Determinantes de la satisfacción de la atención odontológica en un grupo de pacientes atendidos en la Clínica del Adulto de la Facultad de Odontología de la Universidad de Antioquia / Determinants of dental care satisfaction in a group of patients attending the Adult Clinic of the Faculty of Dentistry, Universidad de Antioquia / Determinantes da satisfação do atendimento odontológico em um grupo de pacientes atendidos na Clínica do Adulto da Faculdade de Odontologia da Universidade de Antioquia

Problema: las instituciones formadoras de recursos humanos en salud prestan servicios a lacomunidad en condiciones diferentes a otros servicios de salud; la satisfacción al recibir dichaatención se relaciona con la aceptación que experimenta el usuario y depende de variables internasy externas. Objetivo: se exploraron los factores que influyen en la aceptación de la atenciónrecibida, en un grupo de pacientes tratados en la Facultad de Odontología de la Universidad deAntioquia. Método: estudio exploratorio cuantitativo y cualitativo mediante encuesta telefónicaa 55 pacientes y ocho entrevistas a profundidad. Resultados y discusión: el 78 % fueron mujeres,mayores de 55 años, de estratos socioeconómicos bajos. La valoración del servicio fue positivapor la atención oportuna, el trato de profesores y estudiantes, y las condiciones físicas durantela atención. Al profundizar en las entrevistas se resaltaron experiencias subjetivas propias delpaciente y factores inherentes al servicio y al talento humano...

Problem: human resource training institutions provide health services to the community underconditions different from other health services, the satisfaction receiving such care is related tothe acceptance experienced by the user and depends on internal and external variables. Objective:we explored the factors that influence the acceptance of care provided in a group of patientstreated at the Faculty of Dentistry at the University of Antioquia. Method: quantitative andqualitative exploratory study using telephone survey of 55 patients and eight depth interviews.Results and discussion: 78% were women, aged 55 years, low socioeconomic strata. The assessmentof the service was positive for timely attention, the treatment of teachers and students,and the physical conditions during the attention. The interviews highlighted the patient’s ownsubjective experiences and factors inherent to service and human resources...

Problema: as instituições formadoras de recurso humano em saúde prestam serviços à comunidadeem condições diferentes a outros serviços de saúde; a satisfação no recebimento de talatenção relaciona-se com o aceite que experimenta o utente e depende de variáveis internas eexternas. Objetivo: exploraram-se os fatores que influem na aceitação da atenção recebida, emum grupo de pacientes tratados na Faculdade de Odontologia da Universidade de Antioquia.Método: estudo exploratório quantitativo e qualitativo mediante inquérito telefônico a 55 pacientese oito entrevistas em profundidade. Resultados e discussão: o 78 % foram mulheres maioresde 55 anos, de estrato socioeconômico baixo. A avaliação do serviço foi positiva pela atençãooportuna, o trato de professores e estudantes e as condições físicas durante o atendimento. Aoaprofundar nas entrevistas exaltaram-se experiências subjetivas próprias do paciente e fatoresinerentes ao serviço e talento humano...

Use of Hot Springs by Ambulatory Orthopaedic Patients / 日本温泉気候物理医学会雑誌

 The effects of hot springs have been described in many studies. However, few studies have reported the use of hot springs by patients. This study aimed to elucidate the use of hot springs by ambulatory orthopaedic patients. We prepared paper questionnaires on the use of hot springs by patients; these questionnaires were administered to ambulatory orthopaedic patients in our general hospital. The questions were as follows: (Q1) Is (Are) there any hot spring(s) near your residence? (Q2) Do you think hot springs are effective for improving your health? (Q3) Have you ever visited a hot spring in the past 1 year? If yes, what was the reason for visiting the hot spring? (Q4) If you did not visit any hot spring, what was the reason for not going? When you are unable to visit hot springs, do you use any alternative methods? (Q5) Do you want hot springs near your residence? The results were as follows: (Q1) Yes, 33 (61%); No, 20 (37%); and No answer, 1 (2%) (Q2) Yes, 15 (28%); Yes (a little), 29 (54%); Neutral, 7 (13%); and No, 3 (6%) (Q3) 1-2 times per year, 18 (33%); 3-4 times per year, 6 (11%); More than 5 times per year, 13 (24%); and No, 17 (31%) (Q4) Bear, 13 (24 %); Alternative, 23 (43%); Use spa, 8 (15%); and Others, 10 (19%) (Q5) Yes, 30 (56%); Yes (a little), 14 (26%); Neutral, 7 (13%); No, 1 (2%); and No answer, 2 (4%). The results of this study suggest that ambulatory orthopaedic patients have a good opinion about the effects of hot springs. Further, these patients visited hot springs. Orthopaedic surgeons must be well informed about the therapeutic use of hot springs.

