Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 35.936
Filtrar
1.
Int. j. med. surg. sci. (Print) ; 8(1): 1-10, mar. 2021.
Artículo en Español | LILACS | ID: biblio-1151625

RESUMEN

El bajo peso al nacer constituye una preocupación mundial, los programas diseñados para prevenirlo dependen de la identificación de gestantes susceptibles. Existe escasa evidencia en la literatura acerca del cuidado por parte del profesional de enfermería dirigido a mujeres con factores de riesgo de tener niños con bajo peso al nacer desde la Atención Primaria de Salud. No obstante, hay teorías y modelos conceptuales que pueden ser aplicados para guiar las intervenciones. La teoría de los sistemas de enfermería es la que asumen los autores de esta investigación por considerarla de gran utilidad en la Salud Pública, debido a que, en el ámbito de la responsabilidad personal por la salud, centrar el autocuidado en la iniciativa propia de quienes lo requieren, entendiéndolo como "la práctica de actividades que los propios individuos, inician y desarrollan en su propio beneficio, en la mantención de su vida, salud y bienestar". El objetivo de este artículo fue determinar la importancia de la aplicación de la teoría de los sistemas de enfermería, para el abordaje de intervenciones de enfermería en la prevención del bajo peso al nacer desde la Atención Primaria de Salud.Las conclusionesdan luces sobrelas mujeres con diagnóstico de riesgo reproductivo preconcepcional y condiciones de riesgo para tener hijos con bajo peso al nacer, en particular, deben incorporar a su vida diaria autocuidados que les permitan prevenir complicaciones. Las teorías ayudan a adquirir conocimientos que contribuyen a perfeccionar prácticas cotidianas mediante la descripción, explicación, predicción y control de los fenómenos; además facilita a los profesionales autonomía de acción como guía en aspectos prácticos, educativos y de investigación.


Low birth weight is a global concern; programs designed to prevent it depend on the identification of susceptible pregnant women. There is little evidence in the literature about care by the Nursing professional directed to women with risk factors of having children with low birth weight from Primary Health Care. However, there are theories and conceptual models that can be applied to guide interventions. The Theory of Nursing Systems is the one assumed by the authors of this research because they consider it very useful in Public Health, because in the field of personal responsibility for health, it focuses self-care on the initiative of those who they require it, understanding it as "the practice of activities that individuals themselves initiate and develop for their own benefit, in maintaining their life, health and well-being." The goal of this study was to determine the importance of the application of the theory of nursing systems, for the approach of nursing interventions in the prevention of low birth weight from Primary Health Care.The conclusions shed light on the women with a diagnosis of preconception reproductive risk and risk conditions for having children with low birth weight, in particular, should incorporate self-care into their daily lives that allow them to prevent complications. Theories help to acquire knowledge that helps to improve daily practices through the description, explanation, prediction and control of phenomena; it also provides professionals with autonomy of action as a guide in practical, educational and research aspects.


Asunto(s)
Humanos , Recién Nacido , Atención Primaria de Salud , Teoría de Enfermería , Recién Nacido de Bajo Peso , Autocuidado
3.
Zhongguo Zhen Jiu ; 41(2): 127-30, 2021 Feb 12.
Artículo en Chino | MEDLINE | ID: mdl-33788458

RESUMEN

OBJECTIVE: To observe the therapeutic effect of scalp acupuncture on cognitive dysfunction of traumatic brain injury. METHODS: Seventy patients with cognitive dysfunction of traumatic brain injury were randomly divided into an observation group and a control group, 35 cases in each group. After treatment, 5 cases dropped off in each group. The patients in the control group were treated with cognitive training; the patients in the observation group were treated with cognitive training and scalp acupuncture at Baihui (GV 20), Sishencong (EX-HN 1), Zhisanzhen and Niesanzhen, and the needles were retained for 6 h. The two groups were treated once a day, 6 times a week; one-month treatment was taken as one course, and 3 continuous courses were given. The scores of mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA), activity of daily living (ADL) and functional independence measure (FIM) were compared between the two groups before and after treatment. RESULTS: Compared before treatment, the MMSE and MoCA scores in the observation group, and ADL and FIM scores in the two groups were significantly increased after treatment (P<0.05), and the improvement of each index in the observation group was more significant than those in the control group (P<0.05). CONCLUSION: Scalp acupuncture could improve cognitive function and self-care ability of daily life in patients with traumatic brain injury.


