Browsing by Subject "Adult"

Now showing 1 - 6 of 6
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    El equipo de enfermería frente al deterioro clínico del paciente en la sala de ingreso: una revisión integrativa
    (Universidad de Murcia. Servicio de publicaciones, 2024) Lima Miranda, Tainá; Rodrigues da Rocha, Cristiane; Ferreira de Almeida, Luana; Lopes Silva Sodré, Sarah; Santos Spezani, Renè dos; Silva Pinto, Ana Cristina
    Objetivo: Buscar, en las publicaciones científicas, la atención de enfermería que se brinda a los pacientes adultos críticos o potencialmente graves internados en las salas. Método: Revisión integradora, realizada en noviembre de 2022, en las bases de datos Web of Science, PubMed, Biblioteca Virtual en Salud, Scopus y EMBASE, utilizando la string: “nursing AND critical care AND patients’ rooms OR ward OR infirmary AND adult OR middle aged OR aged OR aged, 80 and over”. Resultados: De los 4.596 estudios encontrados, se incluyeron 19 artículos originales, publicados entre 2017 y 2022. Los contenidos se agruparon en dos categorías: “barreras para la atención de pacientes agudos en las salas de ingreso” y “oportunidades para mejorar la calidad de la atención”. Conclusión: A partir de esta revisión, fue posible extraer posibles barreras y posibilidades para mejorar la atención al paciente crítico en las salas de ingreso, que pueden servir como punto de partida para que los equipos de salud replanteen la práctica y creen estrategias para eliminar las barreras e implementar mejoras en la asistencia.
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    Heritability of sleep quality in a middle-aged twin sample from Spain
    (2018) Gregory, Alice M.; Madrid Valero, Juan José; Martínez Selva, José María; Ordoñana Martín, Juan Ramón; Sánchez Romera, Juan Francisco; Anatomía Humana y Psicobiología
    Study objectives: Sleep quality is associated with health throughout the life span, which is particularly salient in middle-age and older adulthood. Sleep quality appears to be influenced by both genetic and environmental factors. However, there is still limited information about genetic influences on sleep quality in middle-aged adults, and particularly in those from certain geographical locations. We estimated the magnitude of genetic and environmental influences on sleep quality in a representative sample of middle-aged Spanish twins. Methods: The sample comprised 2150 individuals born between 1939 and 1966, who participate in the Murcia Twin Registry. In order to estimate the heritability of sleep quality variables we performed univariate analyses for the global score on the Pittsburgh sleep quality index and for each of its components. Results: We found moderate but significant heritability (34%) for sleep quality. The genetic variance of the components of the Pittsburgh index ranged from 30% to 45%, except for sleep efficiency for which no genetic influence could be detected. In summary, there was a moderate genetic influence on most dimensions of sleep quality in a sample of adult male and female twins. Shared environment influences were not found. Conclusions: This study adds new information regarding the underlying determinants of sleep quality by providing heritability estimates in a middle-aged population-based representative sample from a geographical location that has not been included in studies of this type previously. This could provide a reference point for future research regarding sleep research in middle-age.
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    Incidence and predictors of sternal surgical wound infection in cardiac surgery: a prospective study
    (Wiley, 2022-09-28) Arribas Leal, José María; Rivera Caravaca, José Miguel; Hernández Torres, Alicia; Jiménez Aceituna, Antonio; Moral Escudero, Encarnación; Pérez Andreu, Joaquín; García Vázquez, Elisa; Gutiérrez García, Francisco; García Puente, Julio J.; Marín, Francisco; Cánovas López, Sergio; Herrero Martínez, José Antonio; Cirugía, Pediatría y Obstetricia y Ginecología
    Sternal surgical wound infection (SSWI) in cardiac surgery is associated with increased morbidity. We investigated the incidence of SSWI, the main germs implicated and predictors of SSWI. Prospective study including patients undergoing full median sternotomy between January 2017 and December 2019. Patients were followed-up for 3 months after hospital discharge. All sternal wound infections up to 90 days after discharge were considered SSWI. 1004 patients were included. During follow-up, 68 (6.8%) patients presented SSWI. Patients with SSWI had a higher incidence of postoperative renal failure (29.4% vs 17.1%, P = .007), a higher incidence of early postoperative reoperation for non-infectious causes (42.6% vs 9.1%, P < .001), longer ICU stay (3 [2–9] days vs 2 [2–4] days, P = .006), and longer hospital stay (24.5 [14.8–38.3] days vs 10 [7–18] days, P < .001). Gram-positive germs were presented in 49% of the cultures, and gram-negative bacteria in 35%. Early reoperation for non-infectious causes (OR 4.90, 95% CI 1.03–23.7), and a longer ICU stay (OR 1.37 95% CI 1.10–1.72) were independent predictors of SSWI. SSWI is rare but leads to more postoperative complications. The need for early reoperation because of non-infectious cause and a longer ICU stay were independently associated with SSWI.
