Antonio Hernandez-Martinez

University of Castilla-La Mancha · Faculty of Nursing of Ciudad Real

NTRODUCTION Sexual dysfunction in women is usually associated with the menopausal transition and menopause; however, there are factors that can also influence the sexual function of women in menopause. The aim of this study is to determine the association between pelvic floor disorders and sexual dysfunction in women in menopause. METHODS A cross-s...

Background/Objectives: Distance or urbanisation settings may affect active commuting to school (ACS). This study aimed to (i) detect home-school threshold distances of walking to school and (ii) predict walkable distances among adolescents in different urbanisation settings and both sexes, and (iii) to identify variables predicting adolescents’ ACS...

Background: The mother-child bond may be related to maternal health, especially postpartum depression (PPD). Existing studies show the need for further in-depth research on the subject. Aim: To determine the relationship between bonding and the probability of the development and presence of PPD in women with a biological child between 6 weeks and 1...

The relationship between a mother and her newborn can be determined through two concepts: “bond” and “attachment.” Currently, there are no instruments that assess these phenomena jointly. Objective. This study aims to develop a valid and reliable instrument to determine the quality of the postnatal bond and attachment in the mother-child relationsh...

Te relationship between a mother and her newborn can be determined through two concepts: "bond" and "attachment." Currently, there are no instruments that assess these phenomena jointly. Objective. Tis study aims to develop a valid and reliable instrument to determine the quality of the postnatal bond and attachment in the mother-child relationship...

Introduction. No specific instruments are available to detect the risk of suicide in women during the perinatal period. Suicide in perinatal women is little studied despite being one of the main causes of maternal mortality. Its prevalence has increased by 100% in the United States in a decade. Moreover, it has consequences for the mother and the n...

Background: This work aims to establish the relationship between depression and epidemiological or imaging variables, frailty, and cognitive status in patients who suffered hospital admission for COVID-19. Methods: A longitudinal observational study investigated 72 patients admitted for COVID-19 to a hospital in Spain. Patients were evaluated at di...

Aim: To design and validate a tool to assess a woman's perception of whether she has experienced a situation of abuse or disrespect during childbirth attendance: "Childbirth Abuse and Respect Evaluation-Maternal Ques-tionnaire" (CARE-MQ). Methods: Multidisciplinary panel of experts (gynecologists, midwives, mothers) participated in creating CARE-MQ...

Suicide is one of the leading causes of death worldwide, and in the perinatal period, the trend is increasing, even up to 100 times in the US. No studies have been carried out with validated instruments despite abundant recommendations to do so. This study aims to determine the prevalence of perinatal suicide risk in Spanish women, as well as the f...

The aim of this study was to develop and validate a predictive model for the establishment of skin-to-skin contact immediately after birth. A descriptive cross-sectional study was conducted during the last trimester of 2022 and the first trimester of 2023 with women who had given birth in Spain. A questionnaire containing sociodemographic, psychoso...

Objective: The objective was to develop and validate a predictive model of initiation of breastfeeding in the first hour after delivery. Methods: Retrospective cohort study on women who gave birth between 2013 and 2018 in Spain. For data collection, an ad hoc questionnaire was designed to be filled in by the mothers, which was distributed to the di...

To understand the experience, training, and needs of midwives in their approach to perinatal grief. A descriptive cross‐sectional study was carried out using an online questionnaire with 26 questions related to institutional management and individual clinical practices in the care of a perinatal loss was developed by a team of midwives from the Hos...

Aim Different clinical practice guidelines include recommendations on how to prevent and repair obstetric perineal trauma, as well as the use of episiotomy. To evaluate the variability in midwives' professional practices for preventing and repairing perineal trauma, as well as the professional factors that may be associated with the restrictive use...

Background There are recommendations based on scientific evidence on care in the second stage of labor, but it is not known to what degree the professionals comply with these recommendations. Objective The aim of this study is to examine the variability in clinical practices among midwives during the second stage of labor, including positions, mob...

