Atencion Primaria最新文献

{"title":"Prevención del suicidio laboral: la urgencia de un enfoque estructural y diferenciado","authors":"Eva Xapelli Jaime , Jordi Delás","doi":"10.1016/j.aprim.2025.103309","DOIUrl":"10.1016/j.aprim.2025.103309","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103309"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634181","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":"Calidad de la atención en podología universitaria. Análisis del cuestionario de satisfacción del paciente","authors":"Manuel Yván Arnao Villegas","doi":"10.1016/j.aprim.2025.103297","DOIUrl":"10.1016/j.aprim.2025.103297","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103297"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634182","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":"Descripción de los síntomas de alarma en las mujeres con cáncer ginecológico","authors":"Blanca Sánchez-Galindo ,&nbsp;Joseba Rabanales-Sotos ,&nbsp;Ángel López-González ,&nbsp;Carmen María Sánchez-Martínez ,&nbsp;Marta Castaño-Díaz ,&nbsp;Jesús López-Torres Hidalgo","doi":"10.1016/j.aprim.2025.103337","DOIUrl":"10.1016/j.aprim.2025.103337","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the presentation of gynecological cancer in primary care, quantifying the presence of alarm symptoms and establishing their relationship with the interval of time until diagnosis and treatment.</div></div><div><h3>Design</h3><div>Retrospective study of a cohort of women with gynecological cancer.</div></div><div><h3>Placement</h3><div>Thirty family medicine consultations.</div></div><div><h3>Participants</h3><div>One hundred thirty-eightwomen (period 2014-2023).</div></div><div><h3>Main measurements</h3><div>Characteristics of the patients, the care process, and the disease. Time intervals considered: patient, primary care, diagnosis, and total interval.</div></div><div><h3>Results</h3><div>Most were diagnosed in early stages, except for ovarian cancer. The most frequent presenting symptom in endometrial and cervical cancer was postmenopausal metrorrhagia, in ovarian cancer it was abdominal distension, and in vulvar cancer it was vulvar ulcer. In endometrial cancer, both age and the number of health problems were higher (<em>P</em>=.01) in women with alarm symptoms. In ovarian cancer, alarm symptoms were more frequent (<em>P</em>=.04) in women with higher comorbidity. Overall, 87.1% presented some specific alarm symptoms for each tumor. In ovarian cancer, alarm symptoms were associated with a shorter interval until treatment (<em>P</em>=.04).</div></div><div><h3>Conclusions</h3><div>Most women with gynecological cancer are diagnosed at early stages, except for ovarian cancer. A high proportion present alarm symptom, related to the interval of time until diagnosis and treatment in ovarian cancer.</div><div>.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103337"},"PeriodicalIF":1.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632178","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":"How can we increase walking exercise adherence in women with fibromyalgia?","authors":"Sofía Ivorra López ,&nbsp;Ainara Nardi-Rodríguez ,&nbsp;Sofía López-Roig ,&nbsp;Cecilia Peñacoba ,&nbsp;Lidia Pamies-Aubalat ,&nbsp;María-Ángeles Pastor-Mira","doi":"10.1016/j.aprim.2025.103333","DOIUrl":"10.1016/j.aprim.2025.103333","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the key beliefs underlying the performance of walking under a clinically established pattern in women with fibromyalgia, distinguishing between those held by high vs. low intenders and high vs. low performers.</div></div><div><h3>Design</h3><div>Longitudinal prospective study with measures taken at two time points (T1 and T2) over a seven-week interval.</div></div><div><h3>Location</h3><div>Associations of fibromyalgia of Alicante and Madrid.</div></div><div><h3>Participants</h3><div>At T1, 275 adult women with fibromyalgia diagnosis attending associations and that did not perform the walking exercise under the clinically established pattern. At T2, 219 women completing the follow-up.</div></div><div><h3>Main measures</h3><div>With questionnaires, we assessed the strength of the behavioral, normative and control beliefs in relation to participants intention to engage in walking exercise (T1) and their actual performance (T2).</div></div><div><h3>Results</h3><div>Among high and low intenders of performing the walking exercise, significant differences were found regarding the median strength of eight behavioral beliefs (rank: <em>U</em> <!-->=<!--> <!-->4389.0, <em>p</em> <!-->≤<!--> <!-->.001; <em>U</em> <!-->=<!--> <!-->2356.5, <em>p</em> <!-->≤<!--> <!-->.05) and one facilitator control belief (<em>U</em> <!-->=<!--> <!-->4211.5, <em>p</em> <!-->≤<!--> <!-->.001). Significant differences among high and low performers were found regarding one inhibitor control belief (<em>t</em> <!-->=<!--> <!-->2.6, <em>p</em> <!-->≤<!--> <!-->.01).</div></div><div><h3>Conclusion</h3><div>To enhance motivation for walking exercise, eight specific behavioral beliefs should be targeted. However, for women to initiate and maintain adherence, reducing the strength of an inhibiting belief is required. This study provides the targets for primary health professionals to promote the walking exercise among women with fibromyalgia.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103333"},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144595946","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":"Patrones clínicos del fumador mediante el análisis de su relato en un área de salud de Galicia","authors":"Carlos Rábade-Castedo ,&nbsp;Carlos Zamarrón-Sanz ,&nbsp;Belén Iglesias-Francesch ,&nbsp;Elena Fernández-Fernández ,&nbsp;Juana Antonia Fernández-Moreno ,&nbsp;Luis Valdés-Cuadrado","doi":"10.1016/j.aprim.2025.103334","DOIUrl":"10.1016/j.aprim.2025.103334","url":null,"abstract":"<div><h3>Objective</h3><div>Language processing techniques such as textual analysis can identify new unknown aspects of smoking not detected by questionnaires in clinical practice. Therefore, the aim of this study is to identify through their use clinical patterns of smoking before and after the intervention.</div></div><div><h3>Design</h3><div>Observational, prospective, multicentre study of smokers who are ready to quit smoking and who visit a health professional. A textual analysis of the smoker's narrative was carried out.