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Dr. Juan Gómez-Salgado
Department of Sociology, Social Work and Public Health, Universidad de Huelva, Huelva, Spain

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0 Occupational Epidemiology
0 occupational mental health
0 qualitative research methods
0 Occupational nursing
0 Preanalytical errors

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Review
Published: 09 June 2021 in Children
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The importance of family functioning in the development of child and adult psychopathology has been widely studied. However, the relationship between partners’ adjustment and family health is less studied. This paper aims to describe and summarize research that analyzes the relationship between partners’ adjustment and family health. A systematic review was conducted in the PubMed, PsycINFO, Scopus, Lilacs, Psicodoc, Cinahl, and Jstor databases. Inclusion criteria were as follows: articles published from 2012 to 2019 in English, Spanish, or Portuguese. Data were extracted and organized according to the family health model: family climate, integrity, functioning, and coping. Initially, 835 references were identified, and 24 articles were assessed for quality appraisal. Finally, 20 publications were selected. Results showed that couple adjustment was an important factor that triggered the emotional climate of the family, was positively intercorrelated to parenting alliance or coparenting, and contributed to family efficacy and help when facing stressful life events. Findings revealed a consensus about the relationship between couple dyadic adjustment and family health. The results could orientate interventions to promote well-being and to increase quality of life and family strength. Health professionals should thoroughly study couple relationships to identify risk factors, assess family skills, and promote family health.

ACS Style

Nerea Jiménez-Picón; Macarena Romero-Martín; Lucia Ramirez-Baena; Juan Palomo-Lara; Juan Gómez-Salgado. Systematic Review of the Relationship between Couple Dyadic Adjustment and Family Health. Children 2021, 8, 491 .

AMA Style

Nerea Jiménez-Picón, Macarena Romero-Martín, Lucia Ramirez-Baena, Juan Palomo-Lara, Juan Gómez-Salgado. Systematic Review of the Relationship between Couple Dyadic Adjustment and Family Health. Children. 2021; 8 (6):491.

Chicago/Turabian Style

Nerea Jiménez-Picón; Macarena Romero-Martín; Lucia Ramirez-Baena; Juan Palomo-Lara; Juan Gómez-Salgado. 2021. "Systematic Review of the Relationship between Couple Dyadic Adjustment and Family Health." Children 8, no. 6: 491.

Journal article
Published: 08 June 2021 in Healthcare
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This pandemic has been classified as a “psychological pandemic” that produces anxiety, depression, post-traumatic stress disorder, and sleep disorders. As the mental health effects of the Coronavirus Disease 2019 (COVID-19), caused by SARS-CoV-2, continue to unfold, there are still large knowledge gaps about the variables that predispose individuals to, or protect individuals against the disease. However, there are few publications on the effects of the COVID-19 pandemic on the mental health of citizens in Latin American countries. In this study, the effects that COVID-19 had on citizens of Peru have been described. For this, 1699 questionnaires, collected between 2 April and 2 September 2020, were analyzed. Descriptive, bivariate analysis was performed with odds ratio (OR) calculations and a data mining methodology. Sociodemographic variables (from the General Health Questionnaire), health conditions and perception, symptoms, and variables related to contact and preventive measures regarding COVID-19 were analyzed. As compared to other countries, less affectation of mental health and increased use of preventive measures were observed. It has been suggested that the country’s precarious health system and poverty rates prior to the pandemic may justify higher mortality figures in Peru than in other Latin American countries, despite prompt action for its containment and compliance with the protective measures. Psychological distress had a greater incidence in women, young people, people without a partner, and people without university studies. The most significant conditioning variables were self-perceived health status, headache or muscle pain over the past 14 days, level of studies, and age. The extensive use of preventive measures against COVID-19 is in line with the strict legislative measures taken, and this is, in turn, in line with other countries when looking at the lower effect on mental health, but contrary when focusing on the high lethality identified. The need to include the economy or availability and quality of healthcare in future studies arises, as well as the suitability to analyze the cause for differences between countries.

ACS Style

Carlos Ruiz-Frutos; Juan Palomino-Baldeón; Mónica Ortega-Moreno; María Villavicencio-Guardia; Adriano Dias; João Bernardes; Juan Gómez-Salgado. Effects of the COVID-19 Pandemic on Mental Health in Peru: Psychological Distress. Healthcare 2021, 9, 691 .

AMA Style

Carlos Ruiz-Frutos, Juan Palomino-Baldeón, Mónica Ortega-Moreno, María Villavicencio-Guardia, Adriano Dias, João Bernardes, Juan Gómez-Salgado. Effects of the COVID-19 Pandemic on Mental Health in Peru: Psychological Distress. Healthcare. 2021; 9 (6):691.

Chicago/Turabian Style

Carlos Ruiz-Frutos; Juan Palomino-Baldeón; Mónica Ortega-Moreno; María Villavicencio-Guardia; Adriano Dias; João Bernardes; Juan Gómez-Salgado. 2021. "Effects of the COVID-19 Pandemic on Mental Health in Peru: Psychological Distress." Healthcare 9, no. 6: 691.

Journal article
Published: 03 June 2021 in International Journal of Environmental Research and Public Health
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Multiple gestations have become an increasing phenomenon that has impacted public health globally, largely due to the application of assisted reproductive technologies. The objective of this work was to find out the discourse that the health professionals involved in its follow-up have in our context. For this, a qualitative methodology was chosen, with semi-structured interviews recorded in audio, prior authorisation, and transcribed verbatim. It was based on a script designed for this purpose, with the following analysis categories: the current trend of multiple gestations, impact, and follow-up. The content analysis was based on the experiences, knowledge, and perceptions of the professionals interviewed. Professionals stated that the current socioeconomic and legal context hinders a single embryo transfer policy that decreases multiple gestation rates. They emphasised the importance of the psychic impact of such gestations on the couple, on the mother in particular, as well as the economic effect on families, health, and society in general. They expressed the need to create specific protocols to assist these gestations. Midwives, in particular, demanded that the health administration recognise and support the differentiated care they perform with this type of gestation. Work on specific models is needed to adequately size the impact of multiple gestations, as well as to generate social health policies that lead to co-responsible reconciliation measures that favour women having one pregnancy at a time.

