Atencion Primaria最新文献

{"title":"[Primary care and mental health: Lessons and challenges in the post-pandemic world].","authors":"Kenny Escobar-Segovia, Javier Fagundo-Rivera, Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103238","DOIUrl":"https://doi.org/10.1016/j.aprim.2025.103238","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factores determinantes en la calidad de vida de las mujeres supervivientes de cáncer de mama","authors":"Mario López-Salas ,&nbsp;Antonio Yanes-Roldán ,&nbsp;Roberto Bernal-Bernal ,&nbsp;Elena Melús-Palazón ,&nbsp;Francisco Álvarez-Rico ,&nbsp;Cruz Bartolomé-Moreno","doi":"10.1016/j.aprim.2025.103253","DOIUrl":"10.1016/j.aprim.2025.103253","url":null,"abstract":"<div><h3>Objectives</h3><div>To measure the quality of life of women breast cancer (BC) survivors and to detect differences according to clinical and sociodemographic variables.</div></div><div><h3>Design</h3><div>Cross-sectional observational study from May to August 2024.</div></div><div><h3>Placement</h3><div>Spain.</div></div><div><h3>Participants</h3><div>Women BC survivors, selected by non-probabilistic purposive sampling, from the database of the Spanish Association Against Cancer.</div></div><div><h3>Main measurements</h3><div>Self-administered form that included the validated Quality of Life in Adult Cancer Survivors questionnaire along with a series of questions referring to clinical and sociodemographic variables. A descriptive analysis was performed and the mean scores of the scale domains were compared by Student's t-test and one-factor analysis of variance.</div></div><div><h3>Results</h3><div>A total of 1293 women participated. The total score of the Quality of Life in Adult Cancer Survivors and most of its domains decreased significantly as both the age of the BC survivors and the time elapsed since completion of primary treatment increase. In addition, participants who were receiving hormone treatment reported worse quality of life at the time of the interview. The concern that a family member will be diagnosed with cancer is very frequent and remains constant for almost all groups.</div></div><div><h3>Conclusions</h3><div>Differences among BC survivors highlight the need for personalized comprehensive care, helping professionals and patients to make informed decisions, reducing oncologic impact and improving quality of life in the short and long term.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103253"},"PeriodicalIF":1.8,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636550","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":"Factores relacionados con la intención de abandono en profesionales farmacéuticos: un estudio en farmacia hospitalaria y comunitaria","authors":"Macarena Canales Tafur ,&nbsp;Arturo Hardisson ,&nbsp;Naira Delgado Rodríguez","doi":"10.1016/j.aprim.2025.103248","DOIUrl":"10.1016/j.aprim.2025.103248","url":null,"abstract":"<div><h3>Objective</h3><div>The primary aim of this study is to explore the relationships between empathy, organizational support, interprofessional cooperation, burnout, and turnover intention among pharmaceutical professionals working in hospitals and community pharmacies. Additionally, the study seeks to compare the levels of these factors between the two professional groups.</div></div><div><h3>Design</h3><div>An observational and cross-sectional study was conducted.</div></div><div><h3>Setting</h3><div>Data were collected from community and hospital pharmacies in the Canary Islands.</div></div><div><h3>Participants</h3><div>The sample consisted of 183 pharmaceutical professionals, including 124 working in community settings and 59 in hospital settings.</div></div><div><h3>Interventions</h3><div>As an observational study, data collection was carried out without any intervention.</div></div><div><h3>Main outcome measures</h3><div>Measures included empathy, interprofessional collaboration and cooperation, perceived organizational support, burnout, and turnover intention. Analyses included correlations, mean comparisons between the hospital and community pharmacy groups, and a regression analysis on turnover intention.</div></div><div><h3>Results</h3><div>The findings revealed that cooperation, coordination, emotional exhaustion, and low personal accomplishment were the factors most strongly associated with turnover intention, explaining 66% of the variance.</div></div><div><h3>Conclusions</h3><div>The results underscore the importance of these interpersonal factors in promoting occupational well-being among pharmaceutical professionals. The findings are discussed in comparison with previous research conducted in other healthcare professions.