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1.
Texto & contexto enferm ; 29: e20180250, Jan.-Dec. 2020. tab, graf
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059129

RESUMEN

ABSTRACT Objective: to analyze the health promotion practices developed by nurses in the care of people with non-transmittable chronic disease in primary health care, in scientific publications, between 2007 and 2017. Method: an integrative literature review of a qualitative approach, conducted in five databases, in which was read and critical analysis of the studies in order to know the practices of health promotion. Results: 40 articles were selected and organized according to the fields of the Ottawa Charter: public policies, reorientation of health services, creation of personal skills, reinforcement of community action and favorable environments. Thus, most of the experiments were mainly related to two fields of action: development of personal skills and reorientation of the health system. There is a movement towards the development of a health promotion in which the collective, the social determinants of health and multidisciplinarity are advocated. Conclusion: some limits were identified that need to be overcome, among which stands out the inter-sectoral work that needs to grow beyond the health sector.


RESUMEN Objetivo: analizar las prácticas de promoción de la salud llevadas a cabo por los enfermeros al cuidar d personas con enfermedades crónicas no transmisible en la atención primaria de la salud, en publicaciones científicas de 2007 a 2017. Método: revisión integradora de la literatura con enfoque cualitativo realizada en cinco bases de datos, en las que se efectuó una lectura y un análisis crítico de los estudios de modo de conocer las prácticas de promoción de la salud. Resultados: se seleccionaron 40 artículos y se los organizó de acuerdo con los campos de la Carta de Ottawa: políticas públicas, reorientación de los servicios de salud, desarrollo de habilidades personales, refuerzo de la acción comunitaria y ambientes favorables. De esta manera, la mayor parte de las experiencias se relacionó principalmente con dos campos de acción: desarrollo de habilidades personales y reorientación del sistema de salud. Se nota un desplazamiento en dirección al desarrollo de un enfoque de promoción de salud en el que se promueve lo colectivo, los determinantes sociales de la salud y de la multidisciplinariedad. Conclusión: se identificaron algunos límites que deben superarse, dentro de los cuales se destaca el trabajo intersectorial que debe extenderse más allá dl sector de la salud.


RESUMO Objetivo: analisar as práticas de promoção da saúde desenvolvidas pelos enfermeiros no cuidado às pessoas com doença crônica não transmissível na atenção primária à saúde, em publicações científicas entre de 2007 e 2017. Método: revisão integrativa de literatura de abordagem qualitativa, realizada em cinco bases de dados, nos quais se fez uma leitura e análise crítica dos estudos de modo a conhecer as práticas de promoção da saúde. Resultados: foram selecionados 40 artigos, sendo organizados de acordo com os campos da Carta de Ottawa: políticas públicas, reorientação dos serviços de saúde, criação de habilidades pessoais, reforço da ação comunitária e ambientes favoráveis. Dessa forma, a maior parte das experiências estava relacionada principalmente a dois campos de ação: desenvolvimento de habilidades pessoais e reorientação do sistema de saúde. Observou-se um movimento em direção ao desenvolvimento de uma promoção da saúde em que se preconiza o coletivo, os determinantes sociais da saúde e a multidisciplinaridade. Conclusão: identificaram-se alguns limites que precisam ser transpostos, dentre os quais se destaca o trabalho intersetorial que precisa crescer para além do setor saúde.


Asunto(s)
Atención Primaria de Salud , Enfermedad Crónica , Enfermería , Política Pública , Participación de la Comunidad , Promoción de la Salud , Literatura , Atención de Enfermería
2.
Texto & contexto enferm ; 29: e20180471, Jan.-Dec. 2020. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059140

RESUMEN

ABSTRACT Objective: to analyze the knowledge of the elderly assisted by the Unified Health System (Sistema Único de Saúde, SUS) about HIV/AIDS infection in a health unit, before and after an educational intervention. Method: a quasi-experimental study analyzing the changes related to the knowledge about HIV/AIDS of 60 elderly individuals divided into two groups, who participated in an educational intervention, in an outpatient clinic of a SUS rehabilitation center in the second half of 2016. To evaluate the effectiveness of the teaching/learning process, a semi-structured questionnaire called QHIV3I was applied before and after the intervention. For data analysis, the generalized version of McNemar's chi-square test was used. Results: comparing the knowledge of the elderly before and after the educational intervention showed a higher number of correct answers, with a minimum percentage of 3.34% and a maximum of 75%. Significant statistical differences were found in one of the questions in the concept, transmission and treatment domains; and in the two vulnerability questions. Conclusion: it was found that the educational intervention contributed to the improvement of knowledge about HIV/AIDS in the elderly population. Thus, it is reasserted that the health promotion policy finds its essential foundation in health education strategies.


