Living with Restrictions. The Perspective of Nursing Students with Primary Dysmenorrhea.

Primary dysmenorrhea (PD) affects a large number of female university students, diminishing their quality of life and hindering academic performance, representing a significant cause of absenteeism. The purpose of our study was to determine how nursing students experienced restrictions as a result of primary dysmenorrhea. A qualitative exploratory study was conducted among 33 nursing students with primary dysmenorrhea. A purposeful sampling strategy was applied. Data were collected from five focus groups (two sessions each) and the field notes of 10 researchers. A video meeting platform was used to conduct the focus groups. A thematic inductive analysis was performed. Thirty-three female nursing students participated in the study with a mean age of 22.72 (SD 3.46) years. Three broad themes emerged: (a) restrictions on daily activities and sports; (b) academic restrictions, and (c) restrictions on social and sexual relationships. The students described restrictions in performing everyday activities, such as carrying weight, and shopping. Some students even gave up the practice of sports and were absent from classes at the university, and from clinical practices at the hospital. The pain affected their ability to maintain and create new social relationships. Primary dysmenorrhea caused restrictions in the personal, social and academic life of the nursing students.post-print299 K

Pain management and coping strategies for primary dysmenorrhea: A qualitative study among female nursing students.

Aim Primary dysmenorrhea is a problem that affects both young and adult women, with a significant impact on their daily lives. This pain is primarily managed through the consumption of non-steroidal anti-inflammatories and non-pharmacological approaches such as exercise, acupressure and heat. The present study aimed to describe how Spanish university students manage dysmenorrhea. Design Qualitative case study. Methods Nursing students (N = 33) from the region of Andalusia (Spain) participated in focus groups. A purposive sampling method was used, and the data were collected through videoconferencing and subsequently analysed thematically. The guidelines for conducting qualitative studies established by the consolidated criteria for reporting qualitative research (COREQ) and the standards for reporting qualitative research (SRQR) were followed. Results Four principal themes were identified: (a) Strategies for pain management; (b) using painkillers; (c) choosing the ideal treatment; (d) non-pharmacological interventions. Conclusions The nursing students experienced difficulties in managing primary dysmenorrhea, they self-medicated, expressed reluctance to seek professional medical advice, used non-pharmacological strategies and seeked advice from other women within their family/social circle.post-print434 K

Consenso Mexicano para el Tratamiento de la Hepatitis C

El objetivo del Consenso Mexicano para el Tratamiento de la Hepatitis C fue el de desarrollar un documento como guía en la práctica clínica con aplicabilidad en México. Se tomó en cuenta la opinión de expertos en el tema con especialidad en: gastroenterología, infectología y hepatología. Se realizó una revisión de la bibliografía en MEDLINE, EMBASE y CENTRAL mediante palabras claves referentes al tratamiento de la hepatitis C. Posteriormente se evaluó la calidad de la evidencia mediante el sistema GRADE y se redactaron enunciados, los cuales fueron sometidos a voto mediante un sistema modificado Delphi, y posteriormente se realizó revisión y corrección de los enunciados por un panel de 34 votantes. Finalmente se clasificó el nivel de acuerdo para cada oración. Esta guía busca dar recomendaciones con énfasis en los nuevos antivirales de acción directa y de esta manera facilitar su uso en la práctica clínica. Cada caso debe ser individualizado según sus comorbilidades y el manejo de estos pacientes siempre debe ser multidisciplinario. Abstract The aim of the Mexican Consensus on the Treatment of Hepatitis C was to develop clinical practice guidelines applicable to Mexico. The expert opinion of specialists in the following areas was taken into account: gastroenterology, infectious diseases, and hepatology. A search of the medical literature was carried out on the MEDLINE, EMBASE, and CENTRAL databases through keywords related to hepatitis C treatment. The quality of evidence was subsequently evaluated using the GRADE system and the consensus statements were formulated. The statements were then voted upon, using the modified Delphi system, and reviewed and corrected by a panel of 34 voting participants. Finally, the level of agreement was classified for each statement. The present guidelines provide recommendations with an emphasis on the new direct-acting antivirals, to facilitate their use in clinical practice. Each case must be individualized according to the comorbidities involved and patient management must always be multidisciplinary

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Vivencia de los cuidadores principales de niños entre 6 y 12 años afectados por VIH/SIDA. Investigación cualitativa desde la teoría fundamentada.