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103248"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609501","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":"Prejuicios, actitudes y estereotipos de los profesionales de la salud hacia la fibromialgia: una revisión sistemática","authors":"Gloria Vázquez-González ,&nbsp;Regina Allande-Cussó ,&nbsp;Juan Gómez-Salgado ,&nbsp;Murat Yildirim ,&nbsp;Javier Fagundo-Rivera ,&nbsp;José Antonio Climent-Rodríguez ,&nbsp;Yolanda Navarro-Abal","doi":"10.1016/j.aprim.2025.103251","DOIUrl":"10.1016/j.aprim.2025.103251","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the prejudices, attitudes and stereotypes that health professionals, mainly in general medicine, family medicine, internal medicine, rheumatology, mental health, nursing and physiotherapy, have towards fibromyalgia.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Data sources</h3><div>Pubmed, Web of Science, Scopus, CINAHL and PsycINFO.</div></div><div><h3>Study selection</h3><div>The search was carried out on 17 June 2024. Original articles and case reports, whose subject matter was related to the main purpose of this work, and published in the last ten years, were included.</div></div><div><h3>Data extraction</h3><div>Data extraction was performed by two reviewers. Methodological quality was assessed using the critical appraisal tools for non-randomized studies of the <em>Joanna Briggs Institute</em> (JBI).</div></div><div><h3>Results</h3><div>A total of 19 studies were included. The delay in diagnosis, the lack of training in the management of this condition, and the subjectivity of its symptoms make fibromyalgia a significant challenge for healthcare professionals. A stereotypical patient profile is described, which contributes to fibromyalgia being perceived as a low-prestige disease, lacking an organic basis that legitimizes it.</div></div><div><h3>Conclusions</h3><div>Health professionals highlight the lack of adequate training to diagnose and treat fibromyalgia. People suffering from this disease are often seen as difficult patients, whose credibility is constantly questioned and stigmatised. This study identifies the factors that cause discordance between professionals and patients, in order to optimise clinical practice.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103251"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609938","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":"Fortalezas familiares en la niñez y riesgo cardiometabólico en los adultos de una unidad de medicina familiar en Michoacán, México","authors":"Hazar Vianney Hipólito Mendoza ,&nbsp;Anel Gómez Garcia ,&nbsp;Lucero Ibarra Rojas ,&nbsp;Paula Chacón-Valladares ,&nbsp;Naima Lajud","doi":"10.1016/j.aprim.2025.103254","DOIUrl":"10.1016/j.aprim.2025.103254","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the frequency of FFN in adults from a primary care unit in Michoacán and its relation cardiometabolic risk factors.</div></div><div><h3>Setting</h3><div>Unidad de Medicina Familiar No. 80, Morelia. Mich., México.</div></div><div><h3>Design</h3><div>Observational, retrospective, cross-sectional, and analytical.</div></div><div><h3>Participant</h3><div>Three hundred twenty-fiveparticipants aged 19 years and older.</div></div><div><h3>Evaluations</h3><div>Anthropometric measurements, fasting blood glucose, triglycerides, cholesterol, and HDL cholesterol levels were evaluated. The Childhood Family Strengths Questionnaire was utilized. FFN questionnaire was used and a protective (≥<!--> <!-->5) or non-protective (&lt;<!--> <!-->5) score was assigned to each participant. Descriptive statistics, Chi-square tests, and logistic regression analysis were performed.</div></div><div><h3>Results</h3><div>The 61.4% of the sample reported a protective score in the FFN questionnaire. The non- protective FFN score was associated with an increased risk of chronic disease and systemic arterial hypertension. In women, an association was observed between FFN and fasting hyperglycemia and metabolic syndrome; while in men, there was an association of FFN with diabetes diagnosis, increased triglycerides levels and low education level.</div></div><div><h3>Conclusions</h3><div>A non- protective FFN score increased cardiometabolic risk in adulthood in a gender-dependent way. These findings highlight the importance of considering early childhood experiences as determinants of long-term health and emphasize the need for a gender perspective in their analysis.