Physicians' experiences of providing emergency care to undocumented migrants arriving in Spain by small boats.

INTRODUCTION: Access to emergency care for undocumented migrants (UMs) is a public health problem. Spain receives thousands of UMs who arrive by sea. A multidisciplinary team of the Spanish Red Cross, made up of physicians, nurses, police, and cultural mediators, developed emergency care for UMs. AIM: The aim of our study is to describe and understand the experiences of physicians in emergency care for UMs who arrive in Spain by small boats METHODS: Qualitative study, based on Gadamer's phenomenology. Convenience and purposive sampling was carried out and included sixteen in-depth interviews with physicians, between June 2019 and March 2020 in Spain. RESULTS: Three main themes emerged: 1) Rediscovering humanistic medicine; 2) Leaving the personal and professional comfort zone; 3) Improving medical emergency care. CONCLUSIONS: Triage, pharmacological prescription, and the closure of the emergency care process are the key contributions of medical care. Cultural, language and security barriers make emergency care difficult.

Social Support in Patients With Sexual Dysfunction After Non-Nerve-Sparing Radical Prostatectomy: A Qualitative Study.

This study aimed to explore men's experiences of social support after non-nerve-sparing radical prostatectomy. A qualitative study based on Gadamer's hermeneutic phenomenology was designed. In-depth interviews were conducted with 16 men who had undergone a non-nerve-sparing radical prostatectomy. Data analysis was performed using ATLAS.ti software. From this analysis, two main themes emerged: "The partner as a source of support and conflict after a prostatectomy," which includes empathetic reconnection with the partner and changes in sexual and cohabitation patterns and "The importance of social and professional circles," which addresses the shortcomings of the healthcare system in terms of sexual information and counseling as well as the role of friends within social support. The study suggests the need to establish interventions that address interpersonal communication and attention to social and informational support and include both the patient and those closest to them.

Emergency Care for Women Irregular Migrants Who Arrive in Spain by Small Boat: A Qualitative Study.

BACKGROUND: this study aimed to describe and understand the experiences and health needs of women irregular migrants during emergency care provision upon arrival in Spain by small boat. METHODS: a qualitative study based on Gadamer's phenomenology was used. The data collection included 13 in-depth interviews with women irregular migrants and 10 in-depth interviews with key informants. The study took place in the Spanish Red Cross' facilities between February 2017 and April 2018. RESULTS: two main themes emerged from the data analysis: the need for emergency care focused on women irregular migrants with the sub-themes 'Women irregular migrants as objects of sexual exploitation' and 'The mother-child dyad as the axis in human trafficking'; and developing an emergency care gender policy for women irregular migrants, with the subthemes 'Healthcare in a police-controlled setting: detecting weaknesses' and 'Promoting screening and safety protocols focused on women irregular migrants'. CONCLUSIONS: women irregular migrants who arrive in Spain by small boat have specific needs and healthcare problems. Due to strict safety conditions during emergency care provision, rape and human trafficking can go unnoticed. IMPLICATIONS: interdisciplinary care protocols and new health policies that have a gender perspective are needed to improve the emergency care provided to women irregular migrants.

Experiences of Mothers of Extremely Preterm Infants after Hospital Discharge.

PURPOSE: The purpose of this study was to describe and understand the experiences of mothers of extremely preterm infants during the first twelve months at home following discharge from a neonatal intensive care unit. DESIGN AND METHODS: A qualitative, interpretative approach using Gadamer's philosophical hermeneutics was carried out. One focus group and fifteen in-depth, semi-structured interviews were conducted twelve months after hospital discharge. Responses were recorded, transcribed and analyzed using computer-assisted qualitative data analysis. RESULTS: The study´s participants were twenty women. The following themes emerged from the data analysis: 1) 'The journey home: the discharge process', which included the sub-themes 'escaping the hospital environment: between desire and fear' and 'preparing parents for hospital discharge: practice and formal support'; and 2) 'The difficulty of living with an extremely preterm infant', including the sub-themes 'the challenge of an unexpected form of childcare', 'overprotection of and bond with a child with special needs' and 'disturbance in the social/familiar setting: when a mother becomes a nurse'. CONCLUSIONS: The process of hospital discharge and the first months at home are difficult. The birth and care of an extremely preterm infant affect the mothers' quality of life as well as their family and social life. Practice and early discharge programmes can make the discharge process easier. PRACTICE IMPLICATIONS: The knowledge and understanding of the experience of mothers of extremely preterm infants in the first months at home after hospital discharge could help healthcare professionals to develop educational strategies and counselling interventions in accordance with the mothers' needs.

