[Adaptation and validation of the MoVac-flu scale on motivation towards the flu vaccine]. / Adaptación y validación de la escala MoVac-flu sobre motivación hacia la vacuna de la gripe.

OBJECTIVE: To translate, adapt and validate the psychometric properties of MoVac-flu scale in order to be used in Spanish. METHOD: The present research was an analytical observational study of cross-cultural adaptation and validation into Spanish of the MoVac-flu scale. It has been carried out between the months of March and July 2022. The sample size was 142 people who were obtained by consecutive sampling. The processes used for the adaptation have been translation, validation by a committee of experts, back-translation and pilot test. For validation, the psychometric properties of reliability, internal consistency, appearance validity, content validity, utility and ceiling-floor effect have been verified. RESULTS: The internal consistency of the MoVac-flu scale in its version translated into Spanish was high, showing a McDonald's ω of 0.914. CONCLUSIONS: The MoVac-flu scale in Spanish allows to measure the degree of motivation towards vaccination against influenza in the adult population.

Protocolo para la evaluación de una intervención de alfabetización en salud sobre morbimortalidad y calidad de vida en pacientes con insuficiencia cardíaca / Protocol for the evaluation of an efficacy of a health literacy intervention in decreasing mortality, morbidity and improving the quality of life of patients with heart failure

Fuandamentos: La insuficiencia cardiaca (IC) es un síndrome clínico complejo con una sintomatología bien definida que constituye un problema de Salud Pública por su impacto en la morbi-mortalidad. El manejo del paciente con IC requiere el trabajo de equiposespecializados multidisciplinares que enfaticen en los hábitos cardiovasculares y el autocuidado. Conocer el grado alfabetización ensalud (AeS) de estos pacientes es una buena herramienta para prestarles una atención holística, basada en necesidades individuales,así como para fomentar su empoderamiento. Se ha diseñado un protocolo con el objetivo de evaluar la eficacia de una intervenciónen AeS en la mejora de su calidad de vida, así como en la disminución de la morbi/mortalidad. Métodos: Se llevará a cabo un estudio clínico controlado aleatorio a dos brazos multicéntrico, con ocultación del reparto aleatorio.Se incluirán pacientes con diagnóstico de IC atendidos en consultas de cardiología y medicina interna de cinco hospitales de España.(AU)

Background: Heart failure (HF) is a complex clinical syndrome that impairs the ability to achieve proper filling or ejection, inwhich patients have typical symptoms and signs. It is a major Public Health problem with a high incidence and prevalence associatedwith high morbidity and mortality. The management of the patient with HF is complex, requiring in its treatment the work of specialized multidisciplinary teams in which the management of cardiac-healthy habits and self-care will play a leading role. Knowingthe health literacy (HL) level of patients is a fundamental piece that will help us to provide a holistic attention, based on individualneeds, promoting in this way the empowerment of the patient. Our aim will be to evaluate the effectiveness of an HL intervention forimproving quality of life and decreasing morbidity/mortality.Methods: A two-arm randomized controlled clinical trial will be conducted, with concealment of randomization. Patients with diagnosis of HF attended in cardiology and internal medicine consultations of 5 hospitals in Spain will be included.(AU)

Grupo de Investigación en Cuidados de Enfermería. Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM) / Group for Research in Nursing Care. Gregorio Marañón Health Research Institute (IiSGM)

La investigación desarrollada por enfermeras en el Hospital General Universitario Gregorio Marañón (Madrid) tiene una larga trayectoria, que tuvo sus inicios en la década de 1990. La actividad docente en el área de investigación y las estructuras de apoyo a la investigación en Enfermería existentes fueron pilares básicos para el reconocimiento del Grupo de Enfermería como grupo independiente en la primera acreditación del Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM). En la actualidad, el Grupo de Enfermería está compuesto por 34 profesionales, enfermeras, matronas y fisioterapeutas, siendo doctoras el 64,7%. Las líneas de investigación se agrupan en tres ejes: Cuidados de Enfermería (Cronicidad, Críticos y Rehabilitación/Fisioterapia); Innovación y Servicios de Salud (Diseño desarrollo y usabilidad de aplicaciones, Enfermería de Práctica Avanzada y Diseño y validación de instrumentos); y Gestión (Competencias, metodología enfermera y entornos de trabajo). Desde 2011 el grupo ha obtenido un total de 288.019 (Euro) en financiación de proyectos competitivos, incluyendo la obtención de intensificaciones para la actividad investigadora y ayudas a grupos emergentes. El grupo acumula en total 187 publicaciones, habiendo publicado 105 artículos en los últimos cinco años, con un factor de impacto acumulado de 86,3. Las líneas en las que se están trabajando son la concienciación de incorporar una correcta filiación en los artículos, la búsqueda continua de colaboraciones y el reconocimiento de la participación de las enfermeras en los proyectos del hospital y del IiSGM

