Synthetic Opioid Crisis: Illicit Fentanyl
Authorship
A.M.R.
Bachelor of Nursing (2ª ed) [S]
A.M.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Fentanyl is a potent synthetic opioid approved for analgesic and anesthetic use and has been a major factor in the opioid crisis since 2006 when it was introduced as a heroin adulterant. Currently, the opioid epidemic has worsened due to adulterants like xylazine. Objective: Analyze the health crisis caused by the illegal fentanyl epidemic. Methodology: Literature review according to PRISMA guidelines. The literature search was conducted between October 2023 and March 2024 in MEDLINE (PubMed), Scopus, and WOS, using the keywords: illicit fentanyl, review, adulterant, overdose, xylazine. Results: The review included 16 articles. Fentanyl is more potent and faster-acting but has a shorter duration compared to heroin and morphine. In most overdoses where xylazine is detected, it acts as a fentanyl adulterant. Thus, although naloxone is only an antidote for fentanyl, it can be effective in reversing these overdoses. Respiratory depression is the most severe consequence of fentanyl overdose and can be exacerbated by CNS depression if xylazine is involved. Conclusions: The opioid epidemic is worsened by new substances like xylazine, the main fentanyl adulterant. Fentanyl overdoses occur rapidly, so naloxone administration must be prompt and in repeated doses. More research is needed to determine the appropriate treatment for overdoses involving fentanyl adulterated with xylazine.
Introduction: Fentanyl is a potent synthetic opioid approved for analgesic and anesthetic use and has been a major factor in the opioid crisis since 2006 when it was introduced as a heroin adulterant. Currently, the opioid epidemic has worsened due to adulterants like xylazine. Objective: Analyze the health crisis caused by the illegal fentanyl epidemic. Methodology: Literature review according to PRISMA guidelines. The literature search was conducted between October 2023 and March 2024 in MEDLINE (PubMed), Scopus, and WOS, using the keywords: illicit fentanyl, review, adulterant, overdose, xylazine. Results: The review included 16 articles. Fentanyl is more potent and faster-acting but has a shorter duration compared to heroin and morphine. In most overdoses where xylazine is detected, it acts as a fentanyl adulterant. Thus, although naloxone is only an antidote for fentanyl, it can be effective in reversing these overdoses. Respiratory depression is the most severe consequence of fentanyl overdose and can be exacerbated by CNS depression if xylazine is involved. Conclusions: The opioid epidemic is worsened by new substances like xylazine, the main fentanyl adulterant. Fentanyl overdoses occur rapidly, so naloxone administration must be prompt and in repeated doses. More research is needed to determine the appropriate treatment for overdoses involving fentanyl adulterated with xylazine.
Direction
NOVIO MALLON, SILVIA (Tutorships)
NOVIO MALLON, SILVIA (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Virtual reality in the rehabilitation treatment for patients with Parkinson's disease
Authorship
L.S.T.
Bachelor of Nursing (2ª ed) [S]
L.S.T.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction and objectives: Parkinson’s disease is a neurodegenerative disease that can be defined as a major global health problem. It is because of this that the necessity of an adequate treatment is born and the modern technologies, such as VR, appear with numerous benefits and analyzing the effectiveness of it as a tool in the rehabilitation of PD becomes an urgency. Research strategy and results: A bibliographical search has been conducted in different databases such as PubMed, Dialnet and ResearchGate. From this search and after applying the corresponding filters, a total of eleven articles were reported for the realization of this project. Discussion: The resulting studies mostly reflect the positive effects that VR has on both motor and no motor symptomatology of PD. Conclusions: VR has proven to be a potential secure and effective tool in addition with the pharmacological and surgical treatments, having numerous benefits. Nevertheless, furthermore studies are needed to keep on evaluating its benefits as VR keeps evolving.
Introduction and objectives: Parkinson’s disease is a neurodegenerative disease that can be defined as a major global health problem. It is because of this that the necessity of an adequate treatment is born and the modern technologies, such as VR, appear with numerous benefits and analyzing the effectiveness of it as a tool in the rehabilitation of PD becomes an urgency. Research strategy and results: A bibliographical search has been conducted in different databases such as PubMed, Dialnet and ResearchGate. From this search and after applying the corresponding filters, a total of eleven articles were reported for the realization of this project. Discussion: The resulting studies mostly reflect the positive effects that VR has on both motor and no motor symptomatology of PD. Conclusions: VR has proven to be a potential secure and effective tool in addition with the pharmacological and surgical treatments, having numerous benefits. Nevertheless, furthermore studies are needed to keep on evaluating its benefits as VR keeps evolving.
Direction
SACO LOPEZ, PEDRO JOSE (Tutorships)
SACO LOPEZ, PEDRO JOSE (Tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
Postpartum mental health of galician women: a study on anxiety and depression. dissertation
Authorship
C.B.S.
Bachelor of Nursing (2ª ed) [S]
C.B.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The puerperium is the period of a woman's life that proceeds after childbirth and in which the changes produced during pregnancy are reinverted. Traditionally it has been associated with physical recovery (6-8 weeks). However, it is currently advocated that its duration goes beyond two months, including psychosocial and emotional recovery. Among the factors identified as obstacles during this period are anxiety and depression. In Spain, 14% suffer from postpartum depression and 8% from anxiety. No official data are available at the regional level. Symptoms appear most frequently at 3 months but can occur up to 1 year later. The etiology is unknown, however, evidence points to the existence of various risk factors. However, public health facilities do not have specific strategies or resources to meet the needs of patients. Influenced by social stigma, they tend to hide their situation and prefer not to ask for help. Objectives: To determine the prevalence of postpartum anxiety and depression in galician women, as well as their risk factors. Methods: An observational, descriptive and cross-sectional study is proposed. Data will be collected by means of a questionnaire composed of 3 blocks. The first, with the aim of assessing vulnerability and risk factors, includes sociodemographic questions, related to clinical history and psychosocial aspects. The second includes the EPDS scale to assess the presence of depressive symptoms and the last, the PASS scale, which assesses anxiety levels. Postpartum women between 18 and 49 years of age will be able to participate. The questionnaire will be administered at 3, 6 and 12 months postpartum by midwives from galician public PC centers. The results obtained will be disseminated in congresses and high impact scientific journals.
Introduction: The puerperium is the period of a woman's life that proceeds after childbirth and in which the changes produced during pregnancy are reinverted. Traditionally it has been associated with physical recovery (6-8 weeks). However, it is currently advocated that its duration goes beyond two months, including psychosocial and emotional recovery. Among the factors identified as obstacles during this period are anxiety and depression. In Spain, 14% suffer from postpartum depression and 8% from anxiety. No official data are available at the regional level. Symptoms appear most frequently at 3 months but can occur up to 1 year later. The etiology is unknown, however, evidence points to the existence of various risk factors. However, public health facilities do not have specific strategies or resources to meet the needs of patients. Influenced by social stigma, they tend to hide their situation and prefer not to ask for help. Objectives: To determine the prevalence of postpartum anxiety and depression in galician women, as well as their risk factors. Methods: An observational, descriptive and cross-sectional study is proposed. Data will be collected by means of a questionnaire composed of 3 blocks. The first, with the aim of assessing vulnerability and risk factors, includes sociodemographic questions, related to clinical history and psychosocial aspects. The second includes the EPDS scale to assess the presence of depressive symptoms and the last, the PASS scale, which assesses anxiety levels. Postpartum women between 18 and 49 years of age will be able to participate. The questionnaire will be administered at 3, 6 and 12 months postpartum by midwives from galician public PC centers. The results obtained will be disseminated in congresses and high impact scientific journals.
Direction
GARCIA COUCEIRO, NURIA (Tutorships)
Torres López, Lorena (Co-tutorships)
GARCIA COUCEIRO, NURIA (Tutorships)
Torres López, Lorena (Co-tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Grief in childhood and adolescence. The nursing role in the face of loss.
Authorship
C.V.R.
Bachelor of Nursing (2ª ed) [S]
C.V.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Grief is a psychological process that occurs after the loss of a loved one. It can be classified into different types such as adaptive and non-adaptive grief. There are different forms of grief and common stages that range from denial to acceptance. This process varies according to the individual and age, with grief being particularly complex in minors, whose manifestations may include regression in development and separation anxiety. Objectives: The general objective of this systematic review is to study the impact and consequences of the grieving process on childhood and adolescence. The specific objectives are to understand minors’ perception of the concept of death, and to assess the involvement of nursing in relation to the process of childhood and adolescent grief. Methodology: A systematic search based on the PRISMA statement was conducted between December 2023 and February 2024 in different databases such as ScienceDirect, Scopus, Dialnet, and Pubmed combining different search strategies and keywords. Results: Once the systematic search was conducted, a total of 10 articles were selected. The results show that grief has a clear impact on the social, emotional, ang cognitive development of minors. Additionally, it was found that the understanding of the concept of death varies according to age and the healthcare professionals, such as nurses, do not feel prepared to address grief in minors, as there is little evidence of nursing interventions for its management. Conclusions: Grief in minors is a subjective process that has a clear impact on their emotional and social development. The understanding of the concept of death varies with age, complicating. The creation of effective guidelines and programs for appropriate management is necessary. Collaboration between health professionals, such as nurses, and the family is essential.
Introduction: Grief is a psychological process that occurs after the loss of a loved one. It can be classified into different types such as adaptive and non-adaptive grief. There are different forms of grief and common stages that range from denial to acceptance. This process varies according to the individual and age, with grief being particularly complex in minors, whose manifestations may include regression in development and separation anxiety. Objectives: The general objective of this systematic review is to study the impact and consequences of the grieving process on childhood and adolescence. The specific objectives are to understand minors’ perception of the concept of death, and to assess the involvement of nursing in relation to the process of childhood and adolescent grief. Methodology: A systematic search based on the PRISMA statement was conducted between December 2023 and February 2024 in different databases such as ScienceDirect, Scopus, Dialnet, and Pubmed combining different search strategies and keywords. Results: Once the systematic search was conducted, a total of 10 articles were selected. The results show that grief has a clear impact on the social, emotional, ang cognitive development of minors. Additionally, it was found that the understanding of the concept of death varies according to age and the healthcare professionals, such as nurses, do not feel prepared to address grief in minors, as there is little evidence of nursing interventions for its management. Conclusions: Grief in minors is a subjective process that has a clear impact on their emotional and social development. The understanding of the concept of death varies with age, complicating. The creation of effective guidelines and programs for appropriate management is necessary. Collaboration between health professionals, such as nurses, and the family is essential.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Comparative analysis of two types of tourniquets to be used by lay people with an infographic. Experimental study
Authorship
A.F.R.
Bachelor of Nursing (2ª ed) [S]
A.F.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Massive hemorrhages are one of the main causes of out-of-hospital death. Over time, the use of the tourniquet has acquired relevance in out-of-hospital emergencies and it has been so important the training of health teams and lay people. Bleeding can have serious complications if it is not treated quickly, one of the best ways to prevent it is the use of a tourniquet. Therefore, it is important to know what type of tourniquet is most effective, assessing parameters of ease and time of placement to ensure that any group can perform the technique easily and reduce the morbidity and mortality caused by this type of accidents. Objective: Evaluate which tourniquet is easier and faster to place so that lay people can perform the technique with simple instructions (infographic). Methodology: Quasi-experimental aleatory study with a control group (CAT Gen 7 tourniquet) and an experimental group (X8T E2G tourniquet). The data were obtained from a sample of 66 participants with no prior knowledge in the subject who participated in a clinical simulation evaluating their abilities to place one of the tourniquets (CAT or X8T) with infographic helps. Results: The experimental group, obteined better results than the control group. The most common mistakes have been poor adjustment of the tourniquet and, in the case of CAT, lack of tension. About placement time, it was observed that the X8T tourniquet is placed more quickly. Conclusions: Lay people find easier, faster and more effective to place the X8T tourniquet than the CAT with a infographic.
Introduction: Massive hemorrhages are one of the main causes of out-of-hospital death. Over time, the use of the tourniquet has acquired relevance in out-of-hospital emergencies and it has been so important the training of health teams and lay people. Bleeding can have serious complications if it is not treated quickly, one of the best ways to prevent it is the use of a tourniquet. Therefore, it is important to know what type of tourniquet is most effective, assessing parameters of ease and time of placement to ensure that any group can perform the technique easily and reduce the morbidity and mortality caused by this type of accidents. Objective: Evaluate which tourniquet is easier and faster to place so that lay people can perform the technique with simple instructions (infographic). Methodology: Quasi-experimental aleatory study with a control group (CAT Gen 7 tourniquet) and an experimental group (X8T E2G tourniquet). The data were obtained from a sample of 66 participants with no prior knowledge in the subject who participated in a clinical simulation evaluating their abilities to place one of the tourniquets (CAT or X8T) with infographic helps. Results: The experimental group, obteined better results than the control group. The most common mistakes have been poor adjustment of the tourniquet and, in the case of CAT, lack of tension. About placement time, it was observed that the X8T tourniquet is placed more quickly. Conclusions: Lay people find easier, faster and more effective to place the X8T tourniquet than the CAT with a infographic.
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Psychological alterations in people who have suffered one or more amputations: a literature review.
Authorship
A.M.R.F.
Bachelor of Nursing (2ª ed) [S]
A.M.R.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
INTRODUCTION: limb amputation is the complete removal of a limb or part of it from the body, with the main objective of relieving pain, preventing a disease from spreading or removing injured tissue. It alters all aspects of the individual's life, having a negative impact on their mental health and they may experience emotions such as sadness and anger or even develop mental disorders. OBJECTIVES: investigating the alterations in mental health that people with one or more limb amputations may experience, as well as to establish relationships between etiology, amputated body section and other factors related to the patient's life and these alterations. METHODOLOGY: a systematic review was carried out by consulting five databases: CINHAL, Dialnet, PubMed, Scopus and Web Of Science. Finally, 15 articles were selected following the PRISMA methodology. The CASPe scale was used to evaluate the quality of the evidence. RESULTS: The articles analyzed showed an increase in anxiety and depression symptoms after amputation, including the development of pathological grief. These levels decreased non-constantly until 2 years later. Unemployment, pain, upper limb amputation and traumatic amputation increased mental distress, while good adaptation to the prosthesis, higher educational and functional level reduced it. CONCLUSION: despite the limitations of the studies, there is evidence of a greater presence of mental disorders such as anxiety and depression in people who have undergone amputation. Its association with pain, functional capacity, unemployment and the use of prosthesis was also demonstrated. Therefore, the importance of a comprehensive and individualized assessment of the amputee patient is emphasized in order to provide care adapted to his or her needs.
INTRODUCTION: limb amputation is the complete removal of a limb or part of it from the body, with the main objective of relieving pain, preventing a disease from spreading or removing injured tissue. It alters all aspects of the individual's life, having a negative impact on their mental health and they may experience emotions such as sadness and anger or even develop mental disorders. OBJECTIVES: investigating the alterations in mental health that people with one or more limb amputations may experience, as well as to establish relationships between etiology, amputated body section and other factors related to the patient's life and these alterations. METHODOLOGY: a systematic review was carried out by consulting five databases: CINHAL, Dialnet, PubMed, Scopus and Web Of Science. Finally, 15 articles were selected following the PRISMA methodology. The CASPe scale was used to evaluate the quality of the evidence. RESULTS: The articles analyzed showed an increase in anxiety and depression symptoms after amputation, including the development of pathological grief. These levels decreased non-constantly until 2 years later. Unemployment, pain, upper limb amputation and traumatic amputation increased mental distress, while good adaptation to the prosthesis, higher educational and functional level reduced it. CONCLUSION: despite the limitations of the studies, there is evidence of a greater presence of mental disorders such as anxiety and depression in people who have undergone amputation. Its association with pain, functional capacity, unemployment and the use of prosthesis was also demonstrated. Therefore, the importance of a comprehensive and individualized assessment of the amputee patient is emphasized in order to provide care adapted to his or her needs.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
Impact of hemodialysis on the quality of life of people over 18 years of age with chronic renal failure in Spain
Authorship
C.M.C.F.
Bachelor of Nursing (2ª ed) [S]
C.M.C.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
07.15.2024 10:00
07.15.2024 10:00
Summary
Introduction: Chronic kidney disease is the presence of a structural or functional renal disorder that causes a slow and progressive decrease in the kidneys' ability to filter metabolic waste products from the blood. Hemodialysis is a treatment to filter toxins and water from the blood, as the kidneys did when they were healthy. It is not a cure, but it can help the patient live longer. Objectives: To see how the changes of being on hemodialysis treatment affect the quality of life of the spanish society with chronic renal failure over 18 years of age. Methods: In this bibliographic review the Scielo, Redalyc, Pubmed, World Wide Science and Recolecta search engines were used for the results. Finally, a total of 12 relevant studies remained. Results: The studies analyzed use instruments to measure health-related quality of life. People undergoing hemodialysis have a poor quality of life, with a significant decrease in all dimensions of the health test, both physical and mental. Different variables and sociodemographic factors are taken into account, in addition to the need for vascular accesses; attendance at and stay in hemodialysis sessions and the misinformation suffered by the patients themselves. Conclusions: The decrease in health-related quality of life in patients undergoing hemodialysis treatment is clear, having a deterioration of all vital dimensions and significantly affecting their lives, since it entails a large number of changes.
Introduction: Chronic kidney disease is the presence of a structural or functional renal disorder that causes a slow and progressive decrease in the kidneys' ability to filter metabolic waste products from the blood. Hemodialysis is a treatment to filter toxins and water from the blood, as the kidneys did when they were healthy. It is not a cure, but it can help the patient live longer. Objectives: To see how the changes of being on hemodialysis treatment affect the quality of life of the spanish society with chronic renal failure over 18 years of age. Methods: In this bibliographic review the Scielo, Redalyc, Pubmed, World Wide Science and Recolecta search engines were used for the results. Finally, a total of 12 relevant studies remained. Results: The studies analyzed use instruments to measure health-related quality of life. People undergoing hemodialysis have a poor quality of life, with a significant decrease in all dimensions of the health test, both physical and mental. Different variables and sociodemographic factors are taken into account, in addition to the need for vascular accesses; attendance at and stay in hemodialysis sessions and the misinformation suffered by the patients themselves. Conclusions: The decrease in health-related quality of life in patients undergoing hemodialysis treatment is clear, having a deterioration of all vital dimensions and significantly affecting their lives, since it entails a large number of changes.
Direction
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
Court
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
Undergraduate dissertation
Authorship
E.G.G.
Bachelor of Nursing (2ª ed) [S]
E.G.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction: Down syndrome is one of the most common genetic conditions. It is associated with a high incidence of comorbid medical conditions that require treatment with multiple different drugs. Inadequate compliance with their guidelines can negatively affect their health and quality of life, so therapeutic adherence in these patients represents a socio-health challenge. Objectives: Describe the daily challenges and difficulties faced by people with Down syndrome that influence therapeutic adherence. Identifying the most common diseases associated with the syndrome, its clinical implications and the drugs most used in its treatment. Methods: An exhaustive systematic review of the scientific literature published in the last 12 years was carried out, using the databases: PubMed, Scielo, Dialnet and Google Scholar. The PRISMA methodology was used to synthesize the process. Results: In the 18 selected studies we found that the main associated comorbidities manifest at the level of the cardiovascular, digestive, respiratory, endocrine, central nervous and psychiatric systems. The longer life expectancy increases the possibility of developing other pathologies, increased by accelerated aging and a lifestyle with a tendency toward sedentary lifestyle and obesity. The response to treatments is different from that of the general population, with pharmacokinetic and pharmacodynamic differences associated with the syndrome that may be related to a greater number of side effects. The cognitive limitations they present can significantly hinder therapeutic compliance, aggravating and putting their health at risk. Conclusion: The search for strategies that promote autonomy and tools that improve effective medication management, together with continuous monitoring, could significantly improve treatment compliance in this type of patient.
Introduction: Down syndrome is one of the most common genetic conditions. It is associated with a high incidence of comorbid medical conditions that require treatment with multiple different drugs. Inadequate compliance with their guidelines can negatively affect their health and quality of life, so therapeutic adherence in these patients represents a socio-health challenge. Objectives: Describe the daily challenges and difficulties faced by people with Down syndrome that influence therapeutic adherence. Identifying the most common diseases associated with the syndrome, its clinical implications and the drugs most used in its treatment. Methods: An exhaustive systematic review of the scientific literature published in the last 12 years was carried out, using the databases: PubMed, Scielo, Dialnet and Google Scholar. The PRISMA methodology was used to synthesize the process. Results: In the 18 selected studies we found that the main associated comorbidities manifest at the level of the cardiovascular, digestive, respiratory, endocrine, central nervous and psychiatric systems. The longer life expectancy increases the possibility of developing other pathologies, increased by accelerated aging and a lifestyle with a tendency toward sedentary lifestyle and obesity. The response to treatments is different from that of the general population, with pharmacokinetic and pharmacodynamic differences associated with the syndrome that may be related to a greater number of side effects. The cognitive limitations they present can significantly hinder therapeutic compliance, aggravating and putting their health at risk. Conclusion: The search for strategies that promote autonomy and tools that improve effective medication management, together with continuous monitoring, could significantly improve treatment compliance in this type of patient.
Direction
Agra Tuñas, María del Carmen (Tutorships)
Gómez Silva, Graciela (Co-tutorships)
Agra Tuñas, María del Carmen (Tutorships)
Gómez Silva, Graciela (Co-tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Implementation of an educational intervention to prevent anxiety and depression in patients with multiple sclerosis
Authorship
M.G.C.
Bachelor of Nursing (2ª ed) [S]
M.G.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Background: Multiple sclerosis is a demyelinating, inflammatory and neurodegenerative disease that causes a worsening of the quality of life. One of its manifestations is relapsing-remitting multiple sclerosis, whose symptoms are exacerbated by comorbidities such as anxiety and depression. Justification: Multiple sclerosis affects 2,5 million people worldwide, 600.000 people in Europe and 47.000 people in Spain. In multiple sclerosis, relapsing-remitting multiple sclerosis has a prevalence of 85%, with outbreaks aggravated by comorbidities such as depression and anxiety, which worsen the quality of life and increase work absenteeism and annual healthcare costs. Objectives: To assess the effectiveness of health education in the prevention of anxiety and depression in people with relapsing-remitting multiple sclerosis. Material and methods: This is a longitudinal and prospective case-control study with a nursing intervention focused on health education to prevent anxiety and depression in people with relapsing-remitting multiple sclerosis. It consists of an individualized session based on an anxiety and depression content section and a Bullet Journal creation section. All the information will be accessible via a virtual platform. Expected results: This study aims to assess the effectiveness of an educational intervention based on health education in order to prevent anxiety and depression in relapsing-remitting multiple sclerosis patients, in addition to decrease its psychological impact and promote knowledge about these concepts and their symptomatology, thereby decreasing its levels. Conclusions: Health education is effective in decreasing anxiety and depression levels in people with relapsing-remitting multiple sclerosis, promoting better understanding and management of these conditions.
Background: Multiple sclerosis is a demyelinating, inflammatory and neurodegenerative disease that causes a worsening of the quality of life. One of its manifestations is relapsing-remitting multiple sclerosis, whose symptoms are exacerbated by comorbidities such as anxiety and depression. Justification: Multiple sclerosis affects 2,5 million people worldwide, 600.000 people in Europe and 47.000 people in Spain. In multiple sclerosis, relapsing-remitting multiple sclerosis has a prevalence of 85%, with outbreaks aggravated by comorbidities such as depression and anxiety, which worsen the quality of life and increase work absenteeism and annual healthcare costs. Objectives: To assess the effectiveness of health education in the prevention of anxiety and depression in people with relapsing-remitting multiple sclerosis. Material and methods: This is a longitudinal and prospective case-control study with a nursing intervention focused on health education to prevent anxiety and depression in people with relapsing-remitting multiple sclerosis. It consists of an individualized session based on an anxiety and depression content section and a Bullet Journal creation section. All the information will be accessible via a virtual platform. Expected results: This study aims to assess the effectiveness of an educational intervention based on health education in order to prevent anxiety and depression in relapsing-remitting multiple sclerosis patients, in addition to decrease its psychological impact and promote knowledge about these concepts and their symptomatology, thereby decreasing its levels. Conclusions: Health education is effective in decreasing anxiety and depression levels in people with relapsing-remitting multiple sclerosis, promoting better understanding and management of these conditions.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Bermello López, Mª Lourdes (Co-tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Bermello López, Mª Lourdes (Co-tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Nursing adherence and knowledge about protocols for the prevention of central venous-catheter related bacteremia (CVCRB) in intensive care units. A systematic review
Authorship
S.V.P.
Bachelor of Nursing (2ª ed) [S]
S.V.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: While a majority of adverse events in intensive care units (ICUs) are avoidable, those associated with vascular access are especially significant. In Spain, the “Bacteriemia Zero” protocol stands out as a preventive action measure. Objectives: The main objective is to analyze the application of the measures of the central venous-catheter related bacteremia (CVCRB) protocols by nursing staff in the ICUs. Likewise, the secondary objectives include the study of the effectiveness of the measures applied to reduce the CVCRB risk and identifying the measures that have greater knowledge and adherence. Methodology: A systematic review of the literature was carried out using databases such as Medline, Dialnet, Scopus, WoS, Google Scholar. Articles published between the years 2013-2024, in Spanish, English and Portuguese, were recruited. The quality of the articles was subsequently assessed using the CASPe method and the STORBE statement. Results: A total of 16 studies were included. In them, it was detected that the nursing staff had moderate or even low adherence and knowledge of the CVCRB prevention guidelines. The authors agree that the correct and complete application of all measures is an essential factor to prevent and reduce the incidence of CVCRB. Furthermore, the measures that reported the greatest adherence and knowledge were hand hygiene, the usage of the maximum sterile barriers during the insertion of central venous catheters and the frequency of replacement of equipment for the administration of lipid emulsions, blood and blood derivatives. Conclusions: The results show a low level of knowledge and adherence to CVCRB prevention protocols. This suggests the need to expand training programs for nursing staff in this area and modify the possible barriers that prevent their application.
Introduction: While a majority of adverse events in intensive care units (ICUs) are avoidable, those associated with vascular access are especially significant. In Spain, the “Bacteriemia Zero” protocol stands out as a preventive action measure. Objectives: The main objective is to analyze the application of the measures of the central venous-catheter related bacteremia (CVCRB) protocols by nursing staff in the ICUs. Likewise, the secondary objectives include the study of the effectiveness of the measures applied to reduce the CVCRB risk and identifying the measures that have greater knowledge and adherence. Methodology: A systematic review of the literature was carried out using databases such as Medline, Dialnet, Scopus, WoS, Google Scholar. Articles published between the years 2013-2024, in Spanish, English and Portuguese, were recruited. The quality of the articles was subsequently assessed using the CASPe method and the STORBE statement. Results: A total of 16 studies were included. In them, it was detected that the nursing staff had moderate or even low adherence and knowledge of the CVCRB prevention guidelines. The authors agree that the correct and complete application of all measures is an essential factor to prevent and reduce the incidence of CVCRB. Furthermore, the measures that reported the greatest adherence and knowledge were hand hygiene, the usage of the maximum sterile barriers during the insertion of central venous catheters and the frequency of replacement of equipment for the administration of lipid emulsions, blood and blood derivatives. Conclusions: The results show a low level of knowledge and adherence to CVCRB prevention protocols. This suggests the need to expand training programs for nursing staff in this area and modify the possible barriers that prevent their application.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Effectiveness of therapeutic hypothermia in the outcome of adult patients after cardiorespiratory arrest: a systematic review
Authorship
N.L.S.
Bachelor of Nursing (2ª ed) [S]
N.L.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction. After a recovered cardiorespiratory arrest, the so-called Post-Arrest Syndrome occurs, which can cause serious neurological damage or even death. Current official guidelines recommend the use of therapeutic hypothermia within post-resuscitation care due to its neuroprotective effect. However, despite its recommendation, the lack of studies and information on this technique makes its use limited. Objectives. The main objective is to analyse the effectiveness of therapeutic hypothermia in the evolution of adult patients after cardiorespiratory arrest. The impact of this technique on the survival and neurological function of these patients, as well as its complications, is also examined. Methodology. A systematic review was carried out in the PubMed, Scopus, Dialnet and WoS databases, using MeSH and DeCS descriptors. Original articles in Spanish and English published in the last 5 years were selected, which were subsequently evaluated using the CASPe tool. Results. 14 articles were analysed. The literature shows a heterogeneity of results; not all studies find advantages in the application of therapeutic hypothermia compared to normothermia. Although some studies suggest a possible benefit in patient outcomes, others raise doubts about its effectiveness and highlight the importance of considering its potential risks and complications. Conclusion. The complexity of the topic highlights the need for more research to establish standardized protocols that address aspects such as duration, application method or target temperature to be achieved in each case. A greater understanding of these factors could significantly improve clinical outcomes and the implementation of the technique.
Introduction. After a recovered cardiorespiratory arrest, the so-called Post-Arrest Syndrome occurs, which can cause serious neurological damage or even death. Current official guidelines recommend the use of therapeutic hypothermia within post-resuscitation care due to its neuroprotective effect. However, despite its recommendation, the lack of studies and information on this technique makes its use limited. Objectives. The main objective is to analyse the effectiveness of therapeutic hypothermia in the evolution of adult patients after cardiorespiratory arrest. The impact of this technique on the survival and neurological function of these patients, as well as its complications, is also examined. Methodology. A systematic review was carried out in the PubMed, Scopus, Dialnet and WoS databases, using MeSH and DeCS descriptors. Original articles in Spanish and English published in the last 5 years were selected, which were subsequently evaluated using the CASPe tool. Results. 14 articles were analysed. The literature shows a heterogeneity of results; not all studies find advantages in the application of therapeutic hypothermia compared to normothermia. Although some studies suggest a possible benefit in patient outcomes, others raise doubts about its effectiveness and highlight the importance of considering its potential risks and complications. Conclusion. The complexity of the topic highlights the need for more research to establish standardized protocols that address aspects such as duration, application method or target temperature to be achieved in each case. A greater understanding of these factors could significantly improve clinical outcomes and the implementation of the technique.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Cerebrospinal fluid markers in the dementia with Lewy bodies
Authorship
A.M.I.
Bachelor of Nursing (2ª ed) [S]
A.M.I.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
The dementia with Lewy bodies (DLB) is a progressive neurodegenerative disease which is characterized by dementia and a variation of clinic manifestations, such as loss of memory, hallucinations, or parkinsonism. Is the second in frequency, right behind Alzheimer´s disease (EA). The DLB count with the presence of Lewy bodies and neurites. The main objective is to identify and classify the cerebrospinal fluid biomarkers to discriminate the dementia with Lewy bodies from other types of dementia, like Alzheimer´s disease or the Parkinson’s disease with dementia. The second objective consist in assess the sensibility and specificity of this types of markers in different studies. The last aim pretends to analyze the viability and the clinic application of each marker in terms of availability and ease of use. Systematic review using 27 bibliographic citations. For the results and discussion have been made a bibliographic search in Spanish and in English, which are full free text, published by the years between 2002 and 2024. 10 articles that fulfill the stablished exclusion and inclusion criteria have been selected. The selected articles study the possibility of the diagnosis of the LCR markers to discriminate the DLB of other neurodegenerative pathologies, demonstrating that positive results are obtained regarding the specificity and sensitivity of these biomarkers. One of the most important challenges that the investigations of the DLB deal with right now, is the difficulty to an early diagnosis. This systematic review exposed the lack of specific markers for this disease, which cause an important repercussion in said diagnosis. This is why is necessary new biomarkers and more precise diagnosis methods to improve the early intervention and the quality of life for the people who suffer this pathology.
The dementia with Lewy bodies (DLB) is a progressive neurodegenerative disease which is characterized by dementia and a variation of clinic manifestations, such as loss of memory, hallucinations, or parkinsonism. Is the second in frequency, right behind Alzheimer´s disease (EA). The DLB count with the presence of Lewy bodies and neurites. The main objective is to identify and classify the cerebrospinal fluid biomarkers to discriminate the dementia with Lewy bodies from other types of dementia, like Alzheimer´s disease or the Parkinson’s disease with dementia. The second objective consist in assess the sensibility and specificity of this types of markers in different studies. The last aim pretends to analyze the viability and the clinic application of each marker in terms of availability and ease of use. Systematic review using 27 bibliographic citations. For the results and discussion have been made a bibliographic search in Spanish and in English, which are full free text, published by the years between 2002 and 2024. 10 articles that fulfill the stablished exclusion and inclusion criteria have been selected. The selected articles study the possibility of the diagnosis of the LCR markers to discriminate the DLB of other neurodegenerative pathologies, demonstrating that positive results are obtained regarding the specificity and sensitivity of these biomarkers. One of the most important challenges that the investigations of the DLB deal with right now, is the difficulty to an early diagnosis. This systematic review exposed the lack of specific markers for this disease, which cause an important repercussion in said diagnosis. This is why is necessary new biomarkers and more precise diagnosis methods to improve the early intervention and the quality of life for the people who suffer this pathology.
Direction
GARRIDO GIL, PABLO (Tutorships)
GARRIDO GIL, PABLO (Tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Motor skill competence, physical fitness and healthy lifestyles in Nursing students of the University of Santiago de Compostela
Authorship
M.F.S.
Bachelor of Nursing (2ª ed) [S]
M.F.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The increase in sedentary behaviours and physical inactivity in our society have caused us to continue looking for its causes. The crucial role of motor competence and physical fitness in promoting healthy lifestyles has been highlighted. However, there has been a worrying decline in recent decades, with university students likely to acquire or worsen unhealthy behaviours. Objective: To study the associations between motor skill competence, physical fitness and healthy lifestyles in Nursing students of the University of Santiago de Compostela. Methodology: A quasi-experimental cross-sectional study was carried out with 22 students from Nursing of the USC aged between 18 and 25. They carried out physical tests of motor skill competence and physical fitness, and completed questionnaires on healthy lifestyles and their perception of health and motor literacy. In addition, body composition (BMI) was measured. Results: Significant associations have been found between most tests of motor skill competence and physical fitness. However, no associations with body composition (Body Mass Index) was found. Students with worse life habits and worse health perception, obtained lower results in different tests of motor skill competence and physical fitness. Those who had a better perception of their motor competence performed better in motor skill competence and physical fitness tests. Conclusion: Motor skill competence was closely related to physical fitness as well as healthy lifestyle habits. These finding should serve as a foundation for promoting the development of motor skills throughout life, given their significant influence on the adoption healthy lifestyles.
Introduction: The increase in sedentary behaviours and physical inactivity in our society have caused us to continue looking for its causes. The crucial role of motor competence and physical fitness in promoting healthy lifestyles has been highlighted. However, there has been a worrying decline in recent decades, with university students likely to acquire or worsen unhealthy behaviours. Objective: To study the associations between motor skill competence, physical fitness and healthy lifestyles in Nursing students of the University of Santiago de Compostela. Methodology: A quasi-experimental cross-sectional study was carried out with 22 students from Nursing of the USC aged between 18 and 25. They carried out physical tests of motor skill competence and physical fitness, and completed questionnaires on healthy lifestyles and their perception of health and motor literacy. In addition, body composition (BMI) was measured. Results: Significant associations have been found between most tests of motor skill competence and physical fitness. However, no associations with body composition (Body Mass Index) was found. Students with worse life habits and worse health perception, obtained lower results in different tests of motor skill competence and physical fitness. Those who had a better perception of their motor competence performed better in motor skill competence and physical fitness tests. Conclusion: Motor skill competence was closely related to physical fitness as well as healthy lifestyle habits. These finding should serve as a foundation for promoting the development of motor skills throughout life, given their significant influence on the adoption healthy lifestyles.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Role of breastfeeding in the prevention of cardiovascular diseases. Systematic review.
Authorship
S.B.G.
Bachelor of Nursing (2ª ed) [S]
S.B.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction. Breastfeeding is considered the ideal food for infants, and its exclusivity is recommended during the first six months of life. There is ample evidence on its protective effects against different pathologies that favor both mothers and children, including the prevention of cardiovascular diseases. Objective. The main objective of this systematic review is to determine the role of breastfeeding in the prevention of cardiovascular diseases in mothers and children. Specific objectives include: to determine the benefits of breastfeeding in the prevention of cardiovascular risk factors, as well as to relate the duration of breastfeeding to the risk of cardiovascular disease. Methodology. A systematic review of the scientific literature available in the PubMed, DIALNET, Scopus and CINHAL databases was carried out using the Health Sciences Descriptors DeCS, Breast Feeding MeSH and Cardiovascular Diseases MeSH. The corresponding filters and inclusion and exclusion criteria were applied. Methodological quality was assessed using the CASPe and STROBE tools. Results. A total of 592 articles were obtained, of which 17 were included. Among the articles selected for review, 8 correspond to studies of people who have been breastfed, and 9 to studies of women who have been breastfeeding. These articles mainly deal with the relationship between breastfeeding and cardiovascular diseases or their risk factors. Conclusion. Breastfeeding for at least 6 months contributes to the homeostasis of the maternal cardiovascular system, reducing the risk of cardiovascular disease in the long term. Similarly, breast milk decreases the risk of cardiovascular disease and its risk factors in childhood and throughout the life cycle, increasing the benefits the greater the exposure.
Introduction. Breastfeeding is considered the ideal food for infants, and its exclusivity is recommended during the first six months of life. There is ample evidence on its protective effects against different pathologies that favor both mothers and children, including the prevention of cardiovascular diseases. Objective. The main objective of this systematic review is to determine the role of breastfeeding in the prevention of cardiovascular diseases in mothers and children. Specific objectives include: to determine the benefits of breastfeeding in the prevention of cardiovascular risk factors, as well as to relate the duration of breastfeeding to the risk of cardiovascular disease. Methodology. A systematic review of the scientific literature available in the PubMed, DIALNET, Scopus and CINHAL databases was carried out using the Health Sciences Descriptors DeCS, Breast Feeding MeSH and Cardiovascular Diseases MeSH. The corresponding filters and inclusion and exclusion criteria were applied. Methodological quality was assessed using the CASPe and STROBE tools. Results. A total of 592 articles were obtained, of which 17 were included. Among the articles selected for review, 8 correspond to studies of people who have been breastfed, and 9 to studies of women who have been breastfeeding. These articles mainly deal with the relationship between breastfeeding and cardiovascular diseases or their risk factors. Conclusion. Breastfeeding for at least 6 months contributes to the homeostasis of the maternal cardiovascular system, reducing the risk of cardiovascular disease in the long term. Similarly, breast milk decreases the risk of cardiovascular disease and its risk factors in childhood and throughout the life cycle, increasing the benefits the greater the exposure.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
The role of nursing in the prevention of suicide in adolescents
Authorship
I.B.T.
Bachelor of Nursing (2ª ed) [S]
I.B.T.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: suicide is one of the taboo topics in our society and is increasingly present since it is a public health problem that needs to be addressed as a priority in adolescents. Its etiology is multifactorial and its most common risk factor is depression. Due to an increase in its cases, it is important to address this problem through the role of nursing. Objectives: the main objective is to know the types of interventions that nursing would carry out in patients at risk of suicide, in this case in adolescents. As secondary objectives, detect risk factors for suicidal behavior and show the difficulties that nursing presents in carrying out prevention activities. Method: bibliographic review of scientific evidence, selecting articles published in databases such as Pubmed and Dialnet. Results: suicide prevention in adolescents has to be addressed both from Primary Care and from the school environment. To do this we must know both the risk factors and the protective factors.The approach from Primary Healthcare will be carried out through the interview and the use of different scales, as well as the subsequent continuity of care according to professional criteria. In the school environment, health education will be used to train both young people and teachers, so that they can detect the warning signs of suicide attempts. Regarding nursing training in mental health, there is a shortage of it, which must be implemented, thus improving care for suicidal patients. Conclusions: suicide prevention must be addressed in both sectors, with the interventions being diverse, as well as their etiology. To do this we must take into account multidisciplinary work.
Introduction: suicide is one of the taboo topics in our society and is increasingly present since it is a public health problem that needs to be addressed as a priority in adolescents. Its etiology is multifactorial and its most common risk factor is depression. Due to an increase in its cases, it is important to address this problem through the role of nursing. Objectives: the main objective is to know the types of interventions that nursing would carry out in patients at risk of suicide, in this case in adolescents. As secondary objectives, detect risk factors for suicidal behavior and show the difficulties that nursing presents in carrying out prevention activities. Method: bibliographic review of scientific evidence, selecting articles published in databases such as Pubmed and Dialnet. Results: suicide prevention in adolescents has to be addressed both from Primary Care and from the school environment. To do this we must know both the risk factors and the protective factors.The approach from Primary Healthcare will be carried out through the interview and the use of different scales, as well as the subsequent continuity of care according to professional criteria. In the school environment, health education will be used to train both young people and teachers, so that they can detect the warning signs of suicide attempts. Regarding nursing training in mental health, there is a shortage of it, which must be implemented, thus improving care for suicidal patients. Conclusions: suicide prevention must be addressed in both sectors, with the interventions being diverse, as well as their etiology. To do this we must take into account multidisciplinary work.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
The Role of Nursing in the Care and Support of Female Survivors of Sexual Assault
Authorship
R.V.N.
