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1.
Hosp. domic ; 4(2): 19-30, abr.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193387

RESUMO

INTRODUCCIÓN: La Hospitalización a Domicilio (HAD) se inició en nuestra zona a finales de 2007, actualmente consta de 3 unidades, 30 camas y tiene una cobertura territorial del 80%. La modalidad de ingreso es mixto, evitación de ingreso y alta precoz. OBJETIVO: analizar los resultados de HAD en los últimos 10 años en cuanto a eficacia y eficiencia. MÉTODO: Análisis retrospectivo de los pacientes ingresados en HAD (enero 2009-Diciembre 2018) para definir tipología de paciente y procedencia, evaluar indicadores de estancia media, retorno al hospital, reingreso a los 30 días, mortalidad y coste comparado con hospitalización convencional. RESULTADOS: Se han realizado 6.033 altas. El 86% de los pacientes ingresaron por un proceso médico con predominio de las enfermedades del aparato respiratorio (43,7%). La modalidad de evitación de ingreso supuso el 79% de los ingresos en HAD. La estancia media en HAD fue de 7,1 días y el retorno al hospital por complicaciones del 4,1%. La mortalidad fue del 2,3% y los reingresos por cualquier motivo en los 30 días siguientes al alta de HAD del 12,2%, ambos inferiores a los resultados de las unidades de hospitalización de Medicina Interna. La gravedad según el sistema de clasificación APRDRG de los pacientes ingresados en HAD fue significativamente superior a la encontrada en la Unidad de Corta Estancia pero menor que en las unidades de hospitalización de Medicina Interna, tal como era de esperar. El coste de estructura por día de estancia en HAD fue, aproximadamente, 3 veces inferior al de hospitalización convencional. CONCLUSIONES: HAD ha sido una alternativa útil a la hospitalización convencional, principalmente para patología médica de pacientes que precisando ingreso, no necesitaban toda la infraestructura hospitalaria


INTRODUCTION: Hospital at Home (HAH) started in our area at the end of 2007; currently it consists of 3 units, 30 beds and 80% territorial coverage. It has two main aims: to avoid unnecessary hospital admission and to allow early discharge. OBJECTIVE: to analyze the results of HAH in the last 10 years in terms of effectiveness and efficiency. METHOD: Retrospective analysis of patients discharged in HAH (January 2009-December 2018) to define patient typology and source of admission, to evaluate indicators of length of stay, return to hospital, 30-day readmission rate, mortality rate, severity according to the APRDRG classification system and cost compared to conventional hospitalization. RESULTS: 6,033 patients have been discharged. 86% of patients were admitted through a medical process with a predominance of respiratory diseases (43.7%). The modality of Hospital admission avoidance was 79% of the admissions in HAH. The average length of stay in HAH was 7.1 days; the return to the hospital due to complications was 4.1%. Mortality rate was 2.3%, and the 30-day readmission rate was 12.2 %, both lower than the average of the Internal Medicine units. The severity according to the APRDRG classification system of patients admitted in HAH was significantly higher than in the Short Stay Hospital Unit but less than conventional hospitalization in Internal Medicine Units, as expected. The cost of structure per day of stay in HAH is approximately 3 times lower than conventional hospitalization. CONCLUSIONS: HAH has been a useful alternative to conventional hospitalization, mainly for medical pathology of patients who, requiring admission, did not need the entire hospital infrastructure


Assuntos
Humanos , Avaliação de Eficácia-Efetividade de Intervenções , Serviços Hospitalares de Assistência Domiciliar/economia , Serviços Hospitalares de Assistência Domiciliar/estatística & dados numéricos , Análise Custo-Eficiência , Estudos Retrospectivos
2.
s.l; IETSI; 20 mayo 2020.
Não convencional em Espanhol | LILACS, BRISA/RedTESA | ID: biblio-1096660

RESUMO

INTRODUCCIÓN: Aproximadamente cuatro meses han transcurrido desde que se reportaron los primeros casos de enfermedad por Coronavirus 2019 (COVID-2019) y al día de hoy (22 de abril) la Organización Mundial de la Salud (OMS) reporta 2 471 136 casos confirmados y 169 006 muertes a nivel global. En el Perú, la sala situacional del Ministerio de Salud (22 de abril) reporta 19 250 casos confirmados, 62.3% de los cuales son del sexo masculino y un total de 530 fallecidos. Lamentablemente, se espera que estas cifras sigan creciendo en todo el mundo. La información publicada hasta el momento, en su mayoría proveniente de China, revela que los casos más severos y con mayor tasa de letalidad se reportan en personas del sexo masculino, adultos mayores y personas con presencia de comorbilidades. Esta situación es similar a lo reportado en otras infecciones virales respiratorias como la causada por el virus H1N1, en la que las personas con obesidad y con enfermedades crónicas pre-existentes mostraron mayor probabilidad de desarrollar síndrome de distrés respiratorio agudo que conllevaba a falla orgánica múltiple y muerte. La evidencia de que el sexo masculino y la presencia de comorbilidades son factores de riesgo para mortalidad por COVID-19 está aún aumento. Los reportes de COVID-19 se actualizan constantemente y la información revelada sirve para entender mejor el comportamiento de la enfermedad y en base a ello plantear estrategias de prevención y contención. Por ello, el objetivo de esta revisión rápida es evaluar y presentar la evidencia disponible sobre el sexo y la presencia de comorbilidades en los casos fatales por COVID-19. MÉTODOS: Se realizó una búsqueda sistemática de estudios publicados hasta el 02 de abril y disponibles en PubMed y MedRxiv. Se incluyó artículos que reportaban información clínica y la prevalencia de enfermedades crónicas no transmisibles en casos letales por COVID-19. Se incluyó reportes de casos, estudios de caso-control, cohortes y revisiones sistemáticas, se limitó la búsqueda solo a publicaciones en inglés. Se excluyó noticias, editoriales, cartas al editor, comentarios, modelamientos matemáticos y casos que reportaban letalidad en menores de 18 años. RESULTADOS: Luego de verificar los criterios de elegibilidad, se incluyeron 17 artículos de los cuales 13 se consideraron para meta-análisis. El total de participantes incluidos en los estudios suman 27 264, los casos letales suman en total 1037 que representa una prevalencia agrupada [Pr(a)] = 12 % (95% IC: 8% - 16%), la edad promedio de los casos fatales es de 69.2 años. La mayoría de los estudios corresponden a reporte de China, 2 provienen de Corea y 1 de ellos de Italia. Los estudios reportan tener diseños principalmente de reportes de casos retrospectivos y cohortes retrospectivas, se identificó, además un estudio transversal y dos revisiones sistemáticas en la base de datos MedRxiv. Para la evaluación de la calidad, los reportes de casos y cohortes retrospectivas se trataron como "Estudios de Serie de Casos", en ninguno de los estudios se puede determinar si el tiempo de seguimiento fue el adecuado y los estudios reportados en Corea e Italia no cumplen con al menos un criterio de evaluación La calidad del estudio transversal y las revisiones sistemáticas es pobre. CONCLUSIÓN: La caracterización de los casos letales por COVID-19 es importante porque puede permitir mejorar las intervenciones y resultados en los pacientes infectados, sobretodo, en los que en mayor riesgo se encuentran como la población del sexo masculino y aquellos con hipertensión, enfermedades cardiovasculares y diabetes.