Background: Pelvic floor dysfunction encompasses conditions like urinary and fecal incontinence, pelvic organ prolapse, and pelvic pain, significantly affecting women’s quality of life. Despite its prevalence, few studies have adopted a qualitative approach to understanding women’s perceptions and emotions regarding these issues. This study aims to...

To determine the usefulness of combining two methodologies (OSCE and escape room) in a scenario simulation to evaluate a subject, and determine the evaluation of the students of this experience. An observational cross-sectional study was carried out with students enrolled in a sexual and reproductive health-care course as a part of their nursing de...

Pelvic floor disorders, the impact of their symptoms, and their association with sleep quality and sleep disorders is a little studied area. The aim of this study was to determine if an association exists between pelvic floor disorders in women and sleep disorders. An observational study was conducted among women in Spain during 2021 and 2022. A se...

Introduction: Establishing an adequate bond and attachment between a mother and child is essential for preventing pathologies and developing this relationship in the future. Purpose: To identify the factors related to a disturbance of the mother-child bond or attachment. Methods: A cross-sectional descriptive study was carried out with women with a...

El Proyecto PACOyPACA tiene como objetivo explorar las relaciones de los desplazamientos activos al centro educativo (DACE) en distintos entornos (urbano, semi-urbano y rural) según sus características físicas, factores psicosociales y estilos de vida (patrones de sueño, actividad física, tiempo de pantalla y aspectos nutricionales) en la población...

Objective To determine whether the different pelvic floor disorders are associated with changes in perceived quality of life (QoL), globally and in its sub-dimensions. Methods An observational study was conducted with women in Spain between 2021 and 2022. Information was collected using a self-developed questionnaire on sociodemographic data, empl...

Background Pelvic floor dysfunction in women encompasses a wide range of clinical disorders: urinary incontinence, pelvic organ prolapse, fecal incontinence, and pelvic-perineal region pain syndrome. A literature review did not identify any articles addressing the prevalence of all pelvic floor dysfunctions. Objective Determine the prevalence of t...

Objective To determine the association between different pelvic floor disorders and the presence of sexual dysfunction in women. Method An observational study of non‐pregnant women was carried out in Spain in 2021 and 2022. To assess the presence of pelvic floor problems, the Pelvic Floor Distress Inventory (PFDI‐20) was used, consisting of the su...

Background Clinical simulation provides a practical and effective learning method during the undergraduate education of health professions. Currently there is only one validated scale in Spanish to assess nursing students’ satisfaction with the use of high-fidelity simulation, therefore, our objective is to validate a brief version of this scale in...

Background: The benefits of physical activity are numerous on both physical and mental levels. Urinary incontinence (UI) can influence physical activity level; among US women, nearly two out of three view this problem as a barrier to physical activity, meaning that they do not exercise, exercise less, or even have to change their activity routines...

Objective To determine the relationship between sexual dysfunction and sleep disorders. Methods Observational study was conducted in 2021 and 2022 including 975 Spanish women over 18 years of age. The Women’s Sexual Function Questionnaire (FSM-12) was used as a source of information, and the Pittsburgh Sleep Quality Index (PSQI) was used to assess...

Aim: To know the attitudes towards sexuality of nursing students and those sociodemographic and cultural factors that can influence it. Design: An observational study was carried out on Nursing degree students. One hundred and eighteen nursing degree students who were going to take the sexual and reproductive health nursing course. Methods: A...

Objective: This study aimed to investigate the association between overweight and obesity in postmenopausal women and different aspects related to health such as quality of life, physical activity, sleep quality and level of physical activity. Methods: An observational cross-sectional study was carried out during 2021-2022 in Spain in postmenopa...

Background University training in nursing together with other student variables can increase the risk of anxiety in students. It is important to assess the student's level of anxiety, which can have repercussions on their training and mental health. There are several validated tools such as the generalized anxiety disorder scale (GAD‐7). Objective...

To develop a predictive model for successful cervical ripening in women that undergo induction of labour by means of a vaginal prostaglandin slow-release delivery system (Propess®). Prospective observational study on 204 women that required induction of labour between February 2019 and May 2020 at "La Mancha Centro" hospital in Alcázar de San Juan...