Bachelor of Nursing (2ª ed) [S]
R.V.N.
Bachelor of Nursing (2ª ed) [S]
Defense date
09.04.2024 12:30
09.04.2024 12:30
Summary
Introduction and Objectives: Sexual assault is a global phenomenon characterized by causing severe physical and psychological consequences. In Spain, a total of 15,730 sexual assault crimes were identified in 2022. Due to this, the main objective of this literature review is to address the role of Nursing and the procedures in the care of survivors. Methods: A bibliographic search was conducted in various databases including PubMed, Web of Science, and Scopus. A total of 1,168 articles were identified, of which 66 were selected for full reading, finally resulting in 12 articles. Results: Based on the obtained results, the functions and implications for nursing practice in the care of survivors are addressed, both immediately after the incident and in addressing sexual trauma in the maternal cycle. There is evidence of a lack of training in care and management. Measures and care models are offered to avoid the revictimization that certain procedures intrinsically entail. Conclusions: This literature review highlights the need to optimize the health and forensic response to sexual assaults, ensuring comprehensive and effective support for survivors from the first moment and throughout their recovery. It has been demonstrated that nursing professionals play a fundamental role in treating patients and that how the care is provided will directly and indirectly affect the patient's health. Therefore, it is essential to acquire the necessary knowledge to care for them adequately.
Introduction and Objectives: Sexual assault is a global phenomenon characterized by causing severe physical and psychological consequences. In Spain, a total of 15,730 sexual assault crimes were identified in 2022. Due to this, the main objective of this literature review is to address the role of Nursing and the procedures in the care of survivors. Methods: A bibliographic search was conducted in various databases including PubMed, Web of Science, and Scopus. A total of 1,168 articles were identified, of which 66 were selected for full reading, finally resulting in 12 articles. Results: Based on the obtained results, the functions and implications for nursing practice in the care of survivors are addressed, both immediately after the incident and in addressing sexual trauma in the maternal cycle. There is evidence of a lack of training in care and management. Measures and care models are offered to avoid the revictimization that certain procedures intrinsically entail. Conclusions: This literature review highlights the need to optimize the health and forensic response to sexual assaults, ensuring comprehensive and effective support for survivors from the first moment and throughout their recovery. It has been demonstrated that nursing professionals play a fundamental role in treating patients and that how the care is provided will directly and indirectly affect the patient's health. Therefore, it is essential to acquire the necessary knowledge to care for them adequately.
Direction
MARTINEZ VISPO, CARMELA (Tutorships)
MARTINEZ VISPO, CARMELA (Tutorships)
Court
MARTINEZ ISASI, SANTIAGO (Chairman)
MALLAH NASRALLAH, NARMEEN (Secretary)
GARCIA COUCEIRO, NURIA (Member)
MARTINEZ ISASI, SANTIAGO (Chairman)
MALLAH NASRALLAH, NARMEEN (Secretary)
GARCIA COUCEIRO, NURIA (Member)
Educational proyect on menstrual health in secondary schools
Authorship
R.R.Q.
Bachelor of Nursing (2ª ed) [S]
R.R.Q.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction Most part of the information that menstruating individuals have when they start this period comes from their mothers or close relatives. This gives biased information non based on evidence which can cause health repercussions. On the psychological side it can cause anxiety and lack of self-esteem when in the physical side can cause delated diagnosis in multiple pathology like polycystic ovary syndrome or endometriosis. Given this fact, an educative intervention based on evidence that came from health-care personnel can improve the knowledge level, help reducing the negative vision that involves the menstruation and break some myths that are very rooted on society, besides providing tools to face this process. Objectives To evaluate the acquisition of information about menstruation after an educative intervention in secondary schools and to evaluate the level of students’ prior knowledge. Method In order to develop this project, a bibliographic search was made for the purpose of establishing its objectives. A questionnaire was created to evaluate students’ previous knowledge as well as sociodemographic and socioeconomic information. For this project to be carried out, educational talks will be given by last year students of nursing degree. A short definition of both menstruation and menopause, as well as the different menstrual products, will be explained classifying these in reusable or non-reusable, detailing advantages and disadvantages of each of them, as well as their price and necessary hygiene measures. With the objective of performing a dynamic intervention, there will not only be an explanation, but they will also be able to explore the different products in order to see the level of absorption and practice the correct way to place them. After this talk, a post intervention questionnaire will be carried out to evaluate the level of effectiveness of the intervention.
Introduction Most part of the information that menstruating individuals have when they start this period comes from their mothers or close relatives. This gives biased information non based on evidence which can cause health repercussions. On the psychological side it can cause anxiety and lack of self-esteem when in the physical side can cause delated diagnosis in multiple pathology like polycystic ovary syndrome or endometriosis. Given this fact, an educative intervention based on evidence that came from health-care personnel can improve the knowledge level, help reducing the negative vision that involves the menstruation and break some myths that are very rooted on society, besides providing tools to face this process. Objectives To evaluate the acquisition of information about menstruation after an educative intervention in secondary schools and to evaluate the level of students’ prior knowledge. Method In order to develop this project, a bibliographic search was made for the purpose of establishing its objectives. A questionnaire was created to evaluate students’ previous knowledge as well as sociodemographic and socioeconomic information. For this project to be carried out, educational talks will be given by last year students of nursing degree. A short definition of both menstruation and menopause, as well as the different menstrual products, will be explained classifying these in reusable or non-reusable, detailing advantages and disadvantages of each of them, as well as their price and necessary hygiene measures. With the objective of performing a dynamic intervention, there will not only be an explanation, but they will also be able to explore the different products in order to see the level of absorption and practice the correct way to place them. After this talk, a post intervention questionnaire will be carried out to evaluate the level of effectiveness of the intervention.
Direction
JORGE SOTO, CRISTINA (Tutorships)
JORGE SOTO, CRISTINA (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
Obstetric violence, its forms, and its relationship with postpartum depression. A bibliographic review.
Authorship
N.N.S.
Bachelor of Nursing (2ª ed) [S]
N.N.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Systematic review aimed at studying the presence of obstetric violence in healthcare settings and its role as a determinant of mental health. Despite being a matter of great relevance and one that has seen progress in recent years, it remains a poorly studied topic in many countries, such as Spain, especially from the perspective of women and healthcare professionals. This underscores the urgent need to expand research in this field to better understand its scope and adequately address its effects. For this purpose, 14 studies were analyzed using the PRISMA methodology. Of the 14 articles, 11 are descriptive cross-sectional observational studies, 3 are analytical cohort observational studies, and one is a qualitative phenomenological study. There was a great diversity regarding the location of the samples, including 5 researches conducted in Europe (two in Spain, one in France, one in Poland, and one in the Netherlands), 2 in South America (both in Brazil), 4 in Africa (one in Tanzania, another in Ethiopia, and two in Nigeria), and 3 in Asia (one in Pakistan, one in Iran, and one in Nepal).
Systematic review aimed at studying the presence of obstetric violence in healthcare settings and its role as a determinant of mental health. Despite being a matter of great relevance and one that has seen progress in recent years, it remains a poorly studied topic in many countries, such as Spain, especially from the perspective of women and healthcare professionals. This underscores the urgent need to expand research in this field to better understand its scope and adequately address its effects. For this purpose, 14 studies were analyzed using the PRISMA methodology. Of the 14 articles, 11 are descriptive cross-sectional observational studies, 3 are analytical cohort observational studies, and one is a qualitative phenomenological study. There was a great diversity regarding the location of the samples, including 5 researches conducted in Europe (two in Spain, one in France, one in Poland, and one in the Netherlands), 2 in South America (both in Brazil), 4 in Africa (one in Tanzania, another in Ethiopia, and two in Nigeria), and 3 in Asia (one in Pakistan, one in Iran, and one in Nepal).
Direction
JORGE SOTO, CRISTINA (Tutorships)
JORGE SOTO, CRISTINA (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Alternatives to antibiotic therapy in infected chronic wounds. Systematic review
Authorship
A.C.V.
Bachelor of Nursing (2ª ed) [S]
A.C.V.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: chronic wounds stand out for their complexity in the healing process, associated infections, and the crucial role of biofilm in antimicrobial resistance. The use of antibiotics contributes to AMR, driving research into alternatives such as advanced dressings, medical-grade honey, and ozone therapy, among others. Objectives: to investigate and evaluate the antibacterial capacity of non-antibiotic alternatives used in the management of infected chronic wounds, as well as to assess the possible adverse effects of these. Methods: a systematic review was carried out following PRISMA recommendations to address the proposed topic by searching for scientific evidence in databases such as PubMed, Scopus, Google Scholar, and Web of Science. Article selection was determined by inclusion and exclusion criteria, including articles published from 2015 onwards. Results: the final selection comprised 12 studies, in which the results of treatment with different alternatives in human chronic wounds were observed. A notable reduction in wound size was highlighted. However, results regarding bacterial load were inconsistent: while some studies showed a significant decrease, demonstrating the antibacterial effectiveness of the treatment, others found no significant differences compared to standard treatment. Conclusion: the analyzed alternatives appear to be safe, with few adverse effects, some are reported to be cost-effective, and they reduce the need for dressing changes and hospitalizations. Most studies showed a reduction in wound size and bacterial load. However, further research and unified protocols are needed for equitable comparisons.
Introduction: chronic wounds stand out for their complexity in the healing process, associated infections, and the crucial role of biofilm in antimicrobial resistance. The use of antibiotics contributes to AMR, driving research into alternatives such as advanced dressings, medical-grade honey, and ozone therapy, among others. Objectives: to investigate and evaluate the antibacterial capacity of non-antibiotic alternatives used in the management of infected chronic wounds, as well as to assess the possible adverse effects of these. Methods: a systematic review was carried out following PRISMA recommendations to address the proposed topic by searching for scientific evidence in databases such as PubMed, Scopus, Google Scholar, and Web of Science. Article selection was determined by inclusion and exclusion criteria, including articles published from 2015 onwards. Results: the final selection comprised 12 studies, in which the results of treatment with different alternatives in human chronic wounds were observed. A notable reduction in wound size was highlighted. However, results regarding bacterial load were inconsistent: while some studies showed a significant decrease, demonstrating the antibacterial effectiveness of the treatment, others found no significant differences compared to standard treatment. Conclusion: the analyzed alternatives appear to be safe, with few adverse effects, some are reported to be cost-effective, and they reduce the need for dressing changes and hospitalizations. Most studies showed a reduction in wound size and bacterial load. However, further research and unified protocols are needed for equitable comparisons.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
A systematic review of the influence of gender bias on benzodiazepine prescription in mental health care.
Authorship
A.M.M.
Bachelor of Nursing (2ª ed) [S]
A.M.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: In 2021, the International Narcotics Control Board identified Spain as a world leader in the consumption of anxiolytics and hypnotics. Women receive more frequent prescriptions compared to men, even with the same diagnosis or symptomatology and number of visits to the health system. Objectives: to investigate whether gender bias influences benzodiazepines prescription in mental health care. Materials and methods: A systematic review was carried out following the protocol of the PRISMA 2020 statement. Selected articles analyzing the influence of gender bias on the prescription of benzodiazepines in the field of mental health, published in English and Spanish in the last ten years, in the specific databases of Pubmed and Scielo and metasearch engines such as the Virtual Health Library (VHL), ÍnDICEs-CSIC and Web of Science. In addition, the bibliographic citations of selected scientific articles were reviewed. Results: A total of 13 articles adapted to the inclusion and exclusion criteria were obtained. Factors that could be influencing the differential prescription of benzodiazepines were identified, such as economic and educational level, biased diagnostic labels, overload in primary care and the tendency to medicalize psychological problems. Conclusions: There are gender inequalities in the prescription of benzodiazepines that cause the medicalization of women´s mental health. More research is needed to determine the causes and whether the sex of the prescriber is a risk factor. Gender mainstreaming in the health system is needed.
Introduction: In 2021, the International Narcotics Control Board identified Spain as a world leader in the consumption of anxiolytics and hypnotics. Women receive more frequent prescriptions compared to men, even with the same diagnosis or symptomatology and number of visits to the health system. Objectives: to investigate whether gender bias influences benzodiazepines prescription in mental health care. Materials and methods: A systematic review was carried out following the protocol of the PRISMA 2020 statement. Selected articles analyzing the influence of gender bias on the prescription of benzodiazepines in the field of mental health, published in English and Spanish in the last ten years, in the specific databases of Pubmed and Scielo and metasearch engines such as the Virtual Health Library (VHL), ÍnDICEs-CSIC and Web of Science. In addition, the bibliographic citations of selected scientific articles were reviewed. Results: A total of 13 articles adapted to the inclusion and exclusion criteria were obtained. Factors that could be influencing the differential prescription of benzodiazepines were identified, such as economic and educational level, biased diagnostic labels, overload in primary care and the tendency to medicalize psychological problems. Conclusions: There are gender inequalities in the prescription of benzodiazepines that cause the medicalization of women´s mental health. More research is needed to determine the causes and whether the sex of the prescriber is a risk factor. Gender mainstreaming in the health system is needed.
Direction
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Evolution of Macronutrient Consumption in an Adult Population: A Real-Life Study.
Authorship
M.S.S.A.
Bachelor of Nursing (2ª ed) [S]
M.S.S.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Nutrients are fundamental for the proper functioning of the body. Nutrients are classified into macronutrients and micronutrients. Macronutrients are those that are consumed in larger quantities and are responsible for providing energy and structure to the body, among other functions. These include carbohydrates, proteins, and lipids, and it is important to consume the recommended daily amount to maintain optimal health. However, the body undergoes various changes during aging, which could interfere with macronutrient consumption over the years. Objective: The main objective of this study was to analyze the evolution of macronutrient consumption in an adult population under real-life conditions. Methods: The study is based on a project known as AEGIS, conducted in the municipality of A Estrada, Galicia, using a random sample of the adult population. From this study, a sub-analysis (AEGIS-DIET 1) was carried out, where nutritional records were collected, and anthropometric data of 35 AEGIS participants were measured. Five years later, the same actions were repeated (AEGIS-DIET 2) to analyze and compare the results. Results: It was observed that the population did not consume the recommended percentage of macronutrients, with insufficient carbohydrate intake and an excess of lipids and proteins. Additionally, five years later, calorie intake decreased, and there were variations in macronutrient consumption. Differences were also observed when disaggregating the data by sex and meals. At the anthropometric level, changes occurred in the waist and hip circumference. Conclusions: In the studied population, after five years, there was a decrease in caloric intake. The main variations in macronutrient consumption were a reduction in carbohydrates and lipids in men and a reduction in carbohydrates in women.
Introduction: Nutrients are fundamental for the proper functioning of the body. Nutrients are classified into macronutrients and micronutrients. Macronutrients are those that are consumed in larger quantities and are responsible for providing energy and structure to the body, among other functions. These include carbohydrates, proteins, and lipids, and it is important to consume the recommended daily amount to maintain optimal health. However, the body undergoes various changes during aging, which could interfere with macronutrient consumption over the years. Objective: The main objective of this study was to analyze the evolution of macronutrient consumption in an adult population under real-life conditions. Methods: The study is based on a project known as AEGIS, conducted in the municipality of A Estrada, Galicia, using a random sample of the adult population. From this study, a sub-analysis (AEGIS-DIET 1) was carried out, where nutritional records were collected, and anthropometric data of 35 AEGIS participants were measured. Five years later, the same actions were repeated (AEGIS-DIET 2) to analyze and compare the results. Results: It was observed that the population did not consume the recommended percentage of macronutrients, with insufficient carbohydrate intake and an excess of lipids and proteins. Additionally, five years later, calorie intake decreased, and there were variations in macronutrient consumption. Differences were also observed when disaggregating the data by sex and meals. At the anthropometric level, changes occurred in the waist and hip circumference. Conclusions: In the studied population, after five years, there was a decrease in caloric intake. The main variations in macronutrient consumption were a reduction in carbohydrates and lipids in men and a reduction in carbohydrates in women.
Direction
PAZOS COUSELO, MARCOS (Tutorships)
LADO BALEATO, OSCAR (Co-tutorships)
PAZOS COUSELO, MARCOS (Tutorships)
LADO BALEATO, OSCAR (Co-tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
Undergraduate dissertation Satisfaction of children and their families with a hospital-based physical activity promotion activity
Authorship
E.M.C.C.
Bachelor of Nursing (2ª ed) [S]
E.M.C.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Lack of physical activity during hospitalization can negatively affect the physical, cognitive and psycho-affective function of patients. The scarce implementation of in-hospital physical activity programs in pediatrics departments means that few data are available on the degree of acceptance and satisfaction on the part of children and families. Main objective: With the hypothesis that a pilot program to encourage physical activity during hospital admission would be well accepted by the target audience, a study was conducted to assess whether an intervention was well received by hospitalized children and their families. Method: The families of children admitted to the Pediatrics Department were invited to voluntarily participate in a physical activity intervention in the hospital classroom of the Complejo Universitario de Santiago de Compostela. Subsequently, surveys were distributed to children and parents/guardians to collect demographic data and opinions about the activities conducted, aimed at finding out preferences and tastes about the activities performed. Results: 53 hospitalized children and 22 parents/guardians participated. Both groups expressed a high degree of satisfaction with the intervention on physical activity, highlighting their liking and preference for the activities conducted, with those covering psychosocial needs, such as socialization or fun, and physical needs being of particular interest. 96% of participants were satisfied Parents/guardians indicated that they had not received any indication of physical activity from professionals. Conclusions: A pilot intervention on physical activity during hospitalization was perceived as satisfactory by children and their families. The beneficial effects and high acceptance recommend implementing this type of program as a complement to clinical and play activities for hospitalized children and their families. Health care professionals should prescribe physical activity adapted to the conditions of patients.
Introduction: Lack of physical activity during hospitalization can negatively affect the physical, cognitive and psycho-affective function of patients. The scarce implementation of in-hospital physical activity programs in pediatrics departments means that few data are available on the degree of acceptance and satisfaction on the part of children and families. Main objective: With the hypothesis that a pilot program to encourage physical activity during hospital admission would be well accepted by the target audience, a study was conducted to assess whether an intervention was well received by hospitalized children and their families. Method: The families of children admitted to the Pediatrics Department were invited to voluntarily participate in a physical activity intervention in the hospital classroom of the Complejo Universitario de Santiago de Compostela. Subsequently, surveys were distributed to children and parents/guardians to collect demographic data and opinions about the activities conducted, aimed at finding out preferences and tastes about the activities performed. Results: 53 hospitalized children and 22 parents/guardians participated. Both groups expressed a high degree of satisfaction with the intervention on physical activity, highlighting their liking and preference for the activities conducted, with those covering psychosocial needs, such as socialization or fun, and physical needs being of particular interest. 96% of participants were satisfied Parents/guardians indicated that they had not received any indication of physical activity from professionals. Conclusions: A pilot intervention on physical activity during hospitalization was perceived as satisfactory by children and their families. The beneficial effects and high acceptance recommend implementing this type of program as a complement to clinical and play activities for hospitalized children and their families. Health care professionals should prescribe physical activity adapted to the conditions of patients.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
Izquierdo Vázquez, Verónica Victoria (Co-tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
Izquierdo Vázquez, Verónica Victoria (Co-tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Intervention on menstrual health in secondary education centers in Galicia
Authorship
M.L.F.
Bachelor of Nursing (2ª ed) [S]
M.L.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Menstrual literacy is a person's knowledge about the menstrual cycle and how to care for her health and well-being during menstruation. This is low worldwide in all geographic, economic and cultural groups. Although menstrual health is currently covered in the teaching programs of secondary education centers, these focus mainly on the function of menstruation from a reproductive point of view because there are no guidelines. Objective: The objective of the study is to carry out an intervention on menstrual health in these centers and analyze to what extent the students' knowledge improves. With the intervention we also aim to dispel myths and erroneous beliefs about menstruation in order to ensure that it stops being a taboo subject among adolescents. Methods: A project was developed to carry out a cross-sectional study in which the data will be collected through a questionnaire composed of questions related to menstrual health that will be distributed before and after the intervention and that will be completed by participants who will be between ages between 12 and 16 years old in secondary education centers in Galicia.
Introduction: Menstrual literacy is a person's knowledge about the menstrual cycle and how to care for her health and well-being during menstruation. This is low worldwide in all geographic, economic and cultural groups. Although menstrual health is currently covered in the teaching programs of secondary education centers, these focus mainly on the function of menstruation from a reproductive point of view because there are no guidelines. Objective: The objective of the study is to carry out an intervention on menstrual health in these centers and analyze to what extent the students' knowledge improves. With the intervention we also aim to dispel myths and erroneous beliefs about menstruation in order to ensure that it stops being a taboo subject among adolescents. Methods: A project was developed to carry out a cross-sectional study in which the data will be collected through a questionnaire composed of questions related to menstrual health that will be distributed before and after the intervention and that will be completed by participants who will be between ages between 12 and 16 years old in secondary education centers in Galicia.
Direction
GARCIA COUCEIRO, NURIA (Tutorships)
GARCIA COUCEIRO, NURIA (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Benefits and potential risks of prone positioning in critically ill respiratory patients. A systematic review
Authorship
U.L.Q.
Bachelor of Nursing (2ª ed) [S]
U.L.Q.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction One of de diseases that can lead to ARDS is caused by SARS-Cov-2, which causes an acute infection of the upper respiratory tract. Due to its high level of contagion, a global pandemic situation with high mortality rates emerged. Some of the infected patients suffered severe symptoms, leading to the publication of treatment guidelines, with prone positioning being one of the recommended techniques. Objectives The main objective is to determine the effectiveness of prone positioning in critically ill respiratory patients by studying its benefits, considering possible complications. Methodology This systematic review studies the effects of prone positioning in critically ill patients. Studies conducted in adults from 2020 to 2024 were included, while bibliographic reviews were excluded. Searches were conducted in 8 databases using MeSH and DeCS terms combined with Boolean operators. The articles were selected by screening them by inclusion and exclusion criteria, then by title and abstract, and finally by full text. Results 13 papers were selected. Most studies show significant effectiveness of prone positioning, which appears to contribute to improved oxygenation through enhancements in FiO2 and PaO2, and increased patient survival. However, it is important to consider the complications that this technique may have, such as facial edema or endotracheal tube displacement. Pressure injuries were the most frequent complication observed. Conclusions Based on the information extracted from the articles, it can be concluded that despite the associated risks, prone positioning is a highly useful complementary therapeutic option, so it could be used with diligent prevention measures to mitigate potential complications.
Introduction One of de diseases that can lead to ARDS is caused by SARS-Cov-2, which causes an acute infection of the upper respiratory tract. Due to its high level of contagion, a global pandemic situation with high mortality rates emerged. Some of the infected patients suffered severe symptoms, leading to the publication of treatment guidelines, with prone positioning being one of the recommended techniques. Objectives The main objective is to determine the effectiveness of prone positioning in critically ill respiratory patients by studying its benefits, considering possible complications. Methodology This systematic review studies the effects of prone positioning in critically ill patients. Studies conducted in adults from 2020 to 2024 were included, while bibliographic reviews were excluded. Searches were conducted in 8 databases using MeSH and DeCS terms combined with Boolean operators. The articles were selected by screening them by inclusion and exclusion criteria, then by title and abstract, and finally by full text. Results 13 papers were selected. Most studies show significant effectiveness of prone positioning, which appears to contribute to improved oxygenation through enhancements in FiO2 and PaO2, and increased patient survival. However, it is important to consider the complications that this technique may have, such as facial edema or endotracheal tube displacement. Pressure injuries were the most frequent complication observed. Conclusions Based on the information extracted from the articles, it can be concluded that despite the associated risks, prone positioning is a highly useful complementary therapeutic option, so it could be used with diligent prevention measures to mitigate potential complications.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Benefits of breastfeeding on cognitive function from 6 months of life to adulthood: a systematic review.
Authorship
A.L.G.
Bachelor of Nursing (2ª ed) [S]
A.L.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
INTRODUCTION: Breastfeeding is considered worldwide as the perfect food for the healthy growth and development of infants. In recent years, the potential effect of breastfeeding on the child's long-term cognitive, metabolic, and cardiovascular function has attracted special interest. OBJECTIVES: To know the effects of breastfeeding (BF) or exclusive breastfeeding (EBF) on cognitive function and the underlying mechanisms. METHODS: A search of meta-analyses, clinical trials and systematic reviews was carried out through search engines and databases such as PubMed, Scielo, NICE, CINAHL and Scopus, during the period January 2013-March 2024. For the selection of registers the PRISMA methodology was used. RESULTS: BF and EBF present effects on cognitive function, evaluated by intelligence tests, IQ, grades in secondary school and later at 5 years, 16 years and 30 years, respectively; after adjustment for possible confounding factors such as the mother's IQ or socio-economic situation; after comparing people with BF, EBF and those who had not received these. Different studies observe an effect that is time dependent; the effect increasing with the duration of breastfeeding. The duration of breastfeeding was quantified from records, surveys, etc. Regarding the underlying mechanisms, studies are scarce. Among the mechanisms involved in the indicated beneficial effects are effects on glucose and lipid metabolism and neuroimmune and neuroendocrine effects. CONCLUSIONS: BF and EBF have beneficial effects on long-term cognitive function; confirming a time-dependent effect of said breastfeeding on cognitive function. Different components of breastmilk seem to act by modulating the function of the endocrine, immune and nervous systems.
INTRODUCTION: Breastfeeding is considered worldwide as the perfect food for the healthy growth and development of infants. In recent years, the potential effect of breastfeeding on the child's long-term cognitive, metabolic, and cardiovascular function has attracted special interest. OBJECTIVES: To know the effects of breastfeeding (BF) or exclusive breastfeeding (EBF) on cognitive function and the underlying mechanisms. METHODS: A search of meta-analyses, clinical trials and systematic reviews was carried out through search engines and databases such as PubMed, Scielo, NICE, CINAHL and Scopus, during the period January 2013-March 2024. For the selection of registers the PRISMA methodology was used. RESULTS: BF and EBF present effects on cognitive function, evaluated by intelligence tests, IQ, grades in secondary school and later at 5 years, 16 years and 30 years, respectively; after adjustment for possible confounding factors such as the mother's IQ or socio-economic situation; after comparing people with BF, EBF and those who had not received these. Different studies observe an effect that is time dependent; the effect increasing with the duration of breastfeeding. The duration of breastfeeding was quantified from records, surveys, etc. Regarding the underlying mechanisms, studies are scarce. Among the mechanisms involved in the indicated beneficial effects are effects on glucose and lipid metabolism and neuroimmune and neuroendocrine effects. CONCLUSIONS: BF and EBF have beneficial effects on long-term cognitive function; confirming a time-dependent effect of said breastfeeding on cognitive function. Different components of breastmilk seem to act by modulating the function of the endocrine, immune and nervous systems.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Alzheimer's Disease and microbiota from nurse's perspective: a systematic review
Authorship
M.V.N.
Bachelor of Nursing (2ª ed) [S]
M.V.N.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Alzheimer’s Disease (AD) is the most common type of dementia today, increasing its prevalence and rhythm at a dizzying pace. The state of the intestinal microbiota (IM) presents itself as one of the risk factors when it comes to developing the disease. The idea of the relationship between both concepts is given by the connection between the brain and the microbiota through the microbiota-gut-brain axis (MGBA), counting this connection with two main barriers: the gastrointestinal (GIB) and the hematoencephalic (BBB), in addition to various communication pathways. Objectives: the main objective is to describe the connection between IM and AD. Both identifying the hypothesis of connection between the two, as well as presenting a care plan based on the available scientific evidence on the connection between IM and AD will be the secondary objectives. Methodology: bibliographical review of the scientific literature through 3 databases following the PRISMA 2020 methodology, including 9 final articles. Results: the alteration of the GIB and BBB in the face of threats modifies their functioning, due to the increase in their permeabilities. These alterations will be related to the pathology through an increase in inflammatory levels. Thus, there are different assumptions of this appearance, named hypotheses. Conclusions: the basis of the relationship between IM and AD is the relationship between the brain and IM, through the EMIC, the BGI and the BBB. This relationship does not have its running defined, which explains the existence of various hypotheses that seek to explain it. Furthermore, the nursing role in the pathology will be very important, as the affected patients are dependent, with multiple needs, to whom various intervention and monitoring measures can be applied.
Introduction: Alzheimer’s Disease (AD) is the most common type of dementia today, increasing its prevalence and rhythm at a dizzying pace. The state of the intestinal microbiota (IM) presents itself as one of the risk factors when it comes to developing the disease. The idea of the relationship between both concepts is given by the connection between the brain and the microbiota through the microbiota-gut-brain axis (MGBA), counting this connection with two main barriers: the gastrointestinal (GIB) and the hematoencephalic (BBB), in addition to various communication pathways. Objectives: the main objective is to describe the connection between IM and AD. Both identifying the hypothesis of connection between the two, as well as presenting a care plan based on the available scientific evidence on the connection between IM and AD will be the secondary objectives. Methodology: bibliographical review of the scientific literature through 3 databases following the PRISMA 2020 methodology, including 9 final articles. Results: the alteration of the GIB and BBB in the face of threats modifies their functioning, due to the increase in their permeabilities. These alterations will be related to the pathology through an increase in inflammatory levels. Thus, there are different assumptions of this appearance, named hypotheses. Conclusions: the basis of the relationship between IM and AD is the relationship between the brain and IM, through the EMIC, the BGI and the BBB. This relationship does not have its running defined, which explains the existence of various hypotheses that seek to explain it. Furthermore, the nursing role in the pathology will be very important, as the affected patients are dependent, with multiple needs, to whom various intervention and monitoring measures can be applied.
Direction
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
Antelo Iglesias, Lucía (Co-tutorships)
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
Antelo Iglesias, Lucía (Co-tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Enzymatic and surgical debridement and its effectiveness in diabetic foot ulcers
Authorship
I.T.R.
Bachelor of Nursing (2ª ed) [S]
I.T.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Diabetic foot ulcer (DFU) is defined as the combination of neuropathy and varying degrees of peripheral vasculopathy in patients with diabetes, a potential problem that affects a large number of people. Currently, debridement is considered a central component when treating ulcers, which consists of the removal of non-viable tissue that can prevent wound healing and pose a risk of infection. Objectives: The main objective of the work would be to evaluate the effectiveness of enzymatic and surgical debridement (superficial and deep) in DFU with other types of debridement. Methodology: The system developed corresponds to a systematic review. A search was performed in the PubMed and Cochrane Library databases, with the algorithms “ulcers AND debridement AND diabetic foot” and “ulcers AND sharp AND debridement AND diabetic foot” respectively. The search interval is between January 1, 2010 and December 31, 2023. A total of 122 articles are reached, which after screening are reduced to 8. Results: We start from 8 articles which compare enzymatic and surgical debridement with other types of debridement. The percentage of effectiveness of enzymatic and surgical debridement is higher compared to the rest of the debridement studied in the articles. According to the IWGDF of 2023, the debridement of choice to treat diabetic foot ulcers is acute debridement, despite this, it considers enzymatic debridement as effective if it cannot be performed or in certain cases. Conclusions: Today's evidence on debridement in diabetic foot ulcers is not definitive. The studies analyzed suggest the effectiveness of enzymatic and surgical debridement, however, more research and clinical trials are required to establish solid conclusions.
Introduction: Diabetic foot ulcer (DFU) is defined as the combination of neuropathy and varying degrees of peripheral vasculopathy in patients with diabetes, a potential problem that affects a large number of people. Currently, debridement is considered a central component when treating ulcers, which consists of the removal of non-viable tissue that can prevent wound healing and pose a risk of infection. Objectives: The main objective of the work would be to evaluate the effectiveness of enzymatic and surgical debridement (superficial and deep) in DFU with other types of debridement. Methodology: The system developed corresponds to a systematic review. A search was performed in the PubMed and Cochrane Library databases, with the algorithms “ulcers AND debridement AND diabetic foot” and “ulcers AND sharp AND debridement AND diabetic foot” respectively. The search interval is between January 1, 2010 and December 31, 2023. A total of 122 articles are reached, which after screening are reduced to 8. Results: We start from 8 articles which compare enzymatic and surgical debridement with other types of debridement. The percentage of effectiveness of enzymatic and surgical debridement is higher compared to the rest of the debridement studied in the articles. According to the IWGDF of 2023, the debridement of choice to treat diabetic foot ulcers is acute debridement, despite this, it considers enzymatic debridement as effective if it cannot be performed or in certain cases. Conclusions: Today's evidence on debridement in diabetic foot ulcers is not definitive. The studies analyzed suggest the effectiveness of enzymatic and surgical debridement, however, more research and clinical trials are required to establish solid conclusions.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Knowledge and application of scientific evidence in nursing care for patients with lower limb ulcers
Authorship
M.L.C.
Bachelor of Nursing (2ª ed) [S]
M.L.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction. Lower limb ulcers are a serious health and social problem. They decrease the quality of life of affected patients and they also acocunt for a substantial percentage of healthcare expenditure. Nurses bear a great responsibility as their management falls within their competencies. The care provided is highly variable between personnel, services, and centers, making Evidence-Based Practice (EBP) crucial to systematize care and ensure quality attention for patients with LEU. Objective. To determine the level of knowledge nurses have about the scientific evidence for treating lower extremity ulcers. Methods. A literature review in the main databases available on the Internet (PubMed, Dialnet, WOS, ScienceDirect, CINAHL, BVS) following the PRISMA methodology. Results. A high level of ignorance was detected among nurses regarding the correct management of lower limb ulcers at an international level. Factors that contribute to the variability of care include insufficient knowledge, limited time for patient care, etc. However, there are also factors that promote the application of EBP, such as continuous training. Conclusions. Nurses' knowledge of lower limb ulcers management is insufficient. This deficiency is not adequately addressed by current studies, highlighting the need for high-quality research. Emphasizing continuous training for nurses is essential to reduce variability in care and apply scientific evidence in clinical practice, ensuring systematic and quality care.
Introduction. Lower limb ulcers are a serious health and social problem. They decrease the quality of life of affected patients and they also acocunt for a substantial percentage of healthcare expenditure. Nurses bear a great responsibility as their management falls within their competencies. The care provided is highly variable between personnel, services, and centers, making Evidence-Based Practice (EBP) crucial to systematize care and ensure quality attention for patients with LEU. Objective. To determine the level of knowledge nurses have about the scientific evidence for treating lower extremity ulcers. Methods. A literature review in the main databases available on the Internet (PubMed, Dialnet, WOS, ScienceDirect, CINAHL, BVS) following the PRISMA methodology. Results. A high level of ignorance was detected among nurses regarding the correct management of lower limb ulcers at an international level. Factors that contribute to the variability of care include insufficient knowledge, limited time for patient care, etc. However, there are also factors that promote the application of EBP, such as continuous training. Conclusions. Nurses' knowledge of lower limb ulcers management is insufficient. This deficiency is not adequately addressed by current studies, highlighting the need for high-quality research. Emphasizing continuous training for nurses is essential to reduce variability in care and apply scientific evidence in clinical practice, ensuring systematic and quality care.
Direction
Rodríguez Abad, Carlos (Tutorships)
Rodríguez Abad, Carlos (Tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Stigmatization of adults with schizophrenia
Authorship
A.J.M.
Bachelor of Nursing (2ª ed) [S]
A.J.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
BACKGROUND: Schizophrenia is a severe and chronic mental illness, characterized by highly heterogeneous disorders across multiple mental modalities, including cognitive, emotional, and behavioral domains. In addition to the illness itself, individuals who suffer from it also have to contend with the stigma it carries, which diminishes their ability to interact and engage in essential daily activities, thus impacting their quality of life. AIMS: The present systematic review focuses on the stigmatization that socially exists towards adults with schizophrenia and aims to identify the main stigmas and attitudes the general population holds towards these individuals. METHODS: To carry it out, a search was conducted in PubMed and Scopus electronic databases, gathering a total of 8 articles that met the inclusion criteria. RESULTS: In general, most people perceive people with schizophrenia as dangerous and unpredictable, these being some of the most common perpetuated stereotypes. It was also manifested by the vast majority of the participants the desire for social distancing, not being willing for a person with schizophrenia to marry into their family. CONCLUSIONS: Stigma towards schizophrenia remains deeply embedded in our society, and stereotypes and misconceptions about the disease are widespread, often resulting in negative attitudes towards people who suffer from it. The need to promote knowledge about this disorder is evident, in order to reduce the stigmatization suffered by this group.
BACKGROUND: Schizophrenia is a severe and chronic mental illness, characterized by highly heterogeneous disorders across multiple mental modalities, including cognitive, emotional, and behavioral domains. In addition to the illness itself, individuals who suffer from it also have to contend with the stigma it carries, which diminishes their ability to interact and engage in essential daily activities, thus impacting their quality of life. AIMS: The present systematic review focuses on the stigmatization that socially exists towards adults with schizophrenia and aims to identify the main stigmas and attitudes the general population holds towards these individuals. METHODS: To carry it out, a search was conducted in PubMed and Scopus electronic databases, gathering a total of 8 articles that met the inclusion criteria. RESULTS: In general, most people perceive people with schizophrenia as dangerous and unpredictable, these being some of the most common perpetuated stereotypes. It was also manifested by the vast majority of the participants the desire for social distancing, not being willing for a person with schizophrenia to marry into their family. CONCLUSIONS: Stigma towards schizophrenia remains deeply embedded in our society, and stereotypes and misconceptions about the disease are widespread, often resulting in negative attitudes towards people who suffer from it. The need to promote knowledge about this disorder is evident, in order to reduce the stigmatization suffered by this group.
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
GUERRA TORT, CARLA (Co-tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
GUERRA TORT, CARLA (Co-tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Oral hygiene as a prevention method against pneumonia associated with mechanical ventilation
Authorship
Y.G.C.
Bachelor of Nursing (2ª ed) [S]
Y.G.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Mechanical ventilation (MV) is an artificial respiration on procedure widely used in intensive care units (ICUs), but poor management of ventilation carries risks, including ventilator-associates pneumonia (VAP). It is a healthcare-associated infection (HAI), which the patient contracts during the hospital stay, 48 hours after or two weeks after medical discharge. VAP is the most prevalent HAI in ICUs, having a physical and mental impact on patients, so it is not only important to treat it, but also to prevent it. The Zero Pneumonia program proposes oral hygiene as one of the preventive cares. Objective: To evaluate the influence of oral hygiene on the prevention of VAP. Methodology: A systema review of the existing literature in different databases (PubMed, WOS, SciELO, Elsevier), published in the las 10 years, was carried out. The PRISMA method was followed. Results: A total of 324 articles were submitted to a selection process based on the inclusion/exclusion criteria and reading of title, abstract and text. Critical reading measures (CASPe and STROBE) were applied, and 15 of them were chosen to be include in the review. The establishment of oral hygiene protocols showed a decrease in the incidence of VAP as well in mortality and days of MV. Conclusions: Chlorhexidine in combination with toothbrushing several times a day obtained the best figures in the different variables without presenting adverse effects. There are other substances such as hydrogen peroxide or ionized water that could be a cheaper option, but more studies are needed.
Introduction: Mechanical ventilation (MV) is an artificial respiration on procedure widely used in intensive care units (ICUs), but poor management of ventilation carries risks, including ventilator-associates pneumonia (VAP). It is a healthcare-associated infection (HAI), which the patient contracts during the hospital stay, 48 hours after or two weeks after medical discharge. VAP is the most prevalent HAI in ICUs, having a physical and mental impact on patients, so it is not only important to treat it, but also to prevent it. The Zero Pneumonia program proposes oral hygiene as one of the preventive cares. Objective: To evaluate the influence of oral hygiene on the prevention of VAP. Methodology: A systema review of the existing literature in different databases (PubMed, WOS, SciELO, Elsevier), published in the las 10 years, was carried out. The PRISMA method was followed. Results: A total of 324 articles were submitted to a selection process based on the inclusion/exclusion criteria and reading of title, abstract and text. Critical reading measures (CASPe and STROBE) were applied, and 15 of them were chosen to be include in the review. The establishment of oral hygiene protocols showed a decrease in the incidence of VAP as well in mortality and days of MV. Conclusions: Chlorhexidine in combination with toothbrushing several times a day obtained the best figures in the different variables without presenting adverse effects. There are other substances such as hydrogen peroxide or ionized water that could be a cheaper option, but more studies are needed.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Schoolchildren saving lives. Comparison of 2 Life-Sustaining Educational Strategies basic. Quasi-experimental simulation study.
Authorship
D.B.S.
