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1.
Arch. argent. pediatr ; 120(6): 398-404, dic. 2022. tab, graf
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1397712

ABSTRACT

Introducción. Es clave para la atención óptima de la salud la continuidad del cuidado al pasar de pediatría a la medicina del adulto. Objetivo. Describir la experiencia del proceso de transición de pacientes adolescentes conenfermedades crónicas desde la atención enpediatría a la atención de adultos en un hospital general. Población y métodos. Estudio de cortetransversal de pacientes entre 16 y 24 años con antecedente de trasplante hepático, trasplante renal, enfermedades endocrinas, metabólicas, reumatológicas y mielomeningocele atendidos en un hospital general universitario de tercer nivel entre 2015 y 2019, durante el proceso de transición. Se evaluaron el proceso de atención y el éxito de la transición. Se utilizó el cuestionario de evaluación de preparación para la transición (Transition Readiness Assessment QuestionnaireTRAQ, por su sigla en inglés). Resultados. Se incluyeron 372 pacientes. Las especialidades de atención más frecuentesfueron clínica de mielomeningocele, equipo de trasplante renal y de trasplante hepático. El 37 % participó del proceso de transición. La media de seguimiento por pediatría hasta el inicio de la transición fue de 9 años. La media de edad de comienzo de la transición fue 19 años y la media de edad de finalización, 21 años. La estrategia de transición más frecuente fue clínica conjunta en el 96 %. La mediana del TRAQ ordinal fue de 4; de estos, el 32 % ya había consultado a adultos. El 32,7 % cumplió con una transición exitosa. Conclusiones. La continuidad del cuidadodurante la transición es un proceso que llevó casi dos años y en más de un tercio de los pacientes se realizó en forma exitosa.


Introduction. The continuity of care from pediatrics to adult medicine is key to optimal health care. Objective. To describe the experience of the transition process of adolescent patients with chronic diseases from pediatric to adult care in a general hospital. Population and methods. Cross-sectional study of patients aged 16­24 years with a history of liver transplantation, kidney transplantation, endocrine, metabolic, rheumatic diseases, and myelomeningocele seen at a tertiary care teaching general hospital between 2015 and 2019 during the transition process. The process of health care and transition success were assessed. The Transition Readiness Assessment Questionnaire (TRAQ) was used. Results. A total of 372 patients were included. The myelomeningocele clinic, the kidney transplant and the liver transplant teams were the most common specialties. Thirty-seven percent of participants were involved in the transition process. The mean duration of follow-up by pediatrics until transition initiation was 9 years. The mean age at the beginning of transition was 19 years, and the mean age at the end, 21 years. The joint clinic transition strategy was the most frequent, used in 96% of cases. The median value of the ordinal TRAQ was 4; of these, 32% had already seen adult care physicians. A successful transition was achieved by 32.7%. Conclusions. The continuity of care during transition is a process that took almost 2 years; more than one third of the patients had a successful transition.


Subject(s)
Humans , Adolescent , Young Adult , Chronic Disease/therapy , Patient Satisfaction , Transition to Adult Care , Cross-Sectional Studies , Surveys and Questionnaires , Hospitals, General
2.
Notas enferm. (Córdoba) ; 23(40): 47-56, dic.2022.
Article in Spanish | LILACS, BDENF, BINACIS, UNISALUD | ID: biblio-1401630

ABSTRACT

Es de importancia analizar desde el punto de vista de gestión de calidad y seguridad del paciente donde los cuidados enfermeros se consideran un elemento unificador y exigen a los profesionales a trabajar con un método evaluando sistemáticamente los cuidados y posicionan a los profesionales enfermeros como parte importante del equipo de salud. Esta calidad de servicio puede ser estimada a través de un indicador de calidad que sirve para medir también el grado de satisfacción del cliente. Teniendo como objetivo evaluar el proceso de calidad de las prácticas de enfermería que aportan a la seguridad de los pacientes. Es de relevancia entender que la calidad y la seguridad del paciente, deben ser enfrentadas como un proceso continuo, que permita mediciones que traduzcan en mejoras signifcativas y que puedan llevar a programas de intervenciones.Se revisaron conceptos como calidad del cuidado, gestión del cuidado, indicadores de calidad para medir el grado de satisfacción del profesional como del cliente[AU]


It is important to analyze from the point of view of quality management and patient safety where nursing care is considered a unifying element because it does not allow the development of discipline, it requires professionals to work with a method systematically evaluating care and position nursing professionals as an important part of the health team. Tis quality of service can be measured through a quality indicator that also serves to measure the degree of customer satisfaction. Aiming to evaluate the quality process of nursing practices that contribute to the safety of patients.It is important to understand that quality and patient safety must be addressed as a continuous process, allowing measurements that translate into significant improvements and that can lead to intervention programs.Concepts such as quality of care, care management, quality indicators to measure the degree of satisfaction of the professional and the client were reviewed[AU]


É importante analisar do ponto de vista da gestão da qualidade e segurança do paciente onde a assistência de enfermagem é considerada um elemento unifcador, pois não permite o desenvolvimento da disciplina, exige que o profssional trabalhe com um método que avalie sistematicamente o cuidado e posicione o profssional de enfermagem como parte importante da equipe de saúde. Essa qualidade de serviço pode ser medida por meio de um indicador de qualidade que também serve para medir o grau de satisfação do cliente. Com o objetivo de avaliar o processo de qualidade das práticas de enfermagem que contribuem para a segurança dos pacientes. É importante entender que a qualidade e a segurança do paciente devem ser tratadas como um processo contínuo, permitindo medições que se traduzam em melhorias significativas e que podem levar a programas de intervenção. Conceitos como qualidade do atendimento, gestão do atendimento, indicadores de qualidade foram revisados para medir o grau de satisfação do profssional e do cliente[AU]


Subject(s)
Humans , Quality Assurance, Health Care , Patient Satisfaction , Quality Indicators, Health Care , Patient Safety
3.
Braz. j. oral sci ; 21: e227228, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1393377

ABSTRACT

Aim: to evaluate the association of the patients' perception about dentist's affect and cognition on trust and, consequently, on intention to return and patient satisfaction with life. Methods: Analytical cross-sectional study conducted in patients' adults and elderly at of two dentistry clinics in the south of Brazil. Patients had to have a previous relationship with the dentist (at least one previous consult) and 18 years of age or older. The data were collected through self-administrated questionnaire using measures adapted from other research, using structural equation modeling. We test using a chi-square difference test (p-value<0,05). Results: The mean age of the 197 patients was 37.0 years (σ = 15.5). The affect perceived by the patient at the dentist had a positive effect (ß = .53) on the trust that the patient develops in relation to the dentist. The same is true for the effect of the rational or cognitive aspects perceived by the patient at the dentist (ß = .41). The trust positively influences the patient's intention to return to that dentist (ß = .82). In addition, the intention to return to the dentist positively influences the patient's satisfaction with life (ß = .49). Conclusions: Affective and cognitive aspects positively influenced the patient's trust in the dentist. The greater the patient's trust in the dentist, the greater the intention to return to that dentist. Furthermore, a good relationship with the dentist improve the patient's satisfaction with life


