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1.
Rev. Ciênc. Plur ; 10(3): 37159, 23 dez. 2024. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1585392

ABSTRACT

Introdução:A busca por estética, e a insatisfaçãocom cor e forma dos elementos dentários, tem levado a um aumento da procura portratamentos estéticos. Com o avanço das técnicas adesivas e materiais restauradores, as resinas compostas tem possibilitado mínimos desgastes e maior preservação a estrutura dentária, ademais a sua capacidade de mimetizar as características dos dentes naturais. Objetivo:Descrever por meio de um caso clínico o retratamento de facetas diretas insatisfatórias.Descrição do caso: Paciente do sexo feminino, 45 anos de idade buscou tratamento na Clínica Odontológicapor estar insatisfeita com as facetas de seus dentes anteriores superiores. Após fazer a análise clínica, radiográfica, fotográfica e do modelo 3D obtido após o escaneamento intraoral, foi definido e aprovado o planejamentoque consiste no retratamento de facetas diretas utilizando resina composta. Iniciando com clareamento de consultório, após quinze dias, foi realizado a seleção das cores das resinas Vittra APS,e para mascararo substratoescurecido foi utilizadaa resina opacificadoraOpaquer Forma, para mascarar o substrato escurecido. No relato em questão foi confeccionada uma guia palatina partir do modelo com enceramento digital para a construção da concha palatina.Conclusões:Conclui-se que o retratamento de facetas em resinas compostas é indicado para desarmonias no sorriso, devido à cor e forma, e o mesmo têm-se mostrado bastante eficiente para reestabelecer a função, saúde e estética, e consequentemente contribuir de forma positiva para a melhora da autoestima da paciente (AU).


Introduction:The pursuit of dental aesthetics and the dissatisfaction with theircolor and shape have increased thedemand for aesthetic treatments. With advances in adhesive techniques and restorative materials, composite resins have allowed for minimal tooth preparation and greater preservation of dental structurewhile resemblingthe characteristics of natural teeth.Objective:To present a clinical case describingthe re-treatment of unsatisfactory direct veneers.Case description: A 45-year-old female patient sought treatment at the dental clinic due to dissatisfaction with the veneers on her upper anterior teeth. The treatment plan was defined and approvedbased on clinical, radiographic, photographic, and 3D-model analyses throughintraoral scanning, providing reneweddirect veneertreatmentusing composite resin. The processbegan with in-office whitening;the Vittra APS resin shadeswere selectedafter 15 days. The Opaquer Formaopacifying resin maskedthe darkened substrate,anda digitally waxed modelwas used to createa palatal guide toconstruct the palatal shell.Conclusions:Composite resin veneerre-treatment is indicated for smile disharmonyregardingcolor and shape. This approach has proven highly effective in restoring function, health, and aesthetics, positively affectingthe patient's self-esteem (AU).


Introdução:Introducción: La búsqueda de la estética y la insatisfacción con el color y la forma de los elementosdentales han generado un aumento de la demanda por los tratamientos estéticos. Con el avancede las técnicas adhesivas y de los materiales restauradores,las resinas compuestas son resistentesal desgaste produciendo así una mejor conservación de la estructura dental, además de sucapacidad de imitar las características de los dientes naturales.Objetivo:Describir, a través de um caso clínico, el retratamiento de las carillas dentales directas insatisfactorias. Descripción del caso: Una paciente de sexo femenino, de 45 años de edad, buscó tratamiento en la Clínica Odontológicadebido a su insatisfacción con las carillas de sus dientesanteriores superiores. Tras realizar um análisis clínico, radiográfico, fotográfico, así como un modelo 3D obtenido mediante el escaneointraoral, se definió y aprobó un tratamiento que consistía en el retratamiento de las carillasdirectas utilizando resina compuesta. Este tratamiento comenzó con un blanqueamiento en laconsulta y, después de quince días, elegimos los colores de las resinas Vittra APS. Para enmascararel sustrato dental oscurecido, se utilizó la resina opacificadora Opaquer Forma. En el presenteinforme, se hizo una guía palatina a partir del modelo con encerado digital para la construcción dela concha palatina.Conclusiones:De eso se concluye que el retratamiento de las carillas com resinas compuestas está indicado para la desarmonía enla sonrisa en cuanto al color y la forma,demostrando ser una solución altamente eficaz para restaurar la función, la salud y la estética,contribuyendo positivamente a mejorar la autoestima de la paciente (AU).


