Atencion Primaria最新文献

{"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}

{"title":"Barreras y facilitadores en el cuidado de personas mayores dependientes: una visión desde los cuidadores informales en la atención primaria","authors":"Angélica Valencia Guevara ,&nbsp;Evelyn Iriarte ,&nbsp;Solange Campos Romero","doi":"10.1016/j.aprim.2024.103210","DOIUrl":"10.1016/j.aprim.2024.103210","url":null,"abstract":"<div><h3>Objective</h3><div>Describe barriers and facilitators in care perceived by informal caregivers of older adults with moderate and severe functional dependence on primary care.</div></div><div><h3>Design</h3><div>Qualitative descriptive research.</div></div><div><h3>Setting</h3><div>Family Health Center located in Santiago, Chile.</div></div><div><h3>Participants</h3><div>Informal caregivers of older people (n<!--> <!-->=<!--> <!-->12) users of the care program for people with severe functional dependence on the Family Health Center.</div></div><div><h3>Method</h3><div>Semi-structured interviews were conducted with the informal caregivers. Conventional content analysis was used to identify and define the main themes.</div></div><div><h3>Results</h3><div>From the twelve interviews carried out, various categories and subcategories emerged: 1)<!--> <!-->Care facilitators: support networks, sharing experience, the importance of love and affection in the care process, coping mechanisms of the caregiver, and self-learning. 2)<!--> <!-->Care barriers: dissatisfaction with the quality of care from the health system, lack of support from the networks, older adults’ greater degree of functional dependence, lack of tolerance of the informal caregiver, challenging behaviors of the functionally dependent older adult, and fear of delegating care.</div></div><div><h3>Conclusions</h3><div>This study shows the variety of experiences and challenges shared by informal caregivers when providing care to functionally dependent older people, which may contribute to the development of intersectorial policies to address it.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103210"},"PeriodicalIF":1.8,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529793","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":"Posverdad y evidencia científica en la era Trump","authors":"Joan Gené-Badia,&nbsp;Amando Martín-Zurro,&nbsp;Carme Batalla-Martínez,&nbsp;Josep Jiménez-Villa,&nbsp;Juan José Mascort-Roca","doi":"10.1016/j.aprim.2025.103246","DOIUrl":"10.1016/j.aprim.2025.103246","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103246"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549863","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":"Atención Primaria y Prevención: ¿Dilema o sinergia?","authors":"Carmen Cabezas,&nbsp;Francisco Camarelles,&nbsp;Rodrigo Córdoba,&nbsp;Asensio López,&nbsp;Grupo de Educación Sanitaria y promoción de la Salud","doi":"10.1016/j.aprim.2025.103245","DOIUrl":"10.1016/j.aprim.2025.103245","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103245"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549862","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}