ACS Style

Estefanía Jurado-García; Alicia Botello-Hermosa; Francisco Fernández-Carrasco; Juan Gómez-Salgado; Nazaret Navas-Rojano; Rosa Casado-Mejía. Multiple Gestations and Assisted Reproductive Technologies: Qualitative Study of the Discourse of Health Professionals in Spain. International Journal of Environmental Research and Public Health 2021, 18, 6031 .

AMA Style

Estefanía Jurado-García, Alicia Botello-Hermosa, Francisco Fernández-Carrasco, Juan Gómez-Salgado, Nazaret Navas-Rojano, Rosa Casado-Mejía. Multiple Gestations and Assisted Reproductive Technologies: Qualitative Study of the Discourse of Health Professionals in Spain. International Journal of Environmental Research and Public Health. 2021; 18 (11):6031.

Chicago/Turabian Style

Estefanía Jurado-García; Alicia Botello-Hermosa; Francisco Fernández-Carrasco; Juan Gómez-Salgado; Nazaret Navas-Rojano; Rosa Casado-Mejía. 2021. "Multiple Gestations and Assisted Reproductive Technologies: Qualitative Study of the Discourse of Health Professionals in Spain." International Journal of Environmental Research and Public Health 18, no. 11: 6031.

Journal article
Published: 30 May 2021 in Healthcare
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Shift work that involves circadian disruption has been highlighted as a likely carcinogenic factor for breast cancer in humans. Also, unhealthy lifestyle habits observed in night work nurses could be causally related to an increase in the incidence of estrogen-positive breast tumours in this population. Assessing baseline risk of breast cancer in nurses is essential. The objective of this study was to analyze the risk of breast cancer that nurses had in relation to their lifestyle and labour factors related to shift work. A cross-sectional descriptive study through a questionnaire about sociodemographic variables, self-perception of health, and working life was designed. The sample consisted of 966 nurses. The relationship between variables was tested. A binary logistic regression and a classification and regression tree were performed. The most significant labour variables in relation to the risk of breast cancer were the number of years worked (more than 16 years; p< 0.01; OR = 8.733, 95% CI = 2.811, 27.134) and the total years performing more than 3 nights per month (10 or more years; p< 0.05; OR = 2.294, 95% CI = 1.008, 5.220). Also, the nights worked throughout life (over 500; OR = 4.190, 95% CI = 2.118, 8.287) were significant in the analysis. Nurses who had or ever had breast cancer valued their self-perceived health more negatively (p< 0.001) and referred a lower quality of sleep (p< 0.001) than the non-cases nurses. The occupational factors derived from night work could have several impacts on nurses’ health and their family-work balance. Promoting healthy lifestyles, informing about shift work risks, and adjusting shift work schedules are critical methods to decrease the possible effects of circadian disruption in nurses.

ACS Style

Javier Fagundo-Rivera; Regina Allande-Cussó; Mónica Ortega-Moreno; Juan García-Iglesias; Adolfo Romero; Carlos Ruiz-Frutos; Juan Gómez-Salgado. Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses. Healthcare 2021, 9, 649 .

AMA Style

Javier Fagundo-Rivera, Regina Allande-Cussó, Mónica Ortega-Moreno, Juan García-Iglesias, Adolfo Romero, Carlos Ruiz-Frutos, Juan Gómez-Salgado. Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses. Healthcare. 2021; 9 (6):649.

Chicago/Turabian Style

Javier Fagundo-Rivera; Regina Allande-Cussó; Mónica Ortega-Moreno; Juan García-Iglesias; Adolfo Romero; Carlos Ruiz-Frutos; Juan Gómez-Salgado. 2021. "Implications of Lifestyle and Occupational Factors on the Risk of Breast Cancer in Shiftwork Nurses." Healthcare 9, no. 6: 649.

Journal article
Published: 24 May 2021 in Journal of Personalized Medicine
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Diagnosis and home follow-up of patients affected by COVID-19 is being approached by primary health care professionals through telephone consultations. This modality of teleconsultation allows one to follow the evolution of patients and attend early to possible complications of the disease. The purpose of the study was to analyze the evolution of a cohort of patients with suspected SARS-CoV-2 disease followed by primary care professionals and to determine the factors that are associated with hospital admission. A prospective cohort study was carried out on 166 patients selected by consecutive sampling that showed symptoms compatible with COVID-19. The follow-up was approached via telephone for 14 days analyzing hospitalization and comorbidities of the patients. There were 75% of the hospitalized patients that were male (p = 0.002), and 70.8% presented comorbidities (p< 0.001). In patients with diabetes, the risk of hospitalization was 4.6-times larger, in hypertension patients it was 3.3-times, those suffering from renal insufficiency 3.8-times, and immunosuppressed patients 4.8-times (IC 95%: 1.9–11.7). In 86.7% of the cases, clinical deterioration was diagnosed in the first seven days of the infection, and 72% of healing was reached from day seven to fourteen. Monitoring from primary care of patients with COVID-19 allows early diagnosis of clinical deterioration and detection of comorbidities associated with the risk of poor evolution and hospital admission.

ACS Style

Valle Coronado-Vázquez; Maria Ramírez-Durán; Juan Gómez-Salgado; María Dorado-Rabaneda; Elena Benito-Alonso; Marina Holgado-Juan; Cristina Bronchalo-González. Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care. Journal of Personalized Medicine 2021, 11, 459 .

AMA Style

Valle Coronado-Vázquez, Maria Ramírez-Durán, Juan Gómez-Salgado, María Dorado-Rabaneda, Elena Benito-Alonso, Marina Holgado-Juan, Cristina Bronchalo-González. Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care. Journal of Personalized Medicine. 2021; 11 (6):459.