[Cultural differences in the food preferences of school population]. / Diferencias culturales en las preferencias alimentarias de la población escolar.

OBJECTIVE: The combination of cultures can affect the feeding of the native population and immigrant, influencing the school population. The objective of this study was to analyze the habits and eating habits of schoolchildren and the relationships with their cultural environment. METHODS: A cross-sectional descriptive study of a representative sample of 325 parents and students of primary school of an Almeria population was conducted. For the analysis of the qualitative variables Chi square was applied and for the quantitative ones, U of Mann-Whitney and Kruskal-Wallis was applied. RESULTS: The results showed a higher preference for vegetables in girls (42.22%) than in boys (30.34%). In schoolchildren who did not go to the school canteen, vegetable consumption was higher (pieces of vegetable Me=2,15), preference for dairy products 94.4% and fish 89.8%. Although 45.6% of children, whose parents came from North Africa, reported not having tasted pork, 29.4% were satisfied with this type of food. We observed a higher consumption of fruits and vegetables in children whose parents came from North Africa (pieces of fruit Me=3,42 and pieces of vegetable Me=2,38, respectively). CONCLUSIONS: Through this study we observed a higher consumption of vegetables and higher preferences for dairy and fish in schoolchildren who did not go to the school canteen. Likewise, it was possible to observe an incipient change in the food patterns of the population from North Africa influenced by culture of the native population, referring to the consumption of pork. In general, the results showed a greater variety of consumption, in the children of foreign parents.

OBJETIVO: La combinación de culturas puede afectar a la alimentación de la población autóctona e inmigrante, influenciando a la población escolar. El objetivo de este estudio fue analizar los hábitos y costumbres alimentarias de escolares y las relaciones con su entorno cultural. METODOS: Se realizó un estudio transversal descriptivo de una muestra representativa de 325 padres y alumnos de educación primaria de una población almeriense. Para el análisis de las variables cualitativas se aplicó Chi Cuadrado y para las cuantitativas, se aplicó U de Mann-Withney y Kruskal-Wallis. RESULTADOS: Los resultados mostraron mayor preferencia por verduras en niñas (42,22%) que en niños (30,34%). En escolares que no acudían al comedor, el consumo de verdura fue mayor (piezas de verdura Me=2,15), así como la preferencia por lácteos (94,4%) y pescado (89,8%). Aunque un 45,6% de hijos de padres norteafricanos refirieron no haber probado la carne de cerdo, el 29,4% mostraron agrado por este tipo de alimento. Observamos un mayor consumo de frutas y verduras en niños y niñas cuyos padres procedían del Norte de África (piezas de fruta Me=3,42 y piezas de verdura Me=2,38). CONCLUSIONES: A través de este estudio se observa un mayor consumo de verduras y mayores preferencias por lácteos y pescado en escolares que no acudían al comedor. Así mismo, se observa un incipiente cambio en los patrones alimentarios de la población procedente del Norte de África influenciados por la cultura de la población autóctona, en referencia al consumo de carne de cerdo. En general, los resultados muestran mayor variedad de consumo, en los hijos de padres extranjeros.