</div></div><div><h3>Setting</h3><div>Primary and Specialised Care settings in a health area of Galicia (Santiago-La Coruña) between 2017-2020.</div></div><div><h3>Participants</h3><div>Patients over the age of 18 years who go to a healthcare professional for a serious quit attempt and who agree to participate in the study.</div></div><div><h3>Method</h3><div>The smokers’ narratives collected through a semi-structured interview were analysed using 2 textual analysis techniques (a similarity analysis and a correspondence factor analysis).</div></div><div><h3>Results</h3><div>The textual corpus of 116 smokers before and after the smoking cessation intervention (221 interviews) was analysed. Smoking is the central theme in the narrative. The baseline interview is dominated by a narrative focused on the pros and cons of quitting smoking. After the intervention, the actions taken by the smoker in the smoking cessation process predominate.</div></div><div><h3>Conclusions</h3><div>The analysis of smokers’ narratives allows us to identify new aspects that can make smoking cessation treatment more effective.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 9","pages":"Article 103334"},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588411","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":"La comunicación como derecho: Estado actual de la comunicación aumentativa en la atención sanitaria","authors":"Romy Rossich-Verdés ,&nbsp;Paula Muyo-Hernandez ,&nbsp;Teresa Cabanillas-Montferrer ,&nbsp;Beatriz Rodríguez-Román","doi":"10.1016/j.aprim.2025.103310","DOIUrl":"10.1016/j.aprim.2025.103310","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the knowledge and use of Augmentative and Alternative Communication (AAC) among pediatric healthcare professionals.</div></div><div><h3>Design</h3><div>Cross-sectional descriptive observational study.</div></div><div><h3>Setting</h3><div>Primary care centers, tertiary hospitals, and regional hospitals in Catalonia.</div></div><div><h3>Participants</h3><div>A total of 338 professionals, including pediatricians, pediatric residents, nursing staff, and pediatric nursing residents.</div></div><div><h3>Interventions</h3><div>An electronic questionnaire specifically designed for this study was administered. Its content was reviewed by experts, and a pilot test was conducted with 89 professionals to assess the clarity and relevance of the items.</div></div><div><h3>Main outcomes</h3><div>Experience in caring for patients with complex communication needs, knowledge of AAC, experiences with AAC use, and prior training in this field.</div></div><div><h3>Results</h3><div>Ninety percent of respondents regularly cared for children with communication barriers, including 94% who treated patients with Autism Spectrum Disorder. However, only 22% were familiar with the concept of AAC, and less than 10% knew about ETRAN boards. Additionally, 89% of participants had not received training in AAC, although 99% considered such training necessary.</div></div><div><h3>Conclusions</h3><div>There is an urgent need to integrate AAC knowledge into both initial and ongoing healthcare training. The implementation of AAC systems not only facilitates communication but also fosters a more inclusive and safer environment for patients with complex communication needs.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103310"},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144534354","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":"El cuidado informal en atención primaria: ¿quién cuida a los que cuidan?","authors":"Irene Ruyin Bordes Capolat","doi":"10.1016/j.aprim.2025.103320","DOIUrl":"10.1016/j.aprim.2025.103320","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103320"},"PeriodicalIF":1.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536225","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":"Antidepresivos en atención primaria: reflexiones desde una perspectiva observacional","authors":"Luis Chávez-Gata ,&nbsp;Rubén Torrescusa-Camisón ,&nbsp;Antonio Madueño-Caro ,&nbsp;Juan Jesús García-Iglesias ,&nbsp;Javier Fagundo-Rivera ,&nbsp;Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103331","DOIUrl":"10.1016/j.aprim.2025.103331","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 12","pages":"Article 103331"},"PeriodicalIF":1.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522562","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":"Carta al editor de «La inteligencia artificial en atención primaria: ¿solución o problema?»","authors":"Aruna Garcia Narda","doi":"10.1016/j.aprim.2025.103325","DOIUrl":"10.1016/j.aprim.2025.103325","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 11","pages":"Article 103325"},"PeriodicalIF":1.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513818","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":"De la estrategia mundial a la consulta local: una visión de futuro sobre la actividad física en atención primaria","authors":"Montserrat Romaguera ,&nbsp;Antonio Heras ,&nbsp;Mercè Solà Gonfaus ,&nbsp;Bernat de Pablo Màrquez ,&nbsp;Mireia Guarner ,&nbsp;Francesc Alòs","doi":"10.1016/j.aprim.2025.103321","DOIUrl":"10.1016/j.aprim.2025.103321","url":null,"abstract":"<div><div>This article reflects on the key role that primary care must play in promoting physical activity as a central tool for health. Despite decades of international strategies, levels of physical inactivity and sedentary behavior continue to rise. The primary care of the future must move beyond generic advice and advance toward effective, personalized, evidence-based prescription with clinical follow-up. A proactive, digitally integrated, community-connected, and equity-focused model is proposed. Furthermore, a forward-looking approach is outlined, involving technologies such as artificial intelligence, hybrid monitoring platforms, and the prescription of active urban spaces. Overcoming current barriers—such as healthcare workload, insufficient training, or the digital divide—is essential. Physical activity must no longer be an isolated recommendation but a structural, sustainable intervention. Because the future of health begins today, in every consultation, with every step.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103321"},"PeriodicalIF":1.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514162","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}