Examinando por Autor "Losa Iglesias, Marta Elena"

Mostrando 1 - 6 de 6

A 120-second stretch improves postural control and plantar pressure: quasi-experimental study
(Sao Paulo Medical Journal, 2022-05-02) Martínez Jiménez, Eva María; Losa Iglesias, Marta Elena; González Martín, Sara; López López, Daniel; Roca Dols, Andrea; Rodriguez Sanz, David; Becerro de Bengoa Vallejo, Ricardo; Calvo Lobo, César
BACKGROUND: There are no studies on long-term bilateral calf stretching in relation to balance and plantar pressure. OBJECTIVES: To demonstrate that there is better control of posture and pressures after continuous stretching of the posterior calf muscles. DESIGN AND SETTING: Pre and post-intervention study conducted in a private clinic. METHODS: We measured static footprints and stabilometry before and after continuous passive plantar flexor stretching of duration 120 seconds, among 24 healthy subjects. RESULTS: We found differences in Y displacement with eyes closed (P = 0.010), but not among other variables with eyes closed: X displacement (P = 0.263); surface (P = 0.940); laterolateral speed displacement (P = 0.279); and anteroposterior speed displacement (P = 0.914). There were also no differences in eyes-open variables: X displacement (P = 0.341); Y displacement (P = 0.491); surface (P = 0.167); laterolateral speed displacement (P = 0.852); and anteroposterior speed displacement (P = 0.079). The plantar pressures in the heel (maximum pressure, P = 0.048; mean pressure, P = 0.001) and in the midfoot (maximum pressure, P = 0.004; mean pressure, P = 0.004) were reduced, but not in the forefoot (maximum pressure, P = 0.391; mean pressure, P = 0.225). The surface became larger in the forefoot (P = 0.000) and midfoot (P = 0.021). CONCLUSIONS: Continuous static stretching of plantar flexors for 120 seconds improved stance balance and reduced plantar pressures (maximum and mean) in the rearfoot and midfoot. It also increased the surface in the midfoot and forefoot. TRIAL REGISTRATION: at clinicaltrials.gov, under the number NTC03743168.
Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit
(Elsevier, 2019-07-02) González Martín, Sara; Becerro de Bengoa Vallejo, Ricardo; Angulo Carrere, María Teresa; Losa Iglesias, Marta Elena; Martínez Jiménez, Eva María; Casado Hernández, Israel; López López, Daniel; Calvo Lobo, César; Rodriguez Sanz, David
Objectives: To assess the effects of a vists prior to hospital admission on anxiety, depression and satisfaction of patients admitted electively to an intensive care unit (ICU). Design: A randomised clinical trial [NCT03605407]. Setting: A sample of 38 patients was recruited who were to be electively admiited to ICU divided into experimental (n = 19 patients receiving one visit prior to hospital ICU admission for surgery) and control (n = 19 patients not receiving a visit prior to hospital ICU admission for surgery) groups. Main outcome measurements: Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale- Revised (IES-R) were self-reported by patients before ICU admission, at 3-days and 90-days after ICU discharge. Critical Care Family Needs Inventory (CCFNI) and Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) were used to measure the users’ satisfaction before ICU admission and 3-days after ICU discharge. Results: There were statistically significant differences between experimental and control groups for FSICU, but not for HADS, IES-R and CCFNI. Indeed, control group patients were more satisfied with regard to emotional support, ease of getting information, control feeling, concerns and questions expression ability and overall score for decision-making satisfaction. Conclusions: The visit prior to hospital admission did not seem to modify anxiety or depression, but may impair satisfaction of ICU patients.
Influence on Depression, Anxiety, and Satisfaction of the Relatives' Visit to Intensive Care Units prior to Hospital Admission for Elective Cardiac Surgery: A Randomized Clinical Trial
(Wiley, 2022-05-02) González Martín, Sara; Becerro de Bengoa Vallejo, Ricardo; Rodríguez García, Moisés; Losa Iglesias, Marta Elena; Mazoteras Pardo, Victoria; Palomo Lopez, Patricia; Rodríguez Sanz, David; Calvo Lobo, César; López López, Daniel
Intensive care units (ICUs) may produce stress on the relatives of patients that have long-term physiological andpsychological implications. Objectives. &is study aimed to evaluate the eﬀects of the relatives´ visit prior to hospital admission(s) onthe patient’s scheduled cardiac surgery regarding depression, anxiety, and satisfaction of the patient’s family in an ICU. Methods. Arandomized clinical trial [NCT03605420] was carried out according to the CONSORTcriteria. &irty-eight relatives of ICU patientswere recruited at an ICU and randomized into study groups. Experimental group participants (n = 19) consisted of relatives whoreceived 1 ICU visit prior to the patient’s admission. Control group participants (n = 19) consisted of patients’ relatives who receivedstandard care alone. A self-report test battery, including the Impact of Event Scale-Revised (IES-R) and the Hospital Anxiety andDepression Scale (HADS), was completed by the patient’s relative prior to the patient’s ICU admission and again three and 90 daysafter ICU discharge. Furthermore, the Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) and Critical Care FamilyNeeds Inventory (CCFNI) were administered to help determine the respondents’ satisfaction three days after the patient’s ICUdischarge. Results. Statistically signiﬁcant diﬀerences in FS-ICU results were found between control and experimental groups; nostatistically signiﬁcant diﬀerences were found in IES-R, HADS, and CCFNI results. &us, members in the control group were moresatisﬁed with the time elapsed to raise their concerns (p = 0.005), emotional support provided (p = 0.020), quality of care(p = 0.035), opportunities to express concerns and ask questions (p = 0.005), and general satisfaction with the ICU’s decision-making (p = 0.003). Conclusions. Relatives’ satisfaction during patients’ ICU admission may be impaired after their prior visit to thehospital admission. Relative’s anxiety and depression scores did not seem to be signiﬁcantly aﬀected. Relatives´ visit prior to electivecardiac surgery hospital admission impaired their satisfaction in an ICU and may not be advisable for healthcare practice.HindawiInternational Journal of Clinical PracticeVolume 2022, Article ID 1746782, 12 pageshttps://doi.org/10.1155/2022/1746782
