Nuestros investigadores

María Victoria Navarta Sánchez

Departamento
Enfermería de la persona adulta
Facultad de Enfermería. Universidad de Navarra
Líneas de investigación
Procesos crónicos y cuidados al final de la vida, Convivencia con un proceso crónico, Adaptación psicosocial a la Enfermedad de Parkinson

Publicaciones científicas más recientes (desde 2010)

Autores: Ambrosio Gutierrez, Leire; Navarta Sánchez, María Victoria; Carvajal Valcárcel, Ana (Autor de correspondencia); et al.
Revista: CLINICAL NURSING RESEARCH
ISSN 1054-7738  2020 
Living with chronic illness has an impact on the family's wellbeing and quality of life. An integrative review was conducted to identify and analyse the existing scales that evaluate the process of living with chronic illness or related factors of daily living from the family perspective. A search was developed in Medline, CINAHL, PsycINFO, Cochrane Library, Cuiden and Scielo databases until May 2019. From 5,344 identified articles, 13 studies were eligible for inclusion. 16 scales were identified and assessed constructs related to the concept of living with chronic illness, including quality of life; perceptions and needs; life satisfaction and well-being; impact; and psychological adjustment to the disease. However, these scales do not measure the family process of living with chronic illness from a comprehensive perspective. This review highlights the need to develop and validate a scale that evaluates the multidimensional nature of living with chronic illness from the family perspective.
Autores: Ambrosio Gutierrez, Leire; Navarta Sánchez, María Victoria; Meneses, A.; et al.
Revista: ATENCION PRIMARIA
ISSN 0212-6567  Vol. 52  Nº 3  2020  págs. 142 - 150
Objetivo: Presentar el estudio piloto de la Escala de Convivencia con un proceso crónico (EC-PC)en pacientes con diabetes mellitus tipo 2, insuficiencia cardiaca crónica, enfermedad pulmonarobstructiva crónica y artrosis.Dise¿no: Estudio observacional, transversal y multicéntrico.Emplazamiento: Dos hospitales de atención especializada de Navarra y Madrid.Participantes: 64 pacientes con diversos procesos crónicos, mayores de 18 a¿nos que acudana centros de atención primaria y/o consultas externas. Los pacientes con deterioro cognitivodiagnosticado y/o trastornos psiquiátricos fueron excluidos.Intervenciones: Las evaluaciones tuvieron una duración media de 15 minutos por paciente.Mediciones principales:Se evaluó la variable Convivencia con un proceso crónico, mediante laEC-PC. Se analizó la viabilidad/aceptabilidad, consistencia interna y validez de constructo.Resultados: Para la muestra total, la EC-PC mostró una buena viabilidad y aceptabilidad, sindatos faltantes. El coeficiente alfa de Cronbach alcanzó valores entre 0,64 y 0,76, y el índicede homogeneidad fue superior a 0,30 en todos los dominios de la escala. Los valores de validezinterna oscilaron entre 0,04 y 0,30. No se encontraron diferencias significativas en la puntuacióntotal de la escala en función del sexo o las diferentes patologías. Los pacientes describieron laescala como sencilla y útil.Conclusiones: El estudio piloto de la EC-PC en pacientes con diversos procesos crónicos indicaque es una medida breve y fiabl
Autores: Ambrosio Gutierrez, Leire; Portillo Vega, María Carmen; Martín Lanas, Raquel; et al.
Revista: MOVEMENT DISORDERS
ISSN 0885-3185  Vol. 35  Nº S1  2020  págs. S575 - S576
Autores: Navarta Sánchez, María Victoria (Autor de correspondencia); Riverol Fernández, Mario; Ursúa, M. E.; et al.
Revista: SOCIEDAD ESPAÑOLA DE ENFERMERIA NEUROLOGICA. REVISTA CIENTIFICA
ISSN 2013-5246  Vol. 49  Nº January - June 2019  2019  págs. 16 - 22
Introduction: Psychosocial adjustment affects the quality of life of patients with Parkinson's disease (PD) and his/her family/carers. However, this is not usually addressed in clinical practice. Objective: To evaluate coping skills, psychosocial adjustment and quality of life of patients with PD and their family/carers from a quasiexperiment at baseline time. Method: Quasi-experimental study carried out in Primary Care centres to evaluate the impact of a psychoeducational intervention in contrast with an informative intervention. The sample comprised 80 patients with PD and 80 family carers, divided into a control group and an experimental group. The psychosocial adjustment scale PAIS-SR, the coping scale Brief COPE and the quality of life scales PDQ-39 and SQLC were used in the data collection. The analysis of sociodemographic data and Student's t tests was performed using SPSS 23.0. Results: The patients and family/carers from the control group and the experimental group noticed a mild impairment in their quality of life and some difficulties in their psychosocial adjustment to illness. Both groups used coping skills with a medium-low frequency. Acceptance was the most used coping skill by patients and family/carers. No statistically significant differences were found between the control group and the experimental group. Conclusions: We observed that the quality of life and psychosocial adjustment to their illness was impacted in patients with PD and their family/carers, which could be addressed with psychoeducational interventions focused on developing their coping skills