Subject(s)
Humans , Female , Middle Aged , Composite Resins , Retreatment , Dental Veneers/adverse effects , Esthetics, Dental , Radiography, Dental/instrumentation , Patient Satisfaction , Photography, Dental/instrumentation
2.
Rev. Ciênc. Plur ; 10(3): 35356, 23 dez. 2024. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1585138

ABSTRACT

Introdução:O clareamento de dentes escurecidos representa uma alternativa estética conservadora, simples e eficaz ao uniformizar a cordos dentes. Dentre os agentes clareadores, destacam-se os géis de peróxido de hidrogênio e peróxido de carbamida como substâncias ativas com potencial clareador, com características e indicações específicas, seja de uso profissional ou por autoaplicação.Objetivo:Analisar a ação clareadora dosperóxidosde hidrogênio e carbamida no clareamento dental, mediante revisão integrativa da literatura.Metodologia:A busca dos estudos ocorreu nas bases de dados: LILACS, BBO e MEDLINE via portal da Biblioteca Virtual em Saúde (BVS), além da Scientific Eletronic Library Online (SciELO), Cochrane Librarye PubMedusando combinações de descritores nas línguas portuguesa, inglesa e espanhola. A pergunta norteadora foi: "há diferença na eficiência clínica do clareamento realizado com peróxido de hidrogênio e de carbamida?". Os critérios de inclusão consideraram ensaios clínicos publicados nos últimos cinco anos, redigidos em português, inglês ou espanhol, além de trabalhos disponíveis para download. A partir da leitura completa dos artigos, os dados extraídos foram agrupados em uma planilha.Resultados:No total, 17 artigos compuseram o corpo de análise da revisão, os quais integram os resultados clínicos de diferentes amostras variando a concentração e o tipo de substância clareadora, assim como protocolos de tratamento, diferentes métodos e tempos de avaliação da cor dos dentes clareados, assim como, os principais resultados. A combinação de protocolos clareadores ao associar etapas em consultório e autoaplicadas apresentaram os melhores resultados.Conclusões:A partir da análise dos artigos revisados, conclui-se que a simplificação dos protocolos com uso de peróxidos de baixas concentrações em períodos menores apresentaação clareadora satisfatória no decorrer do tempo. Fatores como sensibilidade, tempo de trabalho, estabilidade na coloração dos dentes e maior satisfação do paciente podem orientar a escolha do protocolo clareador (AU).


Introduction:The whiteningofdarkened teeth is a conservative, simple and effective aesthetic alternative to vanishout tooth color. Among whitening agents, hydrogen peroxide and carbamide peroxide gels stand out as active substances with whitening potential each withspecific characteristics and indications, whether used professionally or by self-application.Objective:To analyze the whitening action of hydrogen peroxidesand carbamide inthetooth whitening, through integrative literature review. Methodology:The research for studies took place in the following databases: LILACS, BBO and MEDLINE via the Virtual Health Library (VHL) portal, as well as the Scientific Electronic Library Online (SciELO), Cochrane Library and PubMedusing combinations of descriptors in Portuguese, English and Spanish. The guiding question was: "Is there a difference in the clinical efficiency of whitening performed with hydrogen peroxide and carbamide?".The inclusion criteria considered clinical trials published in the last five years, written in Portuguese, English or Spanish, in addition to works available for download.After reading the articles completely, the extracted data was grouped into an Excelsoftwarespreadsheet.Results:A total of 17 articleswere used tomake up the body of analysis of the review, which integratethe clinical results of different samples varying in concentration and type of whitening substance, as well as treatment protocols, different methods,and times for assessing the color of whitened teeth, as well asthe main results.Conclusions:Based on the analysis of the reviewed articles, it is concluded that the simplification of protocols with the use of low concentration peroxides in shorter periods presents satisfactory whitening action over time. Factors such as sensitivity, working time, stability in tooth coloration and greater patient satisfaction can guide the choice of whitening protocol (AU).