Sexualidade durante todas as fases da gravidez: experiências de gestantes / Sexualidad durante todas las fases del embarazo: experiencia de gestantes / Sexuality throughout all the stages of pregnancy: Experiences of expectant mothers

Resumo Objetivo Explorar e compreender as experiências sexuais de gestantes durante a gravidez. Métodos O estudo foi realizado em dois centros de saúde no Distrito Sanitário de Almería, sul da Espanha. Os participantes incluíram gestantes que receberam atendimento pré-natal e/ou educação para maternidade. Os critérios de inclusão foram estar grávida, manter atividade sexual e concordar em participar do estudo. Os critérios de exclusão foram ter limitações na atividade sexual por prescrição médica. A amostra foi composta por 15 gestantes selecionadas por meio de amostra de conveniência, das quais cinco participaram de grupo focal (GF) e 10 de entrevistas em profundidade (EP). Os dados foram coletados entre os meses de junho e dezembro de 2016. Os participantes foram contatados pelo pesquisador principal e foi realizada uma consulta para conduzir o GF ou EP. Resultados Três categorias principais emergiram: Falsas crenças e uma abordagem holística da sexualidade durante a gravidez, que está relacionada ao conceito de sexualidade, falsas crenças e aconselhamento sexual limitado durante a gravidez. Limitações: Do medo no início à dificuldade física no final, referindo-se às flutuações no desejo sexual, bem como às mudanças físicas que limitam a atividade sexual. Adaptação às mudanças: práticas seguras e satisfação com a imagem corporal, que engloba preocupações com os riscos e a relação entre imagem corporal e autoestima. Conclusão A falta de aconselhamento sexual durante a gravidez leva à criação de falsas crenças, que, juntamente com mudanças físicas, preocupações com o risco e flutuações no desejo e interesse sexual, provocam uma diminuição na atividade sexual. Mas a sexualidade permanece um aspecto importante da gravidez, em relação ao qual os participantes devem adotar uma abordagem mais ampla e não limitada ao ato sexual, além de adotar práticas adaptadas às mudanças físicas e emocionais que ocorrem durante esse período.

Resumen Objetivo Explorar y comprender las experiencias sexuales de gestantes durante el embarazo. Métodos Estudio realizado en dos centros de salud del Distrito Sanitario de Almería, Sur de España. Dentro de los participantes se incluyó a gestantes que recibieron atención prenatal y/o educación para la maternidad. Los criterios de inclusión fueron: estar embarazada, mantener actividad sexual y aceptar participar del estudio. Los criterios de exclusión fueron tener limitaciones de actividad sexual por prescripción médica. Muestra compuesta por 15 embarazadas seleccionadas mediante muestra de conveniencia, cinco de las cuales participaron del grupo focal (GF) y 10 de entrevistas en profundidad (EP). Datos recolectados entre junio y diciembre de 2016. Las participantes fueron contactadas por el investigador principal, realizando una consulta para incluirlas en el GF o en el EP. Resultados Surgieron tres categorías principales: Falsas creencias y un abordaje holístico de la sexualidad durante el embarazo, relacionada al concepto de sexualidad; falsas creencias y asesoramiento sexual limitado durante el embarazo. Limitaciones: Del miedo inicial a la dificultad física al final, refiriéndose a las fluctuaciones en el deseo sexual, así como a los cambios físicos limitantes de la actividad sexual. Adaptación a los cambios: prácticas seguras y satisfacción con la imagen corporal, que incluye preocupaciones con los riesgos y la relación entre imagen corporal y autoestima. Conclusión La falta de asesoramiento sexual durante el embarazo lleva a crear falsas creencias, que, conjuntamente con los cambios físicos, preocupaciones por riesgos y fluctuaciones del deseo e interés sexual, provocan una disminución de la actividad sexual. Pero la sexualidad continúa siendo un aspecto importante del embarazo, respecto del cual los participantes deben adoptar un abordaje más amplio y no limitado al acto sexual, además de adoptar prácticas adecuadas a los cambios físicos y emocionales típicos del período.

