Short-Term Pilot Study to Evaluate the Impact of Salbi Educa Nutrition App in Macronutrients Intake and Adherence to the Mediterranean Diet: Randomized Controlled Trial.

Promoting a healthy diet is a relevant strategy for preventing non-communicable diseases. This study aims to evaluate the impact of an innovative tool, the SAlBi educa nutrition app, in primary healthcare dietary counseling to improve dietary profiles as well as adherence to the Mediterranean diet. A multi-center randomized control trial comprising 104 participants was performed. Both control (n = 49) and intervention (n = 55) groups attended four once-weekly sessions focusing on healthy eating habits and physical activity, over one month. As well as attending the meetings, the intervention group used the app, which provides self-monitoring and tailored dietary advice based on the Mediterranean diet model. In a second intervention (one arm trial), the potential of SAlBi educa was evaluated for three months during the COVID-19 pandemic. At 4 weeks, the intervention group had significantly increased their carbohydrate intake (7.7% (95% CI: 0.16 to 15.2)) and decreased their total fat intake (-5.7% (95% CI: -10.4 to -1.15)) compared to the control group. Significant differences were also found for carbohydrates (3.5% (95% CI: -1.0 to 5.8)), total fats (-5.9% (95% CI: -8.9 to -3.0)), fruits and vegetables (266.3 g/day (95% CI: 130.0 to 402.6)), legumes (7.7g/day (95% CI: 0.2 to 15.1)), starchy foods (36.4 g/day (95% CI: 1.1 to 71.7)), red meat (-17.5 g/day (95% CI: -34.0 to -1.1)), and processed meat (-6.6 g/day (95% CI: -13.1 to -0.1)) intakes during the COVID-19 pandemic. SAlBi educa is a useful tool to support nutrition counseling in primary healthcare, including in special situations such as the COVID-19 pandemic. Trial registration: ISRCTN57186362.

SAlBi educa (Tailored Nutrition App for Improving Dietary Habits): Initial Evaluation of Usability.

In recent years, the use of applications to improve dietary habits has increased. Although numerous nutrition apps are available on the market, only few have been developed by health and nutrition professionals based on scientific evidence and subsequently tested to prove their usability. The main objective of this study was to design, develop, and evaluate the usability of a tailored nutrition application to be used to promote healthy eating habits. In order to decide app design and content, three focus groups took place with fifteen professionals from primary healthcare, nutrition, and food science and computer science, as well as expert users. For the general and feedback message design, a reference model based on the scientific literature was developed. To address the multi-perspective approach of users' and external healthcare professionals' feedback, a one-day pilot testing with potential users and healthcare professionals was conducted with four focus groups. To evaluate the relevance and potential usability of the app a 1-month pilot test was conducted in a real-life environment. A total of 42 volunteers participated in the one-day pilot testing, and 39 potential users participated in the 1-month pilot test. The SAlBi educa app developed includes an online dietary record, a self-monitoring tool to evaluate dietary patterns, general and feedback messages, and examples of traditional Mediterranean recipes. The usability study showed that volunteers think that SAlBi educa is pleasant (59%) and easy to learn to use (94%). Over 84% of the volunteers declared that the nutritional messages were clear and useful. Volunteers stated that general and tailored recommendations, as well as self-monitoring, were SAlBi educa's most motivating and useful features. SAlBi educa is an innovative, user-friendly nutritional education tool with the potential to engage and help individuals to follow dietary habits based on the Mediterranean model.

