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1.
Gac. sanit. (Barc., Ed. impr.) ; 33(6): 529-535, nov.-dic. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-189847

RESUMO

OBJECTIVE: Adequate physical activity levels and a healthy lifestyle may prevent all kinds of non-communicable diseases, promote well-being and reduce health-care costs among perimenopausal women. This study assessed an exercise programme for perimenopausal women. METHOD: A total of 150 women (aged 45-64 years) not engaged in regular physical activity were randomly assigned to either a 16 week exercise intervention or to the control group. The study was conducted from the perspective of the National Health System. Health outcomes were quality-adjusted life years (QALYs), measured by the EuroQol-5D-5L questionnaire. The total direct costs of the programme were the costs of visits to primary care, specialty care, emergency, medicines, instructor cost and infrastructure cost. The results were expressed as the incremental cost-effectiveness ratio. Sensitivity analysis was undertaken to test the robustness of the analysis. RESULTS: Mean QALYs over 16 weeks were.228 in the control group and.230 in the intervention group (mean difference: .002; 95% confidence interval [95%CI]: -0.005 to 0.009). Improvements from baseline were greater in the intervention group in all dimensions of the EuroQol-5D-5L but not statistically significant. The total costs at the end of the intervention were 160.38 € in the control group and 167.80 € in the intervention group (mean difference: 7.42 €; 95%CI: -47 to 62). The exercise programme had an incremental cost-effectiveness ratio of 4,686 €/QALY. CONCLUSIONS: The programme could be considered cost-effective, although the overall difference in health benefits and costs was very modest. Longer term follow-up is needed


OBJETIVO: El ejercicio físico puede promover el bienestar y reducir los costes de atención médica en las mujeres perimenopáusicas. Este estudio evalúa un programa de ejercicio físico en mujeres perimenopáusicas. MÉTODO: Un total de 150 mujeres (de edades comprendidas entre 45 y 64 años) fueron asignadas aleatoriamente al grupo de intervención o al grupo de control. El estudio ha tenido una duración de 16 semanas. Los resultados en salud se han medido en años de vida ajustados por calidad (AVAC) mediante el cuestionario EuroQol-5D-5L. Se ha considerado el total de costes directos del programa, integrado por los costes de las visitas en atención primaria, atención especializada y urgencias, medicamentos, coste del monitor y coste de las instalaciones. Los resultados se han expresado como ratio coste-efectividad incremental. La robustez del modelo se ha contrastado con un análisis de sensibilidad. RESULTADOS: Al final de la intervención, los AVAC fueron 0,228 en el grupo de control y 0,230 en el grupo de intervención (diferencia media: 0,002; intervalo de confianza del 95% [IC95%]: -0,005 a 0,009). La mejoría fue mayor en el grupo de intervención en todas las dimensiones del EuroQol-5D-5L, pero sin significación estadística. Los costes totales al finalizar la intervención han sido de 160,38 € en el grupo de control y 167,80 € en el de intervención (diferencia media: 7,42 €; IC95%: -47 a 62). El programa de ejercicio físico ha tenido una ratio coste-efectividad incremental de 4686 €/AVAC. CONCLUSIÓN: El programa debe considerarse coste-efectivo, aunque la diferencia en resultados de salud y costes ha sido muy moderada. Se necesita un seguimiento a más largo plazo


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Perimenopausa/fisiologia , Exercício Físico/fisiologia , Técnicas de Exercício e de Movimento/estatística & dados numéricos , Estilo de Vida Saudável/fisiologia , Comportamentos Relacionados com a Saúde/fisiologia , Análise Custo-Benefício , Prevenção de Doenças , Inquéritos Epidemiológicos/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Anos de Vida Ajustados por Qualidade de Vida
2.
Pap. psicol ; 40(3): 211-216, sept.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-186996

RESUMO

La promoción y prevención en salud mental son crecientemente reconocidas como estrategias fundamentales. Se ha demostrado que programas promocionales y preventivos en esta área pueden ser efectivos. Existe la expectativa de que la diseminación de estos programas pueda ayudar a disminuir la brecha entre necesidades de atención en salud mental y recursos disponibles. Junto con describir estos antecedentes, este artículo analiza algunos desafíos centrales para que esta área pueda tener el desarrollo esperado. Se plantea que si este desarrollo se realiza desde la lógica del modelo médico puede contribuir a generar respuestas inadecuadas y, paradójicamente, a incrementar las necesidades de recursos en salud mental. Se analiza el riesgo que implicaría el uso masivo y recurrente del tamizaje de trastornos mentales desde una concepción medicalizadora. Se propone que el desarrollo de la promoción y prevención en salud mental es un desafío mayor y necesario pero que debe atender a las advertencias de lo que se denomina prevención cuaternaria


Mental health promotion and prevention are increasingly recognized as essential strategies. It has been shown that promotional and preventive programs in this area can be effective. It is expected that spreading these programs may help to decrease the gap between the assistance needs in mental health and the resources available. Besides describing this background, this article analyzes some of the main challenges necessary to achieve the desired development in this area. It is hypothesized that, if this development is carried out based on the logic of the medical model, it may contribute to creating inappropriate answers and, paradoxically, to increasing the need for resources in mental health. We analyze the risk involved in the massive and recurrent use of mental disorder screening based on a medicalizing conception. Finally, we propose that developing promotion and prevention in mental health is a great and necessary challenge, but it must take into consideration the warnings arising from what is known as quaternary prevention


Assuntos
Humanos , Saúde Mental , Promoção da Saúde , Medicalização , Comportamentos Relacionados com a Saúde
5.
Rev. int. med. cienc. act. fis. deporte ; 19(75): 463-488, sept. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-187226

