¿Cómo perciben las puérperas inmigrantes la atención recibida en el servicio de Obstetricia del complejo hospitalario de Albacete? / How do women in puerperium perceive the care received in the obstetrics department of the albacete (spain) hospital complex?

Objetivo. Describir el nivel de satisfacción de las mujeres que acuden al Complejo Hospitalario Universitario de Albacete (CHUA), con respecto a la asistencia recibida durante su ingreso para la atención al parto y puerperio inmediato, así como evaluar las variables sociodemográficas que influyen en la satisfacción de las usuarias del servicio de paritorio del CHUA. Método. Estudio descriptivo, transversal y comparativo mediante una entrevista que recoge variables sociodemográficas y gineco-obstétricas y un cuestionario de satisfacción, a las puérperas del CHUA, hospital de referencia de Área de Salud Albacete, en el servicio de Obstetricia. La selección se lleva a cabo mediante un muestreo sistematizado, en el cual se recogen a todas las inmigrantes y la autóctona inmediatamente anterior en el libro de partos, según criterios de inclusión. Resultados. Encontramos que las mujeres autóctonas realizan un correcto control integral del embarazo en el 92,1% (164) de los casos frente al 63,4% (109) de las inmigrantes (χ2=42,172; gl=1; p=0,000). El 87,5% (287) del total de satisfechas piensan que el interés de la matrona es mejor o mucho mejor de lo que se esperaban (χ2=102,466; gl=4; p=0,000). El 95,81% (320) de las mujeres satisfechas recomendarían el hospital, mientras que el total de las no satisfechas tienen dudas (χ2=93,680; gl=2; p=0,000). Conclusiones. Las variables sociodemográficas no influyen en la satisfacción global de las mujeres, exceptuando la edad. En general tanto las mujeres autóctonas como inmigrantes se encuentran satisfechas con la atención recibida en el área de partos del CHUA (AU)

Aim. To describe the level of satisfaction of women who come to the University Hospital of Albacete (CHUA), as regards the health carereceived upon admission for giving birth and during the immediate postnatal period, and to evaluate if the socio-demographic variable has an influence on user satisfaction of the delivery room service. Method. Descriptive and cross-sectional study carried out through an interview in order to obtain data on the socio-demographic, obstetric and gynaecological variables, together with a satisfaction questionnaire for women in the puerperium period at the CHUA, reference hospital of the Health Area in Albacete, in the Obstetrics Service. The selection was made by systematic sampling, in which immigrants and Spanish born women were enrolled according to the inclusion criteria. Results We found that 92.1% (164) of Spanish-born women carry out a proper integral control of pregnancy, compared to 63.4% (109) of immigrants (χ2=42.172; gl=1; P=.000). The majority (87.5%, 287) of the total number of satisfied women thought that the midwife interest was better or much better than they expected (χ2=102.466; gl=4; P=.000). The large majority of satisfied women (95.81%, 320) would recommend the hospital, while the number of unsatisfied women had doubts (χ2=93.680; gl=2; P=.000). Conclusions. The socio-demographic variables did not appear to have an influence on the overall satisfaction of the women, except for the age. In general, both the autochthonous and immigrant women were satisfied with the attention received in the CHUA Delivery room (AU)

[How do women in puerperium perceive the care received in the obstetrics department of the Albacete (Spain) hospital complex?]. / ¿Cómo perciben las puérperas inmigrantes la atención recibida en el servicio de Obstetricia del complejo hospitalario de Albacete?

AIM: To describe the level of satisfaction of women who come to the University Hospital of Albacete (CHUA), as regards the health carereceived upon admission for giving birth and during the immediate postnatal period, and to evaluate if the socio-demographic variable has an influence on user satisfaction of the delivery room service. METHOD: Descriptive and cross-sectional study carried out through an interview in order to obtain data on the socio-demographic, obstetric and gynaecological variables, together with a satisfaction questionnaire for women in the puerperium period at the CHUA, reference hospital of the Health Area in Albacete, in the Obstetrics Service. The selection was made by systematic sampling, in which immigrants and Spanish born women were enrolled according to the inclusion criteria. RESULTS: We found that 92.1% (164) of Spanish-born women carry out a proper integral control of pregnancy, compared to 63.4% (109) of immigrants (χ(2)=42.172; gl=1; P=.000). The majority (87.5%, 287) of the total number of satisfied women thought that the midwife interest was better or much better than they expected (χ(2)=102.466; gl=4; P=.000). The large majority of satisfied women (95.81%, 320) would recommend the hospital, while the number of unsatisfied women had doubts (χ(2)=93.680; gl=2; P=.000). CONCLUSIONS: The socio-demographic variables did not appear to have an influence on the overall satisfaction of the women, except for the age. In general, both the autochthonous and immigrant women were satisfied with the attention received in the CHUA Delivery room.

