Changes in the quality of life of adults with an ostomy during the first year after surgery as part of the Best Practice Spotlight Organisation® Programme.

The aim was to analyse changes in the perceived quality of life of patients with an ostomy during the first year after surgery at two or three follow-ups. This is a prospective study of a cohort of 55 patients who were ostomised between June 2021 and September 2022 and cared for under the recommendations set out in the Registered Nurses' Association of Ontario® best practice guideline Supporting Adults Who Anticipate or Live with an Ostomy as part of the Best Practice Spotlight Organisation® (BPSO®) programme. The Stoma Quality of Life tool was used. A univariate analysis was performed to identify variables associated with a non-improvement in quality of life. Variables showing p < 0.1 were included in a multivariate model. Patients with an ostomy exhibited a moderate-to-good perception of quality of life in both the personal and social dimensions, with no worsening over the first year. Being female (OR = 10.32) and being younger (OR = 0.89) were associated with a higher risk of no improvement in quality of life. The most frequent complications were urinary leakage (p = 0.027) and dermatitis (p = 0.052) at first follow-up; and parastomal hernia (p = 0.009) and prolapse (p = 0.05) at third follow-up. However, they did not lead to a worsening of quality of life, suggesting that these patients were adequately supported under the BPSO® programme.

Efectividad de una intervención formativa en alumnos de enseñanza secundaria obligatoria / CPR training to high school students: assessing a nursing intervention

Introducción. La mayoría de las paradas cardiorrespiratorias se producen a nivel extrahospitalario y los testigos inician la reanimación cardiopulmonar solo en el 15 % de los casos. Por lo tanto, es de suma importancia entrenar a la población en el desarrollo de las maniobras de resucitación cardiopulmonar. Objetivo. Conocer la efectividad de una intervención formativa en la mejora de conocimientos sobre primeros auxilios, reanimación cardiopulmonar básica y uso de un desfibrilador semiautomático. Material y método. Se diseñó un estudio cuasi experimental pre y posintervención sin grupo control, en alumnos de 3.º y 4.º de ESO del Colegio San José de Medina del Campo (Valladolid). Se administró un cuestionario validado compuesto por 25 preguntas con respuesta múltiple, agrupadas en cinco categorías de análisis (sistema de emergencias, evaluación inicial de la parada respiratoria, vía aérea, circulación y uso del desfibrilador semiautomático), mediante el cual se midieron los conocimientos previos. Posteriormente se desarrolló un taller teórico-práctico impartido por tres enfermeras y, tras finalizar el taller, se administró de nuevo el cuestionario como método de valoración de conocimientos tras la intervención. Resultados. Participaron 86 alumnos: 60.5 % del sexo femenino. El 24.4 % tenía 14 años, el 39.5 % 15 años, el 26.7 % 16 años, y un 8.1 % tenía 17 años. El 98.8 % consideraba importante tener conocimientos básicos en reanimación cardiopulmonar y en el uso de un desfibrilador semiautomático y un 97.7 % tener competencia en primeros auxilios. Tras la intervención formativa, hubo un incremento de un 14 % en reconocer una parada cardiorrespiratoria; de un 7 % en cómo hay que desobstruir la vía aérea; de un 22 % en comprobar el nivel de conciencia y de 67.4 % en el manejo de un desfibrilador semiautomático. Conclusiones. La intervención formativa enfermera ha demostrado ser una herramienta efectiva para el aumento de conocimientos sobre reanimación cardiopulmonar, desfibrilador semiautomático y primeros auxilios (AU)