Use of Hot Springs by Ambulatory Orthopaedic Patients / 日本温泉気候物理医学会雑誌

 The effects of hot springs have been described in many studies. However, few studies have reported the use of hot springs by patients. This study aimed to elucidate the use of hot springs by ambulatory orthopaedic patients. We prepared paper questionnaires on the use of hot springs by patients; these questionnaires were administered to ambulatory orthopaedic patients in our general hospital. The questions were as follows: (Q1) Is (Are) there any hot spring(s) near your residence? (Q2) Do you think hot springs are effective for improving your health? (Q3) Have you ever visited a hot spring in the past 1 year? If yes, what was the reason for visiting the hot spring? (Q4) If you did not visit any hot spring, what was the reason for not going? When you are unable to visit hot springs, do you use any alternative methods? (Q5) Do you want hot springs near your residence? The results were as follows: (Q1) Yes, 33 (61%); No, 20 (37%); and No answer, 1 (2%) (Q2) Yes, 15 (28%); Yes (a little), 29 (54%); Neutral, 7 (13%); and No, 3 (6%) (Q3) 1-2 times per year, 18 (33%); 3-4 times per year, 6 (11%); More than 5 times per year, 13 (24%); and No, 17 (31%) (Q4) Bear, 13 (24 %); Alternative, 23 (43%); Use spa, 8 (15%); and Others, 10 (19%) (Q5) Yes, 30 (56%); Yes (a little), 14 (26%); Neutral, 7 (13%); No, 1 (2%); and No answer, 2 (4%). The results of this study suggest that ambulatory orthopaedic patients have a good opinion about the effects of hot springs. Further, these patients visited hot springs. Orthopaedic surgeons must be well informed about the therapeutic use of hot springs.

Biopsia hepática percutánea en pacientes ambulatorios: experiencia clínica de 23 casos / Percutaneous liver biopsy in ambulatory patients: clinic experience of 23 cases

La biopsia hepática sigue siendo importante en el diagnóstico de enfermedades del hígado, apareciendo las complicaciones del procedimiento dentro de las primeras horas, siendo necesario 4-6 horas de observación para su realización. Objetivos: Presentar nuestra casuística y protocolo de 23 casos de biopsia hepática percutánea en régimen ambulatorio. Materiales y Métodos: Revisión de fichas clínicas de pacientes a los que se les realizó el procedimiento. Se analizaron variables demográficas, exámenes de laboratorio, razón de indicación de biopsia y complicaciones mayores y menores durante fase hospitalaria y ambulatoria. Resultados: La edad promedio fue de 53,2 años. 69,56 por ciento eran mujeres y 30,4 por ciento hombres. El menor recuento plaquetario fue de 105.000 x mm3. No se observaron complicaciones mayores, y las menores ocurrieron en 91 por ciento en el período de observación y el 61 por ciento de ellas en las primeras dos horas. Conclusiones: Para la realización de biopsia hepática en pacientes ambulatorios, un período de observación hospitalaria de 5 horas parece ser suficiente, dado que en éste se pesquisan la mayoría de las complicaciones de una población bien seleccionada, permitiendo plantear la realización de este procedimiento en forma ambulatoria en nuestro país.

Hepatic biopsy is important in the diagnosis of hepatic diseases. The potential complications may appear in the first hours after the procedure, therefore it is necessary to consider a period of 4-6 hours of observation. Objectives: To present our protocol and 23 cases of percutaneous liver biopsies in ambulatory regime. Materials and Methods: Review of case histories (case report forms) of the patients that were subjected to the procedure. Demographic variables, laboratory tests, reasons for biopsy, and major and minor complications during hospitalization and ambulatory phase. Results: Average age was 53.2 years; of these, 69.56 percent were women and 30.4 percent men. The lowest plaquetary count was 105.000 x mm3. No major complications were observed, and some of them occurred in a 91 percent during the observation period, and 61 percent during the first two hours. Conclusions: A period of clinical observation of 5 hours seems enough for a biopsy in ambulatory patients. It is during this period when the majority of complications are observed in a well-selected population. This supports the idea of performing this procedure in an ambulatory or outpatient basis on our country.