The research conducted by nurses at the Hospital General Universitario Gregorio Marañón (Madrid) has a long history, which started in the 1990s decade. Teaching activity in the research area and the existing structures for support to Nursing research were the basic cornerstones for the acknowledgment of the Nursing Group as an independent group at the first accreditation for the Gregorio Marañón Health Research Institute (IiSGM). Currently, the Nursing Group is formed by 34 professionals, nurses, midwives and physiotherapists; 64.7% of them are doctors. The research lines are classified along three areas: Nursing Care (Chronicity, Critical Patients and Rehabilitation / Physiotherapy); Innovation and Health Services (Design, Development and Usability of Applications, Advanced Practice Nursing, and Design and Validation of Tools); and Management (Competences; Nursing Methodology, and Work Environments). Since 2011, the group has obtained 288.019 (Euro) in total as funding for competitive projects, including achieving majors for research activity and grants for emergent groups. The group accumulates 187 publications in total; 105 articles have been published in the past 5 years, with a cumulative impact factor of 86.3. The current lines of work are: the awareness to incorporate an adequate affiliation in articles, an on-going search for collaborations, and the acknowledgement of the participation of nurses in the projects of the hospital and the IiSGM

Comunicación de las enfermeras con los pacientes. Validación de la escala "Interpersonal Communication Assessment Scale" (ICAS) / Communication of nurses with patients. Validation the "interpersonal communication assessment scale" (ICAS)

OBJETIVO: Adaptar culturalmente la escala "Interpersonal Communication Assessment Scale" en el contexto español de la práctica enfermera. METODOLOGÍA: Estudio trasversal con metodología de traducción directa e inversa, para obtener la adaptación lingüística-cultural. Participaron enfermeras de hospital general universitario. Para analizar las propiedades psicométricas, se valoró fiabilidad analizando la consistencia interna y validez mediante análisis de la estructura factorial. RESULTADOS: Participaron 188 enfermeras, el coeficiente alfa de Cronbach para el cuestionario total fue de 0,881 con coeficientes entre 0,816 y 0,622 en las subescalas. El test KMO mostró índice de 0,850, la prueba de esfericidad de Barlett con Chi cuadrado de 1208,714 con p = 0,000 y análisis factorial con 4 factores que explicaban el 49,268% de la varianza total. CONCLUSIÓN: El cuestionario obtenido comprende todos los aspectos necesarios para evaluar competencias en comunicación de estos profesionales con sus pacientes, con suficiente evidencia y características psicométricas para su utilización en población española

OBJECTIVE: The adaptation of ICAS in the Spanish context of nursing practice. METHODS: A cross-sectional study was carried, using the bidirectional translation method for linguistic-cultural adaptation. It was applied to the nursing staff in a universitary hospital. Reliability, internal consistence and construct validity were calculated to evaluate the psychometrics properties of the Spanish version. RESULTS: Participation was of 188 nurses. Cronbach's alpha coefficient for the total scale was 0,881, with coefficients between 0,816 and 0,622 in the subscales. Exploratory factor analysis resulted in four factors, which explained 49,268% of total variance, and Kaiser-Meyer-Olkin measure was 0,850. CONCLUSIONS: The Spanish version showed high internal consistency and psychometrics characteristics like appropriate tool for assessing interpersonal communications skills between nurses and patients

Pelota de parto versus petidina y haloperidol en la satisfacción en el parto / Birthing ball versus pethidine and haloperidol in satisfaction with childbirth