Autores: Portillo, M. C., (Autor de correspondencia); Ambrosio Gutierrez, Leire; Martín Lanas, Raquel; et al.
Revista: NURSING OPEN
ISSN 2054-1058  Vol. 6  Nº 3  2019  págs. 1262 - 1268
Aim To report the cross-cultural adaptation and pilot study of the ongoing validation of the Spanish version of the Psychosocial Adjustment to Illness Scale with carers of people with Parkinson's disease. Design Cross-cultural adaptation and pilot study with a cross-sectional validation design of the Spanish version of the Psychosocial Adjustment to Illness Scale - Carers. Methods Twenty-one carers of people with Parkinson's disease from a Primary Care practice in Spain were recruited and completed the PAIS-Carers, the SF-36 Health Survey, the Brief COPE Inventory and an assessment form. SPSS 23.0 was used to determine viability/acceptability and preliminary aspects of internal consistency of the instrument. Results Five of the seven domains presented floor effect (71.42%), and only one presented ceiling effect (14.28%). The internal consistency of the scale and domains showed acceptable values (over 0.7). The content validity of the Spanish version seemed satisfactory with positive comments in general from participants.
Autores: Navarta Sánchez, María Victoria; Ursua, M. E.; Riverol Fernández, Mario; et al.
Revista: BMC FAMILY PRACTICE
ISSN 1471-2296  Vol. 19  Nº 45  2018 
Parkinson's disease progressively limits patients at different levels and as a result family members play a key role in their care. However, studies show lack of an integrative approach in Primary Care to respond to the difficulties and psychosocial changes experienced by them. The aim of this study is to evaluate the effects of a multidisciplinary psychoeducational intervention focusing on improving coping skills, the psychosocial adjustment to Parkinson's disease and the quality of life in patients and family carers in a Primary Care setting. Methods: This quasi-experimental study with control group and mixed methods was designed to evaluate a multidisciplinary psychoeducational intervention. Based on the study power calculations, 100 people with Parkinson's disease and 100 family carers will be recruited and assigned to two groups. The intervention group will receive the ReNACE psychoeducational intervention. The control group will be given a general educational programme. The study will be carried out in six community-based health centres. The results obtained from the two groups will be collected for evaluation at three time points: at baseline, immediately after the intervention and at 6 months post-intervention. The results will be measured with these instruments: the Quality of Life Scale PDQ-39 for patients and the Scale of Quality of Life of Care-givers SQLC for family carers, and for all participants the Psychosocial Adjustment to Illness scale and the Brief COPE Inventory. Focus groups will be organised with some patients and family carers who will have received the ReNACE psychoeducational intervention and also with the healthcare professionals involved in its development. Discussion: An important gap exists in the knowledge and application of interventions with a psychosocial approach for people with PD and family carers as a whole. This study will promote this comprehensive approach in Primary Care, which will clearly contribute in the existing knowledge and could reduce the burden of PD for patients and family carers, and also in other long-term conditions.
Autores: Navarta Sánchez, María Victoria; Caparrós, N.; Riverol Fernández, Mario; et al.
Revista: JOURNAL OF ADVANCED NURSING
ISSN 0309-2402  Vol. 73  Nº 11  2017  págs. 2609 - 2621
AIMS: The aim of this study were: (1) To explore the meaning that coping with Parkinson's disease has for patients and family carers; (2) To suggest the components of an intervention focused on enhancing their coping with the disease. BACKGROUND: Adapting to Parkinson's disease involves going through many difficult changes; however, it may improve quality of life in patients and family carers. One of the key aspects for facilitating the psychosocial adjustment to Parkinson's disease is the strengthening of coping skills. DESIGN: A sequential explanatory mixed methods study was carried out. Findings from the qualitative phase are presented. METHODS: Data were collected in May 2014 through three focus groups: one of people with Parkinson's disease (n = 9), one of family carers (n = 7) and one of healthcare professionals (n = 5). All focus groups were digitally recorded and transcribed verbatim and content analysis was independently carried out by two researchers. FINDINGS: The participants coincided in highlighting that coping with Parkinson's disease helped the patient and the family carer in their search for balance; and it implied a transformation in their lives. To aid the process of coping with Parkinson's disease, a multifaceted intervention is proposed. CONCLUSION: Coping with Parkinson's disease is a complex process for both patients and family carers and it should therefore be considered a standard service in healthcare policies aimed at this group.
Autores: Navarta Sánchez, María Victoria; Caparrós Civera, María Neus; Sesma, M. E. U. ; et al.