RESUMO

El presente trabajo examinó la aplicación del Modelo Transcontextual de la Motivación en la predicción de estilos de vida saludables de atletas veteranos. Se utilizó una muestra de 682 atletas veteranos portugueses de ambos géneros, de edades comprendidas entre los 30 y los 76 años (M=43.64; DT=8.25), dónde a través de cuestionarios se ha medido: la satisfacción de las necesidades psicológicas básicas, la motivación, las variables del comportamiento planeado y los estilos de vida saludables. De las conclusiones alcanzadas en este trabajo, son de destacar la relevancia de fomentar la necesidad psicológica básica de relación social, ya que ésta favorecerá la motivación intrínseca, promoviendo un mayor control del comportamiento sobre las intenciones de los practicantes, generando así mejores hábitos alimenticios, hábitos de descanso y menor consumo de tabaco


The present paper has examined the application of the Transcontextual Model of motivation in the prediction of healthy lifestyles of veteran athletes. A sample of 682 Portuguese veteran athletes of both sexes, aged between 30 and 76 years (M = 43.64; SD = 8.25), were administered the following questionnaires: satisfaction of needs basic psychological, self-determination motivation, planned behavioral variables and healthy lifestyles. From the conclusions reached in this work, it is important to emphasize the importance of fostering the basic psychological need of relatedness, since this will favor the intrinsic motivation, promoting greater control of behavior over the intentions of practitioners, thus generating more healthy eating habits, rest habits and lower tobacco consumption


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Motivação , Estilo de Vida , Atletas/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Portugal , Inquéritos e Questionários , Comportamento Alimentar , Estudos Transversais , Psicologia do Esporte/métodos
6.
Gac. sanit. (Barc., Ed. impr.) ; 33(3): 259-262, mayo-jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183746

RESUMO

Objetivo: Conocer las variables presentes en escolares de primero y segundo de secundaria que no consumen tabaco o no tienen intención de fumar desde un modelo de salud positiva. Métodos: Estudio transversal con 482 estudiantes en Andalucía y Cataluña usando un cuestionario validado (proyecto ESFA y PASE). Se realizaron análisis de regresión logística binaria. Resultados: Quienes no tenían intención de fumar presentaron una actitud desfavorable al tabaco y una alta autoeficacia (p <0,001). En los/las no consumidores/as las variables más asociadas fueron la actitud, el modelo social (p <0,001) y la autoeficacia (p = 0,005). Conclusiones: Los resultados reflejan factores motivacionales presentes en escolares que no fuman ni pretenden hacerlo. La actitud y la autoeficacia se asocian fuertemente con la intención y con el comportamiento. Esta información puede ser útil para desarrollar estrategias positivas de promoción de la salud desde un modelo salutogénico


Objective: To know the variables present in primary and secondary school students who do not smoke or intend to smoke from a positive health model. Methods: Cross-sectional study with 482 students from Andalusia and Catalonia using a validated questionnaire (ESFA and PASE project). Binary logistic regression analysis was performed. Results: Those who did not intend to smoke viewed smoking unfavourably and had high self-efficacy (p <0.001). In non-consumers, the most associated variables were attitude, social model (p <0.001), and self-efficacy (p =0.005). Conclusions: The results show motivational factors present in students who do not smoke and do not intend to do so. Attitude and self-efficacy are strongly associated with intention and behaviour. This information might be useful for developing positive health promotion strategies from a salutogenesis approach


Assuntos
Humanos , Masculino , Feminino , Adolescente , Intenção , Tabagismo/psicologia , Fumar Tabaco/psicologia , Estilo de Vida Saudável , Comportamento do Adolescente/psicologia , Estudos Transversais , Comportamentos Relacionados com a Saúde , Ganhos em Saúde/tendências , Análise por Conglomerados
7.
Index enferm ; 28(1/2): 28-32, ene.-jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184979

RESUMO

Objetivo principal: Conocer la percepción de las personas sobre la repercusión del contexto político en su salud. Metodología: Se realizó un estudio cualitativo. Participaron cinco usuarios del Centro de Atención Primaria Raval Nord en Barcelona que verbalizaron en consulta malestar físico y emocional relacionado con el contexto político. Se realizaron entrevistas semiestructuradas, preservando el rigor científico mediante la triangulación del investigador. Resultados principales: Todos los participantes manifestaron malestar emocional y físico que relacionaron con incertidumbre y desconfianza hacia las instituciones políticas. Refirieron diferentes tipos de afrontamiento; la evitación fue el más utilizado entre otros como la resignación, la socialización o la implicación. Conclusión principal: Los participantes perciben su salud biopsicosocial afectada por la crisis política. Identifican el contexto político como principal estresor. La integración en la práctica profesional de la dimensión social y la percepción de salud de la persona debe ser una realidad, y es esencial para un cuidado holístico y de calidad


Objective: Get to know people's perception about the consequences of the political context on their own health. Methods: A qualitative study was conducted. Five users of the Raval Nord Primary Care Center in Barcelona city, who during consultation verbalized physical and emotional discomfort related to the political context. Semi-structured interviews were carried out, preserving scientific rigor through the triangulation of the researcher. Results: All participants expressed emotional and physical discomfort related to uncertainty and distrust towards political institutions. They manifested different types coping strategies; avoidance was the most used among others as resignation, socialization and involvement were also described. Conclusions: Participants perceive their biopsychosocial health as affected by the political crisis. They identify the political context as the main stressor. The social dimension and the person health's perception must be integrated into the professional practice, and it is essential for a holistic quality care


