Artículos (Enfermería)
URI permanente para esta colecciónhttps://hdl.handle.net/11441/11010
Examinar
Envíos recientes
Artículo Significado cultural de la menstruación en mujeres españolas(Universidad de Concepción, 2017) Botello Hermosa, Alicia; Casado Mejía, Rosa María; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. SEJ-066: Mujeres, bienestar y ciudadaníaObjetivo: Conocer qué significados culturales existen en nuestra sociedad respecto de la menstruación, desde la perspectiva de la enfermería transcultural y analizar si se han superado creencias falsas del pasado. Material y método: Estudio cualitativo con diseño basado en la Teoría Fundamentada y cuyas técnicas de investigación fueron la entrevista semiestructurada y los grupos de discusión. Participaron 47 mujeres de diferentes regiones de España. Como criterios de segmentación se establecieron la edad y el lugar de residencia. Como criterios de variabilidad el nivel educativo, madres o mujeres sin hijos/as y la profesión. Las categorías de análisis fueron la menarquia, menstruación, conocimientos sobre sus propios cuerpos y el género. Resultados: La menarquia es vivida de diferente forma según el grado de conocimiento previo; existencia de tabú en diferentes grados según la edad de la mujer, asociado a desconocimiento e ideas falsas; el traspaso de creencias populares erróneas, por transmisión oral, sigue presente. Conclusión: Los cuidados de enfermería transcultural deben ir encaminados a desterrar creencias falsas, utilizando talleres grupales que permitan erradicar creencias erróneas y ayuden a las mujeres a aclarar dudas que al respecto puedan tener.Artículo Profesionales de enfermería de México y España, quienes afrontaron una pandemia: estudio cualitativo(2023) Fonseca-Gutiérrez, María de Jesús; Bueno Ferrán, Mercedes; Quiroz-Benhumea, Livia; Méndez Salazar, Vianey; Hernández Ortega, Yolanda; Universidad de Sevilla. Departamento de EnfermeríaObjetivo: Describir experiencias, emociones y estrategias de afrontamiento, implementadas por enfermeras/os de la primera línea de acción en México y España, durante la pandemia por SARS-CoV-2. Método: Estudio de enfoque cualitativo con ocho enfermeras/ros mexicanas/os y cuatro enfermeras/os españolas/es seleccionados me- diante muestreo de casos tipo del servicio de urgencias de la primera línea de acción contra la COVID-19 con diseño fenomenológico, quienes respondieron entrevistas semiestructuradas llegando a saturación de la información, siendo transcritas literalmente para luego analizarlas de forma sistemática e inductiva mediante el software ATLAS.ti 22. Principales resultados: El desarrollo profesional con un contacto tan estrecho y prolongado con la COVID-19 esta caracterizado por el desgaste físico, mental, la incertidumbre, el constante dinamismo de la patología, mutaciones genéticas del virus, el terror de contagiar a la familia aunado a un ambiente donde impera la muerte y la falta de recursos de protección, un fenómeno completamente desconocido y prolongado para las/os enfermeras/os que inician con técnicas de afrontamiento independientes y posterior con el gremio. Conclusiones: La esencia de la profesión es: el cuidado de la salud, pero la incertidumbre y altas tasas de mortalidad hacen que la experiencia sea traumática para las/os profesionales de enfermería, el desarrollo profesional como espectadores del dolor ajeno durante un período de tiempo prolongado provoca fatiga por compasión, con implicaciones directas para la vida profesional y personal de las/os enfermeras/os. A pesar de la implementación de estrategias de afrontamiento; la pandemia ha revelado la necesidad de protegerlas/os, urge la intervención de expertos en salud psicológica y emocional, priorizando la atención a la angustiada salud mental y espiritual de este personal.Artículo Helicobacter pylori second-line rescue therapy with levofloxacin- and bismuth-containing quadruple therapy, after failure of standard triple or non-bismuth quadruple treatments(Wiley, 2015-02-23) Gisbert, J. P.; Romano, M.; Gravina, A. G.; Solís-Muñoz, P.; Bermejo, F.; Castro Fernández, Manuel; Pabón Carrasco, Manuel; McNicholl, A. G.; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1050: Cuidados Complejos, Cronicidad y Resultados en SaludBackground: The most commonly used second-line Helicobacter pylori eradication regimens are bismuth-containing quadruple therapy and levofloxacin-containing triple therapy, both offering suboptimal results. Combining bismuth and levofloxacin may enhance the efficacy of rescue eradication regimens. Aims: To evaluate the efficacy and tolerability of a second-line quadruple regimen containing levofloxacin and bismuth in patients whose previous H. pylori eradication treatment failed. Methods: This was a prospective multicenter study including patients in whom a standard triple therapy (PPI-clarithromycin-amoxicillin) or a non-bismuth quadruple therapy (PPI-clarithromycin-amoxicillin-metronidazole, either sequential or concomitant) had failed. Esomeprazole (40 mg b.d.), amoxicillin (1 g b.d.), levofloxacin (500 mg o.d.) and bismuth (240 mg b.d.) was prescribed for 14 days. Eradication was confirmed by (13) C-urea breath test. Compliance was determined through questioning and recovery of empty medication envelopes. Incidence of adverse effects was evaluated by questionnaires. Results: 200 patients were included consecutively (mean age 47 years, 67% women, 13% ulcer). Previous failed therapy included: standard clarithromycin triple therapy (131 patients), sequential (32) and concomitant (37). A total of 96% took all medications correctly. Per-protocol and intention-to-treat eradication rates were 91.1% (95%CI = 87-95%) and 90% (95%CI = 86-94%). Cure rates were similar regardless of previous (failed) treatment or country of origin. Adverse effects were reported in 46% of patients, most commonly nausea (17%) and diarrhoea (16%); 3% were intense but none was serious. Conclusions: Fourteen-day bismuth- and levofloxacin-containing quadruple therapy is an effective (≥90% cure rate), simple and safe second-line strategy in patients whose previous standard triple or non-bismuth quadruple (sequential or concomitant) therapies have failed.Artículo Effectiveness of telemedicine psychoeducational interventions for adults with non-oncological chronic disease: a systematic review(Wiley, 2022-05-24) Sánchez-Gutiérrez, C.; Gil García, Eugenia; Rivera Sequeiros, Adriana; López Millán, Jose Manuel; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Cirugía; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud.Aim: To evaluate the effectiveness of telemedicine psychoeducational interventions (PIs) in adult patients on the clinical management of chronic non-oncological diseases compared with another therapeutic option or no treatment. Design: Systematic review of randomized controlled trials. Data sources: Six databases were searched between January 2011 and August 2021. Review methods: A systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study selection, quality appraisal and data extraction were conducted independently by two reviewers. A third arbiter was available if discrepancies. Results: A total of 719 articles were reviewed and 17 studies met the inclusion and quality criteria. The included studies related to smoking, chronic pain, obesity and mental illness. Most interventions were based on cognitive behavioural theory. Most of the included studies (12/17, 70.5%) showed improvements in health and significant reductions in anxiety, pain and depression with variable effect sizes. Patients reported a high satisfaction rate and indicated lectures or self-report writings as helpful in their recovery compared with more interactive items. Only financial incentives demonstrated greater adherence. A specific intervention format or complementary professional support was not associated with health outcomes. Conclusions: Telemedicine PIs are a safe and effective option for the clinical management of adults with chronic diseases. Future longitudinal studies are needed to assess the impact of these interventions on chronic physical and mental disease, evaluating the quality of life, morbidity and mortality. Impact: The results reinforce the telemedicine PIs with effects on clinical management similar to those of the face-to-face modality and can be carried out in a safe environment for patients at a lower cost to the health system. These conditions make them suitable for comprehensive care in the epidemiological COVID-19 context with the highest safety conditions for the patients and professionals.Artículo A pilot randomized controlled trial of effectiveness of a psychoeducational intervention on the management of musculoskeletal chronic noncancer pain(W.B. Saunders Co.; Elsevier Science Inc; Elsevier Bv, 2023-08) Sánchez Gutiérrez, María del Carmen; López Millán, Jose Manuel; Rivera Sequeiros, Adriana; Gil García, Eugenia; Universidad de Sevilla. Departamento de Cirugía; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud.Aims: To investigate the effectiveness of a psychoeducational intervention on pain intensity management in musculoskeletal chronic noncancer pain and to identify relevant variables and preliminary data to allow the design of a randomized controlled trial. Design: Two arms parallel randomized pilot study. Subjects and setting: ADULT PATIENTS WITH MUSCULOSKELETAL CHRONIC NONCANCER PAIN WITH MODERATE-SEVERE INTENSITY TREATED AT PRIMARY HEALTH CENTERS. Methods: Participants were randomly assigned to a psychoeducational intervention or a control group without intervention. Pain intensity, quality of life, and opioid use were assessed at baseline and at a 1-month