Abstract Objective To explore and understand the sexual experiences of expectant mothers during their pregnancy. Methods The study was carried out in two healthcare centers in the Almería Health District, in southern Spain. The participants included pregnant women who received prenatal care and/or maternity education. The inclusion criteria were being pregnant, maintaining sexual activity and agreeing to participate in the study. The exclusion criteria were having limitations on sexual activity by medical prescription. The sample consisted of 15 expectant women selected using a convenience sample, of which 5 took part in a focus group (FG) and 10 in in-depth interviews (IDI). Data was collected between the months of June and December 2016. Participants were contacted by the main researcher and an appointment was made to carry out the FGs or the IDIs. Results Three main categories emerged: False beliefs and a holistic approach to sexuality during pregnancy, which is related to the concept of sexuality, false beliefs, and limited sexual counseling during pregnancy. Limitations: From fear at the beginning to physical difficulty at the end, referring to the fluctuations in sexual desire as well as the physical changes that limit sexual activity. Adapting to changes: safe practices and satisfaction with one's body image, which encompasses concerns about the risks and the relationship between body image and self-esteem. Conclusion A lack of sexual counseling during pregnancy leads to the creation of false beliefs, which, together with physical changes, concerns about the risk, and fluctuations in sexual desire and interest, bring about a decrease in sexual activity. But sexuality remains an important aspect of pregnancy, toward which the participants must adopt a broader approach, not limited to intercourse, and adopt sexual practices that are adapted to the physical and emotional changes that happen during this time.

Bonding in neonatal intensive care units: Experiences of extremely preterm infants' mothers.

BACKGROUND: The birth of an extremely preterm infant can disrupt normal mother-infant physical contact and the care provided by the mother. This situation has an impact on the process of bonding between the mother and the child. AIM: The objective of this study was to describe and understand the experiences of mothers who have extremely preterm infants admitted in Neonatal Intensive Care Units with regard to their bonding process. METHODS: An interpretive, qualitative research methodology using Gadamer's philosophical hermeneutics was carried out. A focus group and eleven in-depth, semi-structured interviews were conducted. Data were collected between June and September of 2016. FINDINGS: Sixteen women with a mean age of 34.4 years participated in the study. Two themes emerged from the data analysis: (1) premature labour and technological environment, a distorted motherhood, with the subthemes 'feeling of emptiness and emotional crisis' and 'the complexity of the environment and care generate an emotional swing'; (2) learning to be the mother of an extremely preterm infant, with the subthemes "the difficulty of relating to a stranger" and 'forming the bond in spite of difficulties'. CONCLUSIONS: The bonding with extremely preterm infants is interrupted after giving birth. The maternal emotional state and the environment of the neonatal intensive care unit limit its development. Nursing care can facilitate mother-infant bonding by encouraging communication, participation in care, massaging or breastfeeding.

Diferencias culturales en las preferencias alimentarias de la población escolar / Cultural differences in the food preferences of school population

Fundamentos: La combinación de culturas puede afectar a la alimentación de la población autóctona e inmigrante, influenciando a la población escolar. El objetivo de este estudio fue analizar los hábitos y costumbres alimentarias de escolares y las relaciones con su entorno cultural. Métodos: Se realizó un estudio transversal descriptivo de una muestra representativa de 325 padres y alumnos de educación primaria de una población almeriense. Para el análisis de las variables cualitativas se aplicó Chi Cuadrado y para las cuantitativas, se aplicó U de Mann-Withney y Kruskal-Wallis. Resultados: Los resultados mostraron una mayor preferencia por verduras en niñas (42,22%) que en niños (30,34%). En escolares que no acudían al comedor, el consumo de verdura fue mayor (piezas de verdura Me=2,15), así como la preferencia por lácteos (94,4%) y pescado (89,8%). Aunque un 45,6% de hijos de padres norteafricanos refirieron no haber probado la carne de cerdo, el 29,4% mostraron agrado por este tipo de alimento. Observamos un mayor consumo de frutas y verduras en niños y niñas cuyos padres procedían del Norte de África (piezas de fruta Me=3,42 y piezas de verdura Me=2,38). Conclusiones: A través de este estudio se observa un mayor consumo de verduras y mayores preferencias por lácteos y pescado en escolares que no acudían al comedor. Así mismo, se observa un incipiente cambio en los patrones alimentarios de la población procedente del Norte de África influenciados por la cultura de la población autóctona, en referencia al consumo de carne de cerdo. En general, los resultados muestran mayor variedad de consumo, en los hijos de padres extranjeros