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Percepção , Saúde Holística , Atitude Frente a Saúde , Política de Saúde , Enfermagem Holística , Adaptação Psicológica , Comportamentos Relacionados com a Saúde
8.
Nutr. hosp ; 36(2): 449-462, mar.-abr. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-184342

RESUMO

Introduction: sedentary behavior is an important target for health promotion. In this systematic review, we aimed to provide evidence to support decisions about measurement approach choices for subjectively assessing sedentary behavior in pediatric population, adopting objective methods as the reference. Methods: in this systematic review with meta-analysis, published studies were retrieved from electronic databases: Medline (PubMed), Web of Science, Embase, SPORTDiscus, BioMed Central and SCOPUS. We considered studies evaluating sedentary behavior agreement through questionnaire and/or diary in comparison with an objective measure. A total of six inclusion criteria were used. We synthesized the data using correlation coefficients (r) as an indicator of agreement estimates. The review protocol is registered in the PROSPERO database (CRD42014015138). Results: a total of 14 studies met the inclusion criteria with ages ranging from 3 to 17.5 years and provided 17 agreement analyses. Thirteen of these agreement analyses (76.5%) reported correlation coefficients. We found two major groups of sedentary activities: screen time (47.1%) and sedentary behaviors (52.9%). The pooled agreement between questionnaires and accelerometers for assessing self-reported screen time was negative (r = -0.15; CI 95%: -0.17 to -0.13). Conversely, when the sedentary behavior was assessed by questionnaires and accelerometers, the pooled agreement was positive for parent-reporting (r = 0.09; CI 95%: 0.04 to 0.13) and self-reporting (r = 0.43; CI 95%: 0.40 to 0.47) in children and adolescents, respectively. Conclusion: questionnaires have positive agreement with accelerometers for assessing sedentary behavior, whereas the agreement is negative for assessing screen time. Self-reported questionnaires are recommended methods to measure sedentary behavior in adolescents


Introducción: el comportamiento sedentario es un objetivo importante para la promoción de la salud. En esta revisión sistemática, nuestro objetivo fue proporcionar evidencia para apoyar las decisiones sobre las opciones metodológicas acerca de los instrumentos para medición subjetiva del comportamiento sedentario en la población pediátrica, adoptando métodos objetivos como referencia. Métodos: en esta revisión sistemática con metaanálisis, fueron recuperados estudios publicados en las bases de datos electrónicas Medline (PubMed), Web of Science, Embase, SPORTDiscus, BioMed Central y SCOPUS. Consideramos estudios que evalúan el acuerdo de comportamiento sedentario a través del cuestionario y/o diario en comparación con una medida objetiva. Se utilizaron un total de seis criterios de inclusión. Sintetizamos los datos utilizando coeficientes de correlación (r) como un indicador de las estimaciones de la concordancia. El protocolo de revisión está registrado en la base de datos PROSPERO (CRD42014015138). Resultados: un total de 14 estudios cumplieron los criterios de inclusión con edades comprendidas entre 3 y 17,5 años y proporcionaron 17 análisis de concordancia. Trece de estos análisis de concordancia (76,5%) informaron coeficientes de correlación. Encontramos dos grupos principales de actividades sedentarias: tiempo de pantalla (47,1%) y comportamiento sedentario (52,9%). La concordancia entre cuestionarios y acelerómetros para evaluar el tiempo de pantalla autorreportado fue negativa (r = -0,15; IC 95%: -0,17 a -0,13). Sin embargo, cuando se evaluó el comportamiento sedentario mediante cuestionarios y acelerómetros, el acuerdo fue positivo para el reporte de los padres (r = 0,09; IC 95%: 0,04 a 0,13) y el reporte (r = 0,43; IC 95%: 0,40 a 0.47) de niños y adolescentes, respectivamente. Conclusión: los cuestionarios tienen un acuerdo positivo con los acelerómetros para evaluar el comportamiento sedentario, mientras que el acuerdo es negativo para evaluar el tiempo de pantalla. Los cuestionarios autorreportados son métodos recomendados para medir el comportamiento sedentario en adolescentes


Assuntos
Humanos , Pré-Escolar , Criança , Adolescente , Tempo de Tela , Comportamento Sedentário , Acelerometria , Comportamentos Relacionados com a Saúde , Inquéritos e Questionários
9.
Enferm. clín. (Ed. impr.) ; 29(supl.1): 30-33, mar. 2019. ^f30^l33
Artigo em Inglês | IBECS | ID: ibc-184764

RESUMO

Objective: This study aims to determine the effectiveness of health education through audiovisual media on improving family knowledge in the prevention of dengue fever (DHF). Method: This study used a Quasi Experiment research design with a research design of Non-Equivalent Control Group. The study was conducted in the community with a sample of 40 people, consisting of 20 for experimental group and 20 for control group. The samples were selected using purposive sample collection method. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The analysis was done through univariate analysis and bivariate analysis using t-independent test. Result: This study found that the showed a significant increase in changes in the level of attitudes and actions of families in the prevention of dengue fever by using audiovisual media, (p = 0.000), (p = 0.000). Conclusion: It is recommended that the health workers should provide health education by using audiovisual media in the prevention of dengue fever


No disponible


Assuntos
Humanos , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Recursos Audiovisuais , Saúde da Família , Comportamentos Relacionados com a Saúde , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Dengue Grave/prevenção & controle
10.
Enferm. clín. (Ed. impr.) ; 29(supl.1): 81-84, mar. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-184778