Assuntos
Humanos , Doenças Cardiovasculares/etiologia , Infecções por Coronavirus/diagnóstico , Diabetes Mellitus/etiologia , Avaliação de Eficácia-Efetividade de Intervenções , Hipertensão/etiologia , Avaliação da Tecnologia Biomédica
3.
Rev. esp. nutr. comunitaria ; 26(1): 0-0, ene.-mar. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193826

RESUMO

FUNDAMENTOS: La retención de peso posparto está asociada con hábitos alimentarios inadecuados y una mayor insatisfacción de la imagen corporal. El objetivo del estudio fue conocer la influencia de un programa de educación dietético-nutricional mediterránea y práctica deportiva saludable en madres lactantes sobre los hábitos alimentarios, práctica de actividad física, composición corporal e insatisfacción corporal. MÉTODOS:10 madres lactantes (edad:37,4±3,3; talla:162,3±0,1; número embarazos: 2±1) participaron en el estudio, llevado a cabo durante 15 semanas. Las variables estudiadas fueron: adherencia a la dieta mediterránea, práctica de actividad física, la percepción de la imagen y la composición corporales. RESULTADOS: Aunque los resultados reportaron un incremento después de la intervención, ni la adherencia a la dieta mediterránea ni la frecuencia de actividad física variaron significativamente. CONCLUSIONES: No obstante, sí que se produjeron cambios significativos en la composición corporal y en la percepción de la imagen corporal


BACKGROUND: Post-partum weight retention is associated with inadequate eating habits and increased body image dissatisfaction. The aim was to study the influence of a mediterranean dietetic education program and healthy physical activity habits in breastfeeding mothers on food habits, physical activity practice, body composition and body dissatisfaction. METHODS: 10 nursing mothers (age:37,4±3,3; height:162,3±0,1; number of pregnancies:2±1) participated in the study, which was carried out during 15 weeks. The variables studied were: adherence to the Mediterranean diet, practice of physical activity, perception of body image and composition. RESULTS: Although the results reported an increase after the intervention, neither adherence to the mediterranean diet nor frequency of physical activity varied significantly. CONCLUSIONS: However, there were significant changes in body composition and body image perception


Assuntos
Humanos , Feminino , Adulto , Educação Alimentar e Nutricional , Nutrição Materna/educação , Dieta Mediterrânea/estatística & dados numéricos , Aleitamento Materno/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Comportamento Alimentar , Exercício Físico/fisiologia , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Composição Corporal/fisiologia , Imagem Corporal
4.
Enferm. glob ; 19(57): 302-316, ene. 2020.
Artigo em Espanhol | IBECS | ID: ibc-193654

RESUMO

INTRODUCCIÓN: Es notable el aumento de la población anciana brasileña. Los avances en investigaciones y tecnologías han contribuido al aumento de la expectativa de vida, reducción de la mortalidad y mejora de la calidad de vida. OBJETIVOS: Elaborar el perfil de los ancianos participantes e identificar los impactos en la salud del anciano y el estilo de vida derivado de la participación en actividades en la Universidade Abierta a Personas Ancianas (UnAPA). MÉTODO: Estudio descriptivo y exploratorio cuanti-cualitativo. Se utilizó un cuestionario que contenía datos sociodemográficos/socioeconómicos, condición de salud/comorbilidades, además de preguntas abiertas relacionadas al cambio en la salud y estilo de vida tras participación en las actividades de la UnAPA e importancia del grupo en la salud y en la vida del anciano. RESULTADOS: El estudio apuntó prevalencia del sexo femenino, promedio de edad 73 años. La mayoría reside en Vitória/ES, casa propia, casados, renta proveniente de jubilación, nivel superior completo e informaron que después de frecuentar las actividades en la UnAPA notaron cambios en su salud, pasaron a sentir más disposición para vivir, salir de casa, más alegría. En cuanto al estilo de vida dijeron que tuvo influencia en la práctic de actividades que estimulan la memoria, pasaron a leer con más frecuencia, practicar ejercicios físicos, se volvieron más sociables, con mejora del sueño, entre otros beneficios. CONCLUSIÓN: Se constató que los ancianos notan cambios em su salud, estilo de vida, y relaciones. Repercutiendo en una mejor calidad de vida


INTRODUÇÃO: É notável o aumento da população idosa brasileira em que avanços em pesquisas e tecnologias têm contribuído para o aumento da expectativa de vida, redução da mortalidade e melhoria da qualidade de vida. OBJETIVOS: Elaborar o perfil dos idosos participantes e identificar os impactos na saúde do idoso e estilo de vida decorrente da participação em atividades na Universidade Aberta à Pessoas Idosas (UnAPI). MÉTODO: Estudo descritivo e exploratório quanti-qualitativo. Utilizou-se questionário contendo dados sociodemográficos / socioeconômicos, condição de saúde / comorbidades, além de perguntas abertas relacionadas à mudança na saúde e estilo de vida após participação nas atividades da UnAPI e importância do grupo na saúde e na vida do idoso. RESULTADOS: Evidenciou prevalência do sexo feminino, casadas, média de 73 anos de idade, sendo expressivo a residência em Vitória/ES, em casa própria, com renda proveniente de aposentadoria e nível superior completo. Após frequentarem as atividades na UnATI, os participantes informaram mudanças em sua saúde, passando a sentir mais disposição para viver, sair de casa e ter mais alegria. Quanto ao estilo de vida relataram influência para a prática de atividades que estimulam a memória, passaram a ler com mais frequência, praticar exercícios físicos, tornaram-se mais sociáveis, com melhora do sono e outros benefícios. CONCLUSÃO: Constatou-se que os idosos notaram mudanças em sua saúde, estilo de vida, bem como nos relacionamentos, repercutindo beneficamente na qualidade de vida