Introducción:El blanqueamiento de dientes oscurecidos es una alternativa estética conservadora, sencilla y eficaz para igualar el color de los dientes. Entre los agentes blanqueadores, el peróxido de hidrógeno y elperóxido de carbamida se destacan como sustancias activas con potencial blanqueador, ya sea utilizada profesionalmente o por autoaplicación.Objetivo:Analizar la acción blanqueadora del peróxidosde hidrógeno y de carbamida en el blanqueamiento dental a través de una revisión bibliográfica integradora.Metodología:La búsqueda de estudios se realizó en las bases de datos: LILACS, BBO y MEDLINE a través del portal de la Biblioteca Virtual en Salud (BVS), así como en la Scientific Electronic Library Online (SciELO), Cochrane Libraryy PubMedutilizando combinaciones de descriptores en portugués, inglés y español. La pregunta guía fue: "¿Existe diferencia en la eficacia clínica del blanqueamiento realizado con peróxido de hidrógeno y de carbamida?". Los criterios de inclusión fueron ensayos clínicos publicados en los últimos cinco años, escritos en portugués, inglés o español,además de obras disponibles para descargar.Tras leer todos los artículos, los datos extraídos se agruparon en una hoja de cálculo Excel.Resultados:Un total de 17 artículos conformaron el cuerpo de análisis de la revisión, que integranlos resultados clínicos de diferentes muestras que variaban en concentración y tipo de sustancia blanqueadora, así como protocolos de tratamiento, diferentes métodos y tiempos para evaluar el color de los dientes blanqueados, así como, los principales resultados. La combinación de protocolos de blanqueamiento en consulta y autoaplicado mostró los mejores resultados.Conclusiones:La simplificación de los protocolos con el uso de peróxidos de baja concentración por períodos más cortos presenta una acción blanqueadora satisfactoria en el tiempo. Factores como sensibilidad, tiempo de trabajo, estabilidad del color dental y una mayor satisfacción del paciente pueden orientar la elección del protocolo de blanqueamiento (AU).


Subject(s)
Tooth Bleaching , Carbamide Peroxide/adverse effects , Hydrogen Peroxide/adverse effects , Patient Satisfaction , Dentin Sensitivity , Esthetics, Dental
3.
Revista Digital de Postgrado ; 13(2): e397, ago.2024. tab
Article in Spanish | LILACS | ID: biblio-1567355

ABSTRACT

Introducción: Con el aumento de la prevalencia de obesidad, se esperaría un mayor espesor glúteo, lo que sería un factor importante en futuras intervenciones en región glútea con fines de optimizar mejores resultados estéticos. Objetivo: Correlacionar el índice de masa corporal y el grosor de tejido adiposo en glúteos en voluntarias que acudieron al Servicio de Cirugía Plástica y Reconstructiva del Hospital Dr. Miguel Pérez Carreño entre enero a marzo, 2023. Métodos: El estudio fue prospectivo, descriptivo y de corte transversal. Se utilizó un sonógrafo Sono Eye 1 para realizar las medidas del glúteo. Mediante una báscula, se midió peso y talla, para posteriormente calcular el IMC, fueron 29 voluntarias de sexo femenino entre 18 a 60 años, sin antecedentes quirúrgicos estéticos previos. Las correlaciones fueron evaluadas con el coeficiente de correlación de Pearson. Se consideró un valor significativo si p < 0,05. Los datos fueron tabulados con STATA 17. Resultados: La edad promedio fue 39 ± 12 años. La mayoría con preobesidad (55,2 %). No hubo diferencias estadísticas en grosor de tejido adiposo, de musculo y espesor de glúteo de acuerdo a la lateralidad; de acuerdo al coeficiente de correlación de Pearson, el IMC no hubo asociación con las medidas combinadas del glúteo izquierdo y derecho del grosor de tejido graso (r = 0,137), grosor muscular (r = 0,115) y espesor glúteo (r = 0,193). Conclusión: Los cambios de las medidas antropométricas de acuerdo al índice de masa corporal, no presentaron correlación estadística con el espesor glúteo. (AU)


