Keyla Vargas-Román

Universidad de Granada

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Guillermo A. Cañadas‐De la Fuente

Universidad de Granada

Lourdes Díaz‐Rodríguez

Universidad de Granada

Emilia I. De la Fuente‐Solana

Universidad de Granada

José Luis Gómez‐Urquiza

Universidad de Granada

Luis Albendín‐Garcia

Andalusian Health Service

Nora Suleiman‐Martos

Universidad de Granada

Juan Carlos Sánchez-García

Universidad de Granada

Raquel Rodríguez-Blanque

Universidad de Granada

Elena Ortega‐Campos

University of Almería

Jonathan Cortés‐Martín

Universidad de Granada

Cooperative Institutions

Charité - Universitätsmedizin Berlin

Freie Universität Berlin

Humboldt-Universität zu Berlin

Beijing University of Chinese Medicine

Witten/Herdecke University

University Hospital of Zurich

Universidad de Granada

Heidelberg University

University of Zurich

Harvard University

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Effect of a 16-Session Qigong Program in Non-Hodgkin Lymphoma Survivors: A Randomized Clinical Trial

Journal of Clinical Medicine (2022)

Keyla Vargas-Román Emilia I. De la Fuente‐Solana Jonathan Cortés‐Martín Juan Carlos Sánchez-García Christian J. González-Vargas

Background: The treatment associated with non-Hodgkin lymphoma patients may cause adverse effects on their physical and psychological condition. The aim of this study is to detect the response to an eight-week, 16-session, 60-min presential Qigong program in anxiety, depression and vagal nerve activity alongside a control group. Methods: A randomized controlled clinical trial was managed. Randomization was carried out by generating a numerical sequence of three cycles through the software EPIDAT 4.1. Numbers were placed in sealed opaque envelopes for assignment to the different groups. Results: Anxiety levels were substantially decreased in the experimental group, with a large effect size (F = 30.38, p < 0.00). Depression levels had an improvement in the experimental group in contrast to the control group, reaching statistical significance (F = 19.19, p < 0.00). Heart Rate Variability unveiled significant results in terms of between-group differences, with a large effect size in the HRV Index (F = 15.80, p < 0.00), SDNN (F = 8.82, p < 0.00), and RMSSD (F = 6.72, p < 0.01) in the time domain, and a medium effect size in the HF (F = 9.78, p < 0.003), LF (F = 9.78, p < 0.00), and LF/HF Ratio (F = 18.44, p < 0.00) in the frequency domain, which were all bettered in the experimental group, after the Qigong program. Conclusions: Qigong therapy can be an effective therapeutic activity in consonance with traditional medicine to improve psychological health and autonomic nervous system balance in non-Hodgkin lymphoma survivors.

Depression

10.3390/jcm11123421

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Citations (6)

Evaluation of the Evolution of Digital Nursing Interventions in an Emergency Unit: An Observational Study

Journal of Personalized Medicine (2023)

Irene Medina-Martínez Juan Carlos Sánchez-García Jonathan Cortés‐Martín Lourdes Díaz‐Rodríguez María Mercedes Limonchi Pérez

This study aimed to examine the influence of new ICTs on the recording of nursing interventions in the Emergency Unit of the High Resolution Hospital (HRH) of Loja (Granada), Spain. A descriptive observational study was conducted to analyze the evolution of the Nursing Interventions (NIC) records in the Emergency Unit of the Loja HRH (Granada) from 2017 to 2021. Results showed that 11,076 NIC registrations were exploited, which increased by 51.2% from 2017 to 2021. The linear correlation between the NIC and the years was analyzed with Spearman's coefficient, obtaining a low level of correlation (

10.3390/jpm13050712

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Citations (1)

Effectiveness of nursing interventions for preoperative anxiety in adults: A systematic review with meta‐analysis

Journal of Advanced Nursing (2021)

Carolina Ruiz Hernández José Luis Gómez‐Urquiza Laura Pradas‐Hernández Keyla Vargas-Román Nora Suleiman‐Martos