INTRODUCTION: It is remarkable the increase of the Brazilian elderly population. Advances in research and technology have contributed to increase life expectancy, reduce mortality and improve quality of life. OBJECTIVES: Elaborate the profile of the elderly participants of the research and identify the health impacts of the elderly due to their participation in activities at the Universidade Aberta à Pessoas Idosas (UnAPI). METHOD: Descriptive and exploratory quantitative-qualitative study. Inclusion criteria adopted: age > 60 years, having joined UnAPI for 6 months, being enrolled in the activities and having attended more than once. A questionnaire containing socio-demographic/socioeconomic data, health condition/comorbidities, and open-ended questions related to the change in health and lifestyle after participation in the activities of UnATI and the importance of the group in health and life were used. RESULTS: The study showed female prevalence, mean age 73 years. Most of them reside in Vitória/ES, their own home, married, income from retirement, complete upper level and reported that after attending activities at UnATI noticed changes in their health, they began to feel more disposed to live, leave home, more joy. Regarding lifestyle, they said they had great influence, started to practice activities that stimulate memory, read more often, practice physical exercises, become more sociable, improve sleep, among other benefits. CONCLUSION: It was observed that the elderly notice changes, mainly in health, lifestyle, and relationships. Promoting better quality of life


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Programas Gente Saudável/organização & administração , Envelhecimento Saudável/psicologia , Saúde do Idoso , Avaliação de Eficácia-Efetividade de Intervenções , Políticas Públicas de Saúde , Estilo de Vida Saudável , Apoio Social , Participação da Comunidade/métodos , Epidemiologia Descritiva
5.
Enferm. glob ; 19(57): 479-492, ene. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193659

RESUMO

INTRODUCCIÓN: Una estrategia que ha mostrado ser efectiva para promover el autocuidado en los pacientes con falla cardiaca es la formación de diadas y grupos que brinden apoyo de pares para favorecer el logro de metas individuales. OBJETIVO GENERAL: Determinar el efecto de un programa de paciente experto en falla cardiaca en los conocimientos relacionados con la adherencia al tratamiento y en la satisfacción. MÉTODO: Se realizó un estudio piloto descriptivo de corte transversal en pacientes con diagnósticos de falla cardiaca en una institución de cuarto nivel. El tamaño de la muestra correspondió a toda la población con los criterios de restricción (N: 20 sujetos). Se implementó un programa de paciente experto durante 6 meses y se midieron los desenlaces de nivel de conocimientos y satisfacción. Para la recolección de la información se utilizó un test de conocimientos sobre adherencia al tratamiento y una encuesta de satisfacción. La información se procesó a través del programa IBM SPSS Statistics 23.0, y se realizó un análisis descriptivo con distribución de frecuencias absolutas y relativas. RESULTADOS: Más del 95% de los pacientes mostró mejoría significativa en el nivel de conocimientos y el 85% refirió el nivel de satisfacción global más alto (muy satisfechos), reflejado en la dimensión de fidelización y efectividad. CONCLUSIONES: El programa del paciente experto en insuficiencia cardiaca se constituye en una intervención costo-efectiva que proporciona capacidades para ayudar a otros pacientes a adquirir autoconfianza y habilidades en el manejo de su condición de salud


INTRODUCTION: One of the strategies that has shown improvement in self-care for patients with heart failure is the formation of dyads and groups to provide peer support and achieve individual goals. GENERAL OBJECTIVE: To determine the effect of an expert patient program on heart failure related to the knowledge about adherence to treatment and satisfaction. METHOD: A sectional-descriptive pilot study was conducted in patients with heart failure diagnoses in a fourth-level institution. The sample size represents the entire population with the restriction criteria (N: 20 subjects). An expert patient program was implemented for 6 months and the measured outcomes were level of knowledge and satisfaction. Data was gathered from a knowledge test on adherence to treatment and a satisfaction poll. Information was processed with IBM SPSS Statistics 23.0. The distribution of absolute and relative frequencies was performed by descriptive analysis. RESULTS: More than 95% of patients showed improvement in the level of knowledge and 85% reported a high global level of satisfaction (very satisfied), reflected in the dimension of loyalty and effectiveness. CONCLUSIONS: The expert patient in heart failure program is a cost-effective intervention, which provides capabilities to help other patients gain self-confidence and skills to manage their health condition


Assuntos
Humanos , Insuficiência Cardíaca/enfermagem , Autocuidado/métodos , Educação de Pacientes como Assunto/métodos , Estudos Transversais , Avaliação de Eficácia-Efetividade de Intervenções , Análise Custo-Benefício , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Satisfação do Paciente/estatística & dados numéricos
6.
Enferm. glob ; 19(57): 648-662, ene. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193664

RESUMO

OBJETIVO: Identificar la efectividad de la intervención educativa em el postoperatorio de personas con estomias intestinales de eliminación. MÉTODO: Revisión sistemática de la literatura registrada en el PRÓSPERO: 42018094601 y realizada en abril de 2018, en las bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, LILACS y BDENF vía Biblioteca Virtual em Salud (BVS), además de las listas de referencia de los artículos seleccionados para encontrar literatura relevante adicional. Se incluyen artículos con diseño experimental (por ejemplo, estudios no controlados, estudios controlados y ensayos clínicos randomizados y controlados) y cuasi-experimental, sin restricción de idioma y tiempo. RESULTADOS: Se seleccionaron 6 estudios y el tipo de intervención educativa más prevalente fue la educación estándar para el grupo de control y educación estándar más acompañamiento telefónico para el grupo experimental. La mayoría de los participantes tenía edad a partir de 50 años y el tiempo de duración de las intervenciones educativas varió de 3 a 6 semanas. CONCLUSIÓN: Se verificó efecto positivo de la intervención educativa en el postoperatorio de personas con estomias intestinales de eliminación en los aspectos: conocimiento, satisfacción, tiempo de internación, aspectos físicos, mentales y sociales, calidad de vida, conocimiento sobre prácticas de autocuidado con alimentación y estomia, ajuste a la estomia y complicaciones