Objective: To determine patient difficulties and concerns when performing IBC (Intermittent Bladder Catheterisation), as well as the evolution of adherence, quality of life, and emotional state of patients one year after starting IBC. Method: A prospective, observational, multicentre study conducted in 20 Spanish hospitals with a one-year follow...

This study examines and determines the prevalence of obstetric violence (OV) as perceived by midwives, as well as their knowledge of it and the professional factors that could be associated with the perception of OV. A cross-sectional study was conducted of 325 midwives in 2021 in Spain. Almost all (92.6%, 301) the midwives knew the term OV, but 74...

The COVID-19 pandemic has caused ethical challenges and dilemmas in care decisions colliding with nurses' ethical values. This study sought to understand the perceptions and ethical conflicts faced by nurses working on the frontline during the first and second waves of the COVID-19 pandemic and the main coping strategies. A qualitative phenomenolog...

Background: A flipped classroom integrating clinical simulation has been shown to be effective for basic life support (BLS) competencies in nursing students. Cardiopulmonary arrests (CPAs) in pregnant women have a low incidence but high morbidity and mortality. Current trends show an increasing incidence; however, most official university nursing...

En el capítulo se muestra la técnica y cuidados necesarios para realizar la exploración mamaria clínica y la autoexploración.

Abstract: The aim of this study was to study different 'healthy profiles' through the impact of multiple lifestyle behaviours (sleep patterns, screen time and quality diet) on active commuting to school (ACS) in adolescents. Sixteen secondary schools from four Spanish cities were randomly selected. All participants filled in an "Ad-Hoc" questionnai...

Background Prevention and treatment of peristomal skin problems should be a priority for nurses caring for ostomates, even when the assessment of lesions must be done remotely. Objective To measure the level of agreement on assessment, diagnosis and care indications for peristomal skin lesions using remote imaging among nurses in Spain. Design Pr...

Background Nursing students are at risk of anxiety during their university education. Objective To determine the psychometric characteristics of the General Anxiety Disorder (GAD-7) questionnaire in a population of university nursing students. Methods A cross-sectional study was carried out with 170 students at the University of Jaen (Spain) in 2...

Background: there is no consensus on how to optimally use diagnostic tests in each stage of COVID-19 pandemic. The objective of this research is to determine the efficiency of sorting positive antibody test quarterly. Methods: this research uses a retrospective, observational study. COVID-19 diagnostic tests performed and avoided refer to a Span...

Introduction The multiple benefits of physical activity (PA) compared to the current lack of adherence to this behavior in older people makes it necessary to identify the factors related to its long-term dropout, therefore, the aim of this study was: (i) to study the evolution of behavior change for PA through stages of change (SoC) after 8 years a...

Purpose: To evaluate the effect and safety of vaginal dinoprostone in pregnant women with PROM who undergo induction of labor (IoL). Materials and Methods: Prospective observational study conducted at La Mancha Centro hospital from 1 February 2019, to 30 August 2020. Obstetric and neonatal variables of 94 pregnant women with PROM who underwent IoL...

The benefits of exclusive breastfeeding are well known for both mother and baby. Despite this, rates of exclusive breastfeeding remain low. The present study aimed to determine the factors associated with the maintenance of this type of feeding after being discharged from the hospital after childbirth. A cross-sectional study was carried out with 1...

The transition to college is a decisive stage for the acquisition of eating habits that continue into adulthood. The aim of this study is to assess the consumption of healthy elements of the Mediterranean diet in a group of university students and to evaluate whether the consumption pattern was related to sex, Body Mass Index (BMI), food addiction...

Aims and objectives: To evaluate the commitment and level of self-perceived training in evidence-based practice among students of the Nursing degree of five Spanish universities. Background: In university Health Sciences degrees, evidence-based clinical practice can directly or indirectly impact the quality of care, the cost of the service provi...