follow-up. Results: The sample consisted of 37 adult patients (intervention group: 19; control group: 18). A significant reduction in pain intensity measured by the Verbal Numerical Rating Scale (p = .02, Cohen's d = 0.57) and improvement in quality of life measured by EuroQol-5D questionnaire (p = .04) were observed in the intervention group compared to the control. This improvement on pain intensity was greater in patients without strong opioid treatment (p = .01, Cohen's d = 1.36). Eighty percent of the strong opioids users in the intervention group reduced their consumption, without changes in the control group. Conclusions: These findings provide promising support for the beneficial effects of psychoeducation on the intensity of noncancer chronic musculoskeletal pain. Based on the results, future randomized controlled trials are needed.Artículo Defining and characterising the nurse-patient relationship: a concept analysis(SAGE Publications, 2022-03) Allande Cussó, Regina; Fernández García, Elena; Porcel Gálvez, Ana María; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1050: Cuidados Complejos, Cronicidad y Resultados en Salud; Universidad de Sevilla. CTS-1141: Investigación Clínica Aplicada a los Cuidados y Nuevos Paradigmas AsistencialesThe nurse-patient relationship involves complex attitudes and behaviours with ethical and deontological implications. It has been linked to improvements in patient health outcomes, although there is still no consensus in the scientific literature as to the definition and characterisation of the concept. This article aim to define the concept of the nurse-patient relationship. A concept analysis was conducted using the Walker and Avant method to identify the attributes defining the nurse-patient relationship. An integrative review of the literature was conducted using the PubMed, Web of Science, Scopus, and Cumulative Index to Nursing & Allied Health Literature databases. A review of the grey literature and other minor non-indexed publications on the topic was also conducted. A total of 36 articles were included in the review. A model case, a contrary case, a related case, and empirical references were produced to clarify the concept and identify its essential attributes. The concept is defined as a helping relationship involving interaction between different players. It is the basis of nursing care and is intended to meet the healthcare needs of the individual receiving this care. It is also viewed as an intervention in itself, requiring a specific training process just like any other nursing skill. The essential attributes of the relationship are empathy, presence, contact, authenticity, trust, and reciprocity. In conclusion, the nurse-patient relationship is a helping relationship established with the patient and/or their family based on interaction, communication, respect for ethical values, acceptance, and empathy in order to encourage introspection and behavioural change. Key components include communication, active listening, and respect. Bioethical values and confidentiality must also be present to ensure that the relationship is built on equality and intimacy.Artículo Tumor de células gigantes primario de pulmón(Elsevier Doyma Sl, 2019) Pabón Carrasco, Sara; Vallejo-Benitez, Ana María; Pabón Carrasco, Manuel; Rodriguez-Zarco, Enrique; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud.La Organización Mundial de la Salud define el tumor de células gigantes (TCG) óseo como una neoplasia ósea primaria benigna pero localmente agresiva compuesta por una proliferación de células mononucleares entre las que se encuentran dispersas numerosos macrófagos y células gigantes multinucleadas de tipo osteoclasto1. Existen formas de TCG extraóseas con histología superponible a los TGC del hueso. En localización pulmonar estos tumores son excepcionales. Presentamos un caso de un TCG primario pulmonar, de comportamiento agresivo.Artículo Iatrogenic Hallux Varus in a Patient with Rheumatoid Arthritis(MDPI, 2025-01-21) Ortiz Romero, Mercedes; Fernández Garzón, Álvaro; Pabón Carrasco, Manuel; Castro Méndez, Aurora; Gordillo Fernández, Luis María; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de EnfermeríaBackground/Objectives: Iatrogenic hallux varus is a rare complication often arising after hallux valgus surgery, characterized by medial deviation of the hallux. This report presents the case of a 58-year-old female with iatrogenic hallux varus complicated by rheumatoid arthritis (RA). The objective is to highlight the challenges and outcomes of surgical treatment in RA patients with complex foot deformities. Methods: The patient presented with severe medial deviation of the hallux and claw positioning of the lesser toes, resulting in pain and functional limitations. Radiological analysis indicated overcorrection of the first intermetatarsal angle