Impact of adherence to inhaled therapy on the efficacy of triple therapy treatment of severe asthma.
Authorship
E.C.B.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
E.C.B.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
Defense date
07.22.2025 16:00
07.22.2025 16:00
Summary
Therapeutic adherence is a problem in patients receiving medication for a chronic process, and it is part of the activity of nursing professionals to educate patients on adequate treatment compliance. In the case of asthma, non-compliance percentages vary, according to studies, between 46 and 85 percent. Objective: The aim of the study was to assess therapeutic adherence and its impact on asthma control in a population of severe asthmatics, who initiated inhaled triple therapy: inhaled corticosteroid, plus long acting beta agonist, plus long acting anticholinergic, either with a single device or with more than one. Material and methods: Demographic, clinical and data were collected in a population of 390 asthmatics during different visits from the time they started triple therapy, visit 1. Therapeutic adherence was estimated by the electronic prescription refill rate. Satisfactory therapeutic adherence was defined as dispensed refills covering 80 percent of the prescribed treatment time. Clinical outcome was assessed according to the number of exacerbations, symptom control and pulmonary function parameters. In addition, we analyzed the percentage of patients controlled at the end of follow up, the percentage of those who required therapeutic escalation and those who achieved clinical remission. Results: Therapeutic adherence was adequate in 64 percent of patients at visit 2, in 62 percent of patients at visit 3 and in 54 percent at the final visit. Therapeutic adherence was better in older patients, in those who used single device and worse in those with at least one exacerbation, reduced FEV1 values and more than device. No Therapeutic adherence significant differences were found between patients who required therapeutic escalation and those who did not, between those who did or did not achieve clinical remission, and also in terms of symptom control, but therapeutic adherence was significantly better in patients who were controlled at the end of follow up, had no exacerbations, and achieved an FEV1 greater than or equal 80 percent. Conclusion: The current study reflects that therapeutic adherence to inhaled medication in patients with severe asthma should be improved and that nursing should take a leading and proactive role to optimize clinical outcomes.
Therapeutic adherence is a problem in patients receiving medication for a chronic process, and it is part of the activity of nursing professionals to educate patients on adequate treatment compliance. In the case of asthma, non-compliance percentages vary, according to studies, between 46 and 85 percent. Objective: The aim of the study was to assess therapeutic adherence and its impact on asthma control in a population of severe asthmatics, who initiated inhaled triple therapy: inhaled corticosteroid, plus long acting beta agonist, plus long acting anticholinergic, either with a single device or with more than one. Material and methods: Demographic, clinical and data were collected in a population of 390 asthmatics during different visits from the time they started triple therapy, visit 1. Therapeutic adherence was estimated by the electronic prescription refill rate. Satisfactory therapeutic adherence was defined as dispensed refills covering 80 percent of the prescribed treatment time. Clinical outcome was assessed according to the number of exacerbations, symptom control and pulmonary function parameters. In addition, we analyzed the percentage of patients controlled at the end of follow up, the percentage of those who required therapeutic escalation and those who achieved clinical remission. Results: Therapeutic adherence was adequate in 64 percent of patients at visit 2, in 62 percent of patients at visit 3 and in 54 percent at the final visit. Therapeutic adherence was better in older patients, in those who used single device and worse in those with at least one exacerbation, reduced FEV1 values and more than device. No Therapeutic adherence significant differences were found between patients who required therapeutic escalation and those who did not, between those who did or did not achieve clinical remission, and also in terms of symptom control, but therapeutic adherence was significantly better in patients who were controlled at the end of follow up, had no exacerbations, and achieved an FEV1 greater than or equal 80 percent. Conclusion: The current study reflects that therapeutic adherence to inhaled medication in patients with severe asthma should be improved and that nursing should take a leading and proactive role to optimize clinical outcomes.
Direction
PENELA PUGA, Mª PILAR (Tutorships)
PENELA PUGA, Mª PILAR (Tutorships)
Court
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)
Behind bars: The importance of Nursing in the Prision Context
Authorship
A.L.G.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
A.L.G.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
Defense date
07.22.2025 16:00
07.22.2025 16:00
Summary
The increase in the prison population leads to a significant rise in existing pathologies, as well as a greater demand for healthcare resources and interventions. Consequently, there is a need to analyze the biopsychosocial profile of the incarcerated population and evaluate whether there is a direct relationship with the most prevalent pathologies in penitentiary centers. The objective is to more precisely identify the needs of these patients, thereby improving the care and interventions provided. The incarcerated population is characterized by a predominantly male profile, middle-aged adults, with low education levels and limited economic resources. This, combined with self-esteem issues and difficulties in self-care management, contributes to the development and maintenance of various prevalent pathologies in these settings. Among them are infectious diseases such as Human Inmmunodeficiency Virus (HIV), Hepatitis C Virus (HCV) and tuberculosis (TB); mental disorders, especially mood and psychotic disorders; as well as substance abuse. Regarding the legal framework, Spanish penitentiary nursing is regulated by legislation aimed at guaranteeing the rights of incarcerated individuals and regulating nursing functions. However, this legislation is currently outdated due to advances in nursing over recent decades without corresponding updates. Penitentiary nursing plays a fundamental role in promoting health within the prison environment. Through clinical and preventive interventions, it seeks not only to address the needs of the incarcerated population but also to improve their quality of life. Its work often focuses on supporting and accompanying patients during the institutionalization process, addressing both physical and emotional aspects. All of this is carried out under an integral and humanistic approach, characteristic of nursing practice, which prioritizes dignity, respect and well-being.