RESUMO

Objective: Snacks of elementary school students have an important role in fulfill the adequacy of energy and nutrients for the growth and development of children. The objective of this research was to investigate the relationship between level of knowledge and attitude about healthy snacks towards behavior in choosing healthy snacks at the 4th grade and 5th grade students in a public elementary school in Pekanbaru. Method: This research used descriptive correlational method with cross sectional approach. The data were collected from 74 samples by distributing questionnaires using simple random sampling technique with the variables were knowledge about healthy snacks and attitude about healthy snacks and choosing healthy snacks behavior. Result: Most of students have good knowledge (68.9%) and have a negative attitude (55.4%) about healthy snacks and have good behavior (67.6%) in choosing snacks. There was no correlation between knowledge about healthy snacks and the behavior of choosing snacks (p value = 1000) and there was no relationship between attitude about healthy snacks and choosing snack behavior (p value = 0.369). Conclusions: Elementary school teachers always need to control of all types of snacks that are sold in the school


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Atitude Frente a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Comportamentos Relacionados com a Saúde , Lanches , Estudantes/psicologia , Correlação de Dados , Estudos Transversais
11.
Metas enferm ; 22(1): 50-56, feb. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183461

RESUMO

Objetivo: determinar las características sociodemográficas, académicas, hábitos de vida y la prevalencia de consumo de tabaco entre los estudiantes de Enfermería; explorar la relación entre el consumo de tabaco y otros hábitos de vida con repercusión en la salud; determinar el grado de dependencia física a la nicotina y describir el motivo principal que induce al abandono del consumo de tabaco. Método: estudio descriptivo transversal y multicéntrico realizado entre enero y marzo de 2018 sobre estudiantes de los cuatro cursos de Grado de Enfermería de dos universidades públicas de Andalucía. Se utilizaron tres cuestionarios que recogían variables sociodemográficas, académicas, hábitos de vida y el test de Fagerström para medir dependencia a la nicotina. Se aplicó estadística descriptiva, inferencial y multivariante. Resultados: participaron en el estudio 127 estudiantes de Enfermería. El 86,92% era mujer. La prevalencia de consumo de tabaco fue del 20,77%. El 48,15% fumaba diariamente. Al 62,96% le gustaría dejar de fumar. El grado de dependencia a la nicotina fue bajo, con una media en el test de Fagerström en las personas fumadoras activas de 1,11 puntos (DE= 0,13). Los estudiantes que consumían alcohol tenían 3,67 veces más probabilidad de fumar que aquellos que no consumían alcohol (p= 0,05). Conclusiones: los estudiantes de Enfermería presentan baja dependencia a la nicotina. La ingesta de alcohol tiene una fuerte asociación con el consumo de tabaco. Es necesaria la puesta en marcha de estudios de intervención para disminuir la prevalencia del hábito tabáquico en los estudiantes de Enfermería como futuros profesionales sanitarios


Objective: to determine the sociodemographical and academic characteristics, lifestyle habits, and prevalence of smoking among Nursing students; to explore the association between smoking and other lifestyle habits with impact on health; to determine the degree of physical dependence to nicotine, and to describe the main reason that leads to quit smoking. Method: a descriptive cross-sectional and multicenter study, conducted between January and February, 2018, with students from the four years of the Nursing Degree from two public universities in Andalusia. Three questionnaires were used, collecting sociodemographical, academic and lifestyle variables, and the Fagerström test to measure nicotine dependence. Descriptive, inferential and multivariate statistics was applied. Results: the study included 127 Nursing students; 86.92% were female. There was a 20.77% prevalence of smoking: 48.15% smoked every day, and 62.96% would like to quit smoking. The degree of nicotine dependence was low, with a mean score of 11.1 (SD = 0.13) for active smokers in the Fagerström test. Students who drank alcohol had 3.67 times more likelihood of smoking that those who did not drink alcohol (p= 0.05). Conclusions: nursing students present a low dependence to nicotine. Alcohol intake is strongly associated with smoking. It is necessary to implement intervention studies in order to reduce the prevalence of smoking among Nursing students as future healthcare professionals


Assuntos
Humanos , Tabagismo/epidemiologia , Hábitos , Estudantes de Enfermagem/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Estudos Transversais , Inquéritos e Questionários , Análise Multivariada , Epidemiologia Descritiva
12.
Med. oral patol. oral cir. bucal (Internet) ; 24(1): e20-e25, ene. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-180402

RESUMO

Background: To improve eradication strategies of health-compromising behaviors between oral cancer survivors, this study aimed to explore the extent of clustering of risk behaviors and to assess possible factors associated. Material and Methods: A cross-sectional study was carried out among oral cancer patients at least 6 months after treatment. They completed a questionnaire about smoking, alcohol consumption, oral hygiene habits and dental visits. Presence of clusters was evaluated through pairwise Pearson correlations and principal component analysis. Factors associated with each identified cluster were analyzed with multivariate models. Results: Among 142 patients, 14.8% smoked, 51.7% consumed alcohol, 52.1% performed oral hygiene less than twice a day, and 74.6% visited to dentist when there was a problem or never. There were two distinct clusters: smoking-alcohol consumption (general risk behaviors cluster) and oral hygiene-dental attendance (oral risk behaviors cluster). Multivariate analysis showed significant associations between males and both clustering patterns of health compromising behaviors, patients with clinical stage I or with longer follow-up and the presence of general risk behaviors cluster and worse social class and the presence of oral risk behaviors cluster. Conclusions: A high proportion of patients treated for oral cancer presented health-compromising behaviors occurring in clusters which reinforce the need for health promotion strategies to target multiple behaviors. Factors analyzed suggest that chances of having detrimental behavioral clustering are higher in male, patients with clinical stage I, with lower social class and those with longer follow-up after treatment