To describe the experiences and expectations of Spanish women regarding breastfeeding and the support they receive from healthcare professionals, family, and friends during the breastfeeding journey, A qualitative study using an empirical-phenomenological approach was conducted. Primiparous women that had already given birth were interviewed using...

Objective To determine the relationship between perceived obstetric violence and the risk of postpartum depression (PPD). Design A cross-sectional observational study Setting During 2019 in Spain Participants 782 women who had given birth in the preceding 12 months in Spain. Measurements Online questionnaires were distributed to the women via t...

Abstract: Parkinson’s disease is a chronic, progressive, and disabling neurodegenerative disease which evolves until the end of life and triggers different mood and organic alterations that influence health-related quality of life. The objective of our study was to identify the factors that negatively impact the quality of life of patients with Par...

Resumen Objetivo principal: Determinar las competencias digitales (CD) de las enfermeras e identificar las áreas de mejora, así como el perfil profesional asociado al nivel de competencia. Metodología: Estudio observacional transversal sobre una muestra no probabilística consecutiva de 203 enfermeras. El periodo de estudio fue entre mayo y septiem...

Abstract: Background: Parkinson’s disease (PD) is a chronic neurodegenerative disease that implies a progressive and invalidating functional organic disorder, which continues to evolve till the end of life and causes different mental and physical alterations that influence the quality of life of those affected. Objective: To determine the relations...

Background: Vaginal dinoprostone (PGE2) is currently used as the prostaglandin of choice in many obstetric units. However, few studies have evaluated its safety, especially in women who previously had a cesarean section. Objective: To evaluate the efficacy and safety of PGE2 in pregnant women who are undergoing induction of labor (IOL), and who...

Background: Despite the existence of numerous published models predicting the risk of cesarean delivery in women undergoing induction of labor (IOL), validated models are scarce. Objectives: To systematically review and externally assess the predictive capacity of cesarean delivery risk models in women undergoing IOL. Search strategy: Studies...

Objective: Our objective was to determine and describe the opinion and attitudes of patients and their families regarding the limitation of therapeutic effort and advanced directives in critical patients and whether end-of-life planning occurs. Religious affiliation, education level, and pre-admission quality of life were also evaluated to determi...

In the early stages of the 2019 coronavirus pandemic in Spain, the Spanish health system was overwhelmed, mainly due to a lack of personnel, and many hospital centers collapsed by following avalanche of patients with COVID-19; this meant that the National System of Health called for fourth-year nursing students to come to the hospital as health car...

Intermittent bladder catheterization (IBC) involves regular urine draining using a catheter, which is removed immediately after urinary elimination. It allows for the patient's urological health to be managed and their renal function to be preserved, and it promotes autonomy. Compliance with the prescribed number of daily catheterizations, which mu...

Aim To examine women's evaluations of quality of care from their perspectives. Background Assessing women's satisfaction with the quality of care they receive during childbirth is an important component of care quality that should be analysed. Evidence suggests that childbirth experience has an important impact on women's health. Therefore, taking...

( Birth . 2020;47:259–269) Delayed cord clamping (DCC) is associated with many benefits for neonates including higher neonatal hemoglobin and additional iron stores, but it is not always feasible. Umbilical cord milking (UCM) can be an alternative. The use of UCM has been found to be beneficial in premature infants in one meta-analysis, but there w...

Background: This study aimed to determine whether there is an association between clinical practices carried out during spontaneous vaginal birth (SVB), or clinical situations that arise during vaginal birth, and the incidence of post-traumatic stress disorder (PTSD). Methods: A cross-sectional study with 839 puerperal women in Spain was conducted...

To determine the association between experiencing obstetric violence and the incidence of postpartum post-traumatic stress disorder (PTSD). A cross-sectional study with puerperal women was conducted in Spain following ethical approval. The Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ) was administered online. Sociodemographic, clinica...

Parkinson’s disease (PD) is a chronic neurodegenerative disorder that results in important functional symptoms, altered mood, and deterioration in quality of life (QoL). This study aimed to determine the evolution of the QoL in persons with PD in the Albacete health district over a two-year period and identify associated sociodemographic, clinical,...

