Duazary

125 - 128

Authors: Ubaldo Enrique Rodríguez-de Ávila; John Fontanelle-Araujo; Mario André Leocadio-Miguel

a Porges Polyvagal Perspective introdujo una nueva idea que relaciona la función autonómica con el comportamiento, que incluye una apreciación del sistema nervioso autónomo como “sistema”, la identificación de circuitos neu-ronales implicados en la regulación del estado autonómico y una interpretación de la reactivi-dad autonómica adaptable dentro del contexto de la filogenia del sistema nervioso autónomo vertebrado, haciendo énfasis en la comprensión de los mecanismos neurofisiológicos y cambios filogenéticos en la regulación neural.

143 - 155

Authors: Ronald Alberto Toro-Tobar; Kerly Vanessa Beltrán-Aguirre; Laura Jimena González-Gómez; Ángela Paola Sabogal-Mancipe; Karolina Reyes-Parra; Luz Mery Guerrero-Ortiz

The transdiagnostic model is based on the evaluation and treatment of the etiological and maintaining variables of mental disorders. The objective was to establish the relationship between the transdiagnostic variables: perfectionism, rumination, positive and negative affect, anxiety sensitivity and intolerance of uncertainty, and, on the other hand, stress, anxiety and depression. 333 adult participants convened by a non-probabilistic incidental sampling, whose ages ranged from 18 to 70 years old (M= 28, SD= 8.70), 37.40% were men and 62.54%, women, single (66.27%), mainly university students (65.57%). The study was a cross-sectional predictive non-experimental study. The results showed significant correlations between anxiety and depression, as well as between intolerance of uncertainty and perfectionism, and depression with positive and negative affect and perfectionism. Regarding stress, significant correlations were found between rumination and emotional style. The predictive model emphasized intolerance of uncertainty, anxiety sensitivity and positive and negative affect to predict anxiety (r2 = .43), depression (r2 = .37) and stress (r2 = .17). It was concluded that the results provide evidence for the transdiagnostic model for anxiety and depression and, to a lesser extent, for stress.

171 - 180v

Authors: Darelys Baños-Sánchez; Yurien Amador-Hernández; Jorge Manuel Flores-Contreras; Aimara García-Martínez; Yoaly de las Mercedes Martínez-Morejón

The insertion of intravenous catheters has become an essential procedure in Pediatric Intensive Care Units. The object of this study is tocaracterize the morbimortality associated with intravenous treatment of severely ill pediatric patients. This is a descriptive, longitudinal prospective study, carried out during 2016, at the Intensive Care Unit of Pepe Portilla Pediatric Hospital, Pinar of the Río. The sample was constituted by 182 patients admitted within the study period and requiring intravenous access. The information was obtained from patients medical history and from the unit’s record of continuous morbility. It was processed with SPSS for Windows, with the hypothesis test of proportions and percentages. 51.12% of the admitted patients had an intravenous access, 31.46% by via femoral; 60.83% of patients were under one year old. Main use of intravenous was the administration of medications (100%), the 56.59% had the procedure over 10 days, the 12.08% of patients presented complications, infection was more frequent. Conclusions are that there is a high incidence of intravenous procedures, being infection for catheter the most frequent correlated complication.

195 - 209

Authors: María De los Ángeles-Bacigalupe

The analysis of some behavioral issues which affect communication in people with Parkinson’s Disease (PD) relative to their environment is performed in order to develop a proposal of communication based on relational anthropology. A bibliographical review was developed, along with a theoretical proposal. Behavior is understood as a co-constructive relationship between individuals and their environment, while communication is seen as a condition of this relationship. Several advances and opinions about body language and non-verbal behavior in people with PD are reviewed from the perspective which emphasizes both the deficit as a non-motor sign of Parkinson and compensatory strategies. Taking as a theoretical framework the relational point of view of human behavior, this article puts forward a co-constructive approach of non-verbal behavior in people with PD, which promotes the idea of health in the context of a chronic illness through the same possibilities that the characteristics of behavior offer, primarily through the phenomenon of paradoxical kinesia.