No disponible


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Neoplasias Bucais/terapia , Cooperação do Paciente/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Neoplasias Bucais/epidemiologia , Pacientes Desistentes do Tratamento/estatística & dados numéricos , Adesão à Medicação/estatística & dados numéricos , Sobreviventes/estatística & dados numéricos
13.
Span. j. psychol ; 22: e18.1-e18.11, 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-188858

RESUMO

This study aimed to investigate associations of health promotion and prevention regulatory foci with sports practice, and examined the Selection, Optimization and Compensation (SOC) process behind the positive relationship between health promotion focus and sports practice. A cross-sectional study was conducted with 513 French volunteer sports participants aged from 18 to 82. Participants completed an online self-report survey measuring health regulatory foci, SOC strategy, Amount of Sports Practice (ASP), health condition, and educational level. Path analysis main results (χ2 = 16.64; df = 5; p < .01; RMSEA = 0.067; CFI = 0.98; R2 = .24) demonstrated that ASP was positively related with health promotion focus (β = .13, p < .01), SOC strategy (β = .28, p < .001) and negatively related with health prevention focus (β = -.20, p < .001). SOC strategy was positively related with health promotion focus (β = .39, p < .001) and bootstrapping analyses revealed that this strategy partially mediated the positive relationship between health promotion focus and ASP, 95% CI [.13, .29]. Finally, additional analyses showed that it was specifically the elective selection, optimization and compensation sub-components of SOC strategy which played mediating roles in this link, [.13, .29] < 95% CI < [.13, .29]. For the first time in the literature, these results evidenced direct links between health regulatory foci and sports practice, and a mechanistic pathway between health promotion focus and sports practice. The theoretical and applied implications of these results for sports promotion are discussed


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Atletas/psicologia , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Esportes/psicologia , Teoria Psicológica
14.
Rev. esp. salud pública ; 93: 0-0, 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-189472

RESUMO

OBJETIVO: El apoyo social puede introducir cambios favorables en el estilo de vida de cara a reducir el riesgo cardiovascular. El objetivo de este estudio fue verificar dichos cambios en la población clínica que participó en el mismo y presentar las propiedades psicométricas de dos escalas de apoyo social: los hábitos alimentarios y el ejercicio. Ambas fueron aplicadas en pacientes con síndrome metabólico (SM). MÉTODOS: Participaron 135 sujetos en un programa de modificación de estilo de vida. Las medidas sociodemográficas, psicológicas y de estilo de vida fueron tomadas en el Hospital Universitario Virgen de las Nieves (HUVN) de Granada (España) durante 2013 y 2014. Se realizaron los siguientes análisis: análisis factorial confirmatorio(AFC), de la consistencia interna, de la sensibilidad al cambio y de la estabilidad temporal. RESULTADOS: El AFC confirmó la estructura original de ambas escalas, excepto por la exclusión del factor 2 (familia) de la escala de apoyo social para el ejercicio. Para la escala de apoyo social, el ajuste local, todos los ítems presentaron altos valores de cargas factoriales y fiabilidades individuales (lamda≥0,64 y R2≥0,41, respectivamente). Para la escala de ejercicio, el ajuste local, los ítems presentaron altos valores de cargas factoriales y fiabilidades individuales (lamda≥0,62 y R2≥0,38, respectivamente). Los valores de consistencia interna resultaron entre adecuados y excelentes, con cifras de alfa de Cronbach entre 0,714 y 0,864. En cuanto a la sensibilidad al cambio, el grupo experimental aumentó la percepción del apoyo social para la alimentación y para el ejercicio. El grupo de control no presentó diferencias significativas. CONCLUSIONES: Los resultados muestran niveles adecuados de validez y fiabilidad, demostrando que las escalas son adecuadas para evaluar el apoyo social en pacientes con SM


OBJECTIVE: Social support can introduce favorable changes in lifestyle to reduce the cardiovascular risk. The aim of this study was to verify these changes in the clinical population participating in this study and present the psychometric properties of the scales of social support for 'Eating Habits' and 'Exercise' in patients diagnosed with metabolic syndrome. METHODS: 135 participants attending a programme for changing lifestyle habits. Sociodemographic, psychological, and lifestyle variables were assessed at the Hospital Universitario Virgen de las Nieves (HUVN) in Granada (Spain) between 2013 and 2014. The following procedures were used: Confirmatory factor analysis (CFA), internal consistency, sensibility to change and temporal stability. RESULTS: The AFC confirmed the original structure of both scales, except for the exclusion of factor 2 (family) from the social support scale for the year. For the social support scale, the local adjustment, all items presented high values of factor loads and individual reliability (lamda≥0.64 and R2≥0.41, respectively). For the exercise scale, the local adjustment, the items presented high values of factor loads and individual reliability (lamda≥0.62 and R2≥0.38, respectively). Internal consistency values were between adequate and excellent, with Cronbach's alpha figures between 0.714 and 0.864. Regarding sensitivity to change, the experimental group increased the perception of social support for food and exercise. The control group did not show significant differences. CONCLUSIONS: Our results show adequate indices for validity and reliability of the measures. Both measures appeared to be useful to assess social support in patients diagnosed with metabolic syndrome


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Dieta Saudável/psicologia , Exercício Físico/psicologia , Comportamento Alimentar/psicologia , Indicadores Básicos de Saúde , Síndrome Metabólica/psicologia , Testes Psicológicos , Apoio Social , Análise Fatorial , Comportamentos Relacionados com a Saúde , Síndrome Metabólica/terapia , Psicometria , Reprodutibilidade dos Testes
15.
Rev. esp. salud pública ; 93: 0-0, 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-189481