Introduction: With the increasing prevalence of obesity, a greater gluteal thickness would be expected, which would be an important factor in future interventions in the gluteal region aimed at optimizing better aesthetic outcomes. Objective: To correlate the body mass index (BMI) and the thickness of adipose tissue in the buttocks of volunteers who attended the Plastic and Reconstructive Surgery Service at Dr. Miguel Pérez Carreño Hospital from January to March, 2023. Methods: The study was prospective, descriptive, and cross-sectional. A Sono Eye 1 sonograph was used to measure the gluteal thickness. Using a scale, weight and height were measured to subsequently calculate the BMI; there were 29 female volunteers aged between 18 and 60 years, without previous aesthetic surgical history. Correlations were assessed using Pearson's correlation coefficient. A significant value was considered if p < 0.05. Data were tabulated using STATA 17. Results: The average age was 39 ± 12 years. The majority had pre-obesity (55,2%). There were no statistical differences in adipose tissue thickness, muscle thickness, and gluteal thickness according to laterality; according to Pearson's correlation coefficient, BMI was not associated with combined measurements of left and right buttock adipose tissue thickness (r = 0,137), muscle thickness (r = 0,115), and gluteal thickness (r = 0,193). Conclusion: Changes in anthropometric measurements according to body mass index did not show a statistical correlation with gluteal thickness. (AU)


Subject(s)
Humans , Female , Adult , Middle Aged , Buttocks/surgery , Body Mass Index , Adipose Tissue/surgery , Cross-Sectional Studies , Prospective Studies , Patient Satisfaction , Plastic Surgery Procedures
4.
Int. j. morphol ; 42(3): 631-637, jun. 2024. ilus, tab
Article in English | LILACS | ID: biblio-1564603

ABSTRACT

SUMMARY: To compare the advantages and disadvantages of reverse sural fasciocutaneous flap (RSFF) versus medial plantar flap (MPF) in the treatment of skin defects after excision of squamous cell carcinoma (SCC) of the heel. The research participants were 80 SCC patients admitted to Lishui People's Hospital between January 2019 and April 2022, who were assigned to RSFF group (n=37) and MPF group (n=43) according to the flap type. After a one-year follow-up, the survival, flap necrosis and ulceration, as well as pain and tactile sensation recovery of both groups were counted. At the last follow-up, the clinical response was evaluated, and Short-Form 36 Item Health Survey (SF-36) and appearance satisfaction surveys were conducted. No patients died in either group, and one patient in each group developed flap necrosis. The MPF group had better sensory recovery and a lower incidence of flap ulceration (P0.05). The cosmetic satisfaction was higher in MPF group than in RSFF group (P<0.05). MPF contributes to beautiful appearance, better sensory recovery, and low risk of long-term ulceration, while RSFF is suitable for lesions with large defects or those located at the lateral heel.