251 - 253

Authors: Renzo Felipe Carranza-Esteban; Raúl Christian Acuña Salinas

en la actualidad, el interés por la construcción de instrumentos de medición se ha incre-mentado notoriamente en las diferentes discipli-nas académicas, ya sea con fines de investigación o de aplicación profesional; pero es necesario que los instrumentos presenten adecuadas pro-piedades psicométricas (validez y confiabilidad) a fin de garantizar su uso responsable.

263 - 272

Authors: Rocío Guil-Bozal; Silvia González-Fernandez; José M. Mestre; Antonio Zayas-García; Cristina Guerrero-Rodríguez; Paloma Gil-Olarte

It is examined if the relationship empirically demonstrated between health and face-to-face social interactions is confirmed when it is virtual. The objective is to know if the perception of psychological well-being and receiving social support would explain the frequency of participation in virtual social networks (VSN). An ex-post-facto design was applied to a sample of 510 university Internet users (age, M = 22.89, SD = 5.67, 78.9% women). The level of psychological well-being (Spanish adaptation of the Ryff Psychological Well-Being Scale), social support (Family Social Support and Friends questionnaire - AFA) and the frequency of use of VSN are evaluated. To determine the relationships between the variables, correlation and hierarchical regression analyzes were carried out. The relative contribution of the perception of psychological well-being and of obtaining social support in the frequency of VSN use is confirmed, controlling the influences of age and gender. Specifically, the perception of having less ability to dominate the social environment and to obtain social support for friendships through VSN explains and allows predicting the increase in the frequency of use of such networks.

281 - 293

Authors: David Jahel García-AvendañoMa; Cristina Ochoa-Estrada; Isaías Iván Briceño-Rodríguez

In the present study we seek to determine the attitude of nurses towards a person’s death process in the intensive care unit. A descriptive, non-probabilistic study was carried out, using convenience sampling of 30 nursing professionalsassigned to a second level institution in the state of Durango, Mexico. The questionnaire on Attitudes to Death (CAM), based on the review of Death Attitudes and Self-Reported Health - Relevant Behaviors, was used in a Cuban version. It includes 33 reactants, grouped in six sub-scales for analysis: avoidance, acceptance, fear, passage, departure and professional perspective. The findings allowed to conclude that the professional nursing is prepared to take care of life, considering that they accept death as an inevitable fact. Nevertheless, from the professional perspective of the nurse practitioner, death is considered as a relief, taking into account the workload experienced by the relatives in the process of death.

307 - 323

Authors: Edwin Causado-Rodríguez; Amira Mojica-Cueto; Arturo Charris-Fontanilla

This article presents part of the results of the research project “Strategies for Increasing Competitiveness through the Conformation of the Health Tourism Cluster in the Metropolitan Area of Bucaramanga -AMB”, required to qualify for the Master’s degree in Business Development of the Faculty of Business Sciences of Universidad del Magdalena. The objective of this paper is to demonstrate the progress of the autonomous conformation of the health tourism cluster in Colombia. In this regard, we assess, in a methodological and rigorous way, the prospects of the health tourism market, from bibliographic review in English and Spanish –of a public, private and scientific institutional nature– by business initiative, as well as from studies carried out in regions of Colombia and worldwide, that have implemented this line as a development option by exploiting surrounding competitive advantages. Among the obtained results, the angles or dimensions of this phenomenon, in the economic and social context, become clear. In addition, the tourism patterns are highlighted, as well as the reasons why progress has been made in the conformation of the different clusters at a national level. This allowed deep insights into the issue, based on the interest multisectoral vision.

337 - 346

Authors: Edwin Herazo; Adalberto Campo-Arias; Nelson Alexander Dávila

It is well established that vital stressors during childhood, particularly sexual abuse, are associated with anxiety disorders and posttraumatic stress disorder. However, there is less information about the relationship between different kinds of abuse and the current category of anxiety disorders proposed by the American Psychiatric Association. The objective of this study was to perform a meta-review of the association between vital stressors during infancy (emotional, physical and sexual abuse and neglect) and anxiety disorders (panic disorder, generalized anxiety disorder and social anxiety disorder). It was conducted a meta-review of systematic reviews and meta-analyzes that analyzed the association between vital stressors during childhood and anxiety disorders, published in Medline between January 2000 and June 2016. The quality of the reviews was assessed with the AMSTAR questionnaire. Three studies that showed that vital stressors during childhood and anxiety disorders were significantly associated (odds ratios (OR) between 2.0 and 3.0). It is concluded that vital stressors during childhood increase the risk of anxiety disorders. New interventions are needed to prevent child maltreatment and associated morbidity.

