https://hdl.handle.net/2072/453068 2026-04-06T16:11:55Z 2026-04-06T16:11:55Z Vila-Vidal, Dalmau Romero Collado, Ángel Ballester Ferrando, David Inoriza, José María Rascón Hernán, Carolina https://hdl.handle.net/10256/28298 2026-02-20T06:47:04Z 2026-02-05T00:00:00Z

Patient needs and lived experiences inside the multiplace hyperbaric chamber: Insights from a phenomenological study Vila-Vidal, Dalmau; Romero Collado, Ángel; Ballester Ferrando, David; Inoriza, José María; Rascón Hernán, Carolina Background/Objectives: Hyperbaric Oxygen Therapy (HBOT) involves breathing oxygen at pressures greater than atmospheric levels and is used to treat diverse clinical conditions. However, little is known about the lived experiences and perceived needs of patients undergoing scheduled treatment in multiplace hyperbaric chambers, where nurses play a key role in support, safety, and communication. This study aimed to explore the perceptions, expectations, and needs of patients receiving scheduled HBOT sessions in a multiplace chamber in a hospital setting. Methods: A qualitative phenomenological design was used. Participants were recruited consecutively among adults who had completed at least 10 HBOT sessions and demonstrated adequate cognitive function. Individual semi-structured interviews were conducted between January and March 2023 in locations chosen by participants. Interviews were audio-recorded, transcribed, and validated by participants. Results: Twelve participants (eight men, four women; aged 25–84 years) were included. Four thematic areas emerged: (1) Biopsychosocial lived experiences, including initial uncertainty, physical discomfort such as ear pressure or mask-related issues, and progressive recognition of therapeutic benefits. (2) Interpersonal relationships, highlighting trust, security, and emotional support provided mainly by nurses. (3) Communication experiences, with participants expressing satisfaction but requesting clearer, earlier information on procedures, risks, and expected sensations. (4) Structural and organizational factors, where transportation logistics and treatment scheduling were significant sources of fatigue and discomfort. Conclusions: Patients valued HBOT and perceived notable health improvements, while identifying specific unmet informational and organizational needs. These findings suggest the importance of nurse-led educational interventions to enhance preparation, reduce anxiety, and optimize patient experience during HBOT.

2026-02-05T00:00:00Z Sanvisens, Arantza Trallero, Jan Romaguera, Aina Puigdemont, Montserrat Vidal-Vila, Anna Comet i Batlle, Josep Marcos-Gragera, Rafael Serdà, Bernat-Carles https://hdl.handle.net/10256/28139 2026-01-21T14:08:41Z

Prostate Cancer Incidence by Age and Clinicopathological Characteristics: A Population-Based Study in Girona, Spain, 2010 to 2021 Sanvisens, Arantza; Trallero, Jan; Romaguera, Aina; Puigdemont, Montserrat; Vidal-Vila, Anna; Comet i Batlle, Josep; Marcos-Gragera, Rafael; Serdà, Bernat-Carles Purpose: The aim of this study is to determine the incidence of prostate cancer (PC) and its trends according to the age, Gleason grade (GG) and stage. Methods: Population-based study of PC cases diagnosed in Girona, Spain, from 2010 to 2021. Age at diagnosis, date and method of diagnosis, histology, Gleason score, and stage at diagnosis were collected. Poisson and negative binomial generalized linear models were used to estimate incidence trends and incidence rate ratios (IRRs), respectively. Results: Five thousand three hundred nine cases were included, with a median age of 70 years (IQR:64-77). The age standardized rates according to GG ranged from 12.8 cases per 100,000 men-year (m-y) for GG 5 to 36.6 cases for GG 2 and from 19.9 to 52.6 cases per 100,000 m-y for stages IV and II, respectively. Overall, there was a decline between 2010 and 2014, with an annual percentage change (APC) of 6.1% (95% CI, 9.0, 3.1), followed by stabilisation (APC: 0.3% [95% CI, 2.1, 1.5]). Adjusted IRRs for GG 3, 4, and 5 were lower than GG 1 and IRRs for stages III and IV were lower than stage I; however, the IRR for stage II was higher (IRR = 1.53 [95% CI, 1.40, 1.67]). Conclusions: Although the overall incidence of PC has remained stable since 2014, there has been an increase in cases with the worst prognosis. These cases usually involve elderly patients, who are the most vulnerable

Serdà, Bernat-Carles Planas Lladó, Anna Valle Gómez, Arantza del Soler Masó, Pere https://hdl.handle.net/10256/27967 2025-12-18T12:58:31Z 2022-04-01T00:00:00Z