RESUMO

OBJETIVO: La inactividad física y el sedentarismo son un problema de salud pública emergente, tanto a nivel individual como familiar y social. El objetivo de este estudio fue validar un nuevo cuestionario para conocer la actitud ante la actividad física y otros hábitos de los adolescentes. MÉTODOS: Se utilizó el método Delphi. Se llevó a cabo una fase inicial de selección del panel de expertos, una fase exploratoria en dos rondas de votación mediante escala tipo Likert (de 1 a 5), y un análisis estadístico y cualitativo de las aportaciones de los expertos. Los criterios para la elección de ítems fueron un promedio mayor a 3,5 y V de Aiken mayor o igual a 0,7. La fiabilidad se valoró con el coeficiente alfa de Cronbach. Se realizó una prueba piloto para valorar la comprensión del instrumento. RESULTADOS: Aceptaron participar 21 expertos. Su participación fue del 100% en la primera ronda y del 95,2% en la segunda. Siete ítems incumplieron los criterios. El cuestionario final contó con 93 preguntas y 11 dimensiones: datos sobre el alumno, el padre, la madre, la actividad física en el centro educativo, en el transporte y en el tiempo libre, sobre los aspectos psicosociales de la práctica de actividad física, la actitud ante la actividad física, la alimentación y otros hábitos, y sobre la percepción de salud. Se obtuvo un alfa de Cronbach de 0,974. CONCLUSIONES: Los resultados avalan la fiabilidad y validez del cuestionario. El método Delphi resultó ser una técnica útil para el objetivo propuesto


OBJECTIVE: Physical inactivity and sedentary lifestyle are an emerging individual, familiar and social public health problem. The aim of this work was to validate a new questionnaire to know the attitude towards physical activity and other habits in adolescents. METHODS: The Delphi method was used. It was developed in three phases: an initial phase of selection of the panel of experts, an exploratory phase in two rounds of voting using a Likert scale of 1 to 5, and statistical and qualitative analysis of the experts' contributions. The criteria for the choice of items were: average >3.5 and factor V of Aiken ≥0.7. Reliability was assessed with the Cronbach alpha coefficient. A pilot test was carried out to assess the understanding of the instrument. RESULTS: 21 experts agreed to participate. Their participation was 100% in the first round and 95.2% in the second one. Seven items did not meet the criteria. The final questionnaire included 93 questions and 11 dimensions: data of the student, father, mother, physical activity in the educational center, transportation, free time, psychosocial aspects of physical activity, attitude towards physical activity, food, other habits and health perception. A Cronbach's alpha of 0.974 was obtained. CONCLUSIONS: The results support the reliability and validity of the questionnaire. The Delphi method proved to be a useful technique for the proposed objective


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Técnica Delfos , Exercício Físico , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários , Comportamento Alimentar , Hábitos , Estilo de Vida , Projetos Piloto , Saúde Pública , Reprodutibilidade dos Testes , Comportamento Sedentário , Estudantes
16.
Rev. esp. salud pública ; 93: 0-0, 2019. tab, mapas, graf
Artigo em Espanhol | IBECS | ID: ibc-189510

RESUMO

OBJETIVO: El tabaquismo es una de las conductas de riesgo para la salud más asociadas a morbilidad y mortalidad de la población. En España se han implantado restricciones legales para el uso del tabaco. El objetivo de este estudio fue analizar la prevalencia del uso del tabaco en España durante el período 2009-2017, tras la implantación de estas restricciones, y la relación y evolución entre uso del tabaco y otros factores del estilo de vida relacionados con la salud. MÉTODOS: Durante 2019, se analizaron los datos de la Encuesta Europea de Salud en España correspondiente a 2009 y de la Encuesta Nacional de Salud de España en 2012 y 2017. Se analizó el uso del tabaco, el estado de salud percibido, el estatus de peso y otras conductas de la salud (actividad física, consumo de frutas y verduras y consumo de alcohol). Se obtuvo la razón de probabilidades ajustada a sexo y edad ("odds ratio" e intervalo de confianza al 95%), mediante un análisis de regresión logística multinomial. RESULTADOS: La población fumadora disminuyó un 3,13% durante el período 2009-2012, y un 4,81% durante el período 2009-2017. Para la población fumadora, la probabilidad de presentar 2 o 3 factores de riesgo reflejó un odds ratio (OR) de 1,17 (1,08-1,26), p<0,0001 en 2009; de 1,23 (1,12-1,34), p<0,0001 en 2012; y de 1,32 (1,21-1,44), p<0,0001 en 2017. La probabilidad de presentar 4 o 5 factores de riesgo reflejó un OR de 1,51 (1,31-1,74), p<0,0001 en 2009; de 1,60 (1,42-1,81), p<0,0001 en 2012; y de 1,70 (1,51-1,92), p<0,0001 en 2017. En cuanto a la población exfumadora, la probabilidad de presentar 2 o 3 factores de riesgo no fue significativa en 2009, con un OR de 0,88 (0,80-0,98), p=0,013 en 2012; y no fue significativa en 2017. En el caso de la probabilidad de presentar 4 o 5 factores de riesgo no fue significativa en 2009, con un OR de 0,86 (0,75-1,00), p=0,045 en 2012, y con 1,15 (1,02-1,30), p=0,028 en 2017. CONCLUSIONES: La población fumadora disminuyó durante el período 2009-2017. Las personas que fuman presentan un estilo de vida menos saludable. Las personas que fuman muestran, en las sucesivas encuestas, un incremento de conductas de riesgo


