1,721,011 research outputs found
Sleep quality in patients with heart failure in the spanish population: A cross-sectional study
Full text linkBackground: Heart failure is a major problem in western societies. Sleep Disorders maintain a bidirectional relationship with heart failure, as shown by studies conducted in other countries. This study aims to describe the quality of sleep in Spanish patients with heart failure. Materials and methods: We carried out a cross-sectional study to analyze the quality of sleep in a sample of 203 patients with a diagnosis of heart failure admitted to an Internal Medicine Service. The Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality in our sample over a one-month period. Results: 75% of the sample presented sleep disorders. The most common problems included the interruption of sleep (73.5% nocturia and 30% breathing difficulties); 35% had poor sleep efficiency; 33% showed a decrease in daytime performance; 84% had used hypnotics at some point to induce sleep and 35% used them regularly. Conclusions: This is the first study to report on the perceived sleep quality of patients with heart failure in Spain. Self-perception of sleep quality differed from that estimated by the PSQI. The prevalence of the use of sleep-inducing medication was very high. The diurnal dysfunction generated by sleep disorders in a heart failure environment can contribute to the development of self-care and cognitive deterioration problems
Nursing, Commitment, and Leadership: More Nurses for a Better Health Care Model—Be a Nurse to Be a Leader
No full textInvestigando el autocuidado en una muestra de pacientes con insuficiencia cardiaca descompensada: un estudio transversal
Full text linkAntecedentes: La información sobre el autocuidado en la insuficiencia cardiaca (IC) en España es escasa. En concreto, existe la necesidad de fijar el nivel de comprensión de los pacientes sobre la IC, así como su capacidad para reconocer los signos y los síntomas de la descompensación.
Pacientes y métodos: Estudio transversal para determinar el nivel de autocuidado en una población de pacientes españoles ingresados en el hospital con un diagnóstico primario de IC descompensada. Para el estudio, se reclutó una muestra de conveniencia integrada por 108 pacientes (50 mujeres y 58 hombres) con una edad de 83 ± 8 años.
Resultados: Para cuantificar el autocuidado en nuestra muestra se empleó el Índice de Autocuidado en Insuficiencia Cardiaca versión 6.2. La media y la desviación estándar de la subescala de mantenimiento de autocuidado del Índice de Autocuidado en Insuficiencia Cardiaca fueron: a) «ejercicio durante 30 minutos», 1 ± 1; b) «olvida tomar una de sus medicinas», 2 ± 2; c) «pedir productos bajos en sal cuando sale a comer o de visita», 2 ± 1. En el mes previo, el 67, 6% experimentó dificultad para respirar o inflamación del tobillo. Sin embargo, era improbable que la gran mayoría de nuestros pacientes implementaran de forma independiente un remedio: a) reducir sal, 2 ± 1; b) reducir la ingesta de líquidos, 1 ± 1; c) tomar un diurético extra, 1 ± 1. Más del 50% de los pacientes de nuestra muestra se sintieron confiados o muy confiados siguiendo los consejos profesionales (3 ± 1), manteniéndose libres de síntomas (3 ± 1), reconociendo los cambios en su enfermedad (3 ± 1) y valorando la importancia de dichos cambios (3 ± 1).
Conclusiones: Al comparar a nuestros pacientes con IC con los de otros países el nivel de autocuidado es significativamente bajo, especialmente en lo que se refiere a la gestión de su enfermedad. La promoción del autocuidado debería ser una prioridad para todos los profesionales de la salud involucrados en la gestión de los pacientes con IC.
Background: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients’ level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation.
Patients and methods: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83 ± 8 were recruited to participate in this study.
Results: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) “exercise for 30 minutes”, 1 ± 1; b) “forget to take one of your medicines”, 2 ± 2; c) “ask for low-salt items when eating out or visiting others”, 2 ± 1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2 ± 1; b) reduce fluid intake, 1 ± 1; c) take an extra diuretic, 1 ± 1. Over 50% of our sample felt confident or very confident at following professional advice (3 ± 1), keeping themselves free of symptoms (3 ± 1), recognizing changes in their condition (3 ± 1) and evaluating the significance of such changes (3 ± 1).