Children which suffer HIV/AIDS and their caregivers have to face a strongly stigmatized disease and have to handle a complex treatment that includes antiretroviral drugs, nutritional support, infections control and social support. But the strategies addressed to the control and monitoring of this disease are rarely focused on the family and caregivers of these children. The aim of this project is to know the disease experience of main caregivers of children between 6 and 12 years affected by HIV/AIDS from the Community of Madrid. Secondary objectives referred to identify their coping strategies, how the sociodemographic characteristics infl uence in the experience of being a caregiver of these children and to identify the relationships established between caregivers and health professionals. It will be carried out a study using qualitative methodology based on the grounded theory proposed by Strauss and Corbin, from a constructionist perspective. Caregivers coming to HIV/AIDS examination room of three Spanish hospitals will be capted. Depth interviews will be conducted to different typologies of caregivers of different ages and sexes. Later, data will be coded and analyzed. The strength of this study lies in its impact, due to the fact that knowing the experience will allow us to develop new strategies to improve the monitoring of the disease and the quality of life of these familiesLos niños con VIH/SIDA y sus cuidadores tienen que enfrentarse a una enfermedad fuertemente estigmatizada y manejar un complejo tratamiento que incluye antirretrovirales, apoyo nutricional, control de las infecciones y apoyo social. Pero los programas dirigidos al control y seguimiento de esta enfermedad muy pocas veces se han centrado en la familia y en los cuidadores de estos niños. El objetivo de este proyecto es conocer la vivencia de los cuidadores principales de niños entre 6 y 12 años afectados por VIH/SIDA en la Comunidad de Madrid. Los objetivos secundarios se refi eren a identifi car sus estrategias de afrontamiento, cómo infl uyen las características sociodemográfi cas en la vivencia de ser cuidadores de estos niños y la relación que se establece entre los cuidadores y los profesionales de la salud. Se llevará a cabo un estudio con metodología cualitativa con base en la teoría fundamentada propuesta por Strauss y Corbin, desde una perspectiva construccionista. Se captará a los cuidadores que acudan a la consulta VIH/SIDA de tres hospitales españoles. Se realizarán entrevistas en profundidad a diferentes tipologías de cuidadores, de diferentes edades y sexos. Posteriormente los datos serán codifi cados y analizados. La fortaleza del estudio radica en su impacto, pues conocer la vivencia nos permitirá desarrollar nuevas estrategias destinadas a mejorar el seguimiento de la enfermedad así como la calidad de vida de estas familias

Vivencias del profesional de enfermería en el cuidado del paciente crítica al final de la vida