and deformity of the lesser toes. Surgical management included arthrodesis of the first metatarsophalangeal (MTP) joint using K-wires and resection arthroplasty of the lesser metatarsals. Results: Postoperative outcomes revealed correct alignment, pain reduction, and restoration of functional capabilities. However, a non-union was observed in the first MTP arthrodesis after 24 months, which remained asymptomatic. Conclusions: This case underscores the importance of careful surgical planning in RA patients to balance joint preservation and deformity correction. Arthrodesis proved effective for stability and pain relief in RA-associated deformities, although long-term follow-up remains critical to address complications. Tailored interventions are necessary to improve the quality of life in RA patients with complex foot deformities.Artículo Health care provided to immigrants in a humanitarian aid center in Spain(Wiley, 2021-09) Ponce Blandón, José Antonio; Ruiz Sánchez, Elena; Romero Castillo, Rocío; Pabón Carrasco, Manuel; Lomas Campos, María de las Mercedes; Universidad de Sevilla. Departamento de Enfermería; Grupo: Universidad de Sevilla. CTS-284: Promoción de la salud; Grupo: Universidad de Sevilla. CTS-1050 : Cuidados Complejos, Cronicidad y Resultados en SaludObjective: Objective of this study is to explore the most prevalent pathologies of the population received in the Spanish coast and to know the nursing prehospital interventions required, as well as the treatments applied and their follow-ups. Design and measures: A descriptive and retrospective study. Sample: A total of 481 immigrants cared for by the Red Cross in the study period. Results: Dermatological pathologies were more frequent in men (32.1). In women, the most prevalent pathology was headache (19%). According to age, dermatological pathologies prevail in those over 18 years of age (31.9%) and in children, respiratory pathologies (42.9%). Relationships were found statistically significant between gender and type of disease and between specifying or not nursing interventions (p < .001). Age was also related to the type of diagnosis and the type of nursing interventions to be carried out (p < .001). Conclusion: In general, a good state of health was considered in the migrants, concluding that knowing the pathologies or activities to be carried out according to the sociodemographic variables would help improve the quality of the assistance.Artículo Intensive care nurses' experiences during the COVID‐19 pandemic: A qualitative study(Wiley, 2021-09) Fernández Castillo, Rafael Jesús; González Caro, María Dolores; Fernández García, Elena; Porcel Gálvez, Ana María; Garnacho Montero, José; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Instituto de Biomedicina de Sevilla (IBIS); Universidad de Sevilla. CTS1141: Investigación Clínica Aplicada a los Cuidados y Nuevos Paradigmas Asistenciales; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en SaludBackground: Because of the COVID-19 pandemic, health care systems worldwide are working under challenging conditions. Patients, who are seriously ill, require intensive care admission. In fighting COVID-19, nurses are frontline health care workers and, as such, have a great responsibility providing needed specialized patient care in intensive care units (ICU). However, working conditions and emotional factors have an impact on the quality of the care provided. Aim: The purpose of the present study was to explore and describe the experiences and perceptions of nurses working in an ICU during the COVID-19 global pandemic. Study design: Qualitative research was undertaken, using an empirical approach and inductive content analysis techniques. Methods: The selected population consisted of ICU nurses from a tertiary teaching hospital in Spain. Data were obtained via semi-structured videocall interviews from Apr 12th to Apr 30th, 2020. Subsequently, transcribed verbatims were analysed using the template analysis model of Brooks. Findings: A total of 17 nurses comprised the final sample after data saturation. Four main themes emerged from the analysis and 13 subthemes: “providing nursing care,” “psychosocial aspects and emotional lability,” “resources management and safety” and “professional relationships and fellowship.” Conclusion: Providing health care by intensive care nursing professionals, during the COVID-19 pandemic, has shown both strong and weak points in the health care system. Nursing care has been influenced by fear and isolation, making it hard to maintain the humanization of the health care. Relevance to clinical practice: Implications for practice include optimizing resource management (human and material), providing psychological support, and adequate training for ICU nurses, as well as high-quality protocols for future emergency situations.Artículo Virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis(Elsevier BV, 2023) Merino-Lobato, Carolina; Rodríguez-Gallego, Isabel; Pabón Carrasco, Manuel; Romero Castillo, Rocío; Jiménez Picón, Nerea; Universidad de Sevilla. Departamento de EnfermeríaProblem Non-pharmacological distraction methods are novel alternatives that can help to alleviate pain and anxiety generated by venipuncture in the pediatric population. The aim is to determine the effectiveness of virtual reality, compared to cold and vibration devices (Buzzy® device), as a distraction method used during venipuncture in the management of pain and anxiety in children. Eligibility criteria Clinical trials, cohort and quasi-experimental studies, published between 2017 and 2022, in Spanish or English and pediatric age, found in Medline, the Cochrane Library, Scopus, Web Of Science, CINAHL and Embase databases. Sample Twenty-one studies were included and ten met the criteria for meta-analysis. Results Fifty-seven percent of the studies evaluate virtual reality, 33.3% the Buzzy® device and 9.5% both comparatively. The effectiveness of virtual reality in reducing pain (66.6%, n = 14) and anxiety (47.6%, n = 10) compared to standard care (control group), 95% CI = 1.53 [0.91–2.16], p < 0.001, I2 = 78% and 95% CI = 1.53 [1.16–1.90]), p < 0.001, I2 = 77% respectively is demonstrated. Similarly, the effectiveness of Buzzy® in reducing pain (42.9%, n = 9) and anxiety (23.8%, n = 5), 95% CI = 1.62 [0.90–2.34], p < 0.001, I2 = 94% and 95% CI = 1.40 [0.06–2.20, p < 0.001, I2 = 91% respectively is demonstrated. Comparatively, there is no significant difference between both methods 95% CI = 0.29 [−0.19–0.78], p = 0.24, I2 = 81%. Conclusions The methods studied are effective in relieving pain and anxiety during venipuncture. Further research is needed on the level of satisfaction, adverse effects and cost-benefit. Implications This study provides evidence of novel tools in daily practice to provide more humane, holistic and quality careArtículo Psychometric properties and confirmatory factor analysis of the love myths scale in a comparative sample by gender and across generational groups(Springer, 2023-09-05) Jiménez Picón, Nerea; Alonso-Ruiz, M.; Romero Castillo, Rocío; Asensio-Pérez, M. R.; Martínez-Montilla, J. M.; Pabón Carrasco, Manuel; Universidad de Sevilla. Departamento de EnfermeríaIntroduction Romantic love is linked to the traditional roles and to the stereotypes that depend on the place, time and sex/gender of the person. The aim was to assess the Sevillian population’s beliefs in the romantic love myths. To verify the reliability and factor structure of the Love Myths Scale. Methods An instrumental, descriptive and cross-sectional survey design. Non-probabilistic sampling stratified by gender. Inclusion criteria: being ≥ 18 years old, Spanish nationality and lacking previous training on gender. Exclusion: language and/or cognitive impairment and refusal to participate. A total of 562 individuals answered to the Love Myths Scale. Descriptive and inferential analysis of the variables based on gender and age with the chi-square test. Reliability of the scale with Cronbach’s alpha, exploratory and confirmatory factor analyses. Results The sample consisted mostly of women, aged from 18 to 63 years old, average socioeconomic level, complete High School, active workers and with partners. There are statistically significant differences in the beliefs regarding the love myths based on gender (eternal passion, omnipotence, partner, jealousy and marriage) and on age (soul mate, marriage, omnipotence and ambivalence). No measurement invariance for the sex variable and generational comparison. Conclusions The study contributes a current and wide perspective of the Sevillian population about the beliefs in the love myths. It shows the need to look for new tools to deal with the changes produced at generational level and the differences by sex.Artículo Comparison between customised foot orthoses and insole combined with the use of extracorporeal shock wave therapy in plantar fasciitis, medium-term follow-up results: A randomised controlled trial(Sage, 2021) Coheña Jiménez, Manuel; Pabón Carrasco, Manuel; Pérez Belloso, Ana Juana; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de EnfermeríaObjective: To determine the clinical results of custom-made foot orthoses versus placebo flat cushioning insoles combined with an extracorporeal shock wave therapy on pain and foot functionality in patients with plantar fasciitis. Design and setting: A randomised controlled clinical trial with follow-up at six months. Faculty of Podiatry and Centre Clinical private of Physiotherapy, Seville, Spain. Subjects and interventions: Patients with plantar fasciitis were randomly assigned to either group A (n = 42), which received custom-made foot orthoses, or group B (n = 