RESUMEN Objetivo: analizar el conocimiento de los ancianos atendidos por el Sistema Único de Salud (SUS) acerca de la infección por VIH/SIDA en una unidad de salud, tanto antes como después de una intervención educativa. Método: estudio cuasi-experimental en el que se analizaron los cambios relacionados con el conocimiento sobre VIH/SIDA de 60 ancianos subdivididos en dos grupos y que participaron de una intervención educativa en el área de atención ambulatoria de un centro especializado en rehabilitación del SUS, durante el segundo semestre de 2016. Para evaluar la eficacia del proceso de enseñanza/aprendizaje se aplicó un cuestionario semiestructurado denominado QHIV3I, antes y después de la intervención. En el análisis de los datos se utilizó la versión generalizada de la prueba de chi-cuadrado de McNemar. Resultados: en la comparación de los conocimientos de los ancianos antes y después de la intervención educativa se evidenció una mayor cantidad de respuestas correctas, con un porcentaje mínimo de 3,34% y uno máximo de 75%. Se encontraron diferencias significativas en una de las preguntas de los dominios de concepto y de transmisión y tratamiento, además de en las dos preguntas sobre vulnerabilidad. Conclusión: se constató que la intervención educativa contribuyó a mejorar los conocimientos sobre VIH/SIDA en la población de la tercera edad. Esto reafirma que la política de promoción de la salud encuentra sus fundamentos esenciales en las estrategias de educación en salud.


RESUMO Objetivo: analisar o conhecimento dos idosos atendidos pelo Sistema Único de Saúde (SUS) acerca da infecção do HIV/aids numa unidade de saúde, antes e após intervenção educativa. Método: estudo quase-experimental, em que se analisou as mudanças relativas ao conhecimento sobre HIV/aids de 60 idosos subdivididos em dois grupos, que participaram de intervenção educativa, num ambulatório de um centro especializado em reabilitação do SUS no segundo semestre de 2016. Para avaliar a eficácia do processo de ensino/aprendizagem, aplicou-se questionário semiestruturado denominado QHIV3I, antes e após a intervenção. Na análise dos dados, utilizou-se a versão generalizada do teste qui-quadrado de McNemar. Resultados: a comparação dos conhecimentos dos idosos antes e depois da intervenção educativa evidenciaram maior número de acertos, com percentual mínimo de 3,34% e máximo de 75%. Diferenças estatísticas significativas foram encontradas em uma das questões nos domínios conceito, transmissão e tratamento; e nas duas questões sobre vulnerabilidade. Conclusão: constatou-se que a intervenção educativa contribuiu para o aprimoramento de conhecimentos sobre HIV/aids na população idosa. Com isso, reafirma-se que a política de promoção da saúde encontra nas estratégias de educação em saúde seu alicerce essencial.


Asunto(s)
Humanos , Anciano , Salud del Anciano , Educación en Salud , Síndrome de Inmunodeficiencia Adquirida , VIH , Sistema Único de Salud , Salud , Transmisión de Enfermedad Infecciosa , Promoción de la Salud , Aprendizaje
3.
Rev. enferm. UERJ ; 28: e51821, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117686

RESUMEN

Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática; Codificação e Descodificação; Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados: no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19; aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais: o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde.


Objective: to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method: qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation; Coding and Decoding; and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results: in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10; and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations: the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion.


Objetivo: comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método: investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática; Codificación y decodificación; y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados: en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10; y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales: la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud.


