Understanding the Professional Care Experience of Patients with Stroke: A Qualitative Study Using In-Depth Interviews.

Background: Professional support and communication stimulates the professional-patient relationship and supports the recovery of stroke patients. Objectives: To describe the perspectives of patients with stroke regarding communication, professional support, and their ability to participate in processes and integrated care with health providers. Methods: A qualitative study was conducted. A purposeful sampling and snowball-technique were used. Patients diagnosed with moderate or severe stroke in the post-acute or chronic stage of the disease were included. Data collection consisted of in-depth interviews and researcher field notes. A thematic analysis was performed. Results: Thirty-one patients were included. Three themes were identified: 1) Providing support, with four categories, professional behavior, personalized attention, the heart of the professional and building a bond with the patient; 2) Facilitating communication, with three categories, the patient as the recipient, the content of the message and the channel, and the professional as the person that conveys the message; and 3) Promoting participation, with two categories, barriers, and incentives to participate. Conclusions: When providing support, professionals should consider communicating information and encouraging the participation of stroke patients for integrated care.

[Effectiveness of physical exercise programs in patients with diabetes mellitus]. / Efectividad de los programas de ejercicio físico en los pacientes con diabetes mellitus.

Clinical studies with methodological rigor have shown that the strategies for lifestyle modification and drug therapies can prevent or at least delay the development of type 2 diabetes mellitus (DM) in individuals at high risk. Combination of regular physical exercise and diet is more effective than each one separately to achieve modest weight loss and improve metabolic control in patients with DM. Our objective is to describe the role of exercise in patients with DM and the exercise programs in relation to the previous considerations, taking into account the intensity of the exercise, components of the program, duration, frequency and precautions.

Efectividad de los programas de ejercicio físico en los pacientes con diabetes mellitus / Effectiveness of physical exercise programs in patients with diabetes mellitus

Estudios clínicos realizados con gran rigor metodológico han demostrado que las estrategias encaminadas a la modificación del estilo de vida y los tratamientos farmacológicos pueden prevenir o, cuando menos, retrasar la evolución de la diabetes mellitus (DM) tipo 2 en personas de alto riesgo. La combinación de ejercicio físico regular y dieta es más efectiva que cualquiera de los 2 por separado para conseguir pérdidas moderadas del peso y mejorar así el control metabólico en pacientes con DM. Nuestro objetivo es describir el papel del ejercicio físico en el paciente con DM, así como los programas de ejercicio de los que pueden verse beneficiados en relación con las consideraciones previas, la intensidad del ejercicio, los componentes de la sesión, la duración, frecuencia y precauciones relacionadas con el mismo

Clinical studies with methodological rigor have shown that the strategies for lifestyle modification and drug therapies can prevent or at least delay the development of type 2 diabetes mellitus (DM) in individuals at high risk. Combination of regular physical exercise and diet is more effective than each one separately to achieve modest weight loss and improve metabolic control in patients with DM. Our objective is to describe the role of exercise in patients with DM and the exercise programs in relation to the previous considerations, taking into account the intensity of the exercise, components of the program, duration, frequency and precautions