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Hospital de Órbigo, Spain

Background and objectives: The worry for falling ill has been described as a key element in the change of preventive attitudes. Levels of cancer worry not well fitted have been associated with inadequate adherence to preventive strategies. There is not a Spanish validated scale to evaluate the degree of worry for the cancer in our population. The aim of the present study was to perform the cross cultural adaptation and validation of the Cancer Worry Scale described by Lerman. Patients and method: A translation, re-translation of the Cancer Worry Scale to Spanish was done. Validation of the Spanish scale was performed by means of the factorial analysis of principal components with the rotation varimax test in a sample of 200 healthy women with family history of breast cancer. Results: The Escala de Preocupacin por el Cncer (EPC) is the Spanish version of the Cancer Worry Scale and it contains 6 items with a total value ranging from 6 (minimal worry) to 24 (maximum worry). The analysis of content validity demonstrated that the EPC is conceptually equivalent to the original scale. The factorial analysis showed a unique factor that explains 53.07% of the variance confirming the unique dimension. The EPC presented good reliability test - re-test with an Intraclass Correlation Coefficient of 0.777. The Cronbach's alpha was 0.835 for the complete of the scale. Conclusions: The EPC is a validated Spanish scale to measure the cancer worry in healthy individuals, which shows a correct content validity and reliability. © 2010 Elsevier Espaa, S.L. All rights reserved.

Fernandez-Lasquetty Blanc B.,Direccion de Enfermeria | Lorente Granados G.,Area de Calidad y Cuidados | Racionero Montealegre A.L.,Area de Fisioterapia | Alcaniz Octavio I.,Unidades de Hsopitalizacion medicas | Gigante Leon A.,Medicina Preventiva
Enfermeria Clinica | Year: 2015

Backgrounds: Improper use of incontinence absorbent products in adults can negatively affect self-esteem, quality of life and independence of the patient, as well as increase the workload and cause adverse events.There are few studies evaluating the appropriateness of diapers using validated scales for it, or the justification of nurses for its use in elderly who are hospitalized. Objective: To determine the frequency of diaper use in patients admitted to a hospital and to identify the criteria that determined their use and adequacy. Method: Observational, cross-sectional study of adult patients using diapers while admitted in Inpatient Units. For data collection cut day was held in April 2013, collecting data from nursing assessment records, patients themselves and their family. Barthel Index items were used as criteria of adequacy concerning mobility and disposal. Results: 228 patients admitted. 83 (34.4%) of them had diapers and 25 (30.1%) of them had no criteria for using them. 28.8% (21) had not previously used diapers, the use of diapers in half of them was inappropriate. Factors associated with inappropriate use of diapers were older age, being female, more comorbidity and days of hospitalization. Conclusion: The results of this study show the often excessive use of incontinence absorbent products without proper appplication, not based on validated criteria. © 2015 Elsevier España, S.L.U.

Objective: Epidemiological data on influenza is essential for resource management when the incidence of the disease in the population is very high, but not easily available in real-time. The objective of this study was to evaluate the use of a syndromic surveillance system for influenza-like illness in Primary Care (ILIsPC) and assess its level of agreement with the epidemiological data from the Influenza Sentinel Network. Localization: Health centres and deputising medical services in the Balearic Islands. Participants: Data from 122 epidemiological weeks for each system were included. Main measures: Data from January 1, 2007 to January 31, 2010 were compared. ILIsPC rates were obtained from the diagnoses registered in electronic health records of Primary Care clinics and deputising medical services. Data from Sentinel Network were obtained from weekly epidemiological reports. Intraclass correlation coefficient was calculated and Bland - Altman plot constructed. Results: There was good agreement between both measures, with an intraclass correlation coefficient of 0.88 (95% CI: 0.83-0.91). After constructing a Bland-Altman plot, the precision between both rates was greater during the periods of the highest influenza incidence. Conclusions: We believe that the syndromic surveillance system ILIsPC, provides access to very useful data in real-time, especially during periods of high influenza incidence, such as during epidemics or the recent pandemic. © 2010 Elsevier España, S.L. All rights reserved.