Subject(s)
Humans , Male , Female , Adult , Perception , Patient Satisfaction , Cognition , Affect , Trust/psychology , Dentist-Patient Relations
4.
Braz. j. oral sci ; 21: e225686, jan.-dez. 2022. tab
Article in English | LILACS, BBO | ID: biblio-1366509

ABSTRACT

Aim: Tooth loss is very prevalent in Brazil, reflecting high demand for dental services, especially those related to oral rehabilitation. This study aimed to assess the quality of life in total edentulous patients rehabilitated with implants and fixed prosthesis. Methods: Thirty-two patients were evaluated before and after rehabilitation with dental implants and fixed prosthesis using the OHIP-14 questionnaire and the Visual Analogue Scale (VAS) after 6 months follow-up. Results:OHIP-14 revealed a significant improvement after treatment in all seven parameters and in the global score (P < 0.001). VAS presented positive results related to patient satisfaction regarding oral rehabilitation, except for the hygiene of the fixed dentures. Conclusion: At the end of this study, OHIP-14 scores decreased by 50% in most of the questions raised, and VAS presented positive results, except for hygiene of the fixed dentures, presenting an improvement in the quality of life of total edentulous patients after rehabilitation with implants and fixed prosthesis


Subject(s)
Humans , Male , Female , Quality of Life , Dental Implants , Mouth, Edentulous/rehabilitation , Patient Satisfaction , Denture, Complete
5.
Enferm. foco (Brasília) ; 13(n.esp1): 1-7, set. 2022. ilus, tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1396606

ABSTRACT

Objetivo: Analisar produção científica sobre satisfação de gestantes atendidas na Atenção Primária à Saúde. Métodos: Revisão integrativa, realizada em setembro de 2020, na Biblioteca Virtual em Saúde, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature e Excerpta Medica Database, cruzando descritores com operadores booleanos. Foram incluídos estudos primários, excluídos estudos realizados em hospitais, mulheres não gestantes, resumos de congresso, teses e artigos duplicados. Não houve delimitação temporal ou de idioma. A busca gerou 355 artigos. Após leitura de títulos e resumos, exclusão dos duplicados e leitura completa, incluiuse 20 artigos. Os dados foram discutidos com bibliografias atualizadas. Por se tratar de revisão, não houve necessidade de parecer em Comitê de Ética. Resultados: A maioria dos artigos foi publicada em 2012 e realizada fora do Brasil. Os resultados indicam satisfação das gestantes pela assistência recebida na Atenção Primária à Saúde, considerando algumas lacunas: continuidade do cuidado após o parto, acolhimento e aspectos da estrutura física das unidades. Conclusão: As pesquisadas apresentaram satisfação pela assistência, atestando a qualidade do atendimento. (AU)


Objective: To analyze scientific production on satisfaction of pregnant women attended in Primary Health Care. Methods: Integrative review, carried out in September 2020, at the Virtual Health Library, Online Medical Literature Analysis and Retrieval System, Cumulative Index to Nursing and Allied Health Literature and Excerpta Medica Database, crossing descriptors with Boolean operators. Primary studies were included, studies performed in hospitals, non-pregnant women, congress abstracts, theses and duplicate articles were excluded. There was no temporal or language delimitation. The search generated 355 articles. After reading the titles and abstracts, excluding duplicates and completely reading, 20 articles were included. Data were discussed with updated bibliographies. As this is a review, there was no need for an opinion from the Ethics Committee. Results: Most articles were published in 2012 and carried out outside Brazil. The results indicate the satisfaction of pregnant women with the assistance received in Primary Health Care, considering some gaps: continuity of care after childbirth, reception and aspects of the physical structure of the units. Conclusion: The respondents were satisfied with the care, attesting to the quality of care. (AU)


Objetivo: Analizar la producción científica sobre la satisfacción de gestantes atendidas en Atención Primaria de Salud. Métodos: Revisión integradora, realizada en septiembre de 2020, en la Biblioteca Virtual en Salud, Sistema de Análisis y Recuperación de Literatura Médica en Línea, Índice Acumulativo de Enfermería y Literatura en Salud Afín. y Excerpta Medica Database, cruzando descriptores con operadores booleanos. Se incluyeron estudios primarios, se excluyeron estudios realizados en hospitales, mujeres no embarazadas, resúmenes de congresos, tesis y artículos duplicados. No hubo delimitación temporal ni lingüística. La búsqueda generó 355 artículos. Después de leer los títulos y resúmenes, excluyendo duplicados y lectura completa, se incluyeron 20 artículos. Los datos se discutieron con bibliografías actualizadas. Al tratarse de una revisión, no fue necesaria la opinión del Comité de Ética. Resultados: La mayoría de los artículos se publicaron en 2012 y se realizaron fuera de Brasil. Los resultados indican la satisfacción de las gestantes con la atención recibida en Atención Primaria de Salud, considerando algunas brechas: continuidad de la atención posparto, recepción y aspectos de la estructura física de las unidades. Conclusión: Los encuestados se mostraron satisfechos con la atención, lo que da fe de la calidad de la atención. (AU)


Subject(s)
Pregnant Women , Primary Health Care , Patient Satisfaction
6.
Rev. bras. ortop ; 57(4): 649-655, Jul.-Aug. 2022. tab, graf
Article in English | LILACS | ID: biblio-1394875

ABSTRACT

Abstract Objective To assess the satisfaction of patients undergoing hand surgery in relation to their hospitalization, their feelings, and the consequences resulting from the surgical procedure as well as to evaluate their opinion and feelings in relation to the surgical procedure and to detect possible weaknesses in the health care of patients undergoing hand surgery. Method Cross-sectional observational clinical study, with a quali-quantitative focus, carried out in an outpatient clinic of a teaching hospital specialized in hand care, with patients of both genders, aged 18 to 75 years, who have undergone corrective surgical procedures of hand pathologies in the last 5 years. Results We obtained a total of 54 participants, 26 females and 28 males, with a minimum age of 18 years and a maximum of 73 years. Patient satisfaction for the 11 moments evaluated had means between 8 and 10, showing great satisfaction. For the other five moments evaluated, the means were between five and eight. We did not get any satisfaction average below fivr. Conclusion The absolute satisfaction of patients undergoing hand surgery is dependent on the humanization of health care, especially in relation to surgical consequences, which require further follow-up. The surgical consequences that require greater follow-up and hinder the routine activities of patients are pain on hand mobilization, limitation of the range of motion, and parathesthesia; thus, proper management of these complaints leads to greater satisfaction.


