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1.
Rev. chil. neuropsicol. (En línea) ; 16(1): 28-36, ene. 2022.
Article in Spanish | LILACS | ID: biblio-1362112

ABSTRACT

La craneotomía con paciente despierto (CPD) demanda un manejo multidisciplinario particular debido al componente de conciencia transoperatoria que aporta beneficios en la resección tumoral y preservación neurológica, pero también implica el manejo de los riesgos asociados a la necesidad de cooperación del paciente durante el procedimiento. En este trabajo se describen los beneficios y las complicaciones en pacientes operados bajo la modalidad de CPD. Además, se abordan los retos documentados tanto para el equipo profesional a cargo, como para los pacientes, los cuales tienen un rol activo durante la cirugía. En ese sentido, se exponen los criterios para la selección, preparación psicológica y neuropsicológica tanto previo como durante la cirugía. A su vez, se proponen las consideraciones para lograr un procedimiento exitoso y evitar las posibles secuelas psicológicas a largo plazo, como insumos para la protocolización de este tipo de procedimientos con base en nuestra experiencia.


Awake craniotomy (AC) requires a multidisciplinary management due to trans operative awareness, which benefits the tumor resection and neurologic preservation, but it also implies risks for the patient cooperation during the procedure. This article describes the benefits and complications in patients operated under AC. Besides, it approaches the documented challenges for both the professional team and patients, who have an active role during surgery. In this regard, the criteria for selection and psychological and neuropsychological preparation before and during surgery are set out. It suggests considerations to achieve a successful procedure and to avoid possible long- term psychological sequelae, as a resource for the protocol of this type of procedures based on our experience.


Subject(s)
Humans , Wakefulness , Neurosurgical Procedures/methods , Craniotomy/methods , Postoperative Period , Patient Compliance , Conscience
2.
Afr. J. Clin. Exp. Microbiol ; 23(1): 57-65, 2022.
Article in English | AIM, AIM | ID: biblio-1357605

ABSTRACT

Background: Tuberculosis (TB) remains a major public health concern despite being a curable and preventable disease. The treatment of TB using a cocktail of drugs over a period of six months under the directly observed treatment short-course strategy has led to a reduction in cases but is plagued by some challenges that leads to unsuccessful or poor outcomes, which can ultimately result in spread of infections, development of drug resistance and increase in morbidity and mortality. The objectives of this study are to determine outcomes of TB treatment in Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria and the factors that may be associated with the outcomes. Methodology: This was a retrospective study using the medical records of patients who were registered for TB treatment over a five-year period between 2016 to 2020. Data from TB registers including demographic and relevant clinical information, and treatment outcomes, were extracted into a structured data extraction format, and analysed with SPSS version 21.0 software package. Univariate and bivariate analyses were conducted, and Chi square test was used to determine association between TB outcomes and independent variables at 95% confidence interval and p<0.05 was considered as the significant value. Results: Records of 1,313 patients were studied, 744 (56.7%) were males while 569 (43.3%) were females. The age range of the patients was ≤ 1 year - 96 years, with a mean age of 30±16.7 years. Most were pulmonary TB cases (88.8%, n=1,166), newly diagnosed (95.5%, n=1254), and human immunodeficiency virus (HIV) negative at the time of TB diagnosis (63.7%, n=837). Eight hundred and seven (61.5%) patients had successful treatment, and 34% (n=446) had unsuccessful outcomes made of 'loss to follow-up' 25.8% (n=339), deaths 7.8% (n=102) and treatment failure 0.4% (n=5), while 2.3% (n=30) were transferred out and 2.3% (n=30) removed from TB register. Treatment success rate was significantly higher in patients with pulmonary TB (p=0.0024), residents in Lafia LGA (p=0.0005), those treated in 2016 (p=0.0006) and bacteriologically confirmed cases (p<0.0001), while death rate was significantly lower among patients who were HIV-negative at the time of TB diagnosis (p<0.0001). Conclusion: TB treatment success rate in this study fell short of the WHO average rate. High rates of 'loss to followup' and deaths in this study is a wake-up call to all stakeholders in the facility and the State to put in place measures to reduce poor outcomes of TB treatment.


Subject(s)
Tuberculosis , Patient Compliance , Treatment Outcome , Medication Adherence , Health Facilities
3.
Niger. J. Dent. Res. (Online) ; 7(1): 45-52, 2022.
Article in English | AIM, AIM | ID: biblio-1354687

ABSTRACT

ABSTRACT Objective: This study aims to evaluate the level of patients' compliance with recall / follow-up visits attending the dental Centre of the University of Benin Teaching Hospital (UBTH).Methods: This study adopted a descriptive retrospective study of case notes retrieved from the medical records department of the dental Centre, University of Benin Teaching Hospital. The period under study covers 2019 to 2021. The data was collected by means of 1232 questionnaire and analyzed using descriptive statistics such as frequency and percentages. Results: The result showed that the participants in the age bracket of 18-40 years of age (277) complied better to recall visit in comparison with the study age distributions which are 41-65 years (218) and age above 65 years (188). As per the influence of gender on compliance of patients with post-extraction recall visits, it was observed that the male participants (288) responded better to the recall visits compared to the female participants (251). The Relationship between distance away from the hospital and compliance of patients with post-extraction recall visits was also evaluated, and it was observed that the patients closer to the hospital within 5km (442) complied better to recall revisit in comparison to the participants who were within 10km (224) from the hospital as well as the participants that were 10km & above (17). Finally, the influence of interval between procedure and recall visit was also evaluated, and the result revealed that the participants that were given 7 days of recall revisit (663) complied better compared with the participants who were given 14days duration for recall revisit (478). Conclusion: The data from this study highlighted the possible need for a paradigm shift in patient-doctor interphase especially as it concerns recall visits. Compliance to recall appointment by the patients depends largely on age, gender, distance from hospital and interval between procedures and is mainly responsible for the noncompliance of patients to recall visit


Subject(s)
Humans , Tooth Extraction , Dental Care , Patient Compliance , Continuity of Patient Care , Hospitals, Teaching
4.
Rev. bras. ginecol. obstet ; 43(6): 442-451, June 2021. tab, graf
Article in English | LILACS | ID: biblio-1341144

ABSTRACT

Abstract Objective To determine the adequacy of compliance with antenatal care (ANC) by pregnant women in Peru and to identify the associated factors. Methods An analytical cross-sectional study of data from the 2019 Peruvian Demographic and Family Health Survey (Encuesta Demográfica y de Salud Familiar, ENDES, in Spanish) was conducted. The dependent variable was adequate compliance with ANC (provided by skilled health care professionals; first ANC visit during the first trimester of pregnancy; six or more ANC visits during pregnancy; ANC visits with appropriate content) by women aged 15 to 49 years in their last delivery within the five years prior to the survey. Crude and adjusted prevalence ratios and their 95% confidence intervals were calculated using a log-binomial regression model. Results A total of 18,386 women were analyzed, 35.0% of whom adequately complied with ANC. The lowest proportion of compliance was found with the content of ANC (42.6%). Sociodemographic factors and those related to pregnancy, such as being in the age groups of 20 to 34 years and 35 to 49 years, havingsecondaryor higher education, belonging to a wealth quintile of the population other than the poorest, being from the Amazon region, not being of native ethnicity, having a second or third pregnancy, and having a desired pregnancy, increased the probability of presenting adequate compliance with ANC. Conclusion Only 3 out of 10women in Peru showed adequate compliancewith ANC. Compliance with the content of ANC must be improved, and strategies must be developed to increase the proportion of adequate compliance with ANC.


