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1.
BMJ Open ; 9(12): e032073, 2019 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-31857305

RESUMO

INTRODUCTION: More than 70% of world mortality is due to chronic conditions. Furthermore, it has been proven that social determinants have an enormous impact on both health-related behaviour and on the received attention from healthcare services. These determinants cause health inequalities. The objective of this study is to reduce the burden of chronic diseases in five European regions, hereby focusing on vulnerable populations, and to increase the sustainability of health systems by implementing a chronic disease self-management programme (CDSMP). METHODS AND ANALYSIS: 2000 people with chronic conditions or informal caregivers belonging to vulnerable populations, will be enrolled in the CDSMP in Spain, Italy, the UK, France and the Netherlands. Inclusion of patients will be based on geographical, socioeconomic and clinical stratification processes. The programme will be evaluated in terms of self-efficacy, quality of life and cost-effectiveness using a combination of validated questionnaires at baseline and 6 months from baseline. ETHICS AND DISSEMINATION: This study will follow the directives of the Helsinki Declaration and will adhere to the European Union General Data Protection Regulation. The project's activities, progress and outcomes will be disseminated via promotional materials, the use of mass media, online activities, presentations at events and scientific publications. TRIAL REGISTRATION NUMBER: ISRCTN70517103; Pre-results.

2.
Enferm. clín. (Ed. impr.) ; 29(6): 365-369, nov.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184657

RESUMO

El/la enfermero/a de familia y comunitaria es el profesional que a través de una mirada integral y holística asume la misión de acompañar a las personas desde su nacimiento hasta la muerte para desarrollar su potencial de salud, promocionando los diferentes entornos familiares, laborales y sociales para facilitar dicho desarrollo. A lo largo de la historia, diversos organismos de ámbito internacional, europeo y nacional, han ido regulando la figura de estos profesionales de enfermería de familia y comunitaria, hasta la fecha actual, donde existe normativa que regula de pleno derecho sus funciones, atribuciones y desempeño profesional. El personal de enfermería de familia y comunitaria puede dar respuestas a las necesidades de una población cambiante, y que asume nuevas responsabilidades en la gestión y la investigación. Sus amplias competencias básicas y avanzadas recogidas en un riguroso programa formativo suponen una mejora para el sistema sanitario, la profesión enfermera y la ciudadanía y la comunidad en la que vive. Aún existen muchos retos para que cada Consejería de Salud de cada comunidad haga posible que esta especialidad desarrolle todo su potencial de mejora de los cuidados


It is the mission of the Community and Family Nurse through an integral and holistic approach to accompany people from cradle to death in developing their health potential, and promote different family, work and social environments to facilitate this development. Throughout history, various international, European and national organizations have regulated the figure of the Community and Family Nurse, and now their functions, powers and professional performance are fully regulated. The Community and Family Nurse can respond to the needs of a changing population and take on new responsibilities in management and research. Their extensive basic and advanced skills gathered under a rigorous training programme, benefit the health system, the nursing profession, citizenry and its communities. Many challenges remain for the Health Departments of each Autonomous Region to make it possible for this specialty to develop its full potential for improving care


Assuntos
Humanos , Enfermagem em Saúde Comunitária/tendências , Enfermagem Familiar/tendências , Atenção Primária à Saúde , Enfermagem Primária/organização & administração , Enfermagem Primária/tendências , Enfermagem Baseada em Evidências/métodos , Saúde Pública , Sistemas de Saúde/tendências
3.
Enferm Clin ; 29(6): 365-369, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31668989

RESUMO

It is the mission of the Community and Family Nurse through an integral and holistic approach to accompany people from cradle to death in developing their health potential, and promote different family, work and social environments to facilitate this development. Throughout history, various international, European and national organizations have regulated the figure of the Community and Family Nurse, and now their functions, powers and professional performance are fully regulated. The Community and Family Nurse can respond to the needs of a changing population and take on new responsibilities in management and research. Their extensive basic and advanced skills gathered under a rigorous training programme, benefit the health system, the nursing profession, citizenry and its communities. Many challenges remain for the Health Departments of each Autonomous Region to make it possible for this specialty to develop its full potential for improving care.

4.
Enferm. clín. (Ed. impr.) ; 24(1): 59-66, ene.-feb. 2014. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-120812

RESUMO

La adherencia terapéutica es el grado en que el comportamiento de una persona (tomar medicación, seguir un régimen alimentario y ejecutar cambios del modo de vida) se corresponde con las recomendaciones sanitarias. Es, pues, un fenómeno múltiple, complejo y cambiante: se puede ser adherente total o parcialmente al tratamiento, así como en unos momentos o circunstancias sí y en otros no. La falta de adherencia es un problema inquietante por su gran magnitud y por su complejidad (con más de doscientos factores relacionados), responsable del aumento de la morbimortalidad, complicaciones, ingresos hospitalarios, costes sanitarios e insatisfacción del usuario y de los sanitarios. El objetivo de este artículo es presentar y desarrollar algunas de las intervenciones eficaces en la modificación de hábitos y la mejora de la adherencia tanto cognitivas (educación y mejora de la comunicación) como conductuales (comportamiento y motivación). Las áreas de intervención abarcan el tratamiento farmacológico, los hábitos y estilos de vida y el apoyo social y familiar. De los modelos que se proponen el más eficaz enfatiza el autocuidado y la autoresponsabilidad del usuario para gestionar su enfermedad y aumentar la adherencia terapéutica (AU)


Therapeutic adherence is defined as the extent to which a person’s behavior (taking medications, following a diet and changes in lifestyle) coincides with health recommendations(WHO, 2004). We can deduce that is a multiple, complex and changing phenomenon, that there can be total or partial adherence to a treatment, and depending on timing and circumstances. Lack of adherence is a worrying problem; due to its great magnitude and complexity (over two hundred factors) it is responsible for the increased morbid-mortality, complications, hospital admissions, health costs, and dissatisfaction of the user and health professionals. In this paper we develop effective interventions in changing habits and improving adherence: cognitive (education and improved communication), behavior and motivation. Interventions areas include pharmacological treatments, habits and life style, as well as social and family support. The most effective model emphasizes self-care and self-responsibility of the user to manage their disease and increase adherence (AU)


Assuntos
Humanos , Doença Crônica/enfermagem , Enfermagem de Atenção Primária/tendências , Cooperação do Paciente , Adesão à Medicação , Autocuidado/métodos , Educação de Pacientes como Assunto
5.
Enferm Clin ; 24(1): 59-66, 2014.
Artigo em Espanhol | MEDLINE | ID: mdl-24369770

RESUMO

Therapeutic adherence is defined as the extent to which a person's behavior (taking medications, following a diet and changes in lifestyle) coincides with health recommendations (WHO, 2004). We can deduce that is a multiple, complex and changing phenomenon, that there can be total or partial adherence to a treatment, and depending on timing and circumstances. Lack of adherence is a worrying problem; due to its great magnitude and complexity (over two hundred factors) it is responsible for the increased morbid-mortality, complications, hospital admissions, health costs, and dissatisfaction of the user and health professionals. In this paper we develop effective interventions in changing habits and improving adherence: cognitive (education and improved communication), behavior and motivation. Interventions areas include pharmacological treatments, habits and life style, as well as social and family support. The most effective model emphasizes self-care and self-responsibility of the user to manage their disease and increase adherence.


Assuntos
Doença Crônica/terapia , Hábitos , Estilo de Vida , Cooperação do Paciente , Humanos
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