Resumo Objetivo Determinar a satisfação dos pacientes submetidos a cirurgia de mão em relação a sua internação, seus sentimentos, e as consequências decorrentes do procedimento cirúrgico bem como avaliar sua opinião e seus sentimentos em relação ao procedimento cirúrgico e detectar possíveis fragilidades na atenção à saúde do paciente submetido a cirurgia de mão. Método Estudo clínico observacional de corte transversal, com enfoque quali-quantitativo, realizado em um ambulatório especializado em cuidado da mão de um hospital de ensino, com os pacientes de ambos os gêneros, com idade de 18 a 75 anos, que tenham sido submetidos a procedimentos cirúrgicos corretivos de patologias da mão nos últimos 5 anos. Resultados Obtivemos o total de 54 participantes, sendo 26 do sexo feminino e 28 do sexo masculino, com idade mínima de 18 anos e máxima de 73 anos. Em relação à satisfação dos pacientes em 11 momentos avaliados, as médias foram entre 8 e 10, mostrando grande satisfação. Para os outros cinco momentos avaliados, as médias ficaram entre cinco e oito. Não obtivemos nenhuma média de satisfação abaixo de cinco. Conclusão A satisfação absoluta dos pacientes submetidos à cirurgia de mão é dependente da humanização da assistência à saúde, principalmente em relação às consequências cirúrgicas, que demandam maior acompanhamento. As consequências cirúrgicas que demandam maior acompanhamento e que dificultam as atividades rotineiras dos pacientes são dor à mobilização da mão, limitação do arco de movimento, e parestesia; assim, o manejo adequado dessas queixas leva à maior satisfação.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Patient Satisfaction , Orthopedic Procedures , Humanization of Assistance , Hand/surgery
7.
Rev. enferm. Inst. Mex. Seguro Soc ; 30(3): 54-59, 18-jul-2022. tab
Article in Spanish | LILACS, BDENF | ID: biblio-1379493

ABSTRACT

Introducción: la satisfacción con la calidad en la atención de enfermería por parte del paciente es el resultado de la relación profesional entre la enfermera y el paciente. Objetivo: evaluar la satisfacción con la calidad en la atención de enfermería de los pacientes de hemodiálisis de un hospital de especialidades en Sonora. Metodología: estudio cuantitativo, observacional, descriptivo, transversal y prospectivo, realizado mediante la aplicación del cuestionario SERVQHOS-E, que consta de 16 ítems y una encuesta de opinión y sirve para medir la satisfacción del paciente y la calidad percibida de la atención de enfermería. El análisis de datos se hizo con estadística descriptiva, frecuencias relativas y absolutas. Resultados: se estudiaron 146 pacientes. En cuanto a percepción de la calidad de la atención de enfermería, 99.3% estuvieron satisfechos y solo 0.7% estuvieron insatisfechos. En relación con la satisfacción global, el 100% se manifestaron satisfechos y 99.3% de los pacientes recomendaría el servicio. Conclusión: los pacientes con hemodiálisis de un hospital de especialidades en Sonora se encuentran satisfechos.


Introduction: Patient satisfaction with the quality of nursing care is the result of the professional relationship between nurse and patient. Objective: To assess patient satisfaction with hemodialysis as relates to the quality of nursing care in a specialty hospital in Sonora. Methodology: observational, descriptive, cross-sectional and prospective study, which was carried out using the SERVQHOS-E questionnaire, which consists of 16 items and one survey and measures the patient satisfaction and the perceived quality about nursing care. Data analysis was completed through descriptive statistics, relative and absolute frequencies. Results: 146 patients were studied. Concerning the perceived quality of nursing care, 99.3% were satisfied and only 0.7% reported dissatisfaction. Regarding global satisfaction, 100% of patients expressed satisfaction with their stay and 99.3% would recommend the services received to others. Conclusion: Hemodialysis patients at a specialty hospital in Sonora are satisfied.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Quality of Health Care/statistics & numerical data , Renal Dialysis/nursing , Patient Satisfaction/statistics & numerical data , Nursing Care/statistics & numerical data , Socioeconomic Factors , Cross-Sectional Studies , Prospective Studies
8.
Distúrb. comun ; 34(2): e54039, jun. 2022. ilus, tab
Article in Portuguese | LILACS | ID: biblio-1396849

ABSTRACT

Introdução: A pandemia do Coronavírus trouxe a necessidade do distanciamento social. A partir dessa nova realidade, o Conselho Federal de Fonoaudiologia (CFFa) recomendou o uso da telefonoaudiologia para permitir a continuidade do atendimento fonoaudiológico. Embora a telefonoaudiologia não seja uma prática inédita, dúvidas quanto à sua utilização e eficácia, quando comparada ao atendimento presencial, ainda permeia a prática clínica. Objetivo: realizar uma revisão integrativa da literatura sobre a eficácia da telefonoaudiologia comparada ao atendimento presencial. Métodos: foi realizada uma revisão integrativa da literatura cientifica, sem restrição de idioma e tempo, nas bases de dados: Pubmed, Web of Science, Science Direct, Cochrane e Google Scholar. Resultados: vinte e um artigos foram selecionados. A unanimidade dos artigos demostrou que não houve diferença estatística significante entre as configurações. Nos estudos com foco na avaliação, os métodos de teste (presencial X teleavaliação) foram altamente correlacionados e com alta confiabilidade inter examinador. Nos artigos com foco na terapia, em ambas as configurações de tratamento, houve melhora significativa dos parâmetros avaliados. Os artigos que realizaram pesquisa de satisfação na modalidade de telefonoaudiologia, em quase a totalidade dos estudos, os pacientes e/ou responsáveis relataram moderada a alta satisfação e indicaram disposição de participar novamente de avaliação e/ou terapia na configuração de atendimento remoto. Conclusão: a literatura atual em telefonoaudiologia sugere o uso do atendimento remoto e demonstra a não inferioridade deste quando comparado ao atendimento presencial. Porém, a maioria desses estudos apresenta baixa evidência cientifica.


Introduction: The Coronavirus pandemic brought about the need for social distancing. Based on this new reality, the Brazilian Federal Council of Speech, Language and Hearing Sciences (CFFa) recommended the use of telephonoaudiology to enable the continuity of speech therapy assistance. Although this is not an unprecedented practice, doubts about telephonoaudiology use and its effectiveness, when compared to face-to-face care, still permeate the clinical practice. Objective: to perform an integrative review of the literature on the effectiveness of telephonoaudiology technologies when compared to face to face care. Methods: an integrative review of the scientific literature was carried out, without the restriction of language and time, in the databases: Pubmed, Web of Science, Science Direct, Cochrane, and Google Scholar. Results: twenty-one articles were selected. The unanimity of the papers demonstrated that there was no statistically significant difference between the configurations. In studies focused on evaluation, the test methods (face to face vs. telephonoaudiology) were highly correlated and presented high inter-examiner reliability. In papers focusing on therapy, in both treatment configurations, there was a significant improvement in the parameters evaluated. In almost all the papers that conducted telephonoaudiology satisfaction surveys, patients and/or guardians reported moderate to high satisfaction andindicated a willingness to participate again in assessmentand/ortherapy in the configuration of remote care. Conclusion: the current literature on telephonoaudiology suggests the use of remote care and demonstrates its non-inferiority when compared to face to face care. However, most of these studies have low scientific evidence.