Resumo Objetivo Determinar a adequação do cumprimento dos cuidados pré-natais (CPN) por mulheres grávidas no Peru e identificar os fatores associados. Métodos Foi realizado um estudo analítico transversal dos dados da Pesquisa Demográfica e de Saúde da Família Peruana de 2019 (Encuesta Demográfica y de Salud Familiar, ENDES, em espanhol). A variável dependente foi conformidade adequada coma CPN (fornecida por profissionais de saúde qualificados; primeira visita CPN durante o primeiro trimestre de gravidez; seis ou mais visitas CPN durante a gravidez; visitas CPN com conteúdo apropriado) por mulheres de 15 a 49 anos em seu último parto nos cinco anos anteriores à pesquisa. Os índices de prevalência bruta e ajustada e seus intervalos de confiança de 95% foram calculados usando um modelo de regressão log-binomial. Resultados Foi analisado um total de 18.386 mulheres, das quais 35,0% cumpriram adequadamente o CPN. A menor proporção de conformidade foi encontrada com o conteúdo de ANC (42,6%). Fatores sociodemográficos e aqueles relacionados à gravidez, como estar na faixa etária de 20 a 34 anos e 35 a 49 anos, ter educação secundária ou superior, pertencer a um quintil de riqueza da população que não a mais pobre, ser da região da selva, não ser de etnia nativa, ter um segundo ou terceiro gravidez, e tendo uma gravidez desejada, aumentou a probabilidade de apresentar conformidade adequada com CPN. Conclusão Apenas 3 em cada 10 mulheres no Peru mostraram conformidade adequada com o CPN. O cumprimento do conteúdo do CPN deve ser melhorado, e estratégias devem ser desenvolvidas para aumentar a proporção de cumprimento adequado com o CPN.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Prenatal Care/statistics & numerical data , Patient Acceptance of Health Care/statistics & numerical data , Patient Compliance/statistics & numerical data , Parity , Peru/epidemiology , Pregnancy Trimester, First , Residence Characteristics , Cross-Sectional Studies , Maternal Age , Health Care Surveys , Educational Status , Facilities and Services Utilization , Income , Middle Aged
5.
Rev. bras. oftalmol ; 80(2): 117-126, Mar.-Apr. 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1280113

ABSTRACT

RESUMO Objetivo: Comparar por meio de questionários estruturados, o conhecimento sobre a doença, o manejo de colírios e a adesão ao tratamento de portadores de glaucoma pertencentes a dois públicos com nível de escolaridade e nível sócio econômico distintos. Métodos: Foi realizado um estudo transversal analítico aplicando-se questionários estruturados, com base em estudo exploratório para avaliação do nível de conhecimento dos portadores de Glaucoma em relação a doença em dois públicos diferentes: sistema único de saúde (SUS) e planos privados de saúde. Os questionários foram aplicados por médicos residentes em Oftalmologia. A amostra é composta de 202 pacientes dentre eles 100 atendidos pelo SUS e os outros 102 pacientes dos planos privados de saúde. Todos os questionários possuem termo de consentimento livre e esclarecido assinado pelo participante e pelo pesquisador responsável. Resultados: Os pacientes foram divididos em dois grupos, compostos por: 100 pacientes SUS e 102 planos de saúde privado. Os resultados revelaram que: 58,6% dos pacientes do SUS tinham escolaridade nenhuma a fundamental incompleto e 25,5% dos pacientes de convênio tinham algum nível superior); 49% do grupo SUS tinham renda com menos de 2 salários mínimos enquanto que grupo convênio apresentou 39,4% com mais de 4 salários mínimos (p<0,001); 51,5% do grupo SUS não tem gastos com compra de colírios e 67,4% do grupo convênio gasta mais de R$30,00 (p<0,001) portanto 77% do grupo SUS recebe ajuda e 52,5% do grupo convenio não recebe ajuda (p<0,001); 63,6% do grupo convenio acredita que a quantidade de instilações a mais do colírios não obtêm uma melhora do glaucoma, enquanto aproximadamente 50% do grupo SUS relata que há uma melhora com aumento das instilações ou não tem ideia (p=0,030); Ambos os grupos obtiveram um nível de conhecimento geral da doença semelhante, sem diferença estatística. Conclusão: Concluímos que, independente do nível de escolaridade e nível socioeconômico, havendo boa relação médico-paciente, além de acompanhamento orientado e próximo, é possível transmitir conhecimento adequado sobre a doença elevando o nível de adesão ao tratamento pelo paciente.


ABSTRACT Objective: Compare, through structured questionnaires, the knowledge about disease, management of eye drops and adherence to treatment of glaucoma patients disposed in two groups according to educational levels and socioeconomic levels. Methods: A cross-sectional analytical study was carried out applying structured questionnaires based on an exploratory study to assess the level of Glaucoma patients' knowledge relationated with the disease in two different audiences: the single health system (SUS) and private health plans. The questionnaires were used by doctors residents in Ophthalmology. A sample was composed of 202 patients among which 100 were attended by SUS and the others 102 patients were holders of private health plans. All questionnaires have a free and informed consent form signed by the participant and the responsible researcher. Results: Patients were divided into two groups, consisting of: 100 SUS patients and 102 private health plans. The results revealed that: 58.6% of SUS patients had incomplete elementary schooling and 25.5% of private health insurance patients had some level of higher education; 49% of the SUS group had an income with less than 2 minimum wages while the health insurance group presented 39.4% with more than 4 minimum wages (p <0.001); 51.5% of the SUS group has no spending on eye drops and 67.4% of the health insurance group spends more than R $ 30.00 (p <0.001) so, 77% of the SUS group receives financial aid and 52.5% of the health insurance group does not receive any financial support (p <0.001); 63.6% of the health insurance group believes that the bigger amount of instillations than eyedrops does not improve glaucoma, while approximately 50% of the SUS group reports that there is an improvement when increasing instillations or has no idea (p = 0.030); Both groups obtained a similar level of general knowledge of the disease, with no statistical difference. Conclusion: We conclude that regardless of educational and socioeconomic level if prevails a good doctor-patient relationship, in addition to close monitoring, it is possible to transmit adequate knowledge about the disease, increasing levels of treatment adherence.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Glaucoma/psychology , Glaucoma/drug therapy , Ophthalmic Solutions/administration & dosage , Physician-Patient Relations , Socioeconomic Factors , Attitude to Health , Demography , Health Knowledge, Attitudes, Practice , Blindness/prevention & control , Patient Education as Topic , Cross-Sectional Studies , Surveys and Questionnaires , Patient Compliance , Educational Status , Medication Adherence/psychology
6.
Aquichan ; 21(1): e2113, Abr. 8, 2021.
Article in English | LILACS, BDENF, COLNAL | ID: biblio-1283770