Salinero-Fort M.A.,Fundacion Investigacion Biomedica | Gomez-Campelo P.,Fundacion Investigacion Biomedica | Abanades-Herranz J.C.,Direccion Tecnica de Formacion e Investigacion | Arnal-Selfa R.,Direccion de Enfermeria | Andres A.L.,Rey Juan Carlos University
PLoS ONE | Year: 2012

Background: Implementation of a standardized language in Nursing Care Plans (SNCP) allows for increased efficiency in nursing data management. However, the potential relationship with patientś health outcomes remains uncertain. The aim of this study was to evaluate the effectiveness of SNCP implementation, based on North American Nursing Diagnosis Association (NANDA) and Nursing Interventions Classification (NIC), in the improvement of metabolic, weight, and blood pressure control of Type 2 Diabetes Mellitus (T2DM) patients. Methods: A two-year prospective follow-up study, in routine clinical practice conditions. 31 primary health care centers (Spain) participated with 24,124 T2DM outpatients. Data was collected from Computerized Clinical Records; SNCP were identified using NANDA and NIC taxonomies. Descriptive and ANCOVA analyses were conducted. Results: 18,320 patients were identified in the Usual Nursing Care (UNC) group and 5,168 in the SNCP group. At the two-year follow-up, the SNCP group improved all parameters except LDL cholesterol and diastolic blood pressure. We analyzed data adjustming by the baseline value for these variables and variables with statistically significant differences between groups at baseline visit. Results indicated a lowering of all parameters except HbA1c, but a statistically significant reduction was only observed with diastolic blood pressure results. However, the adjusted reduction of diastolic blood pressure is of little clinical relevance. Greater differences of control values for diastolic blood pressure, HbA1c, LDL-cholesterol and Body Mass Index were found in the SNCP group, but only reached statistical significance for HbA1c. A greater proportion of patients with baseline HbA1c ≥7 decreased to <7% at the two-year follow-up in the SNCP group than in the UNC group (16.9% vs. 15%; respectively; p = 0.01). Conclusions: Utilization of SNCP was helpful in achieving glycemic control targets in poorly controlled patients with T2DM (HbA1c ≥7%). Diastolic blood pressure results were slightly improved in the SNCP group compared to the UNC group. Trial Registration: ClinicalTrials.gov NCT01482481. © 2012 Cárdenas-Valladolid et al.

Hernandez M.L.,Medico de Familia | Navarro A.M.,Gerencia de Atencion Primaria | Oliver A.F.N.,Gerencia de Atencion Primaria | Pedrola Z.L.,Gerencia de Atencion Primaria | Ruiz M.G.,Direccion de Enfermeria
Endocrinologia y Nutricion | Year: 2010

Background and objective: To analyze the evolution of the glycosylated hemoglobin and other parameters after performing a control program and follow-up by nurses to improve the control of the patients with type 2 diabetes mellitus (Diabetes First). Patients and method: Intervention study in type 2 diabetes mellitus patients from Murcia. The inclusion criterium was to be a type 2 diabetes mellitus patient badly controlled on diabetes parameters (glycosylated haemoglobin ≥ 7%). We included 831 patients from 8 primary care centers. The program consisted of three visits (first one, after three months and after six months), where the patients received diabetic education. Results: The mean initial glycosylated haemoglobin value was 8.1% ± 1.3%, after 3 months it decreased to 7.5% ± 1.1%, and after 6 months from the first visit its value was 7.5% ± 2.6%. There was a statistically significant (p < 0.001) difference between the initial glycosylated haemoglobin and the values three months later. There was not such a difference between the second and third visit. Total and low-density liporpotein cholesterol decreased significantly after 3 months (p < 0.05). High-density lipoprotein cholesterol and triglycerides showed no difference. Systolic and diastolic blood pressure significantly decreased after three months (p < 0.0001 and p < 0.005). Conclusions: A simple nursing intervention program performed in primary care centers has a very positive impact on the control and treatment of patients with type 2 diabetes mellitus. © 2010 Sociedad Española de Endocrinología y Nutrición.

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