Atencion PrimariaPub Date : 2025-04-08DOI: 10.1016/j.aprim.2025.103271
Óscar Rafael Masiá-Perpiñá , Luisa María Juan-Santos , Inmaculada Concepcion Ponce-Avilés , Rocío Rodríguez-Sánchez , Luis Gabriel Luque Romero
{"title":"Perfil de prescripción crónica de opioides mayores y tratamiento adyuvante para el dolor crónico en una zona básica de salud rural","authors":"Óscar Rafael Masiá-Perpiñá , Luisa María Juan-Santos , Inmaculada Concepcion Ponce-Avilés , Rocío Rodríguez-Sánchez , Luis Gabriel Luque Romero","doi":"10.1016/j.aprim.2025.103271","DOIUrl":"10.1016/j.aprim.2025.103271","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103271"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790867","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}
Atencion PrimariaPub Date : 2025-04-08DOI: 10.1016/j.aprim.2025.103266
María del Mar González Fernández-Conde , Cristina Fernández Arquisola , Marta Manzano García
{"title":"Evaluación de la Gestión Compartida de la Demanda de enfermería en atención primaria de Salamanca a los 6 meses de su implantación","authors":"María del Mar González Fernández-Conde , Cristina Fernández Arquisola , Marta Manzano García","doi":"10.1016/j.aprim.2025.103266","DOIUrl":"10.1016/j.aprim.2025.103266","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy and satisfaction of users attended in Nurse Demand Management (NDM), 6<!--> <!-->months after its implementation.</div></div><div><h3>Design</h3><div>Observational, descriptive, cross-sectional study.</div></div><div><h3>Location</h3><div>Primary Health Center.</div></div><div><h3>Participants</h3><div>≥<!--> <!-->14 years cited in NDM (July 1-December 31, 2023). A total of 39.95% of nursing professionals in the area participated.</div></div><div><h3>Interventions</h3><div>Specific training was provided in accordance with the Framework Document of Castilla y León and its protocols for ordinary and continuous care.</div></div><div><h3>Main measurements</h3><div>By means of a questionnaire completed after each NDM recording: reason for consultation, nursing interventions performed, resolution and other variables. User satisfaction was assessed by means of an anonymous self-administered Likert-type questionnaire.</div></div><div><h3>Results</h3><div>5,090 questionnaires were completed (8.52% of consultations). The main reasons for consultation were discomfort when urinating, sore throat, administrative reasons, wounds and upper respiratory symptoms. 21.9% of the reasons for consultation were not included in the protocols.</div><div>A total of 34.3% of the consultations achieved autonomous nursing resolution, with greater resolution capacity in rural areas (OR<!--> <!-->=<!--> <!-->2.22; 95%<!--> <!-->CI: 1.94-2.55). The interventions most related to autonomous resolution were counseling (43.7%) and health education (28.1%).</div><div>90% considered that the care received was good or very good and 83% that the health problem was resolved satisfactorily or very satisfactorily.</div></div><div><h3>Conclusions</h3><div>NDM achieves high population satisfaction, with a low/medium degree of short-term resolution, higher in rural areas. Long-term results need to be evaluated.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103266"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790865","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}
Atencion PrimariaPub Date : 2025-04-08DOI: 10.1016/j.aprim.2025.103263
José Luis Górriz , Arantxa Matalí , Sofía Sánchez , Francisco Javier Ortega Ríos
{"title":"Proyecto RiscAP: evaluación del riesgo cardiovascular en el servicio de nefrología para médicos de atención primaria","authors":"José Luis Górriz , Arantxa Matalí , Sofía Sánchez , Francisco Javier Ortega Ríos","doi":"10.1016/j.aprim.2025.103263","DOIUrl":"10.1016/j.aprim.2025.103263","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103263"},"PeriodicalIF":1.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790866","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":"Prevalencia de incontinencia urinaria en las mujeres jóvenes y nulígrávidas","authors":"Belén Cabello-Díaz , Celia Tirado-Morata , Sofía Garrido-Elustondo","doi":"10.1016/j.aprim.2025.103261","DOIUrl":"10.1016/j.aprim.2025.103261","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103261"},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704734","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}
Atencion PrimariaPub Date : 2025-03-25DOI: 10.1016/j.aprim.2025.103260
Jose Nobrega-de-Franca , Vega García López , Susana Álvarez Erviti , Belén Asenjo-Redín