41), which received placebo insoles. All the participants received active extracorporeal shock wave therapy including stretching exercises. Recruitment period was from Mach 2019 to July 2020. Main measurements: The main outcome was foot pain, measured by visual analogue scale and the secondary outcome measures were recorded by Roles and Maudsley scores respectively, at the beginning and at one week, one month and six months. Results: Eighty-eight patients were assessed for eligibility. Eighty-three patients were recruited and randomised. This study showed significant differences between both groups according to the visual analogue scale. In control group, the difference was at baseline (P 0.01) and, in the experimental group was at the one- and six-month follow-up (P 0.001). The mean (SD) visual analogue scale at baseline were Control group 6.31 (1.69) and Experimental group 5.27 (1.64); and at six months were 7.52 (3.40) and 3.29 (4.26), respectively. The custom-made foot orthosis was perceived as ‘good’ (85%) and ‘excellent’ (97.5%) at medium-long term. Conclusion:Wearing a custom-made foot orthosis leads to a improvement in patients with plantar fasciitis; it reduced foot pain and improved foot functionalityArtículo Behavior of provisional pressure-reducing materials in diabetic foot(Elsevier Sci Ltd, 2016) Pabón Carrasco, Manuel; Juárez Jiménez, José María; Reina Bueno, María; Coheña Jiménez, Manuel; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de PodologíaObjective: The main aim of this work is to assess the behavior of felts of latex foam, wool, wool on latex and 10 mm polyurethane foam as provisional pressure-reducing materials compared to foot hyperpressures. Secondary aims are to determine how Body Mass Index and Physical activity impact the pressure reducing capacity of these materials. The research hypothesis sets out that there are statistically significant differences between the pressure-reducing capacity of the different materials and that they are impacted by Body Mass Index and Physical Activity. Research design and methods: This study was descriptive, correlational and exper imental. The sample was comprised of 32 subjects, 64 feet aged between 19 and 76 years, with plantar hyperpressures of different etiologies. The pressure was as sessed using the platform pressures. Results: The results revealed an effective reduction of pressures for all materials; this was more durable for polyurethane. Conclusions: It was concluded that pressure-reducing materials are effective on the reduction of hyperpressures but there are differences between them as to duration of the effect.Artículo Limitación del movimiento de flexión dorsal del tobillo en sujetos pronadores con dolor lumbar crónico(Elsevier Doyma, 2019) Pabón Carrasco, Manuel; Gago Reyes, Fernando; Fernández Seguín, Lourdes María; Munuera Martínez, Pedro Vicente; Palomo Toucedo, Inmaculada Concepción; Castro Méndez, Aurora; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de FisioterapiaAntecedentes: Estudios han relacionado la posible influencia entre los desequilibrios de la bio mecánica del pie y el dolor lumbar crónico (CLBP). Según indican algunos autores la limitación del movimiento de la flexión dorsal (FD) de la articulación tibioperonea-astragalina del pie (TPA) puede presentarse como un factor de riesgo en el dolor lumbar crónico. Objetivo: Evaluar el dolor lumbar crónico en sujetos con pies pronadores con limitación de la flexión dorsal del tobillo en al menos un pie, frente a sujetos pronadores con movilidad normal del tobillo. Material y método: estudio descriptivo transversal con muestreo por conveniencia realizado en una muestra compuesta por 126 sujetos con dolor lumbar crónico y pies pronados. Se comparó un grupo de sujetos con CLBP que presentaron limitación de la flexión dorsal de al menos un tobillo, frente a otro grupo de pronadores con CLBP y rango de movimiento normal de tobillo. Como herramientas de valoración de la variable dependiente se utilizó la escala visual analógica (EVA) y el Índice de discapacidad por dolor lumbar de Oswestry (ODI). Resultados: Se encontró correlación positiva entre la limitación de FD de la TPA en sujetos pronadores con CLBP frente al grupo de pronadores con CLBP y FD normal (EVA 4 ± 0,22; ODI: 11,85% ± 1,21). La limitación del movimiento de FD de TPA parece mostrarse como un factor de riesgo en el CLBP (EVA 5,3 ± 0,22; ODI: 17,90% ± 1,42; valor de p ODI = 0,004; EVA 0,009). Conclusiones: Se evidencia un mayor CLBP en el grupo de pronadores con limitación de FD de al menos una TPA frente al grupo de sujetos pronadores con rango normal de movimiento.Artículo Dolor lumbar crónico y pronación unilateral o bilateral del pie(Elsevier Doyma, 2019) Pabón Carrasco, Manuel; Palomo Toucedo, Inmaculada Concepción; Munuera Martínez, Pedro Vicente; Fernández Seguín, Lourdes