Gaceta Sanitaria最新文献_第6页

Implantación de una estrategia para gestionar la multifrecuentación de urgencias hospitalarias en una zona de Barcelona [在巴塞罗那的一个地区实施一项战略，以管理频繁的急诊就诊]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102428

Emmanuel Giménez , María José Abadías , Antonio San-José , Marta Losada , Jordi Acezat , Jordi Ibáñez , Luis Marte , Miriam Barrecheguren , Ana Belén Méndez , Marta Aguayo-Álvarez , María Arranz , Rosa Ramos

{"title":"Implantación de una estrategia para gestionar la multifrecuentación de urgencias hospitalarias en una zona de Barcelona","authors":"Emmanuel Giménez , María José Abadías , Antonio San-José , Marta Losada , Jordi Acezat , Jordi Ibáñez , Luis Marte , Miriam Barrecheguren , Ana Belén Méndez , Marta Aguayo-Álvarez , María Arranz , Rosa Ramos","doi":"10.1016/j.gaceta.2024.102428","DOIUrl":"10.1016/j.gaceta.2024.102428","url":null,"abstract":"<div><div>Visits to hospital emergency departments by patients with multimorbidity, complex chronic conditions, and frailty are becoming an increasing challenge. A territorial strategy has been developed, based on automated preselection lists, a nurse case manager with specialized experience, and a multi-level territorial referral consensus. The feasibility of this approach has been demonstrated, with 368 alerts detected, 85% of which were well-selected. Age, frailty, home care percentage, Barthel index, and cognition were progressively aligned with levels of care/referral (primary, intermediate, and specialized) according to previously agreed criteria. In 2024, there is extensive structured technical information, an expanding role for advanced nursing, and well-established inter-level service resources. Therefore, through automated selection, a consensual territorial protocol of pathways and clinical profiles, and autonomous nursing assessments managing multi-frequent cases, it would be possible to achieve, in a proactive, simple, and scalable manner, an appropriate distribution of alerts across levels, consistent with the social and healthcare needs of the patients.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102428"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-perceived quality of life by institutionalised adults with cerebral palsy in Spain 西班牙养老院成年脑瘫患者的自我感觉生活质量。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102416

Diana Marcela Nova Díaz , María Errea Rodríguez , Juan Manuel Cabasés Hita , Eduardo Sánchez Iriso

{"title":"Self-perceived quality of life by institutionalised adults with cerebral palsy in Spain","authors":"Diana Marcela Nova Díaz , María Errea Rodríguez , Juan Manuel Cabasés Hita , Eduardo Sánchez Iriso","doi":"10.1016/j.gaceta.2024.102416","DOIUrl":"10.1016/j.gaceta.2024.102416","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the self-perceived quality of life of institutionalized adults with cerebral palsy and to identify factors that influence their well-being, including sociodemographic, clinical, and diagnostic characteristics, as well as the degree of institutionalization.</p></div><div><h3>Method</h3><p>A descriptive cross-sectional study was conducted using the San Martin Quality of Life Scale among adults with cerebral palsy. Data were collected in 2021 and 2022 in a sample of adults with cerebral palsy in Navarra, Spain. Multivariate regression was used to explore the relationship between quality of life and various influential factors.</p></div><div><h3>Results</h3><p>The self-determination dimension positively influenced quality of life scores, whereas the social inclusion dimension had the opposite effect. Descriptive and regression analyses revealed that factors such as residing outside the city and a high degree of dependency had a negative influence on quality of life, while the degree of institutionalization had a positive impact.</p></div><div><h3>Conclusions</h3><p>It is important to highlight the positive effects of the degree of institutionalization on rehabilitation and well-being, as it seeks to enhance autonomy and social integration when talking about patient-centered models of institutionalization.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102416"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000682/pdfft?md5=68078e7a651decd950d1712114a59845&pid=1-s2.0-S0213911124000682-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Photovoice versus focus groups: a comparative study of qualitative health research techniques 摄影声音与焦点小组：定性健康研究技术的比较研究。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102423

Paloma Conde , Jesús Rivera-Navarro , Marta Gutiérrez-Sastre , Ignacio González-Salgado , Manuel Franco , María Sandín Vázquez