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103254"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609937","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":"Aprovechando el potencial de la gestión de la salud de la población para fortalecer la atención primaria de salud","authors":"José Ramón Vázquez-Díaz","doi":"10.1016/j.aprim.2025.103252","DOIUrl":"10.1016/j.aprim.2025.103252","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103252"},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610037","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":"Efectividad a corto y largo plazo de las infiltraciones con corticoides en dolencia osteoarticular. Estudio prospectivo a 2 años","authors":"José Miguel Baena-Díez ,&nbsp;Meng Ting Sun-Ni ,&nbsp;Manel García-Lareo ,&nbsp;Maria Barroso-Sevillano ,&nbsp;Helena Gárate-Ercilla ,&nbsp;Eva Rodriguez-Perez ,&nbsp;en representación del Grupo de Estudio de Infiltraciones en Atención Primaria (GEIAP)","doi":"10.1016/j.aprim.2025.103250","DOIUrl":"10.1016/j.aprim.2025.103250","url":null,"abstract":"<div><h3>Main objective</h3><div>To evaluate the short- and long-term effectiveness and safety of corticosteroid injections.</div></div><div><h3>Design</h3><div>Descriptive, prospective study.</div></div><div><h3>Location</h3><div>Urban general practice centre.</div></div><div><h3>Participants</h3><div>Adult patients (age<!--> <!-->&gt;18 years) who experienced failure of medical treatment and reported pain scores ≥4 on the Visual Analogue Scale (VAS).</div></div><div><h3>Interventions</h3><div>Patients received injections of triamcinolone acetonide, maximum 3<!--> <!-->injections.</div></div><div><h3>Main measurements</h3><div>Short-term success was defined as a reduction of ≥3 points on the VAS. Long-term success was defined as the absence of symptom recurrence at 6, 12, 18, and 24 months, with an assessment of any complications.</div></div><div><h3>Results</h3><div>A total of 345 corticosteroid injections were administered. Patient's mean age was 58.8 years, and 73% were women. The most common conditions treated included rotator cuff disorders (38.3%), plantar fasciitis (16.5%), trochanteric bursitis (15.7%), epicondylitis (11.6%), and anserine bursitis (9.6%). 78.6% of injections were successful short term, with an average VAS reduction of 4.4 points (95% CI: 4.1-4.7). For the primary conditions, the VAS reduction exceeded 4 points. Long-term success rates were 73.3% at 6 months, 64.6% at 12 months, 60.6% at 18 months, and 56.5% at 24 months (<em>P</em> <!-->&lt;<!--> <!-->0.001). At 24 months, the success rates were: rotator cuff disorders (49.2%), plantar fasciitis (49.1%), trochanteric bursitis (66.7%), epicondylitis (47.5%), and anserine bursitis (84.8%). The overall complication rate was 1.2%, all being minor.</div></div><div><h3>Conclusions</h3><div>Corticosteroid injections are highly effective and safe for managing osteoarticular conditions short term. However, the effectiveness declines progressively over 2<!--> <!-->years, with outcomes varying depending on the specific pathology.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103250"},"PeriodicalIF":1.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601820","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":"Theoretical proposal for an intergenerational educational program for the prevention of human papilloma virus (HPV): Design, methodology and evaluation","authors":"Maria Lourdes Gonçalves-Fernández ,&nbsp;Margarita Pino-Juste","doi":"10.1016/j.aprim.2025.103249","DOIUrl":"10.1016/j.aprim.2025.103249","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103249"},"PeriodicalIF":1.8,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580241","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":"¿Debe ser considerada la artrosis como un modelo de dolor nociceptivo?","authors":"Antonio Alcántara Montero,&nbsp;Alfonso Castro Arias","doi":"10.1016/j.aprim.2025.103218","DOIUrl":"10.1016/j.aprim.2025.103218","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103218"},"PeriodicalIF":1.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562946","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":"Medicina rural y feminización: una luminosa realidad","authors":"Isabel Ana Arroyo de la Rosa,&nbsp;Marta Corraliza Morcillo,&nbsp;María Ángeles Casado Medina,&nbsp;Irene Prieto del Amo,&nbsp;Francisca Barba Pizarroso,&nbsp;Ana Cuéllar Parada,&nbsp;Josefa Figueredo Romo,&nbsp;Carmen Galán Macías,&nbsp;María García Borrasca,&nbsp;Carmen Gómez Claros,&nbsp;Ariana Jordá Baldó,&nbsp;Manuela Rubio González,&nbsp;Sara Trabajos García","doi":"10.1016/j.aprim.2025.103244","DOIUrl":"10.1016/j.aprim.2025.103244","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103244"},"PeriodicalIF":1.8,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563001","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}