OBJETIVO: Identificar o efeitoda intervenção educativa no pós-operatório de pessoas com estomias intestinais de eliminação. MÉTODO: Revisão sistemática da literatura registrada no PRÓSPERO: 42018094601 y realizada em abril de 2018, nas bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, e LILACS e BDENF via Biblioteca Virtual em Saúde (BVS), além das listas de referência dos artigos selecionados para encontrar literatura relevante adicional. Incluíram-se artigos com desenho experimental (incluindo estudos não controlados, estudos controlados e ensaios clínicos randomizados e controlados) e quase-experimental, sem restrição de idioma e tempo. RESULTADOS: Foram selecionados 6 estudos e o tipo de intervenção educativa mais prevalente foi educação padrão para o grupo controle e educação padrão mais acompanhamento telefônico para o grupo experimental. A maioria dos participantes tinha idade a partir de 50 anos e o tempo de duração das intervenções educativas variou de 3 até 6 semanas. CONCLUSÃO: Verificou-se efeito positivo da intervenção educativa no pós-operatório de pessoas com estomias intestinais de eliminação nos aspectos: conhecimento, satisfação, tempo de internação, aspectos fisicos, mentais e sociais, qualidade de vida, conhecimento sobre práticas de autocuidado com alimentação e estomia, ajustamento a estomia e complicações


OBJECTIVE: To identify the effect of educational intervention in the postoperative period of people with intestinal elimination ostomies. METHODS: Systematic review of the literature on PROSPERO: 42018094601 carried out in April 2018, in the bases MEDLINE, Web of Science, CINAHL, SCOPUS, Cochrane, and LILACS and BDENF via the Virtual Health Library (VHL), in addition to the reference lists of articles selected for finding additional relevant literature (including uncontrolled studies, controlled studies and randomized controlled trials) and quasi-experimental, without language and time restriction. RESULTS: 6 studies were selected and the type of most prevalent educational was standard education for the control group and standard education plus telephone follow-up for the experimental group. The majority of the participants were 50 years old and the duration of the educational interventions varied from 3 to 6 weeks. CONCLUSION: There was a positive effect of educational intervention in the postoperative period of people with intestinal elimination ostomies in the following aspects: knowledge, satisfaction, hospitalization time, physical, mental and social aspects, quality of life, knowledge about self-care practices with feeding and ostomy, adjustment to the ostomy and complications


Assuntos
Humanos , Estomas Cirúrgicos , Cuidados Pós-Operatórios/métodos , Complicações Pós-Operatórias/prevenção & controle , Estomia/enfermagem , Educação de Pacientes como Assunto/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Perfil de Impacto da Doença
7.
Rev. Rol enferm ; 43(1,supl): 50-58, ene. 2020. tab, graf
Artigo em Português | IBECS | ID: ibc-193162

RESUMO

The actual context, marked by the high cost of health care associated with technological advances, the increase in the workload of health professionals and the aging of the population with multiple chronic diseases. There are concerns raised by health organizations regarding the quality of care, with emphasis on actions aimed to the continuous quality improvement. The effects of clinical supervision on quality of care defined as a target area by the World Health Organization are a key aspect in improving quality. The literature shows that there is no model of nursing clinical supervision capable to respond to the actual context needs. The objective of this exploratory, descriptive and longitudinal study was to implement a contextualized nursing clinical supervision model, SafeCare model, in order to identify the contributions of its implementation in the indicators sensitive to nursing clinical supervision. The study was conducted in the surgery department of a health care institution and the nurses of the surgery department composed the sample. With this article we intend to disseminate the results of the implementation of the SafeCare model and to prove that the implementation of a contextualized Nursing clinical supervision model based on nurses' needs, SafeCare Model, has contributed to obtaining higher quality and safer care for clients


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Supervisão de Enfermagem/organização & administração , Modelos de Enfermagem , Processo de Enfermagem/organização & administração , Gestão da Segurança/organização & administração , Implementação de Plano de Saúde/organização & administração , Padrões de Prática em Enfermagem/organização & administração , Estudos Longitudinais , Competência Clínica , Segurança do Paciente , Qualidade da Assistência à Saúde/organização & administração , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções
8.
Rev. Rol enferm ; 43(1,supl): 90-96, ene. 2020. tab
Artigo em Português | IBECS | ID: ibc-193166

RESUMO

Introduction: Outpatient care philosophy has been growing in the past years. Looking to the premise of pediatric healthcare, the establishing of outpatient treatment has advantage, like shortening the deep impact caused by familiar environment detachment, everyday routines and habits. This paradigm implies an adaptation of nursing care services and practices, where quality improvement should focus on continuity of care at home. Objective: to identify recommendations evidence-based of good practices to child / family nursing interventions in an outpatient setting, that allows the definition of standards / quality indicators. Methodology: A Systematic Review of Literature was performed, supported on the Cochrane Handbook orientations of studies published between 2004-2017. The research was conducted on EBSCO and PUBMED databases and resulted in 97 studies. After applying relevance tests, 80 were excluded and 17 included in the methodology critical assessment, done independently by two reviewers and based on defined criteria. At end, five articles1,2,3,4,5 were included. Results: The recommendations identified for the quality of outpatient nursing care are mainly directed to surgical situations, namely, prevention and control of infections, given the high turnover of children; use of digital strategies for preoperative preparation, avoiding anxiety and promoting early discharge, by empowering the family; telephone contact to support and ensuring continuity of care; assessment of the post-surgical condition using the Ped-PADSS checklist, ensuring the early discharge. Conclusion: The results of this study allowed us to obtain recommendations for use in nursing practice of outpatient care and enable to the consequent quality improvement of nursing care provided to child and family


No disponible


Assuntos
Humanos , Enfermagem Pediátrica/tendências , Cuidado da Criança/tendências , Processo de Enfermagem/tendências , Assistência Ambulatorial/tendências , Avaliação de Eficácia-Efetividade de Intervenções , Padrões de Prática em Enfermagem/organização & administração , Qualidade da Assistência à Saúde/tendências
9.
Rev. Rol enferm ; 43(1,supl): 171-178, ene. 2020. tab
Artigo em Português | IBECS | ID: ibc-193178

RESUMO

Background: In the school environment, sex education is included in health education, and it is essential to address it clearly in the various age groups. With a view to healthy sexuality, adolescents should acquire knowledge in this area. Objectives: To identify the interlocutor of adolescents, attending the 6th grade, to talk about sexuality and affections. To evaluate the effect of formative intervention on adolescents' level of knowledge on the subject. Methods: Longitudinal study in a short panel, conducted in an accidental nonprobabilistic sample, for convenience, consisting of 110 adolescents attending the 6th grade. A self-completed questionnaire with sociodemographic characterization of students / parents, a person with whom they talk about sexuality and affections and a scale of knowledge was used. Results: Participants are between 10 and 14 years old with an average of 11.53 (+/- 0.591SD). The adolescents are mostly male (60.1%), living in urban areas (82.5%) with their father and mother (82.2%). They revealed adequate knowledge on the theme of sexuality and affection (44.7%); they highlighted teachers as interlocutors to talk about sex (54.5%) and parents to talk about affect (60.0%). In the present study, it is the younger adolescents and those living in urban areas who have the best levels of knowledge about sexuality and affection. Conclusion: Adolescents improved their level of knowledge after the formative intervention on "Sexuality & Affections", a fact that reinforces the importance of this type of health education sessions in the school context