OBJECTIVE: Smoking is one of the health risk factors most associated with population morbidity and mortality. In Spain, legal restrictions have been introduced for the use of tobacco. The objective of this study was to analyse the smoking prevalence in Spain during the period 2009-2017, following the implementation of these legal restrictions, and the relationship and evolution between smoking and other health-related lifestyle factors. METHODS: We analyzed data in 2019 from the European Health Survey in Spain 2009 and National Health Surveys of Spain 2012 and 2017. Smoking, selfperceived health status, weight status and other health-related lifestyle behaviors (physical activity, vegetable intake, fruit intake and alcohol use). A multinomial logistic regression analysis was used to obtain the odds ratio adjusted to sex and age ("odds ratio" and 95% confidence interval). RESULTS: Smoking decreased by 3.13% during 2009-2012, and by 4.81% during 2009-2017. Smoking population presenting 2 or 3 risk factors in 2009 was OR=1.17 (1.08-1.26), p<0.0001, in 2012 OR=1.23 (1.12-1, 34), p<0.0001, and in 2017 OR=1.32 (1.21-1.44), p<0.0001. For 4 or 5 risk factors it was in 2009 OR=1.51 (1.31-1.74), p<0.0001, in 2012 OR=1.60 (1.42-1.81), p <0.0001, and in 2017 OR=1.70 (1.51-1.92), p <0.0001. For ex-smokers, the probability of presenting 2 or 3 risk factors in 2009 is not significant, in 2012 OR=0.88 (0.80-0.98), p = 0.013, and in 2017 it is not significant. In the case of 4 or 5 risk factors in 2009 it is not significant, in 2012 OR=0.86 (0.75-1.00), p = 0.045, and in 2017 OR=1.15 (1.02 -1.30), p =0.028. CONCLUSIONS: There is a decrease in the smoking population in Spain during 2009-2017. People who smoke have also an unhealthy lifestyle. People who smoke presented a greater number of health-related risk factors


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Comportamentos Relacionados com a Saúde , Estilo de Vida Saudável , Poluição por Fumaça de Tabaco/legislação & jurisprudência , Uso de Tabaco/epidemiologia , Estudos Transversais , Inquéritos Epidemiológicos , Modelos Logísticos , Razão de Chances , Prevalência , Fatores de Risco , Espanha/epidemiologia , Poluição por Fumaça de Tabaco/prevenção & controle , Poluição por Fumaça de Tabaco/estatística & dados numéricos , Uso de Tabaco/legislação & jurisprudência , Uso de Tabaco/prevenção & controle , Uso de Tabaco/psicologia
17.
Pharm. pract. (Granada, Internet) ; 16(4): 0-0, oct.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-180981

RESUMO

Background: High level of self-efficacy and adherence to self-care activities have a positive impact on the achievement of glycemic goal among diabetic patients. In Sudan, there is a gap in knowledge related to self-efficacy management and its influence on adherence to self-care activities and overall disease control. Objective: To identify the influence of management self-efficacy on adherence to self-care activities and treatment outcome among Sudanese patients with type 2 diabetes mellitus. Methods: A cross-sectional study was conducted at two health care facilities in Sudan from April to May 2016. Patients with type 2 diabetes mellitus were included. Convenience sampling method was adopted. Diabetes Management Self-Efficacy Scale and the Revised Summary of Diabetes Self-care Activities were used to collect data through a face-to-face interview. Logistic regression analysis was performed. A p value <0.05 was considered to be significant. Data were processed using the software SPPS v 21.0. Results: A total of 392 patients were included. Respondents classified with high level of self- efficacy across all domains were 191 (48.7%). Moreover, high level of education [adjusted OR 0.5 (0.3-0.7), (p=0.001)] and formal health education on diabetes [adjusted OR 2.4 (1.6-3.7), (p<0.001)], were found to be significantly associated with high level of diabetes management self-efficacy. Patients who had high level of self-efficacy to manage nutrition, physical exercise activity and medication were found more adherent to general diet, exercise activity, and medication taking, respectively. Patients with controlled disease were 87(22.2%). The only predictor of diabetes control was diabetes management self-efficacy [OR 2.1(1.3- 3.5), (p=0.002)]. Conclusions: Diabetes management self-efficacy was associated with high level of education and receiving health education. Self-efficacy was significantly associated with adherence to self-care activities and glycemic control. Substantial efforts are still needed to empower the patients with self-efficacy and improving adherence to self-care activities through appropriate interventions


No disponible


Assuntos
Humanos , Masculino , Feminino , Diabetes Mellitus Tipo 2/tratamento farmacológico , Autoeficácia , Cooperação do Paciente/estatística & dados numéricos , Adesão à Medicação/estatística & dados numéricos , Hipoglicemiantes/uso terapêutico , Hiperglicemia/prevenção & controle , Diabetes Mellitus Tipo 2/psicologia , Inquéritos e Questionários/estatística & dados numéricos , Comportamentos Relacionados com a Saúde/classificação , Sudão/epidemiologia , Avaliação de Eficácia-Efetividade de Intervenções , Assistência Farmacêutica/estatística & dados numéricos
18.
Pharm. pract. (Granada, Internet) ; 16(4): 0-0, oct.-dic. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-180985