Moral Distress Healthcare Providers in Spain: Observational Study
(DovePress, 2024-06-07) Mellides González, Marta; Losa Iglesias, Marta Elena; Corral Liria, Inmaculada; Becerro de Bengoa Vallejo, Ricardo; Martínez Jiménez, Eva María; Fares Medina, Sandra; González Martín, Sara; San Antolín, Marta; Jiménez Fernández, Raquel
Objective: To evaluate the moral distress (MD)in health professionals of pediatric and adult units to show how the complexity of care in the pediatric field causes the professionals who carry out their activity in these units to present a higher level of moral distress and a worse climate ethical. Design: Observational study with health professionals who currently work in Spanish Hospitals. Methods: A 58-item questionnaire was electronically distributed which included sociodemographic and employment characteristics, the Spanish version of the Measure of Moral Unrest for Healthcare Professionals (MMD-HP-SPA) and the Hospital Ethical Climate Survey (HECS). Results: A total of 169 health professionals completed the questionnaire. The moral distress was significantly higher among nurses than among physicians and nursing assistant care technicians. Focusing on the type of unit, moral distress it was only significantly higher for those physicians treating adult patients compared to those treating pediatric patients. Regarding the total score of the HECS survey, the medical group shows higher scores compared to the nursing group. Conclusion: Statistically significant differences have been found only in the medical group that treats adult patients, presenting a higher level of moral unrests than the pediatrician group. The MMD-HP-SPA questionnaire is a valid and useful instrument to detect MD in our hospital units in order to be able to implement strategies/interventions that improve the ethical climate and other factors that can mitigate and prevent this MD.
Repeatability, Reproducibility, and Concurrent Validity of a Stethoscope and Health App System for the Quantification of Breath Rate in Healthy Adults: Repeatability and Validity Study
(JMIR Publications, 2023-01-12) Becerro de Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Robles Sanchez, Oscar David
Background: Apps for smartphones that can measure the breathing rate easily can be downloaded. Objective: The aim of this study was to demonstrate agreement in measuring breath rates between the stethoscope and Breath Counter health app. Methods: We performed a repeatability study with 56 healthy volunteers. The patient's demographic data and breathing rates per minute were collected. Breathing rates were measured via two methods: (1) using a stethoscope placed in the upper area of the right lung and (2) a Breath Counter app developed by Vadion on a Samsung Fold smartphone. Results: This study demonstrated high repeatability and validity with respect to the breathing rate parameter of healthy adults using the aforementioned 2 systems. Intrasession repeatability measure using the intraclass correlation coefficient was >0.962, indicating excellent repeatability. Moreover, the intraclass correlation coefficient between methods was 0.793, indicating good repeatability, and coefficients of variation of method errors values were 1.83% with very low values in terms of other repeatability parameters. We found significant correlation coefficients and no systematic differences between the app and stethoscope methods. Conclusions: The app method may be attractive to individuals who require repeatability in a recreational setting. Keywords: assessment; breath rate; breathing; breathing rate; health app; mHealth; measurement; medical device; medical instrument; mobile app; mobile health; mobile phone app; monitoring; reliability; respiration; smartphone app; stethoscope; validity; vital sign.
Resilience and psychological factors among dentistry students who received face‑to‑face lectures during the COVID‑19 pandemic
(BMC Medical Education, 2024-04-24) Rodríguez Molinero, Jesús; Corral Liria, Inmaculada; Jiménez Fernández, Raquel; Ramírez Puerta, Rosario; González Martín, Sara; Delgado Somolinos, Esther; Losa Iglesias, Marta Elena; López Sánchez, Antonio Francisco
Background: This research evaluated whether the relationships between factors of resilience, self-esteem, depression, and anxiety in dental students with changes in teaching and learning methods. We also studied the psychological impact of face-to-face lectures during the COVID-19 pandemic. Methods: This cross-sectional descriptive study used Google Forms to collect data with the Rosenberg Self-Esteem Scale (RSE), Connor-Davidson Risk Resilience Scale (CD-RISC), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI and BDI-II). An open-ended question was also asked about important learning difficulties. Results: The analysis revealed very high levels of resilience (30.23 ± 5.84), self-esteem in the normal range (29.08 ± 4.03), minimal depression levels (12.32 ± 8.05), and low anxiety levels (17.20 ± 12.41). There were no significant differences between sociodemographic variables ranges in regard to all psychological questionnaires. No high levels of depression and anxiety were found. Conclusions: The levels were low compared to other studies in which online teaching was used, which is explained by the fact that the students retained adequate resilience and self-esteem thanks to being able to contact teachers and, above all, their own peers.