No disponible


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Comportamento do Adolescente/psicologia , Sexualidade/psicologia , Desenvolvimento Psicossexual/classificação , Afeto/classificação , Comportamento Sexual/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Avaliação de Eficácia-Efetividade de Intervenções , Psicometria/instrumentação , Educação Sexual/tendências , Educação em Saúde/métodos , Estudos Longitudinais
10.
Rev. Rol enferm ; 43(1,supl): 197-203, ene. 2020. ilus, tab
Artigo em Português | IBECS | ID: ibc-193181

RESUMO

Introduction: Preventive, promotion and rehabilitation actions such as physical exercise have been able to improve the functional capacity of the institutionalized elderly. Aims: To evaluate the impact of a physical exercise program on the functional capacity of institutionalized elderly. Method: Quantitative study with a quasi-experimental design, without control group, with pre and post intervention evaluation, in a convenience sample of 23 elderly. The instrument for data collection was the form with outcome and independent variables. The study was approved by the Ethics Committee of the Escola Superior de Enfermagem do Porto. Results: The majority are female (60.9%), with a mean age of 82.4 years and a high prevalence of cerebrovascular disease (91.3%). ¾ of the sample (74%) is polymedicated. The occurrence of falls in the last 12 months was low (13%). There was a significant improvement in joint amplitude and muscular strength in all movements and joints of the upper and lower limbs. Palmar grip strength improved in both hands. A better performance was observed in the implementation of POMA I, and the number of risk-free elderly people with a high risk of falls increased. The repercussion of improvements in self-care capacity was not effective in some domains, although the mean scores obtained showed a slight improvement trend. Of the psychosocial effects, most participants (60.9%) agreed that they improved health and mood. Conclusions: The physical exercise program implemented to institutionalized elderly, without cognitive deficit, improved the functional and psychosocial capacity


No disponible


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Fragilidade/reabilitação , Envelhecimento , Técnicas de Exercício e de Movimento/métodos , Terapia por Exercício/enfermagem , População Institucionalizada , Idoso Fragilizado/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Desempenho Físico Funcional , Ensaios Clínicos Controlados não Aleatórios como Assunto
11.
Rev. Rol enferm ; 43(1,supl): 335-341, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193326

RESUMO

Introduction: Surgical site infections are frequent complications that affect patients undergoing surgery. These are preventable infections that constitute a loss of reputation for healthcare systems worldwide, with consequences for the patient in terms of morbidity, mortality, excessive length of stay, and additional costs to the system and the community. They aggravate their functional disability, increase the emotional stress of patients and families, leading to decreased quality of life.Nurses, as members of the multidisciplinary team, play a crucial role as promoters of adherence to the best practices for prevention and control of surgical site infection called "intervention bundle". Objective: Evaluate the adhesion of nurses to the intervention bundle in the prevention of Surgical Site Injury. Methods: Descriptive, cross-sectional, quantitative study. Sample of convenience, made up to 54 nurses. The data collection instrument was the checklist of the DGS of 2015. Results: The results revealed low adhesion in the presurgical bath with 2% chlorhexidine. Regarding trichotomy, it was avoided in about 59% of the cases. In the maintenance of capillary glycemia and normothermia, these were not met by 33% of professionals. Regarding adherence to surgical antibiotic prophylaxis, it was obeyed by 63% of the professionals, respecting the ideal timing of administration, 120 minutes before surgery. Conclusion: The implementation of programs of continuing education, accountability and awareness of the management bodies for the implementation of a safety culture are substantial in the prevention of surgical site disruption


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Infecção da Ferida Cirúrgica/prevenção & controle , Técnicas de Fechamento de Ferimentos/enfermagem , Ferida Cirúrgica/enfermagem , Enfermagem Perioperatória/métodos , Infecção Hospitalar/enfermagem , Cuidados de Enfermagem/estatística & dados numéricos , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Infecção da Ferida Cirúrgica/enfermagem , Cicatrização , Assistência Perioperatória/enfermagem , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Avaliação de Eficácia-Efetividade de Intervenções
12.
Rev. Rol enferm ; 43(1,supl): 395-404, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193334

RESUMO

Introduction: Urinary incontinence is a major health problem resulting in physical, psychological and social changes with economic repercussions on the health system. Is a multifactorial condition associated with age-related changes and disorders of the genitourinary system, which corroborates the fact that it is the most often recurring geriatric syndrome. Aims: To identify non-pharmacological interventions for adults with urinary incontinence and to identify tools for urinary incontinence diagnosis in adults. Method: An integrative review study design was completed. Two electronic databases was search (MEDLINE and Web of Science). Three independent reviewers searched databases according to a predetermine inclusion and exclusion criteria. Results: Twelve articles were included in the review. Eleven articles mentioned non-pharmacological interventions, such as physical therapies, lifestyle strategies, behavioural therapies and alternative conservative management options. These interventions should be targeted and individualized to the type of incontinence to result in health gains for the population. One article mentioned an assessment tool for urinary incontinence - The Gaudenz-Fragebogen tool. The evaluation tools can help to systematize the diagnostic activity and consequently improve the clinical practice in the field of urinary incontinence. Conclusion: In care conception, nurses should target their interventions to personal data to address individual symptoms and use assessment tools that can help in the differential diagnosis of UI. Then, to advancing the quality and rigor of nursing care, we advocate that providing nurses with skills in attaining a differential diagnosis of UI presents an added value to the improvement of quality of care in a multidisciplinary context


No disponible


Assuntos
Humanos , Incontinência Urinária/diagnóstico , Diagnóstico de Enfermagem/métodos , Incontinência Urinária/enfermagem , Cuidados de Enfermagem/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Assistência Integral à Saúde/métodos , Diagnóstico Diferencial , Qualidade da Assistência à Saúde
13.
Rev. Rol enferm ; 43(1,supl): 427-431, ene. 2020.
Artigo em Português | IBECS | ID: ibc-193338