Chicago/Turabian Style

Valle Coronado-Vázquez; Maria Ramírez-Durán; Juan Gómez-Salgado; María Dorado-Rabaneda; Elena Benito-Alonso; Marina Holgado-Juan; Cristina Bronchalo-González. 2021. "Evolution of a Cohort of COVID-19 Infection Suspects Followed-Up from Primary Health Care." Journal of Personalized Medicine 11, no. 6: 459.

Review
Published: 20 May 2021 in International Journal of Environmental Research and Public Health
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Emotional intelligence is an essential trait and skill for healthcare professionals. Mindfulness meditation has proved to be effective in increasing the wellbeing of those who practice it, leading to better mental health, self-care and job satisfaction. This paper aims to identify the recent evidence on the relationship between mindfulness and emotional intelligence among healthcare professionals and students. A systematic review was conducted including the databases PubMed, Cinhal, PsycINFO and Web of Science. The main variables were emotional intelligence skills and mindfulness practice. Data were extracted according to the following outcomes: authors, year of publication, country, study design, participants, mindfulness training intervention, tools used in data collection and main results. The following inclusion criteria were applied: peer-reviewed articles; published in English or Spanish; published between 2010 and 2020; quantitative methodology; a study population of healthcare professionals or students; the relationship with the aim of the study. The Joanna Briggs Institute criteria were followed for assessing the methodological quality of the selected studies. Three researchers were involved in the review. After the selection process, 10 studies were selected out of the 197 references initially identified. These studies revealed a positive relationship between mindfulness and emotional intelligence, particularly the capacity to regulate emotions. Furthermore, mindfulness is negatively related to emotional exhaustion. Training interventions based on mindfulness have proved to be useful in promoting emotional balance, emotional awareness, emotional acceptance, emotion recognition, expressive suppression and a reduction in emotional exhaustion. This study could serve as a basis for further research on the benefits of emotional intelligence and practicing mindfulness for the bio-psycho-social welfare of healthcare professionals.

ACS Style

Nerea Jiménez-Picón; Macarena Romero-Martín; José Ponce-Blandón; Lucia Ramirez-Baena; Juan Palomo-Lara; Juan Gómez-Salgado. The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review. International Journal of Environmental Research and Public Health 2021, 18, 5491 .

AMA Style

Nerea Jiménez-Picón, Macarena Romero-Martín, José Ponce-Blandón, Lucia Ramirez-Baena, Juan Palomo-Lara, Juan Gómez-Salgado. The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18 (10):5491.

Chicago/Turabian Style

Nerea Jiménez-Picón; Macarena Romero-Martín; José Ponce-Blandón; Lucia Ramirez-Baena; Juan Palomo-Lara; Juan Gómez-Salgado. 2021. "The Relationship between Mindfulness and Emotional Intelligence as a Protective Factor for Healthcare Professionals: Systematic Review." International Journal of Environmental Research and Public Health 18, no. 10: 5491.

Review
Published: 19 May 2021 in Healthcare
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The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.

ACS Style

Aitana Guanche-Sicilia; María Sánchez-Gómez; María Castro-Peraza; José Rodríguez-Gómez; Juan Gómez-Salgado; Gonzalo Duarte-Clíments. Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective. Healthcare 2021, 9, 611 .

AMA Style

Aitana Guanche-Sicilia, María Sánchez-Gómez, María Castro-Peraza, José Rodríguez-Gómez, Juan Gómez-Salgado, Gonzalo Duarte-Clíments. Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective. Healthcare. 2021; 9 (5):611.

Chicago/Turabian Style

Aitana Guanche-Sicilia; María Sánchez-Gómez; María Castro-Peraza; José Rodríguez-Gómez; Juan Gómez-Salgado; Gonzalo Duarte-Clíments. 2021. "Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective." Healthcare 9, no. 5: 611.

Journal article
Published: 16 May 2021 in International Journal of Environmental Research and Public Health
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The recently developed scheduled mobile-telephone referral model (DETELPROG) has achieved especially important results in reducing waiting days for patients, but it has been decided to explore what barriers and positive aspects were detected by both primary care physicians (PCPs) and hospital attending physicians (HAPs) regarding its use. For this, a qualitative descriptive study was carried out through six semi-structured interviews and two focus groups in a sample of eleven PCPs and five HAPs. Interviews were carried out from September 2019 to February 2020. Data were analysed by creating the initial categories, recording the sessions, transcribing the information, by doing a comprehensive reading of the texts obtained, and analysing the contents. The results show that DETELPROG gives the PCP greater prominence as a patient’s health coordinator by improving their relationship and patient safety; it also improves the relationship between PCP and HAP, avoiding unnecessary face-to-face referrals and providing safety to the PCP when making decisions. The barriers for DETELPROG to be used by PCP were defensive medicine, patients’ skepticism in DETELPROG, healthcare burden, and inability to focus on the patient or interpret a sign, symptom, or diagnostic test. For HAP, the barriers were lack of confidence in the PCP and complexity of the patient. As a conclusion, DETELPROG referral model provides a lot of advantages and does not pose any new barrier to face-to-face referral or other non-face-to-face referral models, so it should be implemented in primary care.

ACS Style

Luis Azogil-López; Valle Coronado-Vázquez; Juan Pérez-Lázaro; Juan Gómez-Salgado; Esther Medrano-Sánchez. Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach. International Journal of Environmental Research and Public Health 2021, 18, 5280 .

AMA Style

Luis Azogil-López, Valle Coronado-Vázquez, Juan Pérez-Lázaro, Juan Gómez-Salgado, Esther Medrano-Sánchez. Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach. International Journal of Environmental Research and Public Health. 2021; 18 (10):5280.

Chicago/Turabian Style

Luis Azogil-López; Valle Coronado-Vázquez; Juan Pérez-Lázaro; Juan Gómez-Salgado; Esther Medrano-Sánchez. 2021. "Barriers and Benefits of the Scheduled Telephone Referral Model (DETELPROG): A Qualitative Approach." International Journal of Environmental Research and Public Health 18, no. 10: 5280.

