Browsing by Subject "Fatigue"
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- PublicationOpen AccessCalidad de las compresiones torácicas en resucitación cardiopulmonar practicada en condiciones extremas de temperatura ambiental(Universidad de Murcia. Servicio de publicaciones, 2020) Fernández González de la Riva, Maria Luisa; Piñero Zapata, Manuel; González de la Riva Troncoso, Maria LuisaEn la atención del equipo de profesionales de la salud en una parada cardiorrespiratoria extrahospitalaria (PCREH), se pueden encontrar en condiciones extremas de temperatura ambiental, según la zona donde se encuentren, la época del año, e incluso la franja horaria. Objetivo: El objetivo de este trabajo fue comprobar si la eficacia de la Reanimación Cardiopulmonar (RCP) se veía afectada en ambientes de temperatura calor (40ºC) y frío (0ºC) extremos, en comparación con una RCP en temperatura ambiental (22ºC). Método: Se realizaron 2 minutos de compresiones torácicas (CT) ininterrumpidas en las condiciones de temperatura de 40ºC, 0ºC y 22ºC, en un maniquí realista Resusci Anne QCPR con SIMPAD. Resultados: 30 participantes, tanto con formación previa en RCP (86,7%) o sin ella (13,3%), formaron parte de la muestra, 26 mujeres (86,7%) y 4 hombres (13,3%), con una media de edad de 27,37±8,88 años. No se encontraron diferencias estadísticamente significativas en la eficacia de la RCP; pero sí que hubo diferencias entre el número total de CT (p=0,042), la profundidad media de las CT (p=0,015) y en la frecuencia media (p=0,034). La escala de Borg de esfuerzo percibido (RPE) mostró una media de 4,4±1,303 a 22ºC, 4,97±1,402 a 40ºC y 4,87±2,08 a 0ºC (p>0,05). No hubo diferencias significativas en el lactato capilar. Conclusiones: Se concluye que no existen diferencias significativas entre las tres condiciones, aunque parece que la temperatura ambiental y la fría se asemejan en los resultados y la temperatura calor ofrece una ligera desventaja al respecto.
- PublicationOpen AccessCondiciones Post COVID-19: un análisis de la fatiga y factores asociados(Universidad de Murcia; servicio de publicaciones, 2025) Nascimento, Vanigleidson Silva do; Brasil, Maria Hellena Ferreira; Queiroz, Viviane Cordeiro de; Leadebal, Oriana Deyze Correia Paiva; Souza, Juliana Raquel Silva; Reis, Renata Karina; Silva, Ana Cristina Oliveira e; DepartamentosObjetivo: Estimar la prevalencia de fatiga post-covid-19 por autorrelato y analizar los factores asociados entre residentes del estado de Paraíba, Brasil.Método:Se trata de un estudio transversal, del tipo encuesta online. La recogida de datos se realizó entre marzo de 2023 y marzo de 2024. Se realizó estadística descriptiva e inferencial. Se respetaron los preceptos éticos.Resultados: Se incluyeron 263 participantes, con predominio de individuos femeninos, en el grupo de edad de 21 a 40 años, que fueron diagnosticados con Covid-19 una sola vez, que clasificaron la infección aguda como leve, vacunados contra la Covid-19, no fuman y que hacían uso de bebidas alcohólicas. La prevalencia de fatiga post-covid-19 por autorrelato fue del 90,5%. Se comprobó que los individuos que informaron de persistencia de síntomas durante más de cuatro semanas después de la infección (OR: 5,55; p=0,000) y aquellos que consumieron bebidas alcohólicas (OR: 2,88, p=0,010) presentaron mayores probabilidades de presentar fatiga. Conclusiones: La fatiga es el síntoma más prevalente de las condiciones post-covid-19 y estuvo asociada a la persistencia de síntomas y consumo de bebidas alcohólicas.