Abstract Aims The aim of this review and meta‐analysis is to analyse the effectiveness of nursing interventions for the management of preoperative anxiety in adults. Background The perioperative process is a stressful situation for many people who are going to be operated and it can generate feelings of anxiety. Also, preoperative anxiety can appear in the perioperative period. Nursing management of preoperative anxiety through individualized interventions can be effective for reducing anxiety. Design A systematic review with meta‐analysis was performed. Data sources CINAHL, CUIDEN, Pubmed, ProQuest and Scopus databases were consulted without restriction per year of publication. The search was conducted in February 2020. Review methods Experimental studies on nursing management in preoperative anxiety with adults sample (>18 years) published in English and/or Spanish were included. All types of surgery were included in the review. A random effects meta‐analysis was performed to estimate the effect size for preoperative anxiety measured with STAI. Results After the selection process n = 9 quantitative studies with nursing interventions for preoperative anxiety were included. A preoperative educational and informative interview was used in six studies, one study used empathic interview, one used motivational interview and one used hand massage. The meta‐analysis, including four studies using nursing interviews, had a sample of n = 419 in the intervention group and n = 445 in the control group. The mean difference in preoperative state anxiety measured with the STAI was in favour of the nursing intervention. Conclusion Nursing interventions for patients who are going to be operated seems to have a positive impact in their preoperative anxiety. However, due to the low number of studies and the heterogeneity of the sample, more research is needed about the topic.

CINAHL

Nursing Interventions Classification

10.1111/jan.14827

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Smartphone addiction, risk factors and its adverse effects in nursing students: A systematic review and meta-analysis

Nurse Education Today (2020)

C. Osorio-Molina María Begoña Martos-Cabrera María José Membrive‐Jiménez Keyla Vargas-Román Nora Suleiman‐Martos

CINAHL

Critical appraisal

10.1016/j.nedt.2020.104741

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Effects of Meditation on Mental Health and Cardiovascular Balance in Caregivers

International Journal of Environmental Research and Public Health (2021)

Lourdes Díaz‐Rodríguez Keyla Vargas-Román Juan Carlos Sánchez-García Raquel Rodríguez-Blanque Guillermo A. Cañadas‐De la Fuente

Background: Caring for a loved one can be rewarding but is also associated with substantial caregiver burden, developing mental outcomes and affecting happiness. The aim of this study was to determine the effects of a four-week, 16-h presential meditation program on physiological and psychological parameters and vagal nerve activity in high-burden caregivers, as compared to a control group. Methods: A non-randomized repeated-measures controlled clinical trial was conducted. Results: According to the ANCOVA results, the global happiness score (F = 297.42, p < 0.001) and the scores for all subscales were significantly higher in the experimental group than in the control group at 5 weeks. Anxiety levels were also significantly reduced in the experimental group (F = 24.92, p < 0.001), systolic (F = 16.23, p < 0.001) and diastolic blood (F = 34.39, p < 0.001) pressures, and the resting heart rate (F = 17.90, p < 0.05). HRV results revealed significant between-group differences in the HRV Index (F = 8.40, p < 0.05), SDNN (F = 13.59, p < 0.05), and RMSSD (F = 10.72, p < 0.05) in the time domain, and HF (F = 4.82 p < 0.05)) in the frequency domain, which were all improved in the experimental group after the meditation program. Conclusions: Meditation can be a useful therapy to enhance the mental health and autonomic nervous system balance of informal caregivers, improving symptoms of physical and mental overload.

Depression

10.3390/ijerph18020617

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Play Therapy as an Intervention in Hospitalized Children: A Systematic Review

Healthcare (2020)

María José Godino-Iáñez María Begoña Martos-Cabrera Nora Suleiman‐Martos José Luis Gómez‐Urquiza Keyla Vargas-Román

Hospitalization disrupts children's lives and can produce feelings such as anxiety, fear, or pain. Playing is an important part of children's lives. Thus, it is necessary to ensure holistic care during the process, including play therapy. The aim of this study was to analyze the effect of therapeutic play in hospitalized children.A systematic review was performed. The search was conducted in CINAHL (Cumulative Index of Nursing and Allied Health Literature), CUIDEN, and PubMed (Medline). The search equation was "pediatric nurs* AND play therapy". The search was performed in March 2020.n = 14 studies were included in the review. The studies reveal that the application of therapeutic play in hospitalized children decreases postoperative pain, improves behavior and attitude, and reduces anxiety during the hospital stay.play therapy has a beneficial impact on the care of hospitalized children and should be implemented in pediatric units after assessing the resources and training needed for pediatric nurses.