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Neoplasias de la Mama/psicología , Adaptación Psicológica , Cuarentena/psicología , Infecciones por Coronavirus/epidemiología , Promoción de la Salud , Aprendizaje , Brasil , Proceso Salud-Enfermedad , Telemedicina , Investigación Cualitativa , Emociones , Acontecimientos que Cambian la Vida
4.
Comunidad (Barc., Internet) ; 22(2): 0-0, jul.-oct. 2020. ilus, tab, mapas
Artículo en Español | IBECS | ID: ibc-193594

RESUMEN

INTRODUCCIÓN: el modelo de los activos comunitarios se caracteriza por fomentar condiciones de salud que potencian las capacidades y habilidades individuales y colectivas. El objetivo de este proyecto ha sido identificar el mapa de activos en salud del barrio Arturo Eyries de Valladolid, para promover la prescripción social por parte del personal sanitario y hacer más visibles los recursos de los que dispone la comunidad. METODOLOGÍA: se han utilizado diferentes técnicas de mapeo: búsqueda de datos en internet, redes sociales, periódicos, paseos por el barrio, entrevistas, mapas mudos y fotovoz. Se incluyeron pacientes y profesionales sanitarios del Centro de Salud Arturo Eyries. RESULTADOS: se ha recogido información de un total de 40 participantes: 10 profesionales sanitarios y 30 pacientes del centro de salud. El resultado de esta investigación fueron 37 activos clasificados en seis categorías: sanidad, ocio y cultura, apoyo social, educación, ejercicio físico y transporte. Con todo esto se ha creado un fichero de activos, un mapa del barrio, una página web, un tríptico y una sesión clínica para los profesionales del centro. CONCLUSIONES: este proyecto de mapeo constituye el punto de partida para mejorar el conocimiento que los profesionales sanitarios y los pacientes tienen sobre los recursos de salud de su entorno. Este trabajo representa el inicio de una red para la promoción de la salud, dirigida a implicar a instituciones y responsables políticos en la creación de una cartografía común, a nivel ciudad o incluso comunidad autónoma, de activos para la salud


INTRODUCTION: The community assets model is characterized by fostering health conditions that enhance individual and collective capacities and abilities. The aim of this project has been to identify the map of health assets in the Arturo Eyries neighbourhood of Valladolid to promote social prescription by health personnel, and to make the resources available to the community more visible. METHODOLOGY: Different mapping techniques have been used: internet data search, social networks, newspapers, walks around the neighbourhood, interviews, silent maps and photovoice. Patients and health professionals from the Arturo Eyries health centre were included in this study. RESULTS: Information was collected from a total of 40 participants: 10 health professionals and 30 health centre patients. The result of this research was 37 assets classified into six categories: health, leisure and culture, social support, education, physical exercise and transport. With all this, an asset file, a map of the neighbourhood, a web page, a leaflet and a clinical session for the centre's professionals were created. CONCLUSIONS: This mapping project is the starting point for improving the knowledge that health professionals and patients have about the health resources of their environment. This work represents the beginning of a network for health promotion, and we would like to involve institutions and the politicians in the creation of common mapping, at local or regional level, of health assets


Asunto(s)
Humanos , Promoción de la Salud/métodos , Medicina Comunitaria , Personal de Salud , Práctica Clínica Basada en la Evidencia , Características de la Residencia , Estado de Salud , España
5.
Artículo en Inglés | MEDLINE | ID: mdl-33036326

RESUMEN

Physical activity is known to decline during pregnancy and the postnatal period, yet physical activity is recommended during this time due to the significant health benefits for mothers and their offspring. As a result of the COVID-19 pandemic and the restrictions imposed to reduce infection rates, pregnant and postnatal women have experienced disruption not just to their daily lives but also to their pregnancy healthcare experience and their motherhood journey with their new infant. This has included substantial changes in how, when and why they have engaged with physical activity. While some of these changes undoubtedly increased the challenge of being sufficiently active as a pregnant or postnatal woman, they have also revealed new opportunities to reach and support women and their families. This commentary details these challenges and opportunities, and highlights how researchers and practitioners can, and arguably must, harness these short-term changes for long-term benefit. This includes a call for a fresh focus on how we can engage and support those individuals and groups who are both hardest hit by COVID-19 and have previously been under-represented and under-served by antenatal and postnatal physical activity research and interventions.


Asunto(s)
Infecciones por Coronavirus/psicología , Ejercicio Físico , Madres/psicología , Pandemias , Neumonía Viral/psicología , Complicaciones Infecciosas del Embarazo/prevención & control , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Femenino , Promoción de la Salud , Humanos , Lactante , Motivación , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Atención Posnatal , Embarazo , Complicaciones Infecciosas del Embarazo/psicología
6.
PLoS One ; 15(10): e0240009, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33002052