María; Castro Méndez, Aurora; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de FisioterapiaAntecedentes y objetivo: Diferentes estudios han defendido la relación entre la pronación del pie y el dolor lumbar crónico (DLC). Sin embargo, no se hallan artículos que analicen la reper cusión que puede existir entre la postura en pronación de un solo pie y su influencia en el DLC frente a la pronación en ambos pies. Por ello, se ha planteado evaluar la intensidad del dolor lumbar en sujetos pronadores con un índice de postura del pie (IPP) superior a +6 en un pie comparado con sujetos con pronación superior a +6 en ambos pies. Material y método: Estudio observacional transversal con muestreo por conveniencia en una muestra total de 116 sujetos. Se comparó el DLC en un grupo con dolor lumbar crónico y posición pronada de un pie (IPP, superior a +6), frente a un grupo de sujetos con DLC e IPP superior a +6 en ambos. Como herramientas de valoración de la variable dependiente se utilizó la escala visual analógica (EVA) y el Índice de discapacidad de Oswestry (IDO) para dolor lumbar. Resultados: No se encontró correlación entre la posición unilateral o bilateral en pronación y la intensidad del DLC. La pronación de un solo pie no pareció mostrarse como mayor factor de riesgo en el DLC que la bilateral (IDO p = 0,700; EVA p = 0,235). Conclusiones: No se encuentran diferencias estadísticas en el DLC en el grupo de pacientes con un IPP del pie en pronación frente a los sujetos con posición en pronación bilateral. Futuros estudios son necesarios.Artículo Application of nervecheck master in the diagnosis of diabetic peripheral neuropathy(Mdpi Ag, 2025-01-02) García de la Peña, Raquel; Ortiz Romero, Mercedes; Juárez Jiménez, José María; Rayo Pérez, Ana María; Universidad de Sevilla. Departamento de EnfermeríaBackgraund/Objetive: Diabetic peripheral neuropathy is a condition that affects the motor, sensory, and autonomic fibers of the peripheral nervous system, with distal polyneuropathy being its most common form. Traditional methods for diagnosing sensory loss, such as tactile assessment, temperature evaluation, and vibratory perception threshold testing, are labor intensive and time consuming. Results: To effectively assess thermal and vibratory sensitivity, NerveCheck Master is an affordable and portable device that uses standardized stimuli to measure sensory response. Conclusions: Compared to traditional methodsliketheinfraredlaserthermometer, theRydel–Seiffertuningfork, andtheSemmes Weinstein monofilament, this device provides definitive results regarding the severity of DPN.Artículo Effectiveness of comprehensive sexuality education to reduce risk sexual behaviours among adolescents: a systematic review(Mdpi Ag, 2025-01-14) Rodríguez García, Ana; Botello Hermosa, Alicia; Borrallo Riego, Álvaro; Guerra Martín, María Dolores; Universidad de Sevilla. Departamento de Enfermería; Instituto de Biomedicina de Sevilla (IBIS)Background: Adolescence is a critical life period marked by significant vulnerability to risky sexual behaviours. Comprehensive sex education offers better sexual and reproductive health to adolescents. Aim: We aimed to analyse the effectiveness of sex education interventions on reducing risk behaviours among adolescents. Methods: A systematic peer review was conducted. The databases consulted were PubMed, Scopus, Web of Science, and CINAHL. The inclusion criteria were as follows: randomized clinical trials published between 2013 and 2023 and methodological quality ≥ 5 points as per the Van Tulder scale. Results: A total of 255 studies were identified, with 25 finally selected. Of them, sixteen dealt with non-condom use, one was about early sexarche, and eight combined several risk behaviours. There was predominance of in-person teaching at schools with lectures and varied activities. The sample was predominantly comprised by girls aged between 14 and 16 years old. Certain variability regarding content, technique, number of sessions, duration, locus, and teaching modality and staff was observed in the com-prehensive sex education interventions. Almost all the interventions were effective in reducing risky sexual behaviours; however, two studies failed to achieve a reduction in risky sexual behaviours.Artículo Outcomes of the PIRASOA programme, an antimicrobial stewardship programme implemented in hospitals of the Public Health System of Andalusia, Spain: an ecologic study of time-trend analysis(Elsevier Sci Ltd, 2020) Rodríguez-Baño, Jesús; Pérez-Moreno, M. A.; Peñalva, G.; Garnacho Montero, José; Pinto, C.; Salcedo, I.; Lupión Mendoza, Carmen; Pascual Hernández, Álvaro; Pascual Hernández, Álvaro; Pérez Lozano, María José; Valencia, R.; Cisneros, José Miguel; Universidad de Sevilla. Departamento de Medicina; Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública; Universidad