Asunto(s)
Terapia por Acupuntura , Lesiones Traumáticas del Encéfalo , Puntos de Acupuntura , Lesiones Traumáticas del Encéfalo/terapia , Cognición , Humanos , Cuero Cabelludo , Autocuidado
4.
Niger J Clin Pract ; 24(3): 393-399, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33723114

RESUMEN

Background: Self-efficacy is defined as the ability of an individual to perform an action successfully or her/his perception of being able to control events. The self-efficacy perception of diabetes management may affect well-being of the patient. Aims: This study aimed to examine the relationships between self-efficacy of diabetes management and well-being in patients with type 2 diabetes. Subjects and Methods: The study used a descriptive correlational design. Sample of the study included 200 patients with type 2 diabetes. Sociodemographic and disease-related questionnaire form "Self-Efficacy Scale for Diabetes Management" and "Well-Being Questionnaire" have been used as data collection tools. Multiple linear regression analysis was performed to explore the predictors of well-being in patients with type 2 diabetes. Results: Self-efficacy level, age, level of compliance with treatment, and state of doing exercise were found to be statistically significant predictors of well-being in type 2 diabetic patients. Self-efficacy level for diabetes management was found to be the strongest predictor of well-being in patients with type 2 diabetes. Conclusion: Self-efficacy level of diabetes management is a factor that affects well-being in type 2 diabetes patients and it should be considered during interventions for improving the well-being of patients.


Asunto(s)
Diabetes Mellitus Tipo 2 , Autoeficacia , Diabetes Mellitus Tipo 2/terapia , Femenino , Humanos , Cooperación del Paciente , Autocuidado , Encuestas y Cuestionarios
5.
Trials ; 22(1): 171, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33648555

RESUMEN

BACKGROUND: The coronavirus-19 (COVID-19) has reached pandemic status and is affecting countries all over the world. The COVID-19 pandemic is accompanied by various stressors that require adjustment in everyday life and possibly changes in personal future prospects. While some individuals cope well with these challenges, some develop psychological distress including depressive symptoms, anxiety, or stress. Internet-based self-help interventions have proven to be effective in the treatment of various mental disorders such as depression and anxiety. Based on that, we developed an internet-based self-help program for individuals with psychological distress due to the situation surrounding the COVID-19 pandemic. The 3-week self-help program consists of 6 modules comprising texts, videos, figures, and exercises. Participants can request guidance within the self-help program (guidance on demand). The primary aim of this study is to evaluate the efficacy and feasibility of the self-help program compared to a waiting control condition. METHODS: The design is a parallel group randomized controlled trial. Participants are allocated to a 3-week self-help intervention plus care as usual or a 3-week waiting period with only care as usual. There are follow-ups after 6 weeks and 18 weeks. At least 80 participants with COVID-19 pandemic related psychological distress will be recruited. Primary outcome are depressive symptoms. Secondary outcomes include anxiety and chronic stress, suicidal experiences and behavior, health-related quality of life, generalized optimism and pessimism, embitterment, optimistic self-beliefs, emotion regulation skills, loneliness, resilience, and the satisfaction with and usability of the self-help program. DISCUSSION: To the best of our knowledge, this is one of the first studies investigating the efficacy of an internet-based self-help program for psychological distress due to the situation surrounding the COVID-19 pandemic. Thus, the results of this study may give further insight into the use of internet-based self-help programs in pandemic-related psychological distress. TRIAL REGISTRATION: ClinicalTrials.gov NCT04380909 . Retrospectively registered on 8 May 2020.