Objetivo: Determinar los efectos en la satisfacción materna del uso de la pelota de parto como método de alivio del dolor, comparado con la administración subcutánea de petidina (50mg) y haloperidol (2,5mg), en el periodo de latencia de parto. Método: Ensayo clínico aleatorizado, unicéntrico, paralelo y controlado. Participantes: gestantes de bajo riesgo, ingresadas en la planta de embarazo patológico del HGU Gregorio Marañón, por gestación cronológicamente prolongada, rotura prematura de membranas o pródromos de parto. Intervención: una vez que la paciente manifestaba dolor con su proceso, se implementaban una serie de movimientos predeterminados con la pelota de partos, en el caso del grupo intervención, o se administraba petidina más haloperidol, vía subcutánea. Tras la intervención y en planta de puérperas la satisfacción era medida con la escala Mackey Satisfaction Childbirth, validada al castellano en 2016, en las primeras 48-72h posparto. Análisis: comparación de grupos: la t de Student para las variables continuas y la Chi-cuadrado para las categóricas. Resultados: La satisfacción materna fue significativamente mayor en el grupo experimental que en el grupo de comparación, en todas las esferas de la escala: obstetra (4,24/3,87), dilatación (4,02/3,35), expulsivo (4,27/3,67), recién nacido (4,72/4,43) y acompañamiento y comodidad (4,78/4,44). No hubo, sin embargo, diferencias estadísticamente significativas en la subescala matrona, aunque las puntuaciones fueron igualmente altas (4,65/4,45). Conclusión: El uso de pelotas de parto durante el periodo de latencia aumenta la satisfacción de la mujer en el proceso de parto, en mayor medida que la administración conjunta de petidina y haloperidol

Objective: To determine the effects on maternal satisfaction of the use of the birthing ball as a method of pain relief compared to the subcutaneous administration of pethidine (50mg) and haloperidol (2.5mg), during the latent phase of labour. Method: Randomised, unicentric, parallel and controlled clinical trial. Participants: Low-risk pregnant women hospitalised in a pathological pregnancy ward at the Gregorio Marañón University General Hospital (Madrid) due to prolonged pregnancy, premature rupture of membranes, or labour prodromes. Intervention: once the patient's labour had become painful, a series of pre-established movements were implemented with a birthing ball in the intervention group, or pethidine and haloperidol were administered at the same dose subcutaneously. After the intervention and on the post-natal ward, satisfaction was measured with the Mackey Satisfaction Childbirth scale, validated in Spanish in 2016, in the first 48-72hours after delivery. Analysis: group comparisons: Student's t for continuous variables and Chi-squared for categorical variables. Significance at p<0.05. Results: The maternal satisfaction was significantly higher in the experimental group than in the comparison group, in all the domains of the scale: obstetrician (4.24/3.87), dilatation (4.02/3.35), second stage (4.27/3.67), newborn (4.72/4.43), accompaniment and comfort (4.78/4.44). There were, however, no statistically significant differences in the midwife subscale, although the scores were equally high (4.65/4.45). Conclusion: Using birthing balls during the latent phase of labour increases women's satisfaction with their labour process more than administering pethidine and haloperidol during this period

Birthing ball versus pethidine and haloperidol in satisfaction with childbirth. / Pelota de parto versus petidina y haloperidol en la satisfacción en el parto.

OBJECTIVE: To determine the effects on maternal satisfaction of the use of the birthing ball as a method of pain relief compared to the subcutaneous administration of pethidine (50mg) and haloperidol (2.5mg), during the latent phase of labour. METHOD: Randomised, unicentric, parallel and controlled clinical trial. PARTICIPANTS: Low-risk pregnant women hospitalised in a pathological pregnancy ward at the Gregorio Marañón University General Hospital (Madrid) due to prolonged pregnancy, premature rupture of membranes, or labour prodromes. INTERVENTION: once the patient's labour had become painful, a series of pre-established movements were implemented with a birthing ball in the intervention group, or pethidine and haloperidol were administered at the same dose subcutaneously. After the intervention and on the post-natal ward, satisfaction was measured with the Mackey Satisfaction Childbirth scale, validated in Spanish in 2016, in the first 48-72hours after delivery. ANALYSIS: group comparisons: Student's t for continuous variables and Chi-squared for categorical variables. Significance at p<0.05. RESULTS: The maternal satisfaction was significantly higher in the experimental group than in the comparison group, in all the domains of the scale: obstetrician (4.24/3.87), dilatation (4.02/3.35), second stage (4.27/3.67), newborn (4.72/4.43), accompaniment and comfort (4.78/4.44). There were, however, no statistically significant differences in the midwife subscale, although the scores were equally high (4.65/4.45). CONCLUSION: Using birthing balls during the latent phase of labour increases women's satisfaction with their labour process more than administering pethidine and haloperidol during this period.