{"title":"Predicción del riesgo cardiovascular a 10 años en los trabajadores del Servicio Navarro de Salud-Osasunbidea. Período 2019-2023","authors":"Jose Nobrega-de-Franca , Vega García López , Susana Álvarez Erviti , Belén Asenjo-Redín","doi":"10.1016/j.aprim.2025.103260","DOIUrl":"10.1016/j.aprim.2025.103260","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the risk of cardiovascular events in workers of the Servicio Navarro de Salud-Osasunbidea (SNS_O) using the SCORE2 scale and to assess the prevalence of Cardiovascular Risk Factors (CVRF).</div></div><div><h3>Design</h3><div>Retrospective observational study based on occupational medical examinations from 2019 to 2023.</div></div><div><h3>Setting</h3><div>Occupational Risk Prevention Service of the Servicio Navarro de Salud_Osasunbidea (SNS_O).</div></div><div><h3>Participants</h3><div>SNS-O workers (management and service staff, health graduates, health licentiates, and health technicians).</div></div><div><h3>Measurements</h3><div>Estimation of Cardiovascular Risk (CVR) using SCORE2 and prevalence of CVRF.</div></div><div><h3>Results</h3><div>Of the 5801 workers studied, the calculated probability of suffering a vascular event in 10 years was 1.3%. Age recoded in decades from 40 to 70 and grouped BMI (normal weight vs overweight-obesity) were the variables with the greatest explanatory effect on the risk of cardiovascular events. Regarding CVRF, 31.2% presented hypertension, 38.2% smoking, 41.1% overweight/obesity, 52.7% consumed alcohol sporadically, and 5% presented daytime sleepiness. Statistically significant differences by sex, except for smoking and sleepiness.</div></div><div><h3>Conclusions</h3><div>The prevalence of CVRF in SNS-O personnel was high and similar to that of the general adult population. This is related to the high CVD risk range, especially in male workers over 50 years of age and with high BMI.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 10","pages":"Article 103260"},"PeriodicalIF":1.8,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143682685","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}
Atencion PrimariaPub Date : 2025-03-22DOI: 10.1016/j.aprim.2025.103256
Mercedes Ferreira Bouza , M. Rosario Martínez Guillamón , Teresa Méndez García , Manel Monfort Lázaro , Olga Pueyo Val , Sandra Robles Pellitero
{"title":"Telemedicina y entornos rurales","authors":"Mercedes Ferreira Bouza , M. Rosario Martínez Guillamón , Teresa Méndez García , Manel Monfort Lázaro , Olga Pueyo Val , Sandra Robles Pellitero","doi":"10.1016/j.aprim.2025.103256","DOIUrl":"10.1016/j.aprim.2025.103256","url":null,"abstract":"<div><div>The use of telemedicine, even in rural contexts, can represent an opportunity to promote a comprehensive and coherent approach to health, improving the efficiency in the management of healthcare resources while considering the demographic and professional reality of this environment. To this end, the people who live and work in this setting should be the focus of digital transformation, so that the implementation of this tool does not promote greater inequality, limits the digital divide, and manages to overcome the evident resistance to the use of telemedicine in an area in which interpersonal contact, human relationships, and knowledge of the environment have always been priorities. In addition to the opportunities and applications, some of the challenges faced by this complementary healthcare are presented, along with ideas to address them.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103256"},"PeriodicalIF":1.8,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681790","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}
Atencion PrimariaPub Date : 2025-03-22DOI: 10.1016/j.aprim.2025.103257
Diego Martín-Caro Álvarez , Javier García Iglesias , María Fontana-Campos , Ricardo Rodríguez Barrientos , Grupo de trabajo
{"title":"Cobertura de vacunación frente al herpes zóster: unidad de atención a residencias de la Comunidad de Madrid","authors":"Diego Martín-Caro Álvarez , Javier García Iglesias , María Fontana-Campos , Ricardo Rodríguez Barrientos , Grupo de trabajo","doi":"10.1016/j.aprim.2025.103257","DOIUrl":"10.1016/j.aprim.2025.103257","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103257"},"PeriodicalIF":1.8,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681791","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}
Atencion PrimariaPub Date : 2025-03-20DOI: 10.1016/j.aprim.2025.103238
Kenny Escobar-Segovia , Javier Fagundo-Rivera , Juan Gómez-Salgado
{"title":"Atención primaria y salud mental: lecciones y desafíos en el mundo pospandemia","authors":"Kenny Escobar-Segovia , Javier Fagundo-Rivera , Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103238","DOIUrl":"10.1016/j.aprim.2025.103238","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103238"},"PeriodicalIF":1.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143675038","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}