The increase in the prison population leads to a significant rise in existing pathologies, as well as a greater demand for healthcare resources and interventions. Consequently, there is a need to analyze the biopsychosocial profile of the incarcerated population and evaluate whether there is a direct relationship with the most prevalent pathologies in penitentiary centers. The objective is to more precisely identify the needs of these patients, thereby improving the care and interventions provided. The incarcerated population is characterized by a predominantly male profile, middle-aged adults, with low education levels and limited economic resources. This, combined with self-esteem issues and difficulties in self-care management, contributes to the development and maintenance of various prevalent pathologies in these settings. Among them are infectious diseases such as Human Inmmunodeficiency Virus (HIV), Hepatitis C Virus (HCV) and tuberculosis (TB); mental disorders, especially mood and psychotic disorders; as well as substance abuse. Regarding the legal framework, Spanish penitentiary nursing is regulated by legislation aimed at guaranteeing the rights of incarcerated individuals and regulating nursing functions. However, this legislation is currently outdated due to advances in nursing over recent decades without corresponding updates. Penitentiary nursing plays a fundamental role in promoting health within the prison environment. Through clinical and preventive interventions, it seeks not only to address the needs of the incarcerated population but also to improve their quality of life. Its work often focuses on supporting and accompanying patients during the institutionalization process, addressing both physical and emotional aspects. All of this is carried out under an integral and humanistic approach, characteristic of nursing practice, which prioritizes dignity, respect and well-being.
Direction
Rodríguez Pérez, Isidoro (Tutorships)
Rodríguez Pérez, Isidoro (Tutorships)
Court
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)
Impact of multiculturalism on nursing care: strategies Adopted
Authorship
L.M.A.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
L.M.A.
Bachelor of Nursing (2ª ed) [L] (ADSCRITA)
Defense date
07.22.2025 16:00
07.22.2025 16:00
Summary
The growing cultural diversity in Spain’s healthcare system, driven by migration and globalization, presents significant challenges for nursing care. This study explores the impact of multiculturalism on nursing practice, focusing on the perspectives of culturally diverse patients and healthcare professionals. Using a qualitative methodology based on in-depth interviews and participant observation, the research gathers real experiences that reveal communicative, institutional, and cultural barriers hindering equitable care. The theoretical framework includes cultural competence models by Campinha-Bacote and Larry Purnell, alongside Madeleine Leininger's Sunrise Model. These models highlight the importance of integrating cultural knowledge into clinical practice to enhance care quality, build trust, and promote humanized attention. Findings reveal an urgent need for specific training, institutional support strategies, and greater integration of cultural mediators within healthcare teams. Nursing professionals emerge as key figures in identifying inequalities, bridging cultural gaps, and advocating for person-centered care.This research calls for reflection on nursing in multicultural contexts, proposing future lines of work involving inclusive policies, continuous education, and systematic assessment of cultural competence.
The growing cultural diversity in Spain’s healthcare system, driven by migration and globalization, presents significant challenges for nursing care. This study explores the impact of multiculturalism on nursing practice, focusing on the perspectives of culturally diverse patients and healthcare professionals. Using a qualitative methodology based on in-depth interviews and participant observation, the research gathers real experiences that reveal communicative, institutional, and cultural barriers hindering equitable care. The theoretical framework includes cultural competence models by Campinha-Bacote and Larry Purnell, alongside Madeleine Leininger's Sunrise Model. These models highlight the importance of integrating cultural knowledge into clinical practice to enhance care quality, build trust, and promote humanized attention. Findings reveal an urgent need for specific training, institutional support strategies, and greater integration of cultural mediators within healthcare teams. Nursing professionals emerge as key figures in identifying inequalities, bridging cultural gaps, and advocating for person-centered care.This research calls for reflection on nursing in multicultural contexts, proposing future lines of work involving inclusive policies, continuous education, and systematic assessment of cultural competence.
Direction
Rodríguez Pérez, Isidoro (Tutorships)
Rodríguez Pérez, Isidoro (Tutorships)
Court
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)
Ferreira Díaz, María José (Chairman)
Bermello López, Mª Lourdes (Secretary)
Rivas Fernández, Inés (Member)