11 - 12

Authors: Adalberto Campo-Arias

ala fecha, Duazary, Revista Internacional de Ciencias de la Salud ha publicado catorce volúmenes, 28 números regulares y un suplemento en trece años ininterrumpidos de divulgación científica nacional e internacional. Sin embargo, no se cuenta con la publicación de una carta al editory ello se evidencia claramente en las publicaciones de los años más recientes en que está modalidad ha crecido notablemente.

23 - 38

Authors: Felipe E. García; Félix Cova-Solar; Flor Bustos-Torres; Érica Reyes-Pérez

The working conditions in intensive care units (ICUs) are related to a high risk of burnout. In this study we aim to measure the influence of rumination and social support on burnout and psychological well-being in members of the staff of an ICU in a reference hospital in Chile. We proposed a model showing an indirect influence of brooding mediated by social support and burnout on the psychological well-being. We surveyed one hundred and thirty six employees (81.9% of the total) of ages 23 to 59 years of age. This sample consisted of 85.3% women and 14.7% men. We used the Maslach Burnout Inventory (MBI), the Ryff Scales of Psychological Well-Being (PWB), Zimet’s Multidimensional Scale of Perceived Social Support (MSPSS), and the Ruminative Responses Scale by Treynor et al (RRS). Results indicated direct relations between social support and well-being, and between brooding and burnout. They also indicated inverse relations between social support and burnout, and between brooding and well-being. The mediation model showed adequate fitting indices.

51 - 59

Authors: Carlos Alejandro Pineda-Roa; Adalberto Campo-Arias

Increase in information about the prevention of human immunodeficiency virus (HIV-AIDS) infection has not changed the attitudes towards HIV-AIDS. For this reason, the HIV / AIDS-65 questionnaire was designed to quantify knowledge and attitudes towards infection. The psychometric performance of this instrument has not been lately reviewed. The objective of the study was to analyze the performance of the dimensions that quantify attitudes towards HIV-AIDS. A validation study was designed in 190 students of psychology from two Colombian schools. The students were between 18 and 30 years old, mean = 21.7 (SD = 3.1); 72.1% women and 27.9% men. The students completed the 25 items of the dimensions of HIV-AIDS-65 attitudes (positive attitudes, negative attitudes, attitude towards the condom, susceptibility and self-efficacy). The psychometric performance was assessed by exploratory factor analysis (AFE) and confirmatory (AFC), parallel analysis (ANP), and internal consistency. The AFE, AFC and ANP showed a poor dimensionality. The internal consistency was very low (Cronbach and McDonald <0.70) for negative attitudes, attitude towards the condom and susceptibility and excessively high (Cronbach and McDonald> 0.95) for positive attitudes and self-efficacy. It is concluded that in students of psychology the dimensions of attitudes of HIV-AIDS-65 present are inadequate.

71 - 85

Authors: Miriam Belber-Gómez; Fátima Valencia-Agudo; María Eugenia De la Viuda-Suárez

In this article the psychological experience and needs shown in the discourse of women diagnosed with breast cancer in a psychological group intervention were analyzed. The sessions are transcribed and a discourse analysis is performed, selecting the most prevailing topics. The main psychological difficulties perceived by the participantsare the following: body identity change, sexuality changes, new quality of interpersonal relationships, implications of positive thinking culture, fear of recurrence, the relationship with the hospital staff, and change after diagnosis. The aspects that the group considered helpful are also addressed, i.e. feeling understood by the others, seeing the rest of participants as coping models, changing their relationship with the illness. Several clinical implications are highlighted in order to improve a comprehensive care.