RESUMEN

OBJECTIVE: Brighter Bites is a school-based health promotion program that delivers fresh produce and nutrition education to low-income children and families. Due to COVID-19-related school closures, states were under "shelter in place" orders, and Brighter Bites administered a rapid assessment survey to identify social needs among their families. The purpose of this study is to demonstrate the methodology used to identify those with greatest social needs during this time ("high risk"), and to describe the response of Brighter Bites to these "high risk" families. METHODS: The rapid assessment survey was collected in April 2020 across Houston, Dallas, Washington DC, and Southwest Florida. The survey consisted of items on disruption of employment status, financial hardship, food insecurity, perceived health status and sociodemographics. The open-ended question "Please share your greatest concern at this time, or any other thoughts you would like to share with us." was asked at the end of each survey to triage "high risk" families. Responses were then used to articulate a response to meet the needs of these high risk families. RESULTS: A total of 1048 families completed the COVID-19 rapid response survey, of which 71 families were triaged and classified as "high risk" (6.8% of survey respondents). During this time, 100% of the "high risk" participants reported being food insecure, 85% were concerned about their financial stability, 82% concerned about the availability of food, and 65% concerned about the affordability of food. A qualitative analysis of the high-risk group revealed four major themes: fear of contracting COVID19, disruption of employment status, financial hardship, and exacerbated food insecurity. In response, Brighter Bites pivoted, created, and deployed a framework to immediately address a variety of social needs among those in the "high risk" category. Administering a rapid response survey to identify the immediate needs of their families can help social service providers tailor their services to meet the needs of the most vulnerable.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Composición Familiar , Evaluación de Necesidades , Neumonía Viral/epidemiología , Pobreza , Betacoronavirus , Niño , District of Columbia , Empleo , Florida , Alimentos/economía , Abastecimiento de Alimentos , Promoción de la Salud , Humanos , Renta , Pandemias , Servicio Social , Encuestas y Cuestionarios , Texas
7.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47889

RESUMEN

Edição número 26/2020 do SBP AmamentAÇÃO – informativo anual da Sociedade Brasileira de Pediatria (SBP) – disponível para leitura no site instituição e traz um resumo das ações da SBP e suas filiadas em prol da promoção, proteção e apoio ao aleitamento materno durante a Semana Mundial de Aleitamento Materno (SMAM) e Agosto Dourado. O editorial aborda a manutenção da amamentação em tempos de pandemia de Covid-19. No texto, ela esclarece a dúvida comum entre as mães que testam positivo para a doença e se há risco de contaminação da criança pelo leite materno. Na sessão, Pergunte ao Especialista, profissionais da SBP esclarecem dúvidas frequentes sobre o aleitamento materno.


Asunto(s)
Lactancia Materna , Promoción de la Salud , Infecciones por Coronavirus/transmisión , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Leche Humana
8.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47829

RESUMEN

Divulgação do podcast da revista Residência Pediátrica (RP). Nesta edição, o dr. Roberto Issler, do Departamento de Aleitamento Materno da SBP, é o convidado do último programa da série “RP Convida - especial Agosto Dourado" o especialista apresenta o tema “Você é um pediatra amigo da amamentação?”, ressaltando a importância do engajamento contínuo dos pediatras para o sucesso da amamentação no Brasil.


Asunto(s)
Lactancia Materna , Promoción de la Salud , Pediatría
9.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47831

RESUMEN

Uma revisão sistemática das evidências científicas disponíveis feita pela Organização Pan-Americana da Saúde (OPAS) e pela Organização Mundial da Saúde (OMS) revela que as recomendações sobre o contato mãe-bebê e aleitamento materno devem se basear em uma consideração ampla, não apenas nos riscos potenciais da COVID-19 para o bebê, mas também dos riscos de morbidade e mortalidade associados ao não aleitamento e uso inapropriado de fórmulas infantis.


Asunto(s)
Lactancia Materna , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Infecciones por Coronavirus , Betacoronavirus , Promoción de la Salud
11.
Lima; Perú. Ministerio de Salud; 1 ed; 20200900. 91 p. ilus.
Monografía en Español | LILACS, MINSAPERU | ID: biblio-1121892

RESUMEN

El documento contiene cinco sesiones: en la primera se describe la promoción de la salud respiratoria, en la segunda tenemos conociendo sobre la tuberculosis, en la tercera el control de infecciones en el domicilio, en la cuarta la terapia preventiva para tuberculosis y en la quinta tenemos la pauta para el acompañamiento a la persona afectada por tuberculosis.


