LAURA GARCÍA GARCÉS

espanolLas enfermeras se enfrentan diariamente a desafios eticos y a dilemas morales. Su labor se encuentra identificada con los mas altos valores morales y sociales: la vida humana, la dignidad de la persona y la libertad, lo que convierte a la enfermeria en una autentica practica moral. Esta condicion exige que sus profesionales deban desarrollar tanto la competencia tecnica, como la capacidad moral, inspirada en la dimension solidaria que aparece ante la vulnerabilidad del ser humano y que obliga al profesional a perseguir la excelencia moral a traves de la instruccion en el conocimiento de las leyes y los principios morales, y a adquirir y poner en practica las virtudes que permitan alcanzar el bien interno de la profesion. El objetivo de este estudio es identificar y describir las virtudes que las enfermeras deben adquirir para desarrollar su labor de forma excelente. Asi pues, la enfermera que adquiera las virtudes de humildad, prudencia, confianza, fidelidad, diligencia, vera...

Background: Coronavirus disease 2019 (COVID-19) pandemic has changed the behavior of individuals. Objective: to investigate the perceived changes in lifestyles behaviors among Spanish university students during the confinement. Analyze the results by gender and propose nursing strategies. Design[for full text, please go to the a.m. URL]

The present study aimed to investigate the perceived changes in lifestyle behaviors among Spanish university students during COVID-19-related confinement. An observational, descriptive, and cross-sectional survey study was conducted during April 2020. Sociodemographic and anthropometric data were then obtained. The FANTASTIC questionnaire was used to assess the lifestyles of the 488 participants who took part in the study. Of the participants, 76.3% were female. Overall, the lifestyles of university students significantly deteriorated during the period of confinement caused by the COVID-19 pandemic in Spain. University female students were especially affected compared to their male fellows (p = 0.010). For women, social and family relationships (p < 0.001), personality (p < 0.001), interior (p < 0.001), and career (p < 0.001) were the aspects that worsened during confinement. For men, lack of physical exercise (p < 0.001), social and family relationships (p < 0.001...

The movement restrictions put in place as a result of the COVID-19 pandemic required modification of the population’s usual routines, including those of the most vulnerable groups such as patients with schizophrenia. This was a retrospective observational study. We used an online survey to collect information on patient adherence to the Mediterranean diet (Mediterranean Diet Adherence Screener questionnaire), physical exercise (International Physical Activity Questionnaire Short Form), and tobacco consumption and levels of anxiety and depression (Hospital Anxiety and Depression Scale) before and during the movement restrictions. A total of 102 people with schizophrenia participated in this study. During the COVID-19 pandemic lockdown the participants significantly increased the number of minutes spent sitting per day (z = −6.73; p < 0.001), decreased the time they spent walking (z = −6.32; p < 0.001), and increased their tobacco consumption (X2 = 156.90; p < 0.001). These r...

El ser humano es de tiempo, finito, mortal. Antiguamente asi era aceptado; la muerte era considerada un hecho natural que podia ocurrir en cualquier momento, de forma repentina o tras una larga enfermedad. Las personas morian en el calor del hogar rodeados de sus seres queridos, velados hasta darles sepultura. La modernidad ha cambiado por completo esta experiencia; los medios de comunicacion ensalzan la juventud, la belleza y la salud, y con cada producto que promocionan parecen estar vendiendo eternidad; la sociedad se esfuerza por mostrar la mejor de sus caras, ocultando el sufrimiento, la indigencia humana y su fragilidad, y los avances en medicina parecen dar respuesta a cualquier problema de salud y ofrecer siempre una alternativa que mantenga viva la esperanza de sobrevivir; pero lo cierto es que la muerte siempre llega y cada vez se esta menos preparado para recibirla. La sociedad actual, temerosa del sufrimiento que comporta la fragilidad humana e intentando huir de ella, b...

Afrontar el final de una vida enferma para lograr una buena muerte requiere de unas necesidades tan genuinamente humanas que la ciencia y la técnica médica resultan insuficientes para satisfacerlas. Pero esta limitación no constituye una negación total de la existencia de elementos positivos en la inevitable tecnificación del proceso de morir que podrían contribuir a su humanización. Tras una revisión analítica de trabajos sobre los cuidados del enfermo que va a morir, concluimos que algunas razones, verdades y aspectos de la muerte, ni la ciencia ni la técnica médica logran entenderlas, y que, por tanto, son insuficientes para abordarla humanamente. En conclusión, proponemos los cuidados paliativos como la mejor alternativa para humanizar la muerte y contrarrestar algunos efectos negativos de su tecnificación actual.

Background Coronavirus disease 2019 (COVID-19) pandemic has an impact on the university student’s lifestyles. The present study aims to investigate the perceived changes in lifestyles among Spanish university students during the confinement. Method: An observational, descriptive, cross-sectional study with a 2-time cut was conducted during the month of April in 2020. Sociodemographic and anthropometric data was then obtained. The FANTASTIC questionnaire was used to assess lifestyles of the 488 participants who took part in the study. The STROBE cross-sectional reporting guidelines were followed on this study. Results 76.3% of the participants were female. Overall, the lifestyles of university students had significantly deteriorated during the period of confinement caused by the COVID-19 pandemic in Spain. University female students have been especially affected compared to their male fellows (p = .010). For women, social and family relationships (p < .001), personality (p < .0...