ABSTRACT

Objetivo: determinar os efeitos da reabilitação pulmonar em homens e mulheres com diagnóstico de DPOC em uma clínica na Colômbia. Método: estudo descritivo longitudinal em 75 pacientes com DPOC que ingressaram em programa de reabilitação pulmonar durante os anos de 2018 e 2019. A população foi dividida em grupos de acordo com o sexo e foram avaliadas algumas características sociodemográficas, espirometria em porcentagem do previsto, índice de massa corporal, mMRC dispneia, capacidade de exercício e algumas variáveis fisiológicas com o teste de caminhada de seis minutos, ansiedade-depressão (HADS) e qualidade de vida (SGRQ). Considerou-se o valor de p <0,05 como estatisticamente significativo. Resultados: a taxa de fumaça de maços por ano foi maior nos homens 34 ± 29,11 (p <0,001), enquanto a exposição à fumaça de lenha foi cinco vezes maior nas mulheres (p = 0,037). Todas as variáveis da capacidade de exercício melhoraram significativamente (p <0,021), destacando-se a distância percorrida 63,26 ± 60,03 versus 51,53 ± 61,02 a favor das mulheres. O mMRC dispneia foi inicialmente maior nas mulheres em relação aos homens 0,709 ± 0,287 e evidenciou maior alteração nas mulheres 1,294 ± 0,415 versus homens 0,736 ± 0,880 ao final da reabilitação pulmonar. Conclusão: a reabilitação pulmonar em mulheres mostra um aumento na distância percorrida de 63,26 metros e uma diminuição de 1.294 pontos na dispneia, enquanto para os homens os valores obtidos foram 51,53 metros e 0,736 pontos, respectivamente, e uma melhoria na qualidade de vida nos homens de 11,47 pontos do SGRQ em relação às mulheres, onde foi de 0,600 pontos.


Objective: to assess the effect of the preparation plan for hospital discharge on the self-care agency capacity and adherence to treatment in the patients with Diabetes Mellitus treated in the Erasmo Meoz University Hospital (Hospital Universitario Erasmo Meoz, HUEM) during 2019. Materials and methods: a quasi-experimental study, with pre-/post-test assessment in the study group, guided by Dorothea Orem's theory, with a non-probabilistic sampling of 88 individuals, by convenience. It was conducted by implementing the following instruments: therapeutic conduct, disease or lesion, and scale to assess the self-care agency capacity (ASA); data analysis was performed in Microsoft Excel 2016 and SPSS, version 22.0. Parametric (Student's t-test for paired samples) and non-parametric (Wilcoxon) statistical tests were also used, considering p-values < 0.05 as statistically significant. Results: the initial self-care agency capacity was 61.48 (low) and the final was 80.43 (fair); therapeutic adherence compliance in the initial assessment was occasionally shown (2.82) and frequently shown at the end (4.38), with both variables showing a statistically significant difference with p-values < 0.05. Conclusions: it was determined that the intervention performed had a positive effect on therapeutic adherence and the self-care agency capacity of the diabetic patients subjected to the intervention.


Objetivo: evaluar el efecto del plan de preparación para el alta hospitalaria en la capacidad de agencia de autocuidado y la adherencia al tratamiento en los pacientes con diabetes mellitus del Hospital Universitario Erasmo Meoz (HUEM) en el año 2019. Materiales y métodos: estudio cuasiexperimental, con medición pretest-postest en grupo de estudio, orientado bajo la teoría de Dorothea Orem; muestreo no probabilístico a conveniencia de 88 personas. La investigación se realizó implementando los siguientes instrumentos: conducta terapéutica, enfermedad o lesión y, la escala para evaluar la capacidad de agencia de autocuidado (ASA), el análisis de datos en Microsoft Excel 2016 y SPSS versión 22,0. Se usaron además pruebas estadísticas paramétricas (t de Student para muestras pareadas) y no paramétricas (Wilcoxon), considerando estadísticamente significativos los valores de p <0,05. Resultados: la capacidad de agencia de autocuidado inicial fue de 61,48 (baja) y la final de 80,43 (regular); el cumplimiento de la adherencia terapéutica en la medición inicial fue en ocasiones demostrado (2,82) y, al final, frecuentemente demostrado (4,38); las dos variables mostraron diferencia estadísticamente significativa con valores de p < 0,05. Conclusiones: se determinó que la intervención realizada tuvo un efecto positivo sobre la adherencia terapéutica y la capacidad de agencia de autocuidado de los pacientes diabéticos intervenidos.


Subject(s)
Patient Discharge , Self Care , Health Education , Patient Compliance , Diabetes Mellitus
7.
Más Vita ; 3(1): 18-31, mar. 2021. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1253305

ABSTRACT

La hipertensión arterial es la enfermedad crónica más frecuente, la importancia de controlar esta enfermedad radica en que no presenta síntomas y generalmente es diagnosticada cuando aparecen complicaciones que repercuten negativamente en la esperanza y calidad de vida de quien la padece. Siendo la adherencia terapéutica un elemento clave en el control de la enfermedad y, también, de los principales factores para de esta manera prevenir el riesgo cardiovascular y una muerte prematura. Objetivo: Desarrollar y validar un instrumento para determinar los factores que influyen en la adherencia terapéutica del paciente hipertenso. Materiales y métodos: Se realizó un estudio cuantitativo-cualitativo, de cohorte transversal, tipo exploratoria, descriptivo, de diseño no experimental. Utilizando una encuesta y una entrevista de saturación o a profundidad. La validación del instrumento se realizó mediante juicio de expertos y un plan piloto de 20 individuos para la cuantitativa y dos personas hipertensas en la cualitativa, escogidas por conveniencia. Resultados: Según juicio de expertos el instrumento cuantitativo con 19 ítems tiene 97.2 % de confiabilidad y el 96.6% de confiabilidad en el instrumento cualitativo constituido con tres categorías. El alfa de Cronbach es 0.811 lo cual indica un buen nivel de fiabilidad y correlación entre los ítems del cuestionario. Conclusiones: Se pone a disposición de los profesionales de la salud un instrumento válido y confiable, con 7 dimensiones y 19 ítems, siendo prometedor para determinar los factores que influyen en la adherencia terapéutica y medir el grado de adherencia terapéutica en pacientes con hipertensión arterial(AU)


Arterial hypertension is the most common chronic disease, the importance of controlling this disease lies in the fact that it has no symptoms and is generally diagnosed when complications appear that have a negative impact on the life expectancy and quality of life of the sufferer. Adherence to treatment is a key element in the control of the disease and also one of the main factors in preventing cardiovascular risk and premature death. Objective: To develop and validate an instrument to determine the factors that influence therapeutic adherence in hypertensive patients. Materials and methods: A quantitative-qualitative, cross-sectional cohort, exploratory, descriptive, non-experimental design study was carried out. A survey and a saturation or in-depth interview were used. The validation of the instrument was carried out by means of expert judgment and a pilot plan of 20 individuals for the quantitative and two hypertensive persons in the qualitative, chosen by convenience. The Results: According to expert judgment, the quantitative instrument with 19 items has 97.2% reliability and 96.6% reliability in the qualitative instrument with three categories. Cronbach's alpha is 0.811 which indicates a good level of reliability and correlation between the items of the questionnaire. Conclusions: A valid and reliable instrument, with 7 dimensions and 19 items, is made available to health professionals, being promising for determining the factors that influence therapeutic adherence and measuring the degree of therapeutic adherence in patients with arterial hypertension(AU)