Asunto(s)
Terapéutica , Tuberculosis , Control de Infecciones , Agentes Comunitarios de Salud , Cumplimiento y Adherencia al Tratamiento , Promoción de la Salud
12.
Gesundheitswesen ; 82(S 03): S196-S206, 2020 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-32984943

RESUMEN

In this article, we present the Austrian data on physical activity, the societal costs and outcomes of physical inactivity, and the areas of influence to promote physical activity. Based on an analysis of the status quo and its consequences, suggestions on relevant measures to counter physical inactivity are made. While the proportion of Austrians that do not fulfill the current recommendations on physical activity is high, the Austrian population is physically more active than many populations of other countries. In Austria, major differences in physical activity are associated with demographic, socio-economic, and geographic factors. The economic burden related to physical inactivity is considerable, with regard to both societal costs and outcomes. This includes major health and social care costs, productivity losses (estimated at around 248 million Euro in 2017 in Austria), and life years lost due to premature death. Evidence-based areas of influence to increase physical activity include kindergartens and schools, the workplace, communities, cities, long-term care facilities, and nature.


Asunto(s)
Conductas Relacionadas con la Salud , Costos de la Atención en Salud , Promoción de la Salud , Conducta Sedentaria , Austria , Ejercicio Físico , Alemania , Humanos
15.
Rev Lat Am Enfermagem ; 28: e3322, 2020 Sep 07.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-32901766

RESUMEN

OBJECTIVE: to develop and validate an educational technology for individuals living with the human immunodeficiency virus. METHOD: a methodological study, for the elaboration of educational material. The educational needs, content selection, and illustrations were defined from interviews with the target population. Afterward, we carried the writing, the material layout elaboration, and assembly and, subsequently, it was validated by specialists. The content validation was established from the Level Content Validity Index higher than 0.8. RESULTS: the educational material was prepared for adults living with the human immunodeficiency virus, with a focus on health promotion and quality of life, and was prepared in five volumes. The validation was made by 22 multi-professional judges selected according to the criteria established in the study. All items were evaluated as relevant by the judges and the average obtained with the index was 0.97. CONCLUSION: the booklet has been validated in terms of content, language, and appearance by experts in the field. We believe that through this technology it is possible to contribute to the health literacy and empowerment of individuals living with the human immunodeficiency virus, strengthening their autonomy.


Asunto(s)
Infecciones por VIH , Calidad de Vida , Adulto , Promoción de la Salud , Humanos , Folletos , Encuestas y Cuestionarios
16.
Stud Health Technol Inform ; 274: 19-28, 2020 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-32990662

RESUMEN

This chapter aims at providing the student with a general overview of the appropriate structure and ethics healthcare organizations are based on, the concept of ethical leadership, the importance of having clear statements of mission, vision and value in healthcare organizations and the Health Promotion Charters implemented in a Globalized World.


Asunto(s)
Bioética , Liderazgo , Promoción de la Salud , Humanos , Principios Morales
19.
Cochrane Database Syst Rev ; 9: CD013458, 2020 09 04.
Artículo en Inglés | MEDLINE | ID: mdl-32885850

