Atencion Primaria最新文献

{"title":"Primary healthcare nurse managers’ perceptions in relation to evidence-based practice and their role in further extension: A qualitative study","authors":"Óscar Román ,&nbsp;Itziar Estalella ,&nbsp;Cristina Vaamonde-García ,&nbsp;Beatriz Cubeiro-López ,&nbsp;Amaia Maquibar","doi":"10.1016/j.aprim.2025.103365","DOIUrl":"10.1016/j.aprim.2025.103365","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perceptions of primary healthcare nurse managers in relation to evidence based practice (EBP) and their role for further EBP extension.</div></div><div><h3>Design</h3><div>Bradshaw's qualitative descriptive approach.</div></div><div><h3>Site</h3><div>Primary Healthcare Centres in the Basque Country, Spain.</div></div><div><h3>Participants</h3><div>12 nurse managers in Primary Healthcare Centres.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews in 2024, transcribed and analysed following qualitative content analysis.</div></div><div><h3>Results</h3><div>Three categories were elaborated during the analysis. The first one, ‘Somehow contradictory perceptions around EBP’ describes how participants considered EBP at the core of nursing while at the same time perceived it to be something abstract, difficult to achieve and to implement. The second category, ‘The tortuous pathway to EBP competence’ reflects how participants understood that acquiring EBP competence was not a straightforward process, but dependent on individual willingness and motivation of each nurse. Finally, the third category ‘EBP implementation: whose responsibility?’ covers participants’ reflections on their role in further EBP expansion as nursing supervisors along with reflections on institutional barriers and responsibility and action in this regard.</div></div><div><h3>Conclusions</h3><div>There was a great consensus among participants in this study about EBP being essential to provide quality healthcare but, at the same time, they perceived EBP as something abstract and difficult to implement and dependent on individual nurses’ willingness and motivation. Although participants extensively described organisational barriers for further EBP implementation, their role in EBP implementation was never described as advocating for an organisational change in favour of EBP but down the hierarchy towards the nurses under their management.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103365"},"PeriodicalIF":1.6,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Torus palatino: a propósito de un caso","authors":"Sara de Antonio Feu ,&nbsp;María de Altabas de Vicente Martínez ,&nbsp;Ana Peral Martín","doi":"10.1016/j.aprim.2025.103387","DOIUrl":"10.1016/j.aprim.2025.103387","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103387"},"PeriodicalIF":1.6,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilidad del score H2FPEF en el diagnóstico y pronóstico de las insuficiencia cardiaca con fracción de eyección preservada en atención primaria","authors":"Victoria Cendrós ,&nbsp;José María Verdú-Rotellar ,&nbsp;Jaume Parra ,&nbsp;Miguel Ángel Muñoz ,&nbsp;Mar Domingo ,&nbsp;Josep Franch","doi":"10.1016/j.aprim.2025.103335","DOIUrl":"10.1016/j.aprim.2025.103335","url":null,"abstract":"<div><h3>Objective</h3><div>To determine, in a group of patients with a diagnosis of heart failure (HF) in primary care, the probability of presenting heart failure with preserved ejection fraction (HFpEF) according to the H₂FPEF score and its association with one-year morbidity and mortality.</div></div><div><h3>Design</h3><div>Cross-sectional descriptive study.</div></div><div><h3>Setting</h3><div>Seven primary care centres in Barcelona.</div></div><div><h3>Participants</h3><div>Patients with HF (ICD-10: I.50) and left ventricular ejection fraction ≥<!--> <!-->50%.</div></div><div><h3>Interventions</h3><div>analysis of electronic health record data from primary care and clinical interview with patients.</div></div><div><h3>Main measurements</h3><div>Clinical, laboratory and echocardiographic variables were collected. The H₂FPEF score was calculated and patients were classified accordingly. The association between the score and the composite outcome (all-cause mortality or HF hospitalisation) at one year was analysed.</div></div><div><h3>Results</h3><div>A total of 628 patients were included, of whom 169 had complete data for score calculation. Of these, 47.9% had a high probability of HFpEF. These patients were older, with more comorbidities and worse functional class. The incidence of the composite event was higher in the high-probability group (64.4%) compared to the low/intermediate group (35.6%; <em>P</em>=.011). In multivariate analysis, high probability showed a trend towards association with the composite outcome (OR: 2.06; 95% CI: 0.96-4.54; <em>P</em>=.066).</div></div><div><h3>Conclusions</h3><div>The H₂FPEF score is a useful and feasible tool in primary care for improving the diagnosis and risk stratification of morbidity and mortality in patients with suspected HF.