Introducción: La pandemia del coronavirus provocó la necesidad de desapego social. Con base en esta nueva realidad, el Consejo Federal de Terapia del Habla (CFFa) recomendó el uso de telefonoaudiologia para permitir la continuidad de la asistencia de la terapia del habla. Si bien el telefonoaudiologia una práctica inédita, las dudas sobre su uso y efectividad, en comparación con la atención presencial, aún impregna la práctica clínica. Objetivo: realizar una revisión integradora de la literatura sobre la efectividad de telefonoaudiologia frente a la atención asistente personal. Métodos: se realizó una revisión integradora de la literatura científica, sin restricciones de idioma y tiempo, en las bases de datos: Pubmed, Web os Science, Science Direct, Cochrane y Google Scholar. Resultados: se seleccionaron veintiún artículos. La unanimidad de los artículos demostró que no hubo diferencia estadísticamente significativa entre las configuraciones. En los estudios centrados en la evaluación, los métodos de prueba (asistente personal versus telefonoaudiologia) estaban altamente correlacionados y tenían una alta confiabilidad entre examinadores. En los artículos centrados en la terapia, en ambas configuraciones de tratamiento, hubo una mejora significativa en los parámetros evaluados. Los artículos que realizaron encuesta de satisfacción en forma de telefonoaudiologia, en casi todos los estudios, los pacientes y / o tutores reportaron satisfacción moderada a alta e indicaron disposición a participar nuevamente en la evaluación y / o terapia en la configuración de la atención remota. Conclusión: la literatura actual sobre s telefonoaudiologia ugiere el uso de la atención remota y demuestra su no inferioridad en comparación con la atención personal. Sin embargo, la mayoría de estos estudios tienen poca evidencia científica.


Subject(s)
Humans , Male , Female , Remote Consultation , Speech, Language and Hearing Sciences/methods , Teletherapy , Efficacy , Patient Satisfaction
9.
J. health med. sci. (Print) ; 8(2): 109-117, abr.-jun. 2022. ilus, tab
Article in Spanish | LILACS | ID: biblio-1391929

ABSTRACT

INTRODUCCIÓN: Desde la última década se ha evidenciado el aumento de la población de personas mayores en Chile. Muchos de ellos son usuarios regulares del sistema público de salud el cual se caracteriza por entregar una atención de tipo integral. En este sentido, resulta relevante conocer los requerimientos en salud desde la perspectiva de las experiencias de las personas mayores con respecto al uso de este servicio. OBJETIDO: El objetivo de este estudio fue identificar las expectativas de las personas mayores que asisten a los centros de APS. MATERIAL Y MÉTODOS: Este es un estudio cualitativo, descriptivo, donde la muestra fue de 13 personas mayores de 65 años y más, autovalentes, de tres centros APS, los cuales fueron entrevistados mediante instrumento semiestructurado, con análisis cualitativo de datos método que incluyó codificación abierta y focalizada. RESULTADOS: Las expectativas de las personas mayores fueron categorizadas como requerimiento de una atención profesional integral, oportunidad de atención, accesibilidad de la atención, promoción de salud sobre el autocuidado, explicación de cambios en el envejecimiento con enfoque biológico y alfabetización en salud. CONCLUSIONES: Las expectativas de las personas mayores en este estudio dan cuenta de una atención profesional integral poco efectiva, además de la necesidad de un trato especializado al grupo poblacional específico, no sólo de los profesionales, sino también del personal administrativo de los centros de APS, considerándolos una barrera en la calidad de la atención.


INTRODUCTION: Since the last decade there has been evidence of an increase in the population of older people in Chile. Many of them are regular users of the public health system (PHS) which is characterized by providing comprehensive care. In this sense, it is relevant to know the health requirements from the perspective of the experiences of the older people regarding the use of this health service. OBJECTIVE: The objective of this study was to identify the needs and expectations of older people attending PHS centers. MATERIAL AND METHODS: It were a qualitative and descriptive study. The sample was compounded by 13 people over 65 years and over, self-sufficient, from three PHS centers. It was used a semi-structured instrument. RESULTS: The main needs of the elderly were categorized as a requirement for comprehensive professional care, the opportunity for care, accessibility of care, health promotion on self-care, explanation of changes in aging with a biological focus and health literacy. CONCLUSIONS: The needs and expectations of the older people in this study account for an ineffective comprehensive professional care, in addition to the need for specialized treatment of the specific population group, not only of professionals but also of the administrative staff of the centers of PHS, considering them a barrier in the quality of care.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Primary Health Care , Aged/psychology , Attitude to Health , Patient Acceptance of Health Care , Perception , Self Care/psychology , Aging/psychology , Health Knowledge, Attitudes, Practice , Patient Satisfaction , Qualitative Research , Health Literacy , Noncommunicable Diseases/psychology
10.
Rev. cuba. enferm ; 38(2): e4218, abr.-jun. 2022. tab, graf
Article in Spanish | LILACS, BDENF, CUMED | ID: biblio-1408344

ABSTRACT

Introducción: En el contexto de una sociedad global y diversa, los cuidados de enfermería con congruencia cultural son una necesidad apremiante. Los acelerados procesos migratorios, los cambios en la economía global y el reconocimiento universal de los derechos humanos son evidencias inequívocas de esta necesidad. Objetivo: Identificar las evidencias sobre los beneficios del cuidado de enfermería con congruencia cultural, en el bienestar y satisfacción del paciente. Métodos: Revisión sistemática integrativa de estudios originales publicados del 2000-2019, en español e inglés. Se utilizaron siete bases de datos: SciELO, Lilacs, EBSCO Host, Dialnet, DOAJ, Redalyc y Pubmed, con la estrategia de búsqueda: "cuidado cultural" AND "enfermería", "cultural congruent care" AND "nursing" OR "cultural care" AND "nursing", cuidado cultural. Se seleccionaron 14 artículos a los que se realizó análisis de contenido. Conclusiones: Los artículos seleccionados permitieron identificar los beneficios de los cuidados de enfermería con congruencia cultural observados en diferentes grupos como adultos, adultos mayores y sus cuidadores, madres lactantes, escolares y adolescentes. Los beneficios del cuidado cultural se evidenciaron al abordar fenómenos como la funcionalidad familiar, la sobrecarga del cuidador, la promoción de la lactancia materna, el manejo del estrés, la ansiedad, la depresión y la calidad de vida de las sobrevivientes de cáncer de mama. Los cuidados de enfermería con congruencia cultural evidenciaron el desarrollo de una mejor relación enfermera-paciente y una mayor satisfacción de los pacientes y sus familias(AU)