Bachelor of Nursing (2ª ed) [S]
D.B.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Despite the 50,000 cardiac arrests that occur annually in Spain, only approximately 30% of the population would be able to properly attend to one. CPR training in schoolchildren is vital so that this number can be increased, already being implemented in the educational system, and it is recommended to introduce content by courses. Objective: To compare 2 teaching methods for the training of students to define which one is the most effective to introduce into the educational system Methodology: Quasi-experimental study where 608 boys and girls aged 7-11 years from 5 Galician schools were trained for 2 years. They were divided into a global group, where a standard training (ET) and all competencies were taught together, and a sequential group, where the first year ET was taught and the second a specific competency was added. In the first year they practiced between 2 and 4 hours depending on age and skills, and in the next course they trained for 2 hours, reviewing previous content and introducing the new competition. The teachers, who were previously instructed by expert staff, carried out the training of the students. Finally, the children put into practice the knowledge imparted in a simulation, also assessed by trained personal. Results: In the interpretation of the data, significant differences were obtained in favor of the sequential group in most of the sections of CPR sequence (9 of 13 items) and Recovery Position (5 of 9 items) compared to the global group. Conclusion: The results obtained support that a sequential training, more gradual and focused on the steps of the competency evaluated, is capable of better transmitting knowledge to practice and achieving better results in most items
Introduction: Despite the 50,000 cardiac arrests that occur annually in Spain, only approximately 30% of the population would be able to properly attend to one. CPR training in schoolchildren is vital so that this number can be increased, already being implemented in the educational system, and it is recommended to introduce content by courses. Objective: To compare 2 teaching methods for the training of students to define which one is the most effective to introduce into the educational system Methodology: Quasi-experimental study where 608 boys and girls aged 7-11 years from 5 Galician schools were trained for 2 years. They were divided into a global group, where a standard training (ET) and all competencies were taught together, and a sequential group, where the first year ET was taught and the second a specific competency was added. In the first year they practiced between 2 and 4 hours depending on age and skills, and in the next course they trained for 2 hours, reviewing previous content and introducing the new competition. The teachers, who were previously instructed by expert staff, carried out the training of the students. Finally, the children put into practice the knowledge imparted in a simulation, also assessed by trained personal. Results: In the interpretation of the data, significant differences were obtained in favor of the sequential group in most of the sections of CPR sequence (9 of 13 items) and Recovery Position (5 of 9 items) compared to the global group. Conclusion: The results obtained support that a sequential training, more gradual and focused on the steps of the competency evaluated, is capable of better transmitting knowledge to practice and achieving better results in most items
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Regional differences in the degree of LDL cholesterol control in patients treated in Primary Care. Subanalysis of the TERESA-AP study
Authorship
S.M.C.
Bachelor of Nursing (2ª ed) [S]
S.M.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction. The level of LDL-cholesterol is one of the main risk factors in the development of atherosclerosis and, therefore, cardiovascular disease. The lower its levels, the better the patients' prognosis. Aim. To analyze whether there are regional differences in the degree of LDL-C control between the Autonomous Communities (CCAA) participating in the TERESA-AP study. Methodology. The TERESA-AP study is an observational and cross-sectional study, national and multicenter (Madrid, Andalucía, Cataluña, Comunidad Valenciana, País Vasco y Galicia), in which 50 PC physicians recruited 929 patients in 6 months (from November, 2022 to May, 2023). Results. A total of 929 patients were included The degree of control of LDL-cholesterol in the sample was 27.2%, with Cataluña (34%) and the País Vasco (33.3%) being the CCAA with the best control and Andalucía (20.3%) being the one with the worst control showed. No differences were observed by CCAA in the control of LDL-cholesterol in terms of age (p=0.407), sex (p= 0.089). The presence of risk factors or cardiovascular disease did not determine different estimated risk levels between CCAA (p=0.385). However, differences were observed in the therapeutic strategies with more high-potency therapies in the País Vasco (50.0%), Galicia (42.2%) or Cataluña (41.2%) that did not coincide with the CCAA that best control showed. Conclusions. No clinical or epidemiological differences were observed between the patients recruited in each CCAA, but there were differences in the therapeutic strategies used and in the degree of LDL-cholesterol control. However, no correlation was observed between these strategies and the degree of control. This leads us to assume that changes in the lifestyle or habits of patients justify these differences.
Introduction. The level of LDL-cholesterol is one of the main risk factors in the development of atherosclerosis and, therefore, cardiovascular disease. The lower its levels, the better the patients' prognosis. Aim. To analyze whether there are regional differences in the degree of LDL-C control between the Autonomous Communities (CCAA) participating in the TERESA-AP study. Methodology. The TERESA-AP study is an observational and cross-sectional study, national and multicenter (Madrid, Andalucía, Cataluña, Comunidad Valenciana, País Vasco y Galicia), in which 50 PC physicians recruited 929 patients in 6 months (from November, 2022 to May, 2023). Results. A total of 929 patients were included The degree of control of LDL-cholesterol in the sample was 27.2%, with Cataluña (34%) and the País Vasco (33.3%) being the CCAA with the best control and Andalucía (20.3%) being the one with the worst control showed. No differences were observed by CCAA in the control of LDL-cholesterol in terms of age (p=0.407), sex (p= 0.089). The presence of risk factors or cardiovascular disease did not determine different estimated risk levels between CCAA (p=0.385). However, differences were observed in the therapeutic strategies with more high-potency therapies in the País Vasco (50.0%), Galicia (42.2%) or Cataluña (41.2%) that did not coincide with the CCAA that best control showed. Conclusions. No clinical or epidemiological differences were observed between the patients recruited in each CCAA, but there were differences in the therapeutic strategies used and in the degree of LDL-cholesterol control. However, no correlation was observed between these strategies and the degree of control. This leads us to assume that changes in the lifestyle or habits of patients justify these differences.
Direction
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
Cinza Sanjurjo, Sergio (Co-tutorships)
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
Cinza Sanjurjo, Sergio (Co-tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Diet quality and associated factors in teenagers from Lugo
Authorship
L.R.B.
Bachelor of Nursing (2ª ed) [S]
L.R.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Adolescence is the turning point for the consolidation of healthy habits that will have a positive or negative impact on people's health. In recent decades, a change has been observed in the dietary pattern of the population around us, especially in that of the new generations. In this context, the rates of overweight in children and teenagers have increased, becoming a serious public health problem. Objectives: The main objective of this study was the evaluation of adolescence´s eating habits in Lugo in the 2023-2024 academic year, considering the social factors that influence these habits. Methods: The present study is a cross-sectional study in which 826 adolescents (n=826) from the province of Lugo between 12 and 18 years old participated. The data was collected from January to April 2024, with a survey administered in the province's high schools to students in 2nd and 4th year of ESO, 2nd Baccalaureate and 2nd CFGM. The IAS adapted to the Spanish situation (IASE) has been considered as the dependent variable. The independent variables were: sex, academic year, country of birth, perceived socioeconomic status, and self-perceived general health. Results: 89.3% of Lugo teenagers reported they reported low quality in their diet. The degree of adherence to the healthy diet was higher in girls 14.2% (95% CI=11.2-17.7) than in boys 6.8% (95% CI=4.8-9.7). Poor quality diet was more prevalent in people with low socioeconomic status (6.9%) and in CFGM students (10.6%). A slight trend of worsening nutritional patterns was observed as age increased. There were no significant differences according to nationality or self-perceived general health. Conclusions: Most teenagers from Lugo need to improve their diet. It is essential to consider gender and socio-economic factors for the development of health promotion programs that promote healthy lifestyle habits.
Introduction: Adolescence is the turning point for the consolidation of healthy habits that will have a positive or negative impact on people's health. In recent decades, a change has been observed in the dietary pattern of the population around us, especially in that of the new generations. In this context, the rates of overweight in children and teenagers have increased, becoming a serious public health problem. Objectives: The main objective of this study was the evaluation of adolescence´s eating habits in Lugo in the 2023-2024 academic year, considering the social factors that influence these habits. Methods: The present study is a cross-sectional study in which 826 adolescents (n=826) from the province of Lugo between 12 and 18 years old participated. The data was collected from January to April 2024, with a survey administered in the province's high schools to students in 2nd and 4th year of ESO, 2nd Baccalaureate and 2nd CFGM. The IAS adapted to the Spanish situation (IASE) has been considered as the dependent variable. The independent variables were: sex, academic year, country of birth, perceived socioeconomic status, and self-perceived general health. Results: 89.3% of Lugo teenagers reported they reported low quality in their diet. The degree of adherence to the healthy diet was higher in girls 14.2% (95% CI=11.2-17.7) than in boys 6.8% (95% CI=4.8-9.7). Poor quality diet was more prevalent in people with low socioeconomic status (6.9%) and in CFGM students (10.6%). A slight trend of worsening nutritional patterns was observed as age increased. There were no significant differences according to nationality or self-perceived general health. Conclusions: Most teenagers from Lugo need to improve their diet. It is essential to consider gender and socio-economic factors for the development of health promotion programs that promote healthy lifestyle habits.
Direction
DIAZ GEADA, AINARA (Tutorships)
DIAZ GEADA, AINARA (Tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
The menstrual cycle, its hormonal changes and its influence on an emotional level: a Health Education Project
Authorship
M.C.C.
Bachelor of Nursing (2ª ed) [S]
M.C.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction The menstrual cycle is a physiological process that takes place in the female reproductive system as a result of the interaction of hypothalamic, pituitary and ovarian hormones. These can generate changes at the level of emotional, cognitive and behavioral functioning. Understanding the cycle and emotional changes during the stage of adolescence is essential, and therefore it is necessary to incorporate content on menstrual health in classrooms. Objectives To study the improvement of knowledge about hormonal changes in the menstrual cycle after participating in a health education project, as well as to identify the gaps in information about the menstrual cycle and its hormonal changes among students in the first and second years of compulsory secondary education. Method The study will be made up of three phases: in the first phase, the educational center will be contacted and authorizations will be obtained from the center and legal representatives of the students; In the second phase, an educational intervention will take place on the menstrual cycle, its hormonal changes and its influence on an emotional level; and in the third phase, the results obtained will be analyzed.
Introduction The menstrual cycle is a physiological process that takes place in the female reproductive system as a result of the interaction of hypothalamic, pituitary and ovarian hormones. These can generate changes at the level of emotional, cognitive and behavioral functioning. Understanding the cycle and emotional changes during the stage of adolescence is essential, and therefore it is necessary to incorporate content on menstrual health in classrooms. Objectives To study the improvement of knowledge about hormonal changes in the menstrual cycle after participating in a health education project, as well as to identify the gaps in information about the menstrual cycle and its hormonal changes among students in the first and second years of compulsory secondary education. Method The study will be made up of three phases: in the first phase, the educational center will be contacted and authorizations will be obtained from the center and legal representatives of the students; In the second phase, an educational intervention will take place on the menstrual cycle, its hormonal changes and its influence on an emotional level; and in the third phase, the results obtained will be analyzed.
Direction
JORGE SOTO, CRISTINA (Tutorships)
JORGE SOTO, CRISTINA (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
Schizophrenia: Epidemiology, treatments and clinic at an early age.
Authorship
A.G.T.
Bachelor of Nursing (2ª ed) [S]
A.G.T.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Schizophrenia is a severe psychiatric disorder that also affects adolescents and children. In these cases, two types can be distinguished: early-onset (younger than 15 years) and very early-onset (younger than 13 years). It’s a disease characterized by disturbances in thought, emotions, and perception of reality, which are reflected in positive, negative, and cognitive symptoms. These phenomena collectively substantially impact the ability to function in academic, family, and social settings. The aim of this final degree project is to analyze the information from the main articles on patients with schizophrenia (with special attention to child and adolescent cases): Symptomatology, psychosocial treatments, pharmacology and its epidemiology. For this purpose, a bibliographic review was carried out in the following databases: PubMed, Dialnet, and Google Scholar; using search terms such as schizophrenia, childhood, treatment, and adolescence. Some of the results obtained show that effective therapeutic approaches generally involve the combination of antipsychotic medications and psychosocial therapies. Additionally, early detection and treatment are essential to improving the prognosis and quality of life of those affected. This disease has a significant hereditary component and requires a comprehensive, individualized, and collaborative approach.
Schizophrenia is a severe psychiatric disorder that also affects adolescents and children. In these cases, two types can be distinguished: early-onset (younger than 15 years) and very early-onset (younger than 13 years). It’s a disease characterized by disturbances in thought, emotions, and perception of reality, which are reflected in positive, negative, and cognitive symptoms. These phenomena collectively substantially impact the ability to function in academic, family, and social settings. The aim of this final degree project is to analyze the information from the main articles on patients with schizophrenia (with special attention to child and adolescent cases): Symptomatology, psychosocial treatments, pharmacology and its epidemiology. For this purpose, a bibliographic review was carried out in the following databases: PubMed, Dialnet, and Google Scholar; using search terms such as schizophrenia, childhood, treatment, and adolescence. Some of the results obtained show that effective therapeutic approaches generally involve the combination of antipsychotic medications and psychosocial therapies. Additionally, early detection and treatment are essential to improving the prognosis and quality of life of those affected. This disease has a significant hereditary component and requires a comprehensive, individualized, and collaborative approach.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Advanced hybrid closed-loop systems. Systematic review.
Authorship
L.E.T.
Bachelor of Nursing (2ª ed) [S]
L.E.T.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
BACKGROUND: Type 1 diabetes is a disease that requires exogenous insulin to achieve optimal ranges of blood glucose. Among the existing treatments, infusion systems with advanced hybrid closed-loop technology (AHCL) emerge as a new therapeutic option, seeking to improve glycemic control and patient autonomy. OBJECTIVES: The main objective is to analyze the improvements in glycemic control offered by these systems compared to available therapeutic alternatives for type 1 diabetes mellitus. METHODS: For the elaboration of this systematic review, articles were obtained from Pubmed, selected between 2020 and 2024. Articles that studied MiniMed 780G, Tandem Control IQ and CamAPS FX systems were included and that compared this technology with multiple daily injections (MDI) and sensor-augmented pump therapy (SAPT). They were excluded if they analyzed previous models or if performed under special circumstances that alter glycemic control. RESULTS: 13 articles were included, such as randomized controlled studies, clinical trials, a randomized crossover study, and qualitative subanalyses of these. Answering to the main objective, closed-loop advanced hybrid therapy achieved an increase in time in range between 8.3-15.7%, and a decrease in glycosylated hemoglobin between 0.38-2.7%, time above range between 7-8.6% and time below range between 2.85-6.6% in comparison to MDI and SAPT. CONCLUSIONS: Improvements in glycemic control of the studied models compared to conventional treatments are remarkable, mainly in time in range. This implies that they can be used safely and effectively in a wide range of patients, being an option that satisfies the users involved.
BACKGROUND: Type 1 diabetes is a disease that requires exogenous insulin to achieve optimal ranges of blood glucose. Among the existing treatments, infusion systems with advanced hybrid closed-loop technology (AHCL) emerge as a new therapeutic option, seeking to improve glycemic control and patient autonomy. OBJECTIVES: The main objective is to analyze the improvements in glycemic control offered by these systems compared to available therapeutic alternatives for type 1 diabetes mellitus. METHODS: For the elaboration of this systematic review, articles were obtained from Pubmed, selected between 2020 and 2024. Articles that studied MiniMed 780G, Tandem Control IQ and CamAPS FX systems were included and that compared this technology with multiple daily injections (MDI) and sensor-augmented pump therapy (SAPT). They were excluded if they analyzed previous models or if performed under special circumstances that alter glycemic control. RESULTS: 13 articles were included, such as randomized controlled studies, clinical trials, a randomized crossover study, and qualitative subanalyses of these. Answering to the main objective, closed-loop advanced hybrid therapy achieved an increase in time in range between 8.3-15.7%, and a decrease in glycosylated hemoglobin between 0.38-2.7%, time above range between 7-8.6% and time below range between 2.85-6.6% in comparison to MDI and SAPT. CONCLUSIONS: Improvements in glycemic control of the studied models compared to conventional treatments are remarkable, mainly in time in range. This implies that they can be used safely and effectively in a wide range of patients, being an option that satisfies the users involved.
Direction
PAZOS COUSELO, MARCOS (Tutorships)
Izquierdo Vázquez, Verónica Victoria (Co-tutorships)
PAZOS COUSELO, MARCOS (Tutorships)
Izquierdo Vázquez, Verónica Victoria (Co-tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
Undergraduate dissertation
Authorship
A.L.R.
Bachelor of Nursing (2ª ed) [S]
A.L.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Stroke is a serious time-dependent pathology that is currently very important, as it has become a fundamental public health problem. The rapid identification and care of this pathology are crucial, highlighting the importance of initiatives such as the Stroke Care Center and the Galician Stroke Plan, which seek to improve the response and clinical results in the short and long term. Nursing action is essential to ensure a favorable evolution of the patient, covering crucial aspects such as the monitoring of vital parameters, the control of which is decisive for survival, the early detection of complications and the reduction of sequelae. Objectives: To highlight the essential role of nursing in the immediate application of neuroprotection measures in stroke patients, as well as to analyze their influence on short- and long-term prognosis, to present opportunities for integration into the stroke team and to offer detailed recommendations. Methodology: Following the PRISMA methodology, 12 articles were selected from the databases Scopus, Pubmed/Medline, Dialnet Plus, Servicio Gallego de Salud (SERGAS) and Ministerio de Sanidad for full-text analysis. Results and discussion: Nursing plays a crucial role in all stages of stroke management. In the pre-hospital setting, their participation in the activation of the stroke code and the application of rapid assessment protocols improves care times. In the hospital, their role is essential, from monitoring vital signs to administering treatments such as fibrinolytics. In addition, their role in patient and family education, as well as interprofessional coordination promotes a successful transition to rehabilitation and post-discharge self-care, resulting in short- and long-term patient improvement. Despite being a well-studied topic, the management of stroke treatment generates controversies. Conclusions: The role of nursing in stroke is essential, having a multidisciplinary role in patient care. There is a need for greater specialization of health personnel, clear protocols, and more research.
Introduction: Stroke is a serious time-dependent pathology that is currently very important, as it has become a fundamental public health problem. The rapid identification and care of this pathology are crucial, highlighting the importance of initiatives such as the Stroke Care Center and the Galician Stroke Plan, which seek to improve the response and clinical results in the short and long term. Nursing action is essential to ensure a favorable evolution of the patient, covering crucial aspects such as the monitoring of vital parameters, the control of which is decisive for survival, the early detection of complications and the reduction of sequelae. Objectives: To highlight the essential role of nursing in the immediate application of neuroprotection measures in stroke patients, as well as to analyze their influence on short- and long-term prognosis, to present opportunities for integration into the stroke team and to offer detailed recommendations. Methodology: Following the PRISMA methodology, 12 articles were selected from the databases Scopus, Pubmed/Medline, Dialnet Plus, Servicio Gallego de Salud (SERGAS) and Ministerio de Sanidad for full-text analysis. Results and discussion: Nursing plays a crucial role in all stages of stroke management. In the pre-hospital setting, their participation in the activation of the stroke code and the application of rapid assessment protocols improves care times. In the hospital, their role is essential, from monitoring vital signs to administering treatments such as fibrinolytics. In addition, their role in patient and family education, as well as interprofessional coordination promotes a successful transition to rehabilitation and post-discharge self-care, resulting in short- and long-term patient improvement. Despite being a well-studied topic, the management of stroke treatment generates controversies. Conclusions: The role of nursing in stroke is essential, having a multidisciplinary role in patient care. There is a need for greater specialization of health personnel, clear protocols, and more research.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
School impact of chronic pain during childhood and adolescence: a nursing perspective
Authorship
N.G.E.
Bachelor of Nursing (2ª ed) [S]
N.G.E.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction: chronic pain has a high prevalence during childhood and adolescence, being one of the most important causes of childhood morbidity and causing a significant impact on physical, emotional and social development and functioning. In this context, the school constitutes the main stage in the construction of identity and social relationships. Objectives: describe the impact of chronic pain on the school functioning of children and adolescents between 6 and 19 years old, analyze the responses of teachers and nurses to the management of chronic pain and propose possible nursing interventions based on evidence, using the taxonomies NANDA, NOC and NIC. Methods: an exhaustive bibliographic review of the scientific literature in the last decade was done, using the PubMed, CINAHL and Web of Science databases. To systematize the process, the PRISMA 2020 methodology and a data-based convergent synthesis design were used. Results: children and adolescents with chronic pain had worse school functioning and experienced more anxiety than their healthy peers, causing a decrease in their ability to concentrate, socialize, and attend. The teachers had limited resources, perceiving as necessary to receive more information about their role in management. “Person-centered care” provided school nurses with strategies aimed at increasing well-being and promoting the nurse-student relationship. Conclusions: given the high prevalence and the particular repercussions and challenges of childhood chronic pain, it would be relevant to establish strategies that allow individualized attention to pain management and effective communication between the agents involved.
Introduction: chronic pain has a high prevalence during childhood and adolescence, being one of the most important causes of childhood morbidity and causing a significant impact on physical, emotional and social development and functioning. In this context, the school constitutes the main stage in the construction of identity and social relationships. Objectives: describe the impact of chronic pain on the school functioning of children and adolescents between 6 and 19 years old, analyze the responses of teachers and nurses to the management of chronic pain and propose possible nursing interventions based on evidence, using the taxonomies NANDA, NOC and NIC. Methods: an exhaustive bibliographic review of the scientific literature in the last decade was done, using the PubMed, CINAHL and Web of Science databases. To systematize the process, the PRISMA 2020 methodology and a data-based convergent synthesis design were used. Results: children and adolescents with chronic pain had worse school functioning and experienced more anxiety than their healthy peers, causing a decrease in their ability to concentrate, socialize, and attend. The teachers had limited resources, perceiving as necessary to receive more information about their role in management. “Person-centered care” provided school nurses with strategies aimed at increasing well-being and promoting the nurse-student relationship. Conclusions: given the high prevalence and the particular repercussions and challenges of childhood chronic pain, it would be relevant to establish strategies that allow individualized attention to pain management and effective communication between the agents involved.
Direction
Agra Tuñas, María del Carmen (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
Agra Tuñas, María del Carmen (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Relationship between the degree of control of DM and the coexistence of cardiovascular disease in a sample of Galician patients treated in Primary Care. IBERICAN Study
Authorship
R.G.M.
Bachelor of Nursing (2ª ed) [S]
R.G.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction and Objectives: diabetes mellitus (DM) is clearly on the rise in Western countries due to its association with obesity. The presence of DM and its degree of control influence an increased cardiovascular risk in patients. This Final Degree Proyect aims to analyze the potential association between the degree of DM control and the presence of cardiovascular diseases in Galician patients. Methods: A transversal sub-analysis is proposed of the inclusion visit of the Galician sample patients (n=608) from the IBERICAN study. Patients aged 18 to 85 were recruited consecutively from primary care consultations. Socio-demographic and clinical variables of the patients were recorded, defining good DM control when HbA1c was below 7%, except in patients with cardiovascular disease where it would be below 8%. With this data, a comparative analysis between poorly controlled DM and well-controlled DM is carried out. Results: there were no demographic differences in terms of gender (p=0.118), level of education (p=0.086), income level (p=0.200), and occupation (p=0.707). The degree of control improved with age (p=0.045) and worsened with sedentary lifestyle (p=0.018). Regarding subclinical target organ lesions, ABI lower than 0.90 (p=0.008) and PP higher than 60mmHg (p=0.041) were more common in patients with good control, while chronic ischemic heart disease (p=0.012) and heart failure (p=0.038) were more frequent in patients with good control. Conclusions: DM control improves with age but is clearly worse in sedentary patients. This highlights the importance of including physical activity promotion as a key strategy in the management of these patients in primary care.
Introduction and Objectives: diabetes mellitus (DM) is clearly on the rise in Western countries due to its association with obesity. The presence of DM and its degree of control influence an increased cardiovascular risk in patients. This Final Degree Proyect aims to analyze the potential association between the degree of DM control and the presence of cardiovascular diseases in Galician patients. Methods: A transversal sub-analysis is proposed of the inclusion visit of the Galician sample patients (n=608) from the IBERICAN study. Patients aged 18 to 85 were recruited consecutively from primary care consultations. Socio-demographic and clinical variables of the patients were recorded, defining good DM control when HbA1c was below 7%, except in patients with cardiovascular disease where it would be below 8%. With this data, a comparative analysis between poorly controlled DM and well-controlled DM is carried out. Results: there were no demographic differences in terms of gender (p=0.118), level of education (p=0.086), income level (p=0.200), and occupation (p=0.707). The degree of control improved with age (p=0.045) and worsened with sedentary lifestyle (p=0.018). Regarding subclinical target organ lesions, ABI lower than 0.90 (p=0.008) and PP higher than 60mmHg (p=0.041) were more common in patients with good control, while chronic ischemic heart disease (p=0.012) and heart failure (p=0.038) were more frequent in patients with good control. Conclusions: DM control improves with age but is clearly worse in sedentary patients. This highlights the importance of including physical activity promotion as a key strategy in the management of these patients in primary care.
Direction
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
Cinza Sanjurjo, Sergio (Co-tutorships)
ARCE VAZQUEZ, VICTOR MANUEL (Tutorships)
Cinza Sanjurjo, Sergio (Co-tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Evaluation and characterization of the normalization of violent behaviors in romantic relationships among university students.
Authorship
S.V.B.
Bachelor of Nursing (2ª ed) [S]
S.V.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: the normalization of violent behaviors in relationships among heterosexual university students and sexual minorities is a public health issue that requires special attention. Objective: the purpose of this study is to evaluate and characterize the prevalence of the normalization of violent behaviors in romantic relationships among university students in Santiago de Compostela. Methodology: the study involved a sample of 1983 participants aged 17 to 25 enrolled in universities in Santiago de Compostela. A bivariate analysis was conducted, followed by multivariate analysis of variance using logistic regression. Results: overall, men and heterosexual individuals showed a higher level of acceptance of violent behaviors than women and sexual minorities. Men and heterosexual individuals normalized violent behaviors 70% and 30% more, respectively, than women and non-heterosexual individuals. Conclusion: the normalization of intimate partner violence was very high, particularly among men and heterosexual individuals. Universities should focus on promoting actions and developing strategies aimed at changing beliefs about the “ideal love”.
Introduction: the normalization of violent behaviors in relationships among heterosexual university students and sexual minorities is a public health issue that requires special attention. Objective: the purpose of this study is to evaluate and characterize the prevalence of the normalization of violent behaviors in romantic relationships among university students in Santiago de Compostela. Methodology: the study involved a sample of 1983 participants aged 17 to 25 enrolled in universities in Santiago de Compostela. A bivariate analysis was conducted, followed by multivariate analysis of variance using logistic regression. Results: overall, men and heterosexual individuals showed a higher level of acceptance of violent behaviors than women and sexual minorities. Men and heterosexual individuals normalized violent behaviors 70% and 30% more, respectively, than women and non-heterosexual individuals. Conclusion: the normalization of intimate partner violence was very high, particularly among men and heterosexual individuals. Universities should focus on promoting actions and developing strategies aimed at changing beliefs about the “ideal love”.
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
Oulkadi , Zakariae (Co-tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
Oulkadi , Zakariae (Co-tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Interventions for the prevention of post-partum depression in adolescent mothers: systematic review
Authorship
S.G.B.
Bachelor of Nursing (2ª ed) [S]
S.G.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The birth of a baby generates a high emotional burden and can lead to what is known as postpartum depression. This situation influences the mother's mood, affecting her quality of life, as well as the care of the baby. It is essential to know specific interventions to prevent this situation, especially in the most vulnerable groups of the population, such as adolescent mothers. Objectives: The main objective of this study is to evaluate the effectiveness of current interventions in the prevention of postpartum depression in adolescent mothers. It is also intended to identify the agents involved in these interventions and the most appropriate time to act to prevent postpartum depression in adolescent mothers. Method: A systematic review was carried out using the Pubmed, Scopus and Cochrane databases according to the PRISMA 2020 guidelines. Clinical trials that evaluated the prevention of postpartum depression in adolescent mothers published from 2017 were included. A descriptive analysis was carried out and evaluated the quality of the studies. Results: Social support interventions and interventions based on the theory of planned behavior are the most effective in preventing postpartum depression in adolescent mothers. Interventions focused on interpersonal therapy have not shown significant differences in the outcome of the study. Conclusions: Postpartum depression in adolescent mothers, is a health problem present in our society, so health professionals, especially midwives, should know the most effective interventions focused on this population group in order to prevent its onset. Key words: adolescent mothers, postpartum depression, adolescent pregnancy, nursing care, maternal mental health
Introduction: The birth of a baby generates a high emotional burden and can lead to what is known as postpartum depression. This situation influences the mother's mood, affecting her quality of life, as well as the care of the baby. It is essential to know specific interventions to prevent this situation, especially in the most vulnerable groups of the population, such as adolescent mothers. Objectives: The main objective of this study is to evaluate the effectiveness of current interventions in the prevention of postpartum depression in adolescent mothers. It is also intended to identify the agents involved in these interventions and the most appropriate time to act to prevent postpartum depression in adolescent mothers. Method: A systematic review was carried out using the Pubmed, Scopus and Cochrane databases according to the PRISMA 2020 guidelines. Clinical trials that evaluated the prevention of postpartum depression in adolescent mothers published from 2017 were included. A descriptive analysis was carried out and evaluated the quality of the studies. Results: Social support interventions and interventions based on the theory of planned behavior are the most effective in preventing postpartum depression in adolescent mothers. Interventions focused on interpersonal therapy have not shown significant differences in the outcome of the study. Conclusions: Postpartum depression in adolescent mothers, is a health problem present in our society, so health professionals, especially midwives, should know the most effective interventions focused on this population group in order to prevent its onset. Key words: adolescent mothers, postpartum depression, adolescent pregnancy, nursing care, maternal mental health
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Preventive measures for healthcare workers against surgical smoke. A systematic review.
Authorship
L.D.P.
Bachelor of Nursing (2ª ed) [S]
L.D.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Currently, 85% of surgeries are carried out using electrical devices. These techniques generate what is known as surgical smoke, composed of various chemicals of varying size. Exposure and inhalation of this smoke by operating theatre staff has been linked to potential health risks, classified as potentially hazardous. Objectives: The main purpose of this Final Degree Project (TFG) is to identify key prevention measures to address surgical smoke, in order to minimise occupational risks and promote the health of surgical staff to the maximum extent possible. Methodology: A systematic review was conducted in various databases including studies published in the last five years (2019-2024), following the PRISMA 2020 methodology. Results and discussion: The main preventive measures to be taken include the use of general and local ventilation systems, suction systems with adequate filtration (HEPA and ULPA), as well as the use of personal protective equipment such as gowns and gloves, and respirators (minimum FFP2, preferably FFP3 or activated carbon). Conclusion: Based on all the findings, further research and studies on the compounds present in surgical smoke, the symptoms associated with its exposure and inhalation, the effectiveness of evacuation systems and the compliance and adherence to personal protective equipment are essential. In addition, preventive planning and health education on surgical smoke is considered extremely necessary to increase awareness and self-care awareness among healthcare workers. Thus, most countries require mandatory and uniform legislation that comprehensively and regularly assesses both the existence of and compliance with these preventive measures.
Introduction: Currently, 85% of surgeries are carried out using electrical devices. These techniques generate what is known as surgical smoke, composed of various chemicals of varying size. Exposure and inhalation of this smoke by operating theatre staff has been linked to potential health risks, classified as potentially hazardous. Objectives: The main purpose of this Final Degree Project (TFG) is to identify key prevention measures to address surgical smoke, in order to minimise occupational risks and promote the health of surgical staff to the maximum extent possible. Methodology: A systematic review was conducted in various databases including studies published in the last five years (2019-2024), following the PRISMA 2020 methodology. Results and discussion: The main preventive measures to be taken include the use of general and local ventilation systems, suction systems with adequate filtration (HEPA and ULPA), as well as the use of personal protective equipment such as gowns and gloves, and respirators (minimum FFP2, preferably FFP3 or activated carbon). Conclusion: Based on all the findings, further research and studies on the compounds present in surgical smoke, the symptoms associated with its exposure and inhalation, the effectiveness of evacuation systems and the compliance and adherence to personal protective equipment are essential. In addition, preventive planning and health education on surgical smoke is considered extremely necessary to increase awareness and self-care awareness among healthcare workers. Thus, most countries require mandatory and uniform legislation that comprehensively and regularly assesses both the existence of and compliance with these preventive measures.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
Glucose metabolism dysfunctions as risk factor of Parkinson's disease: therapeutic implications.
Authorship
K.P.P.
Bachelor of Nursing (2ª ed) [S]
K.P.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Parkinson’s disease, characterized by the loss of nigrostriatal dopaminergic neurons of the brain, is the second most common neurodegenerative disease of the world. Parkinson is a chronic and irreversible condition that exacerbates over time and runs with motor symptoms as, tremor, rigidity, bradykinesia, and postural instability. It has been considered that there is a metabolic dysfunction similar to diabetes mellitus in Parkinson’s disease. Objective: To study if glucose metabolism dysfunctions can be a risk factor of Parkinson’s disease and if antidiabetics can be used as possible therapy for this neurodegenerative disease. Methods: A narrative review has been made for which articles from the last ten years until now have been selected, this was possible after the use of keywords combinations: Parkinson, insulin resistance, hyperglycemia, mitochondrial dysfunction, oxidative stress, diabetes mellitus and glucagon- like peptide-1. Results and conclusion: With all the information collected in this review, looks like there is an existence of epidemiologic relationship between Parkinson’s disease and glucose metabolism, added to common pathological mechanisms. Besides that, there is evidence that proves use of glucagon- like peptide-1 receptor family antidiabetics has beneficial effects on the disease.
Introduction: Parkinson’s disease, characterized by the loss of nigrostriatal dopaminergic neurons of the brain, is the second most common neurodegenerative disease of the world. Parkinson is a chronic and irreversible condition that exacerbates over time and runs with motor symptoms as, tremor, rigidity, bradykinesia, and postural instability. It has been considered that there is a metabolic dysfunction similar to diabetes mellitus in Parkinson’s disease. Objective: To study if glucose metabolism dysfunctions can be a risk factor of Parkinson’s disease and if antidiabetics can be used as possible therapy for this neurodegenerative disease. Methods: A narrative review has been made for which articles from the last ten years until now have been selected, this was possible after the use of keywords combinations: Parkinson, insulin resistance, hyperglycemia, mitochondrial dysfunction, oxidative stress, diabetes mellitus and glucagon- like peptide-1. Results and conclusion: With all the information collected in this review, looks like there is an existence of epidemiologic relationship between Parkinson’s disease and glucose metabolism, added to common pathological mechanisms. Besides that, there is evidence that proves use of glucagon- like peptide-1 receptor family antidiabetics has beneficial effects on the disease.
Direction
DIAZ RUIZ, MARIA DEL CARMEN (Tutorships)
COSTA BESADA, MARIA ALICIA (Co-tutorships)
DIAZ RUIZ, MARIA DEL CARMEN (Tutorships)
COSTA BESADA, MARIA ALICIA (Co-tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Analysis of the perspective of participants in humanization training: an evaluative approach to the humanization experience
Authorship
S.E.D.
Bachelor of Nursing (2ª ed) [S]
S.E.D.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Humanization has gained relevance in Spanish health care, influenced by historical movements and advances in patient rights. Despite challenges such as scarce resources and a technical-centered culture, strategies and programs have been implemented in the healthcare system to promote humanization, highlighting the importance of training professionals. This approach seeks to promote more humane patient-centered care. Objectives: To evaluate the perception and concern of participants in a humanization course on this topic, as well as their barriers or challenges, which hinder the implementation of humanized practices. Methods: descriptive, observational, longitudinal and prospective study. We have collected and analyzed data obtained by means of questionnaires applied before and after a training on humanization carried out in February 2024 at the University Hospital of Santiago de Compostela. Results: 98% of the participants indicated that humane treatment should be the basis of health care. Forty-nine percent thought that the quality of care was adequate and 32% disagreed that technical aspects should be prioritized over humanization. Forty-four percent answered that in recent years they have observed significant improvements. Conclusion: Humanization in healthcare improves the patient's experience, strengthening their emotional and physical well-being by recognizing their individual needs, promotes trust and therapeutic adherence. It also boosts effective communication between professionals and patients, while also increasing the job satisfaction of healthcare personnel.
Introduction: Humanization has gained relevance in Spanish health care, influenced by historical movements and advances in patient rights. Despite challenges such as scarce resources and a technical-centered culture, strategies and programs have been implemented in the healthcare system to promote humanization, highlighting the importance of training professionals. This approach seeks to promote more humane patient-centered care. Objectives: To evaluate the perception and concern of participants in a humanization course on this topic, as well as their barriers or challenges, which hinder the implementation of humanized practices. Methods: descriptive, observational, longitudinal and prospective study. We have collected and analyzed data obtained by means of questionnaires applied before and after a training on humanization carried out in February 2024 at the University Hospital of Santiago de Compostela. Results: 98% of the participants indicated that humane treatment should be the basis of health care. Forty-nine percent thought that the quality of care was adequate and 32% disagreed that technical aspects should be prioritized over humanization. Forty-four percent answered that in recent years they have observed significant improvements. Conclusion: Humanization in healthcare improves the patient's experience, strengthening their emotional and physical well-being by recognizing their individual needs, promotes trust and therapeutic adherence. It also boosts effective communication between professionals and patients, while also increasing the job satisfaction of healthcare personnel.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
Delgado García, Anxela C. (Co-tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
Delgado García, Anxela C. (Co-tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
Breastfeeding as a Protective Factor Against Breast Cancer
Authorship
Z.E.I.E.
Bachelor of Nursing (2ª ed) [S]
Z.E.I.E.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Breastfeeding (BF) is considered the optimal feeding method due to its exceptional composition and numerous advantages for both the infant and the mother. In addition to providing optimal nutrition and shielding against various illnesses in infants, BF decreases the risk of breast cancer (BC) in mothers, a disease with significant global impact. Therefore, it is vital to identify and address modifiable risk factors to reduce the incidence of this condition. Method: To conduct the literature review, databases such as Pubmed, Scielo, Ianus, and WOS were selected for information retrieval. Objective: The primary objective is to determine whether BF constitutes a protective factor against BC. Results: A significant association between BF and BC prevention is noted. The authors mentioned suggest that certain hormonal and reproductive factors may alter the risk of developing this disease. Late onset of menstruation, age at first pregnancy, and higher parity consistently emerge as protective factors across all studies. Particularly, BF has shown to offer a considerable protective effect. Findings imply that the risk of breast cancer decreases with the duration of BF, particularly notable in women who breastfeed for over 12 months. Conclusions: Promoting BF is crucial due to its health benefits, given the lack of awareness at the societal level. Enhancing education and support for families by healthcare teams in expectant mothers to bolster BF rates is imperative.
Introduction: Breastfeeding (BF) is considered the optimal feeding method due to its exceptional composition and numerous advantages for both the infant and the mother. In addition to providing optimal nutrition and shielding against various illnesses in infants, BF decreases the risk of breast cancer (BC) in mothers, a disease with significant global impact. Therefore, it is vital to identify and address modifiable risk factors to reduce the incidence of this condition. Method: To conduct the literature review, databases such as Pubmed, Scielo, Ianus, and WOS were selected for information retrieval. Objective: The primary objective is to determine whether BF constitutes a protective factor against BC. Results: A significant association between BF and BC prevention is noted. The authors mentioned suggest that certain hormonal and reproductive factors may alter the risk of developing this disease. Late onset of menstruation, age at first pregnancy, and higher parity consistently emerge as protective factors across all studies. Particularly, BF has shown to offer a considerable protective effect. Findings imply that the risk of breast cancer decreases with the duration of BF, particularly notable in women who breastfeed for over 12 months. Conclusions: Promoting BF is crucial due to its health benefits, given the lack of awareness at the societal level. Enhancing education and support for families by healthcare teams in expectant mothers to bolster BF rates is imperative.
Direction
MARTIN CORA, FRANCISCO JAVIER (Tutorships)
MARTIN CORA, FRANCISCO JAVIER (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
New alternatives in the management of chronic wounds: A systematic review
Authorship
S.L.A.
Bachelor of Nursing (2ª ed) [S]
S.L.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
NTRODUCTION: Chronic wounds are characterized by their inability to heal within the expected time. Their approach is complex since they are heterogeneous in terms of etiology, pathogenesis, size, body location, morbidity, loss of the affected limb, factors linked to the patient, etc. METHOD: Databases, PubMed, Scielo, Cochrane database of systematic reviews, Cochrane Clinical Trials Library, NIH clinical trials, specific journals and websites of reference organizations/societies on the subject. Inclusion was carried out according to PICO criteria. RESULTS: A total of 2583 were found, of which only 27 were included The use of platelet-rich plasma, the preventive administration of a mast cell stabilizer and the release of the substance neuropeptide P, the reduction of reactive oxygen species and the activity of matrix metalloproteinase 9 (MMP9), the hydrogels with release sustained iron(II) scavenger deferoxamine and hydrogels that release MMP9 inhibitors, dressings that eliminate proinflammatory cytokines such as monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 by accelerating wound closure Thermosensitive hydrogel can accelerate healing and reduce the risk of infection. CONCLUSIONS: In the deregulated inflammatory phase, different compounds replace skin tissue and protect against infections. IN the epithelialization phase they can accelerate tissue formation. They can reduce the risk of infection KEYWORDS: chronic wound, management, breakthrough treatments, new therapies, care, healing
NTRODUCTION: Chronic wounds are characterized by their inability to heal within the expected time. Their approach is complex since they are heterogeneous in terms of etiology, pathogenesis, size, body location, morbidity, loss of the affected limb, factors linked to the patient, etc. METHOD: Databases, PubMed, Scielo, Cochrane database of systematic reviews, Cochrane Clinical Trials Library, NIH clinical trials, specific journals and websites of reference organizations/societies on the subject. Inclusion was carried out according to PICO criteria. RESULTS: A total of 2583 were found, of which only 27 were included The use of platelet-rich plasma, the preventive administration of a mast cell stabilizer and the release of the substance neuropeptide P, the reduction of reactive oxygen species and the activity of matrix metalloproteinase 9 (MMP9), the hydrogels with release sustained iron(II) scavenger deferoxamine and hydrogels that release MMP9 inhibitors, dressings that eliminate proinflammatory cytokines such as monocyte chemoattractant protein-1 (MCP-1) and interleukin-8 by accelerating wound closure Thermosensitive hydrogel can accelerate healing and reduce the risk of infection. CONCLUSIONS: In the deregulated inflammatory phase, different compounds replace skin tissue and protect against infections. IN the epithelialization phase they can accelerate tissue formation. They can reduce the risk of infection KEYWORDS: chronic wound, management, breakthrough treatments, new therapies, care, healing
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Effects of platelet-rich plasma on skin burns: A systematic review
Authorship
L.E.B.U.
