ABSTRACT
Research shows many positive effects from physical exercise. The present study examined the impact of a structured physical exercise program compared to treatment as usual on the gross motor skills of children diagnosed with autism spectrum disorder (ASD). Participants included 20 children, from 4 to 7 years old, who were assigned to two groups; an experimental group (n = 10) who received a structured physical exercise program for 60-min sessions, three times a week for eight weeks, and a control group (n = 10) who received conventional physiotherapy. Gross motor skills were assessed with the Abbreviated Development Scale -3 before and after the physical exercise program. The experimental group exhibited significant improvements in gross motor skills compared to the control group. This study suggests that structured physical exercise programs can improve gross motor skills in children with ASD.
ABSTRACT
Introducción: La falla cardiaca (FC) afecta a más de 23 millones de personas en el mundo. Se ha demostrado que las intervenciones de enfermería mejoran el conocimiento, comportamientos y reingresos hospitalarios. Objetivo: Determinar la efectividad de intervención de enfermería para fortalecer la cooperación al tratamiento en pacientes con FC. Métodos: Estudio pretest y postest cuasi experimental en una muestra conveniente de 70 pacientes con FC, grupo control (n=35) que recibió atención habitual y grupo experimental (n=35) tuvo la IE. Se utilizaron dos instrumentos: Escala Europea de Autocuidado EHFScB y la nueva escala de cooperación ECOOPFRGv1 previo proceso de validación por expertos. El estudio contó con el aval de comité de ética institucional y consentimiento informado de pacientes. Resultados: Se evaluó el efecto de la intervención de enfermería, los hallazgos evidenciaron que existió diferencia estadísticamente significativa (p=<0,001) en el grupo experimental con respecto a las mediciones obtenidas en el grupo control. Conclusiones: Se comprueba la efectividad de la intervención de enfermería para fortalecer la cooperación al tratamiento en los pacientes con FC. Los hallazgos sugieren la importancia de desarrollar programas de educación que se centren en mejorar la cooperación al tratamiento y los comportamientos de gestión del cuidado. (AU)
Introduction: Heart failure (HR) affects more than 23 million people worldwide. Nursing interventions have been shown to improve hospital knowledge, behaviors, and readmissions. Objective: To determine the effectiveness of nursing intervention to strengthen treatment cooperation in patients with CF. Methods: Pretest and quasi- experimental posttest study in a suitable sample of 70 patients with CF, control group(n=35) who received usual care and experimental group (n=35) had EI. Two instruments were used: European Self-Care Scale EHFScB and the new ECOOPFRGv1 cooperation scale after validation process by experts. The study was endorsed by the institutional ethics committee and informed consent of patients. Results: The effect of the nursing intervention was evaluated, the findings showed that there was a statistically significant difference (p = < 0.001) in the experimental group with respect to the measurements obtained in the control group. Conclusions: The effectiveness of nursing intervention to strengthen treatment cooperation in patients with CF was verified. The findings suggest the importance of developing education programs that focus on improving treatment cooperation and care management behaviors. (AU)
Subject(s)
Humans , Male , Female , Patient Compliance , Heart Failure/nursing , Effectiveness , Non-Randomized Controlled Trials as Topic , Treatment Adherence and Compliance , Nursing CareABSTRACT
BACKGROUND: Split liver transplantation (SLT) is a strategy to address organ shortage, but is a technically more demanding procedure than whole graft liver transplantation (LT). We aimed to determine the outcomes following SLT in adult recipients as well as to highlight the impact that having a pediatric LT program has on SLT implementation. METHODS: All SLTs conducted at a single-center from 2010 to 2019 were identified. Patient data was obtained through retrospective review of the electronic medical record. Kaplan-Meier analysis assessed primary outcomes of 1-,3-, and 5-year graft and patient survival. RESULTS: We identified 37 SLTs performed at our institution from 2010 to 2019. Twenty-four donated livers resulted in 21 extended right lobes and 16 left lateral segments for adults and pediatrics recipients, respectively. Eighty-one percent (30/37) of the SLTs were performed after introduction of the combined pediatric program in 2016. 13/24 donor livers were split with both grafts allocated and used at our institution and 92% occurred after introduction of the pediatric program. Graft survival rates at 1-, 3-, and 5-years were 94% in adult recipients and 100% for all time periods in pediatric recipients. Actuarial post-transplant patient survival was 100% at 1-, 3-, and 5-years in both. CONCLUSIONS: The introduction of a pediatric liver transplantation program resulted in more than a fourfold increase in the number of SLTs performed at our center. Increase in allocation and use of both grafts at our institution was also seen.
Subject(s)
Liver Transplantation , Pediatrics , Tissue and Organ Procurement , Humans , Child , Adult , Liver Transplantation/methods , Treatment Outcome , Graft Survival , Liver , Retrospective StudiesABSTRACT
El objetivo de esta investigación fue determinar el grado de adherencia al tratamiento farmacológico y no farmacológico en personas con factores de riesgo cardiovascular de la E.S.E Hospital Divino Niño Guadalajara de Buga Valle del Cauca, Colombia. Metodología: El estudio fue de tipo descriptivo cuantitativo, realizado con 335 pacientes inscritos en el programa de crónicos. Se aplicó la cuarta versión del instrumento diseñado por Bonilla y de Reales "Para evaluar los factores que influyen en la adherencia a tratamientos farmacológicos y no farmacológicos en pacientes con factores de riesgo de enfermedad cardiovascular" diseñado por Claudia Bonilla y Edilma Gutiérrez de Reales en el año 2006. Resultados: con respecto al grado de adherencia al tratamiento farmacológico y no farmacológico de los participantes en la investigación se encontró que 76 % de los pacientes se encuentran en situación de ventaja para adherencia, 14 % están en situación de riesgo de adherencia y el 9 % no tienen adherencia. Conclusiones: la mayoría de los pacientes están adheridos a los tratamientos farmacológicos y no farmacológicos, lo cual se respalda con los hallazgos individuales por dimensiones relacionados con la disponibilidad de recursos económicos para la satisfacción de necesidades básicas. Estos hallazgos sugieren la necesidad de mejorar los procesos de atención a los pacientes inscritos en los programas de crónicos y mejorar la adherencia a enfermedades crónicas.
The objective of this research was to determine the degree of adherence to drug therapy and non-drug in people with cardiovascular risk factors of the E.S.E Hospital divine child Guadalajara de Buga Valle del Cauca, Colombia. Methodology: This study was quantitative descriptive, with 335 patients enrolled in the program of chronic. The instrument applied the fourth version of the instrument designed by Bonilla and real "to assess the factors that influence in adherence to pharmacological and non-pharmacological treatment in patients with risk factors for cardiovascular disease" designed by Claudia Bonilla and Edilma Gutiérrez de Reales in 2006. Results: regarding the degree of adherence to the pharmacological and nonpharmacological treatment of participants in the research found that 76% of the patients are in situation of advantage for adhesion, 14% are at risk of adhesion and 9% have no grip. Conclusions: the majority of patients are attached to the pharmacological and nonpharmacological treatments, which keeps consistent with individual findings by dimensions related to the availability of financial resources for basic needs satisfaction. These findings suggest the need to improve the processes of care to patients enrolled in the programs of chronic and improved adherence to chronic diseases.