RESUMO

Introduction: Internationally, research on educational practices in family health nursing has been limited, especially on their impact on clinical practice. This research is part of the project on the Dynamic Model of Family Assessment and Intervention integrated in the Center for Health Technology and Services Research. Objective: to describe the perception of family nurses about the contribution of teaching-learning strategies in the development of skills in family health nursing. Methods: quantitative, exploratory-descriptive study. A questionnaire was designed to evaluate the perception of the contribution of teaching-learning strategies based on a Portuguese classification. Perception was assessed on a Likert scale. The convenience sample consisted of 112 nurses who trained on the Dynamic Model of Family Assessment and Intervention after informed consent. Descriptive statistics was used for data treatment and analysis. Results and discussion: On average, mostly all strategies were perceived as having a moderate to high contribution (3.58, SD: 0.6), with a slight emphasis on the "reality simulation" teaching-learning strategies group. The "Case Study" stood out as the strategy perceived with the highest average contribution. It is suggestive that there is greater importance given to experiential learning as a promoter of knowledge and competence development, based on reflexivity about action. Conclusion: The identification of the contribution of the teaching-learning strategies is relevant for the improvement of the training design on the nursing model, as an intentional action promoting a competent acting knowledge, aiming the articulation of the theory with the clinical practice


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Educação em Saúde/classificação , Enfermagem de Atenção Primária/estatística & dados numéricos , Padrões de Prática em Enfermagem/organização & administração , Epidemiologia Descritiva , Promoção da Saúde/métodos , Enfermagem Familiar/tendências , Teoria de Enfermagem , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Estratégia Saúde da Família , Avaliação de Eficácia-Efetividade de Intervenções , Capacitação Profissional
14.
Rev. Rol enferm ; 43(1,supl): 432-439, ene. 2020. ilus, tab
Artigo em Português | IBECS | ID: ibc-193339

RESUMO

Introduction: The WHO estimates that at least 20% of children and adolescents have at least one mental disorder before reaching the age of 18 years. (PNSE, 2015) Based on the studies of the Multifactorial Model of Teresa Lluch (1999), it was proposed for the present study the conception and validation of a positive mental health promotion program in the field of mental health nursing directed to adolescents who attend the 3rd cycle of studies. Objectives: Elaborate a positive mental health nursing program based on the Multifactorial Model of Teresa Lluch; Implement a positive mental health program within the framework of the primary health care services portfolio, in response to the guidelines of the national school health program (PNSE, 2015); to analyse the effectiveness of the positive mental health program in promoting adolescents' mental health in a school environment; to evaluate the positive mental health levels of adolescents in school settings. Methodology: Mixed, quasi-experimental (through a pilot study) and also observational-descriptive cross-sectional study focused on a Focus Group was chosen. Results: In the pilot group the mean positive mental health questionnaire pre-program, was 94.35, post-program had a decrease, and was at 92.61. Conclusions: Program implementation improved participants' positive mental health. Knowing that mental health is worked on the basis of continuity, it is believed that the time factor was limiting in this study. It would have been an added value to carry out a follow-up at the end of the academic year to analyse positive mental health questionnaire


No disponible


Assuntos
Humanos , Adolescente , Saúde Mental/classificação , Comportamento do Adolescente/classificação , Enfermagem Psiquiátrica/organização & administração , Transtornos Mentais/prevenção & controle , Implementação de Plano de Saúde/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Questionário de Saúde do Paciente/estatística & dados numéricos
15.
Rev. Rol enferm ; 43(1,supl): 464-471, ene. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-193422

RESUMO

Literature refers that patients are commonly affected by preventable adverse events associated with non-technical skills failures. Non-technical skills training programs address to prepare for, respond to, and mitigate adverse events in healthcare. This study took place at Center for Clinical Simulation of Aveiro University. Third year prelicensure nursing students were included in two groups: control group (N=27), and experimental group (N=20, who participated in the training course developed, focusing on non-technical skills and crisis resource management acting principles). The study was divided in two different moments, before the implementation of the course, and after the implementation of the course. The course was then divided in three sessions: one four-hour theoretical session; and two three-hour practical sessions, each including two high-fidelity simulation-based different scenarios, four in total.Regarding non-technical skills, we found significant differences in the experimental group in eleven items after intervention. As per participants' self-confidence levels, those who participated seem to have significantly increased confidence in their skills. Regarding social-demographic variables, it seems that students from primary healthcare tend to present better non-technical skills than students from maternal health specialty. Overall these results seem to suggest that the course developed was effective in increasing students' knowledge and awareness on non-technical skills. It was demonstrated that the development and application of the structured course is feasible and positive changes in behavior can be measured through the instru-ments developed. Then, consideration must be given in integrating non-technical skills training into nursing education


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Educação em Enfermagem/tendências , Treinamento por Simulação/métodos , Instruções Programadas como Assunto/estatística & dados numéricos , Estudantes de Enfermagem/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Autoaprendizagem como Assunto/classificação , Epidemiologia Experimental , Estudos de Casos e Controles
16.
Rev. esp. salud pública ; 94: 0-0, 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-193576

RESUMO

OBJETIVO: Una de cada cuatro mujeres embarazadas tiene al menos una caída durante su período de gestación. El objetivo de esta investigación fue desarrollar un material educativo escrito sobre prevención de caídas para mujeres embarazadas, promoviendo la autoeficacia y las expectativas de resultados basados en la teoría social cognitiva. Igualmente se pretendió evaluar la validez del contenido del material educativo, su comprensión y capacidad de acción. METODOS: Este estudio metodológico se llevó a cabo en dos fases: la primera se fundamentó en el desarrollo del material educativo y su evaluación por dos paneles de personas expertas (n=13). En segundo lugar, el material educativo fue evaluado con respecto a la organización, claridad, apariencia, relevancia, contenido, autoeficacia y expectativas de resultados, utilizando una hoja de evaluación creada por las investigadoras, así como su comprensión y capacidad de acción utilizando el instrumento PEMAT. Se utilizaron estadísticas descriptivas para las variables sociodemográficas y los resultados de los instrumentos de evaluación. RESULTADOS: Se atendieron las recomendaciones sobre la organización, claridad de la información, apariencia en términos de la calidad de las imágenes, relevancia, autoeficacia, expectativa de resultados y aspectos de seguridad. En la evaluación realizada por el panel de personas expertas en el contenido, se obtuvo un promedio del 87,8% y del 91,6% en los apartados de capacidad de acción y comprensión del PEMAT-P respectivamente. CONCLUSIONES: Este estudio logra desarrollar un material educativo con validez de contenido, altamente comprensible y accionable sobre incidencia de las caídas, sus causas y consecuencias, estrategias para prevenirlas, los beneficios de ejercitarse y recomendación de ejercicios para prevenir caídas durante el embarazo


