Enfermería en salud medioambiental. Experiencia en una unidad de salud medioambiental pediátrica

Fernández, María Trinidad López; Torres, Encarna Pastor; Sánchez-Sauco, Miguel Felipe; Tortajada, Josep Ferrís i; García, José González

doi:10.1016/j.enfcli.2008.10.007

Cited by 8 publications

(5 citation statements)

References 2 publications

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“…18 Pehsu can help to train and support nurses in this task. 19-21 In light of this, one nurse specially trained in smoking cessation and environmental health conducted the telephone interviews carried out in this study. According to participative response from participants, the frequency of phone calls seems to be adequate in our population.…”

Section: Discussionmentioning

confidence: 99%

Smoking prevention and cessation programme in cystic fibrosis: Integrating an environmental health approach

Ortega-García

López-Fernández

Llano

et al. 2012

Journal of Cystic Fibrosis

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Background There have been several studies assessing the epidemiology and effects of tobacco smoke in the cystic fibrosis (CF) population, but few address the efforts of smoking cessation interventions. Our objective is to present one tobacco prevention and cessation programme targeting patients with CF in the Mediterranean region of Murcia (Spain). Methods All registered patients in the Regional CF unit (n=105) in 2008 were included in a cross-sectional and prospective uncontrolled study of tobacco use and exposure in CF patients using a baseline and one-year follow-up. Target population includes both patients and other family members living at home. The study included an initial telephone questionnaire, measurement of lung function, urinary cotinine levels, and several telephone counselling calls and/or personalized smoking cessation services. Results Of the 97 contacted patients, 59.8% (n=58) were exposed to environmental tobacco smoke (ETS), 12.4% (n=12) had smoked at one time, and 14.3% (n=8) of patients over the age of 15 actively smoked. The mean age was 31.13 (range: 19-45). Of the non-smokers (n=89), 56.2% reported ETS and 26.9% live with at least one smoker at home. 49.2% had urinary cotinine levels >10 ng/ml. The correlation found between patients’ cotinine levels and their reported tobacco exposure was (0.77, p<0.0001). Active smoking by mothers during pregnancy was associated with significantly lower lung function in young CF patients (-0,385, p= 0.04). At the one-year follow-up, 13 individuals made attempts to stop smoking, 6 of which are now ex-smokers (12.5% of all smokers). Conclusions Smoking during pregnancy adversely affects lung function in individuals with CF. Tobacco he targeted tobacco prevention and cessation programmes are an effective and vital component for CF disease management. The trained professionals in prevention and smoking cessation services could provide patients with adequate follow-up, integrating an environmental health approach into CF patients’ healthcare

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Section: Discussionmentioning

confidence: 99%

Smoking prevention and cessation programme in cystic fibrosis: Integrating an environmental health approach

Ortega-García

López-Fernández

Llano

et al. 2012

Journal of Cystic Fibrosis

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“…These factors and other environmental data and health-related information were collected using the parents’ environmental reproductive health questionnaire. This document contains concise and simple questions that aim to detect the absence or presence of evidence-based risk factors associated with the disease [ 1 , 21 , 32 , 33 , 34 ]. The interviews were conducted by the trained staff of our environmental health and risk team.…”

Section: Methodsmentioning

confidence: 99%

Violence against Women and Gastroschisis: A Case-Control Study

Ortega-García

Sánchez-Sauco

Cánovas-Conesa

et al. 2013

IJERPH

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Background: Gastroschisis, a birth defect characterized by herniated fetal abdominal wall, occurs more commonly in infants born to teenage and young mothers. Ischemia of the vascular vitelline vessels is the likely mechanism of pathogenesis. Given that chronic stress and violence against women are risk factors for cardiovascular disease we explored whether these may represent risk factors for gastroschisis, when they occur during pregnancy. A case-control study was conducted, with 15 incident cases of children born with gastroschisis in the Region of Murcia, Spain, from December 2007 to June 2013. Forty concurrent controls were recruited at gestation weeks 20–24 or post-partum. All mothers of cases and controls completed a comprehensive, in-person, ‘green sheet’ questionnaire on environmental exposures. Results: Mothers of children with gastroschisis were younger, smoked more cigarettes per week relative to controls, were exposed to higher amounts of illegal drugs, and suffered from domestic violence more frequently than the controls. Multivariable logistic regression analysis highlights periconceptional ‘gender-related violence’ (OR: 16.6, 95% CI 2.7 to 101.7) and younger maternal age (OR 1.1, 95% CI 1.0–1.3). Conclusions: Violence against pregnant women is associated with birth defects, and should be studied in more depth as a cause-effect teratogenic. Psychosocial risk factors, including gender-based violence, are important for insuring the health and safety of the pregnant mother and the fetus.

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“…El campo de acción de la enfermería dentro de la salud medioambiental ocupa cuatro esferas de conocimiento: clínica, docencia, investigación y gestion (López Fernández, Pastor Torres, Sánchez Sauco, Ferrís i Tortajada, & Ortega García, 2009).El Consejo Internacional de Enfermería establece que los cuidados de enfermería no solo debe obedecer a la promoción, mantenimiento y restauración de la salud de las personas, sino tambien deben además preservar el entorno natural del planeta(American Nurses Association, 2007).…”

Section: Roles De Enfermería Medioambientalunclassified

“…El individuo durante el desarrollo embrionario/fetal y los primeros años de vida es muy sensible a los tóxicos medioambientales por su especial vulnerabilidad anatómica, fisiológica y social pudiendo afectar tanto a nivel morfológico como de función por lo que son periodos claves para la detección, manejo y prevención de riesgos ambientales así como la creación de ambientes más saludables (tabla 1). En estos periodos las oportunidades para la acción de enfermeras o matronas medioambientales incluyen: (López Fernández et al, 2009).…”

Section: Embarazo Y Lactancia/crianza: Una Oportunidad Clave Para Enfermeríaunclassified

Enfermería Medioambiental: recuperando el vínculo con la salud reproductiva

et al. 2020

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El período periconcepcional, embrionario/fetal y lactancia/crianza constituyen una de las ventanas de vulnerabilidad a exposiciones medioambientales más importante de la vida de un individuo. Enfermeras y matronas por su forma de entender el binomio salud/enfermedad ocupan un lugar estratégico para el desarrollo de tareas relacionadas con la salud medioambiental en general y durante estos periodos en particular. Diferentes asociaciones enfermeras, así como instituciones sanitarias internacionales instan a los profesionales de enfermería a ejercer tareas que permitan reconocer y manejar factores de riesgo medioambiental (riesgos físicos, químicos, biológicos, sociales y psicosociales) y a promover factores de protección en sus comunidades, en la pareja embarazada y en su descendencia. Existen experiencias enfermeras como la consulta de enfermería de salud medioambiental reproductiva y la hoja verde como herramienta clínica de cribado medioambiental que permiten, de manera sistemática y organizada, identificar, modificar y promover estilos de vida más sanos y más saludables. La capacitación de los profesionales de enfermería y el aumento de la conciencia medioambiental en los cuidados, tiene un impacto positivo en la calidad de los embarazos, su descendencia, sus familias y la comunidad que los rodea.

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Enfermería en salud medioambiental. Experiencia en una unidad de salud medioambiental pediátrica

Cited by 8 publications

References 2 publications

Smoking prevention and cessation programme in cystic fibrosis: Integrating an environmental health approach

Smoking prevention and cessation programme in cystic fibrosis: Integrating an environmental health approach

Violence against Women and Gastroschisis: A Case-Control Study

Enfermería Medioambiental: recuperando el vínculo con la salud reproductiva

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