Caring for the Caregiver: Psychological Interventions to Reduce Depression in Informal Caregivers. A Literature Review
Authorship
D.T.M.
Master in Medical Assistance, Management and Care (Specialty in Management)
D.T.M.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
With the increase in life expectancy and the consequent aging of the population, we live in an increasingly elderly society, with a greater number of chronic patients and dependent individuals who require more care for longer periods. These care tasks are predominantly carried out by non-professional caregivers. While physical problems are common among caregivers, emotional issues and psychopathological disorders are also prevalent. The burden of prolonged caregiving affects the mental and emotional health of caregivers, with high rates of depression being among the negative consequences. This review examined psychotherapeutic or psychoeducational interventions aimed at reducing depressive symptoms in caregivers. Various interventions focused on increasing family/social support, learning skills, enhancing knowledge about the care recipient's illness, cognitive-behavioral therapy, problem-solving therapy, and the support of these interventions through online resources or telephone support have demonstrated their effectiveness in reducing depressive symptoms.
With the increase in life expectancy and the consequent aging of the population, we live in an increasingly elderly society, with a greater number of chronic patients and dependent individuals who require more care for longer periods. These care tasks are predominantly carried out by non-professional caregivers. While physical problems are common among caregivers, emotional issues and psychopathological disorders are also prevalent. The burden of prolonged caregiving affects the mental and emotional health of caregivers, with high rates of depression being among the negative consequences. This review examined psychotherapeutic or psychoeducational interventions aimed at reducing depressive symptoms in caregivers. Various interventions focused on increasing family/social support, learning skills, enhancing knowledge about the care recipient's illness, cognitive-behavioral therapy, problem-solving therapy, and the support of these interventions through online resources or telephone support have demonstrated their effectiveness in reducing depressive symptoms.
Direction
VAZQUEZ GONZALEZ, FERNANDO LINO (Tutorships)
VAZQUEZ GONZALEZ, FERNANDO LINO (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Prevalence of respiratory symptoms in young adults who use electronic cigarettes: a systematic review.
Authorship
C.M.S.F.
Master in Medical Assistance, Management and Care (Specialty in Management)
C.M.S.F.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
07.16.2024 09:30
07.16.2024 09:30
Summary
Introduction: E-cigarettes were introduced in the European and US market in 2006 as a smoking cessation option. However, their use has increased in recent years, especially in the young and adolescent population. E-cigarettes are devices that produce inhalable aerosols containing toxic substances such as formaldehyde, glycerin and nicotine. These substances can produce respiratory health effects. Previous studies suggest that the use of electronic cigarettes is associated with the occurrence of respiratory symptomatology. Objective: The objective of this study was to identify and describe studies estimating prevalences of respiratory symptoms in e-cigarette users under 25 years of age. Methods: A systematic review of the literature was performed. A literature search was conducted in PubMed until January 2024. Cross-sectional studies including e-cigarette users younger than 25 years and prevalences of respiratory symptoms were selected. The modified NewCastle-Ottawa scale was used to assess study quality. Results: Sixteen studies conducted in children under 25 years of age were included. Four studies were conducted in exclusive users of electronic cigarettes. The most rated symptoms were cough (n=10 studies), shortness of breath (n=8) and wheezing (n=7). The prevalences of respiratory symptoms were higher in the group of users who do not specify their exclusivity in consumption, except for the symptom of wheezing which was higher in the group of exclusive users. Conclusion: E-cigarette users under 25 years of age present respiratory symptoms, although coughing, shortness of breath and wheezing are the most common. Most studies do not specify whether their participants are exclusive users of electronic cigarettes, which may influence the results observed.
Introduction: E-cigarettes were introduced in the European and US market in 2006 as a smoking cessation option. However, their use has increased in recent years, especially in the young and adolescent population. E-cigarettes are devices that produce inhalable aerosols containing toxic substances such as formaldehyde, glycerin and nicotine. These substances can produce respiratory health effects. Previous studies suggest that the use of electronic cigarettes is associated with the occurrence of respiratory symptomatology. Objective: The objective of this study was to identify and describe studies estimating prevalences of respiratory symptoms in e-cigarette users under 25 years of age. Methods: A systematic review of the literature was performed. A literature search was conducted in PubMed until January 2024. Cross-sectional studies including e-cigarette users younger than 25 years and prevalences of respiratory symptoms were selected. The modified NewCastle-Ottawa scale was used to assess study quality. Results: Sixteen studies conducted in children under 25 years of age were included. Four studies were conducted in exclusive users of electronic cigarettes. The most rated symptoms were cough (n=10 studies), shortness of breath (n=8) and wheezing (n=7). The prevalences of respiratory symptoms were higher in the group of users who do not specify their exclusivity in consumption, except for the symptom of wheezing which was higher in the group of exclusive users. Conclusion: E-cigarette users under 25 years of age present respiratory symptoms, although coughing, shortness of breath and wheezing are the most common. Most studies do not specify whether their participants are exclusive users of electronic cigarettes, which may influence the results observed.
Direction
REY BRANDARIZ, JULIA (Tutorships)
REY BRANDARIZ, JULIA (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
The ethical climate in the cardiology service of the University Clinical Hospital of Santiago de Compostela.
Authorship
P.M.P.
Master in Medical Assistance, Management and Care (Specialty in Management)
P.M.P.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Introduction: The ethical climate of a hospital is defined as the perception of the work environ-ment by professionals and how it can influence their attitudes, behaviors, and decision-making re-garding ethical issues. Objectives: To evaluate the ethical climate in the cardiology unit of the Clin-ical University Hospital of Santiago de Compostela, compare the perceptions of nursing and medi-cal professionals, identify deficient areas, and propose a plan to improve it. Methodology: An ob-servational and descriptive cross-sectional study was conducted using a validated questionnaire, the Hospital Ethical Climate Survey-Short Version (HECS) in its Spanish version. Results: A total of 86 professionals (81% of the total) responded to the questionnaire, including 32 medical profes-sionals and 54 nursing professionals. The total score of the questionnaire reached a mean (standard deviation) of 3.46 (0.89). No statistically significant differences were found in the perception of the ethical climate between the different professionals. Deficits were perceived in identifying the hospi-tal's mission, handling conflicts, respecting professionals' opinions, and fostering a conducive learning environment. Conclusions: Specific interventions in the identified areas could significant-ly improve the ethical climate in the cardiology unit of the CHUS. A robust ethical climate is essen-tial for professional satisfaction and performance in hospital settings.
Introduction: The ethical climate of a hospital is defined as the perception of the work environ-ment by professionals and how it can influence their attitudes, behaviors, and decision-making re-garding ethical issues. Objectives: To evaluate the ethical climate in the cardiology unit of the Clin-ical University Hospital of Santiago de Compostela, compare the perceptions of nursing and medi-cal professionals, identify deficient areas, and propose a plan to improve it. Methodology: An ob-servational and descriptive cross-sectional study was conducted using a validated questionnaire, the Hospital Ethical Climate Survey-Short Version (HECS) in its Spanish version. Results: A total of 86 professionals (81% of the total) responded to the questionnaire, including 32 medical profes-sionals and 54 nursing professionals. The total score of the questionnaire reached a mean (standard deviation) of 3.46 (0.89). No statistically significant differences were found in the perception of the ethical climate between the different professionals. Deficits were perceived in identifying the hospi-tal's mission, handling conflicts, respecting professionals' opinions, and fostering a conducive learning environment. Conclusions: Specific interventions in the identified areas could significant-ly improve the ethical climate in the cardiology unit of the CHUS. A robust ethical climate is essen-tial for professional satisfaction and performance in hospital settings.
Direction
Agra Tuñas, María del Carmen (Tutorships)
Rodríguez Ruíz, Emilio (Co-tutorships)
Agra Tuñas, María del Carmen (Tutorships)
Rodríguez Ruíz, Emilio (Co-tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Indicators of the quality of health care in prisons
Authorship
M.L.C.V.
Master in Medical Assistance, Management and Care (Specialty in Management)
M.L.C.V.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
INTRODUCTION: Prison health is governed by a legal framework that establishes standards for health care in prisons within a principle of equity to a large population that can be decisive in the public health of a community, and an opportunity to control infectious diseases and promote health and disease prevention. OBJECTIVES: To know the quality of health care provided in the prison environment. METHODS: PRISMA-type systematic review in PUBMED,SCIELO,CINAHL,NICE, a manual search to complement searches in the database and other digital resources (Google scholarly). We will include reports from any prison system that allow us to know the quality and describe indicators that facilitate the monitoring of health care in prisons. Reports focused on an exclusive pathology, with a protocol created for this purpose, or the data on which the document works prior to the CAPRI report in 2003 will be excluded. RESULTS: The documents analyzed suggest a lack of equity in the quality of health care and the absence of common indicators in prisons, with marked differences depending on management policies, the geographical area where they are located, and the involvement of government agencies. The largest deficits are related to structural indicators (economic resources, professionals, infrastructure)which conditions the indicators of processes and results. CONCLUSIONS: 1) In Spain, there are few studies and they are prior to 2020, which makes it difficult to establish standard criteria that allow us to measure the quality of care in Spanish prison health in an objective and homogeneous way. 2) Only American and Anglo-Saxon studies offer the current situation of the prison environment.3) In Anglo-Saxon countries, in general, health care is more deficient inside prisons.4) There are no uniform criteria or indicators that allow us to compare prison health in the different regions or with the health of the community where these prisons are located.
INTRODUCTION: Prison health is governed by a legal framework that establishes standards for health care in prisons within a principle of equity to a large population that can be decisive in the public health of a community, and an opportunity to control infectious diseases and promote health and disease prevention. OBJECTIVES: To know the quality of health care provided in the prison environment. METHODS: PRISMA-type systematic review in PUBMED,SCIELO,CINAHL,NICE, a manual search to complement searches in the database and other digital resources (Google scholarly). We will include reports from any prison system that allow us to know the quality and describe indicators that facilitate the monitoring of health care in prisons. Reports focused on an exclusive pathology, with a protocol created for this purpose, or the data on which the document works prior to the CAPRI report in 2003 will be excluded. RESULTS: The documents analyzed suggest a lack of equity in the quality of health care and the absence of common indicators in prisons, with marked differences depending on management policies, the geographical area where they are located, and the involvement of government agencies. The largest deficits are related to structural indicators (economic resources, professionals, infrastructure)which conditions the indicators of processes and results. CONCLUSIONS: 1) In Spain, there are few studies and they are prior to 2020, which makes it difficult to establish standard criteria that allow us to measure the quality of care in Spanish prison health in an objective and homogeneous way. 2) Only American and Anglo-Saxon studies offer the current situation of the prison environment.3) In Anglo-Saxon countries, in general, health care is more deficient inside prisons.4) There are no uniform criteria or indicators that allow us to compare prison health in the different regions or with the health of the community where these prisons are located.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
Study of burnout prevalence in Galician NHS nursing professionals.
Authorship
S.F.L.
Master in Medical Assistance, Management and Care (Specialty in Management)
S.F.L.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
02.07.2024 11:30
02.07.2024 11:30
Summary
Introduction: Burnout is a phenomenon related to chronic stress in the workplace. It is characterized by feelings of lack of energy or fatigue, increased mental distance from work, and a sense of ineffectiveness and lack of accomplishment. It has negative consequences on nursing professionals (at a psychosomatic, behavioural, emotional, attitudinal and social level or interpersonal relationships); for the organizations in which they work (low job performance, increased absenteeism, leaving the organization, job dissatisfaction); and for patients (reduced patient safety and even adverse events). Objectives: The main objective is to know the prevalence of Burnout in nursing staff in all Galician NHS health areas and by age groups. The secondary objectives are to analyse the relationship between Burnout and the socio-demographic, work or academic variables included in the study; and identify possible causes. Methods: a cross-sectional descriptive study is proposed, carried out through an ad hoc designed survey consisting of 34 questions. A significant sample of nursing staff is selected from all health areas and health centres of the Galician NHS. There is a possible selection bias, as the Galician NHS does not have a real and updated census of the nursing staff who work in the organization.
Introduction: Burnout is a phenomenon related to chronic stress in the workplace. It is characterized by feelings of lack of energy or fatigue, increased mental distance from work, and a sense of ineffectiveness and lack of accomplishment. It has negative consequences on nursing professionals (at a psychosomatic, behavioural, emotional, attitudinal and social level or interpersonal relationships); for the organizations in which they work (low job performance, increased absenteeism, leaving the organization, job dissatisfaction); and for patients (reduced patient safety and even adverse events). Objectives: The main objective is to know the prevalence of Burnout in nursing staff in all Galician NHS health areas and by age groups. The secondary objectives are to analyse the relationship between Burnout and the socio-demographic, work or academic variables included in the study; and identify possible causes. Methods: a cross-sectional descriptive study is proposed, carried out through an ad hoc designed survey consisting of 34 questions. A significant sample of nursing staff is selected from all health areas and health centres of the Galician NHS. There is a possible selection bias, as the Galician NHS does not have a real and updated census of the nursing staff who work in the organization.