- PublicationOpen AccessCreatine monohydrate ingestion-related placebo e effects on brief anaerobic exercise performance. A laboratory investigation(Murcia: Servicio de Publicaciones de la Universidad de Murcia, 2017) Szabó, Attila; Szemerszky, R.; Dömötör, Z.; De la Vega, R.; Koteles, FerencABSTRACT: People’s thoughts infuence their action that led researchers to inves- tigate the placebo efect in exercise performance. In the current study the pla- cebo efects of creatine monohydrate on a one-minute anaerobic step-exercise performance were examined in a double blind laboratory inquiry. University students (n = 79, 64.5% women) were randomly assigned to one of three expe- rimental conditions: 1) intervention (ingestion of 80 mg/kg dissolved creatine monohydrate, n = 26), 2) placebo (ingestion of dissolved corn starch, thought to be creatine, n = 26), and 3) no-intervention control (ingestion of drinking water only, n = 27). After a baseline measurement, participants have consumed their respective drinks and 40 minutes later the 1-minute exercise was repeated. While analysis of variance revealed no group level diferences in actual and perceived change in performance, the latter was linked to participants’ expec- tations regarding performance on the second exercise test in the correlation analysis. Two thirds of the participants in the current study believed that their performance would improve in the actual test-exercise. However, these expec- tations were not linked to creatine ingestion. Tese fndings suggest that (1) a single dose of creatine monohydrate does not afect anaerobic performance, (2) in low-challenge and low-subjective-importance “artifcial” research condi- tions sufcient expectations could not be evoked, and probably due to the lack of creatine-related expectations the placebo efects did not emerge.
- PublicationRestrictedDepression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia(Elsevier, 2020-03-15) Galvez-Sánchez, Carmen María; Montoro, Casandra; Duschek, Stefan; Reyes del Paso, Gustavo A.; Personalidad, Evaluación y Tratamiento PsicológicosBackground: Fibromyalgia syndrome (FMS) is a chronic pain condition associated with a substantial decrease in health-related quality of life (HRQoL). This study investigated the relationships of HRQoL with clinical parameters of FMS (pain, insomnia and fatigue) and affective variables (depression and anxiety). Methods: Women with FMS (n=145) and healthy women (n=94) completed the Short-Form Health Survey (SF-36) to evaluate HRQoL, and self-report questionnaires pertaining to clinical pain, symptoms of anxiety and depression, fatigue and insomnia. Patterns of associations were assessed by correlation, multiple linear regression, and mediation analyses. Results: FMS patients showed lower scores on all SF-36 scales than healthy individuals. Clinical and emotional factors were inversely associated with SF-36 scores. Although depression was the strongest predictor of global HRQoL (explaining 36% of its variance), clinical pain and fatigue were the main predictors of physical components of HRQoL; depression and trait-anxiety were the main predictors of mental HRQoL components. Results of mediation analysis showed that depression, trait-anxiety and fatigue mediated the effect of clinical pain on HRQoL. Additionally, depression, trait-anxiety and fatigue mutually influenced each other, increasing their negative effects on the different areas of HRQoL. Conclusions: Our results suggest that FMS pain and related functional disability may increase depression and anxiety, in turn aggravating the primary symptoms of FMS and indirectly increasing the negative influence of pain on HRQoL. These results showed the need to evaluate and treat negative affective states in FMS.
- PublicationOpen AccessEffect of high-tone external muscle stimulation on fatigue and functional outcomes in multiple sclerosis: A randomized controlled trial(Universidad de Murcia. Servicio de Publicaciones, 2025) Turky, Khalid Taha Yassin; Shalaby, Nevin M; Abdelmonem, Asmaa Foad; Abdeldayem, Tayseer Saber; Sarhan, Mohammed Ali Mohammed; Omar, Ghada S M; Mahmoud, Lama Saad El-DinA major symptom experienced by subjects with multiple sclerosis is fatigue, which induces a decline in physical, cognitive, and functional capacity. Exercise and electrotherapy are cornerstones of rehabilitation that elicit acceptable effects on feelings of fatigue and on performing activities of daily living. A randomized controlled trial was conducted to investigate the effects of high-tone external muscle stimulation on fatigue and functional outcomes in multiple sclerosis patients. A total of 40 multiple sclerosis patients were allocated randomly to either: the study or control groups. The study group received high-tone external muscle stimulation, while the control group received a conventional selected exercise training program. Both groups received 3 sessions per week for one month. Both groups showed a significant improvement post-study compared with pre-study. There was a significant reduction in Disability Status Scale (p=0.002), Fatigue Severity Scale scores (p=0.004), and total scores of Modified Fatigue Impact Scale (p=0.001) of the study group compared with that of the control group. High-tone external muscle stimulation showed an important improvement effect for both fatigue and functional outcomes in multiple sclerosis patients, being more effective than the conventional exercise training program; therefore, it should be considered a beneficial treatment method for patients with multiple sclerosis.