Asunto(s)
Ansiedad/terapia , Depresión/terapia , Intervención basada en la Internet , Autocuidado , Estrés Psicológico/terapia , Ansiedad/psicología , Depresión/psicología , Regulación Emocional , Humanos , Soledad , Optimismo , Cuestionario de Salud del Paciente , Satisfacción del Paciente , Pesimismo , Distrés Psicológico , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Resiliencia Psicológica , Autoeficacia , Automanejo , Estrés Psicológico/psicología , Ideación Suicida
6.
Artículo en Inglés | MEDLINE | ID: mdl-33668717

RESUMEN

The aim of the present cross-sectional study was to analyze the differential impact of the first COVID-19 lockdown (3 April 2020) on stress, health practices, and self-care activities across different Hispanic countries, age range, and gender groups. One thousand and eighty-two participants from Spain, Chile, Colombia, and Ecuador took part in this study. Irrespective of the country, and controlling for income level, young people, especially females, suffered a greater level of stress, perceived the situation as more severe, showed less adherence to health guidelines, and reported lower levels of health consciousness, in comparison to their male peers and older groups. However, in the case of self-care, it seems that older and female groups are generally more involved in self-care activities and adopt more healthy daily routines. These results are mostly similar between Colombia, Ecuador, and Spain. However, Chile showed some different tendencies, as males reported higher levels of healthy daily routines and better adherence to health guidelines compared to females and people over the age of 60. Differences between countries, genders, and age ranges should be considered in order to improve health recommendations and adherence to guidelines. Moreover, developing community action and intersectoral strategies with a gender-based approach could help to reduce health inequalities and increase the success of people's adherence to health guidelines and self-care-promoting interventions. Future studies should be addressed to explore the possible causations of such differences in more cultural-distant samples and at later stages of the current outbreak.


Asunto(s)
/psicología , Conductas Relacionadas con la Salud , Autocuidado , Estrés Psicológico/epidemiología , Chile/epidemiología , Colombia/epidemiología , Control de Enfermedades Transmisibles , Estudios Transversales , Ecuador/epidemiología , Femenino , Humanos , Masculino , España/epidemiología
7.
Medicine (Baltimore) ; 100(9): e24554, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33655921

RESUMEN

ABSTRACT: The relationships among the self-efficacy, social support and self-care behavior in the elderly patients with chronic pain has not been reported. Therefore, we explored the relationships among self-efficacy, social support and self-care behavior in the elderly patients with chronic pain.General data questionnaire, self-efficacy scale, social support scale and self-care behavior scale were performed in 1032 elderly patients with chronic pain from Shenyang city between February and December 2017. The relationships among self-efficacy, social support and self-care behavior, and self-efficacy as a mediator between the social support and self-care behavior were analyzed by Pearson correlation analysis and Bootstrap method.In these elderly patients with chronic pain, the total scores of the self-efficacy, social support and self-care behavior were 35.59 ±â€Š12.38, 65.64 ±â€Š19.68 and 50.52 ±â€Š15.26, respectively. The self-efficacy was positively correlated with the self-care behavior (r = 0.414, P < .001), the self-efficacy was positively correlated with the social support (r = 0.293, P < .001) and the social support was positively correlated with the self-care behavior (r = 0.322, P < .001). The mediating effect of self-efficacy was 0.121 which accounted for 27.31% of the total effects.The self-efficacy plays a mediating effect between social support and self-care behavior in the elderly patients with chronic pain.


Asunto(s)
Dolor Crónico/psicología , Autocuidado/psicología , Autoeficacia , Apoyo Social , Anciano , Femenino , Evaluación Geriátrica , Humanos , Masculino , Encuestas y Cuestionarios
8.
J Pastoral Care Counsel ; 75(1_suppl): 30-36, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33730912

RESUMEN

Drawing from both the qualitative free-text responses and quantitative responses to an international survey of 1657 chaplains serving during the SARS-Cov-19 pandemic, we explore chaplains' emotional responses to the pandemic and how emotion connects to self-care. This paper reports on the modes of self-care practiced by chaplains, including modes reported as unavailable due to pandemic restrictions. Lastly, we explore how effective spiritual care leadership may mediate chaplain emotions and ultimately chaplain self-care.