Prevalencia de flebitis postcateterización / Prevalence of post-catheterization phlebitis

Objetivo: determinar la prevalencia de flebitis asociada a catéteres de inserción periférica en los centros de Hospitales Universitarios (HU) Virgendel Rocío de Sevilla y analizar los factores de riesgo asociados, así como las diferencias en la prevalencia en función de distintos momentos del año. Método: estudio descriptivo con tres cortes transversales en pacientes portadores de catéteres de inserción periférica ingresados en unidades de hospitalización en los que la permanencia del catéter es superior a 48 horas.Variables de estudio: tipo de catéter; tipo de conexiones; localización del catéter; tipo de infusión; Escala de Maddox para determinar la flebitis;edad y sexo del paciente.Resultados: se estudiaron 470 pacientes. Según la escala de Maddox, se encontró una prevalencia de flebitis del 8,5% (primer corte), del 17,1%(segundo corte) y del 11% (tercer corte). El riego de aparición de flebitisera mayor si había infusión intermitente (OR = 3,236), si no había llave de tres pasos (OR = 3,647), si existía conexión por bioconector(OR = 2,98) y si se era mujer (OR = 2,421).Conclusiones: la prevalencia de flebitis asociadas a catéter en los distintos cortes del presente estudio está consonancia con otros publicados.Los resultados del estudio han permitido conocer que los procesos aplicados se encuentran dentro de los márgenes de variabilidad deseables,detectando áreas de mejora sobre las que se deberá incidir (AU)

Objective: to determine the prevalence of phlebitis associated to peripherally inserted catheters at the Virgen del Rocío de Sevilla University Hospitals and to analyse associated risk factors, as well as differences in prevalence at different times of the year.Method: descriptive study with three cross-sections in patients who are carriers of peripherally inserted catheters admitted to hospitalization units in which the catheter is in place over 48 hours. Study variables: type of catheter; type of infusion; Maddox Scale to determine phlebitis; patientage and sex. Results: 470 patients were studied. According to the Maddox scale, a phlebitis prevalence of 8,5% (first cross section), 17,1% (second cross section)and 11% (third cross section) was found. The risk of phlebitis onset was greater if there was intermittent infusion (OR = 3,236), if there was no three-step key (OR = 3,647), if there was a connection via a bioconnector(OR = 2,98) or if the patient was a woman (OR = 2,421).Conclusions: the prevalence of catheter-related phlebitis in this study mirrors that of other published data. The results of the study have enabledus to discover that the applied processes are found within desirable variability margins, detecting areas of improvement which should be worked on (AU)

Prevenir complicaciones circulatorias. Plan de cuidados estandarizados / Standardized treatment plan to prevent. Circulatory complications

Se plantea la necesidad de estandarizar los cuidados básicos a los pacientes encamados para evitar las complicaciones circulatorias. Si protocolizamos las intervenciones enfermeras en el manejo de este tipo de pacientes y las actividades derivadas de las mismas, podremos actuar precozmente para conseguir nuestro objetivo. Proponemos el siguiente Plan de Cuidados Estandarizado siempre teniendo en cuenta que se trata de un protocolo específico de cuidados, apropiado para pacientes encamados con riesgo de padecer complicaciones circulatorias. No hay que olvidar que los planes de cuidados estandarizados nos servirán como modelo, pero que necesariamente tendremos que personalizarlos con cada paciente(AU)

The authors present the necessity to standardize basic treatment protocols for bedridden patients in order to avoid circulatory complications. If we set up protocols for nursing treatment when dealing with this type of patients and the activities derived from this care, we can act precociously to achieve our objective. The authors propose the following Standardized Treatment Plan bearing in mind that this is a protocol for a specific situation, appropriate for bedridden patients who suffer the risk of circulatory complications. One should not forget that standardized treatment plans serve as a model, but it is necessary for nurses to personalize each plan for each patient(AU)

[Standardized treatment plan to prevent circulatory complications]. / Prevenir complicaciones circulatorias. Plan de cuidados estandarizados.

The authors present the necessity to standardize basic treatment protocols for bedridden patients in order to avoid circulatory complications. If we set up protocols for nursing treatment when dealing with this type of patients and the activities derived from this care, we can act precociously to achieve our objective. The authors propose the following Standardized Treatment Plan bearing in mind that this is a protocol for a specific situation, appropriate for bedridden patients who suffer the risk of circulatory complications. One should not forget that standardized treatment plans serve as a model, but it is necessary for nurses to personalize each plan for each patient.