Introduction: In the context of a global and diverse society, culturally congruent nursing care is an urgent need. Accelerated migration processes, changes in the global economy and universal recognition of human rights unequivocally evidence this need. Objective: To identify evidence on the benefits of culturally congruent nursing care as part of patient well-being and satisfaction. Methods: Integrative systematic review of original studies published from 2000 to 2019 in Spanish and English. Seven databases were used: SciELO, Lilacs, EBSCO Host, Dialnet, DOAJ, Redalyc and Pubmed. The following search strategy was designed: "cuidado cultural" AND "enfermería", "cultural congruent care" AND "nursing" OR "cultural care" AND "nursing", cuidado cultural [cultural care]. Fourteen articles were selected and processed through content analysis. Conclusions: The selected articles permitted to identify the benefits of culturally congruent nursing care observed in different groups such as adults, aged adults and their caregivers, breastfeeding mothers, school children and adolescents. The benefits of cultural care were evidenced by addressing phenomenons such as family functionality, caregiver overload, promotion of breastfeeding, coping with stress, anxiety and depression, as well as quality of life in breast cancer survivors. Culturally congruent nursing care evidenced the development of a better nurse-patient relationship, as well as greater patient and family satisfaction(AU)


Subject(s)
Humans , Patient Satisfaction , Culturally Competent Care/methods , Nurse-Patient Relations , Nursing Care/methods , Review Literature as Topic , Databases, Bibliographic
11.
Säo Paulo med. j ; 140(3): 412-421, May-June 2022. tab, graf
Article in English | LILACS | ID: biblio-1377378

ABSTRACT

ABSTRACT BACKGROUND: Workplaces can be sources of mental distress. In healthcare services, this can also affect patients. OBJECTIVE: To assess the prevalence of and factors associated with depressive symptoms, burnout, job satisfaction and patient safety culture and the relationships between these constructs, among healthcare workers. DESIGN AND SETTING: Cross-sectional study in a university hospital in Manaus, Brazil. METHODS: Randomly selected workers were interviewed based on Brazilian-validated tools. We calculated the prevalence ratio (PR) and 95% confidence interval (CI) of depressive symptoms and burnout using Poisson regression with robust variance; and the β-coefficient of safety culture and job satisfaction using linear regression. Outcome relationships were assessed using partial least-squares structural equation modeling. RESULTS: 300 professionals were included; 67.3% were women. The prevalence of depressive symptom was 19.0% (95% CI: 14.5; 23.5%) and burnout, 8.7% (95% CI: 5.2; 12.3%). Lack of work stability increased depression (PR = 1.88; 95% CI: 1.17; 3.01) and burnout (PR = 2.17; 95% CI: 1.03; 4.57); and reduced job satisfaction (β = -11.93; 95% CI: -18.79; -5.07). Depressive symptoms and burnout were positively correlated, as also were job satisfaction and safety culture (P < 0.001); job satisfaction was negatively correlated with burnout (P < 0.001) and depression (P = 0.035). CONCLUSION: Impermanent employment contracts increased depression and burnout and reduced job satisfaction. Job satisfaction reduced poor mental health outcomes and increased safety culture. Job satisfaction and safety culture were directly proportional (one construct increased the other and vice versa), as also were depression and burnout. Better working conditions can provide a virtuous cycle of patient safety and occupational health.


Subject(s)
Humans , Male , Female , Burnout, Professional/epidemiology , Job Satisfaction , Brazil/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires , Patient Satisfaction , Safety Management , Depression/epidemiology , Patient Safety , Latent Class Analysis , Hospitals, University
12.
J. oral res. (Impresa) ; S1: 1-8, abr. 30, 2022. ilus
Article in English | LILACS | ID: biblio-1398307

ABSTRACT

Objective: To develop a new concept of teledentistry for the elderly through a web platform and associated mobile application in the context of the COVID-19 pandemic. Material and Methods: A new concept for attention via teledentistry of the elderly supported by the web platform/app TEGO (Acronym for Tele-platform of Geriatric and Dental Specialties in Spanish) was developed. Priority and urgent dental care for elderly patients in the context of the COVID-19 pandemic was provided onboard a mobile dental clinic equipped with all the necessary conventional dental care facilities as well as state-of-the-art digital technology. Dental care was carried out in five cities of Chile. For the study, 135 elderly patients were treated. The tele-dental care model includes visit-appointment and remote interconsultation with a staff of specialists. To evaluate patient satisfaction aspects, regarding the service / care provided, a user satisfaction survey was applied. Results: A total of 68 questionnaires were completed by patients. The results showed high levels of patients' satisfaction after the priority or urgent dental care, which reached above 75% in all dimensions of the questionnaire (Access to dental care, user treatment, platform, recommendation). Conclusion: The generation of a technological ecosystem for teledentistry can provide a series of important advantages in the attention of elderly patients, by optimizing the dental care coverage by different specialists who can provide attention to a population that has limited or no access to them.


Objetivo: Desarrollar un nuevo concepto de teleodon-tología para adultos mayores a través de una plataforma web y aplicación móvil asociada en el contexto de la pandemia de COVID-19. Material y Métodos: Se desarrolló un nuevo concepto de atención vía teleodontología del adulto mayor apoyado en la plataforma/app web TEGO (Teleplataforma de Especialidades Geriatricas y Odontológicas). La atención dental prioritaria y urgente para pacientes de edad avanzada en el contexto de la pandemia de COVID-19 se brindó a bordo de una clínica dental móvil equipada con todas las instalaciones de atención dental convencional necesarias, así como con tecnología digital de última generación. La atención odontológica se realizó en cinco ciudades de Chile. Para el estudio, 135 pacientes de edad avanzada fueron atendidos. El modelo de atención teledental incluye visita-cita e inter-consulta remota con un staff de especialistas. Para evaluar los aspectos de satisfacción del paciente, respecto al servicio/atención brindada, se aplicó una encuesta de satisfacción del usuario. Resultados: Los pacientes completaron un total de 68 cuestionarios. Los resultados mostraron altos niveles de satisfacción de los pacientes tras la atención odontológica prioritaria o urgente, que superó el 75% en todas las dimensiones del cuestionario (Acceso a la atención odontológica, trato al usuario, plataforma, recomendación). Conclusión: La generación de un ecosistema tecnológico para la teleodontología puede brindar una serie de ventajas importantes en la atención de pacientes adultos mayores, al optimizar la cobertura de atención odontológica por parte de diferentes especialistas que pueden brindar atención a una población que tiene acceso limitado o nulo.