{"title":"Photovoice versus focus groups: a comparative study of qualitative health research techniques","authors":"Paloma Conde , Jesús Rivera-Navarro , Marta Gutiérrez-Sastre , Ignacio González-Salgado , Manuel Franco , María Sandín Vázquez","doi":"10.1016/j.gaceta.2024.102423","DOIUrl":"10.1016/j.gaceta.2024.102423","url":null,"abstract":"<div><h3>Objective</h3><div>To compare, from an empirical point of view, the use of focus group and photovoice as we conducted two studies on food environment in neighbourhoods with different socio-economic profiles.</div></div><div><h3>Method</h3><div>The European project Heart Healthy Hoods studied the association between the physical and social environment of Madrid (Spain) and the cardiovascular health of its residents. Two ancillary studies were developed to further expand the study of urban health inequalities using focus group and photovoice. Both studies, similar in their objectives and study populations, are the basis for comparing both techniques. The comparison considered the following methodological aspects: study design, logistic aspects, commitment and involvement, ethical issues, and data analysis.</div></div><div><h3>Results</h3><div>We identified differences, similarities, potentialities, and limitations of each technique with their corresponding results. We found that depending on the research objectives, one technique was more beneficial than the other. If the objective is producing new knowledge, using focus group would be the most appropriate technique, whereas if the objective includes generating social change, photovoice would be more suitable. We found that photovoice is a powerful technique in public health, especially studying social processes related to population health, requiring extra effort from researchers and a special care with the related ethical considerations.</div></div><div><h3>Conclusions</h3><div>Increasing participants’ awareness, involving decision makers to channel proposals, the atypical role of researchers and ethical implications of photography are aspects to be considered when choosing photovoice instead of focus group.</div></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102423"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mindfullness based intervention reduce anxiety in labor 以正念为基础的干预可减轻分娩时的焦虑。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102359

Finta Isti Kundarti , Kiswati , I. Nengah Tanu Komalyna

{"title":"Mindfullness based intervention reduce anxiety in labor","authors":"Finta Isti Kundarti , Kiswati , I. Nengah Tanu Komalyna","doi":"10.1016/j.gaceta.2024.102359","DOIUrl":"10.1016/j.gaceta.2024.102359","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the effectiveness of mindfulness interventions on anxiety through a systematic review.</p></div><div><h3>Method</h3><p>Systematic review by searching articles through the PubMed, ProQuest, Science Direct, Wiley Library, Sage Journal, and Cochrane Library databases with publication years January 2012 to January 2022</p></div><div><h3>Results</h3><p>Eleven articles met the inclusion criteria covering several countries, including Canada 1 article, Egypt 1 article, Taiwan 1 article, Amsterdam 2 articles, Iran 1 article, Austria 1 article, San Francisco 1 article, Germany 1 article, Sweden 1 article, China 1 article, and Spain 1 article.</p></div><div><h3>Conclusions</h3><p>Management of anxiety about childbirth is important for pregnant women. Mindfulness interventions are effective for reducing anxiety about labor and increasing comfort during labor. Mindfulness intervention mechanisms have the potential to reduce anxiety by increasing skills to regulate emotions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102359"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000062/pdfft?md5=fecc278a35ff776292063183df391fc8&pid=1-s2.0-S0213911124000062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Salud, equidad y justicia menstrual: de los saberes colectivos a la legislación menstrual en España 月经健康、公平和正义：西班牙从集体智慧到月经立法

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102356

Laura Medina-Perucha , Constanza Jacques-Aviñó

引用次数: 0

Visibilidad de las enfermedades raras en las páginas web de salud de las comunidades autónomas 罕见疾病在自治区卫生网站上的可见度

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102398

María Nieves González Natal

引用次数: 0

Salud y bienestar del personal sanitario: condiciones de empleo y de trabajo más allá de la pandemia. Informe SESPAS 2024 [医护人员的健康和福祉：大流行病后的就业和工作条件]。

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102378

Fernando G. Benavides , Mireia Utzet , Consol Serra , Pia Delano , Montserrat García-Gómez , Amaia Ayala , Jordi Delclós , Elena Ronda , Vega García , Ana María García , en nombre del Grupo de Trabajo de la Sociedad Española de Epidemiología de Salud Laboral