de Sevilla. Departamento de Microbiología; Universidad de Sevilla. Departamento de EnfermeríaObjectives: Inappropriate antimicrobial use favours the spread of resistance, and multidrug-resistant microorganisms (MDR) are currently of major concern. Antimicrobial stewardship programmes (ASPs) are essential for improving antibiotic use in hospitals. However, their impact on entire healthcare sys tems has not been thoroughly assessed. Our objective was to provide the results of an institutionally supported ASP involving 31 public hospitals in Andalusia, Spain. Methods: We designed an ecologic time-series study from 1 January 2014 to 31 December 2017. Quar terly, data on indicators were collected prospectively, and feedback reports were provided. PIRASOA is an ongoing clinically based quality-improvement programme whose key intervention is the educational interview, regular peer-to-peer interventions between advisors and prescribers to reinforce the appro priate use of antibiotics. Seventy-two indicators were monitored to measure prescribing quality (inap propriate treatments), antimicrobial consumption (defined daily doses per 1000 occupied bed-days), incidence density of MDR per 1000 occupied bed-days and crude mortality rate associated with bloodstream infections. We used Joinpoint regression software to analyse the trends. Results: The quality of antimicrobial prescribing improved markedly, and the inappropriate treatment rate was significantly lower, with quarterly percentage change (QPC) ¼ 3.0%, p < 0.001. Total antimi crobial consumption decreased (QPC ¼ 0.9%, p < 0.001), specifically carbapenems, amoxicillin/clav ulanic acid, quinolones and antifungal agents, whereas antipseudomonal cephalosporin use increased. While the incidence of MDR showed a sustained decreasing trend (QPC ¼ 1.8%; p 0.002), the mortality of patients with bloodstream infections remained stable (QPC ¼ 0.2%, p 0.605). Conclusions: To date, the PIRASOA programme has succeeded in optimizing the use of antimicrobial agents and has had a positive ecologic result on bacterial resistance at level of an entire healthcare system.Artículo Impact of the COVID-19 pandemic on the mental health of Nursing students: a systematic review and meta-analysis(Lippincott Williams & Wilkins, 2025) Badillo-Sánchez, Nadine; Gómez-Salgado, Juan; Allande Cussó, Regina; Yildirim, Murat; López-López, Daniel; Goniewicz, Krzysztof; Prieto-Callejero, Blanca; Fagundo-Rivera, Javier; Universidad de Sevilla. Departamento de Enfermería; Universidad de Sevilla. CTS-1050: cuidados complejos, cronicidad y resultados en saludBackground: There is an increased prevalence of mental health problems in various population groups as a result of the COVID-19 pandemic and its consequences, especially regarding anxiety, stress, depression, fear, and sleep disturbances, require to be investigated longitudinally. Objective: This study aimed to determine the impact that the COVID-19 pandemic had on the mental health of Nursing students, as well as to examine other associated factors such as anxiety, fear, sleep disturbances, and coping strategies. Method: This systematic review and meta-analysis were designed following the PRISMA guidelines and were registered in PROSPERO with code CRD42024541904. PubMed, Web of Science, CINAHL, and Scopus electronic databases were utilized. Keywords indexed in the MeSH thesaurus were used (COVID-19, nurs* student and mental health), following the Condition Context Population (CoCoPop) strategy. A total of 3866 studies were obtained of which 36 were selected for inclusion in the review. The Joanna Briggs Institute critical appraisal tool was used to assess the methodological quality of the selected studies, all of which were cross-sectional, finally including those with a cutoff point equal to or greater than 4 out of 8. Results: The prevalence of total anxiety was found to be 33.6% in the meta-analysis. For depression, the prevalence was 37.92%, and for stress, it was 52.46%. The results of this study show increased levels of stress, anxiety, depression, fear, and sleep disturbances among Nursing students that coincide with the different waves of the pandemic, changes in the study methodology, and the increase or decrease in reports of cases of infection. A relationship is observed between variations in these variables and the implementation of protective measures and vaccinations in different countries. Conclusion: As the pandemic progressed, hygiene and prevention measures became more effective, and the lethality of the virus decreased. The prevalence of the negative psychological effects also decreased from the onset in 2020 until the end of 2022. Due to the impact of the pandemic on global health, preventive measures should include personal, family, emotional, economic, educational, professional, and mental health approaches.