Direction
FARALDO ROCA, PEDRO (Tutorships)
FARALDO ROCA, PEDRO (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Comparative Analysis of Humanisation Strategies in Patient Care in Intensive Care Units, for Families and Healthcare Professionals between Spain and the United Kingdom. Systematic Review.
Authorship
P.D.R.G.
Master in Medical Assistance, Management and Care (Specialty in Management)
P.D.R.G.
Master in Medical Assistance, Management and Care (Specialty in Management)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
Introduction: Humanising care in intensive care units is crucial for improving the patient and family experience during the admission period. However, there are significant differences in how these practices are implemented across different countries. Objective: To define the concept of humanisation of care in the intensive care unit. To compare humanization practices in ICUs between the United Kingdom and Spain to identify differences and areas for improvement. Method: A systematic literature review following PRISMA guidelines will be conducted using databases such as Pubmed, Scopus, Web of Science, Dialnet, and Google Scholar. Studies from 2016 to 2024, including review articles and qualitative studies describing humanization practices focused on patients, families, and professionals, will be included. Additionally, a comparative analysis of similarities and differences in humanised care between the United Kingdom and Spain will be performed. Studies focusing on pediatric intensive care will be excluded. Results: The analyzed results showed that, although both countries have advanced in humanizing care, there are differences. In the United Kingdom, technology and disciplinary teams play an important role, whereas in Spain, emphasis is placed on family participation and the creation of welcoming environments. These differences reflect the cultural and structural differences in the implementation of humanized care. Conclusions: 1)Humanising care in the ICU is a shared goal between the United Kingdom and Spain. Both countries have ongoing programs and models to continue and strengthen humanized care in ICUs. 2) Both countries can benefit from mutual learning and collaboration. 3) Staff training, family involvement, and the use of technologies will remain essential components.
Introduction: Humanising care in intensive care units is crucial for improving the patient and family experience during the admission period. However, there are significant differences in how these practices are implemented across different countries. Objective: To define the concept of humanisation of care in the intensive care unit. To compare humanization practices in ICUs between the United Kingdom and Spain to identify differences and areas for improvement. Method: A systematic literature review following PRISMA guidelines will be conducted using databases such as Pubmed, Scopus, Web of Science, Dialnet, and Google Scholar. Studies from 2016 to 2024, including review articles and qualitative studies describing humanization practices focused on patients, families, and professionals, will be included. Additionally, a comparative analysis of similarities and differences in humanised care between the United Kingdom and Spain will be performed. Studies focusing on pediatric intensive care will be excluded. Results: The analyzed results showed that, although both countries have advanced in humanizing care, there are differences. In the United Kingdom, technology and disciplinary teams play an important role, whereas in Spain, emphasis is placed on family participation and the creation of welcoming environments. These differences reflect the cultural and structural differences in the implementation of humanized care. Conclusions: 1)Humanising care in the ICU is a shared goal between the United Kingdom and Spain. Both countries have ongoing programs and models to continue and strengthen humanized care in ICUs. 2) Both countries can benefit from mutual learning and collaboration. 3) Staff training, family involvement, and the use of technologies will remain essential components.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
Knowledge and attitudes about donated breast milk banks: a systematic review.
Authorship
A.F.M.
Master in Medical Assistance, Management and Care (Clinical Specialty)
A.F.M.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 09:30
07.16.2024 09:30
Summary
*INTRODUCTION: breastfeeding is the most complete food that we can provide to the newborn during the first months of life. The WHO recommends exclusive breastfeeding from the first hour of life to 6 months of age. Breastfeeding is related to a decreased risk of infections in childhood (asthma, dermatitis, obesity or diabetes) and increases IQ scores. At the time when the baby cannot be provided with breast milk from the mother, the WHO together with UNICEF and the American Academy of Pediatrics (AAP) recommend feeding with donated breast milk. According to data from the European Association of Milk Banks, there are 282 active breast milk banks worldwide and 2 in the planning process. *OBJECTIVES: analyze the knowledge and attitudes of the population about breast milk banks. *METHODOLOGY: a systematic review has been carried out on the population's knowledge and attitudes about breast milk banks using the PUBMED database to find articles published between January 2014 and March 2024. *RESULTS: 226 publications were identified. After eliminating duplicates and following the inclusion/exclusion criteria set forth, 28 documents were included for the analysis of knowledge and attitudes about donated breast milk banks. Analyzing studies carried out on different continents, we can affirm that there is little knowledge about milk banks and even about breastfeeding. *CONCLUSIONS: it is necessary to promote and disseminate the operation of breast milk banks and their purpose as well as promote the importance of their use and encourage women to donate since according to the studies reviewed a high number of women do not have information about milk banks. Donated breast milk provides a great benefit to its recipients. There are no studies carried out in Spain about knowledge of donated milk banks.
*INTRODUCTION: breastfeeding is the most complete food that we can provide to the newborn during the first months of life. The WHO recommends exclusive breastfeeding from the first hour of life to 6 months of age. Breastfeeding is related to a decreased risk of infections in childhood (asthma, dermatitis, obesity or diabetes) and increases IQ scores. At the time when the baby cannot be provided with breast milk from the mother, the WHO together with UNICEF and the American Academy of Pediatrics (AAP) recommend feeding with donated breast milk. According to data from the European Association of Milk Banks, there are 282 active breast milk banks worldwide and 2 in the planning process. *OBJECTIVES: analyze the knowledge and attitudes of the population about breast milk banks. *METHODOLOGY: a systematic review has been carried out on the population's knowledge and attitudes about breast milk banks using the PUBMED database to find articles published between January 2014 and March 2024. *RESULTS: 226 publications were identified. After eliminating duplicates and following the inclusion/exclusion criteria set forth, 28 documents were included for the analysis of knowledge and attitudes about donated breast milk banks. Analyzing studies carried out on different continents, we can affirm that there is little knowledge about milk banks and even about breastfeeding. *CONCLUSIONS: it is necessary to promote and disseminate the operation of breast milk banks and their purpose as well as promote the importance of their use and encourage women to donate since according to the studies reviewed a high number of women do not have information about milk banks. Donated breast milk provides a great benefit to its recipients. There are no studies carried out in Spain about knowledge of donated milk banks.
Direction
MARTINON TORRES, FEDERICO (Tutorships)
MARTINON TORRES, FEDERICO (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
Economic review of the costs of cardiorespiratory arrest.
Authorship
A.T.O.
Master in Medical Assistance, Management and Care (Clinical Specialty)
A.T.O.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
Introduction: The cardiorespiratory arrest (CA) is the third cause of highest mortality in Europe. The last study carried out in Spain reported a total of 6,951 cases, in a single year, only at the out-of-hospital level. This generates a high economic cost in both direct expenses (related to hospital costs) and indirect expenses (which include productivity losses). Material and methods: A review has been chosen through the regulations Preferred Reportyng Items For Systematic Reviews and Meta-Analyses (PRISMA) using the PICO question. Three databases were selected to carry out the review: PubMed, ScienceDirect y Scopus. Outcomes: The main outcome of this study was: to assess the economic costs of patients who have suffered a CA. The secondary outcomes were: to estimate and compare the direct and indirect costs and to evaluate the general costs associated with the neurological status subsequent to CA. Results: After the selection process, 13 articles were analyzed that took into account the economic costs associated with CA and their comparison began based on the types of expenditure. Conclusions: The total economic costs derived from CA are between €42.000 and €82.000 on average for each patient, while direct costs are between €21.000 and €42.000 and the indirect costs €21.000 and €40.000. The costs associated with the post-PCR neurological status, for those who received a Cerebral Performance Category (CPC) 1-2, the average expense was between €55.000 and €60.000. Otherwise, for those in CPC 4, the expense was around €100,000. It is necessary to further investigate the health costs derived from CA.
Introduction: The cardiorespiratory arrest (CA) is the third cause of highest mortality in Europe. The last study carried out in Spain reported a total of 6,951 cases, in a single year, only at the out-of-hospital level. This generates a high economic cost in both direct expenses (related to hospital costs) and indirect expenses (which include productivity losses). Material and methods: A review has been chosen through the regulations Preferred Reportyng Items For Systematic Reviews and Meta-Analyses (PRISMA) using the PICO question. Three databases were selected to carry out the review: PubMed, ScienceDirect y Scopus. Outcomes: The main outcome of this study was: to assess the economic costs of patients who have suffered a CA. The secondary outcomes were: to estimate and compare the direct and indirect costs and to evaluate the general costs associated with the neurological status subsequent to CA. Results: After the selection process, 13 articles were analyzed that took into account the economic costs associated with CA and their comparison began based on the types of expenditure. Conclusions: The total economic costs derived from CA are between €42.000 and €82.000 on average for each patient, while direct costs are between €21.000 and €42.000 and the indirect costs €21.000 and €40.000. The costs associated with the post-PCR neurological status, for those who received a Cerebral Performance Category (CPC) 1-2, the average expense was between €55.000 and €60.000. Otherwise, for those in CPC 4, the expense was around €100,000. It is necessary to further investigate the health costs derived from CA.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Conflicts of Interest in Research on E-Cigs
Authorship
M.C.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
M.C.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Conflicts of interest are a constant in scientific research work. This study specifically addresses conflicts of interest related to the pharmaceutical and tobacco industries in studies dealing with e-cigarettes. For this purpose, a systematic review of articles was conducted using databases such as Embase, MEDLINE (PubMed), Scopus, and Cochrane. Out of the 463 articles selected, a total of 24 articles were included after excluding those that did not meet the established criteria. The articles were grouped according to the study location (USA and Europe). The self-reported COIs (conflicts of interest) by the authors themselves, their funding, and the companies behind them were analyzed. The results showed that a considerable number of articles contained COIs, which could consciously or unconsciously influence the outcomes of these studies, although further research is required.
Conflicts of interest are a constant in scientific research work. This study specifically addresses conflicts of interest related to the pharmaceutical and tobacco industries in studies dealing with e-cigarettes. For this purpose, a systematic review of articles was conducted using databases such as Embase, MEDLINE (PubMed), Scopus, and Cochrane. Out of the 463 articles selected, a total of 24 articles were included after excluding those that did not meet the established criteria. The articles were grouped according to the study location (USA and Europe). The self-reported COIs (conflicts of interest) by the authors themselves, their funding, and the companies behind them were analyzed. The results showed that a considerable number of articles contained COIs, which could consciously or unconsciously influence the outcomes of these studies, although further research is required.
Direction
CANDAL PEDREIRA, CRISTINA (Tutorships)
CANDAL PEDREIRA, CRISTINA (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
Efficacy of a continuous blood glucose monitoring system compared to capillary monitoring and blood gases for glycemic control in adult patients in intensive care units
Authorship
P.J.P.B.
Master in Medical Assistance, Management and Care (Clinical Specialty)
P.J.P.B.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Dysglycemia is common in patients admitted to the intensive care unit (ICU). Research over the past few decades has established a multitude of adverse effects of impaired glycemic control in patients admitted to the ICU. It has been recognized that both hyperglycemia and hypoglycemia are independently associated with increased mortality in critically ill patients. General objective: Study the effectiveness of a continuous monitoring system compared to conventional ones. Specific objectives: Identify dysglycemia; know the demand for care for glycemic control. Method: Clinical trial. Randomized. Setting: Adult ICU of the Orense University Clinical Hospital. Arms: Continuous monitoring system (FreeStyle Libre 3 System), glucometer in Accu-check performa; gasometry. Inclusion criteria: patients aged greater than or equal to 18 years; patients with amputation of upper extremities, with traumatic injuries, tattoos, burns, scars or infections in the tricipital area, malnutrition. Efficacy is defined by the following indicators: Accuracy in the identification of dysglycemia (hypo- and hyperglycemia) (specific objective 1); demand for care for glycemic control (time, personal number).