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    Niveles de ideación suicida asociados con el consumo de alcohol
    (Universidad de Murcia. Servicio de publicaciones, 2021) Santos, Clara; Monteiro, Claudete
    Objetivo: Analizar la asociación entre ideación suicida y consumo de alcohol en una población adulta atendida en atención primaria de salud en Teresina / Piauí / Brasil, de junio a septiembre de 2019. Material y método: Estudio observacional, analítico y transversal realizado con 380 adultos en 11 Unidades Básicas de Salud. La población de origen estuvo constituida por 14.062 adultos de 20 a 59 años, registrados en el sistema de información e-SUS de los Equipos de Salud de la Familia. La recolección de datos se realizó entre junio y septiembre de 2019, con aplicación de un cuestionario sociodemográfico, Escala de Ideación Suicida de Beck y Prueba de Identificación de Desórdenes por Uso de Alcohol. Resultados: La prevalencia de ideación suicida en la muestra fue del 17,9%. Entre estos, el 39,7% tiene ideación suicida clínicamente significativa. El consumo de alcohol por personas con ideación suicida fue del 42,6% y con ideación suicida clínicamente significativa del 44,4%. En individuos con probable dependencia, hubo un aumento en la prevalencia de ideación suicida e ideación suicida clínicamente significativa, 33,3% y 16,7%, respectivamente. No tener pareja tenía 1,4 veces más posibilidades de tener ideación suicida y un historial de discriminación 1,9 posibilidades más. Haber tenido un evento estresante aumenta las posibilidades de tener ideas suicidas clínicamente significativas en 3,1 veces y de problemas con el sueño en 2,9 veces. Conclusión: El estudio mostró que el consumo de alcohol influyó en la presencia de ideación suicida e ideación suicida clínicamente significativa en la muestra.
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    Potential drug–drug interactions in oncological adult inpatients at a Spanish hospital: epidemiology and risk factors
    (Springer, 2015-09-21) Fernández de Palencia Espinosa, María Ángeles; Díaz Carrasco, María Sacramento; Alonso Romero, José Luis; Rubia Nieto, Amelia de la; Espuny Miró, Alberto; Medicina
    Background Oncological patients are at high risk for drug–drug interactions (DDIs), which may contribute to therapeutic failure or lead to serious adverse events. Objective To determine the prevalence of potential DDIs in medication lists, to describe the most frequent DDIs and to investigate the possible risk factors associated with them. A prospective cohort study was performed at the Oncology Department of a tertiary hospital over a 12-week period. Twice a week, every inpatient’s treatment sheet was collected and screened through two databases: Micromedex™ and Drug Interaction Facts™. All identified potential DDIs with a moderate or higher severity rating were recorded. Multivariate analysis was used to identify risk factors associated with DDIs. Result A total of 1956 DDIs were detected in 699 treatment sheets. The prevalence of treatment sheets with DDIs was 81.0 % and 32.6 % by Micromedex™ and Drug Interaction Facts™, respectively. Central nervous depressant agents and antiemetics were the most commonly involved groups in DDIs. A higher number of non-antineoplastic drugs was related with potential DDIs [adjusted-OR 1.398 and 1.613 by Micromedex™ and Drug Interaction Facts™, respectively]. Conclusion The prevalence of potential DDIs was widely variable among databases. The main risk factor associated with DDIs was a higher number of non-antineoplastic medicines.
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    Quality of instruments measuring barriers to physical activity in different age groups: a systematic review of measurement properties and COSMIN analysis
    (Taylor and Francis Group, 2025-11-26) Blanco Martínez, Nerea; Delgado Lobete, Laura; Ayán Pérez, Carlos; Atención Sociosanitaria; Facultades de la UMU::Facultad de Ciencias Sociosanitarias (Lorca)
    Physical activity is key to overall well-being, but the barriers to participation differ by age and context. This systematic review aimed to identify and evaluate the psychometric properties of questionnaires assessing barriers to physical activity across different age groups and to analyze their cross-cultural adaptation processes. A systematic review was conducted following PRISMA and COSMIN guidelines, searching three electronic databases up to February 2025. Measurement properties were classified as sufficient, insufficient, inconsistent, or indeterminate, and the quality of evidence was assessed using the COSMIN-modified GRADE approach. A total of 39 studies evaluating 23 different questionnaires were included. Seven instruments targeted children and adolescents, seven focused on adults, three on older adults, and five covered wider age ranges. Structural validity and internal consistency were the most frequently assessed properties, while responsiveness and criterion validity were rarely evaluated. Overall, 55% of the measurement property results were rated as sufficient, and 77% of methodological quality ratings were high. Although various questionnaires are available to assess barriers to physical activity, their psychometric properties and cross-cultural adaptation processes remain insufficiently explored, particularly in adults and older adults. This review highlights the need for further validation of existing instruments and the development of culturally sensitive tools with strong methodological rigour to improve research and public health interventions promoting physical activity.