- PublicationOpen AccessEstructura factorial y consistencia interna de la Escala de severidad de fatiga en población colombiana con enfermedades crónicas(Universidad de Murcia, 2017) Bernal Vargas, Liliana; Riveros Munévar, Fernando; Vinaccia Alpi, Stefano; Quiceno Sierra, Japcy MargaritaEl presente estudio de corte psicométrico, tuvo como objetivo analizar la estructura factorial y la consistencia interna versión en español del cuestionario Fatigue Severity Scale (FSS) en población colombiana de enfermos crónicos. Para ello se aplicó el cuestionario a 52 enfermos crónicos de la ciudad de Villavicencio. El análisis factorial denota tres factores: el factor 1 denominado como afectación física, el factor 2 denominado afectación social y finalmente el factor 3 denominado afectación motivacional de la fatiga, que explican el 76,324% de la varianza total acumulada, y un alfa de Cronbach de 870. Los resultados muestran una alta confiabilidad y concordancia en la estructura factorial con la versión original, lo que implica adecuada validez de la prueba en población colombiana de enfermos crónicos.
- PublicationOpen AccessLa fatiga en el cáncer: impacto y alcance del problema(Murcia: Servicio de Publicaciones de laUniversidad de Murcia, 2003) Madrid Reques, M.J.; López Delgado, T.; O`Kelly Pérez, P.La fatiga es uno de los síntomas subjetivos más referidos por los pacientes que sufren un Cáncer, y sobre todo por aquellos que reciben algún tipo de terapia activa para combatirlo, y se caracteriza principalmente por la aparición de síntomas tales como astenia, laxitud, falta de energía o debilidad. En el presente trabajo nos propusimos determinar el grado de percepción que los pacientes oncológicos del HMA tienen de su sensación de fatiga y del modo en que ésta alteraba su calidad de vida. Para ello, utilizamos una herramienta universalmente conocida elaborada por la Doctora en Enfermería Bárbara Piper, y que consiste en una encuesta evaluadora de la intensidad de la fatiga en los pacientes oncológicos. Los resultados obtenidos nos indican que las capacidades que se encuentran más alteradas - según su propia impresión- son las físicas, y en un rango inferior, las cognitivas y las afectivas. En la mayoría de los casos (58 %) la presencia de esta sensación de fatiga no se correspondió con patrón circadiano alguno si bien todos ellos coincidieron en que su naturaleza era crónica, con breves picos de mayor intensidad. De todos modos al no existir unas causas claras del mecanismo de producción de la fatiga, se hace complicada una intervención que desde la perspectiva de Enfermería, debería ir dirigida al control de síntomas y efectos secundarios adversos con una intención holística.
- PublicationRestrictedFrom improved sleep regularity to reduced sleep complaints and mental health conditions: a population-based interventional study using a smartphone-based virtual agent(Oxford University Press, 2023-09) Coelho, Julien; Pecune, Florian; Levavasseur, Yannick; Sevin, Etienne de; D'incau, Emmanuel; Patricia Sagaspe, Patricia; Sánchez Ortuño, María Montserrat; Micoulaud Franchi, Jean Arthur; Philip, Pierre; EnfermeríaStudy Objectives To explore the effect of sleep regularity on sleep complaints and mental health conditions (i.e. insomnia, fatigue, anxiety, and depressive symptoms) in a population-based interventional study using a smartphone-based virtual agent. Methods A populational cohort based on the Kanopée application, which provided interactions with a virtual companion to collect data on sleep and make personalized recommendations to improve sleep over 17 days. A pre-intervention sleep diary and interview were used for cross-sectional analysis (n = 2142), and a post-intervention sleep diary and interview were used for longitudinal analysis (n = 732). The intra-individual mean (IIM) and standard deviation (ISD) of total sleep time (TST) were calculated to measure sleep quantity and sleep regularity. Results The mean age at baseline was 49 years, 65% were female, 72% reported insomnia, 58% fatigue, 36% anxiety, and 17% depressive symptoms. Before the intervention, irregular and short sleep was associated with a higher likelihood of insomnia (Relative risk [RR] = 1.26 [1.21–1.30] for irregular TST and RR = 1.19 [1.15–1.23] for short TST), fatigue, anxiety, and depressive symptoms. After the intervention, the IIM of the TST increased while the ISD of the TST and sleep complaints and mental health conditions decreased. More regular TST was associated with reduced insomnia and depressive symptoms (RR = 1.33 [1.10–1.52] and RR = 1.55 [1.13–1.98], respectively). Conclusions Our results reveal a longitudinal association between sleep regularity and sleep complaints and mental health conditions. Policymakers, health professionals, and the general population should be aware that, beyond its positive effect on sleep health, regular sleep could promote mental health.