Conclusions: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
The influence of health literacy on self-care in heart failure patient and caregiver dyads
Full text linkHealth Plans for Suicide Prevention in Spain: A Descriptive Analysis of the Published Documents
Full text linkThe number of deaths by suicide worldwide each year is more than 800,000 people, which is equivalent to one death every 40 seconds. Suicide prevention has been listed by the World Health Organisation as a global imperative and has become a priority for global public health. This descriptive study describes and compares the intervention components included in the suicide prevention plans in the different provinces of Spain. We analysed the published documents through an extensive literature search and summarised the findings using descriptive content analysis. The search was carried out through the official websites of the government and health departments of each province in addition to consulting other official digital platforms such as the National Suicide Observatory, the World Health Organisation and the National Institute of Statistics. The results show the most relevant differences between the prevention plans, revealing that although all the activities included were related to the health sector, not all of them include prevention aimed at the general population level. We conclude that there is a lack of interventions related to the application of universal prevention, while selective and indicated prevention are the most developed tools in Spain
Investigating self-care in a sample of patients with decompensated heart failure: A cross-sectional study
No full textBackground: There is scarce evidence relating to self-care of heart failure (HF) in Spain. In particular, there is a need to establish patients’ level of understanding of HF, as well as their ability to recognise signs and symptoms of decompensation. Patients and methods: Cross-sectional study to determine the level of self-care in a population of Spanish patients admitted to hospital with a primary diagnosis of decompensated HF. A convenience sample of 108 patients (50 women and 58 men) aged 83 ± 8 were recruited to participate in this study. Results: The Self-Care of Heart Failure Index version 6.2 was used to quantify self-care in our sample. Mean and standard deviation from the Self-Care of Heart Failure Index self-care maintenance subscale were: a) “exercise for 30 minutes”, 1 ± 1; b) “forget to take one of your medicines”, 2 ± 2; c) “ask for low-salt items when eating out or visiting others”, 2 ± 1. A percentage of 67.6 had experienced shortness of breath or ankle swelling in the past month. However, the vast majority of our patients were unlikely to independently implement a remedy: a) reduce salt, 2 ± 1; b) reduce fluid intake, 1 ± 1; c) take an extra diuretic, 1 ± 1. Over 50% of our sample felt confident or very confident at following professional advice (3 ± 1), keeping themselves free of symptoms (3 ± 1), recognizing changes in their condition (3 ± 1) and evaluating the significance of such changes (3 ± 1). Conclusions: HF patients have a significantly low level of self-care when compared with HF patients from other countries, especially when it comes to managing their condition. Self-care promotion should be a priority for all healthcare professionals involved in the care and management of HF patients
Care dependency in patients with heart failure: A cross-sectional study in Spain
Full text linkBackground: Heart failure (HF) is a progressive and debilitating condition that represents an ever-growing problem for health systems worldwide. HF patients feel that they are a burden on their families, they feel socially isolated and have a low perception of their health. Accordingly, the objectives of this study were to: (1) to explore the profile of care dependency in a representative sample of Spanish HF patients through the Care Dependency Scale (CDS), and (2) to identify correlates of care dependency in this population. Material and Methods: We performed a cross-sectional study of 187 patients admitted for HF decompensation to the Hospital Clínico of Zaragoza (Spain). Results: Only 15% of our sample was highly or completely dependent on care from others. More specifically, our results indicate that HF patients felt a greater level of dependency on care from others when it comes to moving, getting dressed and undressed, maintaining good personal hygiene, participating in daily and recreational activities and being continent. Conclusions: We find association between the CDS categories that present a low score for care dependency in HF patients and the patients’ physical deterioration
The influence of health literacy on self-care in heart failure patient and caregiver dyads
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