Dysglycemia is common in patients admitted to the intensive care unit (ICU). Research over the past few decades has established a multitude of adverse effects of impaired glycemic control in patients admitted to the ICU. It has been recognized that both hyperglycemia and hypoglycemia are independently associated with increased mortality in critically ill patients. General objective: Study the effectiveness of a continuous monitoring system compared to conventional ones. Specific objectives: Identify dysglycemia; know the demand for care for glycemic control. Method: Clinical trial. Randomized. Setting: Adult ICU of the Orense University Clinical Hospital. Arms: Continuous monitoring system (FreeStyle Libre 3 System), glucometer in Accu-check performa; gasometry. Inclusion criteria: patients aged greater than or equal to 18 years; patients with amputation of upper extremities, with traumatic injuries, tattoos, burns, scars or infections in the tricipital area, malnutrition. Efficacy is defined by the following indicators: Accuracy in the identification of dysglycemia (hypo- and hyperglycemia) (specific objective 1); demand for care for glycemic control (time, personal number).
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Iglesias Blanco, Miguel Ángel (Co-tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Iglesias Blanco, Miguel Ángel (Co-tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
Current evidence of treatment in hypoxic-ischemic encephalopathy due to moderate-severe perinatal depression: a comprehensive review of the literature.
Authorship
M.C.S.
Master in Medical Assistance, Management and Care (Clinical Specialty)
M.C.S.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Introduction: Hypoxic-ischemic encephalopathy (HIE) is a cranioencephalic injury in newborns associated with perinatal asphyxia, with consequences ranging from complete recovery to neurodegenerative complications. Traditionally treated with intensive care, therapeutic hypothermia has been established as the predominant treatment in recent years, although alternatives such as melatonin, erythropoietin and stem cells are being investigated. The objective was to know the efficacy of the different current treatments for hypoxic-ischemic encephalopathy in the neonate. Methods: Review of the literature in the Cochrane Library, Pubmed and CINALH databases, from February 2024 to April 2024. Results: 20 articles were included, with patients aged less than or equal to 1 month of life presenting with HIE. Therapeutic hypothermia prevails as the treatment par excellence for this injury, while other alternatives are still under study. Conclusion: Therapeutic hypothermia is the treatment with the highest evidence value and efficacy so far. There are many other promising treatment alternatives, although they are still being studied and there is no conclusive evidence.
Introduction: Hypoxic-ischemic encephalopathy (HIE) is a cranioencephalic injury in newborns associated with perinatal asphyxia, with consequences ranging from complete recovery to neurodegenerative complications. Traditionally treated with intensive care, therapeutic hypothermia has been established as the predominant treatment in recent years, although alternatives such as melatonin, erythropoietin and stem cells are being investigated. The objective was to know the efficacy of the different current treatments for hypoxic-ischemic encephalopathy in the neonate. Methods: Review of the literature in the Cochrane Library, Pubmed and CINALH databases, from February 2024 to April 2024. Results: 20 articles were included, with patients aged less than or equal to 1 month of life presenting with HIE. Therapeutic hypothermia prevails as the treatment par excellence for this injury, while other alternatives are still under study. Conclusion: Therapeutic hypothermia is the treatment with the highest evidence value and efficacy so far. There are many other promising treatment alternatives, although they are still being studied and there is no conclusive evidence.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
Experiences, feelings and needs of caregivers of people on home enteral nutrition
Authorship
M.F.C.
Master in Medical Assistance, Management and Care (Clinical Specialty)
M.F.C.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
Introduction: Home enteral nutrition (HEN) is a therapy that allows people with insufficient nutritional intake to remain at home, improving their quality of life. Many of these people require a caregiver, who often experiences significant changes in their lives, prioritising the other person's needs over their own. Aims: to describe the experiences, feelings and emotions, and needs of caregivers of people fed with home enteral nutrition, and to propose interventions to help improve their experience. Methodology: a systematic review of the scientific literature published in the last decade was carried out, using the PubMed, Web Of Science, CINAHL and Scopus databases. The PRISMA methodology was used to carry out an effective search for information. Results: caregivers reported a situation of emotional overload, especially at the beginning of home care, with feelings of anxiety and concern for the patient's well-being and possible complications. They reported changes in various aspects of their lives that affected their well-being. After some time in care, they managed to adapt to the new situation and some even highlighted that the experience provided them with personal growth. Among the main demands of carers are the need for adequate training and better communication with the healthcare team. Conclusion: the implementation of training programmes and home care services would be a support to facilitate the experience of caregivers, which can be reflected in improved care for people with NED.
Introduction: Home enteral nutrition (HEN) is a therapy that allows people with insufficient nutritional intake to remain at home, improving their quality of life. Many of these people require a caregiver, who often experiences significant changes in their lives, prioritising the other person's needs over their own. Aims: to describe the experiences, feelings and emotions, and needs of caregivers of people fed with home enteral nutrition, and to propose interventions to help improve their experience. Methodology: a systematic review of the scientific literature published in the last decade was carried out, using the PubMed, Web Of Science, CINAHL and Scopus databases. The PRISMA methodology was used to carry out an effective search for information. Results: caregivers reported a situation of emotional overload, especially at the beginning of home care, with feelings of anxiety and concern for the patient's well-being and possible complications. They reported changes in various aspects of their lives that affected their well-being. After some time in care, they managed to adapt to the new situation and some even highlighted that the experience provided them with personal growth. Among the main demands of carers are the need for adequate training and better communication with the healthcare team. Conclusion: the implementation of training programmes and home care services would be a support to facilitate the experience of caregivers, which can be reflected in improved care for people with NED.
Direction
Agra Tuñas, María del Carmen (Tutorships)
Agra Tuñas, María del Carmen (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Knowledge, perception and attitudes of Nursing in the identification and notification of Adverse Events in Intensive Care and Emergency Units
Authorship
P.R.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
P.R.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
INTRODUCTION: Patients treated in the intensive care units (ICU) and emergency departments (ED) are exposed to serious risks of adverse events (AEs) with the potential to cause diverse types of harm. Knowledge of this aspect is the first step to improving ICU’s and ED’s patient safety. OBJECTIVES: Determine nurses' knowledge and attitudes about adverse effects and their reporting. MATERIAL AND METHODS: An ad hoc questionnaire on 'Knowledge, attitudes and intentions towards adverse effects' has been designed. The sample is made up of ICU and emergency nurses at Ourense’s University Hospital Complex. The data analysis includes the calculation of three scores: the knowledge score, categorized into low (lesser than 33%), moderate (33%-66%) and good (more than 66%) knowledge; the attitude score, classified as positive (lesser than 2.5), neutral (2.5-3.5) and negative attitude (more than 3.5); and the intention score, categorized into unfavorable intention (lesser than 4), neutral (4-7), and favorable intention (more than 7).
INTRODUCTION: Patients treated in the intensive care units (ICU) and emergency departments (ED) are exposed to serious risks of adverse events (AEs) with the potential to cause diverse types of harm. Knowledge of this aspect is the first step to improving ICU’s and ED’s patient safety. OBJECTIVES: Determine nurses' knowledge and attitudes about adverse effects and their reporting. MATERIAL AND METHODS: An ad hoc questionnaire on 'Knowledge, attitudes and intentions towards adverse effects' has been designed. The sample is made up of ICU and emergency nurses at Ourense’s University Hospital Complex. The data analysis includes the calculation of three scores: the knowledge score, categorized into low (lesser than 33%), moderate (33%-66%) and good (more than 66%) knowledge; the attitude score, classified as positive (lesser than 2.5), neutral (2.5-3.5) and negative attitude (more than 3.5); and the intention score, categorized into unfavorable intention (lesser than 4), neutral (4-7), and favorable intention (more than 7).
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
Implementation of health education as a nursing intervention to increase the quality of life in patients with relapsing-remitting multiple sclerosis
Authorship
M.M.C.V.
Master in Medical Assistance, Management and Care (Clinical Specialty)
M.M.C.V.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
Multiple sclerosis is a demyelinating, inflammatory and neurodegenerative disease of the central nervous system. It is a chronic disease, of unknown etiology and autoimmune pathogenesis. The symptoms it presents are very varied, depending on where the lesions of the central nervous system are located, and can appear suddenly or insidiously. The quality of life of people who suffer from multiple sclerosis is significantly affected, since in advanced stages, it can become disabling. In addition, it may be associated with the development of anxiety and/or depression due to the variability of symptoms and the age of onset. The application of nursing interventions, through health education, to minimize the levels of anxiety and depression caused by the disease, will allow us to evaluate the influence of health education on the symptoms of anxiety and depression and improve the quality of life in patients. patients with multiple sclerosis.
Multiple sclerosis is a demyelinating, inflammatory and neurodegenerative disease of the central nervous system. It is a chronic disease, of unknown etiology and autoimmune pathogenesis. The symptoms it presents are very varied, depending on where the lesions of the central nervous system are located, and can appear suddenly or insidiously. The quality of life of people who suffer from multiple sclerosis is significantly affected, since in advanced stages, it can become disabling. In addition, it may be associated with the development of anxiety and/or depression due to the variability of symptoms and the age of onset. The application of nursing interventions, through health education, to minimize the levels of anxiety and depression caused by the disease, will allow us to evaluate the influence of health education on the symptoms of anxiety and depression and improve the quality of life in patients. patients with multiple sclerosis.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
Implementation of the lean methodology in hospital emergency departments: what is its impact? A systematic review
Authorship
N.G.I.R.
Master in Medical Assistance, Management and Care (Clinical Specialty)
N.G.I.R.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
Introduction: The healthcare system is an expanding market, where it is important to improve quality while reducing costs, all without losing sight of the patient needs. Nowadays, the LEAN methodology has gone beyond the scope of industry and the transformation of the healthcare towards this method can bring benefits to professionals. Purpose: To assess the impact of LEAN management in Hospital Emergency Departments. Methodology: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a systematic review of the literature published between the years 2018 and 2024 has been performed, extracting a database of 20 papers. Findings: The analysis of the articles allowed the identification of the main benefits of the adoption of LEAN, which are the reduction of waiting time, the reduction of the length of stay and the improvement of the teamwork. Also, to a lesser extent, it has been documented some disadvantages, like the absence of guides for the implementation of LEAN, the difficulty to reproduce the results in other hospitals or the complexity of the emergency departments. Finally, this paper identifies the essential factors for the applications: coordination and support of the management, training of the workers and result diffusion.
Introduction: The healthcare system is an expanding market, where it is important to improve quality while reducing costs, all without losing sight of the patient needs. Nowadays, the LEAN methodology has gone beyond the scope of industry and the transformation of the healthcare towards this method can bring benefits to professionals. Purpose: To assess the impact of LEAN management in Hospital Emergency Departments. Methodology: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a systematic review of the literature published between the years 2018 and 2024 has been performed, extracting a database of 20 papers. Findings: The analysis of the articles allowed the identification of the main benefits of the adoption of LEAN, which are the reduction of waiting time, the reduction of the length of stay and the improvement of the teamwork. Also, to a lesser extent, it has been documented some disadvantages, like the absence of guides for the implementation of LEAN, the difficulty to reproduce the results in other hospitals or the complexity of the emergency departments. Finally, this paper identifies the essential factors for the applications: coordination and support of the management, training of the workers and result diffusion.
Direction
Vidal Martínez, Sandra (Tutorships)
Vidal Martínez, Sandra (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
The loss of a chance in liability claims as a consequence of health care in Galicia: A review of court rulings.
Authorship
B.C.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
B.C.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
Introduction: The loss of a chance can be defined as a doctrinal construction of jurisprudential origin, which translates into a legal action that takes as its basis, not the causation of damage, but the loss of a certain and real probability or possibility of obtaining a benefit. It is a doctrine used mainly in cases of causal uncertainty, where it is not known whether there was really a causal connection between the damage caused and the event being prosecuted. In Spain it is a principle that is still not included in any of the general liability texts, it only appears in our jurisprudence, hence the importance of analysing its use. Objectives: To analyse the demographic, legal and clinical parameters of the different sentences in which the doctrine of loss of a chance is applied in the medical-care field in Galicia. As well as the mechanism by which the quantum of compensation is established in these processes. Methodology: This is an empirical, observational, retrospective and cross-sectional research carried out through a review of sentences originated in the different courts of the Galician judicial system between the years 2022-2023. Results: Most of the sentences were initially processed by the Contentious Administrative Court of Santiago de Compostela, the medical service most often condemned was Radiodiagnosis together with the Emergency Department, the main type of sequelae suffered were physical, most of the compensation amounts were decided on a lump sum basis and most of the legal proceedings were initiated due to diagnostic delay. Conclusion: The doctrine of loss of a chance does not have an established framework of application in legislation, nor unified criteria, which causes great variation from one case to another.