Subject(s)
Humans , Male , Female , Chronic Disease , Patient Compliance , Hypertension/physiopathology , Hypertension/drug therapy , Cardiovascular Diseases , Surveys and Questionnaires , Hospitalization
8.
Nursing (Säo Paulo) ; 24(274): 5419-5432, mar.2021. tab
Article in Portuguese | SES-SP, LILACS, BDENF, SES-SP, CONASS, SESSP-IDPCPROD, SES-SP | ID: biblio-1223456

ABSTRACT

OBJETIVO: Avaliar a adesão do paciente com Fibrilação Atrial em Terapia com anticoagulante oral cumarínico. MÉTODO: Estudo descritivo-exploratório, transversal e prospectivo com intervenção não randomizado de abordagem quantitativa, realizado com 40 participantes, aplicou-se o Escore de Adesão Simonetti e a Escala de Avaliação Analógica Visual e após a intervenção educativa para análise de Time in Therapeutic Range sob CAAE: 79973017.1.0000.5462. RESULTADO: Identificou-se que 5% apresentaram risco baixo de adesão, 60% risco médio e 35% risco alto. Após análise dos oito meses do TTR pré e pós-intervenção, não houve mudança significativa entre os períodos (p=0,638). CONCLUSÃO: Evidenciou-se que o grupo de baixa adesão manteve melhor tempo na faixa terapêutica relacionado ao médio e alto risco. Indicativo este de maior impacto da intervenção educativa realizada pelo enfermeiro.


OBJECTIVE: to evaluate the adherence of the patient with Atrial Fibrillation in Therapy with oral coumarin anticoagulant. METHOD: Descriptive-exploratory, cross-sectional and prospective study with a non-randomized intervention with a quantitative approach, carried out with 40 participants, the Simonetti Adherence Score and the Visual Analog Evaluation Scale were applied and after the educational intervention for analysis of Time in Therapeutic Range under CAAE: 79973017.1.0000.5462. RESULT: It was identified that 5% had low risk of adherence, 60% medium risk and 35% high risk. After analyzing the eight months of TTR before and after intervention, there was no significant change between the periods (p = 0.638). CONCLUSION: It was evidenced that the low adherence group maintained a better time in the therapeutic range related to medium and high risk. Indicative of greater impact of the educational intervention carried out by the nurse.


OBJETIVO: evaluar la adherencia del paciente con fibrilación auricular en terapia con anticoagulante cumarínico oral. MÉTODO: Estudio descriptivo-exploratorio, transversal y prospectivo con una intervención no aleatorizada con abordaje cuantitativo, realizado con 40 participantes, se les aplicó el Simonetti Adherence Score y la Escala de Evaluación Visual Analógica y luego de la intervención educativa para el análisis del Tiempo en el Rango Terapéutico bajo CAAE: 79973017.1.0000.5462. RESULTADO: Se identificó que 5% riesgo bajo de adherencia, 60% riesgo medio y 35% riesgo alto. Después de analizar los ocho meses de TTR antes y después de la intervención, no hubo cambios entre los períodos (p = 0,638). CONCLUSIÓN: Se evidenció que el grupo de baja adherencia mantuvo el mejor tiempo en el rango terapéutico relacionado con riesgo medio y alto. Indicativo de mayor impacto de la intervención educativa realizada por la enfermera.


Subject(s)
Humans , Atrial Fibrillation , Medication Adherence , Anticoagulants , Therapeutics , Patient Compliance
9.
Rev Rene (Online) ; 22: e70902, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1340609

ABSTRACT

RESUMO Objetivo detectar os fatores relacionados com a adesão negativa ao autocuidado em indivíduos com diabetes mellitus. Métodos estudo observacional, transversal, analítico e exploratório, realizado com indivíduos diagnosticados com diabetes mellitus tipo 2 e acompanhados pela Estratégia Saúde da Família. A amostra foi composta de 250 participantes. Foi utilizado o Summary of Diabetes Self-Care Activities Questionnaire para avaliação do autocuidado. Na análise realizaram-se testes de associação, razão de prevalência e regressão de Poisson com variância robusta. Resultados as atitudes negativas relacionadas com o autocuidado aumentaram em 21% para solteiros/divorciados/viúvos, 20% para aposentados, 54% para quem não fazia dieta, 28% para quem não praticava atividade física, 24% para hipertensos, 30% para quem tinha dislipidemia e 44% para quem tinha retinopatia. Conclusão fatores socioeconômicos, comportamentais, presença de comorbidades e complicações relacionadas com o diabetes mellitus estiveram relacionados com a adesão negativa ao autocuidado.


ABSTRACT Objective to detect factors related to negative adherence to self-care in individuals with diabetes mellitus. Methods observational, cross-sectional, analytical, and exploratory study, conducted with individuals diagnosed with type 2 diabetes mellitus and followed-up by the Family Health Strategy. The sample consisted of 250 participants. The Summary of Diabetes Self-Care Activities Questionnaire was used for self-care assessment. Association tests, prevalence ratio and Poisson regression with robust variance were performed in the analysis. Results negative attitudes related to self-care increased by 21% for single/divorced/widowed, 20% for retired, 54% for those who did not diet, 28% for those who did not practice physical activity, 24% for hypertensive, 30% for those with dyslipidemia, and 44% for those with retinopathy. Conclusion socioeconomic factors, behavioral factors, presence of comorbidities and complications related to diabetes mellitus were related to negative adherence to self-care.


Subject(s)
Self Care , Nursing , Patient Compliance , Diabetes Complications , Diabetes Mellitus , Medication Adherence
10.
Psicol. ciênc. prof ; 41: e219590, 2021. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1340414

ABSTRACT

Resumo O estudo das habilidades sociais contribui para a compreensão das relações interpessoais, embora ainda haja poucos estudos que relacionem esse tema a crianças com altas habilidades/superdotação (AH/SD). Portanto, os objetivos deste estudo foram: a) descrever e comparar as habilidades sociais de crianças com AH/SD sob o ponto de vista da criança e de seus respectivos pais/responsáveis e professoras; b) descrever e comparar as habilidades sociais e os problemas de comportamento de crianças com AH/SD sob o ponto de vista de seus pais/responsáveis e professoras, considerando o sexo e comparando a importância das habilidades sociais para os dois grupos; e c) descrever a competência acadêmica das crianças segundo as professoras. Participaram dez pais/responsáveis, oito professoras e dez crianças estudantes do ensino fundamental identificados com AH/SD. Os participantes responderam ao questionário Sistema de Avaliação de Habilidades Sociais (SSRS) versão para pais, professores e alunos, e ao Questionário de Respostas Socialmente Habilidosas (QRSH), versão para pais e professores. Os resultados apontaram que as crianças apresentaram habilidades sociais acima da média para seus pais e professores, e abaixo da média no autorrelato das crianças. Entretanto, há indicativos de necessidade de atenção preventiva e de intervenção nos fatores que apresentaram déficits sociais de acordo com o relato dos três grupos de participantes em: autocontrole/civilidade; cooperação/empatia; assertividade/desenvoltura social; problemas de comportamento externalizantes e internalizantes; e hiperatividade. Tais dados possibilitam que sejam programadas intervenções preventivas, conforme indicação dos pais/responsáveis e professoras, condizentes com a necessidade apontada pelas próprias crianças para a promoção de habilidades sociais. (AU)