Revista: ATENCION PRIMARIA
ISSN 0212-6567  Vol. 49  Nº 4  2017  págs. 214 - 223
Objective: To explore the main psychosocial aspects which have influence on the coping with the disease in patients with Parkinson's disease (PD) and their family carers. Design: An exploratory qualitative study which constitutes the second phase of a mixed methods project. Setting: Multicenter study carried out in Navarre in 2014 in collaboration with Primary Care of Navarre Service of Health-Osasunbidea, Clinica Universidad de Navarra and Navarre Association of Parkinson's patients. Participants: A total of 21 participants: 9 people with PD, 7 family carers and 5 healthcare professionals. Method: Participants were selected through purposive sampling. Focus groups were conducted until a suitable saturation data was achieved. Transcriptions were analysed by 2 researchers through a content analysis. Results: Three aspects that affected how patients and family carers coped with PD were identified: features of the clinical practice; family environment, and disease's acceptance. Taking account of these findings, some strategies which could foster these aspects from primary healthcare are suggested in order to improve the adjustment to the disease in patients and family carers. Conclusions: The healthcare in people with PD should have an integral approach that tackle the symptoms control in patients and also deal with psychosocial aspects that influence on the coping with the disease, in patients and family carers. (C) 2016 Elsevier Espana, S.L.U.
Autores: Navarta Sánchez, María Victoria; Senosiáin García, Juana María; Riverol Fernández, Mario; et al.
Revista: QUALITY OF LIFE RESEARCH
ISSN 0962-9343  Vol. 25  Nº 8  2016  págs. 1959-1968
Multidisciplinary interventions aimed at improving PD patients' QoL may have more effective outcomes if education about coping skills, and how these can help towards a positive psychosocial adjustment to illness, were included, and targeted not only at patients, but also at informal caregivers.
Autores: Ambrosio Gutierrez, Leire; Navarta Sánchez, María Victoria; Portillo Vega, María Carmen
Revista: PRIMARY HEALTH CARE
ISSN 0264-5033  Vol. 24  Nº 10  2014  págs. 26 - 29
Parkinson¿s disease (PD) is a long-term condition that affects patients¿ and carers¿ quality of life. It is important to develop and implement new approaches that bring together health and psychosocial care for people living with chronic illnesses such as PD. The authors emphasise the role of primary care nurses in supporting patients and their informal carers, and outline how practitioners can focus care on patients¿ psychosocial as well as physical needs. The article includes a literature review of the process of living with PD and discusses the development and implementation of interventions based on assessments tailored to the individual needs of patients and their carers.
Autores: Portillo Vega, María Carmen; Senosiáin García, Juana María; Arantzamendi Solabarrieta, María; et al.
Revista: SOCIEDAD ESPAÑOLA DE ENFERMERIA NEUROLOGICA. REVISTA CIENTIFICA
ISSN 2013-5246  Vol. 36  Nº 1  2012  págs. 31 - 38
ICS Introducción: En la bibliografía hay un vacío relacionado con la perspectiva holística del proceso de integración de la enfermedad de Parkinson en las vidas de pacientes y familiares. Objetivo: Explorar el proceso de convivencia con la enfermedad de Parkinson de pacientes y familiares, así como los factores y los mecanismos que lo favorecen o inhiben. Método: El proyecto ReNACE es un proyecto con metodología combinada, multicéntrico y multidisciplinario, de 3 años de duración, que consta de 2 fases (cualitativa y cuantitativa), realizado en la Clínica Universidad de Navarra, un centro de Salud del Servicio Navarro de Salud-Osasunbidea y la Asociación Navarra de Parkinson. Se presentan resultados preliminares de la Fase I Cualitativa. Se han recogido datos con entrevistas semiestructuradas, hojas sociodemográficas y escalas (estadio Parkinson). Se ha realizado un análisis de contenido comparativo (programa NVivo9) y un análisis estadístico (SPSS 15.0). Resultados: Participaron 15 pacientes con enfermedad de Parkinson y 16 familiares. Su mediana y rango intercuartil de edad eran de 73 (65¿76,25) y 65 (59,5¿74) años, respectivamente. En el proceso de adaptación al Parkinson, se destacan dos etapas dinámicas: 1) etapa extraordinaria, y 2) etapa de normalidad. Los principales factores y mecanismos que influían en la convivencia con el Parkinson eran: las estrategias de afrontamiento, el apoyo familiar, las redes personales y sociales, los recursos disponibles, así como la educ
Autores: Pumar Méndez, María Jesús; Portillo Vega, María Carmen; Mujika Zabaleta, Agurtzane; et al.
Libro:  Libro de ponencias del XVII Encuentro Internacional de Investigación en Enfermería
2013  págs. 483 - 484
Autores: Zaragoza Salcedo, Amparo; Serrano Monzó, Inmaculada; Olano Lizarraga, Maddi; et al.
Libro:  IX Simposium internacional de diagnósticos de enfermeria: lenguajes y personas : 7 y 8 de Junio de 2012, Laboral Ciudad de la Cultura : ponencias y comunicaciones
2012  págs. 237 - 241

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