Introduction: The loss of a chance can be defined as a doctrinal construction of jurisprudential origin, which translates into a legal action that takes as its basis, not the causation of damage, but the loss of a certain and real probability or possibility of obtaining a benefit. It is a doctrine used mainly in cases of causal uncertainty, where it is not known whether there was really a causal connection between the damage caused and the event being prosecuted. In Spain it is a principle that is still not included in any of the general liability texts, it only appears in our jurisprudence, hence the importance of analysing its use. Objectives: To analyse the demographic, legal and clinical parameters of the different sentences in which the doctrine of loss of a chance is applied in the medical-care field in Galicia. As well as the mechanism by which the quantum of compensation is established in these processes. Methodology: This is an empirical, observational, retrospective and cross-sectional research carried out through a review of sentences originated in the different courts of the Galician judicial system between the years 2022-2023. Results: Most of the sentences were initially processed by the Contentious Administrative Court of Santiago de Compostela, the medical service most often condemned was Radiodiagnosis together with the Emergency Department, the main type of sequelae suffered were physical, most of the compensation amounts were decided on a lump sum basis and most of the legal proceedings were initiated due to diagnostic delay. Conclusion: The doctrine of loss of a chance does not have an established framework of application in legislation, nor unified criteria, which causes great variation from one case to another.
Direction
MUÑOZ BARUS, JOSE IGNACIO (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Co-tutorships)
MUÑOZ BARUS, JOSE IGNACIO (Tutorships)
ORDOÑEZ MAYAN, LUCIA (Co-tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
“Nursing in the detection and aproach of abuse in elderly”
Authorship
L.G.G.
Master in Medical Assistance, Management and Care (Clinical Specialty)
L.G.G.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.04.2024 12:00
07.04.2024 12:00
Summary
Introduction: In 2050, the world population of people over 60 years of age will double the figure of 2020, with 2.1 billion. Current national legislation protects this age group, acting through prevention and intervention when meeting their needs. Elder abuse is increasing alarmingly. This abuse consists of acts that cause harm or suffering, or also the failure to adopt appropriate measures for their protection and care, when there is a relationship of trust with said person. Objectives: To know the situation of elder abuse in Spain and to define the role of nursing professionals in their care and in the detection and monitoring of cases of abuse. Methodology: A bibliographic search was carried out in scientific databases and pages of official organizations. Different guides and protocols on the health management of abuse from the Spanish autonomous communities were also consulted. Results: Currently, there are many older people with significant associated pathology that makes them fragile and largely dependent, which increases the risk of suffering some type of abuse. The most frequent is psychological abuse, followed by economic abuse, neglect, physical, and finally the sexual. Abuse increases in older adults with cognitive impairment and dementia, but its detection is also more complicated. To approach it, the first thing is to detect aggression, adapt and individualize care, promote personal autonomy and control over their decisions, promote active listening, offer quality of life and well-being while respecting personal values and equity in treatment. Discussion: The review of the protocols for elder abuse, and the guides and documents consulted, shows that around 40% of the Autonomous Communities do not have action documents regarding elder abuse. Conclusions: The treatment of older people must improve, implementing programs, aid and activities that promote active aging of the population. To avoid abuse, it is necessary to start with early detection and have a common action program for social workers and health personnel to monitor and manage these situations.
Introduction: In 2050, the world population of people over 60 years of age will double the figure of 2020, with 2.1 billion. Current national legislation protects this age group, acting through prevention and intervention when meeting their needs. Elder abuse is increasing alarmingly. This abuse consists of acts that cause harm or suffering, or also the failure to adopt appropriate measures for their protection and care, when there is a relationship of trust with said person. Objectives: To know the situation of elder abuse in Spain and to define the role of nursing professionals in their care and in the detection and monitoring of cases of abuse. Methodology: A bibliographic search was carried out in scientific databases and pages of official organizations. Different guides and protocols on the health management of abuse from the Spanish autonomous communities were also consulted. Results: Currently, there are many older people with significant associated pathology that makes them fragile and largely dependent, which increases the risk of suffering some type of abuse. The most frequent is psychological abuse, followed by economic abuse, neglect, physical, and finally the sexual. Abuse increases in older adults with cognitive impairment and dementia, but its detection is also more complicated. To approach it, the first thing is to detect aggression, adapt and individualize care, promote personal autonomy and control over their decisions, promote active listening, offer quality of life and well-being while respecting personal values and equity in treatment. Discussion: The review of the protocols for elder abuse, and the guides and documents consulted, shows that around 40% of the Autonomous Communities do not have action documents regarding elder abuse. Conclusions: The treatment of older people must improve, implementing programs, aid and activities that promote active aging of the population. To avoid abuse, it is necessary to start with early detection and have a common action program for social workers and health personnel to monitor and manage these situations.
Direction
TABERNERO DUQUE, MARIA JESÚS (Tutorships)
TABERNERO DUQUE, MARIA JESÚS (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Systematic Review Of Simulation Use For The Skills Acquisition In The Nursing Degree
Authorship
C.C.F.
Master in Medical Assistance, Management and Care (Clinical Specialty)
C.C.F.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
Introduction: the use of simulation as a teaching method has increased in recent years in the Nursing Degree, especially as a result of the COVID-19 pandemic. This allows us to enhance the immersive environment, teamwork and error correction in the early stages of learning. However, there are different teaching methodologies called simulation zones or SimZones that are used at European level. Objective: to study the use of simulation as a teaching method in the Nursing degree in Europe Methodology: a bibliographic review of the scientific evidence was carried out following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines and recommendations, between the months of November 2023 and May 2024, including the following databases: Pubmed , Scopus and WOS (Web of Science). Results: the first phase consisted of the selection of articles with the potential to answer the research question based on the title (n = 324), subsequently, a screening was carried out based on the summary proposed by the researchers of each work (n = 90), to finally proceed to the critical reading of the full text of 18 articles, of which 9 were extracted for inclusion in the present systematic review (N = 9). Conclusions: simulation as a teaching method is widely used in the Nursing degree at the European level, with the traditional face-to-face methodology being the most used. This is mainly used in the first years of student training (1st year of nursing) and in public institutions, for the acquisition of technical and non-technical skills.
Introduction: the use of simulation as a teaching method has increased in recent years in the Nursing Degree, especially as a result of the COVID-19 pandemic. This allows us to enhance the immersive environment, teamwork and error correction in the early stages of learning. However, there are different teaching methodologies called simulation zones or SimZones that are used at European level. Objective: to study the use of simulation as a teaching method in the Nursing degree in Europe Methodology: a bibliographic review of the scientific evidence was carried out following the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines and recommendations, between the months of November 2023 and May 2024, including the following databases: Pubmed , Scopus and WOS (Web of Science). Results: the first phase consisted of the selection of articles with the potential to answer the research question based on the title (n = 324), subsequently, a screening was carried out based on the summary proposed by the researchers of each work (n = 90), to finally proceed to the critical reading of the full text of 18 articles, of which 9 were extracted for inclusion in the present systematic review (N = 9). Conclusions: simulation as a teaching method is widely used in the Nursing degree at the European level, with the traditional face-to-face methodology being the most used. This is mainly used in the first years of student training (1st year of nursing) and in public institutions, for the acquisition of technical and non-technical skills.
Direction
ORDOÑEZ MAYAN, LUCIA (Tutorships)
JORGE SOTO, CRISTINA (Co-tutorships)
ORDOÑEZ MAYAN, LUCIA (Tutorships)
JORGE SOTO, CRISTINA (Co-tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
Management of two possible school emergencies (hypoglycemia and anaphylaxis) by students of Educational Sciences. Pilot study using high-fidelity Simulation.
Authorship
P.C.V.
Master in Medical Assistance, Management and Care (Clinical Specialty)
P.C.V.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
Introduction. Hypoglycemia and anaphylaxis pose life-threatening risks to children that can occur in the school setting. Therefore, schools must be prepared to handle them quickly and effectively. Objective. To determine the capacity of students of the Degree in Educational Sciences in the management of two possible emergencies (hypoglycemia and anaphylaxis) in educational centers. Material and methods. Quasi-experimental cross-sectional pilot study, with the participation of students of Education Sciences of the University of Santiago de Compostela, sequenced in three phases: 1) Design of the study; 2) Initial questionnaire on knowledge of hypoglycemia and anaphylaxis and subsequent theoretical training and 3) Evaluation of the ability to act in two simulated scenarios of hypoglycemia and anaphylaxis. Results. None of the participants had received previous training on hypoglycemia and only 2 on anaphylaxis. After training, the rate of correct compliance with the drug administration sequence was higher with the intranasal adrenaline device than with the injectable device, with no significant differences in the case of hypoglycemia. The total time taken for drug administration was shorter with the intranasal device than with the injectable device in both simulations. All participants who changed their device preference after the simulation chose the intranasal device because of its ease of use, speed and reliability. Conclusions. The limited knowledge of future teachers regarding the approach to hypoglycemia and anaphylaxis supports the need for theoretical and practical training in the handling of therapeutic devices, using immersive didactic methodologies such as high-fidelity clinical simulation. These preliminary results support the viability of the intranasal device as an alternative to the injectable device because it shows promising results in the handling and time employed.
Introduction. Hypoglycemia and anaphylaxis pose life-threatening risks to children that can occur in the school setting. Therefore, schools must be prepared to handle them quickly and effectively. Objective. To determine the capacity of students of the Degree in Educational Sciences in the management of two possible emergencies (hypoglycemia and anaphylaxis) in educational centers. Material and methods. Quasi-experimental cross-sectional pilot study, with the participation of students of Education Sciences of the University of Santiago de Compostela, sequenced in three phases: 1) Design of the study; 2) Initial questionnaire on knowledge of hypoglycemia and anaphylaxis and subsequent theoretical training and 3) Evaluation of the ability to act in two simulated scenarios of hypoglycemia and anaphylaxis. Results. None of the participants had received previous training on hypoglycemia and only 2 on anaphylaxis. After training, the rate of correct compliance with the drug administration sequence was higher with the intranasal adrenaline device than with the injectable device, with no significant differences in the case of hypoglycemia. The total time taken for drug administration was shorter with the intranasal device than with the injectable device in both simulations. All participants who changed their device preference after the simulation chose the intranasal device because of its ease of use, speed and reliability. Conclusions. The limited knowledge of future teachers regarding the approach to hypoglycemia and anaphylaxis supports the need for theoretical and practical training in the handling of therapeutic devices, using immersive didactic methodologies such as high-fidelity clinical simulation. These preliminary results support the viability of the intranasal device as an alternative to the injectable device because it shows promising results in the handling and time employed.
Direction
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
RODRIGUEZ NUÑEZ, ANTONIO (Tutorships)
CARBALLO FAZANES, AIDA (Co-tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Field study on the effectiveness of a training mini-pill in the use of an epinephrine auto-injector.
Authorship
N.G.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
N.G.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Introduction: Anaphylaxis is a severe and generalized allergic or hypersensitivity reaction that appears suddenly and is potentially life-threatening. Epinephrine is the drug of choice in these situations because, thanks to its pharmacological properties, it can almost immediately reverse the clinical picture when administered as quickly as possible in an appropriate manner. Objectives: To evaluate the usefulness of a educational minipill for the knowledge of the use and administration of an epinephrine autoinjector. Material and methods: This field study follows an experimental and exploratory design with random assignment of participants. In the first phase of the study, approval was requested from the Bioethics Committee to use humans as study subjects. The sample was divided into two groups, exposed and not exposed, and then they were given consent for the study and a survey. They then proceeded to use a simulator of an epinephrine autoinjector, where the exposed group previously watched an explanatory video on the use of these devices while the non-exposed group did not have any type of help. Results: The exposed participants took less time on average to carry out the procedure than the control group. Additionally, the application of the device in those who had visual support was much more effective, both during the injection and afterwards. Conclusions: The visualization of a video as a educational minipill has proven to be a useful tool to improve knowledge about the use and administration of an epinephrine autoinjector.