Journal article
Published: 02 May 2021 in Biomolecules
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Diversion colitis is a non-specific inflammation of a defunctionalised segment of the colon after a temporary stoma has been performed. This inflammation is associated with an alteration of certain inflammatory serum markers. The aims of this study were, firstly, to evaluate the modification of inflammatory biomarkers after stimulation with probiotics prior to closure of the protective ileostomy. Secondly, to identify if a relationship could be established between the severity of diversion colitis and the alteration of inflammatory biomarkers in the blood. A prospective, randomized, double-blind, controlled study was conducted. Patients who underwent surgery for colorectal carcinoma with protective ileostomy between January 2017 and December 2018 were included, pending reconstructive surgery and with diversion colitis as diagnosis. The sample was randomly divided into a group stimulated with probiotics (SG) (n = 34) and a control group (CG) (n = 35). Histological and endoscopic changes were evaluated after stimulation, after restorative surgery and during the short-term follow-up after surgery, including the correlation with pro-inflammatory biomarkers in blood. As main findings, a significant decrease in C-reactive protein (CRP), Neutrophil/lymphocyte ratio (NLR ratio), and monocyte/lymphocyte ratio (LMR ratio) was observed in the SG versus the CG with a p < 0.001. A significant increase in transferrin values and in the platelet/lymphocyte ratio (PLR) was observed in the SG versus CG after stimulation with probiotics with a p < 0.001. A normalisation of CRP and transferrin levels was observed in the third month of follow-up after closure ileostomy, and NLR, LMR and PLR ratios were equal in both groups. Decreased modified Glasgow prognostic score was found in SG compared to CG after probiotic stimulation (p < 0.001). The endoscopic and histological severity of diversion colitis is associated with a greater alteration of blood inflammatory biomarkers. The stimulation with probiotics prior to reconstructive surgery promotes an early normalization of these parameters.

ACS Style

Ángela Rodríguez-Padilla; Germán Morales-Martín; Rocío Pérez-Quintero; Juan Gómez-Salgado; Carlos Ruiz-Frutos. Serological Biomarkers and Diversion Colitis: Changes after Stimulation with Probiotics. Biomolecules 2021, 11, 684 .

AMA Style

Ángela Rodríguez-Padilla, Germán Morales-Martín, Rocío Pérez-Quintero, Juan Gómez-Salgado, Carlos Ruiz-Frutos. Serological Biomarkers and Diversion Colitis: Changes after Stimulation with Probiotics. Biomolecules. 2021; 11 (5):684.

Chicago/Turabian Style

Ángela Rodríguez-Padilla; Germán Morales-Martín; Rocío Pérez-Quintero; Juan Gómez-Salgado; Carlos Ruiz-Frutos. 2021. "Serological Biomarkers and Diversion Colitis: Changes after Stimulation with Probiotics." Biomolecules 11, no. 5: 684.

Journal article
Published: 12 April 2021 in International Journal of Environmental Research and Public Health
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Merger processes between hospitals have high benefit potential for patients, staff and managers. This integration of health centres can improve the quality and safety in patient care. Additionally, cooperative processes enhance the sustainability of the health system, by increasing team spirit, giving innovative ideas and improving staff satisfaction. In this article, the critical factors for successful hospital mergers and acquisitions in the Public Health System were considered to develop a brief guide to help with the organisation of a merger process. Five sections were designed: Strategic administration and objectives, Staff management, New hospital complex structure, Processes and Results. This guide facilitates the communication between a variety of stakeholders, thus improving the engagement between all members of the new healthcare system. This could be particularly important for countries with large regional variance in the organisation of health care and resources.

ACS Style

Javier Cerezo-Espinosa De Los Monteros; Antonio Castro-Torres; Juan Gómez-Salgado; Javier Fagundo-Rivera; Carlos Gómez-Salgado; Valle Coronado-Vázquez. Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions. International Journal of Environmental Research and Public Health 2021, 18, 4051 .

AMA Style

Javier Cerezo-Espinosa De Los Monteros, Antonio Castro-Torres, Juan Gómez-Salgado, Javier Fagundo-Rivera, Carlos Gómez-Salgado, Valle Coronado-Vázquez. Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions. International Journal of Environmental Research and Public Health. 2021; 18 (8):4051.

Chicago/Turabian Style

Javier Cerezo-Espinosa De Los Monteros; Antonio Castro-Torres; Juan Gómez-Salgado; Javier Fagundo-Rivera; Carlos Gómez-Salgado; Valle Coronado-Vázquez. 2021. "Administration of Strategic Agreements in Public Hospitals: Considerations to Enhance the Quality and Sustainability of Mergers and Acquisitions." International Journal of Environmental Research and Public Health 18, no. 8: 4051.

Original article
Published: 12 April 2021 in Journal of Nursing Management
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Aims to analyse the relationship between work engagement, sense of coherence, and psychological distress levels in Spanish health professionals who were active during the COVID‐19 pandemic lockdown. Background Work Engagement and Sense of Coherence can help professionals to cope with work‐related psychological distress due to the harsh conditions of the COVID‐19 working environment. Methods cross‐sectional observational study of 1459 healthcare professionals. The Utrecht Work Engagement Scale, the Sense of Coherence Scale and Goldberg's General Health Questionnaire were distributed and analyzed with descriptive and multiple linear regression methods. Results High levels of work engagement, especially in the dedication dimension, of sense of coherence, in particular in the meaningfulness dimension, and psychological distress were obtained. Significant correlations (p<0.001) were identified between all the variables. Conclusions Work engagement and sense of coherence correlated positively with each other, and both negatively with psychological distress. So, healthcare professionals, despite presenting psychological distress, perceive their work satisfactorily and positively despite the severity of the situation and the harsh conditions. Implications for Nursing Management Sense of coherence and work engagement are protective factors against psychological distress. Preventive measures for professionals should go through the dimensionalization of the problem and the adaptation of practical measures for daily management.