- PublicationOpen AccessImpacto de la fatiga en enfermeros recuperados de COVID-19 en el noreste de Brasil(Universidad de Murcia: servicio de publicaciones, 2025) Albuquerque Costa, Sarah Loyse Silva Cavalcanti de; Ferreira Brasil, Maria Hellena; Cordeiro de Queiroz, Viviane; Carneiro Acioly, Cizone Maria; Gir, Elucir; Oliveira e Silva, Ana Cristina de; Sin departamento asociadoIntroduction: Post-COVID-19 fatigue is a condition exerting various impacts on people, especially on health professionals.Objective: To analyze the impact exerted by fatigue on nurses recovered from COVID-19 in a northeastern Brazilian state.Method: A quantitative-qualitative study conducted in a northeastern Brazilian state by means of an online survey. Data collection took place between May 2021 and August 2024. A bivariate analysis and binary logistic regression were performed for the quantitative data. The qualitative data were presented through thematic categorical content analysis. All ethical precepts were respected, with due approval from a Research Ethics Committee.Results: A total of 301 nurses were included, with predominance of female, married and brown-skinned subjects. The prevalence of self-reported post-COVID-19 fatigue was 52.3%. The participants working in the Intensive Care Unit and Emergency sectors presented higher chances of reporting fatigue. The qualitative analysis revealed that fatigue exerted an impact on the performance of activities of daily living and on the need for sleep and rest. Difficulties were found for health professionals to recognize post-COVID-19 conditions. Other fatigue-associated symptoms reported included memory and hair fall and difficulty concentrating.Conclusion: Post-COVID-19 fatigue exerted negative impacts on nurses' personal life and work activities
- PublicationOpen AccessPercepción física y emocional en el aula de educación física entre estudiantes universitarios de Educación Infantil(Universidad de Murcia. Servicio de Publicaciones, 2025) Silva Piñeiro, Roberto; Sin departamento asociadoTanto la educación emocional como la física son elementos básicos de nuestra salud que no están suficientemente introducidos en la formación universitaria de los futuros docentes de Educación Infantil. Existe evidencia de los beneficios de la práctica física en la salud emocional y rendimiento académico. Se realizó una intervención sociomotriz de 11 sesiones prácticas a un grupo de 64 alumnos del Grado de Educación Infantil. Los datos de inteligencia emocional con TMMS-24 fueron adecuados, salvo en el factor reparación de los hombres. La percepción de fatiga se mantuvo en niveles moderados y fue mejorando a lo largo de la intervención. Se observó una correlación directa débil entre fatiga final e inteligencia emocional. Considerando el agravamiento sobrevenido de los niveles de salud emocional y física entre la población infantil y los jóvenes, será necesario concienciar y dotar de mayor experiencia sobre salud emocional y física a los estudiantes universitarios en el campo de la educación, e implementar más estudios y programas en el resto de etapas educativas.