Introduction: Anaphylaxis is a severe and generalized allergic or hypersensitivity reaction that appears suddenly and is potentially life-threatening. Epinephrine is the drug of choice in these situations because, thanks to its pharmacological properties, it can almost immediately reverse the clinical picture when administered as quickly as possible in an appropriate manner. Objectives: To evaluate the usefulness of a educational minipill for the knowledge of the use and administration of an epinephrine autoinjector. Material and methods: This field study follows an experimental and exploratory design with random assignment of participants. In the first phase of the study, approval was requested from the Bioethics Committee to use humans as study subjects. The sample was divided into two groups, exposed and not exposed, and then they were given consent for the study and a survey. They then proceeded to use a simulator of an epinephrine autoinjector, where the exposed group previously watched an explanatory video on the use of these devices while the non-exposed group did not have any type of help. Results: The exposed participants took less time on average to carry out the procedure than the control group. Additionally, the application of the device in those who had visual support was much more effective, both during the injection and afterwards. Conclusions: The visualization of a video as a educational minipill has proven to be a useful tool to improve knowledge about the use and administration of an epinephrine autoinjector.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Medication prescription by nursing professionals: Systematic review
Authorship
S.A.L.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
S.A.L.I.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
Introduction: The prescription of medications by nursing professionals involves both the selection and administration of drugs, based on clinical judgment in the context of the professional competencies. This aspect, increasingly evident in current clinical practice, presents both benefits and disadvantages that demand a detailed analysis. Objectives: The aim of this study is to understand and identify the potential benefits and analyze the possible disadvantages of nurse-led medication prescribing. Methodology: A bibliographic review of scientific literature published within the last 5 years, using Pubmed, Cochrane, Scopus, and Web of Science databases for the search. Results: There are multiple benefits that are associated with the prescription of medications by nursing professionals, such as increased job satisfaction, increased efficiency in the health system, and better patient care. But, on the other hand, limitations in this practice are also highlighted, such as the increase in workload and work stress, current legal restrictions or opposition on the part of doctors and patients to nursing taking responsibility for prescribing. Conclusions: Nurse prescribing provides numerous benefits along with limitations that create various points of view for and against it. It is recommended that its implementation in the health system be effective and safe, considering the opinions of all stakeholders to reach a common point that benefits the whole.
Introduction: The prescription of medications by nursing professionals involves both the selection and administration of drugs, based on clinical judgment in the context of the professional competencies. This aspect, increasingly evident in current clinical practice, presents both benefits and disadvantages that demand a detailed analysis. Objectives: The aim of this study is to understand and identify the potential benefits and analyze the possible disadvantages of nurse-led medication prescribing. Methodology: A bibliographic review of scientific literature published within the last 5 years, using Pubmed, Cochrane, Scopus, and Web of Science databases for the search. Results: There are multiple benefits that are associated with the prescription of medications by nursing professionals, such as increased job satisfaction, increased efficiency in the health system, and better patient care. But, on the other hand, limitations in this practice are also highlighted, such as the increase in workload and work stress, current legal restrictions or opposition on the part of doctors and patients to nursing taking responsibility for prescribing. Conclusions: Nurse prescribing provides numerous benefits along with limitations that create various points of view for and against it. It is recommended that its implementation in the health system be effective and safe, considering the opinions of all stakeholders to reach a common point that benefits the whole.
Direction
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Tutorships)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Trends of lung cancer mortality in Brazil from 1996 to 2022.
Authorship
G.V.F.
Master in Medical Assistance, Management and Care (Clinical Specialty)
G.V.F.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
Introduction: Lung cancer is one of the neoplasms with the highest incidence and mortality worldwide. In Brazil, it is the leading cause of cancer death among men and the second among women. Its main risk factor is tobacco consumption. Objective: To analyze the trend of lung cancer mortality in Brazil among the population aged 35 and over between 1996 and 2022. Materials and Methods: Data on lung cancer mortality were extracted from the Department of Informatics of the National Health System by sex and age group for the studied years. Crude mortality rates and standardized rates using the direct method were calculated. Trend analysis was performed using joinpoint regression models, and annual percent changes (APC) were calculated along with their 95% confidence intervals (CI95%). Results: During the period 1996-2022, 570,594 deaths from lung cancer were recorded. The crude mortality rates for lung cancer increased from 24.4 deaths per 100,000 inhabitants in 1996 to 28.1 deaths in 2022. Between 1996 and 2006, the standardized mortality rate increased by 1.2% (CI95% 0.2 - 4.0) annually, while from 2006 to 2022 there was a reduction of 0.9% (CI95% -2.2 - -0.4). Among men, a stable trend was observed between 1996-2005 with an APC of 0.7 (CI95% -0.2 - 2.4) and a decreasing trend from 2005 to 2022 with an APC of 1.8% (CI95% -2.3 - -1.4). Among women, during the period 1996-2012, there was an annual increase of 2.4% (CI95% 2.0 - 3.2) in lung cancer mortality rates and a subsequent stabilization between 2012-2022 (APC= 0.03, CI95% -1.5 - 0.9). Conclusions: Lung cancer mortality trends in Brazil between 1996 and 2022 varied by sex, which could reflect different patterns of tobacco consumption over time. The results of this study highlight the need to implement more effective strategies to control and reduce risk factors associated with lung cancer.
Introduction: Lung cancer is one of the neoplasms with the highest incidence and mortality worldwide. In Brazil, it is the leading cause of cancer death among men and the second among women. Its main risk factor is tobacco consumption. Objective: To analyze the trend of lung cancer mortality in Brazil among the population aged 35 and over between 1996 and 2022. Materials and Methods: Data on lung cancer mortality were extracted from the Department of Informatics of the National Health System by sex and age group for the studied years. Crude mortality rates and standardized rates using the direct method were calculated. Trend analysis was performed using joinpoint regression models, and annual percent changes (APC) were calculated along with their 95% confidence intervals (CI95%). Results: During the period 1996-2022, 570,594 deaths from lung cancer were recorded. The crude mortality rates for lung cancer increased from 24.4 deaths per 100,000 inhabitants in 1996 to 28.1 deaths in 2022. Between 1996 and 2006, the standardized mortality rate increased by 1.2% (CI95% 0.2 - 4.0) annually, while from 2006 to 2022 there was a reduction of 0.9% (CI95% -2.2 - -0.4). Among men, a stable trend was observed between 1996-2005 with an APC of 0.7 (CI95% -0.2 - 2.4) and a decreasing trend from 2005 to 2022 with an APC of 1.8% (CI95% -2.3 - -1.4). Among women, during the period 1996-2012, there was an annual increase of 2.4% (CI95% 2.0 - 3.2) in lung cancer mortality rates and a subsequent stabilization between 2012-2022 (APC= 0.03, CI95% -1.5 - 0.9). Conclusions: Lung cancer mortality trends in Brazil between 1996 and 2022 varied by sex, which could reflect different patterns of tobacco consumption over time. The results of this study highlight the need to implement more effective strategies to control and reduce risk factors associated with lung cancer.
Direction
PEREZ RIOS, MONICA (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
PEREZ RIOS, MONICA (Tutorships)
REY BRANDARIZ, JULIA (Co-tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Implementation of recommendations for the assessment of cognitive status and depression levels in patients who have suffered ischemic stroke or transient ischemic attack: A cohort study at Hospital Universitario Lucus Augusti
Authorship
M.P.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
M.P.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 10:00
07.16.2024 10:00
Summary
Introduction Stroke is defined as any disorder in which a certain area of the brain is affected temporarily or permanently due to ischemia or hemorrhage. The most frequent type is ischemic stroke, representing about 85% of cases, while 15% are hemorrhagic. For the treatment of ischemic stroke, recombinant tissue plasminogen activator, mechanical thrombectomy, or both combined are used. The sequelae of ischemic stroke vary widely depending on the extent and location of the brain lesion, as well as the speed and effectiveness of the medical intervention received. These sequelae can include motor and sensory deficits as well as cognitive, language, and emotional alterations, profoundly affecting the quality of life of patients. Objective To implement two quality indicators from the recommendations of a best nursing practices guide in the care of patients with ischemic stroke or transient ischemic attack admitted to the Neurology Unit of the Hospital Lucus Augusti. Methodology This work is a research project that will select a hospital cohort of patients with ischemic stroke or transient ischemic attack treated at the Hospital Lucus Augusti between July 1, 2024, and June 30, 2025. The study is carried out in the Neurology Unit of the Hospital Lucus Augusti (Lugo, Spain), which collaborates with the Carlos III Health Institute in the implementation of quality standards in patient care based on the Best Nursing Practices Guide from the Investén-ISCIII group. The process of implementing the quality indicators is carried out in four stages: T0: Baseline, T1: Implementation, T2: Control, T3: Consolidation. A descriptive analysis was conducted using measures of central tendency (mean or median) and dispersion (standard deviation when appropriate for quantitative variables, and percentages for qualitative variables). To analyze the differences between groups, the Chi-square test was used for qualitative variables. To analyze the differences between groups, ANOVA and its post-hoc test were employed if the sample follows a normal distribution (parametric) or the Kruskal-Wallis test and its post-hoc test were used if the distribution is non-parametric. A significance level of 0.05 was chosen to select the variables finally included in the binary logistic regression model. All analyses and calculations were performed using the PASW statistical package (version 24.0; SPSS Inc., Chicago, Illinois)
Introduction Stroke is defined as any disorder in which a certain area of the brain is affected temporarily or permanently due to ischemia or hemorrhage. The most frequent type is ischemic stroke, representing about 85% of cases, while 15% are hemorrhagic. For the treatment of ischemic stroke, recombinant tissue plasminogen activator, mechanical thrombectomy, or both combined are used. The sequelae of ischemic stroke vary widely depending on the extent and location of the brain lesion, as well as the speed and effectiveness of the medical intervention received. These sequelae can include motor and sensory deficits as well as cognitive, language, and emotional alterations, profoundly affecting the quality of life of patients. Objective To implement two quality indicators from the recommendations of a best nursing practices guide in the care of patients with ischemic stroke or transient ischemic attack admitted to the Neurology Unit of the Hospital Lucus Augusti. Methodology This work is a research project that will select a hospital cohort of patients with ischemic stroke or transient ischemic attack treated at the Hospital Lucus Augusti between July 1, 2024, and June 30, 2025. The study is carried out in the Neurology Unit of the Hospital Lucus Augusti (Lugo, Spain), which collaborates with the Carlos III Health Institute in the implementation of quality standards in patient care based on the Best Nursing Practices Guide from the Investén-ISCIII group. The process of implementing the quality indicators is carried out in four stages: T0: Baseline, T1: Implementation, T2: Control, T3: Consolidation. A descriptive analysis was conducted using measures of central tendency (mean or median) and dispersion (standard deviation when appropriate for quantitative variables, and percentages for qualitative variables). To analyze the differences between groups, the Chi-square test was used for qualitative variables. To analyze the differences between groups, ANOVA and its post-hoc test were employed if the sample follows a normal distribution (parametric) or the Kruskal-Wallis test and its post-hoc test were used if the distribution is non-parametric. A significance level of 0.05 was chosen to select the variables finally included in the binary logistic regression model. All analyses and calculations were performed using the PASW statistical package (version 24.0; SPSS Inc., Chicago, Illinois)
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Chairman)
NOVIO MALLON, SILVIA (Secretary)
SIXTO GARCIA, JOSE (Member)
Use of Ketamine in out-of-hospital emergencies attended by 061
Authorship
A.C.G.
Master in Medical Assistance, Management and Care (Clinical Specialty)
A.C.G.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
INTRODUCTION: Ketamine is a drug used in medicine for its analgesic, anaesthetic and sedative properties. Among the main symptoms of critically ill patients is pain. Most of these patients suffer from severe acute pain that is difficult to control, especially when handling them for transfer to the nearest hospital emergency department. Ketamine has numerous advantages for the management of these patients, as its analgesic and sedative effects facilitate the application of supportive measures, its comprehensive management and reduce various complications. OBJECTIVES: To analyse the use of ketamine in critical patients attended by the 061 out-of-hospital emergency department. To determine the use of ketamine by diagnostic pathologies. To relate the use of ketamine with other drugs and the routes of administration. To know at what ages ketamine is most commonly administered. To relate administration times to the type of diagnostic pathology. METHODOLOGY: Quantitative, descriptive, observational and cross-sectional study. A statistical analysis of the data was carried out on the basis of a database provided by 061 (n= 303). RESULTS: The mean age of the subjects studied was 47.19 years. Range: 2-98. An upward trend in ketamine use was observed from 2017 to 2021, especially, between the year 2018-2019. Regarding ketamine administration by diagnostic pathology, 59.73% (n=181) belonged to the speciality of traumatology. The most frequent diagnostic pathology for ketamine administration was polytrauma patients, with 20.79% (n=63) of cases. The mean level of consciousness of the patients according to the Glasgow scale was 12.215. Range 3-15. CONCLUSIONS: The use of ketamine has increased exponentially in recent years, especially in the emergency treatment of trauma pathologies, specifically in the out-of-hospital management of the polytrauma patient.