Background: The combination of cultures can affect the feeding of the native population and immigrant, influencing the school population. The objective of this study was to analyze the habits and eating habits of schoolchildren and the relationships with their cultural environment. Methods: A cross-sectional descriptive study of a representative sample of 325 parents and students of primary school of an Almeria population was conducted. For the analysis of the qualitative variables Chi square was applied and for the quantitative ones, U of Mann-Whitney and Kruskal-Wallis was applied. Results: The results showed a higher preference for vegetables in girls (42.22%) than in boys (30.34%). In schoolchildren who did not go to the school canteen, vegetable consumption was higher (pieces of vegetable Me=2,15), preference for dairy products 94.4% and fish 89.8%. Although 45.6% of children, whose parents came from North Africa, reported not having tasted pork, 29.4% were satisfied with this type of food. We observed a higher consumption of fruits and vegetables in children whose parents came from North Africa (pieces of fruit Me=3,42 and pieces of vegetable Me=2,38, respectively). Conclusions: Through this study we observed a higher consumption of vegetables and higher preferences for dairy and fish in schoolchildren who did not go to the school canteen. Likewise, it was possible to observe an incipient change in the food patterns of the population from North Africa influenced by culture of the native population, referring to the consumption of pork. In general, the results showed a greater variety of consumption, in the children of foreign parents

Attitudes and Beliefs of Nursing Students Toward Mental Disorder: The Significance of Direct Experience With Patients.

PURPOSE: The objective of this study was to analyze nursing students' beliefs and attitudes toward mental disorder before and after clinical placements. DESIGN AND METHODS: A cross-sectional design was chosen. One hundred ninety-four first- and third-year students in a three-year nursing degree course completed the Attribution Questionnaire AQ-27 regarding Mental Health, the Questionnaire of Beliefs, and a Socio-Demographic Questionnaire. FINDINGS: Significant differences were found between students who had experienced mental illness and those who had not. Differences were also found between students with friends who suffered from mental health problems and those who did not. PRACTICE IMPLICATIONS: These results emphasize the need for nursing students to have direct interaction with people with a mental illness.

Efectos de un programa de ejercicio físico y relajación en el medio acuático en pacientes con espondiloartritis: ensayo clínico aleatorizado / Effects of an exercise and relaxation aquatic program in patients with spondyloarthritis: A randomized trial

Fundamento y objetivo: La espondiloartritis hace referencia a un conjunto de enfermedades reumáticas crónicas que comparten diversas características clínicas, genéticas, radiológicas y epidemiológicas. La presentación clínica de las espondiloartritis se caracteriza por compromiso del esqueleto axial y articular periférico. El objetivo de este estudio fue evaluar la eficacia de un programa de entrenamiento físico más relajación en el medio acuático en personas con espondiloartritis. Pacientes y método: Estudio clínico aleatorizado de simple ciego en el que 30 personas con espondiloartritis fueron asignadas al azar a un grupo experimental o control. Durante 2 meses al grupo experimental se le aplicó un programa de entrenamiento físico en el medio acuático más relajación (3 sesiones por semana), y al grupo control se le realizaron las evaluaciones los mismos días que al experimental sin que participaran en ningún programa de ejercicio físico supervisado. Los datos obtenidos al inicio del estudio e inmediatamente después de la aplicación de la última sesión fueron: Bath Ankylosing Spondylitis Functional Index («Índice de funcionalidad para las espondiloartritis»), Bath Ankylosing Spondylitis Disease Activity Index («Índice de actividad de la enfermedad del grupo de Bath»), Cuestionario de Salud SF-12 y pulsómetro Sigma PC3® (Sigma-Elektro GmbH, Neustadt, Aemania). Resultados: La prueba U de Mann-Whitney mostró diferencias estadísticamente significativas para la calidad de vida (función física [p = 0,05]), Bath Ankylosing Spondylitis Functional Index (p = 0,015), Bath Ankylosing Spondylitis Disease Activity Index (fatiga [p = 0,032], dolor de cuello, espalda y caderas [p = 0,045], dolor o inflamación en otras articulaciones [p = 0,032] y rigidez matutina la despertar [p = 0,019]). Conclusiones: Los resultados del presente estudio muestran que los tratamientos de ejercicio físico unidos a la relajación aportan beneficios a los pacientes con espondiloartritis y son recomendables como parte del tratamiento de la enfermedad (AU)