ACS Style

Sara Domínguez‐Salas; Juan Gómez‐Salgado; Carlos Guillén‐Gestoso; Macarena Romero‐Martín; Mónica Ortega‐Moreno; Carlos Ruiz‐Frutos. Health care workers’ protection and psychological safety during the COVID‐19 pandemic in Spain. Journal of Nursing Management 2021, 1 .

AMA Style

Sara Domínguez‐Salas, Juan Gómez‐Salgado, Carlos Guillén‐Gestoso, Macarena Romero‐Martín, Mónica Ortega‐Moreno, Carlos Ruiz‐Frutos. Health care workers’ protection and psychological safety during the COVID‐19 pandemic in Spain. Journal of Nursing Management. 2021; ():1.

Chicago/Turabian Style

Sara Domínguez‐Salas; Juan Gómez‐Salgado; Carlos Guillén‐Gestoso; Macarena Romero‐Martín; Mónica Ortega‐Moreno; Carlos Ruiz‐Frutos. 2021. "Health care workers’ protection and psychological safety during the COVID‐19 pandemic in Spain." Journal of Nursing Management , no. : 1.

Journal article
Published: 06 April 2021 in Biology
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The use of a loop ileostomy as the defunctioning procedure of choice to protect a distal colonic anastomosis causes histological and endoscopic changes in the intestinal mucosal architecture, which have been related to chronic inflammation and changes in the microflora that consequently impact the intestinal structure and function following fecal stream diversion. The aim of this study was to evaluate the histological and endoscopic changes on the colonic mucosa in patients with diversion colitis after stimulation of the efferent loop with probiotics prior to closure of the protective ileostomy. A prospective, randomized, double-blind, controlled study was designed. All patients who underwent surgery for colorectal carcinoma with protective ileostomy between January 2017 and December 2018 were included. These patients were pending reconstructive surgery and were diagnosed with endoscopic and histological diversion colitis. Divided into two groups, a group stimulated with probiotics (SG) and a control group (CG). 34 cases and 35 controls were included in the study. Histological and endoscopic changes were evaluated after stimulation, after restorative surgery and during the short-term follow-up after surgery. A decrease in endoscopic pathological findings (mucosal friability, mucous erosions, polyps, edema, erythema and stenosis) and in histological findings (follicular hyperplasia, eosinophils, cryptic abscesses, lymphocyte infiltration, plasma cell infiltration and architecture distortion) was observed in SG. These results were statistically significant with a p < 0.001. The stimulation of the efferent loop of the ileostomy in patients with diversion colitis produced a decrease of the endoscopic and histological severity of colitis in the short term.

ACS Style

Ángela Rodríguez-Padilla; Germán Morales-Martín; Rocío Pérez-Quintero; Juan Gómez-Salgado; Ricardo Rada-Morgades; Carlos Ruiz-Frutos. Diversion Colitis: Macro and Microscopic Findings after Probiotics Stimulation. Biology 2021, 10, 303 .

AMA Style

Ángela Rodríguez-Padilla, Germán Morales-Martín, Rocío Pérez-Quintero, Juan Gómez-Salgado, Ricardo Rada-Morgades, Carlos Ruiz-Frutos. Diversion Colitis: Macro and Microscopic Findings after Probiotics Stimulation. Biology. 2021; 10 (4):303.

Chicago/Turabian Style

Ángela Rodríguez-Padilla; Germán Morales-Martín; Rocío Pérez-Quintero; Juan Gómez-Salgado; Ricardo Rada-Morgades; Carlos Ruiz-Frutos. 2021. "Diversion Colitis: Macro and Microscopic Findings after Probiotics Stimulation." Biology 10, no. 4: 303.

Research article
Published: 02 April 2021 in Medicine
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Background: Cardiopulmonary resuscitation (CPR) training in schools, despite being legislated in Spain, is not established as such within the subjects that children are taught in schools. Objective: to evaluate the acquisition of CPR skills by 11-year-old children after a brief theoretical-practical teaching programme taught by nurses at school. Methods: 62 students were assessed in a quasi-experimental study on 2 cohorts (51.4% of the sample in control group [CG]). In total, 2 sessions were given, a theoretical one, and a practical training for skill development in children, in which the CG performed the CPR in 2-minute cycles and the intervention group in 1-minute cycles. The anthropometric variables recorded were weight and height, and the variables compression quality and ventilation quality were recorded using the Laerdal ResusciAnne manikin with Personal Computer/Wireless SkillReport. Results: The assessment showed better results, in terms of BLS sequence performance and use of automated external defibrillator, in the CG and after training, except for the evaluation of the 10-second breathing assessment technique. The quality of chest compressions was better in the CG after training, as was the quality of the ventilations. There were no major differences in CPR quality after training and 4 months after the 1-minute and 2-minute training cycles. Conclusions: 11-year-old children do not perform quality chest compressions or ventilations but, considering their age, they are able to perform a BLS sequence correctly.

ACS Style

Santiago Martínez-Isasi; Mario García-Suárez; Medea Aglaya De La Peña Rodríguez; Juan Gómez-Salgado; Nélida Fernández; Carlos Méndez-Martínez; Esther Leon-Castelao; Alvaro Clemente-Vivancos; Daniel Fernández-García. Basic life support training programme in schools by school nurses. Medicine 2021, 100, e24819 .

AMA Style

Santiago Martínez-Isasi, Mario García-Suárez, Medea Aglaya De La Peña Rodríguez, Juan Gómez-Salgado, Nélida Fernández, Carlos Méndez-Martínez, Esther Leon-Castelao, Alvaro Clemente-Vivancos, Daniel Fernández-García. Basic life support training programme in schools by school nurses. Medicine. 2021; 100 (13):e24819.