Bachelor of Nursing (2ª ed) [S]
L.E.B.U.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Platelets are cells well known for their role in hemostasis, but this is not their only function; they are also the main releasers of growth factors (GF), substances of peptide origin that are involved in tissue repair. Platelet-rich plasma (PRP) is a blood product with a high platelet concentration, which also means a great source of GF; The properties of GF, and therefore of PRP, suggest its possible usefulness in the healing of burn injuries. Objectives: To know the effects of PRP on burn trauma. Methodology: A systematic review was carried out in the PubMed and SciELO databases. Studies published since 2014 carried out in both animals and humans in which PRP has been used for the treatment of skin burns were included. The keywords “plasma rico en plaquetas” and “quemaduras” (and their respective English translations) combined with the Boolean “AND” were used for the search Results: 13 studies were selected. Burns treated with PRP showed higher levels of angiogenesis markers and a lower inflammatory response. In general, burns treated with PRP had a shorter epithelialization time, as well as greater tissue viability. PRP proved to be safe, in addition to being able to be combined with treatments such as grafts, leading to their improvement. Conclusions: PRP proves to be useful for the healing of burns and should be studied in order to obtain a treatment that can reduce health costs and that is safe for the patient in addition to accelerating the healing process.
Introduction: Platelets are cells well known for their role in hemostasis, but this is not their only function; they are also the main releasers of growth factors (GF), substances of peptide origin that are involved in tissue repair. Platelet-rich plasma (PRP) is a blood product with a high platelet concentration, which also means a great source of GF; The properties of GF, and therefore of PRP, suggest its possible usefulness in the healing of burn injuries. Objectives: To know the effects of PRP on burn trauma. Methodology: A systematic review was carried out in the PubMed and SciELO databases. Studies published since 2014 carried out in both animals and humans in which PRP has been used for the treatment of skin burns were included. The keywords “plasma rico en plaquetas” and “quemaduras” (and their respective English translations) combined with the Boolean “AND” were used for the search Results: 13 studies were selected. Burns treated with PRP showed higher levels of angiogenesis markers and a lower inflammatory response. In general, burns treated with PRP had a shorter epithelialization time, as well as greater tissue viability. PRP proved to be safe, in addition to being able to be combined with treatments such as grafts, leading to their improvement. Conclusions: PRP proves to be useful for the healing of burns and should be studied in order to obtain a treatment that can reduce health costs and that is safe for the patient in addition to accelerating the healing process.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Elena Varela, Jonathan (Co-tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Elena Varela, Jonathan (Co-tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
Evaluation of the efficacy of Tezepelumab for asthma disease with low t2 phenotype.
Authorship
N.P.G.
Bachelor of Nursing (2ª ed) [S]
N.P.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
07.15.2024 10:00
07.15.2024 10:00
Summary
ABSTRACT: Asthma is a disease characterized by chronic inflation of the airways that manifests itself through wheezing, severe dyspnea, coughing, a feeling of chest obstruction and mucus. According to the type of cells we find in the sputum or in a biopsy, through the bronchoalveolar lavage, we will be able to know what type of asthma it is, according to the endotype and phenotype. There are two endotypes, high T2 asthma and low T2 asthma which, depending on the phenotype, can be: allergic, due to the presence of eosinophils, T cells, neutrophils, paucigranulocytes or mixed. There are first-line treatments that help treat asthma, through glucocorticoids and biological treatments, but as for T2 asthma, the existing biological treatments are under study, such as Tezepelumab. Studies show that it can help with exacerbations, lung function, bronchial hyperreactivity and the generation of mucus plugs, but further research is needed. OBJECTIVES: The main objective is to carry out a bibliographic review in which treatments with potential applicability in low T2 asthma are taken into account, specifically Tezepelumab. METHODOLOGY: A bibliographic search was carried out in the following databases: Cochrane library, Cinahl, Pubmed, and Scopus. A total of 10 studies were chosen for data extraction. A table with evaluation of the scientific quality based on the quartile has also been made. RESULTS: Anti-TSLP and anti-L1 therapies could be the answer as a possible treatment for low T2 asthma, although not the only ones, if it is intended to incorporate low T2 asthma in anti-IL-33 trials. CONCLUSION: Treatment for asthma is palliative, although there are drugs that are effective, there is still no specific therapy for low T2 asthma, so research must be continued into the causes that activate these specific mechanisms of this endotype of asthma, in addition to continuing studying possible drugs that target the specific cellular targets of this disease.
ABSTRACT: Asthma is a disease characterized by chronic inflation of the airways that manifests itself through wheezing, severe dyspnea, coughing, a feeling of chest obstruction and mucus. According to the type of cells we find in the sputum or in a biopsy, through the bronchoalveolar lavage, we will be able to know what type of asthma it is, according to the endotype and phenotype. There are two endotypes, high T2 asthma and low T2 asthma which, depending on the phenotype, can be: allergic, due to the presence of eosinophils, T cells, neutrophils, paucigranulocytes or mixed. There are first-line treatments that help treat asthma, through glucocorticoids and biological treatments, but as for T2 asthma, the existing biological treatments are under study, such as Tezepelumab. Studies show that it can help with exacerbations, lung function, bronchial hyperreactivity and the generation of mucus plugs, but further research is needed. OBJECTIVES: The main objective is to carry out a bibliographic review in which treatments with potential applicability in low T2 asthma are taken into account, specifically Tezepelumab. METHODOLOGY: A bibliographic search was carried out in the following databases: Cochrane library, Cinahl, Pubmed, and Scopus. A total of 10 studies were chosen for data extraction. A table with evaluation of the scientific quality based on the quartile has also been made. RESULTS: Anti-TSLP and anti-L1 therapies could be the answer as a possible treatment for low T2 asthma, although not the only ones, if it is intended to incorporate low T2 asthma in anti-IL-33 trials. CONCLUSION: Treatment for asthma is palliative, although there are drugs that are effective, there is still no specific therapy for low T2 asthma, so research must be continued into the causes that activate these specific mechanisms of this endotype of asthma, in addition to continuing studying possible drugs that target the specific cellular targets of this disease.
Direction
NIETO FONTARIGO, JUAN JOSE (Tutorships)
NIETO FONTARIGO, JUAN JOSE (Tutorships)
Court
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
School bullying among adolescents: an umbrella review of risk and protective factors, health consequences and prevention
Authorship
N.V.M.
Bachelor of Nursing (2ª ed) [S]
N.V.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
This study explores school bullying, a significant problem that predominantly affects adolescents aged 10 to 19. Globally, nearly one-third of adolescents have been victims of bullying, with notable differences in the prevalence and forms of bullying, including cyberbullying. The purpose of this study is to conduct an umbrella review to identify risk and protective factors, as well as the repercussions on the mental and physical health of those affected, with the aim of supporting the development of effective strategies and policies. The umbrella review was conducted following PRISMA guidelines. Nine systematic reviews from various geographical and cultural contexts were included. The results identified several risk factors, including aggressive personality, notable physical differences, exposure to domestic violence and discrimination based on sexual orientation or gender identity. Protective factors highlighted included family support, a positive school climate, and well-developed social skills. The consequences of school bullying significantly affect mental health, evident in cases of depression, anxiety, low self-esteem, and suicidal behaviors. Intervention and prevention strategies showed variability in their effectiveness. For example, the Olweus Bullying Prevention Program reduced the incidence of bullying by 20-70%, while inclusive school policies decreased bullying based on sexual orientation and gender identity by 15-30%. This umbrella review highlights the importance of adopting multifaceted approaches that engage the entire educational community. The role of health professionals is vital in the implementation and support of these initiatives, emphasizing the need for a holistic and evidence-based strategy to protect adolescents and promote their healthy and comprehensive development.
This study explores school bullying, a significant problem that predominantly affects adolescents aged 10 to 19. Globally, nearly one-third of adolescents have been victims of bullying, with notable differences in the prevalence and forms of bullying, including cyberbullying. The purpose of this study is to conduct an umbrella review to identify risk and protective factors, as well as the repercussions on the mental and physical health of those affected, with the aim of supporting the development of effective strategies and policies. The umbrella review was conducted following PRISMA guidelines. Nine systematic reviews from various geographical and cultural contexts were included. The results identified several risk factors, including aggressive personality, notable physical differences, exposure to domestic violence and discrimination based on sexual orientation or gender identity. Protective factors highlighted included family support, a positive school climate, and well-developed social skills. The consequences of school bullying significantly affect mental health, evident in cases of depression, anxiety, low self-esteem, and suicidal behaviors. Intervention and prevention strategies showed variability in their effectiveness. For example, the Olweus Bullying Prevention Program reduced the incidence of bullying by 20-70%, while inclusive school policies decreased bullying based on sexual orientation and gender identity by 15-30%. This umbrella review highlights the importance of adopting multifaceted approaches that engage the entire educational community. The role of health professionals is vital in the implementation and support of these initiatives, emphasizing the need for a holistic and evidence-based strategy to protect adolescents and promote their healthy and comprehensive development.
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Burnout syndrome in nursing professionals: a bibliographic review
Authorship
L.L.F.
Bachelor of Nursing (2ª ed) [S]
L.L.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Burnout is a syndrome defined by emotional exhaustion, depersonalization and low personal accomplishment due to chronic work stress. This syndrome has significant negative effects on people’s physical and mental health, as well as on their work performance, increasing the risk of errors and decreasing the quality of care they provide. Its prevalence varies widely by profession and country, affecting especially health professionals, in particular nurses. In Spain, it is estimated that between 13% and 39% of nursing professionals suffer from this syndrome due to stressful working conditions. Objectives: to evaluate the prevalence and impact of burnout in nursing personnel working in a hospital context in Spain, analyzing its relationship with sociodemographic, formative, occupational and psychological variables; and to examine its impact on mental health. Methodology: a bibliographic review has been carried out in WOS, Scopus and PubMed. The search yielded 166 results, 13 of which were selected for analysis. Results: The reviewed literature reveals the high prevalence of emotional overload, stress and burnout in nursing professionals. Factors such as financial constraints as well as socio-demographic, labour and psychological factors influence its prevalence. During the COVID-19 pandemic, the situation worsened due to increased workload and insufficient resources. Conclusion: Burnout syndrome has not only an impact on the health of nurses working in hospitals, but also many consequences for the organisation. Resilience and problem-centred coping strategies are essential to mitigate their effects. To reduce its incidence and ensure the well-being of nursing professionals, it is essential to implement multidimensional preventive strategies.
Burnout is a syndrome defined by emotional exhaustion, depersonalization and low personal accomplishment due to chronic work stress. This syndrome has significant negative effects on people’s physical and mental health, as well as on their work performance, increasing the risk of errors and decreasing the quality of care they provide. Its prevalence varies widely by profession and country, affecting especially health professionals, in particular nurses. In Spain, it is estimated that between 13% and 39% of nursing professionals suffer from this syndrome due to stressful working conditions. Objectives: to evaluate the prevalence and impact of burnout in nursing personnel working in a hospital context in Spain, analyzing its relationship with sociodemographic, formative, occupational and psychological variables; and to examine its impact on mental health. Methodology: a bibliographic review has been carried out in WOS, Scopus and PubMed. The search yielded 166 results, 13 of which were selected for analysis. Results: The reviewed literature reveals the high prevalence of emotional overload, stress and burnout in nursing professionals. Factors such as financial constraints as well as socio-demographic, labour and psychological factors influence its prevalence. During the COVID-19 pandemic, the situation worsened due to increased workload and insufficient resources. Conclusion: Burnout syndrome has not only an impact on the health of nurses working in hospitals, but also many consequences for the organisation. Resilience and problem-centred coping strategies are essential to mitigate their effects. To reduce its incidence and ensure the well-being of nursing professionals, it is essential to implement multidimensional preventive strategies.
Direction
MARTINEZ VISPO, CARMELA (Tutorships)
MARTINEZ VISPO, CARMELA (Tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
The influence of social inequalities on the breastfeeding process
Authorship
P.R.I.
Bachelor of Nursing (2ª ed) [S]
P.R.I.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Low breastfeeding rates are currently considered as a health problem in several countries. There are numerous factors that have demonstrated their influence on adherence and maintenance of breastfeeding. However, there is a lack of studies that explore a relationship between social determinants and breastfeeding. This highlights the necessity to explore the influence of socioeconomic factors such as mother’s employment or educational level in this process. Objective: To explore the socioeconomic factors that influence adherence to breastfeeding. Methodology: The study design is a retrospective cross-sectional study. A subsample of 83 women aged 21 to 45 years, with children under 3 years old residing in Galicia, has been selected. The dependent variables were factors related to the breastfeeding process and adherence. Educational attainment and employment status prior to childbirth were the independent variables. A descriptive analysis of the data obtained has been carried out, proportions and means have been calculated. For the inferential analysis, hypothesis tests were carried out using the Chi square test (significance level: p inferior 0,05). Results: 80% of the participating women breastfed their child at some point, while 76,4% were exclusively breastfeeding at 6 months. A total of 96,6% of women with university education had never breastfed, while 68,8% of those without a university education had breastfed. Regarding the influence of the employment situation before childbirth on factors related to breastfeeding, no statistically significant differences were found. Conclusion: In conclusion, although the breastfeeding rates found in this study are high, further investigation into the sociodemographic factors related to this process is needed to improve adherence to breastfeeding.
Introduction: Low breastfeeding rates are currently considered as a health problem in several countries. There are numerous factors that have demonstrated their influence on adherence and maintenance of breastfeeding. However, there is a lack of studies that explore a relationship between social determinants and breastfeeding. This highlights the necessity to explore the influence of socioeconomic factors such as mother’s employment or educational level in this process. Objective: To explore the socioeconomic factors that influence adherence to breastfeeding. Methodology: The study design is a retrospective cross-sectional study. A subsample of 83 women aged 21 to 45 years, with children under 3 years old residing in Galicia, has been selected. The dependent variables were factors related to the breastfeeding process and adherence. Educational attainment and employment status prior to childbirth were the independent variables. A descriptive analysis of the data obtained has been carried out, proportions and means have been calculated. For the inferential analysis, hypothesis tests were carried out using the Chi square test (significance level: p inferior 0,05). Results: 80% of the participating women breastfed their child at some point, while 76,4% were exclusively breastfeeding at 6 months. A total of 96,6% of women with university education had never breastfed, while 68,8% of those without a university education had breastfed. Regarding the influence of the employment situation before childbirth on factors related to breastfeeding, no statistically significant differences were found. Conclusion: In conclusion, although the breastfeeding rates found in this study are high, further investigation into the sociodemographic factors related to this process is needed to improve adherence to breastfeeding.
Direction
DIAZ GEADA, AINARA (Tutorships)
GARCIA COUCEIRO, NURIA (Co-tutorships)
DIAZ GEADA, AINARA (Tutorships)
GARCIA COUCEIRO, NURIA (Co-tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
Socioeconomic inequalities in risk alcohol consumption in galician teenagers
Authorship
A.V.N.
Bachelor of Nursing (2ª ed) [S]
A.V.N.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The adolescence is a vital stage in which great changes occurs in the organism (at physical and psychological levels), which can lead to behaviors that pose health risks such as alcohol consumption. Factors as gender, nationality or socioeconomic level showed relation with risk alcohol consumption. Objectives: Analyze the consumption of alcohol among students in the province of Lugo and find out the factors that favor it. Methodology: We carried out a cross sectional study among students in the province of Lugo, with data that belongs to the SEGcohort project. The sample was taken of 2º and 4º ESO, 2º Bach and 2º CFGM students (n 862). The dependent variable was risky alcohol consumption (AUDIT C cutoff greater than or equal 3 for adolescence) and the independent variables are related to demographic and socioeconomic variables. Proportions of the entire sample size and prevalences of alcohol consumption were estimated according to the independent variables. Results: The prevalence of risky consumption was higher in boys compared to girls (22,4% vs 18,5%). A higher prevalence of risky consumption is observed among native adolescents compared to foreigners (20,9% vs 16,7%). In relation to socioeconomic level (SEL), a lower prevalence of risky consumption is observed the more favored the reported SEL is (16,3% in favored SEL vs 20,9% in medium SEL vs 22,9% in disadvantaged SEL). Taking into consideration the grade, the prevalence of risk is higher in adolescents in higher grades (3,3% in 2º ESO vs 41,5% in 2º Bach). Conclusion: The results support the need to incorporate social determinants of health to plan interventions that may be effective in relation to alcohol consumption in adolescents.
Introduction: The adolescence is a vital stage in which great changes occurs in the organism (at physical and psychological levels), which can lead to behaviors that pose health risks such as alcohol consumption. Factors as gender, nationality or socioeconomic level showed relation with risk alcohol consumption. Objectives: Analyze the consumption of alcohol among students in the province of Lugo and find out the factors that favor it. Methodology: We carried out a cross sectional study among students in the province of Lugo, with data that belongs to the SEGcohort project. The sample was taken of 2º and 4º ESO, 2º Bach and 2º CFGM students (n 862). The dependent variable was risky alcohol consumption (AUDIT C cutoff greater than or equal 3 for adolescence) and the independent variables are related to demographic and socioeconomic variables. Proportions of the entire sample size and prevalences of alcohol consumption were estimated according to the independent variables. Results: The prevalence of risky consumption was higher in boys compared to girls (22,4% vs 18,5%). A higher prevalence of risky consumption is observed among native adolescents compared to foreigners (20,9% vs 16,7%). In relation to socioeconomic level (SEL), a lower prevalence of risky consumption is observed the more favored the reported SEL is (16,3% in favored SEL vs 20,9% in medium SEL vs 22,9% in disadvantaged SEL). Taking into consideration the grade, the prevalence of risk is higher in adolescents in higher grades (3,3% in 2º ESO vs 41,5% in 2º Bach). Conclusion: The results support the need to incorporate social determinants of health to plan interventions that may be effective in relation to alcohol consumption in adolescents.
Direction
DIAZ GEADA, AINARA (Tutorships)
DIAZ GEADA, AINARA (Tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Care of people with Alzheimer's disease: Impact on the health of caregivers
Authorship
N.L.R.
Bachelor of Nursing (2ª ed) [S]
N.L.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Currently, dementia affects 55 million people worldwide, representing one of the leading causes of disability and global dependence. The most common form of dementia is Alzheimer's Disease, a neurodegenerative disorder characterized by deterioration in cognitive domains and neuropsychiatric symptoms. Due to the loss of the individual's everyday functioning, they will need someone to provide care and meet their needs. The primary caregiver will carry out a demanding and complex job that will in turn result in changes to their quality of life and health. Objective: This work will aim to investigate the effects of caring for people with Alzheimer's, focusing on the consequences for the caregiver. Methods: For the information search, a systematic review was carried out searching for relevant articles in different databases. This search yielded 891 articles, of which 17 were finally selected for the work, following the PRISMA statement. Results: The primary caregiver of patients with Alzheimer's will be one of the hardest hit by this disease, often being female informal caregivers (usually daughters or spouses of the patient). Furthermore, as the disease progresses, the caregiver will face greater challenges, leading to a deterioration in their quality of life, which can result in physical (lack of vital energy), psychological (stress), work-related, or even economic problems. Conclusion: The significant impact this has on caregivers' lives means they need more information and support when taking care of a person with Alzheimer's, in order to try to mitigate the negative effects of the caregiver role.
Introduction: Currently, dementia affects 55 million people worldwide, representing one of the leading causes of disability and global dependence. The most common form of dementia is Alzheimer's Disease, a neurodegenerative disorder characterized by deterioration in cognitive domains and neuropsychiatric symptoms. Due to the loss of the individual's everyday functioning, they will need someone to provide care and meet their needs. The primary caregiver will carry out a demanding and complex job that will in turn result in changes to their quality of life and health. Objective: This work will aim to investigate the effects of caring for people with Alzheimer's, focusing on the consequences for the caregiver. Methods: For the information search, a systematic review was carried out searching for relevant articles in different databases. This search yielded 891 articles, of which 17 were finally selected for the work, following the PRISMA statement. Results: The primary caregiver of patients with Alzheimer's will be one of the hardest hit by this disease, often being female informal caregivers (usually daughters or spouses of the patient). Furthermore, as the disease progresses, the caregiver will face greater challenges, leading to a deterioration in their quality of life, which can result in physical (lack of vital energy), psychological (stress), work-related, or even economic problems. Conclusion: The significant impact this has on caregivers' lives means they need more information and support when taking care of a person with Alzheimer's, in order to try to mitigate the negative effects of the caregiver role.
Direction
GANDOY CREGO, MANUEL (Tutorships)
GANDOY CREGO, MANUEL (Tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Assessment of the knowledge of Clinical Nursing II students at the University of Santiago de Compostela on venous versus intraosseous vascular access in the critically ill polytraumatized patient at the prehospital level
Authorship
I.P.L.
Bachelor of Nursing (2ª ed) [S]
I.P.L.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The care of the polytraumatized patient (PTP) care should be continuous and systematic, distinguishing the phases of primary evaluation, secondary evaluation and definitive care. The main complication is hemorrhage, which can lead to hypovolemic shock and must be treated with fluid therapy. Due to this it is necessary to obtain an intravenous access (IV) or, if not possible, an intraosseous access (IO). Objective: To assess the knowledge and correctness of IV and Io cannulation techniques of students taking the Clinical Nursing II course at the University of Santiago de Compostela, as well as the time required to perform those techniques. Methods: Quasi-experimental, analytical and empirical study with a sample of 34 students. The data of the simulated intervention was obtained through a self-completed and validated evaluation sheet. Once obtained, they were analyzed using Microsoft Excel spreadsheets. Results: All the students had theoretical and practical knowledge of IV cannulation, but only 5,9% have practical knowledge of IO cannulation. The errors made in both procedures are similar, being more prevalent the removal of the compressor in the IV technique, the fixation of the line in the case of IO and the preparation of the necessary material in both. The time required to perform the techniques is similar. Conclusion: Limitations are evident in important points regarding the execution of the IV and IO cannulation techniques, in addition to exceeding the time required to perform them.
Introduction: The care of the polytraumatized patient (PTP) care should be continuous and systematic, distinguishing the phases of primary evaluation, secondary evaluation and definitive care. The main complication is hemorrhage, which can lead to hypovolemic shock and must be treated with fluid therapy. Due to this it is necessary to obtain an intravenous access (IV) or, if not possible, an intraosseous access (IO). Objective: To assess the knowledge and correctness of IV and Io cannulation techniques of students taking the Clinical Nursing II course at the University of Santiago de Compostela, as well as the time required to perform those techniques. Methods: Quasi-experimental, analytical and empirical study with a sample of 34 students. The data of the simulated intervention was obtained through a self-completed and validated evaluation sheet. Once obtained, they were analyzed using Microsoft Excel spreadsheets. Results: All the students had theoretical and practical knowledge of IV cannulation, but only 5,9% have practical knowledge of IO cannulation. The errors made in both procedures are similar, being more prevalent the removal of the compressor in the IV technique, the fixation of the line in the case of IO and the preparation of the necessary material in both. The time required to perform the techniques is similar. Conclusion: Limitations are evident in important points regarding the execution of the IV and IO cannulation techniques, in addition to exceeding the time required to perform them.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Undergraduate dissertation
Authorship
L.L.G.
Bachelor of Nursing (2ª ed) [S]
L.L.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Caregiving is the essence of nursing as a discipline. These are closely linked to the development of professional values, which could be acquired by nursing students during their practical training in the career under the influence of clinical tutors. To date, different investigations have studied the perception that nursing students have about caring behaviors transmitted by teachers; however, it is unknown how this perception is reflected on the students' professional values. Objectives: To determine the relationship between the perception that nursing students have about the caring behaviors transmitted by teachers and their professional values. Methodology: An observational and descriptive cross-sectional study was carried out. Second to fourth nursing degree students at the Universidade de Santiago de Compostela (Santiago Campus) who had completed clinical practices were invited to self-complete the Spanish version of the Nursing Students' Perceptions of Instructor Caring (S-NSPIC) and Nursing Professional Values (S-EVPS) between January and March 2024. Results: A total of 162 students participated in the study. Nursing students showed a high perception of the caring behaviors transmitted by teachers [S-NSPIC total = 111.25 (17.797)], also giving high importance to the professional values of nursing [S-EVPS total: 112, 15 (16,409)]. Likewise, the existence of a significant relationship was found between the nursing students' perception of the caring behaviors of their clinical practice tutors and their professional values. Conclusion: These results are of great importance for the nursing profession, since the provision of humanized care must be present in the training of nursing students from the first years of their career.
Introduction: Caregiving is the essence of nursing as a discipline. These are closely linked to the development of professional values, which could be acquired by nursing students during their practical training in the career under the influence of clinical tutors. To date, different investigations have studied the perception that nursing students have about caring behaviors transmitted by teachers; however, it is unknown how this perception is reflected on the students' professional values. Objectives: To determine the relationship between the perception that nursing students have about the caring behaviors transmitted by teachers and their professional values. Methodology: An observational and descriptive cross-sectional study was carried out. Second to fourth nursing degree students at the Universidade de Santiago de Compostela (Santiago Campus) who had completed clinical practices were invited to self-complete the Spanish version of the Nursing Students' Perceptions of Instructor Caring (S-NSPIC) and Nursing Professional Values (S-EVPS) between January and March 2024. Results: A total of 162 students participated in the study. Nursing students showed a high perception of the caring behaviors transmitted by teachers [S-NSPIC total = 111.25 (17.797)], also giving high importance to the professional values of nursing [S-EVPS total: 112, 15 (16,409)]. Likewise, the existence of a significant relationship was found between the nursing students' perception of the caring behaviors of their clinical practice tutors and their professional values. Conclusion: These results are of great importance for the nursing profession, since the provision of humanized care must be present in the training of nursing students from the first years of their career.
Direction
NOVIO MALLON, SILVIA (Tutorships)
Domínguez Martís, Eva María (Co-tutorships)
Fernández Feito, Ana (Co-tutorships)
NOVIO MALLON, SILVIA (Tutorships)
Domínguez Martís, Eva María (Co-tutorships)
Fernández Feito, Ana (Co-tutorships)
Court
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
RODRIGUEZ NUÑEZ, ANTONIO (Chairman)
YAÑEZ JATO, MATILDE (Secretary)
POMBAR CAMEAN, MIGUEL ANGEL (Member)
Psychological changes in women in the perinatal stage: a systematic review.
Authorship
I.F.M.
Bachelor of Nursing (2ª ed) [S]
I.F.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction. Motherhood is a complex process that includes different stages (pregnancy, childbirth and puerperium), throughout which changes occur at both physiological and psychological level, which can compromise maternal mental health. That is the reason why understanding these changes and factors associated with them is essential to prevent mental health disorders from ocurring and thus promote a healthier parenting style. Goals. To know the impact of anxiety and depression during the perinatal stage, as well as to identify the factors that predispose the appearance of psychological changes at this stage and describe the consequences derived from them. Method. To meet the stated aims, a systematic review was carried out in the scientific databases PubMed, Scopus, CINAHL, WoS and PsycInfo. Results. Eight studies published between 2013 and 2023 were included: six cross-sectional descriptive studies and two longitudinal descriptive ones. Conclusions. Anxiety and depression suffered by women in the perinatal stage play a very relevant role. There are various factors that are related to the appearance of psychological changes. Thus, a high educational level, a good economic situation, a good preparation for childbirth and receiving help from the partner and/or family in caring for the baby are beneficial in the likelihood of developing mental health disorders. Among the difficulties experienced, those related to the physique and physiological changes produced during pregnancy stand out, as well as those derived from the concerns of the pregnant woman. For all these reasons, the detection and prevention of mental health disorders around pregnancy represent a challenge both in terms of health and social issues.
Introduction. Motherhood is a complex process that includes different stages (pregnancy, childbirth and puerperium), throughout which changes occur at both physiological and psychological level, which can compromise maternal mental health. That is the reason why understanding these changes and factors associated with them is essential to prevent mental health disorders from ocurring and thus promote a healthier parenting style. Goals. To know the impact of anxiety and depression during the perinatal stage, as well as to identify the factors that predispose the appearance of psychological changes at this stage and describe the consequences derived from them. Method. To meet the stated aims, a systematic review was carried out in the scientific databases PubMed, Scopus, CINAHL, WoS and PsycInfo. Results. Eight studies published between 2013 and 2023 were included: six cross-sectional descriptive studies and two longitudinal descriptive ones. Conclusions. Anxiety and depression suffered by women in the perinatal stage play a very relevant role. There are various factors that are related to the appearance of psychological changes. Thus, a high educational level, a good economic situation, a good preparation for childbirth and receiving help from the partner and/or family in caring for the baby are beneficial in the likelihood of developing mental health disorders. Among the difficulties experienced, those related to the physique and physiological changes produced during pregnancy stand out, as well as those derived from the concerns of the pregnant woman. For all these reasons, the detection and prevention of mental health disorders around pregnancy represent a challenge both in terms of health and social issues.
Direction
GARCIA COUCEIRO, NURIA (Tutorships)
GARCIA COUCEIRO, NURIA (Tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Nursing care for the patient with aortic stenosis undergoing transcatheter aortic valve implantation (TAVI).
Authorship
J.N.V.
Bachelor of Nursing (2ª ed) [S]
J.N.V.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Transcatheter aortic valve implantation (TAVI) has revolutionized the treatment of aortic stenosis (AS) by progressing minimally invasive procedures and improving clinical outcomes. Individualized patient assessment by the Heart Team is essential to ensure shared, patient-centered decision-making. Nursing care is fundamental at all stages of the process, guaranteeing quality care and continuity of care. Objectives: To describe the role of nursing in TAVI, understand the perspectives of AS patients regarding their quality of life, and propose a series of nursing care measures for AS patients following the NANDA-NIC-NOC taxonomy. Methods: A systematic review was conducted, covering various databases. Several search filters, keywords, and inclusion and exclusion criteria were applied for the selection of studies. Ultimately, 12 articles were included. Results: The reviewed studies highlight the importance of nursing care throughout the entire process of caring for AS patients. They emphasize the need for a coordinating figure to lead nursing functions in the TAVI process. Understanding the patient's perspective involves establishing a therapeutic relationship based on trust to manage their expectations, goals, and feelings, fostering an optimistic attitude towards their situation. Conclusions: Nursing competencies in the care of AS patients improve the quality of care before, during, and after TAVI. Nurses must provide comprehensive, patient-centered care, managing both physical needs and offering continuous support and guidance to help patients cope with adversities and maintain their identity.
Introduction: Transcatheter aortic valve implantation (TAVI) has revolutionized the treatment of aortic stenosis (AS) by progressing minimally invasive procedures and improving clinical outcomes. Individualized patient assessment by the Heart Team is essential to ensure shared, patient-centered decision-making. Nursing care is fundamental at all stages of the process, guaranteeing quality care and continuity of care. Objectives: To describe the role of nursing in TAVI, understand the perspectives of AS patients regarding their quality of life, and propose a series of nursing care measures for AS patients following the NANDA-NIC-NOC taxonomy. Methods: A systematic review was conducted, covering various databases. Several search filters, keywords, and inclusion and exclusion criteria were applied for the selection of studies. Ultimately, 12 articles were included. Results: The reviewed studies highlight the importance of nursing care throughout the entire process of caring for AS patients. They emphasize the need for a coordinating figure to lead nursing functions in the TAVI process. Understanding the patient's perspective involves establishing a therapeutic relationship based on trust to manage their expectations, goals, and feelings, fostering an optimistic attitude towards their situation. Conclusions: Nursing competencies in the care of AS patients improve the quality of care before, during, and after TAVI. Nurses must provide comprehensive, patient-centered care, managing both physical needs and offering continuous support and guidance to help patients cope with adversities and maintain their identity.
Direction
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
REY BRETAL, DAVID (Co-tutorships)
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
REY BRETAL, DAVID (Co-tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Deprescription of benzodiazepines in adults over 65 years from a nursing perspective: a systematic review
Authorship
C.M.P.
Bachelor of Nursing (2ª ed) [S]
C.M.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Benzodiazepines are widely used drugs for the treatment of various diseases, particularly for insomnia and anxiety. In recent years, their use has been increasing, along with the associated risks of misuse or poor control, especially in adults over 65 years of age. Therefore, it is necessary to provide health education to the population and consider the possibility of reducing consumption whenever possible through appropriate and controlled deprescription guidelines. Objectives: The main objective is to describe the most commonly used methods for the deprescription of benzodiazepines in older adults from a nursing perspective. The secondary objectives are to highlight the importance of nursing in the deprescription process and to provide tools based on scientific evidence regarding deprescription. Methodology: A systematic review of the scientific literature was conducted using MESH terms in the PubMed and Scopus databases. Results: A total of 7 articles were analyzed from the different databases. All studies propose health education as the main method for discontinuing treatment. An improvement in outcomes was observed when more information was provided to patients, also related to the conducting of interviews or face-to-face consultations, a role that could be assumed by nursing. Conclusions: Further research is necessary to establish deprescription protocols focused on patient health education and to include nurses as the main professionals responsible for patient education and supervision.
Introduction: Benzodiazepines are widely used drugs for the treatment of various diseases, particularly for insomnia and anxiety. In recent years, their use has been increasing, along with the associated risks of misuse or poor control, especially in adults over 65 years of age. Therefore, it is necessary to provide health education to the population and consider the possibility of reducing consumption whenever possible through appropriate and controlled deprescription guidelines. Objectives: The main objective is to describe the most commonly used methods for the deprescription of benzodiazepines in older adults from a nursing perspective. The secondary objectives are to highlight the importance of nursing in the deprescription process and to provide tools based on scientific evidence regarding deprescription. Methodology: A systematic review of the scientific literature was conducted using MESH terms in the PubMed and Scopus databases. Results: A total of 7 articles were analyzed from the different databases. All studies propose health education as the main method for discontinuing treatment. An improvement in outcomes was observed when more information was provided to patients, also related to the conducting of interviews or face-to-face consultations, a role that could be assumed by nursing. Conclusions: Further research is necessary to establish deprescription protocols focused on patient health education and to include nurses as the main professionals responsible for patient education and supervision.
Direction
TABERNERO DUQUE, MARIA JESÚS (Tutorships)
TABERNERO DUQUE, MARIA JESÚS (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Diet therapy in the therapeutic approach of polycystic ovary syndrome
Authorship
A.H.C.
Bachelor of Nursing (2ª ed) [S]
A.H.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Polycystic ovary syndrome (PCOS) is an endocrine disease characterized by a hormonal imbalance that affects a high percentage of women (between 4% and 21%) on reproductive age in the world. Because of its multifactorial origin, the physiopathology is very diverse, since it presents ovarian dysfunction, hormonal alterations (hyperandrogenism) and metabolic complications (obesity, insulin resistance) that increase the risk of suffering from other chronic diseases (type II diabetes mellitus, cardiovascular diseases, etc.). PCOS does not have a pharmacological treatment specifically designed for its use, so other drugs are used sometimes (drug repositioning) to mitigate the symptoms and manifestations of the disease. However, in the guidelines of the therapeutic approach, the first line of intervention focuses on healthy lifestyle habits, including a correct diet. The main objective of this review is to contrast the different types of diet that benefit the clinical course of PCOS and thus reduce its manifestations. In the results, two types of diet were mainly found: the Mediterranean diet, characterized by being varied and anti-inflammatory; and the ketogenic diet, with a restriction of carbohydrate consumption. Both diets improved weight, testosterone levels, fasting glucose, insulin resistance and other related parameters, although with the ketogenic diet better results were achieved in less time. However, as the ketogenic diet involves a restriction of carbohydrate consumption, its long-term use is questionable, since a diet must be varied and balanced, like the Mediterranean diet. It was concluded that it is necessary to take into account the time available and the metabolic implications of each patient when recommending one of these diets for therapeutic use.
Polycystic ovary syndrome (PCOS) is an endocrine disease characterized by a hormonal imbalance that affects a high percentage of women (between 4% and 21%) on reproductive age in the world. Because of its multifactorial origin, the physiopathology is very diverse, since it presents ovarian dysfunction, hormonal alterations (hyperandrogenism) and metabolic complications (obesity, insulin resistance) that increase the risk of suffering from other chronic diseases (type II diabetes mellitus, cardiovascular diseases, etc.). PCOS does not have a pharmacological treatment specifically designed for its use, so other drugs are used sometimes (drug repositioning) to mitigate the symptoms and manifestations of the disease. However, in the guidelines of the therapeutic approach, the first line of intervention focuses on healthy lifestyle habits, including a correct diet. The main objective of this review is to contrast the different types of diet that benefit the clinical course of PCOS and thus reduce its manifestations. In the results, two types of diet were mainly found: the Mediterranean diet, characterized by being varied and anti-inflammatory; and the ketogenic diet, with a restriction of carbohydrate consumption. Both diets improved weight, testosterone levels, fasting glucose, insulin resistance and other related parameters, although with the ketogenic diet better results were achieved in less time. However, as the ketogenic diet involves a restriction of carbohydrate consumption, its long-term use is questionable, since a diet must be varied and balanced, like the Mediterranean diet. It was concluded that it is necessary to take into account the time available and the metabolic implications of each patient when recommending one of these diets for therapeutic use.
Direction
MARTIN CORA, FRANCISCO JAVIER (Tutorships)
MARTIN CORA, FRANCISCO JAVIER (Tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Telecare in aging
Authorship
P.M.M.T.
Bachelor of Nursing (2ª ed) [S]
P.M.M.T.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Aging is an inevitable vital process that all human beings go through, in which biological, psychological and social changes take place. Over time, different models of ageing emerge, such as ageing in place, which seeks to promote people s independence and permanence in their homes, with the help of services such as telecare. Aims: The main objective is to evaluate the scientific evidence on the use of telecare during the aging process. The specific objectives consist in evaluate the effectiveness and efficiency of the use of telecare as a tool to promote independence during eld, and the effectiveness of telecare in the prevention of institutionalization in residential centers. Methodology: A systematic review of 13 bibliographic citations was carried out. A search for articles in the PubMed and Google Scholar databases has been realized for the results and the discussion, in Spanish and English, published between 2014 and 2024, which are free full texts, in older people. Finally, 7 articles were selected according to the inclusion and exclusion criteria. Results: The selected articles study the effectiveness and efficiency of the different telecare services used during ageing in place, demonstrating that they favour the feeling of independence of older people but that there is a great lack of studies on the subject. Conclusions: Currently, there is evidence that telecare can be an effective method of telecare for eldest who want to age at home. However, it is very important to continue to develop and understand the usability of this service.
Introduction: Aging is an inevitable vital process that all human beings go through, in which biological, psychological and social changes take place. Over time, different models of ageing emerge, such as ageing in place, which seeks to promote people s independence and permanence in their homes, with the help of services such as telecare. Aims: The main objective is to evaluate the scientific evidence on the use of telecare during the aging process. The specific objectives consist in evaluate the effectiveness and efficiency of the use of telecare as a tool to promote independence during eld, and the effectiveness of telecare in the prevention of institutionalization in residential centers. Methodology: A systematic review of 13 bibliographic citations was carried out. A search for articles in the PubMed and Google Scholar databases has been realized for the results and the discussion, in Spanish and English, published between 2014 and 2024, which are free full texts, in older people. Finally, 7 articles were selected according to the inclusion and exclusion criteria. Results: The selected articles study the effectiveness and efficiency of the different telecare services used during ageing in place, demonstrating that they favour the feeling of independence of older people but that there is a great lack of studies on the subject. Conclusions: Currently, there is evidence that telecare can be an effective method of telecare for eldest who want to age at home. However, it is very important to continue to develop and understand the usability of this service.
Direction
SACO LOPEZ, PEDRO JOSE (Tutorships)
SACO LOPEZ, PEDRO JOSE (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Deep brain stimulation in Parkinson disease and role of nursing.
Authorship
C.A.A.