Introduction. Most cardiorespiratory arrests happen outside hospitals’ premises. Only in 15 % of the cases, witnesses perform a cardiopulmonary resuscitation while waiting for professional assistance. Therefore, there is an obvious need to train the population in cardiopulmonary resuscitation (CPR). Objetive. To assess the effectiveness of a training intervention, targeted at increasing high school students’ knowledge on First Aid, basic cardiopulmonary resuscitation and the use of a semi-automatic defibrillator. Method. Quasi-experimental study, preand post- intervention without a control group, carried out on 3rd and 4th grade high school students from San José School in Medina del Campo, Valladolid. Students answered a validated questionnaire with twenty-five multiplechoice questions grouped in five analysis categories: medical emergency system, initial evaluation of cardiopulmonary arrest, airway, circulation and the use of semi-automatic external defibrillation. The questionnaire was distributed prior to the educational intervention to assess knowledge. Three nurses then delivered a theoretical-practical workshop. After the workshop, the questionnaire was distributed again to assess post-intervention knowledge. Results. 86 students participated in the study. 60.5 % were girls, 24.4 % were 14 years old, 39.5 % were 15, 26.7 % 16 and 8.1 % were 17 years old. 98.8 % considered that knowledge on cardiopulmonary resuscitation and the use of semi-automatic defibrillators was very important. 97.7 % thought that First Aid skills were very important too. After the training intervention, knowledge in the assessed areas increased in the following percentages: 14 % recognizing a cardiorespiratory arrest, 7 % unblocking airway passage, 22 % checking the consciousness level and 67.4 % using a semi-automatic defibrillator. Conclusions. Nurse training intervention is an effective tool to increase knowledge regarding cardiopulmonary resuscitation, semi-automatic external defibrillation and First Aid (AU)

Ansiedad del paciente hospitalizado en una Unidad de Observación de Urgencias de un hospital comarcal / Anxiety in the patient hospitalized in the ER Observation Unit of a regional hospital

OBJETIVO: evaluar el nivel de ansiedad del paciente hospitalizado en la Unidad de Observación del Servicio de Urgencias del Hospital de Medina del Campo (UOSU) (Valladolid), así como determinar la ocurrencia de los acontecimientos estresantes hospitalarios y cuantificar el grado de ansiedad que genera cada estresor hospitalario. MÉTODO: se realizó un estudio observacional, descriptivo y transversal a pacientes ingresados de forma no programada, durante seis y 24 horas y una edad comprendida entre los 18 y 80 años. Se utilizó un cuestionario validado que sigue la escala Likert y elaborado a partir de la escala de estresores hospitalarios de Volicer y Bohanon (6). RESULTADOS: participaron en el estudio 212 pacientes, 129 hombres y 83 mujeres. El 40% presentó una patología asociada a Medicina Interna. El 84% conocía en qué consistía su enfermedad, el 87% sabía los resultados de pruebas y un 35% pensaba que les podía ocurrir algo grave. Al 67% el hecho de desconocer el momento del alta, al 91% ingresar de forma repentina y al 72% obtener alivio para el dolor, les generaban los niveles más alto de estrés durante su ingreso. CONCLUSIONES: el dolor es el estresor hospitalario por excelencia, y en los pacientes ingresados el dolor torácico era lo que les generaba mayor nivel de ansiedad, junto con las posibles consecuencias de la enfermedad y la falta de información sobre la misma. Por el contrario, los inconvenientes derivados de la hospitalización (dormir con extraños, vestir ropa de hospital, etc.) son los acontecimientos que les producían menores niveles de ansiedad

OBJECTIVE: to assess the anxiety level of patients hospitalized in the ER Observation Unit of the Hospital de Medina del Campo (UOSU), as well as to determine the occurrence of hospital stressful events, and to quantify the level of anxiety generated by each of them. METHOD: an observational, descriptive and transversal study was conducted on 18-to-80-year old patients with non-scheduled hospital admission, during six and 24 hours. A validated questionnaire following the Likert scale was used; this was prepared on the basis of the Hospital Stress Rating Scale by Volicer and Bohanon. RESULTS: the study included 212 patients: 129 men and 83 women. From these, 40% presented a condition associated to Internal Medicine; 84% were aware of what their disease entailed, 87% knew their test results, and 35% thought that something serious could be happening to them. The highest levels of stress during hospitalization were caused by: the fact of not knowing the time of hospital discharge (67% of patients), sudden admission to hospital (91% of patients), and obtaining pain relief (72% of patients). CONCLUSIONS: pain is the hospital stressful event par excellence; and among hospitalized patients, chest pain generated the highest level of anxiety, as well as the potential consequences of the disease and the lack of information about it. On the contrary, the drawbacks associated with hospitalization (sleeping with strangers, wearing hospital clothes) were the events that caused the lowest levels of anxiety