Rubén García-Fernández

Dr. Rubén García-Fernández

Universidad de León (Spain)
orcid

Research Focus & Metrics

Academic Career Length

6Years (2021-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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Journal Article
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PÁPablo Álvarez-García
Pablo Álvarez-García
Rubén García-FernándezRubén García-Fernández
Rubén García-Fernández
Cristian MartínCristian Martín
Cristian Martín
NCNatalia Calvo-Ayuso
Natalia Calvo-Ayuso
QEQUIROGA SANCHEZ ENEDINA
QUIROGA SANCHEZ ENEDINA
Background/Objectives: Postpartum depression is usually defined as a major depressive episode that occurs shortly after childbirth. This condition is most commonly found in females; however, paternal postpartum depression has begun to attract more research attention. This study aims to identify different instruments for measuring this mental health problem and to detect risk factors as well as the main sources of resilience in paternal postpartum depression. Methods: A literature review was conducted following the PRISMA method. Results: After analyzing 10 articles, it was determined that the Edinburgh Postpartum Depression Scale is the most widely used instrument for the diagnosis of postpartum depression in the female population, and after several studies, it has already been validated for the male sex. After several studies were analyzed to highlight the main risk factors for paternal postpartum depression, it was established that the most influential factor is male gender role stress. These findings highlight the traditional role of fathers today. Most health professionals see the mother as the priority. Conclusions: Paternal depression is a major problem for mothers and fathers today, as well as for the newborn. As time goes on, there is a growing need to incorporate fathers into current and future mental health programs to be able to provide the necessary support.

24 January 2024 in Healthcare
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PLPaula López-Jardón
Paula López-Jardón
MFMaría Cristina Martínez Fernández
María Cristina Martínez Fernández
Rubén García-FernándezRubén García-Fernández
Rubén García-Fernández
Cristian MartínCristian Martín
Cristian Martín
RVRodrigo Verdeal-Dacal
Rodrigo Verdeal-Dacal
Intermediate care units (IMCUs) have become increasingly important in the care of critical and semi-critical patients, particularly during the COVID-19 pandemic. However, there is still no clear definition of their structural characteristics, specialties, types of patients, and the benefits they provide. The aim of this work is to describe the current state of implementation and operation of IMCUs in hospitals and patient care. To achieve this goal, a systematic review was conducted in the Web of Science, Scopus and CINAHL databases, along with a hand search. The research yielded 419 documents, of which 26 were included in this review after applying inclusion and exclusion criteria. The results were highly diverse and were categorized based on the following topics: material resources, human resources, continuity of care, and patient benefits. Despite the different objectives outlined in the studies, all of them demonstrate the numerous benefits provided by an IMCU, along with the increased relevance of this type of unit in recent years. Therefore, this systematic review highlights the benefits of IMCUs in the care of critical patients, as well as the role of health workers in these units.

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PLPedro Hidalgo Lopezosa
Pedro Hidalgo Lopezosa
SPSandra Pérez-Marín
Sandra Pérez-Marín
AJAndrea Jiménez-Ruz
Andrea Jiménez-Ruz
JLJuan De la Cruz López-Carrasco
Juan De la Cruz López-Carrasco
ALANA MARIA CUBERO LUNA
ANA MARIA CUBERO LUNA
PLPablo Jesús López-Soto
Pablo Jesús López-Soto
(1) Background: Female sexual dysfunction (FSD) has a high prevalence globally, and perinatal factors favor FSD, especially in the postpartum period. The aim was to determine the prevalence and factors influencing FSD in the postpartum period; (2) Methods: An observational study carried out in three primary care centers in southern Spain, with women in the postpartum period who had a single low-risk birth. One hundred and seventeen women answered the Female Sexual Function questionnaire during the 4th month postpartum, between January 2020 and December 2021. Sociodemographic, obstetric, neonatal variables and level of self-esteem were analyzed. A multiple logistic regression model was carried out; (3) Results: 78.4% had high level of self-esteem. FSD prevalence was 89.7%. Factors related to FSD were having an instrumental vaginal delivery, women with university studies, and prenatal preparation. Maternal age ≥ 35, multiparity, pathological processes in the child, a medium–low level of self-esteem and newborn weight were associated with disorders in some of domains of sexual function; (4) Conclusions: FSD is highly prevalent in the postpartum period and is associated with preventable factors. A preventive approach by health professionals to these factors is essential. Health services should implement postpartum follow-up programs, which may coincide in time and place with newborn follow-up programs.