RESUMEN

BACKGROUND: Migrants who have been forced to leave their home, such as refugees, asylum seekers, and internally displaced persons (IDP), are likely to experience stressors which may lead to mental health problems. The efficacy of interventions for mental health promotion, prevention, and treatment may differ in this population. OBJECTIVES: With this overview of systematic reviews, we will map the characteristics and methodological quality of existing systematic reviews and registered systematic review protocols on the promotion of mental health and prevention and treatment of common mental disorders among refugees, asylum seekers, and IDPs. The findings from this overview will be used to prioritise and inform future Cochrane reviews on the mental health of involuntary migrants. METHODS: We searched Ovid MEDLINE (1945 onwards), Ovid Embase (1974 onwards), Ovid PsycINFO, ProQuest PTSDpubs, Web of Science Core Collection, Cochrane Database of Systematic Reviews, NIHR Journals Library, CRD databases (archived), DoPHER, Epistemonikos, Health Evidence, 3ie International Initiative for Impact Evaluation, and PROSPERO, to identify systematic reviews of mental health interventions for involuntary migrants. We did not apply any restrictions on date, language, or publication status to the searches. We included systematic reviews or protocols for systematic reviews of interventions aimed at refugees, asylum seekers, and internally displaced persons. Interventions must have been aimed at mental health promotion (for example, classroom-based well-being interventions for children), prevention of mental health problems (for example, trauma-focussed Cognitive Behavioural Therapy to prevent post-traumatic stress disorder), or treatment of common mental disorders and symptoms (for example, narrative exposure therapy to treat symptoms of trauma). After screening abstracts and full-text manuscripts in duplicate, we extracted data on the characteristics of the reviews, the interventions examined in reviews, and the number of primary studies included in each review. Methodological quality of the included systematic reviews was assessed using AMSTAR 2. MAIN RESULTS: The overview includes 23 systematic reviews and 15 registered systematic review protocols. Of the 23 published systematic reviews, meta-analyses were conducted in eight reviews. It was more common for the search strategy or inclusion criteria of the reviews to state that studies involving refugees were eligible for inclusion (23/23), than for asylum seekers (14/23) or IDPs (7/23) to be explicitly mentioned. In most reviews, study eligiblity was either not restricted by participant age (9/23), or restricted to adults (10/23). Reviews commonly reported on studies of diagnosis or symptoms of post-traumatic stress disorder or trauma (11/23) and were less likely to report on depression or anxiety (6/23). In 15 reviews the intervention of interest was focused on/ specific to psychological therapy. Across all 23 reviews, the interventions most commonly identified from primary studies were general Cognitive Behavioural Therapy, Narrative Exposure Therapy, and a range of different integrative and interpersonal therapies. Even though many reviews included studies of participants without a diagnosis of a mental health problem, they often assessed mental health treatments and did not usually distinguish between promotion, prevention, and treatment in the review aims. Together the 23 systematic reviews included 336 references, of which 175 were unique primary studies. Limitations to the methodological quality of reviews most commonly related to reporting of selection criteria (21/23), absence of a protocol (19/23), reporting of study design (20/23), search strategy (22/23), and funding sources of primary studies (19/23). AUTHORS' CONCLUSIONS: Gaps exist in the evidence on mental health interventions for refugees, asylum seekers, and internally displaced persons. Most reviews do not specify that internally displaced persons are included in the selection criteria, even though they make up the majority of involuntary migrants worldwide. Reviews specific to mental health promotion and prevention of common mental disorders are missing, and there is more evidence available for adults or mixed populations than for children. The literature is focused on post-traumatic stress disorder and trauma-related symptoms, with less attention for depression and anxiety disorders. Better quality systematic reviews and better report of review design and methods would help those who may use these reviews to inform implementation of mental health interventions.


Asunto(s)
Promoción de la Salud , Trastornos Mentales/terapia , Salud Mental , Refugiados/psicología , Revisiones Sistemáticas como Asunto , Humanos , Trastornos Mentales/prevención & control , Metaanálisis como Asunto , Refugiados/clasificación , Trastornos por Estrés Postraumático/terapia
20.
Plast Reconstr Surg ; 146(4): 922-934, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32970015

RESUMEN

BACKGROUND: Since the 1990s, the field of vascularized composite allotransplantation has gained momentum, offering unprecedented solutions for patients with defects not amenable to autologous reconstruction. As with solid organ donation, the vascularized composite allotransplant donor pool remains limited. This systematic review identifies past successes and failures in organ donation campaigns to guide future strategies for expanding vascularized composite allotransplant donation. METHODS: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three databases (PubMed/MEDLINE, PsycINFO, and Embase) were searched through July 31, 2019. The study compiled solid organ and vascularized composite allotransplant campaigns that aimed to increase donor registration. Articles depicting the current state of vascularized composite allotransplant donation were also assessed. RESULTS: Of an initial 3318 articles identified, 40 were included. Six articles described direct mail or print interventions, 10 depicted Web-based interventions, 13 dealt with interpersonal interventions, and seven used multimodal interventions. Four articles described the current state of vascularized composite allotransplant donation. A qualitative synthesis was conducted. The authors found that social media campaigns can have a robust but fleeting effect on registration trends and that interpersonal interventions are effective at increasing registration rates. In addition, the opportunity for participants to immediately register as organ donors, by means of either return mail, in-person, or online, is vital to campaign success. CONCLUSIONS: Public organ donation campaigns have had success in increasing organ donor registration rates, particularly through the use of social media and interpersonal interventions that allow for immediate registration. Synthesizing this information, we propose a multimodal campaign to expand the vascularized composite allotransplant donor pool.


Asunto(s)
Obtención de Tejidos y Órganos/métodos , Alotrasplante Compuesto Vascularizado/tendencias , Predicción , Promoción de la Salud , Humanos
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