Asunto(s)
/psicología , Clero/psicología , Emociones , Cuidado Pastoral , Autocuidado , Humanos , Liderazgo , Rol , Encuestas y Cuestionarios
9.
J Pastoral Care Counsel ; 75(1_suppl): 6-16, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33730915

RESUMEN

Chaplains' unique contribution is to healthcare is to respond to the spiritual, religious and pastoral needs of patients and staff. This is their sole purpose, to provide a presence and space to meet individual need and promote healing, even when cure isn't possible. Their value is priceless to families in desperate times. However, despite growing evidence for their impact, chaplains are commonly undervalued and misunderstood by their organisations, and the global pandemic revealed the consequences of this confusion. Whilst some chaplains were applauded as heroes along with their fellow health colleagues, others were seen as little more than an infection risk. A survey was designed to capture and learn from the full range of chaplain experiences of the impact of the pandemic across the globe. In June 2020, 1657 chaplains responded from 36 countries. They all experienced considerable disruption to their usual practice, with enforced social distancing having the biggest impact. Out of necessity they embraced technology to maintain contact with patients and families, and shifted focus of their support to staff. Whilst some chaplains were viewed as essential employees by their organisations, most were not. Despite the majority thinking that their organisations understood what they did, chaplains themselves were neither clear or unclear about their role during and post pandemic. More surprisingly, they felt similarly unclear about their role before the pandemic. This paper concludes that in general chaplains lack leadership skills, and confusion about their role will persist until this changes.


Asunto(s)
/psicología , Clero/psicología , Cuidado Pastoral , Rol Profesional , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Autocuidado , Encuestas y Cuestionarios
10.
Value Health ; 24(3): 361-368, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33641770

RESUMEN

OBJECTIVES: Promoting patient involvement in managing co-occurring physical and mental health conditions is increasingly recognized as critical to improving outcomes and controlling costs in this growing chronically ill population. The main objective of this study was to conduct an economic evaluation of the Wellness Incentives and Navigation (WIN) intervention as part of a longitudinal randomized pragmatic clinical trial for chronically ill Texas Medicaid enrollees with co-occurring physical and mental health conditions. METHODS: The WIN intervention used a personal navigator, motivational interviewing, and a flexible wellness expense account to increase patient activation, that is, the patient's knowledge, skills, and confidence in managing their self-care and co-occurring physical and mental health conditions. Regression models were fit to both participant-level quality-adjusted life years (QALYs) and total costs of care (including the intervention) controlling for demographics, health status, poverty, Medicaid managed care plan, intervention group, and baseline health utility and costs. Incremental costs and QALYs were calculated based on the difference in predicted costs and QALYs under intervention versus usual care and were used to calculate the incremental cost-effectiveness ratios (ICERs). Confidence intervals were calculated using Fieller's method, and sensitivity analyses were performed. RESULTS: The mean ICER for the intervention compared with usual care was $12 511 (95% CI $8971-$16 842), with a sizable majority of participants (70%) having ICERs below $40 000. The WIN intervention also produced higher QALY increases for participants who were sicker at baseline compared to those who were healthier at baseline. CONCLUSION: The WIN intervention shows considerable promise as a cost-effective intervention in this challenging chronically ill population.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Promoción de la Salud/organización & administración , Medicaid/estadística & datos numéricos , Afecciones Crónicas Múltiples/epidemiología , Adulto , Análisis Costo-Beneficio , Femenino , Promoción de la Salud/economía , Estado de Salud , Humanos , Estudios Longitudinales , Masculino , Medicaid/economía , Entrevista Motivacional/organización & administración , Navegación de Pacientes/organización & administración , Años de Vida Ajustados por Calidad de Vida , Autocuidado , Autoimagen , Factores Socioeconómicos , Texas/epidemiología , Estados Unidos , Adulto Joven
11.
Curr Psychiatry Rep ; 23(4): 21, 2021 03 09.
Artículo en Inglés | MEDLINE | ID: mdl-33728512