23 July 2024 in Midwifery
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Journal Article
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Cristian MartínCristian Martín
Cristian Martín
JUJosé David Urchaga
José David Urchaga
Rubén García-FernándezRubén García-Fernández
Rubén García-Fernández
NCNatalia Calvo-Ayuso
Natalia Calvo-Ayuso
QEQUIROGA SANCHEZ ENEDINA
QUIROGA SANCHEZ ENEDINA
Cristina Liebana-PresaCristina Liebana-Presa
Cristina Liebana-Presa
The quality of life and social support during pregnancy are two variables influencing the health of pregnants and neonates. The documented impact of these variables on mental health, specifically the risk of depression, is notable. To investigate the evolution of quality of life and social support at the beginning and end of pregnancy in pregnant women, and to examine the relationship between these variables. The proposed longitudinal study includes 188 pregnants from a northern region of Spain. Participants were selected through consecutive sampling from September 2021 to April 2023. Quality of life and social support will be assessed in the first and third trimesters of pregnancy using the SF-36 questionnaire and MOS-SSS questionnaire, respectively. The questionnaires show strong internal consistency (α = 0.91 and 0.97). Quality of life changes during pregnancy, declining in the physical component and rising in the mental component towards the end. Primiparous women have higher quality of life. Depression risk is 29.8 % in the 1st trimester, dropping to 22.9 % in the 3rd trimester. Social support decreases in the 3rd trimester, particularly among unmarried women. Significant positive correlations exist between quality of life and social support. This study emphasizes notable variations in quality of life and social support during pregnancy, impacting the health of pregnant individuals and neonates. Proposing standardization in monitoring these factors during prenatal check-ups aims to improve the physical and mental health of pregnant individuals and newborns.

20 January 2025 in Cancers
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MAMarta Arias-Crespo
Marta Arias-Crespo
Rubén García-FernándezRubén García-Fernández
Rubén García-Fernández
NCNatalia Calvo-Ayuso
Natalia Calvo-Ayuso
Cristian MartínCristian Martín
Cristian Martín
MMMaria de Fátima da Silva Vieira Martins
Maria de Fátima da Silva Vieira Martins
QEQUIROGA SANCHEZ ENEDINA
QUIROGA SANCHEZ ENEDINA
Background/Objectives: Breast cancer-related lymphedema (BCRL) is a chronic disease with lasting effects, making it one of the most feared sequelae of breast cancer with significant personal and social impacts. Therapeutic exercises play a fundamental role in its treatment. This systematic review aims to provide the most up-to-date findings on the impact of physical exercise on the management of BCRL. Methods: Following the PRISMA statement guidelines, searches were conducted in the Web of Science, Scopus, and Science Direct databases. Results: Sixteen studies published between 2019 and 2024 were analyzed in detail. The combination of strength and aerobic exercises emerged as an effective strategy for both the treatment and prevention of lymphedema, also highlighting the innovative potential of virtual reality. Conclusions: It is essential to emphasize tailoring exercise programs to each patient individually. Additionally, the promising role of thermography as a non-invasive and safe tool for evaluating lymphedema progress is underscored.

24 December 2022 in Midwifery
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Journal Article
Open access
ATAlonso Titos Tania
Alonso Titos Tania
Natalia Arias RamosNatalia Arias Ramos
Natalia Arias Ramos
VVValle-Barrio Verónica
Valle-Barrio Verónica
Pilar Marques-SanchezPilar Marques-Sanchez
Pilar Marques-Sanchez
Rubén García-FernándezRubén García-Fernández
Rubén García-Fernández
Cristina Liebana-PresaCristina Liebana-Presa
Cristina Liebana-Presa
Motherhood involves a process of adaptation and the perception of social support influences mental health, breastfeeding or newborn care among others. The COVID-19 pandemic has generated a distancing from family, friends and health professionals. Quantitative, descriptive, cross-sectional study. The present study aims to describe and analyze the social support and mental health of mothers during this period. The sample were 179 women with children older than 6 months. The questionnaires used were the DUKE-UNC-11 and GHQ-12. Data analysis was carried out with Spearman's Rho and Mann Whitney U test. 75.8% of the sample perceived normal social support during the pandemic. Within the dimensions of social support, women reported perceiving satisfactory confidential support, while affective support was perceived as low. Correlational analysis reported a significant relationship between mental health, confidential support and affective support. Group comparison noted greater confidential support in primiparous. The sample is sensitive to changes originated by COVID-19 constraints influencing perceived social support and mental health. Affective and confidential support as well as the involvement of health professionals and the environment are fundamental for mental health during the first year of maternity. Mothers' mental health is sensitive and vulnerable to social changes, in this case, those that occurred as a consequence of the COVID-19 outbreak.