Bachelor of Nursing (2ª ed) [S]
C.A.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Parkinson’s disease (PD) is a neurodegenerative disease characterized by the loss of dopaminergic neurons, motor symptoms, such as stiffness, bradykinesia or resting tremor, and non-motor, cognitive, neuropsychiatric and autonomic symptoms. Its incidence and prevalence are increasing due to the aging of the population. PD´s treatment is symptomatic, based primarily on the administration of the dopamine precursor cell, L-dopa. But because of complications from chronic use, there are other alternative therapies such us other drugs, in addition to advanced treatments such as high intensity focused ultrasound (HIFU) or deep brain stimulation therapy (DBS). Objectives: PD´s pharmacological treatment, while efficacious, can cause long-term problems, highlighting the need to look for other therapies such as DBS, a useful surgical treatment for motor symptoms in patients with advanced PD. Therefore, objectives of this study include analyzing candidates for DBS, studying the surgical procedure and evaluating the follow-up of the results, highlighting the role of nursing in the process. Methods: this document consists of a bibliographic review using the search engines Pubmed and SciELO, searching a series of keywords, considering the objectives set. Results and conclusions: patient selection is based on a complete and individual evaluation to minimize risks and maximize benefits of DBS surgery. This surgical procedure is divided into two parts: placement of the electrodes and implantation of the subcutaneous neuropacemaker. Nursing is involved throughout the process, from patient selection to follow-up, essential phase after treatment.
Introduction: Parkinson’s disease (PD) is a neurodegenerative disease characterized by the loss of dopaminergic neurons, motor symptoms, such as stiffness, bradykinesia or resting tremor, and non-motor, cognitive, neuropsychiatric and autonomic symptoms. Its incidence and prevalence are increasing due to the aging of the population. PD´s treatment is symptomatic, based primarily on the administration of the dopamine precursor cell, L-dopa. But because of complications from chronic use, there are other alternative therapies such us other drugs, in addition to advanced treatments such as high intensity focused ultrasound (HIFU) or deep brain stimulation therapy (DBS). Objectives: PD´s pharmacological treatment, while efficacious, can cause long-term problems, highlighting the need to look for other therapies such as DBS, a useful surgical treatment for motor symptoms in patients with advanced PD. Therefore, objectives of this study include analyzing candidates for DBS, studying the surgical procedure and evaluating the follow-up of the results, highlighting the role of nursing in the process. Methods: this document consists of a bibliographic review using the search engines Pubmed and SciELO, searching a series of keywords, considering the objectives set. Results and conclusions: patient selection is based on a complete and individual evaluation to minimize risks and maximize benefits of DBS surgery. This surgical procedure is divided into two parts: placement of the electrodes and implantation of the subcutaneous neuropacemaker. Nursing is involved throughout the process, from patient selection to follow-up, essential phase after treatment.
Direction
MUÑOZ PATIÑO, ANA MARIA (Tutorships)
MUÑOZ PATIÑO, ANA MARIA (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Students teaching Basic Life Support to their families. Is it possible? What is known? A Systematic Review.
Authorship
A.F.G.
Bachelor of Nursing (2ª ed) [S]
A.F.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The majority of cardiopulmonary arrests (CPR) occur outside of hospitals and often without the presence of emergency services, representing a significant global health issue. Various studies support the idea that after theoretical and practical training in Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) techniques, young school children can act as conduits of knowledge transfer, leading to an overall increase in survival rates following a cardiac arrest. Objectives: The objective of this study was to analyze the techniques of knowledge transfer and learning of BLS by children to their close family and friends. Methodology: A bibliographic search was conducted in the databases PubMed, Scopus, and Web of Science. The searches were limited to articles from the last 10 years and included both literature reviews and original articles from February to April 2024. The criteria were as follows: Population (Family and social environment), Intervention (Child or adolescent teaching CPR and BLS knowledge), and Outcomes (Transmission of CPR and BLS knowledge). Experimental studies in both Spanish and English were included. The quality of the selected studies was evaluated using the JBI Critical Appraisal Tools and the Medical Education Research Study Quality Instrument (MERSQI). Results: A total of 129 articles were gathered, of which only 2 met the inclusion criteria and were selected for the article, limiting the comparability of the results. Conclusions: Once trained, school children are capable of transmitting the BLS knowledge they have learned to family and friends.
Introduction: The majority of cardiopulmonary arrests (CPR) occur outside of hospitals and often without the presence of emergency services, representing a significant global health issue. Various studies support the idea that after theoretical and practical training in Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) techniques, young school children can act as conduits of knowledge transfer, leading to an overall increase in survival rates following a cardiac arrest. Objectives: The objective of this study was to analyze the techniques of knowledge transfer and learning of BLS by children to their close family and friends. Methodology: A bibliographic search was conducted in the databases PubMed, Scopus, and Web of Science. The searches were limited to articles from the last 10 years and included both literature reviews and original articles from February to April 2024. The criteria were as follows: Population (Family and social environment), Intervention (Child or adolescent teaching CPR and BLS knowledge), and Outcomes (Transmission of CPR and BLS knowledge). Experimental studies in both Spanish and English were included. The quality of the selected studies was evaluated using the JBI Critical Appraisal Tools and the Medical Education Research Study Quality Instrument (MERSQI). Results: A total of 129 articles were gathered, of which only 2 met the inclusion criteria and were selected for the article, limiting the comparability of the results. Conclusions: Once trained, school children are capable of transmitting the BLS knowledge they have learned to family and friends.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Effects of physical exercise on Parkinson's disease: A systematic review
Authorship
M.O.G.
Bachelor of Nursing (2ª ed) [S]
M.O.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
07.15.2024 10:00
07.15.2024 10:00
Summary
Introduction: Parkinson's disease is the second most common neurodegenerative disorder, behind Alzheimer's, and is characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra of the brain and the pathological accumulation of the protein alpha-synuclein. This disease affects both motor functions (tremors, rigidity and bradykinesia) and non-motor functions (cognitive, emotional and sleep disorders). The symptomatology does not seem to be completely alleviated by conventional treatment, which is why exercise is being widely considered as additional therapy. Objectives: The main objective of the work is to evaluate the performance of medium and high intensity physical exercise as a complementary treatment in Parkinson's disease. Methodology: The system developed corresponds to a systematic review. The search is carried out using the PubMed database with the algorithms “Parkinson AND treatment AND aerobic exercise” establishing a time interval of articles published from January 1, 2019 to the present. The articles obtained were selected after a screening process, resulting in a total of 8 articles. Results: After analyzing the articles, we see how performing physical exercise shows positive results in the patient's symptoms. This improvement includes positive results in gait parameters, different UPDRS sections, and other motor and non-motor indicators, evidencing comprehensive benefits for patients with Parkinson's. Conclusions: Current scientific evidence shows that by performing physical exercise a notable improvement is obtained in the symptoms of the disease, both in motor and non-motor, thus positioning it as a promising complementary therapy.
Introduction: Parkinson's disease is the second most common neurodegenerative disorder, behind Alzheimer's, and is characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra of the brain and the pathological accumulation of the protein alpha-synuclein. This disease affects both motor functions (tremors, rigidity and bradykinesia) and non-motor functions (cognitive, emotional and sleep disorders). The symptomatology does not seem to be completely alleviated by conventional treatment, which is why exercise is being widely considered as additional therapy. Objectives: The main objective of the work is to evaluate the performance of medium and high intensity physical exercise as a complementary treatment in Parkinson's disease. Methodology: The system developed corresponds to a systematic review. The search is carried out using the PubMed database with the algorithms “Parkinson AND treatment AND aerobic exercise” establishing a time interval of articles published from January 1, 2019 to the present. The articles obtained were selected after a screening process, resulting in a total of 8 articles. Results: After analyzing the articles, we see how performing physical exercise shows positive results in the patient's symptoms. This improvement includes positive results in gait parameters, different UPDRS sections, and other motor and non-motor indicators, evidencing comprehensive benefits for patients with Parkinson's. Conclusions: Current scientific evidence shows that by performing physical exercise a notable improvement is obtained in the symptoms of the disease, both in motor and non-motor, thus positioning it as a promising complementary therapy.
Direction
PARGA MARTIN, JUAN ANDRES (Tutorships)
PARGA MARTIN, JUAN ANDRES (Tutorships)
Court
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
Impact of hidradenitis suppurativa on women's quality of life: a nursing perspective.
Authorship
C.C.S.
Bachelor of Nursing (2ª ed) [S]
C.C.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: hidradenitis suppurativa is a chronic dermatological disease that affects 1% of the population, mostly women of childbearing age. The development of this pathology, still quite unknown, has a substantial impact on the lives of those who suffer from it. Although women with hidradenitis suppurativa face specific challenges, little is known about their specific condition. Objectives: the objectives of this review were to examine the impact of hidradenitis suppurativa on the quality of life of women with hidradenitis suppurativa, to analyze how it affects women's affective-sexual and reproductive health, and to describe possible evidence-based nursing interventions using the NANDA, NOC and NIC nursing taxonomies. Methods: an exhaustive bibliographic review of the scientific literature published in the last decade was carried out under the PRISMA 2020 methodology, using the PubMed, CINAHL, Web of Science and Scopus databases. Results: the main reasons that conditioned the lives of women with hidradenitis suppurativa were pain, physical and psychological discomfort, social stigma, sexual distress, uncertainty related to pregnancy and breastfeeding, and absenteeism from work. Conclusions: the repercussions of the disease not only entail limitations at the physical level, but also at the psychosocial, occupational, affective-sexual and reproductive levels, and significant differences were found compared to men. Women face specific challenges in the affective-sexual and reproductive spheres, especially with regard to conception and breastfeeding.
Introduction: hidradenitis suppurativa is a chronic dermatological disease that affects 1% of the population, mostly women of childbearing age. The development of this pathology, still quite unknown, has a substantial impact on the lives of those who suffer from it. Although women with hidradenitis suppurativa face specific challenges, little is known about their specific condition. Objectives: the objectives of this review were to examine the impact of hidradenitis suppurativa on the quality of life of women with hidradenitis suppurativa, to analyze how it affects women's affective-sexual and reproductive health, and to describe possible evidence-based nursing interventions using the NANDA, NOC and NIC nursing taxonomies. Methods: an exhaustive bibliographic review of the scientific literature published in the last decade was carried out under the PRISMA 2020 methodology, using the PubMed, CINAHL, Web of Science and Scopus databases. Results: the main reasons that conditioned the lives of women with hidradenitis suppurativa were pain, physical and psychological discomfort, social stigma, sexual distress, uncertainty related to pregnancy and breastfeeding, and absenteeism from work. Conclusions: the repercussions of the disease not only entail limitations at the physical level, but also at the psychosocial, occupational, affective-sexual and reproductive levels, and significant differences were found compared to men. Women face specific challenges in the affective-sexual and reproductive spheres, especially with regard to conception and breastfeeding.
Direction
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Abscopal effect: combination of immunotherapy and radiotherapy
Authorship
I.P.F.
Bachelor of Nursing (2ª ed) [S]
I.P.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: The abscopal effect is the decrease in size or elimination of non-irradiated tumors. This phenomenon is believed to be produced by stimulation of the immune system mainly through radiation, nevertheless it is not entirely clear how it works. Objectives: The chief aim is to carry out a systematic review based on the PRISMA methodology to link the rise in abscopal response with the association of immunotherapy with radiotherapy. As secondary targets we are going to analyze how checkpoint inhibitors affect cancer and we will try to determinate how the fractionation of radiotherapy effects the appearance of the abscopal effect. Methodology: A methodical examination has been accomplished through specific search engines such as Pubmed, including articles published in the last 5 years. Results: In this systematic review, 1099 articles were identified, after filtering we reduced it to 276, of which a critical reading was carried out in which we chose 11 of them. In these articles it can be determined that the radiation associated with checkpoint inhibitors produces a greater number of probabilities of the appearance of the abscopal effect. In order that immunotherapy could present positive effects linked to radiotherapy, the last one must be hypofractionated and, furthermore, the tumor cells should concentrate a high amount of proteins. Conclusion: The abscopal effect carry on being an issue which requires further study, however we can currently fathom that to increase the probability of this appearance, hypofractionated radiological treatment with the association of checkpoint inhibitors should be administered.
Introduction: The abscopal effect is the decrease in size or elimination of non-irradiated tumors. This phenomenon is believed to be produced by stimulation of the immune system mainly through radiation, nevertheless it is not entirely clear how it works. Objectives: The chief aim is to carry out a systematic review based on the PRISMA methodology to link the rise in abscopal response with the association of immunotherapy with radiotherapy. As secondary targets we are going to analyze how checkpoint inhibitors affect cancer and we will try to determinate how the fractionation of radiotherapy effects the appearance of the abscopal effect. Methodology: A methodical examination has been accomplished through specific search engines such as Pubmed, including articles published in the last 5 years. Results: In this systematic review, 1099 articles were identified, after filtering we reduced it to 276, of which a critical reading was carried out in which we chose 11 of them. In these articles it can be determined that the radiation associated with checkpoint inhibitors produces a greater number of probabilities of the appearance of the abscopal effect. In order that immunotherapy could present positive effects linked to radiotherapy, the last one must be hypofractionated and, furthermore, the tumor cells should concentrate a high amount of proteins. Conclusion: The abscopal effect carry on being an issue which requires further study, however we can currently fathom that to increase the probability of this appearance, hypofractionated radiological treatment with the association of checkpoint inhibitors should be administered.
Direction
Aguiar Fernández, Pablo (Tutorships)
Aguiar Fernández, Pablo (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Research project. Descriptive epidemiological analysis and stroke patient care in Galicia
Authorship
P.T.A.
Bachelor of Nursing (2ª ed) [S]
P.T.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2024 09:15
06.19.2024 09:15
Summary
Introduction: Stroke is a cerebrovascular disease; a neurological deficit that produces obstruction or a decrease of blood flow in the brain, which lasts more than 24 hours. This cerebrovascular disease is classified as ischemic and hemorrhagic. Stroke is the main cause of disability in Spain and the second cause of mortality in the country. There are several risk factors associated with stroke but arterial hypertension and atrial fibrillation in the elderly are the ones that stand out the most. It is estimated that the incidence of this cerebrovascular disease will continue to grow, although control of risk factors could reduce the number of cases. Objectives: The main objectives of this paper are to analyze the epidemiological variables of patients who have suffered a stroke and have been treated in SERGAS hospitals during 2019-2023, assess the epidemiological differences and check the etiological similarities of the data obtained with similar populations, and expose the differences according to population and socioeconomic characteristics. Methods: Retrospective descriptive population-based study in 11 SERGAS hospitals. Estimated sample size: 7.000 cases per year. Loss less than 15%. A descriptive statistical analysis is performed by measuring the different variables using the mean, standard deviation or median, and the interquartile range for quantitative variables and a frequency table for qualitative variables. An inferential analysis is carried out comparing means by Student's t test, ANOVA, or Kruskal Wallis, as appropriate. Moreover, proportions are compared using Chi-square and statistical differences with p less than 0.05 are considered significant, calculating 95% confidence intervals. Subsequently, the data obtained from the study population is compared with other similar populations in terms of socio epidemiological, economic and etiological characteristics.
Introduction: Stroke is a cerebrovascular disease; a neurological deficit that produces obstruction or a decrease of blood flow in the brain, which lasts more than 24 hours. This cerebrovascular disease is classified as ischemic and hemorrhagic. Stroke is the main cause of disability in Spain and the second cause of mortality in the country. There are several risk factors associated with stroke but arterial hypertension and atrial fibrillation in the elderly are the ones that stand out the most. It is estimated that the incidence of this cerebrovascular disease will continue to grow, although control of risk factors could reduce the number of cases. Objectives: The main objectives of this paper are to analyze the epidemiological variables of patients who have suffered a stroke and have been treated in SERGAS hospitals during 2019-2023, assess the epidemiological differences and check the etiological similarities of the data obtained with similar populations, and expose the differences according to population and socioeconomic characteristics. Methods: Retrospective descriptive population-based study in 11 SERGAS hospitals. Estimated sample size: 7.000 cases per year. Loss less than 15%. A descriptive statistical analysis is performed by measuring the different variables using the mean, standard deviation or median, and the interquartile range for quantitative variables and a frequency table for qualitative variables. An inferential analysis is carried out comparing means by Student's t test, ANOVA, or Kruskal Wallis, as appropriate. Moreover, proportions are compared using Chi-square and statistical differences with p less than 0.05 are considered significant, calculating 95% confidence intervals. Subsequently, the data obtained from the study population is compared with other similar populations in terms of socio epidemiological, economic and etiological characteristics.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
Evidence of nursing prescription in Spain: A Systematic review
Authorship
I.R.G.
Bachelor of Nursing (2ª ed) [S]
I.R.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Nursing prescription (NP) is the action in which nurses prescribe interventions for the benefit of the patient, whether pharmacological or not. There are three types of prescriptions: autonomous, collaborative and protocolized prescription. Over the years, NP began to be implemented in various countries, and in 2006, this activity began to be legalized in Spain through different decrees. Despite its legalization, it continues to be a not very widespread practice, which is why there is great ignorance about it. Objective: Analyze the existing evidence regarding NP in Spain and determine the different aspects of NP that they address. Methodology: A bibliographic search was carried out with different search strategies in the following databases: MEDLINE, LILACS, COCHRANE, MEDES and Dialnet. Inclusion and exclusion criteria were established in accordance with the objective of this review. Results: 14 articles were included after a selection process and a table was made with the most relevant aspects of each study. The most studied topics were the pharmacological knowledge that nurses acquire and the drawbacks and drivers found in the development of NP. In most of the studies, the great positive impact generated by this practice was evident, both for the nursing professionals themselves, after adopting a new role in their work practice, and for the users themselves who obtained faster care with the same quality. Conclusion: There is little scientific evidence on NP in Spain, with a notable increase in recent years. This is why the need arises to generate a greater number of studies that analyze the effects of NP in all the territories of Spain.
Introduction: Nursing prescription (NP) is the action in which nurses prescribe interventions for the benefit of the patient, whether pharmacological or not. There are three types of prescriptions: autonomous, collaborative and protocolized prescription. Over the years, NP began to be implemented in various countries, and in 2006, this activity began to be legalized in Spain through different decrees. Despite its legalization, it continues to be a not very widespread practice, which is why there is great ignorance about it. Objective: Analyze the existing evidence regarding NP in Spain and determine the different aspects of NP that they address. Methodology: A bibliographic search was carried out with different search strategies in the following databases: MEDLINE, LILACS, COCHRANE, MEDES and Dialnet. Inclusion and exclusion criteria were established in accordance with the objective of this review. Results: 14 articles were included after a selection process and a table was made with the most relevant aspects of each study. The most studied topics were the pharmacological knowledge that nurses acquire and the drawbacks and drivers found in the development of NP. In most of the studies, the great positive impact generated by this practice was evident, both for the nursing professionals themselves, after adopting a new role in their work practice, and for the users themselves who obtained faster care with the same quality. Conclusion: There is little scientific evidence on NP in Spain, with a notable increase in recent years. This is why the need arises to generate a greater number of studies that analyze the effects of NP in all the territories of Spain.
Direction
SALGADO BARREIRA, ANGEL (Tutorships)
SALGADO BARREIRA, ANGEL (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
A Systematic Review on Violence in Adolescents
Authorship
R.M.P.
Bachelor of Nursing (2ª ed) [S]
R.M.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: adolesce is a stage of human development that involves significant changes at the physical, mental, emotional, behavioral, and interpersonal skill levels, creating an ideal environment for violent behaviors to emerge. According to the WHO, violence is “the intentional use of physical force or power, threatened or actual, against oneself, another person, or a group or community, that either results in or has a higk ligelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation”. Considering different classifications, there are multiple types of violence, and their risk factors and consequences are varied. Objectives: to study the role of nurses in preventing violence in adolescents, analyze the factors contributing to its occurrence, examine its consequences, and investigate the importance of such prevention for improving population health. Results: Using the search phrase, 40 articles were found, of which 8 were selected through applied filters and inclusion/exclusion criteria. Of these 8, all discuss interventions carried out in the school setting. Discussion: The high prevalence of violence among adolescent couples is concerning. Certain conditions can act as risk factors, and their consequences are severe both for physical and mental health. The interventions analyzed in the school setting showed positive impacts. Conclusions: Few inferences can be drawn from the present review about the appropriate nursing interventions to prevent violence in adolescents.
Introduction: adolesce is a stage of human development that involves significant changes at the physical, mental, emotional, behavioral, and interpersonal skill levels, creating an ideal environment for violent behaviors to emerge. According to the WHO, violence is “the intentional use of physical force or power, threatened or actual, against oneself, another person, or a group or community, that either results in or has a higk ligelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation”. Considering different classifications, there are multiple types of violence, and their risk factors and consequences are varied. Objectives: to study the role of nurses in preventing violence in adolescents, analyze the factors contributing to its occurrence, examine its consequences, and investigate the importance of such prevention for improving population health. Results: Using the search phrase, 40 articles were found, of which 8 were selected through applied filters and inclusion/exclusion criteria. Of these 8, all discuss interventions carried out in the school setting. Discussion: The high prevalence of violence among adolescent couples is concerning. Certain conditions can act as risk factors, and their consequences are severe both for physical and mental health. The interventions analyzed in the school setting showed positive impacts. Conclusions: Few inferences can be drawn from the present review about the appropriate nursing interventions to prevent violence in adolescents.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Undergraduate dissertation: Information on the internet for pregnant women on alcohol, tobacco and cannabis use in pregnancy.
Authorship
C.M.G.
Bachelor of Nursing (2ª ed) [S]
C.M.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Despite the serious risks associated with the use of alcohol, tobacco, and cannabis consumption during pregnancy, there seems to be a trend in Western countries to trivialise their use. Therefore, it is important for organizations and institutions to provide clear and consistent information about the risks of these substances. Objectives: To determine the information published on the Internet by formal sources aimed at pregnant women regarding the cessation of consumption of these substances during pregnancy, at national and international levels, as well as to identify their origin, format, and content. Methods: A search was conducted in Google and websites of public health institutions using keywords in multiple languages; finally, the materials found were analyzed and classified, extracting information about their origin, format, and content. Results: 42 institutions were identified that provided information on these substances, with governmental ones being the most frequent. The most used materials were descriptive web pages and brochures, and greater attention was paid to the risks for the fetus and newborn, with less emphasis on the specific percentage of consumption during pregnancy and the percentage of cessation of consumption. Conclusion: This work highlights the variability in the amount and type of information available on the internet about substance use during pregnancy, suggesting the need to improve and standardize messages aimed at pregnant women
Introduction: Despite the serious risks associated with the use of alcohol, tobacco, and cannabis consumption during pregnancy, there seems to be a trend in Western countries to trivialise their use. Therefore, it is important for organizations and institutions to provide clear and consistent information about the risks of these substances. Objectives: To determine the information published on the Internet by formal sources aimed at pregnant women regarding the cessation of consumption of these substances during pregnancy, at national and international levels, as well as to identify their origin, format, and content. Methods: A search was conducted in Google and websites of public health institutions using keywords in multiple languages; finally, the materials found were analyzed and classified, extracting information about their origin, format, and content. Results: 42 institutions were identified that provided information on these substances, with governmental ones being the most frequent. The most used materials were descriptive web pages and brochures, and greater attention was paid to the risks for the fetus and newborn, with less emphasis on the specific percentage of consumption during pregnancy and the percentage of cessation of consumption. Conclusion: This work highlights the variability in the amount and type of information available on the internet about substance use during pregnancy, suggesting the need to improve and standardize messages aimed at pregnant women
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Pharmacological treatment for Parkinson's disease: L-DOPA and other drugs
Authorship
C.N.F.
Bachelor of Nursing (2ª ed) [S]
C.N.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Parkinson's disease is the second most common neurodegenerative disease in the world population, only behind Alzheimer's. It is characterized by the loss of dopaminergic neurons, which mainly gives rise to characteristic motor symptoms such as rigidity, bradykinesia and tremor, among others. Currently there is no treatment that cures the disease, but there are several forms of therapy aimed at treating the symptoms to improve the quality of life of patients. Among them, the administration of the dopamine precursor or L-DOPA stands out, but its long-term use gives rise to complications. The objective of this work is to know and compare the different symptomatic treatments that exist for Parkinson's patients, studying the characteristics of treatment with L-DOPA and its complications, compare it with other pharmacological treatments and analyze the different treatment routes for complications. of L-DOPA. To carry out this work, a bibliographic review has been carried out through search engines such as Google Academic, Dialnet and Scielo, as well as consulting the Parkinson Foundation website. From the results obtained, the need to look for other alternative therapies to L-DOPA stands out since it produces side effects after 3-5 years after starting treatment. The most notable side effect is dyskinesias or abnormal involuntary movements, which are very disabling and greatly limit the therapeutic effect of the drug. Therefore, it is important to look for an effective treatment for them and know their causes. Among the alternative drugs for the treatment of Parkinson's disease, dopamine agonists stand out, such as pramipexole, ropinirole or rotigotine, and dopamine metabolism inhibitors. Recently, immunotherapy trials using antibodies to alpha-synuclein are also being carried out.
Parkinson's disease is the second most common neurodegenerative disease in the world population, only behind Alzheimer's. It is characterized by the loss of dopaminergic neurons, which mainly gives rise to characteristic motor symptoms such as rigidity, bradykinesia and tremor, among others. Currently there is no treatment that cures the disease, but there are several forms of therapy aimed at treating the symptoms to improve the quality of life of patients. Among them, the administration of the dopamine precursor or L-DOPA stands out, but its long-term use gives rise to complications. The objective of this work is to know and compare the different symptomatic treatments that exist for Parkinson's patients, studying the characteristics of treatment with L-DOPA and its complications, compare it with other pharmacological treatments and analyze the different treatment routes for complications. of L-DOPA. To carry out this work, a bibliographic review has been carried out through search engines such as Google Academic, Dialnet and Scielo, as well as consulting the Parkinson Foundation website. From the results obtained, the need to look for other alternative therapies to L-DOPA stands out since it produces side effects after 3-5 years after starting treatment. The most notable side effect is dyskinesias or abnormal involuntary movements, which are very disabling and greatly limit the therapeutic effect of the drug. Therefore, it is important to look for an effective treatment for them and know their causes. Among the alternative drugs for the treatment of Parkinson's disease, dopamine agonists stand out, such as pramipexole, ropinirole or rotigotine, and dopamine metabolism inhibitors. Recently, immunotherapy trials using antibodies to alpha-synuclein are also being carried out.
Direction
MUÑOZ PATIÑO, ANA MARIA (Tutorships)
MUÑOZ PATIÑO, ANA MARIA (Tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Analysis of the knowledge of cervical collar management in polytraumatised patients in 3rd year nursing students at the University of Santiago de Compostela.
Authorship
E.P.F.
Bachelor of Nursing (2ª ed) [S]
E.P.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Trauma is the leading cause of death in people under 45 years of age, with road traffic accidents being the main cause. The initial management of the polytrauma patient includes the protection of the cervical spine, which implies knowing how to properly apply the cervical collar. Therefore, the nursing staff must be trained in the correct application of the technique, guaranteeing mastery of the technique and the reduction of injuries secondary to its inadequate use. Objectives: To assess the knowledge and skills of cervical control and collar placement in 3rd year nursing students at the University of Santiago de Compostela before and after a brief educational intervention. Methodology: Analytical and prospective research study with a sample of 34 participants. They were divided into pairs to carry out an activity of cervical collar placement before and after viewing an educational video of their own making. The students´ skills were assessed using an evaluation sheet and the results obtained were analyzed using Microsoft Excel. Results: The students´ cervical immobilization skills were limited prior to the intervention. However, an improvement trend is evident after viewing the video. Thus, 100% success was achieved in Teamwork and over 70% was achieved in the rest of the items studied, with except for the measurement of the size of the collar, in which barely half of the sample performed correctly. Conclusions: An educational intervention that encompasses the most basic concepts seems to generate better results than the first intervention. However, students´ competences are still insufficient in certain aspects. Thus, the inclusion of practical activities as a teaching method during their academic training is advocated.
Introduction: Trauma is the leading cause of death in people under 45 years of age, with road traffic accidents being the main cause. The initial management of the polytrauma patient includes the protection of the cervical spine, which implies knowing how to properly apply the cervical collar. Therefore, the nursing staff must be trained in the correct application of the technique, guaranteeing mastery of the technique and the reduction of injuries secondary to its inadequate use. Objectives: To assess the knowledge and skills of cervical control and collar placement in 3rd year nursing students at the University of Santiago de Compostela before and after a brief educational intervention. Methodology: Analytical and prospective research study with a sample of 34 participants. They were divided into pairs to carry out an activity of cervical collar placement before and after viewing an educational video of their own making. The students´ skills were assessed using an evaluation sheet and the results obtained were analyzed using Microsoft Excel. Results: The students´ cervical immobilization skills were limited prior to the intervention. However, an improvement trend is evident after viewing the video. Thus, 100% success was achieved in Teamwork and over 70% was achieved in the rest of the items studied, with except for the measurement of the size of the collar, in which barely half of the sample performed correctly. Conclusions: An educational intervention that encompasses the most basic concepts seems to generate better results than the first intervention. However, students´ competences are still insufficient in certain aspects. Thus, the inclusion of practical activities as a teaching method during their academic training is advocated.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Prevention and diabetological education in diabetic foot care. The role of Nursing in Primary Health Care. A literature review.
Authorship
C.G.C.
Bachelor of Nursing (2ª ed) [S]
C.G.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction. Diabetes Mellitus, DM, is a chronic metabolic disease. It is classified into type I and II. Its complications include diabetic neuropathy and diabetic foot, DF, requering a thorough assessment of risk factors for prevention. Nursing plays a crucial role in patient education and care to prevent unfavorable disease progression. Methodology. A bibliographic review of scientific articles on DF from the nursing perspective was conducted, addressing aspects such as risk factors, prevention strategies, the nursing role, and the impact of educational interventions were examined. Twelve articles were selected from various databases (PubMed, Dialnet, Web of Science, CINAHL, and the Virtual Health Library). Objectives. The main objective of this study was to demonstrate the importance of nursing care in the prevention of DF in Primary Health Care. Results. The crucial role of Nursing in DF care is highlighted, emphasizing the need for a thorough assessment of risk factors and the implementation of preventive strategies. The effectiveness of educational interventions carried out by nurses to promote self-care in DM patients is evidenced, with significant changes observed in DF prevention. Conclusions. Comprehensive DF prevention in Primary Care settings improves the quality of life for individuals with DM. Implementing tailored preventive measures for each patient and environment is recommended. Nursing is key in this prevention effort through foot examination and their educational efforts, promoting self-care.
Introduction. Diabetes Mellitus, DM, is a chronic metabolic disease. It is classified into type I and II. Its complications include diabetic neuropathy and diabetic foot, DF, requering a thorough assessment of risk factors for prevention. Nursing plays a crucial role in patient education and care to prevent unfavorable disease progression. Methodology. A bibliographic review of scientific articles on DF from the nursing perspective was conducted, addressing aspects such as risk factors, prevention strategies, the nursing role, and the impact of educational interventions were examined. Twelve articles were selected from various databases (PubMed, Dialnet, Web of Science, CINAHL, and the Virtual Health Library). Objectives. The main objective of this study was to demonstrate the importance of nursing care in the prevention of DF in Primary Health Care. Results. The crucial role of Nursing in DF care is highlighted, emphasizing the need for a thorough assessment of risk factors and the implementation of preventive strategies. The effectiveness of educational interventions carried out by nurses to promote self-care in DM patients is evidenced, with significant changes observed in DF prevention. Conclusions. Comprehensive DF prevention in Primary Care settings improves the quality of life for individuals with DM. Implementing tailored preventive measures for each patient and environment is recommended. Nursing is key in this prevention effort through foot examination and their educational efforts, promoting self-care.
Direction
Rodríguez Abad, Carlos (Tutorships)
Rodríguez Abad, Carlos (Tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Vitamin B12 deficiency in Primary Care
Authorship
P.F.S.
Bachelor of Nursing (2ª ed) [S]
P.F.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Avitaminosis is a very common problem worldwide, among which vitamin B12 deficiency stands out. Older people are a population group especially vulnerable to this deficiency, which can have a negative impact on their functional activity, as well as their quality of life. Hence the importance of conducting epidemiological studies in ageing populations, in order to plan health promotion activities, that contribute to the prevention of pathologies associated with this deficit (vascular, neurological, inflammatory...). Objectives: This research project has the following main objectives: i) To determine the epidemiological, sociodemographic and clinical characteristics of patients with vitamin B12 deficiency; i) To analyze the perception of patients with vitamin B12 deficiency about the pharmacological control of their avitaminosis. Methods: Type of study: Single-centre, observational and descriptive cross-sectional. Aim of study and selection criteria of the sample: People of both sexes, adults with a diagnosis of vitamin B12 deficiency, who go to the Monforte de Lemos health centre to receive parenteral treatment with vitamin B12 and/or go to control of this pathology in the nursing office will be included. Sample size, recruitment and recruitment of participants: A total of 518 patients will be collected by consecutive sampling in the nursing consultations of the Monforte de Lemos Health Centre. Data Collection: Data collection will be done through a self-filled questionnaire consisting of 23 items that will address sociodemographic aspects, about breastfeeding and pregnancy, health status, analytical controls, treatments administered and how to apply them, symptomatology, dietary habits and surgical interventions.
Introduction: Avitaminosis is a very common problem worldwide, among which vitamin B12 deficiency stands out. Older people are a population group especially vulnerable to this deficiency, which can have a negative impact on their functional activity, as well as their quality of life. Hence the importance of conducting epidemiological studies in ageing populations, in order to plan health promotion activities, that contribute to the prevention of pathologies associated with this deficit (vascular, neurological, inflammatory...). Objectives: This research project has the following main objectives: i) To determine the epidemiological, sociodemographic and clinical characteristics of patients with vitamin B12 deficiency; i) To analyze the perception of patients with vitamin B12 deficiency about the pharmacological control of their avitaminosis. Methods: Type of study: Single-centre, observational and descriptive cross-sectional. Aim of study and selection criteria of the sample: People of both sexes, adults with a diagnosis of vitamin B12 deficiency, who go to the Monforte de Lemos health centre to receive parenteral treatment with vitamin B12 and/or go to control of this pathology in the nursing office will be included. Sample size, recruitment and recruitment of participants: A total of 518 patients will be collected by consecutive sampling in the nursing consultations of the Monforte de Lemos Health Centre. Data Collection: Data collection will be done through a self-filled questionnaire consisting of 23 items that will address sociodemographic aspects, about breastfeeding and pregnancy, health status, analytical controls, treatments administered and how to apply them, symptomatology, dietary habits and surgical interventions.
Direction
NOVIO MALLON, SILVIA (Tutorships)
Mosteiro Miguéns, Diego Gabriel (Co-tutorships)
NOVIO MALLON, SILVIA (Tutorships)
Mosteiro Miguéns, Diego Gabriel (Co-tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Contributions to the study of gait and its evolution facing aging, Literature ReviewAND ITS EVOLUTION FACING AGING, LITERATURE REVIEW
Authorship
N.G.S.
Bachelor of Nursing (2ª ed) [S]
N.G.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction Year after year we see how the average life expectancy is increasing worldwide, producing an increase in the elderly population. During aging, a series of modifications occur, gradually established, in the mechanisms that control balance and locomotion, constituting senile gait. Objectives To analyse the changes produced in the ambulation of the elderly, establish a relationship with falls and determine the benefits of physical exercise in preventing them. Methodology A bibliographic review is carried out in the PubMed, Google Scholar and Scielo databases. As inclusion criteria, all studies or reviews published from 2012 onwards for individuals over 65 years of age with the ability to perform a certain level of physical activity were established. Discussion The implementation of an optimal physical exercise program in elderly patients improves mobility, delays the appearance of aging changes, thus reducing falls and their consequences, improving the level of dependency. In addition, the exercise can be individualized or in a group, thus improving social relationships and adherence to the program. Conclusions It is evident that therapeutic exercise programs help the elderly pursue satisfactory aging in all 3 spheres: social, functional and psychological. However, more research is needed to improve knowledge and skills in the management of these patients, who are increasingly numerous.
Introduction Year after year we see how the average life expectancy is increasing worldwide, producing an increase in the elderly population. During aging, a series of modifications occur, gradually established, in the mechanisms that control balance and locomotion, constituting senile gait. Objectives To analyse the changes produced in the ambulation of the elderly, establish a relationship with falls and determine the benefits of physical exercise in preventing them. Methodology A bibliographic review is carried out in the PubMed, Google Scholar and Scielo databases. As inclusion criteria, all studies or reviews published from 2012 onwards for individuals over 65 years of age with the ability to perform a certain level of physical activity were established. Discussion The implementation of an optimal physical exercise program in elderly patients improves mobility, delays the appearance of aging changes, thus reducing falls and their consequences, improving the level of dependency. In addition, the exercise can be individualized or in a group, thus improving social relationships and adherence to the program. Conclusions It is evident that therapeutic exercise programs help the elderly pursue satisfactory aging in all 3 spheres: social, functional and psychological. However, more research is needed to improve knowledge and skills in the management of these patients, who are increasingly numerous.
Direction
MEAÑOS MELON, ENRIQUE RAMON (Tutorships)
MEAÑOS MELON, ENRIQUE RAMON (Tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Consequences of postpartum depression in the child. A systematic review.
Authorship
M.G.F.
Bachelor of Nursing (2ª ed) [S]
M.G.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 16:15
06.19.2023 16:15
Summary
Introduction: The postpartum period is a critical moment for psychological alterations to occur in women, with postpartum depression being the most common psychiatric illness at this stage. This condition is of great relevance since, in addition to affecting the mother, it can have consequences for the baby, causing a deterioration in the mother-child bond and triggering alterations in its development both in the short term and in later stages of life. Objectives: Study postpartum depression as a health condition. Identify the effects of postpartum depression on the health and development of the newborn. Describe the impact of postpartum depression on the mother-child bond. Methodology: A review of the scientific literature was carried out in the Medline, Web of Science, Scopus and Cochrane Library databases following the guidelines of the PRISMA methodology. 17 articles were included to carry out this review. Results: The results obtained reinforced the evidence about the impact of postpartum depression on the mother-child bond at an early stage, impacting the interactions between them. Although some studies did not find significant results, most research identified consequences of postpartum depression on maternal feeding practices and different areas of child development (motor functioning, growth, communication and neurological development). Conclusion: Postpartum depression produces both a decrease in maternal-infant bonding and poorer feeding practices. In addition, it can also trigger adverse outcomes in different areas of early childhood development, although its long-term effects turned out to be more contradictory. The disparity in the results may be influenced by the differences between the studies, which is why it is necessary to carry out a greater number of uniform investigations for greater consistency in the results obtained.
Introduction: The postpartum period is a critical moment for psychological alterations to occur in women, with postpartum depression being the most common psychiatric illness at this stage. This condition is of great relevance since, in addition to affecting the mother, it can have consequences for the baby, causing a deterioration in the mother-child bond and triggering alterations in its development both in the short term and in later stages of life. Objectives: Study postpartum depression as a health condition. Identify the effects of postpartum depression on the health and development of the newborn. Describe the impact of postpartum depression on the mother-child bond. Methodology: A review of the scientific literature was carried out in the Medline, Web of Science, Scopus and Cochrane Library databases following the guidelines of the PRISMA methodology. 17 articles were included to carry out this review. Results: The results obtained reinforced the evidence about the impact of postpartum depression on the mother-child bond at an early stage, impacting the interactions between them. Although some studies did not find significant results, most research identified consequences of postpartum depression on maternal feeding practices and different areas of child development (motor functioning, growth, communication and neurological development). Conclusion: Postpartum depression produces both a decrease in maternal-infant bonding and poorer feeding practices. In addition, it can also trigger adverse outcomes in different areas of early childhood development, although its long-term effects turned out to be more contradictory. The disparity in the results may be influenced by the differences between the studies, which is why it is necessary to carry out a greater number of uniform investigations for greater consistency in the results obtained.
Direction
JORGE SOTO, CRISTINA (Tutorships)
Ruíz Córdoba, Pilar (Co-tutorships)
JORGE SOTO, CRISTINA (Tutorships)
Ruíz Córdoba, Pilar (Co-tutorships)
Court
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
COSTA BESADA, MARIA ALICIA (Chairman)
Vidal Martínez, Sandra (Secretary)
Iglesias Vázquez, Jose Antonio (Member)
Use of pictograms in CPR training in children with autism spectrum disorder
Authorship
L.A.L.
Bachelor of Nursing (2ª ed) [S]
L.A.L.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: the survival rate from cardiopulmonary arrest decreases when basic cardiopulmonary resuscitation (CPR) is not initiated by bystanders. For this reason, it is crucial that every citizen knows how to proceed from a young age. However, training is often dismissed in groups with different types of functional diversity, such as people with autism spectrum disorder (ASD). Objective: the main goal was to verify the effectiveness of using pictograms through a story (litherapy) for CPR training in children with ASD without intellectual impairment or language deficiency. Methodology: a pilot study with a quasi-experimental pre-test post-test design was carried out in a single group. The participants were aged between 8 and 12 years old and were part of the Galician Asperger's Association. A theoretical-practical training was carried out (50'). Then the recognition and procedure in a simulated case of cardiorespiratory arrest were evaluated. Results: in the pre-test, only a small percentage of participants performed the steps of the chain of survival adequately, while in the post-test the majority of them showed improvements in execution. The enhancements in performing chest compressions, opening the airway and correctly alerting emergency services stood out. However, deficiencies in ventilation technique and CPR quality continued to be demonstrated. Despite the overall improvement, statistically significant results were not obtained. Conclusions: it has been shown that theoretical training with litherapy supported by additional practice could make a useful resource in CPR training for children with ASD. Thus, with an appropriate methodology, results similar to those of any other group without limitations are achieved. These outcomes, which are comparable to those obtained from individuals without functional diversity, encourage further training and research on this topic.
