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Chronic diseases such as type 2 diabetes mellitus (T2DM), arterial hypertension (HTN), and obesity are significant global health challenges, contributing to millions of premature deaths. In Mexico, these pose major challenges due to limited access to healthcare and inadequate primary care quality. Complementary medicine presents itself as an adjuvant in this context, offering minimally invasive techniques to enhance physical, mental, and spiritual well-being. However, effective treatment adherence is crucial for positive outcomes, influenced by self-efficacy, resulting in persistently low adherence rates—a pressing public health concern. This observational study aimed to explore how perceptions of complementary medicine and treatment adherence predict self-efficacy among individuals with chronic diseases in Mexico. Data were collected from 113 participants with chronic conditions, including T2DM, HTN, and obesity. Participants completed surveys assessing perception of complementary medicine, treatment adherence, and self-efficacy. Statistical analyses, including correlations and regression, were conducted to examine the relationships between variables. The study revealed significant correlations between the perception of complementary medicine, treatment adherence, and self-efficacy. Treatment adherence was positively associated with self-efficacy, while perception of holistic medicine was negatively correlated with self-efficacy. Perception of complementary medicine and adherence to treatment were found to predict 41.9% (p = 0.001) self-efficacy. These findings underscore the potential of complementary therapies in enhancing self-efficacy levels, and highlight the importance of holistic healthcare approaches in managing chronic conditions. Further research is needed to better understand these relationships and their implications for healthcare outcomes in Mexico and beyond. [ABSTRACT FROM AUTHOR]

Introduction • The World Health Organization (WHO) recognizes Reiki therapy as a form of therapy within the classification of alternative therapies. Recently, a growing interest regarding the implementation of Reiki therapy in patient care relating to the field of nursing has been detected; however, there are few scientifically rigorous studies that support this. Objective • To determine the effect of Reiki therapy on blood pressure (BP) and alcohol consumption in young adults with hypertension, in two urban communities in northern of Mexico. Methodology • A randomized and controlled clinical trial, with an equivalent experimental group (EG) and a control group (CG). Longitudinal design of repeated parallel measurements and triple-blind masking. Results • The averages of the Mean Arterial Pressure (MAP) of EG. vs. CG in the test vs. retest were: 109.91±2.3 vs. 111.19±3.3 (P=.140) and retest: 97.00±4.9 vs. 110.94 ±2.9 (P=.001). In alcohol consumption at test: 11.00±2.9 vs. 11.54±2.8 (P=.527) and at retest: 8.83±1.02 vs. 11.83 ± 1.92 (P = .001). In the ANOVA analysis for the EG, the MAP decrease between measurements 1 and 2; and 1 and 3 (P=.001). Regarding alcohol consumption, there was no difference between measurements 1 and 2 nor in measurements 2 and 3. There was only a significant difference between measurements 1 and 3 (P=.015). Conclusion • The results obtained confirmed our hypothesis of the research, since the EG had a significant effect on the decrease of the MAP and alcohol consumption after 21 sessions of Reiki therapy intervention. [ABSTRACT FROM AUTHOR]

Introduction. The suspension of clinical practices in the nursing profession during COVID-19 generated a decrease in the students' abilities and skills which made them vulnerable to more frequent to clinical practice stressors and levels of anxiety. Objective. To determine the relation between clinical practice stressors and anxiety levels in nursing students during COVID-19. Method. A descriptive correlational study with convenience sampling was carried out in 169 students enrolled from third to eight semesters in a public university in the city of Saltillo, Coahuila. For the measurement of variables a sociodemographic data card, the KEZKAK Questionnaire in its Spanish version to measure the clinical practice stressors and the Beck Anxiety Inventory were used. Data collection was through a digital link during August-December 2021. Descriptive and inferential statistics were sued through SPSS V.26. Results. 57.4% reported a medium level of stress and 62.7% a low level of anxiety; however, there are stressors from clinical practice that lead to increased anxiety. A statistically significant positive correlation was found between the study variables (r = .411, p < .001). Discussion and conclusion. The challenges in clinical practice experienced during COVID-19 highlight that generations of future nursing professionals face a scenario that is the product of a post-pandemic era, so it is necessary to strengthen their knowledge and confidence to motivate them to feel safe within the hospital context. [ABSTRACT FROM AUTHOR]