Chicago/Turabian Style

Santiago Martínez-Isasi; Mario García-Suárez; Medea Aglaya De La Peña Rodríguez; Juan Gómez-Salgado; Nélida Fernández; Carlos Méndez-Martínez; Esther Leon-Castelao; Alvaro Clemente-Vivancos; Daniel Fernández-García. 2021. "Basic life support training programme in schools by school nurses." Medicine 100, no. 13: e24819.

Research article
Published: 01 April 2021 in Science Progress
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The COVID-19 pandemic has affected the psychological well-being of healthcare professionals, among them, on medical and nursing occupational specialists. This study describes the psychological distress that this group has suffered, analyzing the effect that the sense of coherence related with the history of contact with infected people has generated in their mental health. Cross-sectional descriptive study using online questionnaires. Data were collected on a sample of 499 subjects, representing 42.0% and 38.8% of the associations of specialists in Occupational Medicine and Nursing, respectively. A univariate data analysis, independence test, and the CHAID multivariate method were carried out. The percentage of workers with high psychological distress was higher among women than among men; this was also higher in public sector workers than in the private sector. No differences have been observed regarding psychological distress and educational level, coexistence, having children, working away from home, having a pet, or between being a physician or nurse. The most efficient measure to prevent psychological distress was acting regarding the comprehensibility dimension of the sense of coherence. Sex, contact with any infected person, age, living as a couple, working in public or private centers, the availability of diagnostic tests, and the correlation with the manageability dimension were modulating factors. Sense of coherence is an effective measure to prevent psychological distress due to contact with people affected by COVID-19 in Occupational Health professionals.

ACS Style

Juan Gómez-Salgado; Mónica Ortega-Moreno; Guillermo Soriano; Javier Fagundo-Rivera; Regina Allande-Cussó; Carlos Ruiz-Frutos. History of contact with the SARS-COV-2 virus and the sense of coherence in the development of psychological distress in the occupational health professionals in Spain. Science Progress 2021, 104, 1 .

AMA Style

Juan Gómez-Salgado, Mónica Ortega-Moreno, Guillermo Soriano, Javier Fagundo-Rivera, Regina Allande-Cussó, Carlos Ruiz-Frutos. History of contact with the SARS-COV-2 virus and the sense of coherence in the development of psychological distress in the occupational health professionals in Spain. Science Progress. 2021; 104 (2):1.

Chicago/Turabian Style

Juan Gómez-Salgado; Mónica Ortega-Moreno; Guillermo Soriano; Javier Fagundo-Rivera; Regina Allande-Cussó; Carlos Ruiz-Frutos. 2021. "History of contact with the SARS-COV-2 virus and the sense of coherence in the development of psychological distress in the occupational health professionals in Spain." Science Progress 104, no. 2: 1.

Journal article
Published: 23 March 2021 in Cancers
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Night work has been highlighted by the International Agency for Research on Cancer (IARC) as a likely carcinogenic factor for humans, associated with breast cancer and professions that require continuity of work. Knowing the impact that short and long-term night work has on the nurses’ collective seems a priority, therefore, this study aims to analyse the relationship between night work and the development of breast cancer risk factors in nurses. For this, a cross-sectional study through an online questionnaire on breast cancer risk variables and working life was designed. The study was conducted in Spain and the sample consisted of 966 nurses, of whom 502 were healthy participants and 56 were breast cancer patients. These two groups were compared in the analyses. A descriptive analysis was performed, and the relationship was tested using χ2 independence test and OR calculation. The CHAID (Chi Square Automatic Interaction Detection) data mining method allowed for the creation of a segmentation tree for the main risk variables. The most significant risk variables related to working life have been the number of years worked, nights worked throughout life, and years working more than 3 nights per month. Exceeding 16 years of work has been significant for women and men. When the time worked is less than 16 years, the number of cases increases if there is a family history of cancer and if there have been more than 500 nights of work. High-intensity night work seems more harmful at an early age. The accumulation of years and nights worked increase the risk of breast cancer when factors such as sleep disturbance, physical stress, or family responsibilities come together.

ACS Style

Juan Gómez-Salgado; Javier Fagundo-Rivera; Mónica Ortega-Moreno; Regina Allande-Cussó; Diego Ayuso-Murillo; Carlos Ruiz-Frutos. Night Work and Breast Cancer Risk in Nurses: Multifactorial Risk Analysis. Cancers 2021, 13, 1470 .

AMA Style

Juan Gómez-Salgado, Javier Fagundo-Rivera, Mónica Ortega-Moreno, Regina Allande-Cussó, Diego Ayuso-Murillo, Carlos Ruiz-Frutos. Night Work and Breast Cancer Risk in Nurses: Multifactorial Risk Analysis. Cancers. 2021; 13 (6):1470.

Chicago/Turabian Style

Juan Gómez-Salgado; Javier Fagundo-Rivera; Mónica Ortega-Moreno; Regina Allande-Cussó; Diego Ayuso-Murillo; Carlos Ruiz-Frutos. 2021. "Night Work and Breast Cancer Risk in Nurses: Multifactorial Risk Analysis." Cancers 13, no. 6: 1470.

Journal article
Published: 16 March 2021 in Healthcare
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The maternal mortality or "maternal near miss" ratio in Brazil reflects the socioeconomic indicators as well as the healthcare quality in some areas of this country, pointing out fragile points in the health services. The aim of this study was to estimate the association of diverse variables related to pregnancy and the occurrence of Near Miss in a population of women who were cared in public maternity wards in Brazil. A case-control study was performed. The association between variables and outcomes was verified through a chi-square test. A multiple analysis was carried out, producing odds ratio (OR) estimates with values of p≤0.25 in the univariate model. The results point to the following risk factors for Severe Maternal Morbidity: non-white (<0.001, OR 2.973), family income of up to two minimum wage salaries (<0.001; OR 2.159), not having a partner (<0.001, OR 2.694), obesity (<0.001, OR 20.852), not having received pre-natal care (<0.001, OR 2.843), going to less than six prenatal appointments (<0.001, OR 3.498), undergoing an inter-hospital transfer (<0.001, OR 24.655), and the absence of labor during admission (<0.001, OR 25.205). Although the results vary, the incidence of women with potential life-threatening complications is high in Brazil, which reinforces the need to universalize more complex interventions as well as coverage of primary care. The presence of precarious socio-economic indicators and unqualified obstetric care were risk factors for Severe Maternal Morbidity.