Abstract Studying social skills helps understanding interpersonal relations, but studies relating both issues in high-ability/gifted (HA/G) children are still scarce. Thus, this study aimed to describe (a) the social skills of HA/G children from the viewpoints of the children themselves, their parents/guardians, and teachers; (b) the social skills and behavioral problems of HA/G children from the viewpoints of their parents/guardians and teachers, considering gender and the importance attributed by each group to social skills; and (c) children academic competence according to their teachers. The study comprised ten parents/guardians, eight teachers, and ten elementary school students identified as presenting with high abilities/giftedness. Data were collected by means of the Social Skills Rating System (SSRS), applied to parents, teachers, and students; and the Socially Skillful Responses Questionnaire (SSRQ), applied to parents and teachers. For parents and teachers, children's social skills were considered above average, whereas for themselves they were considered below average. However, the three groups indicated social deficits in some factors that require preventive attention and interventions, namely: self-control/civility; cooperation/empathy; social assertiveness/resourcefulness; external and internalizing behavior problems; and hyperactivity. These findings enable the development of preventive interventions aimed at promoting social skills among HA/G children based on the reports of parents/guardians, teachers and children themselves. (AU)


Resumen Los estudios de las habilidades sociales contribuyen a la comprensión de las relaciones interpersonales, pero todavía son pocos los que relacionan este tema al de niños con altas habilidades/superdotados (AH/SD). Teniendo en cuenta esto, los objetivos de este estudio fueron: a) describir y comparar las habilidades sociales de niños con AH/SD desde el punto de vista del niño y de sus respectivos padres/responsables y profesoras; b) describir y comparar las habilidades sociales y los problemas conductuales de niños con AH/SD desde el punto de vista de sus padres/responsables y profesoras, considerando el sexo y la importancia de las habilidades sociales para ambos grupos; y c) describir la competencia académica de los niños según las profesoras. Participaron 10 padres/responsables, siendo ocho profesoras y diez alumnos de educación primaria de una escuela pública identificados con AH/SD. Los participantes respondieron al cuestionario Sistema de Evaluación de las Habilidades Sociales (SSRS), versión para padres, profesores y alumnos, y al Cuestionario de Respuestas Socialmente Habilidosas (CRSH), versión para profesores. Los resultados indicaron que los niños presentaban habilidades sociales mayor del promedio para sus padres y maestros y por debajo del promedio en el autoinforme de los niños. Sin embargo, se observó la necesidad de atención preventiva e intervención en los factores que presentaron déficits sociales de acuerdo con el relato de los tres grupos de participantes en: autocontrol/cortesía; cooperación/empatía; asertividad social/ingenio; problemas de conducta externos e internalizantes e hiperactividad. Estos datos permiten programar intervenciones preventivas, conforme indicación de los padres/responsables y profesoras y la necesidad de los propios niños, para la promoción de habilidades sociales. (AU)


Subject(s)
Humans , Male , Female , Child , Adult , Behavior , Child, Gifted , Social Skills , Problem Behavior , Parents , Aptitude , Assertiveness , Attention Deficit Disorder with Hyperactivity , Behavior Therapy , Child Behavior , Surveys and Questionnaires , Patient Compliance , Empathy , Self-Control , Impulsive Behavior , Interpersonal Relations
11.
Texto & contexto enferm ; 30: e20200344, 2021. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1290273

ABSTRACT

ABSTRACT Objective: to elaborate and validate a Nursing Theory for Patients' Compliance with the Treatments of Arterial Hypertension and Diabetes Mellitus. Method: this is a theoretical and methodological study that followed four stages, namely: development of the concepts; development and validation of proposals; structuring and contextualization of the theory; and content validation. The validity process took place in two rounds, from July to September 2018, with the participation of 7 expert judges in the field of Nursing theories and experience in monitoring hypertensive and diabetic patients. Results: the Nursing Theory for Patient's Compliance with the treatments of Arterial Hypertension and Diabetes Mellitus is composed of 18 concepts and has adherence as a central element. The conceptual structure shows that the studied phenomena are inserted in open systems in constant interaction, in which changes in any of those involved can reflect on the others, directly impacting on patients' compliance the treatment and control of the aforementioned chronic diseases. The Content Validity Index of the first round was 0.79, and that of the second 0.97, showing a positive evolution of the altered proposals in compliance with the judges' recommendations. Content validation showed adequate internal consistency in the two rounds, with a Cronbach's alpha value of 0.79 in the first, and of 0.80 in the second. Conclusion: the elaboration and validation of the Theory proved to be consistent with the proposal of clinical Nursing care for people with Hypertension and Diabetes, whose focus is adherence to their treatments.


RESUMEN Objetivo: construir y validar una Teoría de Enfermería para la Adhesión de Pacientes a los Tratamientos de Hipertensión Arterial y Diabetes Mellitus. Método: se trata de un estudio teórico y metodológico que siguió cuatro etapas: desarrollo de los conceptos; desarrollo y validación de propuestas; estructuración y contextualización de la teoría; y validación del contenido. El proceso de validación tuvo lugar en dos rondas, entre julio y septiembre de 2018, y contó con la participación de 7 jueces expertos en el área de teorías de Enfermería y experiencia en el monitoreo de pacientes hipertensos y diabéticos. Resultados: la Teoría de Enfermería para la Adhesión de Pacientes a los Tratamientos de Hipertensión Arterial y Diabetes Mellitus está compuesta por 18 conceptos y tiene a la "adhesión" como elemento central. La estructura conceptual indica que los fenómenos estudiados están insertos en sistemas abiertos en constante interacción, en los que cambios en cualquiera de los sistemas implicados pueden verse reflejados en los demás, con directa repercusión en la adhesión de los pacientes al tratamiento y control de las enfermedades crónicas antes mencionadas. El Índice de Validez de Contenido de la primera ronda fue de 0,79 y el de la segunda, 0,97, constatándose así una evolución positiva de las propuestas modificadas conforme a las recomendaciones de los jueces. La validación de contenido demostró consistencia interna adecuada en las dos rondas, con valores alfa de Cronbach de 0,79 en la primera y de 0,80 en la segunda. Conclusión: la elaboración y validación de la Teoría demostraron ser coherentes con la propuesta de cuidados clínicos de Enfermería para el paciente con Hipertensión y Diabetes, con enfoque en la adhesión a su tratamiento.


