 pacientes. El 69,6% (39 pacientes) presentaba algún nivel de mucositis, apareciendo valoraciones enfermeras objetivas en el 10,7% (6). El 92,9% (52) de los pacientes estaba bajo tratamiento antiemético, pero en el 48,2% (27) no se recoge ningún tipo de registro de valoración enfermera del síntoma. Se realizó interconsulta a la Unidad de Nutrición para 10 pacientes (17,9%). Los niveles de ansiedad y el impacto psicosocial descienden a lo largo de la estancia hospitalaria, sin embargo, aumenta la satisfacción y los familiares presentan mayor sobrecarga. Apareció una úlcera por presión (UPP). Hubo un 8,2% (4) de colonizaciones de catéter y se produjeron 5 bacteriemias relacionadas con catéter (BRC); las obstrucciones de éstos se produjeron en el 39,3% (22). Conclusiones. La incidencia de aparición de mucositis, UPP y BRC es menor que en otros estudios. El proceso de valoración del dolor y de las náuseas y vómitos no está normalizado. La ansiedad muestra unos niveles inferiores a otros estudios. Su mejoría, al igual que en el ajuste psicosocial, apunta a un proceso de adaptación a la enfermedad. El aumento de la sobrecarga del cuidador se relaciona con el largo proceso. Su satisfacción frente a los cuidados enfermeros ha alcanzado 55 puntos de la escala, cuyo nivel máximo es de 70(AU)

Objective.To assess the main nursing-sensitive outcomes in oncohematological patients admitted to hospital and to evaluate nursing interventions. Material and methods. We performed a prospective, observational study in the oncohematological units of the Morales Meseguer Hospital. The sample included patients admitted from March 2006 to June 2007. Results. A total of 56 patients were studied. Of these, 39 patients (69.6%) had some degree of mucositis but only six patients (10.7%) were assessed objectively by nurses. Fifty-two patients (92.9%) received anti-emetic treatment, but there were no reports of nausea or vomiting in 27 (48.2%). Ten patients (17.9%) were referred to the nutritional unit. Anxiety levels and psychosocial impact decreased during hospital admission and patient satisfaction increased but family members experienced greater stress. Pressure ulcer developed in only one patient. Four catheters (8.2%) became infected and there were five cases of catheter-related bacteremia. There were 22 cases of catheter obstruction (39.9%). Conclusions. The incidence of mucositis, pressure ulcer and catheter-related bacteremia was lower than in other studies. There was no standard assessment of pain, nausea or vomiting. Anxiety levels were lower than in other studies. Improvement and psychosocial adjustment suggested a process of adaptation to the disease. The increase in caregiver burden was related to the disease in the long term. Satisfaction with nursing care was 55 points on a 70-point scale(AU)

[Descriptive study of nursing-sensitive outcomes in oncohematological patients and nursing interventions]. / Estudio descriptivo sobre resultados de salud de pacientes oncohematológicos e intervenciones enfermeras.

OBJECTIVE: To assess the main nursing-sensitive outcomes in oncohematological patients admitted to hospital and to evaluate nursing interventions. MATERIAL AND METHODS: We performed a prospective, observational study in the oncohematological units of the Morales Meseguer Hospital. The sample included patients admitted from March 2006 to June 2007. RESULTS: A total of 56 patients were studied. Of these, 39 patients (69.6%) had some degree of mucositis but only six patients (10.7%) were assessed objectively by nurses. Fifty-two patients (92.9%) received anti-emetic treatment, but there were no reports of nausea or vomiting in 27 (48.2%). Ten patients (17.9%) were referred to the nutritional unit. Anxiety levels and psychosocial impact decreased during hospital admission and patient satisfaction increased but family members experienced greater stress. Pressure ulcer developed in only one patient. Four catheters (8.2%) became infected and there were five cases of catheter-related bacteremia. There were 22 cases of catheter obstruction (39.9%). CONCLUSIONS: The incidence of mucositis, pressure ulcer and catheter-related bacteremia was lower than in other studies. There was no standard assessment of pain, nausea or vomiting. Anxiety levels were lower than in other studies. Improvement and psychosocial adjustment suggested a process of adaptation to the disease. The increase in caregiver burden was related to the disease in the long term. Satisfaction with nursing care was 55 points on a 70-point scale.