Subject(s)
Humans , Male , Female , Pandemics , Mobile Applications , Teledentistry , COVID-19 , Surveys and Questionnaires , Dental Care for Aged , Dental Care/methods , Patient Satisfaction , Geriatrics/methods
13.
Rev. bras. med. fam. comunidade ; 17(44): 2837, 20220304. tab
Article in Portuguese | LILACS, ColecionaSUS | ID: biblio-1379778

ABSTRACT

Introdução: A telemedicina facilita o acesso ao cuidado para os pacientes. Essa tecnologia tem apresentado bons resultados clínicos e de satisfação dos usuários. A satisfação é um dos principais indicadores de qualidade dos serviços, e sua avaliação permite mudanças na qualidade da prestação de cuidados, identifica problemas e viabiliza a melhor gestão e os melhores comportamentos dos profissionais de saúde. Do aumento do uso da telemedicina no mundo emergiu a necessidade de entendimento da qualidade desse serviço. Objetivo: Traduzir, adaptar culturalmente e validar um questionário para avaliação da satisfação de pacientes atendidos por telemedicina. Métodos:A versão adaptada após a avaliação por um comitê de juízes foi utilizada em pré-teste com 30 pacientes atendidos no projeto TeleOftalmo. Os resultados do pré-teste foram avaliados a fim de se obter uma versão adequada do instrumento. Além disso, o instrumento foi aplicado em uma amostra de 141 pacientes atendidos via telemedicina. Análises de consistência interna e de validação de constructo foram realizadas. Resultados: O coeficiente de validade de conteúdo (CVC) global foi 0,942, demonstrando clareza, pertinência e relevância das questões. O instrumento apresentou consistência interna com alfa de Cronbach estandardizado de 0,6, considerado aceitável. A análise fatorial exploratória apresentou critério de Kaiser-Meyer-Olkin de adequação de amostragem de 0,56 e o teste de esfericidade de Bartlett apresentou valor de 0,001. Conclusões: A versão brasileira do Questionário de Avaliação da Satisfação de Pacientes Atendidos via Telemedicina (QAS-Tele) é um instrumento fácil e viável para a avaliação da satisfação dos pacientes atendidos por telemedicina.


Introduction: Telemedicine facilitates the care in health by distance. This health technology has shown good clinical results and user satisfaction. The satisfaction is a main indication of service quality, your evaluation allows changes in the quality of care, identifies problems and enables better management and behaviors of health professionals. The increase in the use of telemedicine in the world has emerged in a need to understand the quality of this service. Objective: To translate, culturally adapt and validate a questionnaire to assess the satisfaction of patients treated by telemedicine. Methods: The version adapted after evaluation by a committee of judges was used in a pre-test with 30 patients seen in the project. The results of the pre-test were evaluated in order to obtain an adequate version of the instrument. In addition, this questionnaire was applied to a sample of 141 patients treated via telemedicine. Analysis of internal consistency and construct validation were performed. Results: The Global Content Validity Coefficient (CVC) score was 0.942, demonstrating the questions' clarity, relevance and relevance. The instrument showed internal consistency with a standardized Cronbach's alpha of 0.6; considered acceptable. The exploratory factor analysis showed a KMO of 0.56 and Bartlett's sphericity test showed a value of 0.001. Conclusions: The Brazilian version of the Questionnaire for the Evaluation of Patient Satisfaction Via Telemedicine (QAS-Tele) is an easy and viable instrument for the evaluation of the satisfaction of patients treated by telemedicine.


Introducción: La telemedicina facilita el acceso a la atención a los pacientes. Esta tecnología ha demostrado buenos resultados clínicos y en la satisfacción de los usuarios. La satisfacción es uno de los principales indicativos de la calidad de los servicios, su evaluación permite cambios en la calidad de la atención, identifica problemas y posibilita mejor gestión y comportamiento de los profesionales. El aumento del uso de la telemedicina en el mundo ha sugerido el entendimiento de la cualidad de esos servicios. Objetivo: Traducir, adaptar culturalmente y validar un cuestionario para evaluación de la satisfacción de pacientes atendidos por telemedicina. Métodos: Se desarrolló una evaluación por un comité de jueces con la versión adaptada y después se llevó a cabo un pre-test con 30 pacientes atendidos en el proyecto TeleOftalmo. La prueba previa ocurrió para obtener una versión adecuada del instrumento. Además, se aplicó en una muestra de 141 pacientes atendidos vía telemedicina. Análisis de consistencia interna y de validación de constructo fueron realizadas. Resultados: El coeficiente de validez de contenido (CVC) Global de 0,942, demostrando claridad, pertinencia y relevancia de las cuestiones. El instrumento presentó consistencia interna con alfa de Cronbach estandarizado de 0,6; considerado aceptable. El análisis factorial exploratorio presentó un KMO de 0,56 la prueba de esfericidad de Bartlett presentó valor de 0,001. Conclusiones: El Cuestionario Brasileño de Evaluación de la Satisfacción de los Pacientes Atendidos por Telemedicina (QAS-Tele) es fácil y viable para evaluar la satisfacción de los pacientes atendidos por telemedicina.


Subject(s)
Humans , Male , Female , Middle Aged , Patient Satisfaction , Telemedicine , Validation Study
14.
Med. infant ; 29(1): 10-16, Marzo 2022. Tab, ilus
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1366813

ABSTRACT

El consentimiento informado es un proceso en el que un paciente libre y bien informado o sus representantes autorizan o no un procedimiento médico. Objetivos: El objetivo del estudio fue explorar el grado de satisfacción de padres de pacientes y profesionales con respecto al CI implementado en diferentes áreas del hospital. Métodos: Estudio observacional y descriptivo mediante encuesta anónima, a médicos y padres de pacientes atendidos en el hospital entre enero y julio de 2018. Resultados: Se obtuvieron 158 respuestas de profesionales y 139 de padres. Para el 50% de los padres el CI es un proceso para mejorar la calidad. El 81% de ellos consideró que recibió la información, la comprendieron y pudieron aclarar dudas. El 89% recibió la información del médico y el 59% en el lugar adecuado. De los profesionales, 57% consideró al CI como un proceso de información para mejorar la calidad. El 3% estimó que los padres comprenden la información siempre, el 66% consideró que el CI contiene la información suficiente y 13% le entregó una copia a la familia. Conclusiones: El grado de satisfacción de los padres en relación al CI es alto mientras que el de los profesionales es moderado. Hay que continuar trabajando en el proceso de comunicación entre ambos grupos (AU)


Informed consent is a process based on which a free and wellinformed patient or his/her representatives decide whether or not to authorize a medical procedure. Objectives: The aim of the study was to explore the degree of satisfaction of parents of patients and professionals regarding the IC implemented in different areas of the hospital. Methods: Observational and descriptive study using an anonymous survey of physicians and parents of patients treated at the hospital between January and July 2018. Results: the survey was responded by 158 physicians and 139 parents. Overall, 50% of the parents considered that the IC is part of a quality improvement process; 81% of them found they received adequate information, understood it, and were able to clarify doubts. Eighty-nine percent received the information from the physician and 59% in the appropriate area. Of the professionals, 57% considered the IC to be an information process to improve quality; 3% felt that parents always understand the information; 66% felt that the IC contains sufficient information; and 13% gave the family a copy. Conclusions: A degree of satisfaction with the IC was found in parents while it was moderate among physicians. It is necessary to continue working on the communication process between both groups (AU)


Subject(s)
Humans , Parents , Surveys and Questionnaires , Patient Satisfaction , Communication , Hospitals, Pediatric , Informed Consent , Medical Staff , Prospective Studies , Observational Study
15.
Más Vita ; 4(1): 41-56, mar. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1372065