- PublicationOpen AccessPredictores del síndrome de burnout en docentes universitarios: Un análisis factorial exploratorio(Universidad de Murcia. Servicio de publicaciones, 2022) Tito Huamani, Pedro Leonardo; Torres Pecho, Miryam; Perez Palacios, Emma EmiliaIntroducción: Debido a una serie de factores de estrés psicológico reconocidos en la trayectoria docente de los programas universitarios de salud, en la facultad son propensos a experimentar el síndrome de burnout. Objetivo: Determinar los predictores del síndrome de burnout entre docentes de la facultad de medicina de la Universidad Peruana Cayetano Heredia y Universidad Tecnológica del Perú. Métodos: Estudio transversal aplicado a 262 docentes tras muestreo de dos de las facultades de medicina de la Región Lima Metropolitana, mediante un generador de secuencias aleatorias. Los datos se recopilaron mediante un cuestionario con el consentimiento para evaluar el síndrome de burnout mediante el Inventario de Escala Maslach Burnout (MBI-GS) y se procesaron en la versión 23 de SPSS con valor p significativo de 95%. Se utilizó el Análisis Factorial Exploratorio para identificar los determinantes del síndrome de burnout. Resultados: El alfa de Cronbach promedio de 0,85 mostró que el MBI-GS evaluó el mismo constructo subyacente, los resultados arrojaron una prevalencia baja de burnout (79.4%) en los docentes encuestados. En las dimensiones, agotamiento (43.5%) y cinismo (60.3%) la escala es baja, mientras que la eficacia profesional es alta (46.6%). Conclusiones: El síndrome de burnout fue influenciado significativamente por el género y grupo etario en todas las dimensiones valoradas con mayor prevalencia en docentes mayores de 54 años y masculinos. Sin embargo, se observó una proporción minoritaria de 8% en docentes menores de 36 años de ambos géneros; esto indica que se deben aplicar medidas para minimizar el crecimiento porcentual con base en los años de servicio docente.
- PublicationOpen AccessPsychometric properties of the Spanish version of the Chalder Fatigue Scale in clinical and general populations(Universidad de Murcia. Servicio de Publicaciones, 2024) Ceballos-Munuera, Celia; Senín-Calderón, Cristina; Rosales-Becerra, Ángela; Rodríguez-Testa, Juan F.Objective:The Chalder Fatigue Scale (CFS) is a brief self-report screening scale for fatigue that is used in Spain but has not been validated for the Spanish population. The aim of this study was to adapt and evaluate the psychometric properties of the Spanish version of the CFS (Sp-CFS). Method:The sample consisted of 3,671 participants (3,190 from the general population and 481 patients), aged 18 to 86 years (M=28.43; DT=12.71), 67.6% of whom were women. Psychometric properties of the scale were tested in a cross-sectional design using cross-validation (exploratory and confirmatory factor analysis) and estimation of invariance (sex and clinical condition). Results:A four-factor model (low energy, sleep problems, concentration problems and subjective cognitive dysfunction) rather than an original two-factor model (physical and mental fatigue) provided better indices of goodness of fit to the data. The internal consistencyand stability of the scale were excellent. Its convergent validity was supported by its significant association with anxiety, depression, stress, and the positive and negative symptoms of the psychosis spectrum. The instrument did not show significant differences between sexes or clinical conditions, and it discriminated between the general population and the patients, with the latter obtaining significantly greater scores. Conclusions: Sp-CFS is a reliable and valid scale for measuring a transdiagnostic construct such as fatigue in Spanish general and clinical population.
- PublicationOpen AccessThe effect of physical therapy rehabilitation on fatigue and pain in female patients with fibromyalgia(Universidad de Murcia: servicio de publicaciones, 2024) Abdelaziz, Nada Gamal; Ramzy, Gehan Mahmoud; Fayed, Hala Lotfy; Ahmed, Sara M; Ahmed, Gehan MousaThis study aimed to examine the impact of physical therapy rehabilitation program on fatigue, pain and quality of life in female patients with fibromyalgia. Itwas designed as a single-blinded, randomized, pre and post-test controlled trial. Eighty female patients, aged 25 to 45, diagnosed with fibromyalgia were selected from the Kasr Al Ainyrheumatology outpatient clinic. The participants were allocated into two equal groups using a randomization procedure. Group (A) (control group, n=40) received transcutaneous electric nerve stimulation (TENS), moist heat, core muscle retraining, and manual therapy for trigger points, 3 times/week, for 4 weeks. Group (B) (study group, n=40) received the same treatments as Group A, plusaerobic exercises, flexibility exercises, and cognitive behavioural therapy (CBT), 3 times/week, for 4 weeks.Both groups were assessed before and after treatment using the Fatigue Severity Scale (FSS) and the Fibromyalgia Impact Questionnaire (FIQ). Statistically significant improvements were observed in FSS and FIQ scores for both groups post-treatment (p<0.05).When the two groups were compared after therapy, the study group (B) showed significantly greater improvement in FSS and FIQ(p<0.05). These findings suggest that physica therapy rehabilitation can effectively reduce fatigue, pain, and improve the quality of life for women with fibromyalgia