Background and objective: Spondyloarthritis is a general term referring to a group of chronic rheumatic illnesses that share clinical, genetic, radiological and epidemiological features. The clinical presentation of spondyloarthritis is characterized by the compromise of both the axial and peripheral articular skeleton. We aimed to evaluate the efficacy of an aquatic exercise plus relaxation program in patients with spondyloarthritis. Patients and method: This was a randomized single blind study including 30 patients with spondylitis who were randomly assigned to an experimental or control group. For 2 months, the experimental group underwent an aquatic fitness plus relaxation program (3 sessions per week). Evaluations were also performed in the control group the same days as the experimental group but they did not participate in any supervised exercise program. The following data were obtained at baseline and immediately after application of the last session: Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index, Health Questionnaire SF-12 and Sigma PC3® (Sigma-Elektro GmbH, Neustadt, Germany) Heart Rate Monitor. Results: The Mann-Whitney test showed statistically significant differences in the quality of life (physical function [P = .05]), Bath Ankylosing Spondylitis Functional Index (P = .015), Bath Ankylosing Spondylitis Disease Activity Index (fatigue [P = .032], neck pain, back and hips [P = .045], pain or swelling in other joints [P = .032] and in waking morning stiffness [P = .019]). Conclusions: The results of the present study suggest that therapy with physical exercise plus relaxation provides benefits to spondyloarthritis patients and these are advised as a part of their usual treatment (AU)

[Effects of an exercise and relaxation aquatic program in patients with spondyloarthritis: A randomized trial]. / Efectos de un programa de ejercicio físico y relajación en el medio acuático en pacientes con espondiloartritis: ensayo clínico aleatorizado.

BACKGROUND AND OBJECTIVE: Spondyloarthritis is a general term referring to a group of chronic rheumatic illnesses that share clinical, genetic, radiological and epidemiological features. The clinical presentation of spondyloarthritis is characterized by the compromise of both the axial and peripheral articular skeleton. We aimed to evaluate the efficacy of an aquatic exercise plus relaxation program in patients with spondyloarthritis. PATIENTS AND METHOD: This was a randomized single blind study including 30 patients with spondylitis who were randomly assigned to an experimental or control group. For 2 months, the experimental group underwent an aquatic fitness plus relaxation program (3 sessions per week). Evaluations were also performed in the control group the same days as the experimental group but they did not participate in any supervised exercise program. The following data were obtained at baseline and immediately after application of the last session: Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index, Health Questionnaire SF-12 and Sigma PC3(®) (Sigma-Elektro GmbH, Neustadt, Germany) Heart Rate Monitor. RESULTS: The Mann-Whitney test showed statistically significant differences in the quality of life (physical function [P=.05]), Bath Ankylosing Spondylitis Functional Index (P=.015), Bath Ankylosing Spondylitis Disease Activity Index (fatigue [P=.032], neck pain, back and hips [P=.045], pain or swelling in other joints [P=.032] and in waking morning stiffness [P=.019]). CONCLUSIONS: The results of the present study suggest that therapy with physical exercise plus relaxation provides benefits to spondyloarthritis patients and these are advised as a part of their usual treatment.

Comparación entre biodanza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pacientes con fibromialgia / Comparison between aquatic-biodanza and stretching for improving quality of life and pain in pations with fibromyalgia