ABSTRACT

El nivel de satisfacción de la población atendida por los médicos posgradistas de Medicina Familiar y Comunitaria cobra importancia por ser el eje fortalecedor del primer nivel de atención complementando la atención primaria de salud. Objetivo: Describir el nivel de satisfacción de la población atendida por los posgradistas de Medicina Familiar y Comunitaria en el Centro de Salud Primavera 2 en el año 2021. Materiales y Métodos: Se realizó un estudio observacional de corte transversal, mediante muestreo aleatorio simple probabilístico se seleccionaron a 350 personas que fueron atendidas. Resultados: El 91,7% de la población expresó que el proceso de atención fue entre excelente y buena, el 89,1% manifestó que la relación médico paciente es satisfactoria, además se encontró que la satisfacción global es muy satisfactorio y medianamente satisfactorio con el 82,9% y el 16% respectivamente. Conclusiones: Las actividades académicas, la falta de medicamentos, la estrechez de los tiempos asignados en la atención y las limitaciones en el proceso de atención ocasionadas por la pandemia de Covid-19, probablemente influyeron en los resultados de insatisfacción de la investigación(AU)


the level of satisfaction of the population attended by postgraduate doctors of Family and Community Medicine becomes important for being the strengthening axis of the first level of care complementing primary health care. Objective: to describe the level of satisfaction of the population served by postgraduate students in Family and Community Medicine in the Primavera 2 Health Center in the year 2021. Materials and Methods: a study was carried out cross-sectional observational study, through probabilistic simple random sampling, they selected 350 people who were attended. Results: 91.7% of the population expressed that the care process was between excellent and good, 89.1% stated that the doctor-patient relationship is satisfactory, it was also found that global satisfaction is very satisfactory and moderately satisfactory with 82.9% and 16% respectively. Conclusions: the academic activities, the lack of medicines, the narrowness of the times assigned in care and the limitations in the care process caused by the pandemic of Covid-19, probably influenced the dissatisfaction results of the investigation(AU)


Subject(s)
Humans , Male , Female , Patient Satisfaction , Health Personnel , Patient-Centered Care , Primary Health Care , World Health Organization , Family Practice
16.
Säo Paulo med. j ; 140(2): 284-289, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1366054

ABSTRACT

Abstract BACKGROUND: Primary hyperhidrosis is a condition characterized by excessive sweating, inconsistent with the needs for thermoregulation. OBJECTIVE: To assess the effectiveness and the change in the quality of life of patients undergoing bilateral VATS (video-assisted thoracoscopic sympathectomy) for treatment of hyperhidrosis, in a large case series. DESIGN AND SETTING: Cohort study conducted in a tertiary hospital specializing in hyperhidrosis located in São Paulo, Brazil. METHODS: A total of 2,431 patients who underwent surgery consisting of bilateral video-assisted thoracoscopic sympathectomy between January 2000 and February 2017 were retrospectively assessed in an outpatient clinic specializing in hyperhidrosis. The patients underwent clinical and quality of life assessments on two occasions: firstly, prior to surgery, and subsequently, one month after the operation. The presence or absence of compensatory hyperhidrosis (CH) and general satisfaction after the first postoperative month were also evaluated. RESULTS: All the patients operated had poor or very poor quality of life before surgery. In the postoperative period, an improvement in the quality of life was observed in more than 90% of the patients. Only 10.7% of the patients did not present CH, and severe CH occurred in 22.1% of the patients in this sample. CONCLUSION: Bilateral VATS is a therapeutic method that decreases the degree of sweating more than 90% of patients with palmar and axillary hyperhidrosis. It improves the quality of life for more than 90% of the patients, at the expense of development of CH in approximately 90% of the patients, but not intensely.


Subject(s)
Humans , Thoracic Surgery, Video-Assisted/adverse effects , Thoracic Surgery, Video-Assisted/methods , Hyperhidrosis/surgery , Hyperhidrosis/etiology , Quality of Life , Sympathectomy/adverse effects , Sympathectomy/methods , Brazil , Retrospective Studies , Cohort Studies , Treatment Outcome , Patient Satisfaction
17.
Rev. bras. ortop ; 57(1): 89-95, Jan.-Feb. 2022. tab, graf
Article in English | LILACS | ID: biblio-1365746

ABSTRACT

Abstract Objective Our purpose was to facilitate the simulation of preoperative correction to enable shared doctor-patient decision-making in individuals undergoing high tibial osteotomy (HTO). Methods A total of 22 patients underwent high tibial osteotomy using internal or external fixation devices for medial compartment osteoarthritis of the knee. Preoperatively, assessment of deformity parameters and simulation of the corrective osteotomy was done in the presence of the patient, using Bone Ninja. Postoperatively, the patient's satisfaction level with the quality of explanation provided by the use of this software was assessed using the Patient Satisfaction Questionnaire-short (PSQ-18). A comparison of the correction obtained using paper cuttings and the simulation software was performed. Results All patients were satisfied with their role in the decision-making process. They showed a good understanding and comprehension of the proposed surgery. There was no statistically significant difference between simulated preoperative Medial Proximal Tibial Angle (MPTA) obtained by paper cuttings and software-assisted correction. The PSQ-18 mean score for communication was 4.24 (0.88), for technical quality it was 4.11 (0.59) and for general satisfaction it was 3.11 (0.68). Conclusion Bone Ninja is an effective, convenient, user-friendly and cost-effective deformity planning tool that supersedes the arduous traditional method of paper tracings and scissors.


Resumo Objetivo Nosso objetivo foi facilitar a simulação da correção no pré-operatório para permitir a tomada de decisão médico-paciente compartilhada em indivíduos submetidos a osteotomia tibial alta (OTA). Método22 pacientes foram submetidos a osteotomia tibial alta usando dispositivos de fixação internos ou externos para osteoartrite do compartimento medial do joelho. No pré-operatório, a avaliação dos parâmetros de deformidade e a simulação da osteotomia corretiva foram realizadas na presença do paciente, utilizando Bone Ninja. No pós-operatório, o nível de satisfação do paciente com a qualidade da explicação fornecida pelo uso deste software foi avaliado usando o Questionário de Satisfação do Paciente (Patient Satisfaction Questionnaire-short, PSQ-18, na sigla em inglês). Foi realizada uma comparação da correção obtida com recortes de papel e com o software de simulação. Resultados Todos os pacientes ficaram satisfeitos com seu papel no processo de tomada de decisão. Eles mostraram uma boa compreensão e entendimento da cirurgia proposta. Não houve diferença estatisticamente significativamente entre o ângulo tibial proximal medial (ATPM) pré-operatório simulado obtido por recortes de papel e correção assistida por software. O escore médio do PSQ-18 para comunicação foi de 4,24 (0,88), para a qualidade técnica foi de 4,11 (0,59) e para a satisfação geral foi de 3,11 (0,68). Conclusão Bone Ninja é uma ferramenta de planejamento de deformidade eficaz, conveniente, fácil de usar e econômica que substitui o método tradicional árduo de traçar no papel e com tesoura.