Introduction: the survival rate from cardiopulmonary arrest decreases when basic cardiopulmonary resuscitation (CPR) is not initiated by bystanders. For this reason, it is crucial that every citizen knows how to proceed from a young age. However, training is often dismissed in groups with different types of functional diversity, such as people with autism spectrum disorder (ASD). Objective: the main goal was to verify the effectiveness of using pictograms through a story (litherapy) for CPR training in children with ASD without intellectual impairment or language deficiency. Methodology: a pilot study with a quasi-experimental pre-test post-test design was carried out in a single group. The participants were aged between 8 and 12 years old and were part of the Galician Asperger's Association. A theoretical-practical training was carried out (50'). Then the recognition and procedure in a simulated case of cardiorespiratory arrest were evaluated. Results: in the pre-test, only a small percentage of participants performed the steps of the chain of survival adequately, while in the post-test the majority of them showed improvements in execution. The enhancements in performing chest compressions, opening the airway and correctly alerting emergency services stood out. However, deficiencies in ventilation technique and CPR quality continued to be demonstrated. Despite the overall improvement, statistically significant results were not obtained. Conclusions: it has been shown that theoretical training with litherapy supported by additional practice could make a useful resource in CPR training for children with ASD. Thus, with an appropriate methodology, results similar to those of any other group without limitations are achieved. These outcomes, which are comparable to those obtained from individuals without functional diversity, encourage further training and research on this topic.
Direction
CARBALLO FAZANES, AIDA (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
CARBALLO FAZANES, AIDA (Tutorships)
MARTINEZ SANTOS, ALBA ELENA (Co-tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Comparison about prevalence of depression and anxiety before and after COVID-19 in college students
Authorship
S.B.B.
Bachelor of Nursing (2ª ed) [S]
S.B.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
A bibliographic review of the literature published in the PubMed and SCOPUS databases on the prevalence of depression and anxiety, before and after the pandemic of COVID-19, in university students. A total of 15 articles dealing with the topic of interest are selected. All studies use the PHQ-9 and GAD-7 scales to make a correct comparison.
A bibliographic review of the literature published in the PubMed and SCOPUS databases on the prevalence of depression and anxiety, before and after the pandemic of COVID-19, in university students. A total of 15 articles dealing with the topic of interest are selected. All studies use the PHQ-9 and GAD-7 scales to make a correct comparison.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
The role of nursing in the care of patients undergoing prostate brachytherapy as a treatment for localized tumors.
Authorship
A.M.M.A.
Bachelor of Nursing (2ª ed) [S]
A.M.M.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Brachytherapy is an internal technique that is classified according to the location of the radioactive source and is used to locally treat tumors in patients diagnosed with PCa, which mainly affects older men, with risk factors such as age and race influencing its development. It emerged with Marie Curie and was developed in Spain in 1981, leaving radical prostatectomy as the only technique available since 1988. Objectives: the main objective of the study was to analyze the role of nursing in the care of patients undergoing prostate brachytherapy, as well as to describe its technique and indications, compare the side effects of brachytherapy with external radiotherapy with accelerator and inquire about the radiological protection, recommendations and care provided by the nursing staff. Methodology: a systematic search for information was carried out using a wide variety of databases including scientific articles, web pages, journals, books, manuals and clinical guides. The present literature review is based on a series of inclusion and exclusion criteria in order to narrow the search and limit the information to be used in the study in question. Results: The aim of this literature review is to provide information on the different prostate brachytherapy techniques whose indications, side effects, radiological protection measures and care to be provided are described in the work. A comparison is also made between BT and EBRT in terms of side effects and the recommendations to be followed when the patient is discharged from the hospital are specified. Conclusion: BT is an effective treatment in the long-term control of localized PCa showing excellent results, allowing the nursing staff to provide specific care and to accompany the patient and his family during the process.
Introduction: Brachytherapy is an internal technique that is classified according to the location of the radioactive source and is used to locally treat tumors in patients diagnosed with PCa, which mainly affects older men, with risk factors such as age and race influencing its development. It emerged with Marie Curie and was developed in Spain in 1981, leaving radical prostatectomy as the only technique available since 1988. Objectives: the main objective of the study was to analyze the role of nursing in the care of patients undergoing prostate brachytherapy, as well as to describe its technique and indications, compare the side effects of brachytherapy with external radiotherapy with accelerator and inquire about the radiological protection, recommendations and care provided by the nursing staff. Methodology: a systematic search for information was carried out using a wide variety of databases including scientific articles, web pages, journals, books, manuals and clinical guides. The present literature review is based on a series of inclusion and exclusion criteria in order to narrow the search and limit the information to be used in the study in question. Results: The aim of this literature review is to provide information on the different prostate brachytherapy techniques whose indications, side effects, radiological protection measures and care to be provided are described in the work. A comparison is also made between BT and EBRT in terms of side effects and the recommendations to be followed when the patient is discharged from the hospital are specified. Conclusion: BT is an effective treatment in the long-term control of localized PCa showing excellent results, allowing the nursing staff to provide specific care and to accompany the patient and his family during the process.
Direction
POMBAR CAMEAN, MIGUEL ANGEL (Tutorships)
POMBAR CAMEAN, MIGUEL ANGEL (Tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
Undergraduate dissertation: HIFU as a treatment for essential tremor
Authorship
S.A.E.G.
Bachelor of Nursing (2ª ed) [S]
S.A.E.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
INTRODUCTION The essential tremor is the most frequent movement disorder and one of the recurring reasons for neurological consultation in elderly population; its prevalence is estimated between 0.3 and 5.6% of this mentioned population. If progressive, essential tremor can lead to significant disability and even to a social problem. OBJECTIVES The purpose of this work is to analyze the role of HIFU treatments in the health field. METHODOLOGY A search is performed in the databases Pubmed, Dialnet, Scopus and Google Scholar. Following this search, 15 articles published between 2014 and 2024 were selected in both English and Spanish and full text availability. RESULTS We examined 17 articles including a doctoral thesis, a follow-up study and 15 systematic reviews. Moreover, we analyze the protocol of action provided by the Radiology Service of the University Clinical Hospital of Santiago, from which we extract 2 new articles added to the bibliography. CONCLUSION In the articles examined, HIFU is presented as a very recent option for the treatment of essential tremor. The results obtained in the first years of work with this method are quite promising, but the common conclusion was that the continuation of research on such treatment and its development is essential. With a reduction of the tremor around 50% and its extension over time make it a therapy with a hopeful horizon.
INTRODUCTION The essential tremor is the most frequent movement disorder and one of the recurring reasons for neurological consultation in elderly population; its prevalence is estimated between 0.3 and 5.6% of this mentioned population. If progressive, essential tremor can lead to significant disability and even to a social problem. OBJECTIVES The purpose of this work is to analyze the role of HIFU treatments in the health field. METHODOLOGY A search is performed in the databases Pubmed, Dialnet, Scopus and Google Scholar. Following this search, 15 articles published between 2014 and 2024 were selected in both English and Spanish and full text availability. RESULTS We examined 17 articles including a doctoral thesis, a follow-up study and 15 systematic reviews. Moreover, we analyze the protocol of action provided by the Radiology Service of the University Clinical Hospital of Santiago, from which we extract 2 new articles added to the bibliography. CONCLUSION In the articles examined, HIFU is presented as a very recent option for the treatment of essential tremor. The results obtained in the first years of work with this method are quite promising, but the common conclusion was that the continuation of research on such treatment and its development is essential. With a reduction of the tremor around 50% and its extension over time make it a therapy with a hopeful horizon.
Direction
POMBAR CAMEAN, MIGUEL ANGEL (Tutorships)
POMBAR CAMEAN, MIGUEL ANGEL (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
The effect of Mindfulness practice on basic psychological processes
Authorship
L.B.G.
Bachelor of Nursing (2ª ed) [S]
L.B.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: the central subject of this review is Mindfulness; the concept of Mindfulness is introduced and the main approaches of this practice are presented. The importance of Mindfulness lies in its capacity to regulate attention and its positive impact on emotional and cognitive wellbeing. The concept of Mindfulness is explored as well as the mechanisms of attentional control, the types of attention and the neurocognitive model of Posner and Petersen that has attempted to structure the capacity of attention. Objectives: the main objective of this review is to explore the impact of Mindfulness on some of the basic psychological processes. Secondary objectives include knowing the changes in the neural network system caused by Mindfulness, analyzing its effect on attention and determining its influence on emotional regulation. Methodology: a systematic review was carried out in order to address the proposed topic. This review involved an exhaustive search in scientific databases, focusing on publications from the last five years. Results: 14 articles belonging to the PubMed, PsycInfo and ScienceDirect databases were selected. These articles investigated attention capacity and emotional regulation in relation to Mindfulness, as well as modifications in neural networks or brain areas resulting from the practice of Mindfulness. Conclusion: Mindfulness training enhances the conscious observation of thoughts and emotions, generating changes in cognitive capacity and neuronal plasticity. Although it strengthens essential skills and improves attention, its effectiveness in socio-affective skills is limited. In addition, a modification in the neural networks is observed; connections within the frontoparietal network are enhanced, benefiting attentional control, and greater activation is evidenced in regions related to emotional regulation.
Introduction: the central subject of this review is Mindfulness; the concept of Mindfulness is introduced and the main approaches of this practice are presented. The importance of Mindfulness lies in its capacity to regulate attention and its positive impact on emotional and cognitive wellbeing. The concept of Mindfulness is explored as well as the mechanisms of attentional control, the types of attention and the neurocognitive model of Posner and Petersen that has attempted to structure the capacity of attention. Objectives: the main objective of this review is to explore the impact of Mindfulness on some of the basic psychological processes. Secondary objectives include knowing the changes in the neural network system caused by Mindfulness, analyzing its effect on attention and determining its influence on emotional regulation. Methodology: a systematic review was carried out in order to address the proposed topic. This review involved an exhaustive search in scientific databases, focusing on publications from the last five years. Results: 14 articles belonging to the PubMed, PsycInfo and ScienceDirect databases were selected. These articles investigated attention capacity and emotional regulation in relation to Mindfulness, as well as modifications in neural networks or brain areas resulting from the practice of Mindfulness. Conclusion: Mindfulness training enhances the conscious observation of thoughts and emotions, generating changes in cognitive capacity and neuronal plasticity. Although it strengthens essential skills and improves attention, its effectiveness in socio-affective skills is limited. In addition, a modification in the neural networks is observed; connections within the frontoparietal network are enhanced, benefiting attentional control, and greater activation is evidenced in regions related to emotional regulation.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
Access to the health system and perception of the health status of the immigrant population of Santiago de Compostela: mixed method study project.
Authorship
P.I.R.
Bachelor of Nursing (2ª ed) [S]
P.I.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: international migrants, refugees and asylum seekers (PMYR) make up a large percentage of the world's population, but they continue to be one of the most vulnerable groups. Spain is one of the countries in the European Union with the highest number of PMYR. At the time of their arrival, PMYR are in relatively good health, but after, this people have to face multiple difficulties in accessing and using health services. Objective: to know the self-perceived health status and the barriers in accessing the health system appreciated by the PMYR of Santiago de Compostela. Methods: mixed methodology project (explanatory sequential design) to understand the circumstances of the PMYR and interpret them according to their context. The first phase will present a quantitative methodology and will consist of carrying out a cross-sectional descriptive study collecting data through a questionnaire translated and interpreted in six different languages. Phase 2, on the other hand, will be presented as a qualitative descriptive study carried out through focus groups and following a semi-structured script.
Introduction: international migrants, refugees and asylum seekers (PMYR) make up a large percentage of the world's population, but they continue to be one of the most vulnerable groups. Spain is one of the countries in the European Union with the highest number of PMYR. At the time of their arrival, PMYR are in relatively good health, but after, this people have to face multiple difficulties in accessing and using health services. Objective: to know the self-perceived health status and the barriers in accessing the health system appreciated by the PMYR of Santiago de Compostela. Methods: mixed methodology project (explanatory sequential design) to understand the circumstances of the PMYR and interpret them according to their context. The first phase will present a quantitative methodology and will consist of carrying out a cross-sectional descriptive study collecting data through a questionnaire translated and interpreted in six different languages. Phase 2, on the other hand, will be presented as a qualitative descriptive study carried out through focus groups and following a semi-structured script.
Direction
DIAZ GEADA, AINARA (Tutorships)
Antelo Iglesias, Lucía (Co-tutorships)
DIAZ GEADA, AINARA (Tutorships)
Antelo Iglesias, Lucía (Co-tutorships)
Court
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
SACO LOPEZ, PEDRO JOSE (Chairman)
ANTELO MARTELO, MONICA (Secretary)
CARBALLO FAZANES, AIDA (Member)
The effects of vegetarian and vegan diet on pregnancy: A literature review.
Authorship
N.C.G.
Bachelor of Nursing (2ª ed) [S]
N.C.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: In recent years, there has been an increase in the number of people who adopt vegetarian and vegan diets at some point in their lives, including during pregnancy and breastfeeding. Nutrition becomes especially important during pregnancy, impacting the health of both the mother and the baby. Consequently, many studies have explored the potential effects of these diets during pregnancy and breastfeeding. Objectives: To find out how the vegetarian and vegan diet affects pregnancy and breastfeeding at the maternal and foetal level. Methods: Five searches were carried out in two databases: Pubmed and Medline. Filters were applied to the results obtained and several sifts were carried out until the final 16 articles were obtained. Results: Vegetarian and vegan women have a lower pregestational body mass index (BMI) and gain less weight during pregnancy. Babies born to mothers with such diets tend to be smaller and lighter. Milk composition varies in the type of fat and amount of vitamin B12 depending on the maternal dietary pattern. Most studies have found no association between vegetarian and vegan diets and risk of high blood pressure (HBP) or pre-eclampsia (PE). Nor has an association been found with risk of anaemia, preterm birth or increased risk of caesarean section. Data on gestational diabetes mellitus (GDM) are heterogeneous. On the other hand, the nutritional knowledge of health professionals seems to be insufficient. Conclusions: Vegetarian and vegan diets are suitable during pregnancy and lactation as long as the diet is varied, provides all the necessary nutritional requirements and supplements are used.
Introduction: In recent years, there has been an increase in the number of people who adopt vegetarian and vegan diets at some point in their lives, including during pregnancy and breastfeeding. Nutrition becomes especially important during pregnancy, impacting the health of both the mother and the baby. Consequently, many studies have explored the potential effects of these diets during pregnancy and breastfeeding. Objectives: To find out how the vegetarian and vegan diet affects pregnancy and breastfeeding at the maternal and foetal level. Methods: Five searches were carried out in two databases: Pubmed and Medline. Filters were applied to the results obtained and several sifts were carried out until the final 16 articles were obtained. Results: Vegetarian and vegan women have a lower pregestational body mass index (BMI) and gain less weight during pregnancy. Babies born to mothers with such diets tend to be smaller and lighter. Milk composition varies in the type of fat and amount of vitamin B12 depending on the maternal dietary pattern. Most studies have found no association between vegetarian and vegan diets and risk of high blood pressure (HBP) or pre-eclampsia (PE). Nor has an association been found with risk of anaemia, preterm birth or increased risk of caesarean section. Data on gestational diabetes mellitus (GDM) are heterogeneous. On the other hand, the nutritional knowledge of health professionals seems to be insufficient. Conclusions: Vegetarian and vegan diets are suitable during pregnancy and lactation as long as the diet is varied, provides all the necessary nutritional requirements and supplements are used.
Direction
PAZOS COUSELO, MARCOS (Tutorships)
Fernández Pombo, Antía (Co-tutorships)
PAZOS COUSELO, MARCOS (Tutorships)
Fernández Pombo, Antía (Co-tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
The effect of the Mediterranean diet on gestational diabetes: a systematic review
Authorship
A.B.L.
Bachelor of Nursing (2ª ed) [S]
A.B.L.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Diabetes during pregnancy is one of the most common problems during this period with a prevalence ranging between 2% and 12%, depending on the factors taken into account for its diagnosis. On the other hand, it is konw that the Mediterranean diet has characteristics that make it ideal for lowering blood glucose and better tolerance to insulin. Objectives: To study whether the incidence of gestational diabetes decreases among people who follow a Mediterranean diet. Analyze which foods within this diet help the most in this process. To estudy the maternal and fetal problems that can be caused by the onset of gestational diabetes Methodology: systematic review through the PubMed, Dialnet and Scielo databases. A total of 9 articles were selected following the PRISMA statement. Results: It was observed that adherence to the Mediterranean diet before or during pregnancy decreased the development of gestational diabetes between 24% and 80%. In addition, it was shown that there are protective foods (EVOO, pistachios and whole grains) and others that are harmful (red meat, processed products and sugar).The onset of diabetes is a risk factor for the health of the mother, the fetus and even the newborn, as it increases the likelihood that they may develop problems; such as high blood pressure during pregnancy in the case of the mother, or low birth weight in the case of the baby. Conclusion: dietary interventions, which should begin before conception, may help decrease gestational diabetes. In addition, a focus should be place on the protective foods that form it. Adherence to the Mediterranean diet decreases the risk of fetal, maternal and filial problems in both the short and long tem.
Introduction: Diabetes during pregnancy is one of the most common problems during this period with a prevalence ranging between 2% and 12%, depending on the factors taken into account for its diagnosis. On the other hand, it is konw that the Mediterranean diet has characteristics that make it ideal for lowering blood glucose and better tolerance to insulin. Objectives: To study whether the incidence of gestational diabetes decreases among people who follow a Mediterranean diet. Analyze which foods within this diet help the most in this process. To estudy the maternal and fetal problems that can be caused by the onset of gestational diabetes Methodology: systematic review through the PubMed, Dialnet and Scielo databases. A total of 9 articles were selected following the PRISMA statement. Results: It was observed that adherence to the Mediterranean diet before or during pregnancy decreased the development of gestational diabetes between 24% and 80%. In addition, it was shown that there are protective foods (EVOO, pistachios and whole grains) and others that are harmful (red meat, processed products and sugar).The onset of diabetes is a risk factor for the health of the mother, the fetus and even the newborn, as it increases the likelihood that they may develop problems; such as high blood pressure during pregnancy in the case of the mother, or low birth weight in the case of the baby. Conclusion: dietary interventions, which should begin before conception, may help decrease gestational diabetes. In addition, a focus should be place on the protective foods that form it. Adherence to the Mediterranean diet decreases the risk of fetal, maternal and filial problems in both the short and long tem.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
Prevention and Management of Delirium in Critical Care Patients: A Systematic Review
Authorship
C.R.I.
Bachelor of Nursing (2ª ed) [S]
C.R.I.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Delirium is the most common neurocognitive disorder in intensive care units (ICUs). Its onset increases mortality, morbidity, and subsequent cognitive and physical deterioration. To reduce its occurrence, the actions of the healthcare team are crucial, focusiong on prevention and management by applying evidence-based interventions and validated scales. Objectives: To identify and evaluate the effectiveness of preventive and management measures for delirium in patients admitted to intensive care units; to identify the most frequently applied recommendationns; to understand non-pharmacological care and pharmacological measures for controlling delirium, as well as their corresponding effectiveness. Methodology: A systematic review of studies published in the last 5 years in English, Spanish or Portuguese was conducted in the databases PubMed, Web of Science, LILACS, and Scopus. The included studies addressed preventive and therapeutic measures in adult patients admitted to any ICU. Results: 28 studies were included: 15 randomized clinical trials and 3 cohort studies. The most evidenced interventions were reorientation, cognitive stimulation, environmental management, mobilization and limitation of physical restraint, family engagement, sleep control, as well as monitoring of pain, sedation and delirium with validated tools. Conclusions: Non-pharmacological interventions, focused on risk factors, can be effective in preventing the onset of delirium in the ICU. Among these, multiple interventions demonstrate better effectiveness. Unlike pharmacological measures, these are harmless and can be easily applied.
Introduction: Delirium is the most common neurocognitive disorder in intensive care units (ICUs). Its onset increases mortality, morbidity, and subsequent cognitive and physical deterioration. To reduce its occurrence, the actions of the healthcare team are crucial, focusiong on prevention and management by applying evidence-based interventions and validated scales. Objectives: To identify and evaluate the effectiveness of preventive and management measures for delirium in patients admitted to intensive care units; to identify the most frequently applied recommendationns; to understand non-pharmacological care and pharmacological measures for controlling delirium, as well as their corresponding effectiveness. Methodology: A systematic review of studies published in the last 5 years in English, Spanish or Portuguese was conducted in the databases PubMed, Web of Science, LILACS, and Scopus. The included studies addressed preventive and therapeutic measures in adult patients admitted to any ICU. Results: 28 studies were included: 15 randomized clinical trials and 3 cohort studies. The most evidenced interventions were reorientation, cognitive stimulation, environmental management, mobilization and limitation of physical restraint, family engagement, sleep control, as well as monitoring of pain, sedation and delirium with validated tools. Conclusions: Non-pharmacological interventions, focused on risk factors, can be effective in preventing the onset of delirium in the ICU. Among these, multiple interventions demonstrate better effectiveness. Unlike pharmacological measures, these are harmless and can be easily applied.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
Project for the implementation of opportunistic screening for Alzheimer's disease in primary care centers in Santiago de Compostela (CEASC)
Authorship
D.M.O.
Bachelor of Nursing (2ª ed) [S]
D.M.O.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Alzheimer's disease is the most common neurodegenerative disorder of the 21st century, which in larger stages causes severe problems for the patients, but due to its characteristics, it hinders early diagnosis. The comprehensive Alzheimer's and other dementias plan incorporates the idea of conducting opportunistic screening but is not developed due to the costs and invasiveness of current tests. Based on this idea, a project is developed for the implementation of opportunistic screening for Alzheimer's disease in primary care centers in Santiago de Compostela. Thanks to recent studies, biomarkers can be quantified in patients´ plasma to detect the presence of the disease. Based on this data, screening has been proposed according to the guidelines of the framework document for population screening with the fundamental test. (i) Biomarker analysis through blood extraction, (ii) assessment through a validated scale, (iii) anamnesis for subsequent follow up, Bibliographic reviews have been conducted for the selection of appropriate blood biomarkers for the test and the selection of risk factors for guide anamnesis. Likewise, the screening protocol base has been developed for the practice of this, such as organization, personnel, cost,etc. For the evaluation, a case control study of this TFG will be carried out afterwards. The effectiveness and efficiency of the blood biomarker analysis for the early diagnosis of this disease have been proven, as well as the different risk factors that can influence it. The information found enables the implementation of screening for Alzheimer's disease to be carried out by primary care personnel in Santiago de Compostela, mainly nursing staff.
Alzheimer's disease is the most common neurodegenerative disorder of the 21st century, which in larger stages causes severe problems for the patients, but due to its characteristics, it hinders early diagnosis. The comprehensive Alzheimer's and other dementias plan incorporates the idea of conducting opportunistic screening but is not developed due to the costs and invasiveness of current tests. Based on this idea, a project is developed for the implementation of opportunistic screening for Alzheimer's disease in primary care centers in Santiago de Compostela. Thanks to recent studies, biomarkers can be quantified in patients´ plasma to detect the presence of the disease. Based on this data, screening has been proposed according to the guidelines of the framework document for population screening with the fundamental test. (i) Biomarker analysis through blood extraction, (ii) assessment through a validated scale, (iii) anamnesis for subsequent follow up, Bibliographic reviews have been conducted for the selection of appropriate blood biomarkers for the test and the selection of risk factors for guide anamnesis. Likewise, the screening protocol base has been developed for the practice of this, such as organization, personnel, cost,etc. For the evaluation, a case control study of this TFG will be carried out afterwards. The effectiveness and efficiency of the blood biomarker analysis for the early diagnosis of this disease have been proven, as well as the different risk factors that can influence it. The information found enables the implementation of screening for Alzheimer's disease to be carried out by primary care personnel in Santiago de Compostela, mainly nursing staff.
Direction
GARRIDO GIL, PABLO (Tutorships)
GARRIDO GIL, PABLO (Tutorships)
Court
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
MARTIN CORA, FRANCISCO JAVIER (Chairman)
ORDOÑEZ MAYAN, LUCIA (Secretary)
Agra Tuñas, María del Carmen (Member)
SPINA BIFIDA: Pathological process and its complications. Review and update.
Authorship
A.D.L.
Bachelor of Nursing (2ª ed) [S]
A.D.L.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Spina Bifida is a multifactorial disease according to the OMS, more recurrent in children born in undeveloped countries, with fewer economic resources. Depending on the location of the injury, we can determinate 3 types of Spina Bifida, each of which can cause damage at 3 levels and increase its severity proporcionally. The prophylactic treatment for Spina Bifida is folic acid, variyng its dose depending on the associated risk factors. The main way to diagnostic the pathology is ultrasound. Objectives: To investigate Spina Bifida disease and the cares related to it, mainly from a nursing point of view, both at a preventive level and with its subsequent attention. Methodology: In this review, the search was carried out in the following databases: Pumbed, Medline, Scielo and Dialnet. Subsequently, the information was screened following PRISMA methodology, obtained a total of 17 articles that were finally included in this bibliographic review. Results: The importance of nursing in Spina care is elevated, both at prevented level, in consultations with midwife even at an educational level in the consultation with the pediatric nurse or with the midwife herself. Although there are practically no articles which consider this value and repercussion. Conclusions: Taking into account the articles investigated, we conclude that, although there is not a large number of articles that mentioned the importance of nursing in the cares of the disease, we can determinate that it is very significant since almost all authors agree with the importance of education, at a preventive level of the disease, as well as the treatment with folic acid to reverse severity. In addition to the importance of a prompt diagnosis, which in the first instance is made with ultrasound after the second trimester and which will be confirmed with an analysis, which determines the levels of alpha-fetoprotein, that can be performed already in the first trimester, in case of suspicion of disease or risk factors in the mother, which raise suspicion of the possibility of fetus developing said disease.
Introduction: Spina Bifida is a multifactorial disease according to the OMS, more recurrent in children born in undeveloped countries, with fewer economic resources. Depending on the location of the injury, we can determinate 3 types of Spina Bifida, each of which can cause damage at 3 levels and increase its severity proporcionally. The prophylactic treatment for Spina Bifida is folic acid, variyng its dose depending on the associated risk factors. The main way to diagnostic the pathology is ultrasound. Objectives: To investigate Spina Bifida disease and the cares related to it, mainly from a nursing point of view, both at a preventive level and with its subsequent attention. Methodology: In this review, the search was carried out in the following databases: Pumbed, Medline, Scielo and Dialnet. Subsequently, the information was screened following PRISMA methodology, obtained a total of 17 articles that were finally included in this bibliographic review. Results: The importance of nursing in Spina care is elevated, both at prevented level, in consultations with midwife even at an educational level in the consultation with the pediatric nurse or with the midwife herself. Although there are practically no articles which consider this value and repercussion. Conclusions: Taking into account the articles investigated, we conclude that, although there is not a large number of articles that mentioned the importance of nursing in the cares of the disease, we can determinate that it is very significant since almost all authors agree with the importance of education, at a preventive level of the disease, as well as the treatment with folic acid to reverse severity. In addition to the importance of a prompt diagnosis, which in the first instance is made with ultrasound after the second trimester and which will be confirmed with an analysis, which determines the levels of alpha-fetoprotein, that can be performed already in the first trimester, in case of suspicion of disease or risk factors in the mother, which raise suspicion of the possibility of fetus developing said disease.
Direction
MEAÑOS MELON, ENRIQUE RAMON (Tutorships)
MEAÑOS MELON, ENRIQUE RAMON (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
The role of nursing in the assessment and management of pain in emergencies: a bibliographic review.
Authorship
N.C.M.
Bachelor of Nursing (2ª ed) [S]
N.C.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction. Pain is the main reason for consultation in the hospital emergency department (HED) and the main reason for self-analgesia, causing an overload of the service and possible failures in the assessment and management of the patient's pain. The nurse plays a key role in assessment and management, so they must know the tools to carry them out appropriately. Aim. Determine the nursing role in the assessment and management of pain of the patient who comes to the HED. Methodology. A bibliographic review was carried out in the databases: Dialnet, Pubmed, Scopus, WOS, CINHAL and Cochrane Library. 15 articles were selected following the PRISMA methodology. Results. The nurse is the most present professional during pain care in the HED. An adequate assessment and management of pain must be carried out using certain tools, depending on the characteristics of the pain and the patient's cognitive abilities. The tools are validated pain assessment scales, communication techniques and nursing interventions. There is a greater number of pediatric psychological nursing interventions to manage pain. In the elderly patient, an analysis of medication side effects and non-verbal behavior should be included. Conclusions. The nursing function is to carry out a correct assessment and management of pain. The assessment tools are validated pain assessment scales and nursing communication techniques (active listening, relaxation/distraction and explanation of the procedure). The management tools are nursing interventions through environmental control measures (noise, lighting and temperature), physical therapies (therapeutic touch, application of cold/heat, massage in painful area and postural changes) and psychological distraction/relaxation therapies (use of virtual reality, cold spray and vibration). There are differences between the assessment and management of pediatric and adult patients. Key words. “pain”, “nursing”, “hospital emergencies”, “management”, “assessment”.
Introduction. Pain is the main reason for consultation in the hospital emergency department (HED) and the main reason for self-analgesia, causing an overload of the service and possible failures in the assessment and management of the patient's pain. The nurse plays a key role in assessment and management, so they must know the tools to carry them out appropriately. Aim. Determine the nursing role in the assessment and management of pain of the patient who comes to the HED. Methodology. A bibliographic review was carried out in the databases: Dialnet, Pubmed, Scopus, WOS, CINHAL and Cochrane Library. 15 articles were selected following the PRISMA methodology. Results. The nurse is the most present professional during pain care in the HED. An adequate assessment and management of pain must be carried out using certain tools, depending on the characteristics of the pain and the patient's cognitive abilities. The tools are validated pain assessment scales, communication techniques and nursing interventions. There is a greater number of pediatric psychological nursing interventions to manage pain. In the elderly patient, an analysis of medication side effects and non-verbal behavior should be included. Conclusions. The nursing function is to carry out a correct assessment and management of pain. The assessment tools are validated pain assessment scales and nursing communication techniques (active listening, relaxation/distraction and explanation of the procedure). The management tools are nursing interventions through environmental control measures (noise, lighting and temperature), physical therapies (therapeutic touch, application of cold/heat, massage in painful area and postural changes) and psychological distraction/relaxation therapies (use of virtual reality, cold spray and vibration). There are differences between the assessment and management of pediatric and adult patients. Key words. “pain”, “nursing”, “hospital emergencies”, “management”, “assessment”.
Direction
Rodríguez Abad, Carlos (Tutorships)
Rodríguez Abad, Carlos (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Investigation project. Analysis of Out-of-Hospital Cardiorespiratory Arrest in Galicia: Nursing Advanced Life Support resources vs. Medicalized.
Authorship
L.R.M.
Bachelor of Nursing (2ª ed) [S]
L.R.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: In recent times, Emergency Medical Services (EMS) have evolved significantly, being fundamental in urgent medical transfer and assistance at the scene of the incident. Given the high demand for out-of-hospital care for time-dependent pathologies, such as Out-of-hospital Cardiorespiratory Arrest (OHCA), the mobile Nursing Advanced Life Support Nurse (NALS) resource arises, led by nursing, which provides Advanced Life Support (ALS) assistance, with or without the support of a doctor. Currently, there are 4 NALS units in Galicia. Justification: There is little knowledge among professionals and the general population of the role and existence of NALS units and the results of their care in OHCA within a panorama of growing evolution and nursing empowerment. Hypothesis: The integration of NALS devices into the urgent healthcare transport network of Galicia has improved clinical outcomes and quality of out-of-hospital care in cases of OHCA. Objectives: The main objective is to analyze the immediate survival rate of patients treated by NALS resources comparing it with those treated by Medicalized Advanced Life Support (MALS) resources. Specific objectives aim to compare 30-day survival rate, neurological status, and response times between devices. Methods: A cross-sectional descriptive observational study will be carried out, with retrospective data collection. It will be based on the 4 Galician cities where NALS services were integrated. The sample will be made up of those patients who suffered OHCA in Galicia between 2020-2023 and will be divided into two groups that will be compared, those treated by NALS units and those assisted by MALS devices. The survival rate in both groups will be studied to later compare them and draw conclusions.
Introduction: In recent times, Emergency Medical Services (EMS) have evolved significantly, being fundamental in urgent medical transfer and assistance at the scene of the incident. Given the high demand for out-of-hospital care for time-dependent pathologies, such as Out-of-hospital Cardiorespiratory Arrest (OHCA), the mobile Nursing Advanced Life Support Nurse (NALS) resource arises, led by nursing, which provides Advanced Life Support (ALS) assistance, with or without the support of a doctor. Currently, there are 4 NALS units in Galicia. Justification: There is little knowledge among professionals and the general population of the role and existence of NALS units and the results of their care in OHCA within a panorama of growing evolution and nursing empowerment. Hypothesis: The integration of NALS devices into the urgent healthcare transport network of Galicia has improved clinical outcomes and quality of out-of-hospital care in cases of OHCA. Objectives: The main objective is to analyze the immediate survival rate of patients treated by NALS resources comparing it with those treated by Medicalized Advanced Life Support (MALS) resources. Specific objectives aim to compare 30-day survival rate, neurological status, and response times between devices. Methods: A cross-sectional descriptive observational study will be carried out, with retrospective data collection. It will be based on the 4 Galician cities where NALS services were integrated. The sample will be made up of those patients who suffered OHCA in Galicia between 2020-2023 and will be divided into two groups that will be compared, those treated by NALS units and those assisted by MALS devices. The survival rate in both groups will be studied to later compare them and draw conclusions.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
: Side effects produced by the Covid-19 vaccine in menstruation
Authorship
A.P.N.
Bachelor of Nursing (2ª ed) [S]
A.P.N.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
INTRODUCTION The vaccination against Covid-19 was one of the measures chosen to stop the global pandemic generated by this virus. After vaccination, there was an increase in the consultations´ number for menstrual disorders, generating concern among the female population. AIM To analyze the side effects caused by the Covid-19 vaccine during menstruation. MATERIALS AND METHODS This systematic review was conducted in accordance the PRISMA declaration criteria, using Pubmed, Lilacs and Cochrane Library Plus as information sources. The studies that mentioned alterations in menstrual frequency, duration and volume in vaccinated women, published in English and Spanish, were included. The studies that included women with endometriosis or menopause were excluded. RESULTS A total of 165 references were obtained and finally 16 studies were included. There are 10 that highlighted changes in menstrual cycles frequency after vaccination, of which 7 reported that long cycles predominate and 2 reported that shorter cycles or amenorrhea predominate. Mentioning period duration, 13 collected information on changes, of which 9 indicated that it was longer and 3 that it was shorter. Regarding volume, 13 mentioned changes, of which 9 reported that it was heavier and 2 that it was lighter. In relation to the vaccine type received, 3 studies reported that Pfizer generated more adverse events and 4 reported that a bigger number of side effects were generated after the second dose. CONCLUSION Covid-19 vaccination seems to generate changes in vaccinated women´s menstruation. The alterations that occurred more frecuently are prolonged cycles, longer periods and heavier flows.
INTRODUCTION The vaccination against Covid-19 was one of the measures chosen to stop the global pandemic generated by this virus. After vaccination, there was an increase in the consultations´ number for menstrual disorders, generating concern among the female population. AIM To analyze the side effects caused by the Covid-19 vaccine during menstruation. MATERIALS AND METHODS This systematic review was conducted in accordance the PRISMA declaration criteria, using Pubmed, Lilacs and Cochrane Library Plus as information sources. The studies that mentioned alterations in menstrual frequency, duration and volume in vaccinated women, published in English and Spanish, were included. The studies that included women with endometriosis or menopause were excluded. RESULTS A total of 165 references were obtained and finally 16 studies were included. There are 10 that highlighted changes in menstrual cycles frequency after vaccination, of which 7 reported that long cycles predominate and 2 reported that shorter cycles or amenorrhea predominate. Mentioning period duration, 13 collected information on changes, of which 9 indicated that it was longer and 3 that it was shorter. Regarding volume, 13 mentioned changes, of which 9 reported that it was heavier and 2 that it was lighter. In relation to the vaccine type received, 3 studies reported that Pfizer generated more adverse events and 4 reported that a bigger number of side effects were generated after the second dose. CONCLUSION Covid-19 vaccination seems to generate changes in vaccinated women´s menstruation. The alterations that occurred more frecuently are prolonged cycles, longer periods and heavier flows.
Direction
SALGADO BARREIRA, ANGEL (Tutorships)
SALGADO BARREIRA, ANGEL (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
Undergraduate dissertation Assessment of emergency calling skills in schoolchildren. Quasi-experimental study.
Authorship
J.E.P.C.
Bachelor of Nursing (2ª ed) [S]
J.E.P.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The emergency call is made when a person's life is in immediate danger, as in cases of loss of consciousness or cardiorespiratory arrest. The incidence of cardiorespiratory arrest in Spain is 23.3 per 10,000 inhabitants. The lack of accurate data makes it difficult to evaluate these cases, with cardiorespiratory arrest being more common in the home and affecting mainly men aged 64 years and older; where the chain of survival plays a fundamental role. Objective: To determine the basic knowledge and skills acquired in matters of emergency call. Methodology: The study was a quasi-experimental study involving students in first, second and third grade of primary education in five private schools in Galicia. After adequate preparation, participation and training, the planned clinical practice was carried out. Results: The level of knowledge and skills in making an emergency call was higher in students in higher grades. After analyzing all the data, significant differences were observed in “picking up the phone”, “pressing emergency” and “remembering a home or family address”. Conclusions: A theoretical-practical training, guided by Physical Education teachers, has facilitated the acquisition of essential knowledge regarding CPR.
Introduction: The emergency call is made when a person's life is in immediate danger, as in cases of loss of consciousness or cardiorespiratory arrest. The incidence of cardiorespiratory arrest in Spain is 23.3 per 10,000 inhabitants. The lack of accurate data makes it difficult to evaluate these cases, with cardiorespiratory arrest being more common in the home and affecting mainly men aged 64 years and older; where the chain of survival plays a fundamental role. Objective: To determine the basic knowledge and skills acquired in matters of emergency call. Methodology: The study was a quasi-experimental study involving students in first, second and third grade of primary education in five private schools in Galicia. After adequate preparation, participation and training, the planned clinical practice was carried out. Results: The level of knowledge and skills in making an emergency call was higher in students in higher grades. After analyzing all the data, significant differences were observed in “picking up the phone”, “pressing emergency” and “remembering a home or family address”. Conclusions: A theoretical-practical training, guided by Physical Education teachers, has facilitated the acquisition of essential knowledge regarding CPR.
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Use of innovative manipulative resources in the teaching of basic life support to 6-to-8-years-old schoolchildren: a quasi-experimental study
Authorship
A.V.B.
Bachelor of Nursing (2ª ed) [S]
A.V.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Out-of-hospital cardiorespiratory arrest (OHCA) is one of the health emergencies that causes most deaths, especially in industrialized countries. A high percentage of OHCA is observed by witnesses who could initiate basic life support (BLS) maneuvers, granted that it is promoted a culture of action focused on training and raising awareness among the population. In order to achieve this acquisition of knowledge, it is important to establish educational sessions aimed at students, who are the main target group, due to their greater capacity for retention and their motivation to learn, compared to adults. Objective: Evaluate the effectiveness of teaching basic life support to 6-to-8-years-old schoolchildren, using manipulable teaching resources such as the Endless Book and a low-cost telephone. Methodology: A randomized, multicenter controlled, quasi-experimental study with a control group (traditional training) and an intervention group (innovative training). Physical Education teachers were trained to teach, through innovative educational resources, the basic contents of BLS. To analyze the knowledge acquired, the research team evaluated the participants within 15 days after the training. Results: A total of 334 students from 1st and 2nd year of Spanish Primary Education participated in this study. In comparison with traditional training, the use of innovative resources obtained higher percentages in the following items: pressing emergency (97.6 vs 87.5%; p:less than 0.001), calling 112 (95.1 vs 86.7%; p=0.006), what is your emergency? (97.1 vs 89.8%; p=0.006) and what is your address? (72.3% vs 58.6%; p=0.007). In the rest of the items, 5 out of 9, had better percentages in innovative and manipulable materials, with no significant differences. Conclusions: 6-to-8-years-old schoolchildren, after appropriate instruction and training with innovative and manipulable materials, are able to start the first link in the chain of survival in a simulated scenario of cardiorespiratory arrest.