Objetivo: Comparar qué grado de mejoría pueden alcanzar los pacientes con fibromialgia en las variables dolor, impacto de la fibromialgia y depresión, mediante la biodanza acuática frente al stretching. Diseño: Ensayo clínico aleatorio en ámbito comunitario, con 2 grupos de intervención. Emplazamiento: Cinco centros de salud (Almería). Pacientes: Contactamos con 82 pacientes entre 18 y 65 años con fibromialgia según los criterios de American College of Rheumatology. Doce declinaron participar. La muestra restante fue distribuida aleatoriamente en 2 grupos de 35 pacientes (biodanza acuática y stretching). Excluimos a quienes no participaron en al menos 14 sesiones o efectuaron cambios en su tratamiento farmacológico durante el estudio, constituyéndose una muestra final de 19 mujeres en biodanza acuática y 20 en stretching. Son limitaciones del diseño la evaluación no cegada de los resultados y el reducido tamaño muestral agravado por los abandonos. Mediciones principales: Recogimos datos sociodemográficos y medimos impacto (Cuestionario de Impacto de Fibromialgia), dolor (cuestionario McGill-Melzack y Escala Visual Analógica), algometría por presión (algómetro Wagner FPI10) y depresión (Inventario de Beck), realizadas antes, y tras 12 semanas de terapia. Resultados: La edad media de la población fue 55,41 años. El período medio desde el diagnóstico fue de 13,44 años. Toda la muestra estuvo formada por mujeres, en su mayor parte amas de casa. Se obtuvieron diferencias significativas entre ambos grupos en dolor (p < 0,01), en impacto de fibromialgia (p < 0,01) y depresión (p < 0,04) tras el tratamiento. Conclusiones: El tratamiento mediante biodanza acuática produjo una disminución del dolor y un aumento en la calidad de vida de los pacientes con fibromialgia(AU)

Objective: To determine the level of improvement, as regards pain, impact on fibromyalgia and depression, achieved by patients with fibromyalgia by comparing aquatic biodanza and stretching exercises. Design: Randomised controlled trial with two intervention groups. Location: Five health centres (Almeria). Patients: A total of 82 fibromyalgia patients between 18 and 65 years old, diagnosed by American College of Rheumatology criteria, were included, with 12 patients declining to take part in the study. The 70 remaining patients were randomly assigned to two groups of 35 patients each: aquatic biodanza and stretching exercises. Those who did not attend in at least 14 sessions or changed their treatment during the studio were excluded. The final sample consisted of 19 patients in aquatic biodanza group and 20 in stretching group. The limitations of the study included, the open evaluation design and a sample size reduced by defaults. Main measures: The outcome measures were sociodemographic data, quality of life (Fibromyalgia Impact Questionnaire), pain (McGill-Melzack questionnaire; and Visual Analogue Scale), pressure algometry (Wagner FPI10 algometer) and depression (Beck Inventory). These were carried out before and after a 12-week therapy .Results: The mean age of the sample was 55.41 years. The mean period from diagnosis was 13.44 years. The sample consisted mainly of housewives. There were significant differences (P<0.05) between groups, in pain (P<0.01), fibromyalgia impact (P<0.01), and depression (P<0.04) after the treatment. Conclusions: The biodanza aquatic exercises improve pain and quality of life in fibromyalgia patients(AU)

[Comparison between aquatic-biodanza and stretching for improving quality of life and pain in patients with fibromyalgia]. / Comparación entre biodanza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pacientes con fibromialgia.

OBJECTIVE: To determine the level of improvement, as regards pain, impact on fibromyalgia and depression, achieved by patients with fibromyalgia by comparing aquatic biodanza and stretching exercises. DESIGN: Randomised controlled trial with two intervention groups. LOCATION: Five health centres (Almeria). PATIENTS: A total of 82 fibromyalgia patients between 18 and 65 years old, diagnosed by American College of Rheumatology criteria, were included, with 12 patients declining to take part in the study. The 70 remaining patients were randomly assigned to two groups of 35 patients each: aquatic biodanza and stretching exercises. Those who did not attend in at least 14 sessions or changed their treatment during the studio were excluded. The final sample consisted of 19 patients in aquatic biodanza group and 20 in stretching group. The limitations of the study included, the open evaluation design and a sample size reduced by defaults. MAIN MEASURES: The outcome measures were sociodemographic data, quality of life (Fibromyalgia Impact Questionnaire), pain (McGill-Melzack questionnaire; and Visual Analogue Scale), pressure algometry (Wagner FPI10 algometer) and depression (Beck Inventory). These were carried out before and after a 12-week therapy. RESULTS: The mean age of the sample was 55.41 years. The mean period from diagnosis was 13.44 years. The sample consisted mainly of housewives. There were significant differences (P<.05) between groups, in pain (P<.01), fibromyalgia impact (P<.01), and depression (P<.04) after the treatment. CONCLUSIONS: The biodanza aquatic exercises improve pain and quality of life in fibromyalgia patients.