The changing profi le of the critical patient ́s situation as not reversible has enhanced the appearance of bioethical dilemmas about the futility of the treatments and the irreversibility of medical diagnosis. This situation encourage the integration of palliative care at the end of live in intensive care units. Under such circumstances it is important to explore the factors that shape nurse experiences affecting palliative care in critical patient with terminal phase. Objetive: To analyze and interpret nurse experiences in relation of palliative care in critical situation. Setting and Study Population:Nursing staff dedicated to the care of critically ill patients both adult and pediatric of the Gregorio Marañon University Hospital in Madrid. Methodology: Interpretive phenomenological qualitative study, using semi-structured and open interviews in data collection. Inclusion criteria was nursing staff with large experience within the service in two groups: with more than and less than fi ve years of experience. Sample selection: methods used were snowball and purpose sampling.cambio del perfi l del enfermo crítico ante situaciones no tan reversibles, ha potenciado la aparición de dilemas bioéticos, sobre la futilidad de los tratamientos y la irreversibilidad del diagnóstico médico. Propiciando la integración de los cuidados paliativos al fi nal de la vida dentro de las unidades de terapia intensiva. Ante tal circunstancia, resulta interesante explorar los factores presentes en las vivencias de los profesionales de enfermería que pudiesen condicionar la prestación de los cuidados paliativos sobre el paciente crítico en estado terminal. Objetivo: Analizar e interpretar las vivencias del personal de enfermería de las unidades destinadas al cuidado del paciente crítico durante la prestación de cuidados paliativos. Escenario y Población de estudio: Personal de enfermería dedicado a la atención de pacientes críticos tanto adulto como pediátrico del Hospital Universitario Gregorio Marañón de Madrid. Metodología: Estudio cualitativo fenomenológico interpretativo, empleándose como la entrevista abierta semiestructurada en la recogida de datos. Como criterio de inclusión se seleccionarán enfermas y auxiliares de enfermería con una antigüedad dentro del servicio en dos grupos: con menos y con más de cinco años. En la selección de la muestra se utilizarán los métodos de la bola de nieve y el muestreo por propósit

Vivencia de los cuidadores principales de niños entre 6 y 12 años afectados por VIH/SIDA. Investigación cualitativa desde la teoría fundamentada.

Children which suffer HIV/AIDS and their caregivers have to face a strongly stigmatized disease and have to handle a complex treatment that includes antiretroviral drugs, nutritional support, infections control and social support. But the strategies addressed to the control and monitoring of this disease are rarely focused on the family and caregivers of these children. The aim of this project is to know the disease experience of main caregivers of children between 6 and 12 years affected by HIV/AIDS from the Community of Madrid. Secondary objectives referred to identify their coping strategies, how the sociodemographic characteristics infl uence in the experience of being a caregiver of these children and to identify the relationships established between caregivers and health professionals. It will be carried out a study using qualitative methodology based on the grounded theory proposed by Strauss and Corbin, from a constructionist perspective. Caregivers coming to HIV/AIDS examination room of three Spanish hospitals will be capted. Depth interviews will be conducted to different typologies of caregivers of different ages and sexes. Later, data will be coded and analyzed. The strength of this study lies in its impact, due to the fact that knowing the experience will allow us to develop new strategies to improve the monitoring of the disease and the quality of life of these familiesLos niños con VIH/SIDA y sus cuidadores tienen que enfrentarse a una enfermedad fuertemente estigmatizada y manejar un complejo tratamiento que incluye antirretrovirales, apoyo nutricional, control de las infecciones y apoyo social. Pero los programas dirigidos al control y seguimiento de esta enfermedad muy pocas veces se han centrado en la familia y en los cuidadores de estos niños. El objetivo de este proyecto es conocer la vivencia de los cuidadores principales de niños entre 6 y 12 años afectados por VIH/SIDA en la Comunidad de Madrid. Los objetivos secundarios se refi eren a identifi car sus estrategias de afrontamiento, cómo infl uyen las características sociodemográfi cas en la vivencia de ser cuidadores de estos niños y la relación que se establece entre los cuidadores y los profesionales de la salud. Se llevará a cabo un estudio con metodología cualitativa con base en la teoría fundamentada propuesta por Strauss y Corbin, desde una perspectiva construccionista. Se captará a los cuidadores que acudan a la consulta VIH/SIDA de tres hospitales españoles. Se realizarán entrevistas en profundidad a diferentes tipologías de cuidadores, de diferentes edades y sexos. Posteriormente los datos serán codifi cados y analizados. La fortaleza del estudio radica en su impacto, pues conocer la vivencia nos permitirá desarrollar nuevas estrategias destinadas a mejorar el seguimiento de la enfermedad así como la calidad de vida de estas familias