Introduction: Out-of-hospital cardiorespiratory arrest (OHCA) is one of the health emergencies that causes most deaths, especially in industrialized countries. A high percentage of OHCA is observed by witnesses who could initiate basic life support (BLS) maneuvers, granted that it is promoted a culture of action focused on training and raising awareness among the population. In order to achieve this acquisition of knowledge, it is important to establish educational sessions aimed at students, who are the main target group, due to their greater capacity for retention and their motivation to learn, compared to adults. Objective: Evaluate the effectiveness of teaching basic life support to 6-to-8-years-old schoolchildren, using manipulable teaching resources such as the Endless Book and a low-cost telephone. Methodology: A randomized, multicenter controlled, quasi-experimental study with a control group (traditional training) and an intervention group (innovative training). Physical Education teachers were trained to teach, through innovative educational resources, the basic contents of BLS. To analyze the knowledge acquired, the research team evaluated the participants within 15 days after the training. Results: A total of 334 students from 1st and 2nd year of Spanish Primary Education participated in this study. In comparison with traditional training, the use of innovative resources obtained higher percentages in the following items: pressing emergency (97.6 vs 87.5%; p:less than 0.001), calling 112 (95.1 vs 86.7%; p=0.006), what is your emergency? (97.1 vs 89.8%; p=0.006) and what is your address? (72.3% vs 58.6%; p=0.007). In the rest of the items, 5 out of 9, had better percentages in innovative and manipulable materials, with no significant differences. Conclusions: 6-to-8-years-old schoolchildren, after appropriate instruction and training with innovative and manipulable materials, are able to start the first link in the chain of survival in a simulated scenario of cardiorespiratory arrest.
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Missed nursing care: a literature review
Authorship
E.V.M.
Bachelor of Nursing (2ª ed) [S]
E.V.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The lack of patient safety leads to adverse events associated to their care. Among these, missed nursing care is found. It refers to the care required by patients in order to meet their needs that is either omitted or delayed. These omissions are often not visible as other errors and can have consequences that may not be immediate. Aim: to determine the impact of missed nursing care. Methods: a bibliographic search was conducted using databases such as Medline (PubMed), Science Direct, Scopus, WoS and Dialnet, between October 2023 and February 2024. For this purpose, the terms “adverse event”, “nursing care” “omission” and “patient safety” were used. Results: 12 studies were selected. The prevalence rates for errors of omission were highly variable (25.6% to 77.9%). The most frequently omitted nursing care tasks were those related to the psychosocial aspect of care, health education, postural changes and ambulation. The main cause for missed nursing care was work overload, which resulted in a prioritization of care and a consequent decline in quality of care, as well as direct consequences for nurses, who reported job dissatisfaction and burnout. Conclusion: missed nursing care is an actual challenge for patient safety. Understanding the phenomenon of missed nursing care is crucial for patient care, as well as for the training of future professionals. The need for preventive strategies is emphasized in order to promote safe, thorough and effective nursing practice.
Introduction: The lack of patient safety leads to adverse events associated to their care. Among these, missed nursing care is found. It refers to the care required by patients in order to meet their needs that is either omitted or delayed. These omissions are often not visible as other errors and can have consequences that may not be immediate. Aim: to determine the impact of missed nursing care. Methods: a bibliographic search was conducted using databases such as Medline (PubMed), Science Direct, Scopus, WoS and Dialnet, between October 2023 and February 2024. For this purpose, the terms “adverse event”, “nursing care” “omission” and “patient safety” were used. Results: 12 studies were selected. The prevalence rates for errors of omission were highly variable (25.6% to 77.9%). The most frequently omitted nursing care tasks were those related to the psychosocial aspect of care, health education, postural changes and ambulation. The main cause for missed nursing care was work overload, which resulted in a prioritization of care and a consequent decline in quality of care, as well as direct consequences for nurses, who reported job dissatisfaction and burnout. Conclusion: missed nursing care is an actual challenge for patient safety. Understanding the phenomenon of missed nursing care is crucial for patient care, as well as for the training of future professionals. The need for preventive strategies is emphasized in order to promote safe, thorough and effective nursing practice.
Direction
NOVIO MALLON, SILVIA (Tutorships)
NOVIO MALLON, SILVIA (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Education program for health aimed at the prevention of Drug-Facilitated Sexual Assaults (DFSA) in Galician adolescents: a research project.
Authorship
A.Q.G.
Bachelor of Nursing (2ª ed) [S]
A.Q.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The term Anglo-Saxon drug-facilitated sexual assaults (DFSA) is used to refer to a type of sexual offense in which victims are subjected to non-consensual violence while they are incapacitated and/or unconscious due to the effects of one or more psychoactive substances (drugs). Scientific evidence indicates that of all substances used in DFSA, the most commonly used is alcohol, especially in cases of opportunistic DFSA, with its detection in victims exceeding 40%. In almost all cases of DFSA, the victims are women, the perpetrator is a young male who acts alone, and they both knew each other prior to the assault. Although many authors agree on the difficulties in knowing the real prevalence of this event, others warn of the high incidence of cases among minors, so preventive interventions on this type of crimes are fundamental to raise awareness among adolescents, one of the groups at the highest risk, and thus help them protect their health, improve their safety, prevent crimes, and promote healthy relationships. Hypothesis: Nursing educational interventions on DFSA and alcohol consumption increase adolescents' knowledge and preparedness for this type of violence. Objective: Promote awareness of in teenagers. Methods: A health education program on DFSA is proposed to carry out an observational study between September 2024 and February 2026. Data will be collected through a self-developed questionnaire, before and after conducting an educational session. This will be completed by students aged between 13 and 16 from different educational centers in the city of Santiago de Compostela.
Introduction: The term Anglo-Saxon drug-facilitated sexual assaults (DFSA) is used to refer to a type of sexual offense in which victims are subjected to non-consensual violence while they are incapacitated and/or unconscious due to the effects of one or more psychoactive substances (drugs). Scientific evidence indicates that of all substances used in DFSA, the most commonly used is alcohol, especially in cases of opportunistic DFSA, with its detection in victims exceeding 40%. In almost all cases of DFSA, the victims are women, the perpetrator is a young male who acts alone, and they both knew each other prior to the assault. Although many authors agree on the difficulties in knowing the real prevalence of this event, others warn of the high incidence of cases among minors, so preventive interventions on this type of crimes are fundamental to raise awareness among adolescents, one of the groups at the highest risk, and thus help them protect their health, improve their safety, prevent crimes, and promote healthy relationships. Hypothesis: Nursing educational interventions on DFSA and alcohol consumption increase adolescents' knowledge and preparedness for this type of violence. Objective: Promote awareness of in teenagers. Methods: A health education program on DFSA is proposed to carry out an observational study between September 2024 and February 2026. Data will be collected through a self-developed questionnaire, before and after conducting an educational session. This will be completed by students aged between 13 and 16 from different educational centers in the city of Santiago de Compostela.
Direction
GARCIA COUCEIRO, NURIA (Tutorships)
GARCIA COUCEIRO, NURIA (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
A comparison of Electroconvulsive Therapy and Ketamine in depressive and treatment-resistant depressed patients: a systematic review.
Authorship
R.F.P.
Bachelor of Nursing (2ª ed) [S]
R.F.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The World Health Organitation (WHO) considers depression as one of the main factors to morbidity, characterized by the risk of suicide, first cause of mortality. Treatment-resistant depression levels are increasing and more than 30% patients end up developing it. The most widely used treatment is Electroconvulsive Therapy (ECT) and in recent years ketamine has appeared due to its antidepressant effects, so it is necessary to compare them to check the adverse effects, efficacy and safety of each one. Objetives: To test both treatments to determine which is more effective and safe in psychiatric patients with major depressive disorder and treatment-resistant depression. Material and methods: A systematic review was carried out following the recommendations of the PRISMA 2020 guidelines. Studies including adverse effects of each treatment, comparing both treatments along with their properties and the efficacy of each published in English or Spanish using the Pubmed, Scopus and web of science databases were considered. A total of 381 were analyzed between 2014 to 2024. Results: 17 articles met the above criteria. ECT is more effective in psychiatric patients, reducing the risk to 46% in people aged 40-60 years, and 70% in older people. Ketamine had less risk in cognitive and executive functions. ECT is associated with a decrease in memory. ECT is associated with musculoskeletal adverse effects and ketamine with dissociation. Disease remission rates are higher in ECT. Conclusions: ECT is more effective and safer. ECT has fewer adverse effects and these are gradually reduced post-treatment. It improves suicidal ideation and long-term depressive symptoms by up to 70%. Fewer relapses in those who use ECT. Remission rates improve by 80%.
Introduction: The World Health Organitation (WHO) considers depression as one of the main factors to morbidity, characterized by the risk of suicide, first cause of mortality. Treatment-resistant depression levels are increasing and more than 30% patients end up developing it. The most widely used treatment is Electroconvulsive Therapy (ECT) and in recent years ketamine has appeared due to its antidepressant effects, so it is necessary to compare them to check the adverse effects, efficacy and safety of each one. Objetives: To test both treatments to determine which is more effective and safe in psychiatric patients with major depressive disorder and treatment-resistant depression. Material and methods: A systematic review was carried out following the recommendations of the PRISMA 2020 guidelines. Studies including adverse effects of each treatment, comparing both treatments along with their properties and the efficacy of each published in English or Spanish using the Pubmed, Scopus and web of science databases were considered. A total of 381 were analyzed between 2014 to 2024. Results: 17 articles met the above criteria. ECT is more effective in psychiatric patients, reducing the risk to 46% in people aged 40-60 years, and 70% in older people. Ketamine had less risk in cognitive and executive functions. ECT is associated with a decrease in memory. ECT is associated with musculoskeletal adverse effects and ketamine with dissociation. Disease remission rates are higher in ECT. Conclusions: ECT is more effective and safer. ECT has fewer adverse effects and these are gradually reduced post-treatment. It improves suicidal ideation and long-term depressive symptoms by up to 70%. Fewer relapses in those who use ECT. Remission rates improve by 80%.
Direction
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Training methods and effectiveness of layperson training in tourniquet operation. Systematic review.
Authorship
V.P.P.
Bachelor of Nursing (2ª ed) [S]
V.P.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Objectives: Massive hemorrhages caused by trauma can be a cause of death and it has been demonstrated that time is a critical factor, survival results are given by an early action. The objective of this final degree work is to know the effectiveness and training methods used to train a lay person to contain a hemorrhage. Methodology: Pubmed, Scopus, Web Wide Science databases were consulted from January to April 2024and articles published in Spanish, English and Portuguese with publication date in the last 10 years were included. The criteria were: Population (lay persons); Intervention (teaching to stop a bleed) and Outcome (stop a bleed). Results: A total of 102 articles were obtained and after screening, a total of 10 articles were included. Conclusions: The main training methods used in the teaching of tourniquet to lay persons are theoretical-practical methods of variable duration. In all of them, an increase in knowledge and/or skills in tourniquet management is observed.
Objectives: Massive hemorrhages caused by trauma can be a cause of death and it has been demonstrated that time is a critical factor, survival results are given by an early action. The objective of this final degree work is to know the effectiveness and training methods used to train a lay person to contain a hemorrhage. Methodology: Pubmed, Scopus, Web Wide Science databases were consulted from January to April 2024and articles published in Spanish, English and Portuguese with publication date in the last 10 years were included. The criteria were: Population (lay persons); Intervention (teaching to stop a bleed) and Outcome (stop a bleed). Results: A total of 102 articles were obtained and after screening, a total of 10 articles were included. Conclusions: The main training methods used in the teaching of tourniquet to lay persons are theoretical-practical methods of variable duration. In all of them, an increase in knowledge and/or skills in tourniquet management is observed.
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Prevention of dehiscence in the surgical wound after radical cystectomy: a systematic review
Authorship
A.S.R.
Bachelor of Nursing (2ª ed) [S]
A.S.R.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The dehiscence of the surgical wound is a severe complication that can occur after a radical cystectomy. Due to its impact, that applies not only to the patient´s physical health, but it is also vital to identify preventive measures that can contribute to prevent it from developing. Purpose: to recognize risk factors related to the appearance of dehiscence of the surgical wound after a radical cystectomy, as well as the implication of different surgical techniques and available preventive measures. Methodology: a systematic review was conducted using different databases after a bibliographic search of scientific evidence published in the last ten years that was considered relevant to this study. The Preferred Reporting Items for Systematic reviews and Metanalyses was used in the selection of the articles. Results: a total of 16 articles were finally included, showing that risks factors such as the chronic obstructive pulmonary disease, smoking condition, urinary deviation, perioperative transfusion, or high body mass index contribute to the development of surgical wound dehiscence after radical cystectomy. Conclusion: prevention of surgical wound dehiscence rests on a correct understanding of pre-existing risk factors, contributing to clinical decision-making and identifying vulnerable patients to focus preventive interventions on them.
Introduction: The dehiscence of the surgical wound is a severe complication that can occur after a radical cystectomy. Due to its impact, that applies not only to the patient´s physical health, but it is also vital to identify preventive measures that can contribute to prevent it from developing. Purpose: to recognize risk factors related to the appearance of dehiscence of the surgical wound after a radical cystectomy, as well as the implication of different surgical techniques and available preventive measures. Methodology: a systematic review was conducted using different databases after a bibliographic search of scientific evidence published in the last ten years that was considered relevant to this study. The Preferred Reporting Items for Systematic reviews and Metanalyses was used in the selection of the articles. Results: a total of 16 articles were finally included, showing that risks factors such as the chronic obstructive pulmonary disease, smoking condition, urinary deviation, perioperative transfusion, or high body mass index contribute to the development of surgical wound dehiscence after radical cystectomy. Conclusion: prevention of surgical wound dehiscence rests on a correct understanding of pre-existing risk factors, contributing to clinical decision-making and identifying vulnerable patients to focus preventive interventions on them.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Management of type 1 diabetes in athletes: a systematic review.
Authorship
A.A.G.
Bachelor of Nursing (2ª ed) [S]
A.A.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
INTRODUCTION: Type 1 diabetes mellitus is a chronic insulin-dependent pathology. The population with this disorder that is an athlete is growing. This implies the need to manage glycemic control, prevent complications and optimize the performance of the physical activity carried out. OBJECTIVES: To know the management of type 1 diabetes in athletes, analyzing nutritional guidelines, pharmacological treatment and care. METHOD: The research was made in databases: PubMed, CINAHL, Cochrane database of systematic reviews, SPORTDiscus, Cochrane Clinical Trials Library, NIH clinical trials specific journals. Inclusion was carried out based on PICO criteria. RESULTS: A total of 296 articles were found, of which only 23 were included. In general, it is considered that, depending on pre-exercise blood glucose, a greater or lesser amount of carbohydrates should be ingested, and the treatment regimen modified. Thus, if it is less than 90 mg/dL, between 90 and 149 mg/dL, 150 and 249 mg/dL, respectively. Some of the studies reviewed confirm the existence of hypoglycemia despite the measures. The use of continuous glucose monitoring devices is postulated to prevent hypoglycemia. CONCLUSIONS: Optimizing the athlete's macronutrient consumption, especially carbohydrates, the dose of basal and short-acting insulin, and frequent control of blood glucose, are aspects that determine whether athletes can perform at their best and reduce their risk of dysglycemia.
INTRODUCTION: Type 1 diabetes mellitus is a chronic insulin-dependent pathology. The population with this disorder that is an athlete is growing. This implies the need to manage glycemic control, prevent complications and optimize the performance of the physical activity carried out. OBJECTIVES: To know the management of type 1 diabetes in athletes, analyzing nutritional guidelines, pharmacological treatment and care. METHOD: The research was made in databases: PubMed, CINAHL, Cochrane database of systematic reviews, SPORTDiscus, Cochrane Clinical Trials Library, NIH clinical trials specific journals. Inclusion was carried out based on PICO criteria. RESULTS: A total of 296 articles were found, of which only 23 were included. In general, it is considered that, depending on pre-exercise blood glucose, a greater or lesser amount of carbohydrates should be ingested, and the treatment regimen modified. Thus, if it is less than 90 mg/dL, between 90 and 149 mg/dL, 150 and 249 mg/dL, respectively. Some of the studies reviewed confirm the existence of hypoglycemia despite the measures. The use of continuous glucose monitoring devices is postulated to prevent hypoglycemia. CONCLUSIONS: Optimizing the athlete's macronutrient consumption, especially carbohydrates, the dose of basal and short-acting insulin, and frequent control of blood glucose, are aspects that determine whether athletes can perform at their best and reduce their risk of dysglycemia.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Undergraduate dissertation
Authorship
U.T.V.
Bachelor of Nursing (2ª ed) [S]
U.T.V.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: The acute confusional state is a fluctuating neurocognitive disorder, which presents with an alteration in the level of consciousness and attention, and mainly affects the elderly population. Despite its high prevalence, it remains underdiagnosed. In addition, it requires specialized care during its course to avoid complications, since it entails an important healthcare, emotional and economic burden. Objectives: To describe nursing care in acute confusional state, assess the use of instruments for the detection of acute confusional state by nurses, analyse the emotional response of care nurses of adults with delirium and carry out a nursing care plan for acute confusional state. Methodology: A systematic literature review. It was carried out a search of the scientific evidence published in engines and databases such as Pubmed, BVS, CINAHL, Dialnet and SCOPUS in the last five years. Results: After applying inclusion and exclusion criteria, 14 articles were selected, obtaining that nursing care, focused on non - pharmacological interventions such as reorientation, are effective against delirium. The use of screening instruments by nurses is valid, but its variety complicates its knowledge. This disorder causes a significant emotional burden, related to anguish and distress, and work - related burden in nurses. The nursing care plan should be preferably individualized and cover all patient needs. Conclusions: Nursing care appears to be effective, but its use faces several obstacles. Screening instruments are useful and effective, being better reviewed the ones that use observation. The majority of nurses suffer from a negative emotional burden and an increasing workload, with the consequent professional burnout. A nursing care plan, focused on non - pharmacological interventions, improves patient’s quality of life.
Introduction: The acute confusional state is a fluctuating neurocognitive disorder, which presents with an alteration in the level of consciousness and attention, and mainly affects the elderly population. Despite its high prevalence, it remains underdiagnosed. In addition, it requires specialized care during its course to avoid complications, since it entails an important healthcare, emotional and economic burden. Objectives: To describe nursing care in acute confusional state, assess the use of instruments for the detection of acute confusional state by nurses, analyse the emotional response of care nurses of adults with delirium and carry out a nursing care plan for acute confusional state. Methodology: A systematic literature review. It was carried out a search of the scientific evidence published in engines and databases such as Pubmed, BVS, CINAHL, Dialnet and SCOPUS in the last five years. Results: After applying inclusion and exclusion criteria, 14 articles were selected, obtaining that nursing care, focused on non - pharmacological interventions such as reorientation, are effective against delirium. The use of screening instruments by nurses is valid, but its variety complicates its knowledge. This disorder causes a significant emotional burden, related to anguish and distress, and work - related burden in nurses. The nursing care plan should be preferably individualized and cover all patient needs. Conclusions: Nursing care appears to be effective, but its use faces several obstacles. Screening instruments are useful and effective, being better reviewed the ones that use observation. The majority of nurses suffer from a negative emotional burden and an increasing workload, with the consequent professional burnout. A nursing care plan, focused on non - pharmacological interventions, improves patient’s quality of life.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Management and treatment of chronic wounds: a review of the efficacy of medical-grade honey.
Authorship
E.F.S.
Bachelor of Nursing (2ª ed) [S]
E.F.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
INTRODUCTION: Chronic wounds or ulcers (CW) greatly affect the quality of life of people and are also a significant burden on healthcare systems. The management of ulcers is a clinical challenge with a heterogeneous range of treatment options, among which honey stands out, it has been used for thousands of years for wound treatment due to its beneficial properties. OBJECTIVES: To determine the efficacy of medical-grade honey in the treatment of CW by analysing its effects on skin tissues and comparing it with other current treatments. METHODS: A systematic review was conducted according to PRISMA methodology using the following databases/search engines: Medline (PubMed), CINAHL, Scopus, and WoS. The search was carried out between October 2023 and March 2024, using the following terms: chronic wound, ulcer, honey, manuka honey, clinical trial. RESULTS: Eleven articles were included in the review. Wounds treated with medical-grade honey show a good healing rate, bacteriological control, and proper symptom management due to its osmotic, anti-infective, antioxidant, and anti-inflammatory properties. Compared to other treatments, medical-grade honey has similar or slightly superior efficacy to povidone-iodine, hydrogel, or nitrofurazone, but is therapeutically inferior to nanocrystalline silver dressings. CONCLUSIONS: Medical-grade honey is a safe and effective product for the treatment of CW, due to its anti-infective, anti-inflammatory, antioxidant, and osmotic properties, making it a valuable therapeutic tool in clinical practice that can also help combat antibacterial resistance.
INTRODUCTION: Chronic wounds or ulcers (CW) greatly affect the quality of life of people and are also a significant burden on healthcare systems. The management of ulcers is a clinical challenge with a heterogeneous range of treatment options, among which honey stands out, it has been used for thousands of years for wound treatment due to its beneficial properties. OBJECTIVES: To determine the efficacy of medical-grade honey in the treatment of CW by analysing its effects on skin tissues and comparing it with other current treatments. METHODS: A systematic review was conducted according to PRISMA methodology using the following databases/search engines: Medline (PubMed), CINAHL, Scopus, and WoS. The search was carried out between October 2023 and March 2024, using the following terms: chronic wound, ulcer, honey, manuka honey, clinical trial. RESULTS: Eleven articles were included in the review. Wounds treated with medical-grade honey show a good healing rate, bacteriological control, and proper symptom management due to its osmotic, anti-infective, antioxidant, and anti-inflammatory properties. Compared to other treatments, medical-grade honey has similar or slightly superior efficacy to povidone-iodine, hydrogel, or nitrofurazone, but is therapeutically inferior to nanocrystalline silver dressings. CONCLUSIONS: Medical-grade honey is a safe and effective product for the treatment of CW, due to its anti-infective, anti-inflammatory, antioxidant, and osmotic properties, making it a valuable therapeutic tool in clinical practice that can also help combat antibacterial resistance.
Direction
NOVIO MALLON, SILVIA (Tutorships)
NOVIO MALLON, SILVIA (Tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
Phage therapy as an alternative treatment for infections caused by resistant bacteria: a systematic review
Authorship
X.P.F.
Bachelor of Nursing (2ª ed) [S]
X.P.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Introduction: Bacterial resistance to antibiotics represents one of the major public health issues today. It is necessary to seek therapeutic alternatives to traditional antibiotics, and phage therapy is one of the existing options. Objectives: To study phage therapy as an alternative to the use of chemotherapeutic agents, and as secondary objectives, to understand the main problems of bacterial resistance, to learn about the use of phage therapy, and to understand the role of nurses in terms of antibiotic resistance. Methodology: A systematic review of articles published in the last 4 years (2020-2024). The search was conducted in different databases (PubMed, Dialnet Plus, CINAHL), following the recommendations of the PRISMA statement for systematic reviews. Results: After the bibliographic search, 10 articles were finally included. Phage therapy emerges as an interesting and plausible alternative, despite the current lack of clinical trials. In most cases where it is used, it is done with a compassionate use, which limits the knowledge that can be gained about its efficacy and safety. The main multidrug-resistant bacteria are Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Enterobacter spp, which form the ESKAPE group. Nurses participate in the prevention of antibiotic resistance by providing health education and promoting proper hygiene and asepsis habits. Conclusion: Phage therapy is a very interesting treatment option, presenting numerous advantages, but it needs to be further researched to become a real alternative.
Introduction: Bacterial resistance to antibiotics represents one of the major public health issues today. It is necessary to seek therapeutic alternatives to traditional antibiotics, and phage therapy is one of the existing options. Objectives: To study phage therapy as an alternative to the use of chemotherapeutic agents, and as secondary objectives, to understand the main problems of bacterial resistance, to learn about the use of phage therapy, and to understand the role of nurses in terms of antibiotic resistance. Methodology: A systematic review of articles published in the last 4 years (2020-2024). The search was conducted in different databases (PubMed, Dialnet Plus, CINAHL), following the recommendations of the PRISMA statement for systematic reviews. Results: After the bibliographic search, 10 articles were finally included. Phage therapy emerges as an interesting and plausible alternative, despite the current lack of clinical trials. In most cases where it is used, it is done with a compassionate use, which limits the knowledge that can be gained about its efficacy and safety. The main multidrug-resistant bacteria are Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Enterobacter spp, which form the ESKAPE group. Nurses participate in the prevention of antibiotic resistance by providing health education and promoting proper hygiene and asepsis habits. Conclusion: Phage therapy is a very interesting treatment option, presenting numerous advantages, but it needs to be further researched to become a real alternative.
Direction
MAGARIÑOS FERRO, BEATRIZ (Tutorships)
MAGARIÑOS FERRO, BEATRIZ (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Knowledge of Women about Human Papillomavirus and its Immunization: A Systematic Review
Authorship
T.C.G.
Bachelor of Nursing (2ª ed) [S]
T.C.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Objective: To evaluate women's knowledge and attitudes towards the human papillomavirus (HPV), HPV immunization, and the acceptance of this vaccine by women in Europe. Methods: A systematic review was conducted using the PubMed database as the main source of search. Article selection was carried out following the PRISMA method. Data from eligible studies were extracted according to a template designed for this work. Results: After reviewing 496 studies, 17 studies conducted in Europe between 2010 and 2024 were included. Knowledge about HPV and acceptance of the vaccine vary significantly across European countries. Countries such as Ireland, Scotland, and Spain show relatively high levels of knowledge, influenced by well-established vaccination programs and effective information campaigns. In contrast, countries like Turkey, Serbia, and Bulgaria show lower levels of knowledge and acceptance, mainly due to limited access to information, such as unawareness of the vaccine's availability in the country or lack of information in their language. Women with good knowledge about HPV and its vaccine ranged from 38.7% to 72%, with the highest level of knowledge in Ireland and the lowest in Turkey. Conclusions: There is variability in knowledge about HPV in Europe, with significant gaps requiring more effective educational campaigns. Lack of information is a key barrier to vaccination, highlighting the need for continuous and targeted educational strategies for different demographics. HPV vaccination is crucial to prevent cervical cancer, and it is recommended to strengthen awareness campaigns, improve vaccination programs, and ensure access to preventive health services.
Objective: To evaluate women's knowledge and attitudes towards the human papillomavirus (HPV), HPV immunization, and the acceptance of this vaccine by women in Europe. Methods: A systematic review was conducted using the PubMed database as the main source of search. Article selection was carried out following the PRISMA method. Data from eligible studies were extracted according to a template designed for this work. Results: After reviewing 496 studies, 17 studies conducted in Europe between 2010 and 2024 were included. Knowledge about HPV and acceptance of the vaccine vary significantly across European countries. Countries such as Ireland, Scotland, and Spain show relatively high levels of knowledge, influenced by well-established vaccination programs and effective information campaigns. In contrast, countries like Turkey, Serbia, and Bulgaria show lower levels of knowledge and acceptance, mainly due to limited access to information, such as unawareness of the vaccine's availability in the country or lack of information in their language. Women with good knowledge about HPV and its vaccine ranged from 38.7% to 72%, with the highest level of knowledge in Ireland and the lowest in Turkey. Conclusions: There is variability in knowledge about HPV in Europe, with significant gaps requiring more effective educational campaigns. Lack of information is a key barrier to vaccination, highlighting the need for continuous and targeted educational strategies for different demographics. HPV vaccination is crucial to prevent cervical cancer, and it is recommended to strengthen awareness campaigns, improve vaccination programs, and ensure access to preventive health services.
Direction
MALLAH NASRALLAH, NARMEEN (Tutorships)
MALLAH NASRALLAH, NARMEEN (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
The role of a pediatric nurse when attending the family of a child with a neurodegenerative disease.
Authorship
M.S.S.
Bachelor of Nursing (2ª ed) [S]
M.S.S.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Neurodegenerative diseases represent a significant situation in today’s health field, it is known that its prevalence is increasing. When neurodegenerative pathology affects pediatric ages, its consideration is even more enigmatic and requires a wide and interesting field of research. It is important to note that the pediatric neurodegenerative disease affects various fields, from the impact its presence makes on the family of the affected, to the specific actions the multidisciplinary healthcare team in charge of the case will execute. Therefore, the aim of this project is the execution of a bibliographic revision, attending the role of a pediatric nurse dealing with the family of a child with a neurodegenerative disease with poor prognosis. It is known that this type of patient will need steady care that respects the ethical-legal principles, especially debatable and relevant when executing diagnostic techniques, administering treatments from clinical trials or making difficult decisions related to the end of life. The team must be gingerly trained and count with experience in the required techniques, and it will be relevant that they sympathise with the decision making process and the transmission of information. The pediatric nurse will perform with a dimensional vision that understands the patient as a child and his family.
Neurodegenerative diseases represent a significant situation in today’s health field, it is known that its prevalence is increasing. When neurodegenerative pathology affects pediatric ages, its consideration is even more enigmatic and requires a wide and interesting field of research. It is important to note that the pediatric neurodegenerative disease affects various fields, from the impact its presence makes on the family of the affected, to the specific actions the multidisciplinary healthcare team in charge of the case will execute. Therefore, the aim of this project is the execution of a bibliographic revision, attending the role of a pediatric nurse dealing with the family of a child with a neurodegenerative disease with poor prognosis. It is known that this type of patient will need steady care that respects the ethical-legal principles, especially debatable and relevant when executing diagnostic techniques, administering treatments from clinical trials or making difficult decisions related to the end of life. The team must be gingerly trained and count with experience in the required techniques, and it will be relevant that they sympathise with the decision making process and the transmission of information. The pediatric nurse will perform with a dimensional vision that understands the patient as a child and his family.
Direction
RUIZ RIQUELME, ALEJANDRO IVAN (Tutorships)
RUIZ RIQUELME, ALEJANDRO IVAN (Tutorships)
Court
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
RODRIGUEZ GONZALEZ, RAQUEL (Chairman)
SALGADO BARREIRA, ANGEL (Secretary)
VALENZUELA LIMIÑANA, RITA (Member)
Quality of life in adults with with attention deficit hyperactivity disorder.
Authorship
I.A.L.
Bachelor of Nursing (2ª ed) [S]
I.A.L.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurobiological disorder that typically manifests itself in childhood and in approximately 65% of cases persists into adulthood, interfering with daily life. Its most common symptoms are inattention, hyperactivity and impulsivity, often accompanied by different psychiatric comorbidities. Objectives: To analyse the impact of ADHD in the quality of life of affected adults, examine the most common comorbid psychiatric disorders and propose various care interventions based on nursing taxonomy. Methods: This literature review was made using different databases such as PubMed, Dialnet, Medline, CINAHL and the Virtual Heath Library, using keywords, filters and inclusion/exclusion criteria. Results: Twelve relevant articles were selected, which demonstrate that ADHD has a significant impact on an adult´s daily lives. This presents more difficulties in performing everyday task and showing that the most common associated psychiatric disorders are depression and anxiety. It also favours the development of problems such as pain or substance abuse. Conclusions: This condition negatively affects all domains of quality of life, with a significant association observed between the presence of comorbid illnesses and the severity of symptoms. Individualized and multidisciplinary approaches are essential for managing the disorder and implementing interventions based on Nursing Science could be key to an improvement in their overall wellbeing.
Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurobiological disorder that typically manifests itself in childhood and in approximately 65% of cases persists into adulthood, interfering with daily life. Its most common symptoms are inattention, hyperactivity and impulsivity, often accompanied by different psychiatric comorbidities. Objectives: To analyse the impact of ADHD in the quality of life of affected adults, examine the most common comorbid psychiatric disorders and propose various care interventions based on nursing taxonomy. Methods: This literature review was made using different databases such as PubMed, Dialnet, Medline, CINAHL and the Virtual Heath Library, using keywords, filters and inclusion/exclusion criteria. Results: Twelve relevant articles were selected, which demonstrate that ADHD has a significant impact on an adult´s daily lives. This presents more difficulties in performing everyday task and showing that the most common associated psychiatric disorders are depression and anxiety. It also favours the development of problems such as pain or substance abuse. Conclusions: This condition negatively affects all domains of quality of life, with a significant association observed between the presence of comorbid illnesses and the severity of symptoms. Individualized and multidisciplinary approaches are essential for managing the disorder and implementing interventions based on Nursing Science could be key to an improvement in their overall wellbeing.
Direction
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
REY BRETAL, DAVID (Co-tutorships)
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
REY BRETAL, DAVID (Co-tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Alzheimer. New therapies and cares.
Authorship
U.G.C.
Bachelor of Nursing (2ª ed) [S]
U.G.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
09.04.2024 12:30
09.04.2024 12:30
Summary
Background: the Alzheimer disease (AD) is a tipe of degenerative dementia that has no cure and it just to be underdiagnose. People who are affect of the DA see how their independence is affected to execute de daily activities of life and their family and caregivers. Methods: the research was made on databases (Pubmed and Scielo) about articles published on the last 5 years, with keywords and inclusion and exclusion criteria, following de PRISMA methodology. Obxetivos: o principal obxetivo deste traballo é realizar una revisión sobre as novas terapias existentes para o tratamento da EA e a asistencia no coidado por parte do profesional de enfermería, tanto ao doente como aos coidadores principais. Aim: the main aim of this work is to make a revision about the latest therapies for the treatment of the DA and the assisstant on care from the nurses, for the patient and their caregivers. Results: as result of the research, 19 articles were selected for their inclsuion on this work. The pharmacology investigation offers new therapies that allow the deceleration of the progress of the DA by using monoclonoal antibodies. The non-pharmalogycal therapies are focus on the management of the pain, the nutrition and those aspects that affect on the cognitive process and the behaviour. The quality of life of the people affected for the DA is reduce and it’s important to broach it and the quality life of the caregivers. Conclusion: the early diagnose is the key for the outlook of the DA, it can be stopped, but there are actions that can reduce the affectation of the DA. The new medications bring the opportunity to decelarate de curse of the disease and sort out a care plan. The multidisciplinar view is very important to make actions to take care of the patient and their family.
Background: the Alzheimer disease (AD) is a tipe of degenerative dementia that has no cure and it just to be underdiagnose. People who are affect of the DA see how their independence is affected to execute de daily activities of life and their family and caregivers. Methods: the research was made on databases (Pubmed and Scielo) about articles published on the last 5 years, with keywords and inclusion and exclusion criteria, following de PRISMA methodology. Obxetivos: o principal obxetivo deste traballo é realizar una revisión sobre as novas terapias existentes para o tratamento da EA e a asistencia no coidado por parte do profesional de enfermería, tanto ao doente como aos coidadores principais. Aim: the main aim of this work is to make a revision about the latest therapies for the treatment of the DA and the assisstant on care from the nurses, for the patient and their caregivers. Results: as result of the research, 19 articles were selected for their inclsuion on this work. The pharmacology investigation offers new therapies that allow the deceleration of the progress of the DA by using monoclonoal antibodies. The non-pharmalogycal therapies are focus on the management of the pain, the nutrition and those aspects that affect on the cognitive process and the behaviour. The quality of life of the people affected for the DA is reduce and it’s important to broach it and the quality life of the caregivers. Conclusion: the early diagnose is the key for the outlook of the DA, it can be stopped, but there are actions that can reduce the affectation of the DA. The new medications bring the opportunity to decelarate de curse of the disease and sort out a care plan. The multidisciplinar view is very important to make actions to take care of the patient and their family.
Direction
GARCIA ALONSO, ANGEL (Tutorships)
GARCIA ALONSO, ANGEL (Tutorships)
Court
MARTINEZ ISASI, SANTIAGO (Chairman)
MALLAH NASRALLAH, NARMEEN (Secretary)
GARCIA COUCEIRO, NURIA (Member)
MARTINEZ ISASI, SANTIAGO (Chairman)
MALLAH NASRALLAH, NARMEEN (Secretary)
GARCIA COUCEIRO, NURIA (Member)
• Literature review on the knowledge of pregnant women regarding inmunization against respiratory syncythial virus
Authorship
C.G.P.
Bachelor of Nursing (2ª ed) [S]
C.G.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
07.15.2024 10:00
07.15.2024 10:00
Summary
Introduction: vaccination has significantly reduced global mortality and eradicated some diseases. Maintaining these attitudes towards vaccination is of utmost importance because misinformation can be a serious problem. Objective: to evaluate the level of knowledge of pregnant women regarding the respiratory syncytial virus (RSV) vaccine. Methodology: literature review on the knowledge of pregnant women towards the RSV vaccine. Results: we started from 52 studies, of which we excluded 44 when reviewing the title and abstract. After reviewing full text, we excluded 3 more. In the end we selected 5 studies from various countries: Italy, Australia, France, Kenya and England. Conclusions: a large majority of those surveyed showed ignorance about VRS; in fact, a large percentage had never heard of it. On the other hand, when provided with information about the disease, the vast majority were willing to get vaccinated. Due to the lack of information, it is necessary to inform mothers about the benefits and importance of vaccination so that they can decide on this issue.
Introduction: vaccination has significantly reduced global mortality and eradicated some diseases. Maintaining these attitudes towards vaccination is of utmost importance because misinformation can be a serious problem. Objective: to evaluate the level of knowledge of pregnant women regarding the respiratory syncytial virus (RSV) vaccine. Methodology: literature review on the knowledge of pregnant women towards the RSV vaccine. Results: we started from 52 studies, of which we excluded 44 when reviewing the title and abstract. After reviewing full text, we excluded 3 more. In the end we selected 5 studies from various countries: Italy, Australia, France, Kenya and England. Conclusions: a large majority of those surveyed showed ignorance about VRS; in fact, a large percentage had never heard of it. On the other hand, when provided with information about the disease, the vast majority were willing to get vaccinated. Due to the lack of information, it is necessary to inform mothers about the benefits and importance of vaccination so that they can decide on this issue.
Direction
MALLAH NASRALLAH, NARMEEN (Tutorships)
MALLAH NASRALLAH, NARMEEN (Tutorships)
Court
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
Incidence of pulmonary thromboembolism after orthopedic and traumatological surgeries
Authorship
C.M.N.
Bachelor of Nursing (2ª ed) [S]
C.M.N.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Background: Despite advances in diagnostic techniques and therapeutic options, PTE remains an underdiagnosed pathology due to its varied and non-specific clinical picture. One of the most relevant risk factors is lower limb surgeries, such as total knee and hip arthroplasty, followed by prolonged immobilization. Early diagnosis and initiation of treatment are essential to prevent this complication from developing. Objective: To analyze the incidence of pulmonary thromboembolism after orthopedic and trauma surgeries in the adult population over 18 years Methods: Following the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses, a systematic review of scientific articles published in the PubMed/Medline and Dialnet databases has been carried out. After combining different MeSH using the Boolean operator AND and applying the inclusion and exclusion criteria, 794 articles were obtained. Finally, through a selection and review process, 11 articles were included in the present review. Results: The results obtained after analyzing the 11 articles included in this review show the relevance of thromboembolic diseases, among which PE stands out, associated most of the time with orthopedic surgeries. The authors agree that the surgeries with the highest risk are total knee arthroplasty and total hip arthroplasty. All the authors treated the patients in their respective studies with thromboprophylaxis, concluding that the administration of treatment, together with an early diagnosis, is essential for the control of pulmonary thromboembolism. Although this is true, they also agree that there is a possibility that patients will develop it because it is associated with various risk factor, including age. Many of the articles refer to the need for studies in this field. Conclusion: VTE, including PE, are a common complication after orthopedic surgeries. The incidence increases with age and among patients with risk factors. Its difficult diagnosis makes this a major health problem.
Background: Despite advances in diagnostic techniques and therapeutic options, PTE remains an underdiagnosed pathology due to its varied and non-specific clinical picture. One of the most relevant risk factors is lower limb surgeries, such as total knee and hip arthroplasty, followed by prolonged immobilization. Early diagnosis and initiation of treatment are essential to prevent this complication from developing. Objective: To analyze the incidence of pulmonary thromboembolism after orthopedic and trauma surgeries in the adult population over 18 years Methods: Following the guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses, a systematic review of scientific articles published in the PubMed/Medline and Dialnet databases has been carried out. After combining different MeSH using the Boolean operator AND and applying the inclusion and exclusion criteria, 794 articles were obtained. Finally, through a selection and review process, 11 articles were included in the present review. Results: The results obtained after analyzing the 11 articles included in this review show the relevance of thromboembolic diseases, among which PE stands out, associated most of the time with orthopedic surgeries. The authors agree that the surgeries with the highest risk are total knee arthroplasty and total hip arthroplasty. All the authors treated the patients in their respective studies with thromboprophylaxis, concluding that the administration of treatment, together with an early diagnosis, is essential for the control of pulmonary thromboembolism. Although this is true, they also agree that there is a possibility that patients will develop it because it is associated with various risk factor, including age. Many of the articles refer to the need for studies in this field. Conclusion: VTE, including PE, are a common complication after orthopedic surgeries. The incidence increases with age and among patients with risk factors. Its difficult diagnosis makes this a major health problem.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
Nursing role in the prevention of recurrences in patients with diabetic foot ulcers
Authorship
L.M.O.O.