INTRODUCTION: Ketamine is a drug used in medicine for its analgesic, anaesthetic and sedative properties. Among the main symptoms of critically ill patients is pain. Most of these patients suffer from severe acute pain that is difficult to control, especially when handling them for transfer to the nearest hospital emergency department. Ketamine has numerous advantages for the management of these patients, as its analgesic and sedative effects facilitate the application of supportive measures, its comprehensive management and reduce various complications. OBJECTIVES: To analyse the use of ketamine in critical patients attended by the 061 out-of-hospital emergency department. To determine the use of ketamine by diagnostic pathologies. To relate the use of ketamine with other drugs and the routes of administration. To know at what ages ketamine is most commonly administered. To relate administration times to the type of diagnostic pathology. METHODOLOGY: Quantitative, descriptive, observational and cross-sectional study. A statistical analysis of the data was carried out on the basis of a database provided by 061 (n= 303). RESULTS: The mean age of the subjects studied was 47.19 years. Range: 2-98. An upward trend in ketamine use was observed from 2017 to 2021, especially, between the year 2018-2019. Regarding ketamine administration by diagnostic pathology, 59.73% (n=181) belonged to the speciality of traumatology. The most frequent diagnostic pathology for ketamine administration was polytrauma patients, with 20.79% (n=63) of cases. The mean level of consciousness of the patients according to the Glasgow scale was 12.215. Range 3-15. CONCLUSIONS: The use of ketamine has increased exponentially in recent years, especially in the emergency treatment of trauma pathologies, specifically in the out-of-hospital management of the polytrauma patient.
Direction
Iglesias Vázquez, Jose Antonio (Tutorships)
Iglesias Vázquez, Jose Antonio (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
REY BRETAL, DAVID (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
PRISMA systematic review on the efficacy of new treatment in the older population.
Authorship
U.G.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
U.G.A.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
09.05.2024 15:30
09.05.2024 15:30
Summary
INTRODUCTION: Diaper dermatitis (DP) is an acute inflammatory reaction that affects the diaper area. In the elderly, etiological factors such as maceration, friction, humidity and the presence of both urine and feces favor the appearance of this skin alteration. For this reason, healthcare professionals must focus their attention on prevention so that an alteration does not occur in the skin barrier. OBJECTIVES: General. Know the effectiveness of new treatments for diaper dermatitis. Specific: 1) Know the effectiveness of new treatments on the skin barrier in PD. 2) Know the effectiveness of new treatments in altering the microbiota in PD. 3) Know the effectiveness of new treatments on inflammation in PD. METHODS: Systematic review: PRISMA-2020 type. Databases: PubMed, Clinical Trials, Cochrane Library, Scielo, NICE, etc. Search interval: between 2010 and 2024. . RESULTS: CONCLUSIONS: 1) There are few studies on PD treatments in the elderly. 2) The main actions are on the skin bar, skin irritation, inflammation and contamination of the microbiota. 3) Prevention is essential to focus on the treatment of choice. 5) Keeping the skin clean, dry and with the appropriate devices according to the corresponding risk factors is the treatment of choice.
INTRODUCTION: Diaper dermatitis (DP) is an acute inflammatory reaction that affects the diaper area. In the elderly, etiological factors such as maceration, friction, humidity and the presence of both urine and feces favor the appearance of this skin alteration. For this reason, healthcare professionals must focus their attention on prevention so that an alteration does not occur in the skin barrier. OBJECTIVES: General. Know the effectiveness of new treatments for diaper dermatitis. Specific: 1) Know the effectiveness of new treatments on the skin barrier in PD. 2) Know the effectiveness of new treatments in altering the microbiota in PD. 3) Know the effectiveness of new treatments on inflammation in PD. METHODS: Systematic review: PRISMA-2020 type. Databases: PubMed, Clinical Trials, Cochrane Library, Scielo, NICE, etc. Search interval: between 2010 and 2024. . RESULTS: CONCLUSIONS: 1) There are few studies on PD treatments in the elderly. 2) The main actions are on the skin bar, skin irritation, inflammation and contamination of the microbiota. 3) Prevention is essential to focus on the treatment of choice. 5) Keeping the skin clean, dry and with the appropriate devices according to the corresponding risk factors is the treatment of choice.
Direction
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
NUÑEZ IGLESIAS, MARIA JESUS (Tutorships)
Court
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
FERNANDEZ RODRIGUEZ, Ma DEL PILAR (Coordinator)
PEGO PEREZ, EMILIO RUBEN (Secretary)
NOVIO MALLON, SILVIA (Member)
Bibliographic review on the determinants of rejection of the human papillomavirus (HPV) vaccine by the population of parents or caregivers of children.
Authorship
A.S.M.N.
Master in Medical Assistance, Management and Care (Clinical Specialty)
A.S.M.N.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 09:30
07.16.2024 09:30
Summary
Background: Human papillomavirus (HPV) infection is the most common sexually transmitted infection, with a prevalence of 14% in women between 18 and 25 years of age in Spain. The main symptoms usually present are warts on different parts of the body. There is no cure, but correct prevention is enough to avoid the transmission of the disease. Despite global data on the prevalence of the disease, many parents refuse to vaccinate their children against HPV. Objective: Identify the main factors that influence rejection of the HPV vaccine and also find out if there is erroneous knowledge or other modifiable social factors that lead to vaccination rejection. Methods: The search for studies was carried out through the Pubmed database. Once the studies were selected based on the inclusion criteria, their main characteristics were collected, thus obtaining the factors that influence rejection against the HPV vaccine. Outcomes: It has been shown that the main reasons for refusal are fear and concern about the safety of the vaccine, lack of information, fear of side effects and the insufficient age of the child. Conclusions: Despite knowing the main reasons for rejecting the vaccine, the information campaigns carried out are not enough to eradicate the population's erroneous thoughts. This is why greater educational intervention is necessary for the population about HPV and its prevention. In addition, greater health coverage is also necessary in those countries where the HPV vaccine is not covered or included in the vaccination program.
Background: Human papillomavirus (HPV) infection is the most common sexually transmitted infection, with a prevalence of 14% in women between 18 and 25 years of age in Spain. The main symptoms usually present are warts on different parts of the body. There is no cure, but correct prevention is enough to avoid the transmission of the disease. Despite global data on the prevalence of the disease, many parents refuse to vaccinate their children against HPV. Objective: Identify the main factors that influence rejection of the HPV vaccine and also find out if there is erroneous knowledge or other modifiable social factors that lead to vaccination rejection. Methods: The search for studies was carried out through the Pubmed database. Once the studies were selected based on the inclusion criteria, their main characteristics were collected, thus obtaining the factors that influence rejection against the HPV vaccine. Outcomes: It has been shown that the main reasons for refusal are fear and concern about the safety of the vaccine, lack of information, fear of side effects and the insufficient age of the child. Conclusions: Despite knowing the main reasons for rejecting the vaccine, the information campaigns carried out are not enough to eradicate the population's erroneous thoughts. This is why greater educational intervention is necessary for the population about HPV and its prevention. In addition, greater health coverage is also necessary in those countries where the HPV vaccine is not covered or included in the vaccination program.
Direction
MARTINON TORRES, FEDERICO (Tutorships)
MARTINON TORRES, FEDERICO (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
Communication of bad news by nursing professionals in the Critical Care Units of the Complexo Hospitalario Universitario de Ourense
Authorship
J.R.D.
Master in Medical Assistance, Management and Care (Clinical Specialty)
J.R.D.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
06.20.2024 15:00
06.20.2024 15:00
Summary
The communication of bad news has been one of the most distressing circumstances for healthcare staff. Nursing staff in critical care units are regularly confronted with these circumstances in their different contexts, requiring skills that combine verbal and non-verbal communication, as well as other aspects of communication.
The communication of bad news has been one of the most distressing circumstances for healthcare staff. Nursing staff in critical care units are regularly confronted with these circumstances in their different contexts, requiring skills that combine verbal and non-verbal communication, as well as other aspects of communication.
Direction
SIXTO GARCIA, JOSE (Tutorships)
SIXTO GARCIA, JOSE (Tutorships)
Court
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
MUÑOZ BARUS, JOSE IGNACIO (Chairman)
NOVIO MALLON, SILVIA (Secretary)
NUÑEZ IGLESIAS, MARIA JESUS (Member)
Analysis of the Care for Complex Chronic Patients in Spain. Challenges and Perspectives
Authorship
S.R.H.
Master in Medical Assistance, Management and Care (Clinical Specialty)
S.R.H.
Master in Medical Assistance, Management and Care (Clinical Specialty)
Defense date
07.16.2024 09:30
07.16.2024 09:30
Summary
Advances in medicine and technology have increased life expectancy, leading to a higher prevalence of chronic diseases. According to the World Health Organization (WHO), non-communicable diseases (NCDs) account for 74% of global deaths and 91% of deaths in Spain. These advances have also enabled the survival of complex chronic patients (PCC), who consume a significant portion of healthcare resources. This narrative review examines how the Autonomous Communities (CCAA) are addressing this challenge and the role of the nursing profession and its emerging profiles in managing chronicity, covering the period from 2011 to 2024. The findings show a shift in perspective at the national level, focusing on primary care for these patients and improving the organization and communication of healthcare resources across levels. The family and community nurse, as a leader in the care of these patients, and the case manager nurse, as a coordinator of resources, are key figures in this process. With these measures, some CCAA have managed to reduce costs, hospital stays, and improve the quality of care perceived and received by patients.
Advances in medicine and technology have increased life expectancy, leading to a higher prevalence of chronic diseases. According to the World Health Organization (WHO), non-communicable diseases (NCDs) account for 74% of global deaths and 91% of deaths in Spain. These advances have also enabled the survival of complex chronic patients (PCC), who consume a significant portion of healthcare resources. This narrative review examines how the Autonomous Communities (CCAA) are addressing this challenge and the role of the nursing profession and its emerging profiles in managing chronicity, covering the period from 2011 to 2024. The findings show a shift in perspective at the national level, focusing on primary care for these patients and improving the organization and communication of healthcare resources across levels. The family and community nurse, as a leader in the care of these patients, and the case manager nurse, as a coordinator of resources, are key figures in this process. With these measures, some CCAA have managed to reduce costs, hospital stays, and improve the quality of care perceived and received by patients.
Direction
Leis Trabazo, María Rosaura (Tutorships)
Leis Trabazo, María Rosaura (Tutorships)
Court
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
NUÑEZ IGLESIAS, MARIA JESUS (Chairman)
PEGO PEREZ, EMILIO RUBEN (Secretary)
ORDOÑEZ MAYAN, LUCIA (Member)
Impact of unwanted loneliness on older people
Authorship
A.E.G.
Master in Gerontology (3ªed)
A.E.G.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
In this document, a systematic bibliographic review is carried out on the impact of unwanted loneliness in older people with the intention of analyzing said impact on the daily life of this population group. With this, a review of related published literature will be carried out in order to answer an important question today. The objectives of this study are to carry out a review of the scientific literature on the subject and to understand the causes that unwanted loneliness generates in this group. In order to facilitate the understanding of the work, a contextualization of unwanted loneliness will be presented through official statistical information and notable studies, making special reference to defining key terms of this review such as loneliness and conceptualizing aspects related to the intervention and resources aimed at older people. Finally, the bibliographic review will be carried out through the PRISMA method with the purpose of selecting studies related to the stated objective.
In this document, a systematic bibliographic review is carried out on the impact of unwanted loneliness in older people with the intention of analyzing said impact on the daily life of this population group. With this, a review of related published literature will be carried out in order to answer an important question today. The objectives of this study are to carry out a review of the scientific literature on the subject and to understand the causes that unwanted loneliness generates in this group. In order to facilitate the understanding of the work, a contextualization of unwanted loneliness will be presented through official statistical information and notable studies, making special reference to defining key terms of this review such as loneliness and conceptualizing aspects related to the intervention and resources aimed at older people. Finally, the bibliographic review will be carried out through the PRISMA method with the purpose of selecting studies related to the stated objective.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
Design of an ict-based home-based care programme for people with mild cognitive impairment
Authorship
J.P.V.
Master in Gerontology (3ªed)
J.P.V.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Population aging is associated with an increase in the prevalence of neurodegenerative diseases, including dementias. Mild Cognitive Impairment (MCI) is considered a transitional state between normal aging and mild dementia. Early detection and appropriate management of this condition can significantly improve the chances of preserving or recovering cognitive functions. In Galicia, the depopulation of rural areas, characterized by the migration of young people to urban areas, poses significant challenges in the detection and care of cognitive impairment. The geographical dispersion of the population, together with the lack of specialized services and professionals, hinders early and effective detection. In this context, technology emerges as an essential tool. This paper presents the design of a home assessment and intervention program based on Information and Communication Technologies (ICTs) for people with MCI. This program is designed to be integrated into the patient's environment, allowing a continuous approach over time and providing support to caregivers during the process. To achieve these objectives, the use of ICTs has been integrated to plan, monitor and evaluate the progress of the participants.
