Examinando por Autor "Fuentes-Contreras, Jorge"
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Ítem Burnout levels and associated factors among Intensive Care Unit workers during the first wave of the COVID-19 pandemic in Chile: A cross-sectional study(Medwave Estudios Ltda, 2023) Ponce-Fuentes, Felipe; Collipal-Cayún, Jenny; Sepúlveda-Cisternas, Jaime; Cuyul-Vásquez, Ivan; Zamuner, Antonio Roberto; Fuentes-Contreras, JorgeIntroduction The COVID-19 pandemic resulted in an unpredictable healthcare crisis with a high psychological burden on healthcare workers. Objective To evaluate burnout levels and their associated demographics and occupational factors among intensive care unit healthcare workers during the COVID-19 pandemic in a single hospital in the city of Temuco, Chile. Methods A cross-sectional design in which a sociodemographic questionnaire and the Maslach Burnout Inventory for Human Services were sent to health care workers in a single Chilean Intensive Care Unit during the pandemic COVID-19. Burnout levels, demographic, and occupational factors are reported using descriptive statistics; correlations between burnout levels and demographic-occupational factors were analyzed using Spearman’s and rank-biserial correlation coefficients; and multiple linear stepwise regression was used to assess the contribution of demographic and occupational factors to participants’ burnout levels. Results A total of 84 participants (46 women and 38 men) were included in the analysis. Depersonalization and low personal accomplishment were evidenced in 95.2% and 98.8% of the intensive care unit healthcare workers, respectively. Emotional exhaustion was positively correlated with having children (r = 0.72; p < 0.01). Age (r = 0.79; p < 0.05), sex (r = 0.30; p < 0.05), and prior experience in intensive care unit facilities (r = 0.71; p < 0.05) were correlated with depersonalization. Feeling of personal accomplishment was positively correlated with with sex (r = 0.70; p < 0.05) and type of work shift (r = 0.29; p < 0.01). Conclusions The intensive care unit healthcare workers in this study reported high levels of depersonalization and low feelings of personal accomplishment during an advanced stage of the COVID-19 pandemic. Older age, being female, having children, having intensive care unit experience, and working at 4th shift were factors related to burnout dimensions. © 2023, Medwave Estudios Ltda. All rights reserved.Ítem Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Tria(Multidisciplinary Digital Publishing Institute (MDPI), 0025-01) Guede-Rojas, Francisco; Mendoza, Cristhian; Fuentes-Contreras, Jorge; Alvarez, Cristian; Agurto Tarbes, Bárbara; Muñoz-Gutiérrez, Javiera Karina; Soto-Martínez, Adolfo f; Carvajal-Parodi, ClaudioBackground: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, n = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, n = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (p < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further. © 2024 by the authors.Ítem Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial(Multidisciplinary Digital Publishing Institute (MDPI), 0025) Guede-Rojas, Francisco; Mendoza, Cristhian; Fuentes-Contreras, Jorge; Alvarez, Cristian; Agurto Tarbes, Bárbara; Muñoz-Gutiérrez, Javiera Karina; Soto-Martínez, Adolfo; Carvajal-Parodi, ClaudioBackground: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, n = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, n = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (p < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further. © 2024 by the authors.Ítem Effects of Active Video Games Combined with Conventional Physical Therapy on Perceived Functionality in Older Adults with Knee or Hip Osteoarthritis: A Randomized Controlled Trial(Applied Sciences (Switzerland), Volume 15, Issue 1January 2025 Article number 93, 2025) Guede-Rojas, Francisco; Mendoza, Cristhian; Fuentes-Contreras, Jorge; Alvarez, Cristian; Agurto Tarbes, Bárbara; Muñoz-Gutiérrez, Javiera Karina; Soto-Martínez, Adolfo; Carvajal-Parodi, ClaudioBackground: Osteoarthritis (OA) leads to functional decline in older adults. This study aimed to evaluate the effectiveness of active video games (AVGs) as a complement to conventional physical therapy (CPT) in improving functional disability. Methods: Sixty participants were randomly assigned to an experimental group (EG, n = 30, 68.7 ± 5.4 years), which received CPT combined with AVGs, or to a control group (CG, n = 30, 69.0 ± 5.5 years), which received CPT alone. Sessions were performed three times a week for ten weeks. Functional disability was assessed using the WOMAC index before, during, and after the intervention. Secondary outcomes included the Global Rating of Change (GRoC), the Minimal Clinically Important Difference, and patient trajectories through functional disability strata. Results: The EG showed progressive improvements in all WOMAC scores, with moderate to large increases by the end of the intervention, while the CG only showed significant changes in the later stages. The EG demonstrated greater improvements in WOMAC pain and the GroC scale (p < 0.05), maintaining most of the gains at follow-up, whereas the CG showed regression. Additionally, the EG had a higher proportion of responders, particularly for pain, while the CG had a predominance of non-responders and adverse responders. In the EG, 70% improved their functional disability stratification compared to 50% in the CG. Conclusion: Integration of AVGs with CPT further improves perceived functional disability in older adults with OA. Future research should explore these findings further. © 2024 by the authors.