RESUMEN

PURPOSE OF REVIEW: This paper is a review of the self-care challenges of the COVID-19 pandemic on the physical and emotional health and well-being of healthcare providers. New self-care practices are presented. RECENT FINDINGS: Globally, thousands of health care practitioners and staff have been infected; many have died. Research studies reveal that this pandemic has threatened the health of healthcare staff, their families, and communities in many unique ways, such as fear of infecting family (lack of safety at home), moral injury, witnessing the suffering of the "innocent," coping with a problem too big to solve (the enormity problem), and racial trauma. The COVID-19 pandemic has impacted the global population in ways not seen in a century. The unique self-care challenges of COVID-19 while enhancing the symptoms of burnout, i.e., physical, and mental exhaustion, despair, helplessness, and suicidal thinking, need to be addressed directly. This paper offers a new COVID-19 self-care model and approach.


Asunto(s)
Agotamiento Profesional , Agotamiento Profesional/epidemiología , Humanos , Pandemias , Autocuidado
12.
Soc Work Health Care ; 60(1): 30-48, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33550956

RESUMEN

For social work practitioners in healthcare settings, self-care can be an integral tool to assuaging stressors associated with COVID-19. However, research that examines the impact of public health crises, such as COVID-19, is nominal, at best. This exploratory study investigated the impact of COVID-19 on the self-care practices of self-identified healthcare social workers (N = 2,460) in one southeastern state. Primary data were collected via an electronic survey and assessed via a retrospective pre/post design. Analyses compared practices before and after COVID-19 was declared a pandemic. Overall, data suggest that participants experienced significant pre/post decreases in self-care practices across multiple domains. As well, findings indicate that participants who identified as married, financially stable, and working non-remotely, and in good physical/mental health engaged in significantly more self-care practices than other participants, at post. This study underscores the need to foster supportive professional cultures that include developing self-care practice skills, particularly during large-scale crisis, such as COVID-19.


Asunto(s)
/epidemiología , Autocuidado/psicología , Trabajadores Sociales/psicología , Adulto , Agotamiento Profesional/epidemiología , Femenino , Estado de Salud , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Salud Laboral , Pandemias , Estudios Retrospectivos , Factores Socioeconómicos
13.
Community Ment Health J ; 57(4): 720-726, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33566269

RESUMEN

Shortly after the COVID-19 pandemic arrived at the United States, mental health services moved towards using tele-mental health to provide care. A survey about resilience and tele-mental health was developed and conducted with ForLikeMinds' members and followers. Correlational analysis was used to examine relationships between quantitative variables. A phenomenological approach was used to analyze open questions responses. Sixteen percent of participants were coping well with the pandemic; 50% were coping okay; and 34% said that they were coping poorly. Three main themes emerged from the qualitative analysis: accessibility to care; self-care strategies; and community support and relationship. The responses from participants seems to reflect the combination of two main factors-the challenges they were facing in accessing care through tele-mental health plus the mental health consequences from COVID-19. This survey reflects the importance of building innovative strategies to create a working alliance with people who need care through tele-mental health.


Asunto(s)
Accesibilidad a los Servicios de Salud , Trastornos Mentales/terapia , Salud Mental/estadística & datos numéricos , Resiliencia Psicológica , Aislamiento Social , Telemedicina/estadística & datos numéricos , Adulto , /prevención & control , Femenino , Humanos , Masculino , Trastornos Mentales/psicología , Servicios de Salud Mental/organización & administración , Pandemias/prevención & control , Investigación Cualitativa , Autocuidado , Apoyo Social , Encuestas y Cuestionarios , Telemedicina/métodos , Telemedicina/organización & administración
14.
JMIR Mhealth Uhealth ; 9(3): e24322, 2021 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-33626017