Population aging is associated with an increase in the prevalence of neurodegenerative diseases, including dementias. Mild Cognitive Impairment (MCI) is considered a transitional state between normal aging and mild dementia. Early detection and appropriate management of this condition can significantly improve the chances of preserving or recovering cognitive functions. In Galicia, the depopulation of rural areas, characterized by the migration of young people to urban areas, poses significant challenges in the detection and care of cognitive impairment. The geographical dispersion of the population, together with the lack of specialized services and professionals, hinders early and effective detection. In this context, technology emerges as an essential tool. This paper presents the design of a home assessment and intervention program based on Information and Communication Technologies (ICTs) for people with MCI. This program is designed to be integrated into the patient's environment, allowing a continuous approach over time and providing support to caregivers during the process. To achieve these objectives, the use of ICTs has been integrated to plan, monitor and evaluate the progress of the participants.
Direction
GANDOY CREGO, MANUEL (Tutorships)
Gerbaudo González, Noelia Beatriz (Co-tutorships)
GANDOY CREGO, MANUEL (Tutorships)
Gerbaudo González, Noelia Beatriz (Co-tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
Title: Advantages and Disadvantages of ICT Use Among Older Adults: A Systematic Review
Authorship
D.D.V.C.L.
Master in Gerontology (3ªed)
D.D.V.C.L.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Introduction: The integration of Information and Communication Technologies (ICT) has the potential to significantly improve the quality of life of older adults, promoting active aging, enhancing communication, and providing access to information and services. Despite their widespread use, there are barriers and challenges that hinder the effective adoption of ICT among older adults. The objective of this review is to evaluate the advantages, disadvantages, perceptions, and barriers related to the use of ICT in this population. Methods: The review was conducted according to the PRISMA statement. Searches were performed in the Web of Science, PubMed, Scopus, and Google Scholar databases for studies published from 2014 to May 2024. The inclusion criteria were: population (older adults), intervention (use of ICT), and outcomes (advantages, disadvantages, perceptions, and barriers in the use of ICT). Studies that did not focus on older adults, did not address the use of ICT, or were not empirical studies were excluded. Systematic reviews, experimental, quasi-experimental, and observational studies in English and Spanish were considered.
Introduction: The integration of Information and Communication Technologies (ICT) has the potential to significantly improve the quality of life of older adults, promoting active aging, enhancing communication, and providing access to information and services. Despite their widespread use, there are barriers and challenges that hinder the effective adoption of ICT among older adults. The objective of this review is to evaluate the advantages, disadvantages, perceptions, and barriers related to the use of ICT in this population. Methods: The review was conducted according to the PRISMA statement. Searches were performed in the Web of Science, PubMed, Scopus, and Google Scholar databases for studies published from 2014 to May 2024. The inclusion criteria were: population (older adults), intervention (use of ICT), and outcomes (advantages, disadvantages, perceptions, and barriers in the use of ICT). Studies that did not focus on older adults, did not address the use of ICT, or were not empirical studies were excluded. Systematic reviews, experimental, quasi-experimental, and observational studies in English and Spanish were considered.
Direction
MARTINEZ ISASI, SANTIAGO (Tutorships)
MARTINEZ ISASI, SANTIAGO (Tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
Silver hydrofiber dressings vs. Non-occlusive, flexible antimicrobial mesh with lipids and silver in the treatment of pressure ulcers with infection and/or biofilm in elderly people in residential care centers in Santiago de Compostela
Authorship
A.Y.V.L.
Master in Gerontology (3ªed)
A.Y.V.L.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Introduction: Pressure ulcers are skin lesions caused by sustained pressure on body areas for prolonged periods, commonly seen in patients immobilized for long durations, such as the elderly. These lesions can develop rapidly in the absence of positional changes and mainly affect areas where bones protrude. Proper prevention could avoid up to 95% of cases. Pressure ulcers are classified into four stages based on the severity of the injury, ranging from skin redness to extensive damage that includes muscle and bone. Treatment follows the TIME framework (Tissue management, Inflammation and infection control, Moisture balance, and Edge of wound protection), which facilitates healing. Proper wound cleaning is essential, and the use of room-temperature saline is recommended. Pressure ulcers can significantly reduce mobility, cause chronic pain, increase the risk of infections, and lead to physical deformities, severely impacting the person's autonomy and quality of life. Objective: To compare the effectiveness of hydrofiber dressings with silver versus non-occlusive, flexible antimicrobial mesh with lipids and silver in the treatment of pressure ulcers with infection and/or biofilm in elderly individuals in residential care facilities. Methodology: This project is a case-control study on the treatment and evolution of pressure ulcers in elderly bedridden individuals in residential care facilities in Santiago de Compostela. Data will be collected on patients with pressure ulcers of grade II to IV, as well as those with the presence of infection and/or biofilm or necrotic tissue. To evaluate the patients' progress, the following measurement instruments will be used: Barthel Index, Braden Scale, Modified Norton Scale, National Pressure Ulcer Advisory Panel's pressure ulcer staging scale, Revesh 2.0 Index, FEDPALLA scale, and Visual Analog Scale. A descriptive analysis will be conducted using measures of central tendency, such as the mean or median, and dispersion, such as the standard deviation when appropriate for quantitative variables, and percentages for qualitative variables.
Introduction: Pressure ulcers are skin lesions caused by sustained pressure on body areas for prolonged periods, commonly seen in patients immobilized for long durations, such as the elderly. These lesions can develop rapidly in the absence of positional changes and mainly affect areas where bones protrude. Proper prevention could avoid up to 95% of cases. Pressure ulcers are classified into four stages based on the severity of the injury, ranging from skin redness to extensive damage that includes muscle and bone. Treatment follows the TIME framework (Tissue management, Inflammation and infection control, Moisture balance, and Edge of wound protection), which facilitates healing. Proper wound cleaning is essential, and the use of room-temperature saline is recommended. Pressure ulcers can significantly reduce mobility, cause chronic pain, increase the risk of infections, and lead to physical deformities, severely impacting the person's autonomy and quality of life. Objective: To compare the effectiveness of hydrofiber dressings with silver versus non-occlusive, flexible antimicrobial mesh with lipids and silver in the treatment of pressure ulcers with infection and/or biofilm in elderly individuals in residential care facilities. Methodology: This project is a case-control study on the treatment and evolution of pressure ulcers in elderly bedridden individuals in residential care facilities in Santiago de Compostela. Data will be collected on patients with pressure ulcers of grade II to IV, as well as those with the presence of infection and/or biofilm or necrotic tissue. To evaluate the patients' progress, the following measurement instruments will be used: Barthel Index, Braden Scale, Modified Norton Scale, National Pressure Ulcer Advisory Panel's pressure ulcer staging scale, Revesh 2.0 Index, FEDPALLA scale, and Visual Analog Scale. A descriptive analysis will be conducted using measures of central tendency, such as the mean or median, and dispersion, such as the standard deviation when appropriate for quantitative variables, and percentages for qualitative variables.
Direction
PEGO PEREZ, EMILIO RUBEN (Tutorships)
PEGO PEREZ, EMILIO RUBEN (Tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
Diagnosing Depression in Older People
Authorship
L.E.S.C.
Master in Gerontology (3ªed)
L.E.S.C.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Depression is a mood disorder that is increasingly affecting the population internationally. Despite being considered a social problem, its diagnosis in older people is complex due to the relationship of biopsychosocial variables that cross them. These factors, together with the scarcity of identification tools, mean that depressive symptoms can go unnoticed or be confused with changes typical of aging. An information search was carried out using three databases (Dialnet, PubMed, and ProQuest), following a process of selecting articles following the PRISMA guide. The main objective is to study or diagnosis depression in people over 65 years of age. 15 articles were selected for the literature review, of which 11 dealt with the factors that influence the diagnosis of the disease in older people such as gender, support network, resilience or physical activity. The remaining 4 delved into the tools for identifying this group, such as the Yessavage Geriatric Depression Scale. It is essential that health professionals take into account the factors exposed here and that they use the tools at their disposal to guarantee a correct diagnosis and subsequent treatment.
Depression is a mood disorder that is increasingly affecting the population internationally. Despite being considered a social problem, its diagnosis in older people is complex due to the relationship of biopsychosocial variables that cross them. These factors, together with the scarcity of identification tools, mean that depressive symptoms can go unnoticed or be confused with changes typical of aging. An information search was carried out using three databases (Dialnet, PubMed, and ProQuest), following a process of selecting articles following the PRISMA guide. The main objective is to study or diagnosis depression in people over 65 years of age. 15 articles were selected for the literature review, of which 11 dealt with the factors that influence the diagnosis of the disease in older people such as gender, support network, resilience or physical activity. The remaining 4 delved into the tools for identifying this group, such as the Yessavage Geriatric Depression Scale. It is essential that health professionals take into account the factors exposed here and that they use the tools at their disposal to guarantee a correct diagnosis and subsequent treatment.
Direction
JORGE SOTO, CRISTINA (Tutorships)
JORGE SOTO, CRISTINA (Tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
DIAZ GEADA, AINARA (Member)
Myths and beliefs about alcohol consumption in the elderly
Authorship
P.A.P.
Master in Gerontology (3ªed)
P.A.P.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Background: The Consumption of alcoholic beverages is rooted in our culture and even related to celebrations and traditions. Even so, it is not without risk, witch can increase with the amount, frequency, comsumption pattern and the people’s own characteristics. Therefore, it is important to have information on the dangers of comsumption, such as lack of adherence treatment, suffering certain types of cancer or having a stroke, in order to contribute to increasing health awareness among the elderly. Objective: To identify myths and beliefs about alcohol consumption in people over 65 years of age. Methodology: To achieve the proposed objective, the development of a study using the “Concept Mapping” methodology is proposed with a sample composed of people over 65 years of age registered in the City council of Santiago de Compostela and with the 1st Degree Social Work students of the USC. To understand the characteristics of alcohol comsumption, sessions Will be held with the participating population in which ideas Will be generated that will later be grouped by importance and frequency by the population under study. The data will be analyzed with the R-CMap program.
Background: The Consumption of alcoholic beverages is rooted in our culture and even related to celebrations and traditions. Even so, it is not without risk, witch can increase with the amount, frequency, comsumption pattern and the people’s own characteristics. Therefore, it is important to have information on the dangers of comsumption, such as lack of adherence treatment, suffering certain types of cancer or having a stroke, in order to contribute to increasing health awareness among the elderly. Objective: To identify myths and beliefs about alcohol consumption in people over 65 years of age. Methodology: To achieve the proposed objective, the development of a study using the “Concept Mapping” methodology is proposed with a sample composed of people over 65 years of age registered in the City council of Santiago de Compostela and with the 1st Degree Social Work students of the USC. To understand the characteristics of alcohol comsumption, sessions Will be held with the participating population in which ideas Will be generated that will later be grouped by importance and frequency by the population under study. The data will be analyzed with the R-CMap program.
Direction
DIAZ GEADA, AINARA (Tutorships)
DIAZ GEADA, AINARA (Tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
Working with gerontos the inter-.Intergenerational actions in a day center
Authorship
B.L.P.
Master in Gerontology (3ªed)
B.L.P.
Master in Gerontology (3ªed)
Defense date
06.20.2024 17:00
06.20.2024 17:00
Summary
The presence of older people in society has been constantly growing in recent years, both at the national and regional levels, a phenomenon we know as demographic aging. This notable quantitative increase in the group of the third/fourth age leads them to form a large part of society compared to other age groups, but it does so hand in hand with a negative and stereotyped vision encompassed in the concept of ageism, which It limits their well-being and quality of life in general by negatively influencing the dimensions and sectors of people's existence, such as exchanges and relationships between generations. For this reason, this work presents a socio-educational intervention project designed for the Innova Senior Day Center (Santiago de Compostela) and the students of the Degree in Social Education at the University of Santiago de Compostela (USC); For the latter, sixteen places per course will be offered for all those people interested in actively participating in the proposed activities. The main objective to be pursued is the promotion of intergenerational exchange between the participants, so the activities are designed with the aim of eliminating stereotypes between age groups, knowing the social evolution between generations and thereby recovering the cultural heritage of the older people and, in turn, promote active and healthy aging.
The presence of older people in society has been constantly growing in recent years, both at the national and regional levels, a phenomenon we know as demographic aging. This notable quantitative increase in the group of the third/fourth age leads them to form a large part of society compared to other age groups, but it does so hand in hand with a negative and stereotyped vision encompassed in the concept of ageism, which It limits their well-being and quality of life in general by negatively influencing the dimensions and sectors of people's existence, such as exchanges and relationships between generations. For this reason, this work presents a socio-educational intervention project designed for the Innova Senior Day Center (Santiago de Compostela) and the students of the Degree in Social Education at the University of Santiago de Compostela (USC); For the latter, sixteen places per course will be offered for all those people interested in actively participating in the proposed activities. The main objective to be pursued is the promotion of intergenerational exchange between the participants, so the activities are designed with the aim of eliminating stereotypes between age groups, knowing the social evolution between generations and thereby recovering the cultural heritage of the older people and, in turn, promote active and healthy aging.