Subject(s)
Humans , Male , Female , Osteotomy , Personal Satisfaction , Surveys and Questionnaires , Radiology Information Systems , Patient Satisfaction , Osteoarthritis, Knee
18.
Rev. bras. ortop ; 57(1): 75-81, Jan.-Feb. 2022. tab, graf
Article in English | LILACS | ID: biblio-1365741

ABSTRACT

Abstract Objective To describe the profile of the patients and the results obtained with the use of an external fixator for metatarsal lengthening in brachymetatarsia. Methods A retrospective analysis of the medical records of patients with brachymetatarsia treated between January 2018 and April 2020 was performed. During this period, eight feet of six patients were operated on. Frequencies were estimated according to demographic and surgical aspects. Results All patients (100%; n= 6) were female, with a mean age of 28 years old, ranging from 15 to 48 years old, and were motivated to seek the orthopedic service due to aesthetic deformity. The deformity was bilateral in two patients and unilateral in four patients. The average lengthening time was 22 days ( ± 7.15, 95% confidence interval [CI]: 19.04-26.81). The lengthening speed was 0.5 mm/day, and the average total length of the lengthening was 11.46 mm ( ± 3.57; 95%CI: 9.52-13.40). Half of the patients (50%; n= 3) had local infection of the pins and were treated with antibiotics, and the others did not report any postsurgical complications. All patients denied pain or calluses after the surgical procedure and reported satisfaction with the results. Conclusion All patients were female and sought surgery for brachymetatarsia for aesthetic reasons. Osteogenic distraction at a rate of 0.5 mm/day resulted in successful lengthening of the metatarsal, with a low frequency of complications, good clinical outcomes, and high patient satisfaction.


Resumo Objetivo Descrever o perfil dos pacientes e os resultados obtidos com o uso de fixador externo para alongamento de metatarso em braquimetatarsia. Métodos Foi realizada uma análise retrospectiva dos prontuários de pacientes com braquimetatarsia tratados entre janeiro de 2018 e abril de 2020. Durante este período, foram operados oito pés de seis pacientes. Foram coletadas e estimadas as frequências em relação a aspectos demográficos e cirúrgicos. Resultados Todas as pacientes (100%; n= 6) eram do sexo feminino, com média de idade de 28 anos, variando de 15 a 48 anos, e motivadas a buscar o serviço de ortopedia em função da deformidade estética. O acometimento era bilateral em duas pacientes e unilateral em quatro pacientes. O tempo médio de alongamento foi de 22 dias ( ± 7,15; intervalo de confiança [IC] 95%: 19,04-26,81). A velocidade de alongamento foi de 0,5 mm/dia e o comprimento médio total do alongamento foi de 11,46 mm ( ± 3,57; IC95%: 9,52-13,40). Metade das pacientes (50%; n= 3) teve infecção local dos pinos e foi tratada com antibióticos; as demais não relataram nenhuma complicação pós-cirúrgica. As pacientes negaram dor ou calosidade após o procedimento cirúrgico e relataram satisfação com os resultados. Conclusão Todas as pacientes eram do sexo feminino e buscaram a cirurgia para braquimetatarsia por motivos estéticos. A distração osteogênica a uma taxa de 0,5 mm/dia resultou em alongamento bem-sucedido do metatarso, com uma baixa frequência de complicações, bons resultados clínicos e alta satisfação das pacientes.


Subject(s)
Humans , Female , Adolescent , Adult , Congenital Abnormalities , Foot Deformities , Metatarsal Bones , Patient Satisfaction , Orthopedic Procedures , Osteogenesis, Distraction
19.
Rev. ABENO ; 22(2): 1701, jan. 2022.
Article in Portuguese | LILACS, BBO | ID: biblio-1391475

ABSTRACT

Objetivou-se analisar uma intervenção de cuidado integral em saúde bucal de abordagem comunitária protagonizada por residentes de Odontologia em Saúde da Família inseridos em duas unidades de saúde do campo de Caruaru/PE, segundo o olhar de profissionais, residentes e usuários. A intervenção englobou diagnóstico e levantamento das necessidades odontológicas, ações coletivas em saúde bucal e ações assistenciais para cárie com tratamento restaurador atraumático. Os grupos-alvo formam escolares e moradores de áreas mais remotas nas unidades de Lagoa de Pedra e de Xicuru. O estudo qualitativo utilizou técnica do grupo focal para coleta dos dados. Três grupos foram constituídos: nove profissionais, seis residentes e oito usuários. As entrevistas seguiram um roteiro com perguntas abertas sobre o cuidado e as tecnologias em saúde bucal empregadas no contexto das populações campesinas e acesso/acessibilidade às unidades de saúde. Os dados foram submetidos à análise de conteúdo. Emergiram duas categorias temáticas: dificuldades de acesso aos cuidados em saúde bucal e satisfação com as ações implementadas. Os participantes dos três grupos avaliaram positivamente a iniciativa de estabelecer relação educativa/assistencial participativa abrindo-se a espaços comunitários e valorizaram o enfoque adotado pela intervenção de saúde bucal no enfrentamento dos problemas limitadores do acesso aos serviços odontológicos e às ações coletivas que relataram. Contudo, desinteresse na continuidade das ações realizadas e contrários às práticas comunitárias em saúde bucal foram relatadas no grupo focal dos profissionais. Considera-se persistir fatores profissionais e de estrutura limitadores à garantia dos direitos de acesso à saúde aos usuários de áreas mais remotas às unidades de saúde (AU).


The aimof this study was to analyze a comprehensivecommunity-basedoral health care intervention carried out by residents of Dentistry in Family Health inserted in two health units in the rural area of the municipalityof Caruaru/PE, according to the perspective of professionals, residents and users. The intervention included diagnosis and assessment of dental needs, collective actions in oral health and actions for caries treatment with atraumatic restorative treatment. Target groupswere composed of schoolchildren and users frommore remote areas included in the health units of Lagoa de Pedra and Xicuru. The qualitative study used the focus group technique for data collection. Three groups were formed: nine professionals, six residents and eight users. Interviews followed a script with open questions about oral health care and technologies used in the context of ruralpopulations and access/accessibility to health units. Data were submitted to content analysis. Two thematic categories emerged: difficulties in accessing oral health care and satisfaction with implemented actions. Participants in the three groups positively evaluated the initiative ofestablishinga participatory educational/care relationship by opening up to community spaces and valued the approach adopted by the oral health intervention in dealing with problems that limit access to dental services and the reported collective actions. However, lack of interest in the continuity of actions carried out and contrary to community practices in oral health were reported in the focus group of professionals. There ispersistent presence of professional and structural factors that limit the guarantee of access to health ofusers frommore remote areas included inhealth units.


Subject(s)
Humans , Infant , Child, Preschool , Child , Adolescent , Adult , Rural Health , Health Education, Dental , Patient Satisfaction , Comprehensive Dental Care , Health Services Accessibility , National Health Strategies , Focus Groups/methods , Qualitative Research
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