Bachelor of Nursing (2ª ed) [S]
L.M.O.O.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
Diabetes mellitus is a chronic disease that increasingly affects more people worldwide and causes numerous complications that decrease the quality of life of individuals, posing significant emotional, social, and economic costs. One of the main complications that arise are diabetic foot ulcers, caused by the presence of peripheral neuropathy, occlusive arterial disease, and external trauma with secondary infection. The prevention of these ulcers is necessary as they are the cause of a large number of amputations, and recurrences after having one are very common. For this, the work of nursing staff in the examination and identification of at-risk feet, patient education, and rehabilitation is fundamental. The main objective was to analyze the scientific literature of the last 10 years to understand the role of Nursing in the prevention of recurrences in patients with diabetic foot ulcers. To achieve this, a systematic review was conducted in the main clinical databases: PubMed, Dialnet, Scopus, Scielo, Cochrane, and Cinalh, finally selecting 13 articles. The results showed that a correct and structured foot examination is essential in preventing diabetic foot, which is often not adequately performed by nursing professionals despite having the necessary knowledge. Health education is also important so that patients can properly care for their feet, and lastly, the importance of using appropriate footwear should be highlighted. In conclusion, it should be mentioned that nursing professionals are a fundamental pillar in prevention; therefore, it would be beneficial to enhance the specific training of professionals, as well as the use of protocols, promote health education, and facilitate patient access to therapeutic footwear.
Diabetes mellitus is a chronic disease that increasingly affects more people worldwide and causes numerous complications that decrease the quality of life of individuals, posing significant emotional, social, and economic costs. One of the main complications that arise are diabetic foot ulcers, caused by the presence of peripheral neuropathy, occlusive arterial disease, and external trauma with secondary infection. The prevention of these ulcers is necessary as they are the cause of a large number of amputations, and recurrences after having one are very common. For this, the work of nursing staff in the examination and identification of at-risk feet, patient education, and rehabilitation is fundamental. The main objective was to analyze the scientific literature of the last 10 years to understand the role of Nursing in the prevention of recurrences in patients with diabetic foot ulcers. To achieve this, a systematic review was conducted in the main clinical databases: PubMed, Dialnet, Scopus, Scielo, Cochrane, and Cinalh, finally selecting 13 articles. The results showed that a correct and structured foot examination is essential in preventing diabetic foot, which is often not adequately performed by nursing professionals despite having the necessary knowledge. Health education is also important so that patients can properly care for their feet, and lastly, the importance of using appropriate footwear should be highlighted. In conclusion, it should be mentioned that nursing professionals are a fundamental pillar in prevention; therefore, it would be beneficial to enhance the specific training of professionals, as well as the use of protocols, promote health education, and facilitate patient access to therapeutic footwear.
Direction
Rodríguez Abad, Carlos (Tutorships)
Rodríguez Abad, Carlos (Tutorships)
Court
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
ARCE VAZQUEZ, VICTOR MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
VARELA LEMA, MARIA LEONOR (Member)
The low FODMAP diet for symptomatic management of irritable bowel syndrome
Authorship
M.E.R.P.
Bachelor of Nursing (2ª ed) [S]
M.E.R.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disease that significantly impacts quality of life and frequently requires medical attention, increasing healthcare costs. Without a definitive treatment, it is essential to seek alternatives to mitigate symptoms. In this context, the low FODMAP diet (LFD) has emerged as a promising alternative for relieving IBS symptoms. Objectives: The objectives of this study were to evaluate the effectiveness and impact on quality of life of LFD in managing irritable bowel syndrome, analyze patient adherence levels, and compare its efficacy with other dietary interventions. Methods: For the systematic review, searches were conducted in the PubMed, Dialnet, Web of Science, and ScienceDirect databases. Ten articles were selected following the PRISMA statement. The CASPe scale was used to assess the quality of the evidence. Results: The LFD significantly reduced gastrointestinal symptoms in IBS patients and improved their long-term quality of life. Professional supervision was key to ensuring adherence and optimizing outcomes. Although no significant differences were found compared to other diets, LFD stood out for regularizing bowel function. Conclusion: Despite the limitations of the studies, evidence shows that the LFD offers improvements in both gastrointestinal symptoms and quality of life for IBS patients. However, dietary education and close follow-up are essential to ensure its effectiveness and adherence.
Introduction: Irritable bowel syndrome (IBS) is a chronic gastrointestinal disease that significantly impacts quality of life and frequently requires medical attention, increasing healthcare costs. Without a definitive treatment, it is essential to seek alternatives to mitigate symptoms. In this context, the low FODMAP diet (LFD) has emerged as a promising alternative for relieving IBS symptoms. Objectives: The objectives of this study were to evaluate the effectiveness and impact on quality of life of LFD in managing irritable bowel syndrome, analyze patient adherence levels, and compare its efficacy with other dietary interventions. Methods: For the systematic review, searches were conducted in the PubMed, Dialnet, Web of Science, and ScienceDirect databases. Ten articles were selected following the PRISMA statement. The CASPe scale was used to assess the quality of the evidence. Results: The LFD significantly reduced gastrointestinal symptoms in IBS patients and improved their long-term quality of life. Professional supervision was key to ensuring adherence and optimizing outcomes. Although no significant differences were found compared to other diets, LFD stood out for regularizing bowel function. Conclusion: Despite the limitations of the studies, evidence shows that the LFD offers improvements in both gastrointestinal symptoms and quality of life for IBS patients. However, dietary education and close follow-up are essential to ensure its effectiveness and adherence.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
Court
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
MEAÑOS MELON, ENRIQUE RAMON (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
MALLAH NASRALLAH, NARMEEN (Member)
The role of loneliness as a risk factor for depression in older adults: a systematic review
Authorship
L.B.F.
Bachelor of Nursing (2ª ed) [S]
L.B.F.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: aging produces multiple changes that decrease the quality of life and with it, life expectancy. They also increase vulnerability to mental disorders such as depression, one of the most common disorders in the elderly. Several factors contribute to this risk, with the feeling of loneliness standing out as a significant factor. Objectives: to study the relationship between loneliness and depressive symptoms in older adults, considering the influence of social and family support networks, as well as risk factors and strategies to reduce these feelings. Methods: systematic review. A search was carried out through Scielo, PubMed and Dialnet databases and, for the selection of articles, inclusion and exclusion criteria were established, including publications between 2019 - 2024. Results: 15 articles were selected. The presence of feelings of loneliness in older adults increases and aggravates depressive symptoms. Feeling subjectively supported in the social and family environment decreases loneliness and increases social interaction. Female sex and widowhood are some of the main risk factors, along with living alone, being socially isolated, having low income, low educational levels... Interventions include those that increase social interaction and support networks through participation in social and community activities. Conclusions: a positive relationship is found between loneliness and depression in older adults, suffering from loneliness increases the reporting and severity of depressive symptoms. Social and family support is a protective factor and risk factors include female sex, widowhood or separation, living alone, social isolation, low educational and socioeconomic levels, comorbidities or poor subjective health, among others. Multiple interventions decrease loneliness, highlighting participation in social and community activities.
Introduction: aging produces multiple changes that decrease the quality of life and with it, life expectancy. They also increase vulnerability to mental disorders such as depression, one of the most common disorders in the elderly. Several factors contribute to this risk, with the feeling of loneliness standing out as a significant factor. Objectives: to study the relationship between loneliness and depressive symptoms in older adults, considering the influence of social and family support networks, as well as risk factors and strategies to reduce these feelings. Methods: systematic review. A search was carried out through Scielo, PubMed and Dialnet databases and, for the selection of articles, inclusion and exclusion criteria were established, including publications between 2019 - 2024. Results: 15 articles were selected. The presence of feelings of loneliness in older adults increases and aggravates depressive symptoms. Feeling subjectively supported in the social and family environment decreases loneliness and increases social interaction. Female sex and widowhood are some of the main risk factors, along with living alone, being socially isolated, having low income, low educational levels... Interventions include those that increase social interaction and support networks through participation in social and community activities. Conclusions: a positive relationship is found between loneliness and depression in older adults, suffering from loneliness increases the reporting and severity of depressive symptoms. Social and family support is a protective factor and risk factors include female sex, widowhood or separation, living alone, social isolation, low educational and socioeconomic levels, comorbidities or poor subjective health, among others. Multiple interventions decrease loneliness, highlighting participation in social and community activities.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
MAGARIÑOS FERRO, BEATRIZ (Chairman)
Rodríguez Abad, Carlos (Secretary)
PARGA MARTIN, JUAN ANDRES (Member)
Detection of cases of gender based violence from primary nursing care consultations
Authorship
L.B.D.
Bachelor of Nursing (2ª ed) [S]
L.B.D.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: gender violence constitutes a global public health problem that threatens human rights. It affects women in may areas of their lives and its different forms are represented in the pyramid of violence. Nursing is a fundamental pillar in case of detection and action due to its accessibility to the patient Objetive: to know the interventions carried out by nursing professionals in primary care against gender violence Methodology: a bibliographic review has been carried out using key words through the Pubmed MEDLINE, Dialnet, Scopus and Cuidatge databases. Official State pages have also been used, such as the Ministry of Heath, Consumption and Social Welfare, the Ministry of Equality, the Nacional Institute of Statistics and the Official State Gazette Results: 9 articles respond to the objetives set Conclusion: nursing professionals are the main ones in detecting the situation, evaluating and intervening to help victims, especially from primary care. More specific knowledge of the topic would help improve interventions. To do this, it is necessary to study the effectiveness of current protocols in case detection
Introduction: gender violence constitutes a global public health problem that threatens human rights. It affects women in may areas of their lives and its different forms are represented in the pyramid of violence. Nursing is a fundamental pillar in case of detection and action due to its accessibility to the patient Objetive: to know the interventions carried out by nursing professionals in primary care against gender violence Methodology: a bibliographic review has been carried out using key words through the Pubmed MEDLINE, Dialnet, Scopus and Cuidatge databases. Official State pages have also been used, such as the Ministry of Heath, Consumption and Social Welfare, the Ministry of Equality, the Nacional Institute of Statistics and the Official State Gazette Results: 9 articles respond to the objetives set Conclusion: nursing professionals are the main ones in detecting the situation, evaluating and intervening to help victims, especially from primary care. More specific knowledge of the topic would help improve interventions. To do this, it is necessary to study the effectiveness of current protocols in case detection
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
MARTIN DE BERNARDO GISBERT, LUCIA (Co-tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
MARTIN DE BERNARDO GISBERT, LUCIA (Co-tutorships)
Court
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
LAREU HUIDOBRO, MARIA VICTORIA (Chairman)
PORTEIRO COUTO, BEGOÑA (Secretary)
NOVIO MALLON, SILVIA (Member)
Prevention measures in nephrotoxicity induced by radiological contrast media: A systematic review
Authorship
S.D.G.
Bachelor of Nursing (2ª ed) [S]
S.D.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Radiology is essential for the diagnosis and treatment of diseases; using contrast agents to highlight anatomical structures. The choice of contrast depends on the clinical application and the patient's tolerance, requiring caution in patients with kidney problems, as contrasts can cause complications such as contrast-induced nephropathy (CIN), one of the most common complications. To prevent CIN, a series of pharmacological and non-pharmacological preventive strategies are recommended. Objective: Analyze the existing evidence on various strategies to prevent CIN. Method: Exhaustive searches were conducted on PubMed using PRISMA methodology, identifying 8,526 articles. After removing duplicates and applying established filters, 287 articles were reviewed, selecting 42 based on title and abstract. Finally, 12 relevant studies were included after evaluating their methodological quality, most of them clinical trials, providing direct evidence on the efficacy of various preventive strategies, greater control over variables, and reliability of results, and a rigorous design and control. Results: The reviewed studies offer varied evidence on the effectiveness of preventive measures for CIN. It was found that the use of antioxidants and urine alkalinization are not effective in preventing CIN in critically ill patients. However, standard hydration proved effective in certain patient groups, while modified hydration may be beneficial for high-risk patients. Additionally, high doses of vitamin E and inorganic nitrates may reduce the incidence and multiple risk factors associated with CIN were identified. Conclusions: Various prevention strategies and risk factors associated with CIN have been identified, suggesting that they should be individualized. Hydration with intravenous saline solution is essential to prevent its development, but additional research is needed to identify the most effective strategies.
Introduction: Radiology is essential for the diagnosis and treatment of diseases; using contrast agents to highlight anatomical structures. The choice of contrast depends on the clinical application and the patient's tolerance, requiring caution in patients with kidney problems, as contrasts can cause complications such as contrast-induced nephropathy (CIN), one of the most common complications. To prevent CIN, a series of pharmacological and non-pharmacological preventive strategies are recommended. Objective: Analyze the existing evidence on various strategies to prevent CIN. Method: Exhaustive searches were conducted on PubMed using PRISMA methodology, identifying 8,526 articles. After removing duplicates and applying established filters, 287 articles were reviewed, selecting 42 based on title and abstract. Finally, 12 relevant studies were included after evaluating their methodological quality, most of them clinical trials, providing direct evidence on the efficacy of various preventive strategies, greater control over variables, and reliability of results, and a rigorous design and control. Results: The reviewed studies offer varied evidence on the effectiveness of preventive measures for CIN. It was found that the use of antioxidants and urine alkalinization are not effective in preventing CIN in critically ill patients. However, standard hydration proved effective in certain patient groups, while modified hydration may be beneficial for high-risk patients. Additionally, high doses of vitamin E and inorganic nitrates may reduce the incidence and multiple risk factors associated with CIN were identified. Conclusions: Various prevention strategies and risk factors associated with CIN have been identified, suggesting that they should be individualized. Hydration with intravenous saline solution is essential to prevent its development, but additional research is needed to identify the most effective strategies.
Direction
Aguiar Fernández, Pablo (Tutorships)
Aguiar Fernández, Pablo (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
GANDOY CREGO, MANUEL (Chairman)
MARTINEZ VISPO, CARMELA (Secretary)
TAKKOUCHE SOUILAMAS, EL BAHI (Member)
The role and functions of nursing in adolescent smoking. Systematic review
Authorship
L.V.M.
Bachelor of Nursing (2ª ed) [S]
L.V.M.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Tobacco consumption is a public health problem particularly harmful to young people. In Galicia, the number of young smokers is concerning. The problem is exacerbated by the increasing popularity of electronic cigarettes and heated tobacco products, in addition to conventional cigarettes. Nursing plays a vital role in smoking prevention, especially in school and primary healthcare settings. Objective: The objective of this study is to identify the effectiveness of nursing interventions in the prevention of smoking among adolescents. Methods: A systematic literature review was conducted by performing a bibliographic search in PubMed, Cochrane, and Dialnet, selecting studies published between the year 2000 and 2024 in English and Spanish. Results: The results highlight that nursing interventions are effective in the prevention of smoking among adolescents, especially in school and primary care settings. Actions performed by school nurses, such as the use of cognitive-behavioral techniques, have been shown to be three times more effective than other strategies for smoking cessation. A decrease in smoking was also noted in both males and females. In the educational field, actions guided by teachers who have a close connection with students were more effective than those conducted by health specialists. However, there was a lack of attention to smoking in children aged 10 to 13, despite the average starting age being 10.5 years. Conclusion: The systematic review underscores the effectiveness of nursing interventions in school and primary care settings. It highlights the importance of easy accessibility, privacy, and the quality of the nurse-patient relationship. Programs led by school nurses show an effectiveness three times greater than other approaches.
Introduction: Tobacco consumption is a public health problem particularly harmful to young people. In Galicia, the number of young smokers is concerning. The problem is exacerbated by the increasing popularity of electronic cigarettes and heated tobacco products, in addition to conventional cigarettes. Nursing plays a vital role in smoking prevention, especially in school and primary healthcare settings. Objective: The objective of this study is to identify the effectiveness of nursing interventions in the prevention of smoking among adolescents. Methods: A systematic literature review was conducted by performing a bibliographic search in PubMed, Cochrane, and Dialnet, selecting studies published between the year 2000 and 2024 in English and Spanish. Results: The results highlight that nursing interventions are effective in the prevention of smoking among adolescents, especially in school and primary care settings. Actions performed by school nurses, such as the use of cognitive-behavioral techniques, have been shown to be three times more effective than other strategies for smoking cessation. A decrease in smoking was also noted in both males and females. In the educational field, actions guided by teachers who have a close connection with students were more effective than those conducted by health specialists. However, there was a lack of attention to smoking in children aged 10 to 13, despite the average starting age being 10.5 years. Conclusion: The systematic review underscores the effectiveness of nursing interventions in school and primary care settings. It highlights the importance of easy accessibility, privacy, and the quality of the nurse-patient relationship. Programs led by school nurses show an effectiveness three times greater than other approaches.
Direction
VARELA LEMA, MARIA LEONOR (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
Mouriño Castro, Nerea (Co-tutorships)
VARELA LEMA, MARIA LEONOR (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
Mouriño Castro, Nerea (Co-tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Relationship between sleep and mental health
Authorship
L.P.A.
Bachelor of Nursing (2ª ed) [S]
L.P.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2023 09:15
06.20.2023 09:15
Summary
INTRODUCTION: Sleep is a physiological state governed by circadian rhythms where consciousness reversibly decreases with reduced response to the environment. The main hormone that controls our biological clock is melatonin, whose function is based on falling asleep following a pattern of secretion with low doses during the day and higher doses at night. The importance of sleep is reflected in the state of health, and its alteration can cause multiple pathologies, including anxiety, with which it has a special pathophysiological connection. OBJECTIVES: Relationship Between Sleep and Anxiety Specific: 1) Know the health risks of performing shift work 2) Inform about non-pharmacological options to improve sleep quality METHODS: Systematic review of PRISMA databases: PubMed, Scielo, Dialnet, etc. Search range: Last 10 years RESULTS: A total of 1405 articles were found after applying criteria by years, subjects, type of document, etc., in order to narrow down the information based on responding to the objectives. CONCLUSIONS: It has been concluded that the relationship between anxiety and sleep is reciprocal, generating a high percentage of comorbidity between this disorder and some sleep disturbance. This is both an etiological and a cause-and-effect connection. Shifting involves a biological imbalance at the circadian level, leading to multiple negative health consequences. When talking about pathologies, it should be taken into account that the main objective to treat them is to start by preventing them and for that the best option is health education. In terms of sleep and anxiety, it has been shown that there are several effective non-pharmacological alternatives for both.
INTRODUCTION: Sleep is a physiological state governed by circadian rhythms where consciousness reversibly decreases with reduced response to the environment. The main hormone that controls our biological clock is melatonin, whose function is based on falling asleep following a pattern of secretion with low doses during the day and higher doses at night. The importance of sleep is reflected in the state of health, and its alteration can cause multiple pathologies, including anxiety, with which it has a special pathophysiological connection. OBJECTIVES: Relationship Between Sleep and Anxiety Specific: 1) Know the health risks of performing shift work 2) Inform about non-pharmacological options to improve sleep quality METHODS: Systematic review of PRISMA databases: PubMed, Scielo, Dialnet, etc. Search range: Last 10 years RESULTS: A total of 1405 articles were found after applying criteria by years, subjects, type of document, etc., in order to narrow down the information based on responding to the objectives. CONCLUSIONS: It has been concluded that the relationship between anxiety and sleep is reciprocal, generating a high percentage of comorbidity between this disorder and some sleep disturbance. This is both an etiological and a cause-and-effect connection. Shifting involves a biological imbalance at the circadian level, leading to multiple negative health consequences. When talking about pathologies, it should be taken into account that the main objective to treat them is to start by preventing them and for that the best option is health education. In terms of sleep and anxiety, it has been shown that there are several effective non-pharmacological alternatives for both.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
FARALDO ROCA, PEDRO (Chairman)
JORGE SOTO, CRISTINA (Secretary)
MUÑOZ PATIÑO, ANA MARIA (Member)
Levels of occupational stress and burnout among acute psychiatry nursing staff in the healthcare area of Santiago de Compostela/Barbanza
Authorship
J.A.R.C.
Bachelor of Nursing (2ª ed) [S]
J.A.R.C.
Bachelor of Nursing (2ª ed) [S]
Defense date
07.15.2024 10:00
07.15.2024 10:00
Summary
Introduction: Work-related stress and burnout are two highly prevalent processes in the healthcare sector. Work-related stress consists of the worker's maladaptation to the stimuli in the workplace. Burnout is a clinical syndrome that appears after prolonged exposure to high levels of stress. It is described through three dimensions: emotional exhaustion, depersonalization, and personal accomplishment. Justification: Given the high levels of work-related stress and burnout among nursing professionals and the impact they have on workers' health, it is essential to study these processes to improve the quality of life of professionals and, consequently, raise the quality of care. This is even more significant in acute psychiatry units, where there are few scientific studies on the subject. Objectives: The main objectives are to assess the levels of stress and burnout and to confirm the correlation between burnout and work-related stress. Methodology: A descriptive cross-sectional study was conducted. The target population was the nurses and nursing assistants of the acute psychiatry units of the Provincial Hospital of Conxo and the Xil Casares Hospital. A demographic survey and two questionnaires were administered: the Maslach Burnout Inventory Human Service Survey (MBI-HSS) and the Nursing Stress Scale (NSS). Results: According to the results of the MBI-HSS, 26.09% of respondents show high levels of emotional exhaustion; 21.74% high levels of depersonalization; and 34.78% have low levels of personal accomplishment. Regarding work-related stress, the average value of the population is 35.26 (IC95: 30,77-39,75). Conclusion: The frequency and impact of these processes on nursing staff necessitate their scientific study. The results of this research encourage further investigation into these processes in order to improve the quality of life of workers and the quality of care.
Introduction: Work-related stress and burnout are two highly prevalent processes in the healthcare sector. Work-related stress consists of the worker's maladaptation to the stimuli in the workplace. Burnout is a clinical syndrome that appears after prolonged exposure to high levels of stress. It is described through three dimensions: emotional exhaustion, depersonalization, and personal accomplishment. Justification: Given the high levels of work-related stress and burnout among nursing professionals and the impact they have on workers' health, it is essential to study these processes to improve the quality of life of professionals and, consequently, raise the quality of care. This is even more significant in acute psychiatry units, where there are few scientific studies on the subject. Objectives: The main objectives are to assess the levels of stress and burnout and to confirm the correlation between burnout and work-related stress. Methodology: A descriptive cross-sectional study was conducted. The target population was the nurses and nursing assistants of the acute psychiatry units of the Provincial Hospital of Conxo and the Xil Casares Hospital. A demographic survey and two questionnaires were administered: the Maslach Burnout Inventory Human Service Survey (MBI-HSS) and the Nursing Stress Scale (NSS). Results: According to the results of the MBI-HSS, 26.09% of respondents show high levels of emotional exhaustion; 21.74% high levels of depersonalization; and 34.78% have low levels of personal accomplishment. Regarding work-related stress, the average value of the population is 35.26 (IC95: 30,77-39,75). Conclusion: The frequency and impact of these processes on nursing staff necessitate their scientific study. The results of this research encourage further investigation into these processes in order to improve the quality of life of workers and the quality of care.
Direction
FARALDO ROCA, PEDRO (Tutorships)
AMEIJEIRAS ALONSO, JOSE (Co-tutorships)
FARALDO ROCA, PEDRO (Tutorships)
AMEIJEIRAS ALONSO, JOSE (Co-tutorships)
Court
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
TABERNERO DUQUE, MARIA JESÚS (Chairman)
SANCHEZ IGLESIAS, SOFIA (Secretary)
MARTINEZ ISASI, SANTIAGO (Member)
Ethical dilemmas of gene doping
Authorship
E.Q.G.
Bachelor of Nursing (2ª ed) [S]
E.Q.G.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: In ancient times, the use of natural remedies to improve physical abilities was a common practice. This has evolved until it reaches genetic doping, which stands out as the technique of the future in sport. This, added to the prohibition of its practice and the strict legislation of some countries on genetic research, generates great ethical dilemmas regarding its use. Main objectives: Identify the ethical dilemmas that genetic doping entails in sports competition, health and society. Methodology: Scientific databases and government associations and organizations were searched, using the PRISMA methodology. The documents obtained were screened according to their agreement with the objectives of the review. The Sackett Classification was applied to evaluate the level of evidence of the articles. Results: The results were divided into dilemmas in sports competition, health and society. The first point highlights the differences of opinion about the participation of genetically doped athletes alongside non-doped athletes, and how beneficial genetic doping could be for recovery from injuries. In terms of health, the lack of knowledge of the adverse effects of this practice stands out, and in relation to society, equal access to genetic improvements and the social division derived from it are of special importance. The dehumanization of genetically enhanced subjects and the profit motives of modification are other important aspects mentioned. Conclusion: Genetic doping is a practice of dubious ethics due to issues such as equity between athletes in competitions, health risks, and social stance regarding modified individuals.
Introduction: In ancient times, the use of natural remedies to improve physical abilities was a common practice. This has evolved until it reaches genetic doping, which stands out as the technique of the future in sport. This, added to the prohibition of its practice and the strict legislation of some countries on genetic research, generates great ethical dilemmas regarding its use. Main objectives: Identify the ethical dilemmas that genetic doping entails in sports competition, health and society. Methodology: Scientific databases and government associations and organizations were searched, using the PRISMA methodology. The documents obtained were screened according to their agreement with the objectives of the review. The Sackett Classification was applied to evaluate the level of evidence of the articles. Results: The results were divided into dilemmas in sports competition, health and society. The first point highlights the differences of opinion about the participation of genetically doped athletes alongside non-doped athletes, and how beneficial genetic doping could be for recovery from injuries. In terms of health, the lack of knowledge of the adverse effects of this practice stands out, and in relation to society, equal access to genetic improvements and the social division derived from it are of special importance. The dehumanization of genetically enhanced subjects and the profit motives of modification are other important aspects mentioned. Conclusion: Genetic doping is a practice of dubious ethics due to issues such as equity between athletes in competitions, health risks, and social stance regarding modified individuals.
Direction
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
MASIDE RODRIGUEZ, JULIO MANUEL (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
NIETO FONTARIGO, JUAN JOSE (Secretary)
QUINTANS RODRIGUEZ, MAXIMINO (Member)
Use of Negative Pressure Therapy in infected wounds after surgery. A systematic review
Authorship
L.C.B.
Bachelor of Nursing (2ª ed) [S]
L.C.B.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: The Negative Pressure Therapy, as its name suggests, is a system that applies negative pressure to promote wound healing. It can be used on different types of wounds, such as pressure ulcers, traumatic wounds or infected wounds. This therapy works by using a pump that creates a vacuum in the wound, allowing for the removal of excess fluid and promoting healing. The use of the therapy has increased and is being widely used in several countries to treat wounds that are difficult to heal. Objectives: The main objective is to evaluate the effectiveness of Negative Pressure Therapy in the treatment of postoperative infected wounds. In addition, as secondary objectives, it has been proposed to analyze the time required for complete closure of the wound and to identify the effects of negative pressure therapy on the wound. Methodology: For the completion of this systematic review, different databases have been used, finally selecting 13 articles that met all the requirements. Results: Negative Pressure Therapy has been shown to be beneficial in the treatment of infected wounds, achieving complete closure in any surgically intervened anatomical area. Based on the findings, it has been observed that this therapy reduces healing times and also hospital stays. It also has a positive influence on the wound and the patient's quality of life. Conclusions: Negative Pressure Therapy shows significant benefits over conventional treatments for infections in the surgical area, contributing to a faster recovery. Therefore, its implementation represents a significant advance in post-surgery care and in clinical nursing practice, being a constantly evolving field that requires continuous research to continue advancing.
Introduction: The Negative Pressure Therapy, as its name suggests, is a system that applies negative pressure to promote wound healing. It can be used on different types of wounds, such as pressure ulcers, traumatic wounds or infected wounds. This therapy works by using a pump that creates a vacuum in the wound, allowing for the removal of excess fluid and promoting healing. The use of the therapy has increased and is being widely used in several countries to treat wounds that are difficult to heal. Objectives: The main objective is to evaluate the effectiveness of Negative Pressure Therapy in the treatment of postoperative infected wounds. In addition, as secondary objectives, it has been proposed to analyze the time required for complete closure of the wound and to identify the effects of negative pressure therapy on the wound. Methodology: For the completion of this systematic review, different databases have been used, finally selecting 13 articles that met all the requirements. Results: Negative Pressure Therapy has been shown to be beneficial in the treatment of infected wounds, achieving complete closure in any surgically intervened anatomical area. Based on the findings, it has been observed that this therapy reduces healing times and also hospital stays. It also has a positive influence on the wound and the patient's quality of life. Conclusions: Negative Pressure Therapy shows significant benefits over conventional treatments for infections in the surgical area, contributing to a faster recovery. Therefore, its implementation represents a significant advance in post-surgery care and in clinical nursing practice, being a constantly evolving field that requires continuous research to continue advancing.
Direction
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
FERNANDEZ VARELA, JUAN MANUEL (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
The role of nurses in the implementation of the Lecanemab treatment in Alzheimer's patients: a systematic review.
Authorship
A.V.P.
Bachelor of Nursing (2ª ed) [S]
A.V.P.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.20.2024 09:15
06.20.2024 09:15
Summary
Introduction: Alzheimer’s is the moost common type of dementia and it is caused by the accumulation of the amyloid-beta protein in the brain. A drug approved in 2023 by the FDA, Lecanemab, has proved to be effective in reducing the said protein and slowing down the advance of the diseases. From that moment on, its efficacy and the side effects associated with it have been studied. Aims: The main goal of this dissertation is to provide information to the nursing personnel and the rest of the sanitary professionals about the new therapy with Lecanemab, in order to facilitate its installation in the Spanish Health System. Methods: It has been made a systematic revision following PRISMA-ScR protocol. In terms of the databases for the research, the ones used were Web of Science, Cochrane, Pubmed (Medline), and Dialnet. There have been applied inclusion/exclusion methods and keywords such as: “Lecanemab”, “Nurse”, “Side effects”, “Protocols”, and “FDA”, among others. Results: The use of Lecanemab in the early stages of Alzheimer’s has been proven to reduce cerebral amyloid beta and a cognitive impairment deceleration. The dose established as effective is 10 mg/kg biweekly, using an IV infusion, and it will last close to an hour, wich will be followed by monitoring periods after each administration. Side effects may appear during the treatment like hemorraghes and cerebral edema, especially in carriers of APOE4. Conclusions: The effectiveness of Lecanemab is associated with its use in the early stages of the development of the disease. The proper management of the dose and the side effects are fundamental, therefore clear protocols and formation for the sanitary personnel are key for its implementation.
Introduction: Alzheimer’s is the moost common type of dementia and it is caused by the accumulation of the amyloid-beta protein in the brain. A drug approved in 2023 by the FDA, Lecanemab, has proved to be effective in reducing the said protein and slowing down the advance of the diseases. From that moment on, its efficacy and the side effects associated with it have been studied. Aims: The main goal of this dissertation is to provide information to the nursing personnel and the rest of the sanitary professionals about the new therapy with Lecanemab, in order to facilitate its installation in the Spanish Health System. Methods: It has been made a systematic revision following PRISMA-ScR protocol. In terms of the databases for the research, the ones used were Web of Science, Cochrane, Pubmed (Medline), and Dialnet. There have been applied inclusion/exclusion methods and keywords such as: “Lecanemab”, “Nurse”, “Side effects”, “Protocols”, and “FDA”, among others. Results: The use of Lecanemab in the early stages of Alzheimer’s has been proven to reduce cerebral amyloid beta and a cognitive impairment deceleration. The dose established as effective is 10 mg/kg biweekly, using an IV infusion, and it will last close to an hour, wich will be followed by monitoring periods after each administration. Side effects may appear during the treatment like hemorraghes and cerebral edema, especially in carriers of APOE4. Conclusions: The effectiveness of Lecanemab is associated with its use in the early stages of the development of the disease. The proper management of the dose and the side effects are fundamental, therefore clear protocols and formation for the sanitary personnel are key for its implementation.
Direction
RUIZ RIQUELME, ALEJANDRO IVAN (Tutorships)
RUIZ RIQUELME, ALEJANDRO IVAN (Tutorships)
Court
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
CAAMAÑO ISORNA, FRANCISCO (Chairman)
Aguiar Fernández, Pablo (Secretary)
PAZOS COUSELO, MARCOS (Member)
Initial management of adult patients with initial management of adult polytrauma patients in the emergency emergency department: an approach from a nursing nursing perspective
Authorship
U.C.A.
Bachelor of Nursing (2ª ed) [S]
U.C.A.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
INTRODUCTION Polytrauma, characterized by multiple or potentially fatal injuries, is a medical emergency that accounts for over 50% of global deaths, especially in young patients. Treatment requires a rapid and multidisciplinary approach, where nursing plays a key role in triage, initial and secondary evaluation, and pain management. Prioritization lies in stabilizing the airway, breathing, and circulation, along with neurological assessment. Management of traumatic brain injuries focuses on preventing complications such as intracranial pressure elevation. A care plan centered on common nursing diagnoses, such as acute pain and infection risk, is established with specific interventions to improve patient prognosis. AIMS To acquire knowledge regarding the assessment and initial management by Nursing staff of an adult patient affected by polytrauma admitted to a hospital emergency department. METHOD Systematic literature review RESULTS The most commonly used method for assessing polytraumatized patients is the ABCDE approach, which evaluates vital needs within minutes. This protocol checks airway patency and cervical stability, respiratory effectiveness, circulation integrity, the impact of trauma on the nervous system, and searches for abrasions or wounds on the body, preventing heat loss. The head is the most affected part of the body, necessitating the use of scales to ensure an optimal level of consciousness and measuring intracranial pressure (ICP) as a fundamental cerebral value. Nursing care plans standardize this entire protocol, allowing it to be executed more quickly and efficiently. CONCLUSIONS Rapid and systematic evaluation (ABCDE) during the Golden Hour according to the ATLS protocol, is essential. Multidisciplinary coordination is required to minimize the damage from the accident. For this, in the case of TBI, monitoring vital signs, controlling intracranial pressure, and preventing complications are crucial. These actions significantly improve the patient's prognosis. Protocolizing care ensures adequate attention and alleviates present diagnoses.
INTRODUCTION Polytrauma, characterized by multiple or potentially fatal injuries, is a medical emergency that accounts for over 50% of global deaths, especially in young patients. Treatment requires a rapid and multidisciplinary approach, where nursing plays a key role in triage, initial and secondary evaluation, and pain management. Prioritization lies in stabilizing the airway, breathing, and circulation, along with neurological assessment. Management of traumatic brain injuries focuses on preventing complications such as intracranial pressure elevation. A care plan centered on common nursing diagnoses, such as acute pain and infection risk, is established with specific interventions to improve patient prognosis. AIMS To acquire knowledge regarding the assessment and initial management by Nursing staff of an adult patient affected by polytrauma admitted to a hospital emergency department. METHOD Systematic literature review RESULTS The most commonly used method for assessing polytraumatized patients is the ABCDE approach, which evaluates vital needs within minutes. This protocol checks airway patency and cervical stability, respiratory effectiveness, circulation integrity, the impact of trauma on the nervous system, and searches for abrasions or wounds on the body, preventing heat loss. The head is the most affected part of the body, necessitating the use of scales to ensure an optimal level of consciousness and measuring intracranial pressure (ICP) as a fundamental cerebral value. Nursing care plans standardize this entire protocol, allowing it to be executed more quickly and efficiently. CONCLUSIONS Rapid and systematic evaluation (ABCDE) during the Golden Hour according to the ATLS protocol, is essential. Multidisciplinary coordination is required to minimize the damage from the accident. For this, in the case of TBI, monitoring vital signs, controlling intracranial pressure, and preventing complications are crucial. These actions significantly improve the patient's prognosis. Protocolizing care ensures adequate attention and alleviates present diagnoses.
Direction
Rodríguez Abad, Carlos (Tutorships)
Rodríguez Abad, Carlos (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Systematic review on the knowledge, attitudes, and practices of pregnant women towards the flu vaccine during pregnancy
Authorship
P.C.V.
Bachelor of Nursing (2ª ed) [S]
P.C.V.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: influenza is one of the greatest threats to public health and nearly 1 billion cases are recorded in the world each year. Pregnant women represent a risk group as they can suffer serious complications if they contract the flu virus. Accordingly, vaccination is a crucial preventive measure to protect the mother, the fetus and the newborn. Objectives: to evaluate the knowledge, attitudes, and beliefs of pregnant women towards the influenza vaccine. Materials and methods: a systematic review was carried out by a search in the MEDLINE database from 2013 to 2023. PRISMA guideline was followed to select eligible studies. Data were extracted using a form designed for this study. Results: out of 477 articles screened using a set of inclusion and exclusion criteria, 15 articles from 7 countries were included. Pregnant women had low vaccination coverage, in addition to limited knowledge about the influenza vaccine and the severity of contracting the disease during pregnancy, which affected their decision to get vaccinated. Most of them had not received information or recommendations about the vaccine from a health professional, so they considered it unnecessary and ineffective. Conclusion: to achieve higher vaccination rates, healthcare professionals need to address the lack of knowledge and misperceptions about vaccination among pregnant women by improving the promotion and acceptance of the flu vaccine as a major measure prevention.
Introduction: influenza is one of the greatest threats to public health and nearly 1 billion cases are recorded in the world each year. Pregnant women represent a risk group as they can suffer serious complications if they contract the flu virus. Accordingly, vaccination is a crucial preventive measure to protect the mother, the fetus and the newborn. Objectives: to evaluate the knowledge, attitudes, and beliefs of pregnant women towards the influenza vaccine. Materials and methods: a systematic review was carried out by a search in the MEDLINE database from 2013 to 2023. PRISMA guideline was followed to select eligible studies. Data were extracted using a form designed for this study. Results: out of 477 articles screened using a set of inclusion and exclusion criteria, 15 articles from 7 countries were included. Pregnant women had low vaccination coverage, in addition to limited knowledge about the influenza vaccine and the severity of contracting the disease during pregnancy, which affected their decision to get vaccinated. Most of them had not received information or recommendations about the vaccine from a health professional, so they considered it unnecessary and ineffective. Conclusion: to achieve higher vaccination rates, healthcare professionals need to address the lack of knowledge and misperceptions about vaccination among pregnant women by improving the promotion and acceptance of the flu vaccine as a major measure prevention.
Direction
MALLAH NASRALLAH, NARMEEN (Tutorships)
MALLAH NASRALLAH, NARMEEN (Tutorships)
Court
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
GARCIA ALONSO, ANGEL (Chairman)
GARCIA COUCEIRO, NURIA (Secretary)
RODRÍGUEZ FERNÁNDEZ, Mª DE LA ALMUDENA (Member)
Do pediatric residents know how to use anti-choking devices in the event of a foreign body airway obstruction?
Authorship
M.F.E.
Bachelor of Nursing (2ª ed) [S]
M.F.E.
Bachelor of Nursing (2ª ed) [S]
Defense date
06.19.2023 09:15
06.19.2023 09:15
Summary
Introduction: Total or partial Foreign Body Airway Obstruction (FBAO) is a critical situation that can lead to death or hypoxic sequelae if not resolved early. The recommended protocol consists of a combination of encouraging coughing (partial obstruction) or patting on the back and chest and abdominal compressions (depending on age, in the event of total obstruction). Recently, two anti-choking devices have emerged as an alternative to resolve a FBAO situation, in case of failure of the recommended protocol, whose scientific evidence in terms of safety and efficacy is very limited. Such devices are little known, even by healthcare professionals. Objective: To evaluate the ability of paediatric residents to carry out the protocol recommended by the European Resuscitation Councial in a simulated choking situation by comparing it with the management of anti-choking devices. Methodology: Multicenter, cross-sectional quasi-experimental study of 3 simulated scenarios of an FBAO to be solved by: 1) application of the currently recommended protocol; 2) using LifeVac device; 3) using DeCHOKER device. The participants who were 60 pediatric residents belonging to 3 hospitals in Spain located in Santiago de Compostela, Madrid and Oviedo, did not receive previous training. Results: Just 1 participant knew anti-choking devices. Only 21,7% of the participants correctly executed the steps of the recommended protocol, while more than 70% of the participants correctly handled both devices, finding a difference in the shortest time needed when using LifeVac. Conclusions: Paediatric residents have difficulties when it comes to applying the recommended protocol, but they are able to correctly handle anti-choking devices.
Introduction: Total or partial Foreign Body Airway Obstruction (FBAO) is a critical situation that can lead to death or hypoxic sequelae if not resolved early. The recommended protocol consists of a combination of encouraging coughing (partial obstruction) or patting on the back and chest and abdominal compressions (depending on age, in the event of total obstruction). Recently, two anti-choking devices have emerged as an alternative to resolve a FBAO situation, in case of failure of the recommended protocol, whose scientific evidence in terms of safety and efficacy is very limited. Such devices are little known, even by healthcare professionals. Objective: To evaluate the ability of paediatric residents to carry out the protocol recommended by the European Resuscitation Councial in a simulated choking situation by comparing it with the management of anti-choking devices. Methodology: Multicenter, cross-sectional quasi-experimental study of 3 simulated scenarios of an FBAO to be solved by: 1) application of the currently recommended protocol; 2) using LifeVac device; 3) using DeCHOKER device. The participants who were 60 pediatric residents belonging to 3 hospitals in Spain located in Santiago de Compostela, Madrid and Oviedo, did not receive previous training. Results: Just 1 participant knew anti-choking devices. Only 21,7% of the participants correctly executed the steps of the recommended protocol, while more than 70% of the participants correctly handled both devices, finding a difference in the shortest time needed when using LifeVac. Conclusions: Paediatric residents have difficulties when it comes to applying the recommended protocol, but they are able to correctly handle anti-choking devices.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
Court
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)
FERNANDEZ VARELA, JUAN MANUEL (Chairman)
González Jartín, Jesús María (Secretary)
ZAPATA CACHAFEIRO, MARUXA (Member)