Publications by authors named "Naiara Parraza-Diez"
Background: Detecting pain in sedated critically ill patients requires utmost attention.
Aim: To assess the pain in mechanically ventilated critically ill patients with the Behavioral Pain Scale (BPS), Behavioral Indicators Pain Scale (ESCID), the pupillary dilation response (PDR), and vital signs.
Design: Cross-sectional study METHODS: The study was conducted between March and December 2019, involving patients with a baseline BPS of 3, ESCID of 0, and RASS between -1 and -4.
The pupillary dilation reflex to a nociceptive stimulus as a tool for analgesia management: A diagnostic study.
Aust Crit Care
March 2024
Background: More than 70% of patients demonstrate pain after endotracheal aspiration. Tools are needed to objectify the need for analgesia in non-communicative critically ill patients.
Objective: The objective of this study was to identify the lowest intensity electrical stimulus for detecting pain before daily care interventions.
Background: The objective of this study was to assess the value of the pupillary dilation reflex as an assessment pain tool in critically ill patients. It is important to continue working for the well-being and security of critically ill patients.
Methods: We studied the diagnostic accuracy of the pupillary dilation reflex against the Behavioral Pain Scale.
Elimination of hepatitis C virus in a prison: An 18-year experience.
Enferm Infecc Microbiol Clin (Engl Ed)
May 2024
Introduction: Despite the decrease of hepatitis C in Spanish prisons in the last years, it still remains a reservoir for infection. The aim of this work is to analyze the characteristics of these patients and the response to antiviral treatment over the last 18 years.
Methods: Retrospective observational study in inmates of Araba penitentiary center diagnosed with HCV infection between 2002 and 2020.
Background: Smartphones have become useful tools for medicine, with the use of specific apps making it possible to bring health care closer to inaccessible areas, continuously monitor a patient's pathology at any time and place, promote healthy habits, and ultimately improve patients' quality of life and the efficiency of the health care system. Since 2020, the use of smartphones has reached unprecedented levels. There are more than 350,000 health apps, according to a 2021 IQVIA Institute report, that address, among other things, the management of patient appointments; communication among different services or professionals; the promotion of lifestyle changes related to adopting healthy habits; and the monitoring of different pathologies and chronic conditions, including smoking cessation.
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- The study analyzes the willingness and knowledge about COVID-19 vaccines among patients and healthcare workers (HCWs) in Álava, Spain, highlighting the importance of understanding attitudes to improve vaccination strategies.
- A survey revealed that while about 90% of patients and 80% of HCWs were willing to get vaccinated, there was a notable hesitancy among HCWs (3-12%) due to concerns over vaccine effectiveness.
- HCWs demonstrated better knowledge and higher risk perception of COVID-19 compared to patients, indicating a need for improved communication about vaccine information for the general public.
Background: Understanding the factors related to workload, could help hospital at home (HaH) managers to make decisions on the most appropriate and efficient use of the HaH services. Published studies on this topic are scarce, so we have conducted a systematic review to identify such factors according to published evidence.
Methods: Due to the heterogeneity of HaH models, HaH was defined as a care that provides a set of medical and nursing care and attention of hospital rank to patients at home, when they no longer require hospital infrastructure but still need active monitoring and complex care.
Effectiveness of Text Messaging as an Adjuvant to Health Advice in Smoking Cessation Programs in Primary Care. A Randomized Clinical Trial.
Nicotine Tob Res
August 2017
Introduction: Smoking remains a major risk factor for chronic diseases. Health advice is considered one of the most cost-effective interventions; however, changes produced by counseling tend not to persist over time, it is necessary to implement enforcement mechanisms.
Methods: Randomized clinical trial to evaluate the effectiveness of a combined program that includes health advice and text messaging to mobile phone (SMSalud®).
Introduction: Chronic vascular ulcers are associated with a high use of resources. Conventional treatment consists of wound cleansing, necrotic tissue debridement, prevention, diagnosis, and, if necessary, treatment of infection and dressing application; although conventional treatment has limited effectiveness with wound healing (around 15-30%).8-11 Platelet-rich plasma, used in various fields of medicine, improves chronic vascular ulcer results, but is more expensive.
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- - The study aimed to assess the intention of healthcare professionals, specifically doctors and nurses, to get vaccinated against the A/H1N1 influenza virus and their views on the pandemic's severity compared to seasonal flu.
- - Conducted between November 6-16, 2009, the survey received responses from 115 health workers, revealing that only 33.3% of doctors and 13.6% of nurses planned to receive the vaccine, with significant differences noted.
- - Findings indicated that a majority of health professionals, especially nurses, were reluctant to get vaccinated against A/H1N1 at the start of the vaccination campaign, despite some recognizing a high risk for themselves.
Article Synopsis
- The study aimed to assess both the general population and health professionals' willingness to get vaccinated against H1N1 influenza A and their perceptions of its severity compared to seasonal flu.
- The research involved conducting telephone and online surveys, revealing that a significant percentage of both groups were unwilling to be vaccinated, even if it were free.
- Despite similar overall unwillingness between the two groups, the general population showed a higher number of undecided individuals, particularly among those categorized as high-risk.
Introduction: The treatment of colorectal cancer (CRC) is usually surgical and involves morbidity-mortality. The aim of this study is to quantify the postoperative mortality in our hospital and to determine their risk factors.
Materials And Methods: Prospective observational study from 1996 to 2007 included 1017 patients who underwent surgery for CRC in our hospital.