ACS Style

Daniela Magalhães; João Bernardes; Carlos Ruiz-Frutos; Juan Gómez-Salgado; Iracema Calderon; Adriano Dias. Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study. Healthcare 2021, 9, 335 .

AMA Style

Daniela Magalhães, João Bernardes, Carlos Ruiz-Frutos, Juan Gómez-Salgado, Iracema Calderon, Adriano Dias. Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study. Healthcare. 2021; 9 (3):335.

Chicago/Turabian Style

Daniela Magalhães; João Bernardes; Carlos Ruiz-Frutos; Juan Gómez-Salgado; Iracema Calderon; Adriano Dias. 2021. "Predictive Factors for Severe Maternal Morbidity in Brazil: A Case-Control Study." Healthcare 9, no. 3: 335.

Review
Published: 10 March 2021 in Nursing Open
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Rationale and Aim Advanced Practice Nurse (APN) is a specialist who has acquired clinical skills to make complex decisions for a better professional practice. In the United States, this figure has been developed in different ways, but in some European countries, it is not yet fully developed, although it may imply a significant advance in terms of continuity and quality of care in patients with chronic or multiple pathologies, including cardiac ones and, more specifically, heart failure (HF). The follow‐up of HF patients in many countries has focused on the medical management of the process, neglecting all the other comprehensive health aspects that contribute to decompensation of HF, worsening quality indicators or patient satisfaction, and there are not updated reviews to clarify the relevance of APN in HF, comparing the results of APN interventions with doctors clinical practice, since the complexity of care that HF patients need makes it difficult to control the disease through regular treatment. For this reason, this systematic review was proposed in order to update the available knowledge on the effectiveness of APN interventions in HF patients, analysing four PICO questions (Patients, Interventions, Comparison and Outcomes): whether APN implies a reduction in the number of hospital readmissions, if it reduces mortality, if it has a positive cost‐benefit relationship and if it implies any improvement in the quality of life of HF patients. Design and Methods A systematic review was performed based on the PRISMA statement, searching at four databases: PubMed, CINAHL, Scopus and Cuiden. Articles were selected based on the following criteria: English/Spanish language, up to 6 years since publication, and original quantitative studies of experimental, quasi‐experimental or observational character. Papers were excluded if they do not comply with CONSORT or STROBE checklists, and if they had not been published in journals indexed in JCR and/or SJR. For the analysis, two separate researchers used the Cochrane Handbook form for systematic reviews of intervention, collecting authorship variables, study methods, risks of bias, intervention and comparison groups, results obtained, PICO question or questions answered, and the main conclusions. Results A total of 43,754 patients participated in the 11 included studies for the development of this review, mostly from United States and non‐European countries, with a clearly visible lack of European publications. Regarding the results related to first PICO question, researches reviewed proved that APN implied a reduction in the number of hospital readmissions in patients with heart failure (up to 33%). Regarding the second question, mortality was always lower in groups assisted by APN versus in control groups (up to 7.8% vs. 17.7%). Regarding the third question, APN was cost‐effective in this type of patient as the cost reduction was eventually calculated in 1.9 million euros. Regarding the last question, quality of life of patients who have been cared for by an APN had notoriously improved, although one of the papers concluded that no significant differences were found. All the questions addressed obtained a positive answer; therefore, APN is a practice that reduced hospital readmissions and mortality in HF patients. The cost‐effectiveness is much better with APN than with usual care, and although the quality of life of HF patients seems to improve with APN, more studies are needed to support this focused on this.

ACS Style

Javier Ordóñez‐Piedra; Jose Antonio Ponce‐Blandón; Jose Miguel Robles‐Romero; Juan Gómez‐Salgado; Nerea Jiménez‐Picón; Macarena Romero‐Martín. Effectiveness of the Advanced Practice Nursing interventions in the patient with heart failure: A systematic review. Nursing Open 2021, 8, 1879 -1891.

AMA Style

Javier Ordóñez‐Piedra, Jose Antonio Ponce‐Blandón, Jose Miguel Robles‐Romero, Juan Gómez‐Salgado, Nerea Jiménez‐Picón, Macarena Romero‐Martín. Effectiveness of the Advanced Practice Nursing interventions in the patient with heart failure: A systematic review. Nursing Open. 2021; 8 (4):1879-1891.

Chicago/Turabian Style

Javier Ordóñez‐Piedra; Jose Antonio Ponce‐Blandón; Jose Miguel Robles‐Romero; Juan Gómez‐Salgado; Nerea Jiménez‐Picón; Macarena Romero‐Martín. 2021. "Effectiveness of the Advanced Practice Nursing interventions in the patient with heart failure: A systematic review." Nursing Open 8, no. 4: 1879-1891.

Journal article
Published: 05 March 2021 in Brain Sciences
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The aim of this study was to develop a specific scale to measure anxiety and fear levels in the general Spanish population. For this, a transcultural adaptation to Spanish of the fear of coronavirus disease 2019 (COVID-19) scale, in its original version of 10 items, was carried out. Then, the Anxiety and Fear of COVID-19 Assessment Scale (AMICO, for its acronym in Spanish) was designed by translating the tool and Delphi technique into three rounds. Ten experts participated voluntarily, and inter-observer match rates and the reliability study of the designed scale were calculated. A pilot study was carried out with the final version of the scale for the validity and reliability study. The instrument did not raise problems in semantic and cultural terms during the first and second rounds of the translation process, with an overall weighted Kappa value of 0.9. In the third round, eight new items were designed and consensual, obtaining a weighted overall value of 0.89. The pilot study sample was made up of 445 subjects, of which 60.3% were women with a mean age of 46.2 years. The final version consisted of 16 items, 2 factors, and a Cronbach’s alpha value of 0.92. The AMICO scale was developed to assess the level of anxiety and fear of COVID-19 and proved to be valid and reliable for its use in the adult Spanish population.