Prevalencia de hiponatremia en pacientes mayores de 65 años que sufren una caída intrahospitalaria / Prevalence of hyponatraemia in patients over the age of 65 who have an in-hospital fall

Fundamento y objetivo: La hiponatremia es el trastorno electrolítico más frecuente. Algunos estudios afirman que aumenta la morbimortalidad. Existen nuevas líneas de investigación que buscan la relación entre hiponatremia y caídas. Objetivo: Determinar si la hiponatremia es un factor relacionado con las caídas en ancianos hospitalizados. Método: Diseño observacional analítico de casos y controles. Población de estudio: Se consideraron casos los pacientes mayores de 65 años que experimentaron una caída durante su ingreso en unidades de hospitalización del Hospital General Universitario Gregorio Marañón de Madrid. Los controles fueron pacientes que no wxperimentaron caída, pareados según las variables: unidad, edad, periodo de ingreso, género y Downton. El tamaño fue de 206 sujetos. Recogida de datos: Se estudiaron factores sociodemográficos, las variables incluidas en la ficha de registro de caídas y escala de Downton, y el sodio sérico. Se consideró hiponatremia Na+<135mmol/l. Análisis: Se realizó un análisis descriptivo para valorar la homogeneidad de la muestra, un análisis analítico utilizando el test chi cuadrado, calculando la OR y un análisis multivariante con regresión logística. Resultados: De 103 casos, 61 eran hombres (50,4%) y 42 mujeres (49,4%). En 29 se detectó hiponatremia; la relación con las caídas fue p: 0,002. La OR ajustada fue de 3,708 (1,6-8,3), IC 95%. Se identificaron como factores de riesgo para las caídas: hiponatremia y déficits sensoriales en extremidades. Conclusiones: Dado que la hiponatremia puede considerarse un factor de riesgo de caídas, sería importante valorar la inclusión de la determinación de sodio sérico dentro de las estrategias de prevención de caídas en ancianos (AU)

Background and aim: Hyponatraemia is the most common electrolyte disorder. Some studies have found that it increases morbidity and mortality. There are new lines of research that are investigating the link between hyponatraemia and patient falls. Aim: To determine if hyponatraemia is associated with falls in elderly hospitalised patients. Methods: Design observational, analytical, case-control study. Study population: Patients older than 65 years who had fallen during their hospitalisation at Gregorio Marañón Hospital (Madrid) were considered cases. Patients who did not fall were considered to be controls, paired according to the following variables: hospital ward, age, length of hospital stay, gender and Downton fall risk index. The sample size was 206 subjects. Data collection: Socio-demographic factors, variables included in the falls record sheet, Downton fall risk index and sodium levels were studied (hyponatraemia was considered Na+< 135mmol/l). Analysis: A descriptive analysis was performed to determine the sample homogeneity. The OR was calculated, and an analytical analysis using Chi-square test and a multivariate logistic regression analysis were also performed. Results: Of 103 cases recruited, 61 were men (50.4%) and 42 were women (49.4%). Hyponatraemia was detected in 29 cases with an association with falls of P: 0.002. The adjusted OR was 3.708 (1.6-8.3), 95% CI. Risk factors for falls were identified as hyponatraemia and limb sensory deficits. Conclusions: Given that hyponatraemia could be considered a risk factor for falls, the inclusion of the determination of sodium level would be important for fall prevention strategies in the elderly (AU)

Prevalence of hyponatraemia in patients over the age of 65 who have an in-hospital fall. / Prevalencia de hiponatremia en pacientes mayores de 65 años que sufren una caída intrahospitalaria.