RESUMO

Background: Diabetes type 2 is considered one of the main public health concerns. Lack of adherence to treatment leads to poor therapeutic outcome, poor glycemic control, and high risk for developing diabetes complications. Objectives: The aim of this study is to evaluate adherence to oral antidiabetic medication in Diabetes type 2 Lebanese patients, and to evaluate factors leading to low adherence. Methods: A cross-sectional study was conducted in outpatients endocrinology clinics of two hospitals and four private clinics located in Beirut-Lebanon. Data was collected using a well-structured questionnaire by trained pharmacists. Adherence level was measured by the Lebanese Medication Adherence Scale (LMAS-14). Bivariate and multivariate analyses were conducted using SPSS version 20. Results: Overall, 245 patients were included in the study with the majority being females (54.3%) and obese (47.8%). Only 29% of the participants had controlled glycemia (HbA1c <7%) with 31.8% of subjects had high adherence to their medication compared to 68.2% with low adherence. Increased working hours/day was associated with a decrease in adherence to oral antidiabetic medication (OR=0.31; 95% CI 0.11:0.88; p=0.029). Other factors significantly associated with decreased adherence to treatment were forgetfulness, high drug costs, complex treatment regimens, experiencing side effects, and perception of treatment inefficacy. Postponing physician office visits also decreased the probability of being adherent to oral antidiabetic medication (OR=0.36; 95% CI 0.15:0.86; p=0.022). Skipping or doubling the dose in case of hypo/hyperglycemia and the sensation of treatment burden also decreased medication adherence (OR=0.09; 95% CI 0.02:0.34; p=0.001, and OR=0.04; 95% CI 0.01:0.13; p<0.001 respectively). Conclusions: Adherence to oral antidiabetic medication is low for Lebanese patients, which leads to a poor glycemic control and increases the diabetes complications. Intervention programs including patient education strategies are essential to improve medication adherence


No disponible


Assuntos
Humanos , Diabetes Mellitus Tipo 2/tratamento farmacológico , Cooperação do Paciente/estatística & dados numéricos , Adesão à Medicação/estatística & dados numéricos , Hipoglicemiantes/uso terapêutico , Hiperglicemia/prevenção & controle , Diabetes Mellitus Tipo 2/psicologia , Inquéritos e Questionários/estatística & dados numéricos , Comportamentos Relacionados com a Saúde/classificação , Líbano/epidemiologia , Avaliação de Eficácia-Efetividade de Intervenções , Assistência Farmacêutica/estatística & dados numéricos , Estudos Transversais
19.
Rev. Rol enferm ; 41(11/12,supl): 94-98, nov.-dic. 2018.
Artigo em Inglês | IBECS | ID: ibc-179947

RESUMO

An integrated health perspective emphasizes the importance of assessing mental health literacy in different population groups. The level of literacy in Mental Health indicates individual educational needs for maintaining mental balance. Risk and protective factors for mental health are identified, and there is an urgent need to increase community literacy. The article refers to the study that will be carried out to determine and compare mental health literacy in the young and adult popula-tion of the Region. It will have two stages: pilot study and main study. In this paper, we will use the Questionnaire for Evaluation of Literacy in Mental Health - QuALIS-Mental, developed by Jorm et al. in 1997, in the version adapted for Portugal of the National Survey of Mental Literacy in Young People - Interview version by Loureiro et al. in 2012 and the Inventory of Beliefs on Mental Illness - short version, also by Loureiro in 2008. The results will be representative of the population in study, resi-dent in the Region ́s municipalities. The pilot study will cover four groups residing in two municipalities, two aged between 14 and 18 years and two between 19 and 64. It will be a transversal, exploratory and quantitative study, with the collabora-tion of Health Centres nurses. After analysis, the results will be disseminated in the municipal communities, the population and the local entities. It will be considered useful to identify gaps in mental health literacy and to combine synergies using the knowledge gained to improve community mental health planning


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Saúde Mental/tendências , Transtornos Mentais/epidemiologia , Comportamentos Relacionados com a Saúde , Centros Comunitários de Saúde Mental/organização & administração , Psiquiatria Comunitária/organização & administração , Transtornos Mentais/terapia , Assistência Integral à Saúde/tendências , Enfermagem em Saúde Comunitária/organização & administração , Planejamento em Saúde Comunitária/organização & administração , Conhecimentos, Atitudes e Prática em Saúde
20.
Rev. Rol enferm ; 41(11/12,supl): 275-278, nov.-dic. 2018. graf
Artigo em Inglês | IBECS | ID: ibc-179975

RESUMO

Introduction: Adolescence is a period of doubt and discovery, during which the bi-ggest problems related to the discovery of sexuality arise. Portugal is part of the European countries with the largest number of teenage mothers. Despite the rising availability of information in this area, this phenomenon still occurs with all the negative consequences involved. This project intends to develop and implement a Sexual Education project named "Sexuality, Emotionality, Responsibility: Take Care of Yourself ", which aims at promoting healthy behaviours on an individual and group level (prevention, self-protection and protection of others). Methods: This is an action research project. During first phase, a questionnaire will be applied to teenagers (10 to 18 years of age), who attend a group of schools in Lisbon area. Subsequently, "Love Workshops" will be implemented, aiming at progressively developing self-responsibilization, promoting physical, psychologi-cal, and social health. In schools, dialogue and discussion areas between students, parents, teachers and, eventually, other professionals will be created. Peer educa-tion will be one of the used strategies because prevention messages will thus be adapted to different values and needs of each peer group, mediated by "Affection Ambassadors", facilitating behavioural change. At the final phase, people involved will assess the intervention process. Conclusions: We hope to be able to promote prioritization of sexual education as a determinant of health, contributing to empowerment and emotional develop-ment of teenagers, aiming at healthy and responsible sexuality, through nursing interventions that use dynamic methods focused on the teenager and the group.


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Comportamento Sexual/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Comportamento do Adolescente , Responsabilidade Social , Educação Sexual/tendências , Cuidados de Enfermagem/métodos , Ajustamento Emocional , Sexo Seguro , Saúde Sexual e Reprodutiva , Sexo sem Proteção/prevenção & controle
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