RESUMO Objetivo: construir e validar Teoria de Enfermagem para Adesão de Pessoas ao Tratamento de Hipertensão Arterial e Diabetes Mellitus. Método: trata-se de estudo teórico e metodológico que seguiu quatro etapas: desenvolvimento dos conceitos; desenvolvimento e validação de proposições; estruturação e contextualização da teoria; e validação de conteúdo. O processo de validade ocorreu em duas rodadas, no período de julho a setembro de 2018, e teve a participação de 7 juízes expertises na área de teorias de enfermagem e experiência no acompanhamento de pacientes hipertensos e diabéticos. Resultados: a Teoria de Enfermagem para Adesão de Pessoas ao Tratamento de Hipertensão Arterial e Diabetes Mellitus é composta por 18 conceitos e tem a adesão como elemento central. A estrutura conceitual mostra que os fenômenos estudados estão inseridos em sistemas abertos em constante interação, em que as alterações em qualquer um dos envolvidos podem refletir nos demais, repercutindo diretamente na adesão de pessoas ao tratamento e controle das referidas doenças crônicas. O Índice de Validade de Conteúdo da primeira rodada foi de 0,79, e da segunda 0,97, constatando-se evolução positiva das proposições alteradas em atendimento às recomendações dos juízes. A validação de conteúdo evidenciou consistência interna adequada nas duas rodadas, com alfa de Cronbach 0,79 na primeira, e 0,80 na segunda. Conclusão: a elaboração e validação da Teoria demonstraram ser coerentes com a proposta de cuidado clínico de Enfermagem à pessoa com Hipertensão e Diabetes, cujo foco é a adesão ao seu tratamento.


Subject(s)
Humans , Therapeutics , Nursing Theory , Chronic Disease , Nursing , Patient Compliance , Validation Study , Diabetes Mellitus , Hypertension
12.
Rev. enferm. UFSM ; 11: e6, 2021.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1177503

ABSTRACT

Objetivo: descrever a percepção de pessoas com hipertensão arterial sobre aspectos que facilitam e dificultam a adesão ao tratamento. Método: estudo qualitativo descritivo desenvolvido com 16 pessoas atendidas em consultas de enfermagem. Realizaram-se entrevistas com roteiro semiestruturado e utilizou-se a técnica de análise de conteúdo. Os dados foram coletados entre os meses de janeiro e agosto de 2017. Resultados: observou-se que ter força de vontade, apoio familiar e multiprofissional, conhecimento sobre a patologia e formas de prevenção e medo da morte facilitou a adesão; por outro lado, pouco conhecimento, preguiça, falta de infraestrutura urbana e condições climáticas, hábito de consumir alimentos não saudáveis, bebidas alcoólicas e tabaco, custo do tratamento e esquecimento de tomar a medicação dificultaram a adesão. Conclusão: o tratamento da hipertensão acarreta mudanças na dinâmica da vida para as quais é fundamental ter força de vontade, apoio familiar e profissional, além de superar hábitos não saudáveis.


Objective: to describe the perception of people with arterial hypertension of the aspects that facilitate and hinder treatment adherence. Method: descriptive qualitative study developed with 16 people met in Nursing consultations. Interviews were conducted with a semi-structured guide and the content analysis technique was used. Data were collected between January and August 2017. Results: having willpower, family and multidisciplinary support, knowledge about the pathology and forms of prevention and fear of death facilitated adherence; on the other hand, little knowledge, laziness, lack of urban infrastructure and climatic conditions, habit of consuming unhealthy foods, alcoholic beverages and tobacco, cost of treatment and forgetfulness of taking the medication hindered adherence. Conclusion: the treatment of hypertension causes changes in the dynamics of life, being essential to have willpower, family and professional support, in addition to overcoming unhealthy habits.


Objetivo: describir la percepción de las personas con hipertensión arterial sobre los aspectos que facilitan y dificultan la adherencia al tratamiento. Método: estudio cualitativo descriptivo desarrollado con 16 personas atendidas en consultas de enfermería. Se realizaron entrevistas con un guion semiestructurado y se utilizó la técnica de análisis de contenido. Los datos se recopilaron entre enero y agosto de 2017. Resultados: se observó que tener fuerza de voluntad, apoyo familiar y multidisciplinario, conocimiento sobre la patología y las formas de prevención y miedo a la muerte facilitaba la adherencia; por otro lado, poco conocimiento, pereza, falta de infraestructura urbana y condiciones climáticas, hábito de consumir alimentos no saludables, bebidas alcohólicas y tabaco, costo de tratamiento y olvido de tomar el medicamento obstaculizaba la adherencia. Conclusión: el tratamiento de la hipertensión provoca cambios en la dinámica de la vida para los que es esencial contar con fuerza de voluntad, apoyo familiar y profesional, además de superar hábitos poco saludables.


Subject(s)
Humans , Nursing , Patient Compliance , Medication Adherence , Treatment Adherence and Compliance , Hypertension
13.
Rev Rene (Online) ; 22: e44129, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1149527

ABSTRACT

RESUMO Objetivo analisar fatores associados à adesão medicamentosa entre trabalhadores de universidade pública que referiram uso de medicação contínua. Métodos estudo transversal, desenvolvido junto a 629 trabalhadores de instituição pública de ensino superior. Dados coletados mediante entrevistas com formulários adaptados do Ministério da Saúde brasileiro e analisados pelo teste qui-quadrado. Resultados verificou-se que 331 (52,6%) dos participantes utilizavam medicação contínua, destes, 175 (52,9%) apresentaram padrão de adesão parcialmente satisfatória e 156 (47,1%) totalmente satisfatória. Trabalhadores com problema crônico de coluna, depressão, fraqueza/cansaço, dispneia e dor no peito apresentaram significativamente menor adesão ao tratamento medicamentoso (p≤0,050). Características sociodemográficas e laborais, polifarmácia e tipo de medicamento não se mostraram associados à adesão medicamentosa (p>0,050). Conclusão observou-se adesão satisfatória entre os trabalhadores pesquisados em relação ao tratamento medicamentoso, estando a presença de alguns sintomas e as doenças crônicas específicas associados à adesão medicamentosa parcialmente satisfatória.


ABSTRACT Objective to analyze factors associated with medication adherence among public university workers who reported use of continuous medication. Methods cross-sectional study carried out with 629 workers from a public university. Data were collected through interviews using forms adapted from the Brazilian Ministry of Health and analyzed using the chi-square test. Results three hundred thirty-one (52.6%) participants were users of continuous medication, of these, 175 (52.9%) had a partially satisfactory adherence pattern and 156 (47.1%) a totally satisfactory pattern. Workers with chronic back problems, depression, weakness/tiredness, dyspnea, and chest pain had significantly less adherence to drug treatment (p≤0.050). Sociodemographic and labor characteristics, polypharmacy, and type of medication were not associated with medication adherence (p>0.050). Conclusion satisfactory drug adherence was observed among the participants in relation to drug treatment, and the presence of some symptoms and specific chronic diseases was associated with partially satisfactory drug adherence.