BACKGROUND AND AIM: Hyponatraemia is the most common electrolyte disorder. Some studies have found that it increases morbidity and mortality. There are new lines of research that are investigating the link between hyponatraemia and patient falls. AIM: To determine if hyponatraemia is associated with falls in elderly hospitalised patients. METHODS: Design observational, analytical, case-control study. STUDY POPULATION: Patients older than 65 years who had fallen during their hospitalisation at Gregorio Marañón Hospital (Madrid) were considered cases. Patients who did not fall were considered to be controls, paired according to the following variables: hospital ward, age, length of hospital stay, gender and Downton fall risk index. The sample size was 206 subjects. DATA COLLECTION: Socio-demographic factors, variables included in the falls record sheet, Downton fall risk index and sodium levels were studied (hyponatraemia was considered Na(+)< 135mmol/l). ANALYSIS: A descriptive analysis was performed to determine the sample homogeneity. The OR was calculated, and an analytical analysis using Chi-square test and a multivariate logistic regression analysis were also performed. RESULTS: Of 103 cases recruited, 61 were men (50.4%) and 42 were women (49.4%). Hyponatraemia was detected in 29 cases with an association with falls of P: 0.002. The adjusted OR was 3.708 (1.6-8.3), 95% CI. Risk factors for falls were identified as hyponatraemia and limb sensory deficits. CONCLUSIONS: Given that hyponatraemia could be considered a risk factor for falls, the inclusion of the determination of sodium level would be important for fall prevention strategies in the elderly.

Evaluación de la eficacia en la limpieza de la vía aérea entre dos métodos de toma de aerosolterapia en pacientes con enfermedad pulmonar obstructiva crónica / Evaluation of the efficiency of cleaning the air between two methods of making in patients with aerosol chronic obstructive pulmonary disease

Introducción. La enfermedad pulmonar obstructiva crónica (EPOC) es un trastorno que requiere la administración de medicación broncodilatadora y antiinflamatoria, entre otras, como uno de los cuidados de la enfermedad. Ayudan a mantener la limpieza de la vía aérea y a evitar recaídas por el acúmulo de secreciones. La vía inhalatoria, por su acción local y rápida, es la más usada para la aplicación de estos fármacos, que habitualmente se realiza en forma de aerosolterapia. El objetivo de este estudio es evaluar la eficacia en la limpieza de la vía aérea entre dos métodos de administración de aerosolterapia en pacientes con EPOC ingresados por una exacerbación de su enfermedad. También se pretende evaluar su efecto sobre los días de estancia, saturación de oxígeno, grado de disnea, autonomía y complicaciones. Método. Ensayo clínico aleatorizado. Se compararon dos formas de administrar aerosolterapia: método tradicional (grupo control) y dispositivo vibratorio con espiración positiva (grupo intervención). Se consideraron las siguientes variables resultado: días de estancia, días con fiebre, saturación de oxígeno, necesidad de VMNI o VM, las actividades básicas de la vida diaria, grado de autonomía (Barthel), grado de disnea (Escala de Borg) y pico flujo. Resultados. Se incluyeron 39 pacientes. En cuanto a los días de ingreso, los pacientes del grupo intervención presentaban de media un día menos de ingreso. También en este grupo hubo menos reingresos. No se encontraron diferencias estadísticamente significativas en el resto de las variables. Conclusiones. El tratamiento inhalatorio con un dispositivo vibratorio con espiración positiva parece reducir los días de estancia y prevenir los reingresos. Es importante seguir investigando sobre intervenciones no farmacológicas que consigan prevenir sus recaídas (AU)

Introduction. Chronic Obstructive Pulmonary Disease (COPD) is a condition which requires, among others, the administration of bronchodilators and anti-inflammatory drugs to control the disease. They help to keep the airways clear and prevent the buildup of fluid and mucus. Inhalation is the most widely used form of administrating the medication because of its local and rapid action which normally is done by aerosol therapy. The objective of this study is to evaluate the effectiveness of two aerosol methods in clearing the airways of COPD patients, admitted with an exacerbation due to their disease. It also aims to evaluate its effects on the length of stay, oxygen saturation, dyspnea, autonomy and complications. Methods. Randomized clinical trial. Traditional method (control group) and positive expiratory vibrating device (intervention group): two ways to deliver aerosol were compared. The following outcome variables were considered: length of stay, days of fever, oxygen saturation, need for NIV or VM, the basic activities of daily living index autonomy (Barthel), dyspnea (Borg scale) and peak-flow. Results. 39 patients were included. Regarding hospital stay, patients in the intervention group spend an average of one day less in hospital. Also in this group there were fewer readmissions. No statistically significant differences were found in the remaining variables. Conclusions. The inhalation treatment with a vibrating device with positive exhalation, appears to reduce the length of stay and prevent readmissions. It is important to continue research on non-pharmacological interventions as to achieve the prevention of relapses (AU)