ABSTRACT
Background: Smoking is one of the most relevant public health problems worldwide and one of the main causes of preventable premature death. In-hospital treatment and subsequent follow-up are effective in terms of cessation. Aim: To determine the frequency of smoking habits among patients hospitalized at a private clinic in Santiago. Material and Methods: Hospitalized patients were invited to answer a structured and adapted questionnaire on smoking habits. Results: The survey was answered by 294 patients (56% women). Twenty three percent of respondents were smokers. Among smokers, 50% indicated a consumption from 1 to 5 cigarettes per day, 19% smoked during the first hour after waking, and 43% lived with another smoker in their home. Eighty three percent thought about quitting and made unsuccessful attempts to quit using different strategies. Conclusions: The percentage of smokers in this group of patients is lower than that reported in the national health survey. The high proportion of respondent that are attempted to quit and failed, justifies the availability of structured quitting programs at the hospital and follow-up strategies after discharge.
Subject(s)
Humans , Male , Female , Smoking/epidemiology , Patients , Health Behavior , Cross-Sectional Studies , Surveys and Questionnaires , Smoking Cessation , Age of Onset , HospitalizationABSTRACT
INTRODUCCIÓN: Producto de la pandemia por COVID-19 y para establecer continuidad a los tratamientos de usuarios y familias, Teletón Chile implementó una encuesta para describir las características demográficas, de salud, sociales, ambientales, factores asociados, atención a distancia y problemas asociados por contingencia COVID-19. OBJETIVO: Describir el servicio de atención a distancia (AD) implementado por Teletón Chile, preferencias y utilidad de redes sociales (RR.SS.) de los usuarios. MATERIALES Y MÉTODOS: Estudio descriptivo transversal de tipo censal a usuarios activos de Teletón al 30 de abril de 2020 desarrollado a través de la aplicación de una encuesta para caracterizar el servicio de AD y RR.SS. RESULTADOS: Se presentan resultados obtenidos entre junio y agosto de 2020, que representan al 31,13% (n = 8.202) de la población total atendida; El 74,54% de los participantes de la encuesta señalan haber recibido AD, de los cuales un 82,02% logra el cumplimiento de las indicaciones siendo la principal razón de no cumplimiento no ser contactado para la modalidad AD desde el área médico-terapéutica (36,55%). Los principales beneficios de la AD son: aumento de la accesibilidad en la atención (44,13%) y disminución de las problemáticas del traslado (17,67%). La preocupación principal es la pérdida de la cantidad de atenciones presenciales (34,41%). CONCLUSIONES: La AD es considerada de utilidad para la continuidad de los programas de rehabilitación. Asimismo, toma relevancia el uso de redes sociales para contacto y seguimiento. Finalmente, para implementar este servicio se requiere considerar las necesidades personales de los usuarios para una rehabilitación remota.
INTRODUCTION: Due to the COVID-19 pandemic and to establish continuity in the treatment of users and families, Teletón Chile implemented a survey to describe the demographic, health, social and environmental characteristics, associated factors, distance care and associated problems due to COVID-19. Objective: To describe stance Attention (DA) service implemented by Teleton Chile, and the preferences and usefulness of users' social networks (RRSS). MATERIALS AND METHODS: A cross-sectional descriptive study of a census type which was developed through the application of a survey to characterize the DA and RRSS service, and includes active Teletón users as of April 30, 2020. RESULTS: Results obtained between June and August 2020 are presented, representing 31.13% (n = 8,202) of the total population served; 74.54% of the survey participants indicated having received of which 82.02% achieved compliance with the prescribed indications, the main reason for non-compliance was not being contacted by the medical-therapeutic area for the DA modality (36.55%). The main benefits of DA are: increased accessibility to care (44.13%) and reduction in transportation problems (17.67%). The main concern is the loss of the amount of face-to-face care (34.41%). CONCLUSIONS: DA is considered useful for the continuity of rehabilitation programs. The use of social networks for contact and follow-up is also relevant. Finally, to implement this service, it is necessary to consider the personal needs of the users for a remote rehabilitation.
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Rehabilitation/methods , Telemedicine , Social Networking , COVID-19 , Chile , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Remote ConsultationABSTRACT
Background: A history of child abuse is common and has a significant impact in the clinical course of patients diagnosed with bipolar disorders (BD). Aims: To assess the frequency of child abuse experiences in patients BD type I and to evaluate its association with clinical course and cognitive functioning variables. Material and Methods: 117 patients with BD aged 45 ± 14 years (66% women) answered the Childhood Trauma Questionnaire (CTQ). The clinical course (illness onset, history of suicide attempts and number of hospitalizations) was obtained from medical records. Cognitive functioning was evaluated through social and non-social cognition tasks. Results: 64% of participants reported some type of child abuse. This variable was associated with an early onset of the disease (Odds ratio (OR) = 3.3; p < 0.02), increased risk of suicide attempts (OR = 2.4; p < 0.04) and specific disturbances in social cognitive tasks. Conclusions: Our study supports evidence of a common history of child abuse in patients with BD. Although child abuse predicts a worse clinical course, major clinical practice guidelines, as well as research designs, do not highlight this evidence.