OBJECTIVE: One in four pregnant women has at least one fall during their pregnancy. The objective of this research was to develop a written educational material on fall prevention for pregnant women, promoting self-efficacy and the expectations of results based on the social cognitive theory. It was also intended to evaluate the validity of the content of the educational material, its understanding and actionability. METHODS: This methodological study was carried out in two phases: the first was based on the development of educational material and its evaluation by two panels of experts (n=13). Secondly, the educational material was evaluated for organization, clarity, appearance, relevance, content, self-efficacy and expectations of results, using an evaluation sheet created by the researchers, as well as its understanding and actionability using the PEMAT instrument. Descriptive statistics are used for sociodemographic variables and the results of the evaluation instruments. RESULTS: Recommendations on the organization, clarity of information, appearance in terms of image quality, relevance, self-efficacy, expectation of results and safety aspects were met. In the evaluation carried out by the content expert panel, an average of 87.8% and 91.6% was obtained in the areas of actionability and understanding of PEMAT-P, respectively. CONCLUSIONS: This study develops an educational material with content validity, highly understandable and actionable on the falls incident, their causes and consequences, strategies to prevent them, the benefits of exercising and the recommendation of exercises to prevent falls during pregnancy


Assuntos
Humanos , Feminino , Gravidez , Adulto , Acidentes por Quedas/prevenção & controle , Complicações na Gravidez/prevenção & controle , Técnicas de Exercício e de Movimento/métodos , Acidentes por Quedas/estatística & dados numéricos , Educação em Saúde/métodos , Promoção da Saúde/métodos , Materiais de Ensino , Avaliação de Eficácia-Efetividade de Intervenções
17.
Rev. clín. esp. (Ed. impr.) ; 220: 0-0, 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192192

RESUMO

OBJETIVO: Evaluar si la telemedicina con telemonitorización es una herramienta clínicamente útil y segura para el seguimiento de pacientes con COVID-19. MÉTODOS: Estudio observacional prospectivo de los pacientes con diagnóstico de COVID-19 por PCR positiva y considerados de alto riesgo que se siguieron con telemedicina y telemonitorización en el Área Sanitaria de Lugo entre el 17 de marzo y el 17 de abril de 2020. Se incluyeron dos grupos de pacientes: seguimiento ambulatorio desde el inicio y tras el alta hospitalaria. Cada paciente remitió un cuestionario clínico al día con su temperatura y saturación de oxígeno 3 veces al día. El seguimiento fue proactivo contactando con todos los pacientes al menos una vez al día. RESULTADOS: Se incluyeron 313 pacientes (52,4% mujeres) con edad media 60,9 (DS 15,9) años. Otros 2 pacientes rehusaron entrar en el programa. Desde el inicio se siguieron ambulatoriamente 224 pacientes y 89 tras su alta hospitalaria. Entre los primeros, 38 (16,90%) se remitieron a Urgencias en 43 ocasiones con 18 (8,03%) ingresos y 2 fallecidos. En los domicilios no hubo fallecimientos ni urgencias vitales. Incluyendo a los pacientes tras hospitalización, el seguimiento se realizó en 304 casos. Un paciente reingresó (0,32%) y otro abandonó (0,32%). El tiempo medio de seguimiento fue 11,64 (SD 3,58) días y en los 30 días del estudio 224 (73,68%) pacientes fueron dados de alta. CONCLUSIONES: Nuestros datos sugieren que la telemedicina con telemonitorización domiciliaria, utilizada de forma proactiva, permite un seguimiento clínicamente útil y seguro en pacientes con COVID-19 de alto riesgo


AIM: To asses if telemedicine with telemonitoring is a clinically useful and secure tool in the tracking of patients with COVID-19. METHODS: A prospective observational study of patients with COVID-19 diagnosis by positive PCR considered high-risk tracked with telemedicine and telemonitoring was conducted in the sanitary area of Lugo between March 17th and April 17th, 2020. Two groups of patients were included: Outpatient Tracing from the beginning and after discharge. Every patient sent a daily clinical questionnaire with temperature and oxygen saturation 3 times a day. Proactive monitoring was done by getting in touch with every patient at least once a day. RESULTS: 313 patients (52.4% female) with a total average age of 60.9 (DS 15.9) years were included. Additionally, 2 patients refused to join the program. Since the beginning, 224 were traced outpatient and 89 after being discharged. Among the first category, 38 (16.90%) were referred to Emergency department on 43 occasions; 18 were hospitalized (8.03%), and 2 deceased. Neither deaths nor a matter of vital emergency occurred at home. When including patients after admissions monitoring was done in 304 cases. One patient re-entered (0.32%) to the hospital, and another one left the program (0.32%). The average time of monitoring was 11.64 (SD 3.58) days, and 224 (73.68%) patients were discharged during the 30 days of study. CONCLUSIONS: Our study suggests that telemedicine with home telemonitoring, used proactively, allows for monitoring high-risk patients with COVID-19 in a clinically useful and secure way


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Telemedicina/métodos , Telemonitoramento , Infecções por Coronavirus , Monitorização Ambulatorial/métodos , Consulta Remota/métodos , Estudos Prospectivos , Avaliação de Eficácia-Efetividade de Intervenções , Fatores de Risco , Pandemias/estatística & dados numéricos , Avaliação de Resultados da Assistência ao Paciente
18.
Eur. j. psychol. appl. legal context (Internet) ; 11(2): 71-79, jul.-dic. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-183601

RESUMO

Priority given to investigating the onset and maintenance of criminal behavior in the past is currently giving way to a new focus on the process of criminal desistance. Early narratives of future desistance are the first step in this process and, although they do not assure withdrawal from crime, they are the beginning of the personal change that precedes a progressive desistance from criminal activity. This study analyzes early desistance narratives of offenders still in prison and whether these narratives differed depending on their personal, criminal, and social characteristics. Participants were 44 imprisoned male offenders, aged between 20 and 50 years old at different stages of their sentence and in three different prison regimes. They were interviewed using Cid and Martí's protocol and their accounts were accordingly coded in three categories: early narratives towards a non-criminal identity, perceived self-efficacy to desist from crime, and will to desist. The results show that participants' early desistance narratives vary depending on their personal, criminal, and social variables. Results on the periods of sentence completion and prison regimes are discussed in terms of how prisons could contribute to enhancing the narratives of desistance from crime