The prevalence of overweight and obesity is increasing in our society, with a complex, multifactorial origin, and associated with greater morbidity and mortality in the population. Food addiction (FA) is a common disorder in overweight/obese people, which appears to be increasingly common in young people. This study analyzed food addiction in a gro...

To determine the psychometric properties of the Perinatal Post-Traumatic Stress Disorder (PTSD) Questionnaire (PPQ) in Spanish. A cross-sectional study of 432 Spanish puerperal women was conducted, following ethical approval. The PPQ was administered online through midwives' associations across Spain. The Edinburgh Postnatal Depression Scale was us...

Background The benefits of breastfeeding for both mother and newborn have been widely demonstrated. However, breastfeeding rates at discharge are lower than recommended, so being able to identify women at risk of not breastfeeding at discharge could allow professionals to prioritise care. Objective To develop and validate a predictive model of exc...

Background During the Covid‐19 pandemic health crisis, in some countries such as Spain, nursing students have offered to provide health assistance, but the role they have played, their degree of preparedness to face the situation, and what must be improved in their training to be ready for these situations is unknown. Objective Describe the experi...

Postpartum post-traumatic stress disorder (PTSD) is not a specific process but can last for months and may manifest itself during any subsequent pregnancies or even become chronic. This study aimed to determine the factors associated with long-term PTSD symptoms one year after delivery. A cross-sectional study was conducted on 1301 Spanish puerpera...

Abstract: The creation of videos in teaching has a high educational potential and is a challenge thatcan motivate students. There is little evidence on the use of this method when applied to the creationof digital stories. Thus, the aim of this study was to measure student satisfaction with the creationof audiovisual material through digital storyt...

Abstract: This study aimed to develop and validate two predictive models of postpartum posttraumatic stress disorder (PTSD) risk using a retrospective cohort study of women who gave birth between 2018 and 2019 in Spain. The predictive models were developed using a referral cohort of 1752 women (2/3) and were validated on a cohort of 875 women (1/3)...

El libro Fundamentos de la Enfermería del Niño y del Adolescente está formado por ocho capítulos que pretenden cubrir los siguientes objetivos: 􀂄 Definir el concepto de Enfermería del niño y del adolescente. 􀂄 Describir las aportaciones históricas al actual concepto de la disciplina. 􀂄 Identificar las competencias actuales y futuras de esta especia...

tiene un origen, un principio, hasta los cuidados enfermeros. De esta manera, estos se desarrollan de forma paralela a la vida y la acompañan a lo largo de todas sus etapas. Y sería un grave error comenzar este viaje a la mitad, porque se perderían los fundamentos y las bases de muchos de los procesos que afectan al ser humano. Con esta segunda obr...

Desde que se dejó de pensar en el niño como en un adulto pequeño, la pediatría y puericultura han experimentando avances espectaculares como especialidades médicas. En este sentido, los cuidados enfermeros no han permanecido al margen, siendo su progresión más marcada en estos últimos años. No obstante, la Pediatría sigue siendo por si sola una esp...

Editado por Enfo Ediciones para FUDEN (Fundación para el Desarrollo de la Enfermería), entidad distinguida con el Sello de Excelencia Europea, acreditado por el Club Gestión de Calidad.􀂄 Unidad I. Atención enfermera al Recién Nacido con alteraciones. 􀂄 Unidad II. Síndromes Neonatales de Riesgo. Los objetivos que pretenden cubrir son los siguientes:...

Objectives: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze the clinical presentation, management, and outcomes. Design: Descriptive retrospective observational study. Setting: Mancha-Centro Hospital (Spain). Material and methods: Population: Symptomatic pregnant women with confirmed di...

Background Parents’ decisions about how to feed their newborns are influenced by multiple factors. Our objective was to identify the factors that can influence the decision to breastfeed. Methods Cross-sectional observational online study was conducted in Spain on women who gave birth between 2013 and 2018. The total number of participants was 567...