Subject(s)
Drug Administration Schedule , Risk Factors , Patient Compliance , Medication Adherence , Occupational Groups
14.
Article in English | LILACS, INDEXPSI | ID: biblio-1249818

ABSTRACT

The aim of this study was to investigate possible factors that prevent adherence to the treatment of codependent family members of problem drug use individuals. A quasi-experimental study was carried out with 133 relatives of psychoactive substances users who called the Brazilian drug hotline (Ligue 132) between 2013 and 2015, from the five regions of Brazil. The following instruments were used: General service protocol; Family assistance protocol; Holyoake Codependency Index; Behavioral Adherence Scale; and Adherence Factor Questionnaire. Univariate analysis of data was performed for categorical variables and Chi-square test for comparison between variables, with p < 0.05. The sample showed a predominance of women (91.7%), especially mothers (82.7%). Among the investigated factors, alcohol as the substance involved in the problem showed a significant association with the non-adherence to treatment through teleintervention of family members.


O objetivo deste estudo foi investigar possíveis fatores impeditivos da adesão de familiares codependentes a um tratamento. Realizou-se um estudo quase experimental com 133 familiares de usuários de substâncias psicoativas que ligaram para o Ligue 132 no período de 2013 a 2015, sendo que a amostra tem representantes das 5 regiões do Brasil. Os instrumentos utilizados foram: Protocolo geral de atendimento; Protocolo de atendimento ao familiar; Holyoake Codependency Index; Escala de Adesão Comportamental e Questionário de Fatores sobre Adesão. Foram realizadas análises univariadas dos dados para as variáveis categóricas e teste Qui-quadrado para comparação entre as variáveis, p < 0,05. A amostra apresentou o predomínio de mulheres (91,7%) entre os familiares que buscaram ajuda, em especial de mães (82,7%). Dentre os fatores investigados, notou-se que o álcool, entre as substâncias utilizadas pelos usuários, apresentou associação significativa com a não adesão dos familiares a tele intervenção.


Subject(s)
Patient Compliance , Telemedicine , Family Relations
15.
Estud. Psicol. (Campinas, Online) ; 38: e190134, 2021. tab
Article in English | LILACS, INDEXPSI | ID: biblio-1133862

ABSTRACT

This study aimed to evaluate the association between student characteristics and recruitment strategies in the adherence of college students to a web-based alcohol intervention. Participants were 46,329 Brazilian students aged from 18 to 30, who consumed alcohol during the past three months. Three recruitment strategies were implemented: open invitations, and personally-addressed invitations with or without non-monetary incentives. We evaluated the educational, sociodemographic, motivational, and alcohol consumption effects on adherence using logistic regression models. Women (aOR = 1.09 [1.04; 1.14]), students with higher income (aOR = 1.32 [1.21; 1.45]), and more motivated students (aOR = 1.04 [1.03; 1.05]) were more adherent to the intervention, as well as those reporting binge drinking (aOR = 1.26 [1.19; 1.33]) and alcohol hazardous use (aOR = 1.11 [1.05; 1.18]). The use of incentives was the main factor associated with adherence (aOR = 3.69 [2.46; 5.55]). Our results may help the development of future web-based interventions related to alcohol use.


O presente estudo teve como objetivo avaliar a influência do perfil dos estudantes e das estratégias de recrutamento na adesão de universitários a uma intervenção via web sobre o uso de álcool. Participaram da pesquisa 46.329 estudantes brasileiros com idade entre 18 e 30 anos e relatando consumo de álcool nos últimos três meses. Utilizaram-se três estratégias de recrutamento: convite aberto e convite pessoalmente dirigido com e sem incentivo não monetário. Avaliouse o efeito de características educacionais, sociodemográficas, motivacionais e de uso de álcool sobre a adesão por meio de modelos de regressão logística. Mulheres (aOR = 1,09 [1,04; 1,14]), estudantes com maior renda (aOR = 1,32 [1,21; 1,45]) e mais motivados (aOR = 1,04 [1,03; 1,05]) foram mais aderentes, bem como universitários que relataram binge (aOR = 1,26 [1,19; 1,33]) e uso de risco (aOR = 1,11 [1,05; 1,18]). O emprego de incentivos foi o principal fator associado à adesão (aOR = 3,69 [2,46; 5,55]). Os resultados podem auxiliar no desenvolvimento de futuras intervenções sobre o uso de álcool via internet.


Subject(s)
Patient Compliance , Internet , Alcoholic Beverages , Motivation
16.
Babcock Univ. Med. J ; 4(1): 8-13, 2021.
Article in English | AIM, AIM | ID: biblio-1291975

ABSTRACT

Objectives: Human Immunodeficiency Virus (HIV) remains a public health issue with more than 25 million deaths since 1990. As of 2019, Nigeria has a national prevalence of 1.4% among 15-49 years and about 1.9 million people living with HIV, according to the Joint United Nations Programme on HIV/AIDS. This study assessed the factors responsible for unsuppressed viral load among patients accessing care at Federal Medical Centre HIV Clinic in Abeokuta, southwest Nigeria.Methods: The study design was descriptive cross-sectional. Data was collected using the qualitative method; an In-depth interview was conducted among 20 virally unsuppressed HIV patients currently on Antiretroviral Therapy (ART) at Federal Medical Centre Abeokuta. The participants were purposively selected. The data were analyzed using thematic analysis.Results: Although almost all the participants were aware of HIV, their knowledge of HIV was inadequate. Non-adherence to drugs, side effects of medications, the psychological effects of the disease, forgetfulness, and combination of anti-retroviral drugs with local herbs and alcohol were the associated factors of viral non-suppression among the patients.Conclusion: Scaling up psychological care services using Short Message Services (SMS) to improve viral suppression is, therefore, strongly recommended.


Subject(s)
Humans , Male , Female , HIV Infections , Viral Load , Antiretroviral Therapy, Highly Active , Patient Compliance
17.
African Journal of Health Sciences ; 34(4): 464-474, 2021.
Article in English | AIM, AIM | ID: biblio-1337581

ABSTRACT

Highly Active Antiretroviral Therapy (HAART) is undoubtedly the only proven remedy known to improve the health outcomes and reduce AIDS-related mortality. However, just like other chronic diseases, HIV presents significant challenges in achieving and maintaining adherence to medication. The effectiveness of HAART solely depends on adherence. For maximum medication benefits, a nearperfect adherence levels of >95% is required yet data from different studies indicate that few, if any patients have achieved perfect adherence. The main objective of the study was to the determine predictors of adherence to Highly Active Antiretroviral Therapy among HIV patients attending selected comprehensive care centres in Kericho County. MATERIALS AND METHODS A descriptive cross-sectional study was adopted, involving 280 HIV patients (≥ 15 years) on HAART from three selected Comprehensive Care Centres in Kericho County, Kenya. Quantitative and qualitative data were collected using interviewer administered semi-structured questionnaires and key informant interviews, respectively. Purposive sampling was used to select the three health facilities while systematic sampling was used for participant selection. Adherence was measured using viral load. Data was analyzed using SPSS version 25. Logistic regression analysis was used to determine the association between adherence to HAART and various independent variables. Results were considered to be significant at p < 0.05). RESULTS AND CONCLUSION Seventy six percent (76%) of the respondents had optimal adherence while 24% had sub-optimal adherence. More females than males were on treatment. Use of HAART alternatives was a risk factor for sub-optimal adherence (p=0.011). Having someone/tool to remind of when to take medication and disclosure of HIV positive status to spouse were found to significantly promote adherence to HAART with p=0.034) and p=0.048, respectively. African Journal of Health Sciences Volume 34, Issue No.4, July- August 2021 465 RECOMMENDATIONS Several studies have been done on the socio-demographic and socio-economic factors associated with adherence to HAART. Findings from this study indicate that attitudes and practices towards HAART have significant effects on adherence hence more research should be done on attitudes and practice aspects of adherence