Cayetana Ruiz-Zaldibar Department of Nursing, Faculty oh Health and Education, University of Camilo José Cela Laura García-Garcés (  lauragarciagarcesphd@gmail.com ) Department of Nursing, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities Ángel Vicario-Merino Department of Nursing, Faculty oh Health and Education, University of Camilo José Cela Noemí Mayoral-Gonzalo Department of Nursing, Faculty oh Health and Education, University of Camilo José Cela Marta Lluesma-Vidal Department of Nursing, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities Montserrat Ruiz-López Department of Nursing, Faculty oh Health and Education, University of Camilo José Cela David Pérez-Manchón Department of Nursing, Faculty oh Health and Education, University of Camilo José Cela

Descripción del caso clínico: Presentamos el caso de un varón de 55 años que acudió al servicio de urgencias del hospital tras haber sido mordido en el pene por su perro. Este accidente le ocasionó varias lesiones en la superficie del glande y una avulsión circunferencial de la piel desde el surco balanoprepucial hasta la base del pene. El escroto, testículos, cuerpos cavernosos y uretra estaban intactos. Relevancia: El traumatismo genital causado por mordedura animal es una lesión compleja por ser una herida contaminada con un alto riesgo de infección y complicación porque puede comprometerse la integridad uretral y de los cuerpos cavernosos del paciente. Sin embargo, es una entidad tan infrecuente que no existen guías clínicas que establezcan el correcto manejo de este tipo de lesiones. Conclusión: Se requieren más publicaciones de estos casos y elaborar guías de práctica clínica estandarizadas que permitan una mejor recuperación de los pacientes tanto estética como funcional.

The purpose of this study was to compare the effects of three different physical exercise programs on the symptomatology, body composition, physical activity, physical fitness, and quality of life of individuals with schizophrenia. A total of 432 patients were assessed for eligibility and 86 were randomized into the aerobic (n = 28), strength (n = 29) or mixed (n = 29) groups. Positive, negative, and general symptoms of psychosis, body mass index (BMI), physical activity (IPAQ-SF), physical fitness (6-min walk test [6MWT] and hand-grip strength [HGS]), and quality of life (WHOQUOL-BREF) were assessed at baseline, post-intervention (16 weeks), and at 10-months. Our results at 16 weeks showed significant improvements in all three groups in the negative, general, and total symptoms with moderate to large effect sizes (P  0.11), no change in the BMI, 6MWT or IPAQ-SF, and a significant improvement in the HGS test in the strength and mixed groups (P ≤ 0.05, ηp2 > 0.08). Nonetheless, al...

Clement of Alexandria founded the Christian philosophy, demonstrating that faith and philosophy are truly complementary. Born in the middle of the second century, he inaugurated the convergence and alliance between Christianity and Greek culture. His works have an inestimable value within the ecclesiastical literature and the Christian philosophy of the first centuries of the Church. The present study approaches from the philosophical anthropology the thought of Clement of Alexandria on the Christian marriage. It is true that marriage is not one of the central themes in the works of the Christian author, however, he devoted much of the Stromata’s third book to refuting heretical doctrines that arose around marriage. This work presents a philosophical reflection on the texts founded in the works of Clement of Alexandria on which he bases his vision on marriage. The purpose, characteristics, dignity of the marriage, as well as the second nuptials are some of the questions that are dea...

Objective: To evaluate the effect on the satisfaction of nursing students and the participants of Service-Learning methodology in the development of Health Education workshops. Method: Service-Learning project was designed in four stages: 1) students training in knowledge about Community Nursing and Health Education; 2) development of healthy workshops for its implementation in associations; 3) implementation of the workshops; 4) reflection on Service-Learning impact. An ad hoc questionnaire was developed to assess students’ satisfaction. It was also evaluated the workshops’ participant’s satisfaction.  Results: students reported having a very high level of satisfaction by increasing their scores after improving Service-Learning methodology in the subject. In addition, participants who received health promotion workshops developed by nursing students reported a positive impact on their health. Conclusion: development of Service-Learning methodology associated with health education i...

If healthcare professionals wish to provide healthcare that protects patients’ values and preferences, it is necessary to find a way to systematically implement the Advance-Care Planning process. The purpose of this article is to review the literature and present a theoretical model of Advance-Care Planning implementation through the Nursing Process.

IntroductionNumerous studies support the practice of different physical exercise modalities as an effective treatment to address the problems associated with schizophrenia, reporting that they result in improvements in patient symptoms and quality of life. Given the lack of studies comparing different types of training in controlled environments, the aim of this proposed study will be to compare the effects of three physical exercise programmes (strength, aerobic and mixed) on the symptoms, body composition, level of physical activity and health-related quality of life of patients with schizophrenia.Methods and analysisA multicentre, single-blinded (evaluator), randomised, wait-list controlled (ratio 2:2:2:1) trial will be conducted with 105 patients recruited from different psychosocial care centres. The participants will be randomised into three 16-week training groups comprising 48 sessions lasting 1 hour each, or to the wait-list control group. The training groups will complete ...

The purpose of this study was to compare the effects of three different physical exercise programs on the symptomatology, body composition, and physical fitness of individuals with schizophrenia. A total of 432 patients were assessed for eligibility and 86 were randomized into the aerobic (n = 28), strength (n = 29) or mixed (n = 29) groups. Positive, negative, and general symptoms of psychosis, body mass index (BMI), and physical fitness (6-minute walk test [6MWT] and hand-grip strength [HGS]) were assessed at baseline, post-intervention (16 weeks), and at 10-months. Our results at 16 weeks showed significant improvements in all three groups in the negative, general, and total symptoms with moderate to large effect sizes (P  0.11), no change in the BMI or 6MWT, and a significant improvement in the HGS test in the strength and mixed groups (P ≤ 0.05, ηp2 > 0.08). Nonetheless, all the improvements had disappeared at 10 months. We concluded that 3 weekly sessions of a moderate to v...