La prioridad otorgada en el pasado a la investigación sobre el inicio y mantenimiento de la conducta delictiva está dando paso actualmente al análisis del proceso de desistimiento delictivo. Las narrativas tempranas del desistimiento futuro son el primer paso en este proceso y, aunque no aseguran dicho desistimiento, son el comienzo del cambio personal que precede al abandono progresivo de la actividad delictiva. Este estudio analiza las narrativas tempranas de desistimiento de delincuentes aún en prisión y si estas narrativas difieren según sus características personales, delictivas y sociales. Los participantes fueron 44 varones encarcelados, con edades comprendidas entre los 20 y los 50 años, en diferentes fases de su sentencia y en tres grados penitenciarios distintos. Fueron entrevistados utilizando el protocolo de Cid y Martí y sus relatos fueron codificados en tres categorías: narrativas tempranas sobre una identidad no delictiva, autoeficacia percibida para desistir del delito y voluntad para desistir. Los resultados muestran que las narrativas tempranas de desistimiento de los participantes difieren según sus características personales, delictivas y sociales. Los resultados relativos a la fase de la sentencia y a los grados penitenciarios se discuten en términos de cómo las prisiones pueden contribuir a potenciar las narrativas de desistimiento delictivo


Assuntos
Humanos , Masculino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Comportamento Criminoso , Criminosos/psicologia , Autoeficácia , Terapia Narrativa/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Psicologia Criminal/métodos
19.
Gac. sanit. (Barc., Ed. impr.) ; 33(6): 529-535, nov.-dic. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-189847

RESUMO

OBJECTIVE: Adequate physical activity levels and a healthy lifestyle may prevent all kinds of non-communicable diseases, promote well-being and reduce health-care costs among perimenopausal women. This study assessed an exercise programme for perimenopausal women. METHOD: A total of 150 women (aged 45-64 years) not engaged in regular physical activity were randomly assigned to either a 16 week exercise intervention or to the control group. The study was conducted from the perspective of the National Health System. Health outcomes were quality-adjusted life years (QALYs), measured by the EuroQol-5D-5L questionnaire. The total direct costs of the programme were the costs of visits to primary care, specialty care, emergency, medicines, instructor cost and infrastructure cost. The results were expressed as the incremental cost-effectiveness ratio. Sensitivity analysis was undertaken to test the robustness of the analysis. RESULTS: Mean QALYs over 16 weeks were.228 in the control group and.230 in the intervention group (mean difference: .002; 95% confidence interval [95%CI]: -0.005 to 0.009). Improvements from baseline were greater in the intervention group in all dimensions of the EuroQol-5D-5L but not statistically significant. The total costs at the end of the intervention were 160.38 € in the control group and 167.80 € in the intervention group (mean difference: 7.42 €; 95%CI: -47 to 62). The exercise programme had an incremental cost-effectiveness ratio of 4,686 €/QALY. CONCLUSIONS: The programme could be considered cost-effective, although the overall difference in health benefits and costs was very modest. Longer term follow-up is needed


OBJETIVO: El ejercicio físico puede promover el bienestar y reducir los costes de atención médica en las mujeres perimenopáusicas. Este estudio evalúa un programa de ejercicio físico en mujeres perimenopáusicas. MÉTODO: Un total de 150 mujeres (de edades comprendidas entre 45 y 64 años) fueron asignadas aleatoriamente al grupo de intervención o al grupo de control. El estudio ha tenido una duración de 16 semanas. Los resultados en salud se han medido en años de vida ajustados por calidad (AVAC) mediante el cuestionario EuroQol-5D-5L. Se ha considerado el total de costes directos del programa, integrado por los costes de las visitas en atención primaria, atención especializada y urgencias, medicamentos, coste del monitor y coste de las instalaciones. Los resultados se han expresado como ratio coste-efectividad incremental. La robustez del modelo se ha contrastado con un análisis de sensibilidad. RESULTADOS: Al final de la intervención, los AVAC fueron 0,228 en el grupo de control y 0,230 en el grupo de intervención (diferencia media: 0,002; intervalo de confianza del 95% [IC95%]: -0,005 a 0,009). La mejoría fue mayor en el grupo de intervención en todas las dimensiones del EuroQol-5D-5L, pero sin significación estadística. Los costes totales al finalizar la intervención han sido de 160,38 € en el grupo de control y 167,80 € en el de intervención (diferencia media: 7,42 €; IC95%: -47 a 62). El programa de ejercicio físico ha tenido una ratio coste-efectividad incremental de 4686 €/AVAC. CONCLUSIÓN: El programa debe considerarse coste-efectivo, aunque la diferencia en resultados de salud y costes ha sido muy moderada. Se necesita un seguimiento a más largo plazo


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Perimenopausa/fisiologia , Exercício Físico/fisiologia , Técnicas de Exercício e de Movimento/estatística & dados numéricos , Estilo de Vida Saudável/fisiologia , Comportamentos Relacionados com a Saúde/fisiologia , Análise Custo-Benefício , Prevenção de Doenças , Inquéritos Epidemiológicos/estatística & dados numéricos , Avaliação de Eficácia-Efetividade de Intervenções , Anos de Vida Ajustados por Qualidade de Vida
20.
Pediatr. aten. prim ; 21(84): 415-425, oct.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-191986

RESUMO

La actualización sobre las actividades de promoción de la actividad física en la infancia y adolescencia se aborda en dos partes. En la primera se analizan los beneficios en salud y los posibles riesgos de la actividad física. En la segunda se valora la evidencia sobre la eficacia de las intervenciones dirigidas a la promoción de la actividad física y disminución del sedentarismo en la edad pediátrica. El grupo PrevInfad sugiere hacer intervenciones dirigidas a la promoción de la actividad física o a la disminución del sedentarismo tanto en Atención Primaria como en el entorno escolar o comunitario


The update on actions to promote physical activity in childhood and adolescence is addressed in two parts. In the first part, the benefits in health and the possible risks of physical activity are analysed. In the second part, the evidence about the efficacy of the interventions directed to promote physical activity and decrease sedentary lifestyles in the paediatric age is assessed. The PrevInfad group suggests making interventions aimed at the promotion of physical activity or at reducing sedentary lifestyles, both in primary care and in the school or community environment


Assuntos
Humanos , Criança , Adolescente , Atividade Motora/fisiologia , Técnicas de Exercício e de Movimento/estatística & dados numéricos , Obesidade Pediátrica/prevenção & controle , Manejo da Obesidade/métodos , Comportamento Sedentário , Treinamento de Resistência/métodos , Avaliação de Eficácia-Efetividade de Intervenções , Promoção da Saúde/métodos , Atenção Primária à Saúde/métodos
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