Conocimiento básico de los riesgos del uso de analgésicos no opioides en pacientes ambulatorios / Basic knowledge of risks for non-opioid analgesics (NOA) in ambulatory patients

OBJETIVO: Evaluar el conocimiento básico de los pacientes acerca de los analgésicos no opioides (ANOP) e identificar los posibles factores relacionados con la falta de información sobre este tipo de analgésicos. MATERIAL Y MÉTODOS: Participaron 629 pacientes >50 años con síndrome doloroso de origen no oncológico y que recibieron ANOP. Se analizaron sus características generales, la información recibida y su conocimiento sobre ANOP. La variable dependiente fue la falta de conocimiento básico (FCB) sobre ANOP. Se realizó análisis descriptivo y bivariado. RESULTADOS: Del total de participantes, 64.2 por ciento tuvo FCB; 28 por ciento desconocía la forma correcta de tomar ANOP y 48 por ciento sabía que ocasionan trastornos gastrointestinales. Factores asociados con la FCB: no recibir información sobre ANOP (RM= 2.22; IC95 por ciento 1.32-3.70), escolaridad < 7 años (RM= 1.87; IC95 por ciento 1.33-2.63) y duración del dolor < 4 años (RM=1.70; IC95 por ciento 1.22-2.37). CONCLUSIONES: Los pacientes carecen de conocimiento y reciben poca información acerca de ANOP. Es indispensable promover acciones para solucionar este problema.

OBJECTIVE: To describe patients’ knowledge of non-opioid analgesics (NOA) and to identify factors associated with patients’ lack of basic knowledge (LBN) on this type of medication. MATERIAL AND METHODS: A total of 629 ambulatory patients older than 50 years of age, with non-malignant pain syndrome, attended to two family medicine clinics and received seven day prescriptions for NOA. The data on patients’ general characteristics, the information they received and their actual knowledge of NOA were analyzed using descriptive statistics and bivariate analysis. RESULTS: A total of 64.2 percent had LBN; 28 percent did not know how to take NOA properly, and 48 percent knew that these drugs cause gastrointestinal adverse effects. The factors significantly associated with LBN on NOA included: failure to receive information on NOA (OR:2.22, 95 percentCI 1.32-3.70), education <7 years (OR:1.87, 95 percentCI 1.33-2.63) and pain duration <4 years (OR:1.70, 95 percentCI 1.22-2.37). CONCLUSION: Patients lack knowledge and receive little information on NOA. It is important to encourage actions to tackle this problem.

Seguimiento traumatológico en la consulta externa de ortopedia / Suivie traumatologique dans la consultation externe d'orthopédie / Traumatological follow-up at the orthopedic outpatient department

Los autores exponen su experiencia institucional en el seguimiento de los pacientes con inmovilizaciones por lesiones traumáticas en la consulta externa de ortopedia del Hospital General Docente Martín Chang Puga, de Nuevitas, Camagüey. El estudio estadístico efectuado demostró que el 60,3 por ciento no concluye el tratamiento indicado para su afección, el 53,1 por ciento no acude a la reconsulta y el 10,5 por ciento de los que lo hacen se ha retirado la inmovilización previamente por su cuenta. Esta conducta, además de las consecuencias futuras que puede tener para estos pacientes no concluir adecuadamente su tratamiento y la afectación económica al presupuesto estatal por los recursos invertidos no aprovechados, desestabiliza el correcto funcionamiento de este servicio. Se hacen recomendaciones con vistas a mejorar este comportamiento incorrecto por parte de los pacientes y lograr un aprovechamiento óptimo de los recursos por el personal de asistencia(AU)

The authors expose their institutional experience in the follow-up of patients with immobilizations due to traumatic injuries at the orthopedic outpatient department of the Martín Chang Puga General Teaching Hospital in Nuevitas, Camagüey. The statistical study conducted showed that 60,3 percent do not conclude the treatment indicated for their affection, 53,1 percent do not visit the physician's office again, and 10,5 percent of those who do it have previously removed the immobilization on their own. This behaviour apart from producing future consequences for those who do not conclude their treatment adequatly and affectating the state budget as a result of the misuss of resources, destabilizes the efficient work of this service. Recommendations are made to improve this incorrect conduct of the patients, and to make an optimal use of the resources on the part of the assistance personnel(AU)

Les auteurs exposent leur expérience dans la suivie des patients avec immobilisations par lésions traumatiques dans la consultation externe d'orthopédie de l'Hôpital Général Universitaire Martín Chang Puga, à Nuevitas, Camagüey. L'étude statistique réalisé a démontré que 60,3 pourcent ne finit pas le traitement indiqué, 53,1 pourcent n'assiste pas à reconsultation et 10,5 pourcent de ceux qu'y assistent ont enlevé le plâtre pour son propre compte. Cette conduite, en plus de conséquences futures pour ces patients de ne pas conclure leur traitement et l'affectation économique au budget de l'état par les resources investis non profités, destabilise le bon fonctionnement de ce service. On recommende aux patients d'améliorer cette conduite incorrecte et d'atteindre un profit optimal des ressources par le personnel de soin(AU)