[Knowledge and attitudes of the population about the living wills]. / Conocimientos y actitudes de la población ante el documento de voluntades anticipadas.

OBJECTIVE: To evaluate knowledge of living wills and attitudes to these documents in the populations of two basic health areas in Toledo (Spain). METHOD: We performed a descriptive, cross-sectional study in primary care centers. Participants consisted of the populations of two basic health areas selected by systematic stratified sampling. Inclusion criteria comprised age between 18 and 80 years, and absence of mental or terminal illnesses. The participants were contacted by telephone before a personal interview was carried out. Data on demographic variables and knowledge of living wills and attitudes to these documents were recorded. RESULTS: A total of 395 participants were interviewed (58% women) with a mean age of 46.22 years (SD: 17.13). The vast majority (88.6%) were unaware of living wills, with no significant differences in sex or religious beliefs. Most (67.8%) would sign a living will in the case of terminal illness whereas 56.3% would sign at the present moment, with no significant differences in sex or religious beliefs. More than half of the men (57.5%) would agree to modify the living will if requested by relatives versus 42.6% of the women. More than three-quarters (76.2%) believed that information on living wills was insufficient. One-third (34.5%) would allow a relative's organs to be donated even without the relative leaving express wishes, while 49.2% would donate their own organs. CONCLUSION: There was a huge lack of awareness on living wills in our population, which nevertheless proved to be highly receptive to, and in agreement with, the implications of these documents after receiving information on the topic.

Conocimientos y actitudes de la población ante el documento de voluntades anticipadas / Knowledge and attitudes of the population about the living wills

Objetivo. Conocer el grado de conocimientos y actitudes de la población acerca del documento de voluntades anticipadas (DVA) en 2 zonas básicas de salud de Toledo. Método. Estudio descriptivo transversal realizado en atención primaria. Los participantes fueron la población de 2 zonas básicas de salud, seleccionadas mediante muestreo sistemático estratificado. Los criterios de inclusión fueron: edad entre 18 y 80 años, no tener enfermedad mental ni terminal. Se realizó entrevista personal, previa cita telefónica, recogiéndose variables sociodemográficas y datos acerca de conocimientos y actitudes ante el DVA. Resultados. Se entrevistó a 395 personas, siendo el 58% mujeres y la edad media de 46,22 años (desviación estándar = 17,13). El 88,8% no conocía el DVA, sin diferencias significativas respecto al sexo ni a creencias religiosas. Un 67,8% firmaría el DVA en caso de enfermedad terminal, mientras que el 56,3% lo firmaría en el momento actual, sin diferencias por sexo ni por creencias en ambos casos. Accedería a modificarlo a petición de sus familiares el 57,5% de los varones frente al 42,6% de las mujeres. El 76,2% consideró que no hay información suficiente acerca del DVA. Un 34,5% accedería a donar los órganos de un familiar que no hubiera dispuesto nada acerca del tema, frente al 49,2% que sí donaría sus propios órganos. Conclusiones. Hay un gran desconocimiento acerca de este tema en la población del presente estudio, que sinembargo se muestra muy receptiva y conforme con lo que implica el DVA tras recibir información

Objective. To evaluate knowledge of living wills and attitudes to these documents in the populations of two basic health areas in Toledo (Spain). Method. We performed a descriptive, cross-sectional study in primary care centers. Participants consisted of the populations of two basic health areas selected by systematic stratified sampling. Inclusion criteria comprised age between 18 and 80 years, and absence of mental or terminal illnesses. The participants were contacted by telephone before a personal interview was carried out. Data on demographic variables and knowledge of living wills and attitudes to these documents were recorded. Results. A total of 395 participants were interviewed (58% women) with a mean age of 46.22 years (SD: 17.13). The vast majority (88.6%) were unaware of living wills, with no significant differences in sex or religious beliefs. Most (67.8%) would sign a living will in the case of terminal illness whereas 56.3% would sign at the present moment, with no significant differences in sex or religious beliefs. More than half of the men (57.5%) would agree to modify the living will if requested by relatives versus 42.6% of the women. More than three-quarters (76.2%) believed that information on living wills was insufficient. One-third (34.5%) would allow a relative’s organs to be donated even without the relative leaving express wishes, while 49.2% would donate their own organs. Conclusion. There was a huge lack of awareness on living wills in our population, which nevertheless proved to behighly receptive to, and in agreement with, the implications of these documents after receiving information on the topic