Subject(s)
Humans , Patient Compliance , Antiretroviral Therapy, Highly Active , HIV Long Terminal Repeat , Kenya
19.
Rev. cuba. salud pública ; 46(4): e1786, oct.-dic. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1156622

ABSTRACT

Introducción: La cooperación universitaria al desarrollo en seguridad del paciente mediante modelos de acreditación y formación sanitaria genera una cultura sanitaria de cuidado que evoluciona hacia mejoras de la atención. Objetivo: Determinar la satisfacción de los beneficiarios directos e indirectos con las acciones instrumentales, técnicas y educativas desarrolladas en el marco del proyecto en Más-Ecuador, cantón Riobamba, 2017. Métodos: Se realizó un estudio descriptivo, transversal, con enfoque mixto. La población fue la totalidad de beneficiarios directos e indirectos que participaron en las actividades de capacitación (348). Se realizó un muestreo no probabilístico que incluyó a aquellos individuos (96) que estuvieron de acuerdo en participar, con edades iguales o superiores a los 20 años, óptimo estado de salud mental y que se encontraban en su ubicación laboral o domiciliar en el momento de aplicación de los instrumentos. Como técnica para la recolección de los datos se empleó un cuestionario diseñado por el equipo investigador, validado durante el proceso investigativo mediante criterio de especialistas. Resultados: Los beneficiaros directos e indirectos del proyecto Más-Ecuador, refirieron un alto nivel de satisfacción general con las acciones instrumentales, técnicas y educativas desarrolladas en el marco de esa intervención; predominando el sexo femenino y la categoría profesional de la salud. Conclusión: Intervenciones como el proyecto Manos Seguras Ecuador (MaS-Ecuador), contribuyen al desarrollo de los procesos formativos en el ámbito académico y comunitario y ayudan a prevenir enfermedades, reducir riesgos en la atención sanitaria, garantizando la seguridad del paciente(AU)


Introduction: University cooperation for the development of patient safety through models of accreditation and health training generates a health culture of care that evolves towards improvements in care. Objective: Determine the satisfaction of direct and indirect beneficiaries with instrumental, technical and educational actions developed within the framework of the MaS-Ecuador project, in Riobamba canton, 2017. Methods: A descriptive, cross-sectional, mixed-focused study was conducted. The population was the total of direct and indirect beneficiaries who participated in the training activities (348). A non-probabilistic sampling was carried out that included those individuals (96) who agreed to participate, at ages equal to or over 20 years, with optimal mental health state and who were in their job or home location at the time of the tools´ application. As a technique for data collection, a questionnaire designed by the research team was used, and it was validated during the research process at the discretion of specialists. Results: The direct and indirect beneficiaries of the MaS-Ecuador project referred to have a high level of general satisfaction with the instrumental, technical and educational actions developed in the framework of this intervention. There was a predominance of the female sex and the category of health professional. Conclusion: Interventions such as the project Manos Seguras Ecuador (MaS-Ecuador) contribute to the development of training processes in the academic and community fields and help to prevent diseases and reduce risks in health care, guaranteeing patient safety(AU)


Subject(s)
Humans , Male , Female , Patient Compliance , Patient Satisfaction , Patient Safety/standards , Epidemiology, Descriptive , Cross-Sectional Studies , Ecuador
20.
Texto & contexto enferm ; 29: e20180420, Jan.-Dec. 2020.
Article in English | LILACS, BDENF | ID: biblio-1059148

ABSTRACT

ABSTRACT Objectives: to describe the health control habits that influence the daily life of celiac patients and to analyze the practice of actions related to health control and its determinants, from the perspective of the first component of the Pender Health Promotion Model. Method: a cross-sectional study conducted through interviews with instrument with 83 individuals from Ceará and diagnosed with celiac disease. Data was analyzed using the characteristics and individual experiences component of Pender's theoretical model. Results: of the celiac patients, 96.4% did not follow the gluten-free diet; 80.7% had inappropriate behaviors to reduce risk factors; 72.3% made ineffective choices in daily life to achieve health goals and; and 25.3% could not keep the gluten free diet in their daily life. Conclusion: according to the theoretical model, celiac patients did not adhere to the proper diet and presented factors inherent to daily life and social issues, characterized as barriers to an effective health control.


RESUMEN Objetivos: describir los hábitos de control de la salud que influyen sobre la vida diaria de los celíacos y analizar la práctica de acciones relacionados con el control de la salud y sus factores determinantes, bajo la óptica del primer componente del Modelo de Promoción de la Salud de Pender. Método: estudio transversal realizado a través de entrevistas con instrumento con 83 individuos del estado de Ceará diagnosticados con la enfermedad celíaca. Los datos se analizaron mediante el componente de características y experiencias individuales del modelo teórico de Pender. Resultados: de los celíacos, el 96,4% no seguía la dienta sin gluten; el 80,7% presentaba comportamiento inadecuados para reducir factores de riesgo; el 72,3% realizaba elecciones ineficaces en la vida diaria para alcanzar las metas de salud y el 25,3% no lograba mantener la dieta sin gluten en su vida diaria. Conclusión: de acuerdo con el modelo teórico, los celíacos no respetaban la dieta adecuada y presentaron factores inherentes a la vida diaria y a las cuestiones sociales, caracterizados como obstáculos para un control eficaz de la salud.


RESUMO Objetivos: descrever os hábitos de controle de saúde que influenciam no cotidiano dos celíacos e analisar a prática de ações relacionadas ao controle da saúde e seus determinantes, sob o prisma do primeiro componente do Modelo de Promoção da Saúde de Pender. Método: estudo transversal, realizado com 83 indivíduos com diagnóstico de doença celíaca, do Estado do Ceará, através de entrevistas com instrumento. Os dados foram analisados mediante o componente características e experiências individuais do modelo teórico de Pender. Resultados: dos celíacos, 96,4% não seguiam a dieta isenta de glúten; 80,7% possuíam comportamentos inadequados para reduzir fatores de risco; 72,3% faziam escolhas na vida diária ineficazes para atingir as metas de saúde; e 25,3% não conseguiam manter a dieta isenta de glúten na sua vida diária. Conclusão: de acordo com o modelo teórico, os celíacos não aderiam à dieta adequada e apresentaram fatores inerentes ao cotidiano e às questões sociais, caracterizados como barreiras para o controle eficaz da saúde.


Subject(s)
Humans , Adult , Celiac Disease , Chronic Disease , Patient Compliance , Diet, Gluten-Free , Health Promotion
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