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103335"},"PeriodicalIF":1.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dolor crónico y dolor persistente: diferencias conceptuales y clínicas en la terminología del dolor","authors":"Luz de Myotanh Vázquez Canales ,&nbsp;Aina Perelló-Bratescu ,&nbsp;Marta Domínguez-García ,&nbsp;Antoni Morral Fernández","doi":"10.1016/j.aprim.2025.103368","DOIUrl":"10.1016/j.aprim.2025.103368","url":null,"abstract":"<div><div>Since 2009, there has been a growing trend in English-language scientific literature toward replacing the term chronic pain with persistent pain. This semantic shift is a clear statement of reversibility and indicates the possibility of pain change.</div><div>In 2022, the Tradop working group <em>(Grup d’Abordatge Transdisciplinar del Dolor Persistent)</em> was created within the CAMFIC Scientific Society (Catalan Society of Family and Community Medicine). Various associations of patients and family members affected by chronic pain felt challenged to learn that our group used persistent pain instead of chronic pain in courses, conferences, and publications. Given their discomfort, we initiated a collective reflection and an etymological, historical, and scientific investigation of the terms «chronic» and «persistent». This search led to the conclusion that the two terms are not equivalent and that the translation from English to Spanish has a different contextualization and applicability.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103368"},"PeriodicalIF":1.6,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes mitocondrial: de la sospecha en atención primaria al abordaje multidisciplinar familiar","authors":"Blanca Adriana Macías Martínez ,&nbsp;Alba Dalmau Vila ,&nbsp;Marta Hernández García ,&nbsp;Maria Antonia Lafarga Giribets","doi":"10.1016/j.aprim.2025.103370","DOIUrl":"10.1016/j.aprim.2025.103370","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103370"},"PeriodicalIF":1.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud percibida en adultos mayores mexicanos: su asociación con la participación social formal e informal","authors":"Elva Dolores Arias-Merino ,&nbsp;Beatriz Adriana Corona-Figueroa ,&nbsp;Martha Elena Vázquez-Arias ,&nbsp;Jose Carlos Suarez-Herrera","doi":"10.1016/j.aprim.2025.103366","DOIUrl":"10.1016/j.aprim.2025.103366","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103366"},"PeriodicalIF":1.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[A particular case of a Schwannoma in the foot].","authors":"Carlos Jiménez Martínez","doi":"10.1016/j.aprim.2025.103351","DOIUrl":"10.1016/j.aprim.2025.103351","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"103351"},"PeriodicalIF":1.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812700","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}

{"title":"Efectos de los cambios de temperatura secundarios al cambio climático en la salud humana","authors":"María Cristina Almécija Pérez ,&nbsp;Marta Gómez Morillo ,&nbsp;Carlos Llano Gómez ,&nbsp;Nima Peyman-Fard Shafi-Tabatabaei","doi":"10.1016/j.aprim.2025.103369","DOIUrl":"10.1016/j.aprim.2025.103369","url":null,"abstract":"<div><div>Climate change is intensifying extreme heat with serious health consequences. Heatwaves increase both mortality and morbidity, particularly affecting vulnerable groups. Heat exacerbates cardiovascular, renal, mental, and respiratory diseases, and its impact is greater in contexts of energy poverty and inadequate housing. Moreover, there are significant geographical and social inequalities: those who contribute the least to climate change are often the most affected. Adaptation can reduce heat-related mortality by up to 80% and includes physiological, cultural, technological, and policy-based measures. From Primary Health Care, strategies are proposed at individual, group, community, and political levels, focusing on identifying vulnerabilities, raising awareness, promoting healthy environments, and demanding climate justice. The approach must be comprehensive, equitable, and transformative in order to address this global health crisis effectively.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103369"},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ansiedad y estrés en la paternidad: desafíos y oportunidades para los hombres","authors":"Aldo Medina Gamero","doi":"10.1016/j.aprim.2025.103382","DOIUrl":"10.1016/j.aprim.2025.103382","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103382"},"PeriodicalIF":1.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efectividad del programa de financiación de la deshabituación tabáquica en la sanidad pública","authors":"Francisco Camarelles Guillem ,&nbsp;Cesar Minué Lorenzo ,&nbsp;Rodrigo Córdoba Garcia","doi":"10.1016/j.aprim.2025.103384","DOIUrl":"10.1016/j.aprim.2025.103384","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103384"},"PeriodicalIF":1.6,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}