RESUMEN

BACKGROUND: Mobile phone apps have been leveraged to combat the spread of COVID-19. However, little is known about these technologies' characteristics, technical features, and various applications in health care when responding to this public health crisis. The lack of understanding has led developers and governments to make poor choices about apps' designs, which resulted in creating less useful apps that are overall less appealing to consumers due to their technical flaws. OBJECTIVE: This review aims to identify, analyze, and categorize health apps related to COVID-19 that are currently available for consumers in app stores; in particular, it focuses on exploring their key technical features and classifying the purposes that these apps were designed to serve. METHODS: A review of health apps was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. The Apple Store and Google Play were searched between April 20 and September 11, 2020. An app was included if it was dedicated for this disease and was listed under the health and medical categories in these app stores. The descriptions of these apps were extracted from the apps' web pages and thematically analyzed via open coding to identify both their key technical features and overall purpose. The characteristics of the included apps were summarized and presented with descriptive statistics. RESULTS: Of the 298 health apps that were initially retrieved, 115 met the inclusion criteria. A total of 29 technical features were found in our sample of apps, which were then categorized into five key purposes of apps related to COVID-19. A total of 77 (67%) apps were developed by governments or national authorities and for the purpose of promoting users to track their personal health (9/29, 31%). Other purposes included raising awareness on how to combat COVID-19 (8/29, 27%), managing exposure to COVID-19 (6/29, 20%), monitoring health by health care professionals (5/29, 17%), and conducting research studies (1/29, 3.5%). CONCLUSIONS: This study provides an overview and taxonomy of the health apps currently available in the market to combat COVID-19 based on their differences in basic technical features and purpose. As most of the apps were provided by governments or national authorities, it indicates the essential role these apps have as tools in public health crisis management. By involving most of the population in self-tracking their personal health and providing them with the technology to self-assess, the role of these apps is deemed to be a key driver for a participatory approach to curtail the spread of COVID-19. Further effort is required from researchers to evaluate these apps' effectiveness and from governmental organizations to increase public awareness of these digital solutions.


Asunto(s)
/prevención & control , Trazado de Contacto/métodos , Aplicaciones Móviles , Pandemias/prevención & control , Humanos , Autocuidado , Tecnología
16.
J Dent Hyg ; 95(1): 76-83, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33627456

RESUMEN

Purpose: Little is known about the self-care practices of dental hygiene students. The purpose of this study was to explore the self-care practices among dental hygiene students to examine the relationships between self-care practices, work hours, and caregiver responsibilities.Methods: The validated Health-Promoting Lifestyle Profile [HPLP II] survey was used to assess a convenience sample of dental hygiene students (n=416) in the United States (US) and Canada. The survey instrument consisted of 61 items in six subscales; spiritual growth, nutrition, interpersonal relations, health responsibility, physical activity, and stress management and was distributed to dental hygiene students through program directors and student social media sites. Data was analyzed using correlation, Mann-Whitney U, Kruskal-Wallace and regression to explore relationships between the variables.Results: Eighty-one percent of the target population opened the link and completed the survey (n=337). Mean scores for interpersonal relations (M=3.00) and spirituality (M=3.03) subscales indicated respondents were often engaging in these behaviors. Mean scores for physical activity (M=2.26), stress management (M=2.31), nutrition (M=2.44), and health responsibility (M=2.30) sub-scales suggested respondents sometimes practiced these health promoting behaviors. Respondents working more off-campus hours reported stress management behaviors less frequently (p<0.05). Participants with children living in the home had the median scores of stress management behaviors (Md=2.07, IQR=0.41) across all types of living situations (p=0.002).Conclusion: Outcomes from this study identified the need for improvement in health promoting behaviors related to nutrition, physical activity, and stress management in dental hygiene students. In addition, students with off-campus work and caregiver obligations may need additional assistance with self-care and stress management strategies to support academic success, given the academic and clinical rigors of the dental hygiene program.