CINAHL

Play Therapy

10.3390/healthcare8030239

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Citations (90)

World Congress Integrative Medicine & Health 2017: Part one

BMC Complementary and Alternative Medicine (2017)

Benno Brinkhaus Torkel Falkenberg Aviad Haramati Stefan N. Willich Josephine P. Briggs

We are excited to present the abstracts of the keynote speakers, parallel sessions and oral and poster presentations of the World Congress on

Integrative Medicine

10.1186/s12906-017-1782-4

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Nurses Training and Capacitation for Palliative Care in Emergency Units: A Systematic Review

Medicina (2020)

Sonia Ortega Romero Almudena Velando‐Soriano José L. Romero‐Béjar Keyla Vargas-Román Luis Albendín‐Garcia

Background and objectives: Palliative care (PC) prevents and alleviates patients´ suffering to improve their quality of life in their last days. In recent years, there has been an increase in visits to the emergency services (ES) by patients who may need this type of care. The aims were to describe the training and capacitation of nurses from ES in PC. Accordingly, a systematic review was performed. Materials and Methods: Medline, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were used. The search equation was “Palliative care and nursing care and emergency room”. A total of 12 studies were selected. Results: The studies agree on the need for training professionals in PC to provide a higher quality care, better identification of patient needs and to avoid unnecessary invasive processes. Similarly, the implementation of a collaborative model between ES and PC, the existence of a PC specialized team in the ES or proper palliative care at home correspond to a decrease in emergency visits, a lower number of hospitalizations or days admitted, and a decrease in hospital deaths. Conclusions: The development of PC in the different areas of patient care is necessary. Better palliative care leads to a lower frequency of ES by terminal patients, which has a positive impact on their quality of life. Access to PC from the emergency unit should be one of the priority health objectives due to increment in the aged population susceptible to this type of care.

CINAHL

10.3390/medicina56120648

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Citations (4)

Effects of Meditation on Mental Health and Cardiovascular Balance in Caregivers

Lourdes Díaz‐Rodríguez Keyla Vargas-Román Juan Carlos Sánchez-García Raquel Rodríguez-Blanque Guillermo A. Cañadas‐De la Fuente

Background: Caring for a loved one can be rewarding but also associated with substantial caregiver burden, developing mental outcomes and affecting happiness. Eventually, these physical and psychological disorders can lead to an imbalance of the autonomic nervous system. Meditation has been found to offer multiple benefits to relieve these disorders and reduce the risk of cardiovascular disease. The aim of this study was to determine the effects of a four-week 16-hour presential meditation program on physiological and psychological parameters and vagal nerve activity in high-burden caregivers, comparing the results with those not receiving this program. Methods: A non-randomized repeated-measures controlled clinical trial was conducted, dividing participants between intervention and control groups by convenience allocation because random assignment was ethically inappropriate. Results: After the meditation program, the experimental group showed a significant reduction in anxiety levels (F= 24.92, p<0.001), a non-significant amelioration of depression levels (F= 1.75, p=0.19), and significantly improved heart rate variability (F= 8.40, p<0.05) and SDNN (F=15.59, p<0.05). Conclusions: Meditation can be a useful therapy to enhance the mental health and autonomic nervous system balance of informal caregivers, improving symptoms of physical and mental overload.

Depression

Random assignment

10.20944/preprints202012.0035.v1

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Citations (1)

Anxiety prevalence in lymphoma: A systematic review and meta-analysis.

Health Psychology (2020)

Keyla Vargas-Román Lourdes Díaz‐Rodríguez Guillermo A. Cañadas‐De la Fuente José Luis Gómez‐Urquiza Tania Ariza

Hodgkin and non-Hodgkin lymphoma patients are at high risk of experiencing anxiety because the clinical processes and therapies they undergo produce strong adverse effects. In this review we discuss the prevalence of anxiety among these patients and examine the methods used for data collection, intervention frequency, types of instruments used to recognize anxiety, and data collection purposes, both in Hodgkin and non-Hodgkin lymphoma survivors and patients being treated or diagnosed with these diseases.This systematic review and meta-analysis of the literature was carried out using the following sources: PubMed, Scopus, LILACS, and PsycINFO.The meta-analysis sample was n = 2,138 and the overall prevalence of anxiety was 19% (95% CI [12%, 25%]). According to the Egger test, there were no publication biases and no studies were eliminated after the sensitivity analysis. The I2 for the heterogeneity analysis was 92.6%.Hodgkin and non-Hodgkin lymphoma patients are vulnerable to suffering anxiety. It is important to focus on the psychological effect of anxiety during remission or current cancer treatments because they can affect patient outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

PsycINFO

10.1037/hea0000869

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Citations (15)