Direction
Gutierrez Moar, María del Carmen (Tutorships)
Gutierrez Moar, María del Carmen (Tutorships)
Court
ANTELO MARTELO, MONICA (Chairman)
PAZOS COUSELO, MARCOS (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
ANTELO MARTELO, MONICA (Chairman)
PAZOS COUSELO, MARCOS (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
Empowering female sexuality. Sexual education proyect for older women
Authorship
L.O.L.
Master in Gerontology (3ªed)
L.O.L.
Master in Gerontology (3ªed)
Defense date
06.20.2024 17:00
06.20.2024 17:00
Summary
Background The sexuality corresponds with an appearance biopsicosocial that accompanies to the human beings during all his vital stages, being an indicator of quality of life for the greater people. In the process of aging experience a series of physiological changes, functional, psychological, social, economic... That they can produce alterations to the hour to live the sexuality. In addition to the changes mentioned, another factor that influences to a large extent in the sexuality of the greater people, with greater emphasis in the women, is the existence of prejudices and social stereotypes. The consequence of this is that the greater people seat fault or shame if they keep activities or sexual interests, what does that distancien increasingly of the sexuality. Objectives The general aim of this project corresponds with offering knowledge on the sexuality to greater women of 65 years inhabitants of the rural of the province of A Coruña. For this, establish a series of specific aims centred in: reduce the prejudices and stereotypes on the feminine sexuality in the third age; increase the autoconocimiento and the self-esteem of the women participants; facilitate the access of the women users of the project to services and resources of the community; mitigate the feeling of fault and shame of the women participants regarding the sexuality and finally, provide a safe space in which create a network of support between the women participants and boost the socialisation and the mutual help. Method To reach these aims, will carry out a project of intervention divided in six sessions through which will tackle thematic like the physiological changes of the aging, the myths and social stereotypes, the feeling of fault, etc. The activities will be oriented to boost the active participation of the women beneficiarias of the project. Of simultaneous way, pro-pose the utilisation of a technician of qualitative investigation, the ‘'Fotovoz'', with the purpose to deepen and show to the society as they affect the stereotypes in the self-esteem, in the positive corporeality and in the autocoñecemento of the greater women from the empowerment of the same. Finally, they will expose the photographies in the centre sociocultural of the city council of To Laracha.
Background The sexuality corresponds with an appearance biopsicosocial that accompanies to the human beings during all his vital stages, being an indicator of quality of life for the greater people. In the process of aging experience a series of physiological changes, functional, psychological, social, economic... That they can produce alterations to the hour to live the sexuality. In addition to the changes mentioned, another factor that influences to a large extent in the sexuality of the greater people, with greater emphasis in the women, is the existence of prejudices and social stereotypes. The consequence of this is that the greater people seat fault or shame if they keep activities or sexual interests, what does that distancien increasingly of the sexuality. Objectives The general aim of this project corresponds with offering knowledge on the sexuality to greater women of 65 years inhabitants of the rural of the province of A Coruña. For this, establish a series of specific aims centred in: reduce the prejudices and stereotypes on the feminine sexuality in the third age; increase the autoconocimiento and the self-esteem of the women participants; facilitate the access of the women users of the project to services and resources of the community; mitigate the feeling of fault and shame of the women participants regarding the sexuality and finally, provide a safe space in which create a network of support between the women participants and boost the socialisation and the mutual help. Method To reach these aims, will carry out a project of intervention divided in six sessions through which will tackle thematic like the physiological changes of the aging, the myths and social stereotypes, the feeling of fault, etc. The activities will be oriented to boost the active participation of the women beneficiarias of the project. Of simultaneous way, pro-pose the utilisation of a technician of qualitative investigation, the ‘'Fotovoz'', with the purpose to deepen and show to the society as they affect the stereotypes in the self-esteem, in the positive corporeality and in the autocoñecemento of the greater women from the empowerment of the same. Finally, they will expose the photographies in the centre sociocultural of the city council of To Laracha.
Direction
DIAZ GEADA, AINARA (Tutorships)
DIAZ GEADA, AINARA (Tutorships)
Court
ANTELO MARTELO, MONICA (Chairman)
PAZOS COUSELO, MARCOS (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
ANTELO MARTELO, MONICA (Chairman)
PAZOS COUSELO, MARCOS (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
Physical activity and quality of life in older people
Authorship
J.V.C.
Master in Gerontology (3ªed)
J.V.C.
Master in Gerontology (3ªed)
Defense date
09.05.2024 11:00
09.05.2024 11:00
Summary
Introduction: The ageing of the population is an unquestionable fact, which will only increase in the future. Likewise, it is necessary to promote active and healthy ageing so that older people have the best possible quality of life. A form of active ageing is undoubtedly physical activity, which produces benefits such as the prevention of some diseases or the increase in life expectancy with a good quality of life. Objectives: The main objective of this research was to determine the frequency of physical activity and its effects on the perception of the quality of life of people aged 65 or over. Methods: An observational and descriptive cross-sectional study was carried out, using a quantitative methodology, of people aged 65 years or older who attended ATEGAL or a sociocultural center in Santiago. Likewise, the instrument used was a questionnaire made up of both open and closed questions that consists of three differentiated blocks. The first block is composed of questions related to sociodemographic characteristics. Below are the questions of the adapted version of the validated Whoqol-Bref questionnaire, to measure quality of life. Finally, the third block groups ad hoc questions related to the frequency of physical activity and the perception that the participants have in relation to the benefits of physical activity. Results: The results obtained confirmed the high degree of relationship between the performance of physical activity and the perception of quality, since it has been observed that, the greater the frequency of physical activity, the better the perception of quality of life existed. Likewise, good data on physical activity and quality of life were presented, except for satisfaction with sleep or sexual activity. Conclusions: In relation to the main objective, it can be stated that those people who present high levels of physical activity have a better perception of their quality of life. This can be observed in the frequency of walks, since while about 60% of people who claimed to have a fairly or very good quality of life took walks daily, among those who had a low quality of life only 30% did so.
Introduction: The ageing of the population is an unquestionable fact, which will only increase in the future. Likewise, it is necessary to promote active and healthy ageing so that older people have the best possible quality of life. A form of active ageing is undoubtedly physical activity, which produces benefits such as the prevention of some diseases or the increase in life expectancy with a good quality of life. Objectives: The main objective of this research was to determine the frequency of physical activity and its effects on the perception of the quality of life of people aged 65 or over. Methods: An observational and descriptive cross-sectional study was carried out, using a quantitative methodology, of people aged 65 years or older who attended ATEGAL or a sociocultural center in Santiago. Likewise, the instrument used was a questionnaire made up of both open and closed questions that consists of three differentiated blocks. The first block is composed of questions related to sociodemographic characteristics. Below are the questions of the adapted version of the validated Whoqol-Bref questionnaire, to measure quality of life. Finally, the third block groups ad hoc questions related to the frequency of physical activity and the perception that the participants have in relation to the benefits of physical activity. Results: The results obtained confirmed the high degree of relationship between the performance of physical activity and the perception of quality, since it has been observed that, the greater the frequency of physical activity, the better the perception of quality of life existed. Likewise, good data on physical activity and quality of life were presented, except for satisfaction with sleep or sexual activity. Conclusions: In relation to the main objective, it can be stated that those people who present high levels of physical activity have a better perception of their quality of life. This can be observed in the frequency of walks, since while about 60% of people who claimed to have a fairly or very good quality of life took walks daily, among those who had a low quality of life only 30% did so.
Direction
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
Martínez Santos, Alba Elena (Co-tutorships)
RODRIGUEZ GONZALEZ, RAQUEL (Tutorships)
Martínez Santos, Alba Elena (Co-tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
MARTINEZ ROGET, FIDEL (Member)
GANDOY CREGO, MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
MARTINEZ ROGET, FIDEL (Member)
Detection of elder abuse in the public health care system in Santiago de Compostela public health system in santiago de compostela: design of a research project
Authorship
N.D.P.B.L.
Master in Gerontology (3ªed)
N.D.P.B.L.
Master in Gerontology (3ªed)
Defense date
09.05.2024 11:00
09.05.2024 11:00
Summary
A significant number of elderly people are attended in the public health system, but there is no background information on the relationship between abused elderly people and the health system. Therefore, the aim of this study is to find out whether in the Santiago de Compostela system cases of abuse of elderly people are detected when they attend medical appointments or through the emergency unit, to quantify the cases and qualify the types, to know the protocol that is carried out in these cases and how many of them have been prosecuted. A mixed methodology will be used, since it will allow us to quantify the cases and their types and at the same time qualify the reality based on the experience of the health and social personnel. The usefulness of this project will be to obtain a current x-ray of the reality of mistreatment in the elderly population of Santiago de Compostela, allowing to know if the work that is being done is adequate or can be improved and that in this way the competent authority can create or redirect campaigns or programs for the prevention of mistreatment and support to its victims, and to the families who care for their elders.
A significant number of elderly people are attended in the public health system, but there is no background information on the relationship between abused elderly people and the health system. Therefore, the aim of this study is to find out whether in the Santiago de Compostela system cases of abuse of elderly people are detected when they attend medical appointments or through the emergency unit, to quantify the cases and qualify the types, to know the protocol that is carried out in these cases and how many of them have been prosecuted. A mixed methodology will be used, since it will allow us to quantify the cases and their types and at the same time qualify the reality based on the experience of the health and social personnel. The usefulness of this project will be to obtain a current x-ray of the reality of mistreatment in the elderly population of Santiago de Compostela, allowing to know if the work that is being done is adequate or can be improved and that in this way the competent authority can create or redirect campaigns or programs for the prevention of mistreatment and support to its victims, and to the families who care for their elders.
Direction
ANTELO MARTELO, MONICA (Tutorships)
ANTELO MARTELO, MONICA (Tutorships)
Court
GANDOY CREGO, MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
MARTINEZ ROGET, FIDEL (Member)
GANDOY CREGO, MANUEL (Chairman)
REY BRETAL, DAVID (Secretary)
MARTINEZ ROGET, FIDEL (Member)
Perception of undergraduate university students on the symptoms of depression in older people: an analysis through surveys
Authorship
C.B.
Master in Gerontology (3ªed)
C.B.
Master in Gerontology (3ªed)
Defense date
07.15.2024 16:00
07.15.2024 16:00
Summary
Depression in older people is a topic of great relevance due to its high prevalence and its impact on quality of life. It is considered one of the most common psychiatric syndromes and in the field of Gerontology it is a Geriatric Syndrome itself, it is estimated that it is the second disorder that generates the most disability in this age group. Different studies warn against a dismissal of depressive manifestations in this population, since attitudes, signs and symptoms typical of depression are attributed to them. There is an erroneous tendency to link sadness with old age and therefore ignore it. Taking into account that population aging is a fact throughout Spain, especially Galicia, this research seeks to determine the perception of undergraduate students at the University of Santiago de Compostela regarding depressive manifestations in people over 65 years of age. It is of great relevance to know this information, with it preventive measures can be taken, providing information so that depression in this population is treated accordingly, promoting a better quality of life.
Depression in older people is a topic of great relevance due to its high prevalence and its impact on quality of life. It is considered one of the most common psychiatric syndromes and in the field of Gerontology it is a Geriatric Syndrome itself, it is estimated that it is the second disorder that generates the most disability in this age group. Different studies warn against a dismissal of depressive manifestations in this population, since attitudes, signs and symptoms typical of depression are attributed to them. There is an erroneous tendency to link sadness with old age and therefore ignore it. Taking into account that population aging is a fact throughout Spain, especially Galicia, this research seeks to determine the perception of undergraduate students at the University of Santiago de Compostela regarding depressive manifestations in people over 65 years of age. It is of great relevance to know this information, with it preventive measures can be taken, providing information so that depression in this population is treated accordingly, promoting a better quality of life.
Direction
GANDOY CREGO, MANUEL (Tutorships)
Gerbaudo González, Noelia Beatriz (Co-tutorships)
GANDOY CREGO, MANUEL (Tutorships)
Gerbaudo González, Noelia Beatriz (Co-tutorships)
Court
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)
TRIGO GARCIA, MARIA BELEN (Chairman)
RODRIGUEZ PEREZ, ANA ISABEL (Secretary)
PEGO PEREZ, EMILIO RUBEN (Member)