ACS Style

Juan Gómez-Salgado; Regina Allande-Cussó; Sara Domínguez-Salas; Juan García-Iglesias; Valle Coronado-Vázquez; Carlos Ruiz-Frutos. Design of Fear and Anxiety of COVID-19 Assessment Tool in Spanish Adult Population. Brain Sciences 2021, 11, 328 .

AMA Style

Juan Gómez-Salgado, Regina Allande-Cussó, Sara Domínguez-Salas, Juan García-Iglesias, Valle Coronado-Vázquez, Carlos Ruiz-Frutos. Design of Fear and Anxiety of COVID-19 Assessment Tool in Spanish Adult Population. Brain Sciences. 2021; 11 (3):328.

Chicago/Turabian Style

Juan Gómez-Salgado; Regina Allande-Cussó; Sara Domínguez-Salas; Juan García-Iglesias; Valle Coronado-Vázquez; Carlos Ruiz-Frutos. 2021. "Design of Fear and Anxiety of COVID-19 Assessment Tool in Spanish Adult Population." Brain Sciences 11, no. 3: 328.

Journal article
Published: 01 March 2021 in Healthcare
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In some areas of Spain, health services and professionals working in the front line against the Sars-Cov-2 virus have been widely overwhelmed at all levels. Therefore, the objective of this study was to assess the level of work engagement of Spanish nurses during the COVID-19 pandemic. A cross-sectional study was carried out. The sample consisted of 510 active nurses from all over Spain, without age exclusion, who voluntarily accepted to participate in the study. Work engagement was assessed with the 9-item Utrecht Work Engagement Scale (UWES) questionnaire, through an online questionnaire and non-probabilistic snowball sampling. The results showed a mean age of 45.9 years (SD = 10.7 years), most of them women (78.1%), and 58.5% were in primary care. The mean score for the UWES-9 questionnaire was 4.6 points (SD = 1.35). The categorical regression analysis performed revealed an R2 value of 0.75 and a significance of p < 0.01 in the sex, type of unit, and training variables. The Spanish nurses in the sample present high levels of work engagement in all dimensions in general, although the lowest mean scores are found in the vigor dimension, among men, and nurses working in hospital and critical units.

ACS Style

Regina Allande-Cussó; Juan García-Iglesias; Carlos Ruiz-Frutos; Sara Domínguez-Salas; Carmen Rodríguez-Domínguez; Juan Gómez-Salgado. Work Engagement in Nurses during the Covid-19 Pandemic: A Cross-Sectional Study. Healthcare 2021, 9, 253 .

AMA Style

Regina Allande-Cussó, Juan García-Iglesias, Carlos Ruiz-Frutos, Sara Domínguez-Salas, Carmen Rodríguez-Domínguez, Juan Gómez-Salgado. Work Engagement in Nurses during the Covid-19 Pandemic: A Cross-Sectional Study. Healthcare. 2021; 9 (3):253.

Chicago/Turabian Style

Regina Allande-Cussó; Juan García-Iglesias; Carlos Ruiz-Frutos; Sara Domínguez-Salas; Carmen Rodríguez-Domínguez; Juan Gómez-Salgado. 2021. "Work Engagement in Nurses during the Covid-19 Pandemic: A Cross-Sectional Study." Healthcare 9, no. 3: 253.

Original research
Published: 26 February 2021 in Pain Management Nursing
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Background Low back pain (LBP) is highly prevalent in children and adolescents, while psychosocial, anthropometric, developmental, and lifestyle factors have been associated. However, the evidence is inconsistent from a biological point of view, so identifying predictors of LBP in the 6–12 years children through physical examination should be appropriate. Aims To estimate the prevalence of LBP and associated factors in schoolchildren in a Brazilian population. Design Cross-sectional study. Setting Three schools in Botucatu, Brazil. Participants/Subjects 377 students from 6-12 years. Methods Data collection consisted of questions regarding personal history, socioeconomic and anthropometric information, kinesiologic evaluation with anthropometry, lumbar biophotogrammetry, and backpack weight and use. Descriptive analyses were performed, and simple and multiple logistic regression models were used for risk factors. Results The prevalence of LBP was 27.32% (confidence interval [CI] 95% = 23.07-32.03). The mean age was 8.85 years (± 1.83) in the group with LBP and 8 years (± 1.76) in the group without LBP (p = .006). Variables such as backpack weight (odds ratio [OR] = 1.45, CI 95% = 1.018-2.064) and exceeding 3 hours per day in front of the television (OR = 7.97, CI 95% = 1.957-32.515) increased the chance of LBP in these students. Conclusion LBP is prevalent in younger schoolchildren, and the factors associated with this outcome can be effectively addressed through the promotion of health measures. LBP in schoolchildren is a musculoskeletal discomfort that negatively affects the quality of life of these individuals and persists in adulthood.

ACS Style

Elisiane De Souza Santos; João Marcos Bernardes; Matias Noll; Juan Gómez-Salgado; Carlos Ruiz-Frutos; Adriano Dias. Prevalence of Low Back Pain and Associated Risks in School-Age Children. Pain Management Nursing 2021, 22, 459 -464.

AMA Style

Elisiane De Souza Santos, João Marcos Bernardes, Matias Noll, Juan Gómez-Salgado, Carlos Ruiz-Frutos, Adriano Dias. Prevalence of Low Back Pain and Associated Risks in School-Age Children. Pain Management Nursing. 2021; 22 (4):459-464.

Chicago/Turabian Style

Elisiane De Souza Santos; João Marcos Bernardes; Matias Noll; Juan Gómez-Salgado; Carlos Ruiz-Frutos; Adriano Dias. 2021. "Prevalence of Low Back Pain and Associated Risks in School-Age Children." Pain Management Nursing 22, no. 4: 459-464.