{"title":"Salud y bienestar del personal sanitario: condiciones de empleo y de trabajo más allá de la pandemia. Informe SESPAS 2024","authors":"Fernando G. Benavides , Mireia Utzet , Consol Serra , Pia Delano , Montserrat García-Gómez , Amaia Ayala , Jordi Delclós , Elena Ronda , Vega García , Ana María García , en nombre del Grupo de Trabajo de la Sociedad Española de Epidemiología de Salud Laboral","doi":"10.1016/j.gaceta.2024.102378","DOIUrl":"10.1016/j.gaceta.2024.102378","url":null,"abstract":"<div><p>Healthcare workers are people who work in health activities, whether or not they have direct contact with citizens. Currently, around 1.3 million people (70% women) work in healthcare activities in Spain. This represents around 10% of the active population, having increased by 33% since 2008, especially the number of women, which has doubled. Healthcare organizations, especially hospitals, are extremely complex workplaces, with precarious working and employment conditions, especially in more hierarchical occupations, exposing healthcare workers to numerous occupational hazards, mainly from ergonomic and psychosocial conditions. These causes frequent musculoskeletal and mental disorders, highlighting burnout, which is estimated at 40% in some services such as intensive care units. This high morbidity is reflected in a high frequency of absences due to illness, around 9% after the pandemic. The pandemic, and its consequences in the last three years, has put extreme pressure on the health system and has clearly shown its deficiencies in relation to working and employment conditions. The hundreds of occupational health professionals, technicians and healthcare workers, who are part of the structures of health organizations, constitute very valuable resources to increase the resilience of the NHS. We recommend the strengthening in resources and institutionally of the occupational health services of health centers and the creation of an Observatory of working, employment and health conditions in the National Health Service, as an instrument for monitoring changes and proposing solutions.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102378"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000256/pdfft?md5=2bec6aede7afaa61f2f844e21ebe7261&pid=1-s2.0-S0213911124000256-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Distrés moral: ¿un concepto útil? [道德困境：一个有用的概念？］

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102412

Maria Verdaguer , Patricia Beroiz-Groh , Xavier Busquet-Duran , Eduard Moreno-Gabriel , Antonia Arreciado Marañón , Maria Feijoó-Cid , Miquel Domènech , Lupicinio Íñiguez-Rueda , Núria Vallès-Peris , Glòria Cantarell-Barella , Pere Torán-Monserrat

引用次数: 0

Tensiones profesionales en la práctica clínica de la eutanasia: el papel del distrés moral [安乐死临床实践中的专业紧张关系：道德困扰角色]。

IF 1.5 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102411

Margarita Bofarull Buñuel , Francesc Torralba Roselló , José Antonio Suffo Aboza , Rogelio Altisent Trota , Montserrat Esquerda Aresté , Joan Bertran Muñoz

引用次数: 0

Luces y sombras en la implementación de la acción comunitaria para la salud 实施社区健康行动的光与影

IF 1.9 4区医学

Gaceta Sanitaria Pub Date : 2024-01-01 DOI: 10.1016/j.gaceta.2024.102387

Pablo Nogueira González , Diana Gil González , Carlos Álvarez-Dardet Díaz

{"title":"Luces y sombras en la implementación de la acción comunitaria para la salud","authors":"Pablo Nogueira González , Diana Gil González , Carlos Álvarez-Dardet Díaz","doi":"10.1016/j.gaceta.2024.102387","DOIUrl":"https://doi.org/10.1016/j.gaceta.2024.102387","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the experiences of individuals who develop projects and interventions where community participation-action constitutes a strategic tool for reducing health inequalities.</p></div><div><h3>Method</h3><p>Qualitative study based on semi-structured, in-depth online interviews with individuals considered experts in the development of health promotion strategies involving community participation. A total of 12 individuals from the healthcare, social healthcare, academic, and associative backgrounds were selected. The texts were analyzed following the thematic content analysis approach.</p></div><div><h3>Results</h3><p>The prominent strength of the processes involving the interviewed individuals is their participatory approach. However, there is no genuine commitment to promoting community participation from primary healthcare, and precarity has been identified as a significant weakness in the development of participatory health promotion projects. The sustainability of participatory processes relies on the transfer of knowledge to the community and their empowerment.</p></div><div><h3>Conclusions</h3><p>Participatory processes have demonstrated their ability to reposition the community as an essential part of the healthcare system. It would be interesting to use a measurement tool for participation in all community health actions, both to guide their design and planning and to assess the depth of participation and its impact on the process. Enhancing community action expectations for health in the near future involves promoting a community-oriented approach in primary care and intersectoral collaboration, which requires a significant institutional and policy commitment.</p></div>","PeriodicalId":12494,"journal":{"name":"Gaceta Sanitaria","volume":"38 ","pages":"Article 102387"},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213911124000347/pdfft?md5=401c2ef057c579c13403ee0a522d06c8&pid=1-s2.0-S0213911124000347-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0