Health promotion in secondary schools: participatory process for constructing a self-assessment tool Serdà, Bernat-Carles; Planas Lladó, Anna; Valle Gómez, Arantza del; Soler Masó, Pere This article presents the process of constructing an effective self-assessment tool for monitoring health promotion in secondary schools (SS). The ultimate aim is to improve adolescents' well-being and quality of life in their reference environment. The design and validation of the instrument were based on participatory action research (involving students, professors, parents, health professionals, youth workers, youth directors, youth managers). A mixed quantitative and qualitative approach was adopted. The construction process included the following five consecutive stages: (i) steering-group creation and definition of objectives; (ii) diagnosing students' health and well-being in SS (case study); (iii) initial design and construction of health promotion indicators; (iv) validation based on expert judgement and (v) validation by means of a pilot test. The final construction of the self-assessment tool included 5 areas (healthy habits, affectivity and socialization, emotional well-being, safety and risks, and specific health situations), 9 objectives and 18 indicators deployed through a rubric. Each indicator is discussed in depth, specifying the most appropriate resources and health promotion activities for its application. The final self-assessment tool is designed to be sensitive to and effective for self-assessment of health promotion in SS. It contributes to improving adolescent health on an individual basis and also has an impact on the school environment. Finally, it also promotes analysis of the health content on the curriculum and the teaching-learning method(s) employed at the school. The self-assessment tool has been published open access and its implementation will continue to increase health promotion in SS in Catalonia

2022-04-01T00:00:00Z Reig Garcia, Glòria Martínez-Sancho, Joan Baltasar Bagué, Alícia Mateu i Figueras, Glòria Buxó Pujolràs, Maria Martí Lluch, Ruth Zacarías-Pons, Lluís Puig, Josep Ramos Blanes, Rafel Fernández-Real Lemos, José Manuel Garre Olmo, Josep https://hdl.handle.net/10256/27958 2025-12-17T13:23:53Z 2025-12-15T00:00:00Z

Adherence to Mediterranean diet and physical activity practice in general population: an intersectional analysis of inequalities by sex and economic status Reig Garcia, Glòria; Martínez-Sancho, Joan; Baltasar Bagué, Alícia; Mateu i Figueras, Glòria; Buxó Pujolràs, Maria; Martí Lluch, Ruth; Zacarías-Pons, Lluís; Puig, Josep; Ramos Blanes, Rafel; Fernández-Real Lemos, José Manuel; Garre Olmo, Josep Background: Inequalities in physical activity (PA) practice and adherence to Mediterranean diet (MD) between sex or socioeconomic groups have been described. We analyzed inequalities using an intersectional approach combining sex and economic difficulties (ED) in a population-based adult sample from Girona (Spain). Methods: Cross-sectional study including 1,425 inhabitants. ED were assessed with a self-reported question on perceived ability to make ends meet and dichotomized (with/without ED). Sex and ED were employed to form four intersectional positions (men/women × with/without ED). PA was assessed using the Minnesota-Regicor questionnaire, total weekly metabolic equivalents of task were calculated, and PA was dichotomized as low (first quartile) and not low. Adherence to MD was measured with the PREDIMED questionnaire and dichotomized as non-adherence/adherence. Sociodemographic and lifestyle characteristics were registered. We estimated crude and adjusted prevalence differences in low PA practice and non-adherence to MD corresponding to joint, referent, and excess intersectional inequalities using linear binomial regression models with identity link, which directly estimate prevalence differences in percentage points (pp). The discriminatory accuracy of the models was assessed using the area under the receiver operating characteristic curve (AUC-ROC). Results: The prevalence of low PA was higher among women and increased by the presence of ED (26.7% vs. 40.9%). Overall, 27.8% reported ED and the four intersectional positions ranged from 10.5 to 40.3%. The adjusted joint disparity in low PA between women with ED (doubly disadvantaged) and men without (doubly advantaged) was 20.8 pp, of which 11.6 pp represented excess intersectional inequality. For non-adherence to MD, only the referent disparity for sex was statistically significant (8.54 pp). The AUC-ROC ranged from 0.62 for low PA to 0.67 for non-adherence to MD, with small increases when adding the intersectional groups. Conclusion: In this study, inequalities in adherence to MD were modest, mainly by sex and with low discriminatory accuracy, suggesting that population-wide interventions, complemented by attention to sex differences, may be more appropriate than targeted strategies. In contrast, low PA was markedly higher in women with ED than in men without. This highlights the importance of intersectional inequalities in PA and the need for universal policies that also prioritize socioeconomically disadvantaged women; The Girona Healthy Region Study is partly funded by the Girona Health LivingLab operation, which is granted by the Projectes d’Especialització i Competitivitat Territorial (PECT) of the RIS3Cat and the Operative Programme of the European Regional Development Fund of Catalonia 2014–2020

2025-12-15T00:00:00Z