Asunto(s)
Terapia Ocupacional , Autocuidado , Canadá , Niño , Humanos , Higiene Bucal , Estudiantes
17.
Nihon Ronen Igakkai Zasshi ; 58(1): 70-80, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33627565

RESUMEN

PURPOSE: This study aimed to clarify the effects of dementia care mapping (DCM) for one year in a healthcare center for older adults. DCM was conducted between September 2016 and August 2017. The care staff include nurses and caregivers in a narrow sense, medical staff, such as a physician, physical therapists, and occupational therapists worked on DCM as care staff in this study. RESULTS: There were 24 participants, with an average work experience of 7.21 (±4.74) years. In comparison to the baseline evaluation, the final assessment of self-efficacy through person-centred care showed significant improvement in 'Forecasting and Problem Solving on the Job' within 'Perceived Job Competence of Care Workers'. Six main categories of content were extracted from focus group interviews: 'Awareness,' 'Change of Elderly People under the Care of Staff throughout the Development of Mapping', 'Affirmative Feelings of Care Staff for Mapping', 'Negative Feelings for Mapping', 'Need for the Efficacy and Efficiency of the Mapping', and 'Mapping Based on the Age of the Participant and Future Prospects for Mapping'. The results of person-centred care showed that both the older patients and the staff noticed changes through the development of mapping. CONCLUSION: The developmental evaluation, based on collaboration by medical and welfare staff can improve self-efficacy through the practice of person-centred care and improves the ability to solve problems during the provision of care.


Asunto(s)
Demencia , Servicios de Salud para Ancianos , Anciano , Demencia/terapia , Personal de Salud , Humanos , Atención Dirigida al Paciente , Autocuidado
18.
Popul Health Manag ; 24(S1): S26-S34, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33544647

RESUMEN

Laboratory testing is an important component in the diagnosis of respiratory tract infections such as with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, specimen collection not only risks exposure of health care workers and other patients to infection, but also necessitates use of personal protective equipment that may be in short supply during periods of heightened disease activity. Self-collection of nasal or oropharyngeal swabs offers an alternative to address these drawbacks. Although studies in the past decade have demonstrated the utility of this approach for respiratory infections, it has not been widely adopted in routine clinical practice. The rapid spread of coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has focused attention on the need for safe, convenient, timely, and scalable methods for collecting upper respiratory specimens for testing. The goals of this article are to highlight the literature regarding self-collected nasal or oropharyngeal specimens for respiratory pathogen testing; discuss the role of self-collection in helping prevent the spread of the COVID-19 disease from infected patients and facilitating a shift toward "virtual" medicine or telemedicine; and describe the current and future state of self-collection for infectious agents, and the impacts these approaches can have on population health management and disease diagnosis and prevention.


Asunto(s)
Gestión de la Salud Poblacional , Manejo de Especímenes/métodos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , /prevención & control , Niño , Preescolar , Humanos , Lactante , Persona de Mediana Edad , Infecciones del Sistema Respiratorio/diagnóstico , Infecciones del Sistema Respiratorio/prevención & control , Infecciones del Sistema Respiratorio/virología , Autocuidado , Telemedicina , Adulto Joven
20.
Cien Saude Colet ; 26(1): 179-183, 2021 Jan.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33533839

RESUMEN

This article presents reflections on masculinity and the social construction of gender - based on the global phenomenon of the new coronavirus pandemic - produced by researchers who are part of the national research team on comprehensive health care policy for men in Brazil. From a gender-based standpoint, the article contends that it is necessary to note that cis heteronormative male socialization is guided by three core issues: 1) the submission to practices of care of self and others; 2) the rejection of preventive health practices, due to a distorted matrix of risk perception (and a certain sense of "invulnerability"); 3) the domestic dynamics marked by postures of command, order, and honor. These dimensions of everyday life were profoundly upset in this first phase of the epidemic, in which confinement became the most recommended alternative. These issues are configured as recurring (though not recent) repertoires that glorify the central model of a male order that needs to become an object of reflection, insofar as they endanger the health of men and women and, more broadly, of the status quo of the accepted tenets of domestic and social order.


Asunto(s)
/epidemiología , Relaciones Interpersonales , Masculinidad , Pandemias , Socialización , Brasil/epidemiología , Femenino , Humanos , Masculino , Prevención Primaria , Autocuidado
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...