El objetivo del estudio fue comparar las ventajas y desventajas del colgajo fasciocutáneo sural inverso (RSFF) versus el colgajo plantar medial (MPF) en el tratamiento de defectos de la piel después de la escisión de un carcinoma de células escamosas (CCE) del talón. Los participantes de la investigación fueron 80 pacientes con CCE ingresados en el Hospital Popular de Lishui entre enero de 2019 y abril de 2022, que fueron asignados al grupo RSFF (n=37) y al grupo MPF (n=43) según el tipo de colgajo. Después de un año de seguimiento, se observó la supervivencia, la necrosis y ulceración del colgajo, así como la recuperación del dolor y la sensación táctil de ambos grupos. En el último seguimiento, se evaluó la respuesta clínica y se realizaron encuestas de salud de formato corto de 36 ítems (SF-36) y encuestas de satisfacción. Ningún paciente falleció en ninguno de los grupos y un paciente de cada grupo desarrolló necrosis del colgajo. El grupo MPF tuvo una mejor recuperación sensorial y una menor incidencia de ulceración del colgajo (P 0,05). La satisfacción cosmética fue mayor en el grupo MPF que en el grupo RSFF (P<0,05). MPF contribuye a una mejor apariencia, mejor recuperación sensorial y un bajo riesgo de ulceración a largo plazo, mientras que RSFF es adecuado para lesiones con defectos grandes o localizados en la parte lateral del talón.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Skin Neoplasms/surgery , Surgical Flaps , Carcinoma, Squamous Cell/surgery , Follow-Up Studies , Patient Satisfaction , Graft Survival
5.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1587172

ABSTRACT

Objetivo: Determinar a satisfação aintervenções remotas de prevenção de quedas para pessoas idosas com histórico de quedas. Métodos: Trata-se de um estudo descritivo decorrente de um ensaio clínico controlado randomizado, unicêntrico, com grupo intervenção (GI) e grupo controle (GC), realizado durante 16 semanas de intervenção no formato remoto com pessoas idosas incluídas no Programa Multidisciplinar e Assistencial de Gestão de quedas para Idosos Caidores (MAGIC) da Universidade Federal de São Carlos (UFSCar). O GI recebeu uma gestão de casos composta por avaliação multidimensional, plano de intervenção de quedas individualizado e acompanhamento do plano de intervenção. O GC recebeu acompanhamento mensal por ligações telefônicas. Ao final das 16 semanas, os dois grupos responderam aoquestionário de satisfação à intervenção.Resultados: Não foram observadas diferenças significativas entre os grupos (p>0,05) na satisfação à intervenção remota. Ambos os grupos apresentaram boa satisfação, contudoo GI se mostrou mais satisfeito. Conclusão: Conclui-se que intervenções remotas de prevenção de quedas apresentam boa satisfação entre pessoas idosas com histórico de quedas.(AU)


Objective: To determine satisfaction with remote fall prevention interventions for older people with a history of falls. Methods: This is a descriptive study resulting from a randomized, single-center controlled clinical trial, with an intervention group (IG) and a control group (CG), carried out during 16 weeks of intervention in a remote format with elderly people included in the Multidisciplinary and Assistance Program of Falls Management for Elderly Fallers (MAGIC) at the Federal University of São Carlos (UFSCar). The IG received case management consisting of multidimensional assessment, individualized falls intervention plan and monitoring of the intervention plan. The CG received monthly follow-up via telephone calls. At the end of the 16 weeks, both groups completed the intervention satisfaction questionnaire. Results: No significant differences were observed between the groups (p>0.05) in satisfaction with the remote intervention. Both groups showed good satisfaction, however the IG was more satisfied. Conclusion: It is concluded that remote fall prevention interventions show good satisfaction among elderly people with a history of falls.(AU)


Subject(s)
Accidental Falls , Aged , Patient Satisfaction
6.
Article in English | WPRIM | ID: wpr-1036009

ABSTRACT

@#Patient feedback is a crucial component of health care improvement. It is recognized globally, with client satisfaction rate being one of the impact indicators of the 8-point agenda of the Philippine Department of Health (DOH).1 At the Southern Philippines Medical Center (SPMC), we value patient feedback. We conduct regular surveys to gather feedback on our various services. Our Public Assistance and Complaints Desk not only handles patient complaints about facilities and services but also facilitates actions based on this feedback. SPMC hosts patient groups, typically composed of individuals battling chronic conditions like diabetes, asthma, and hypertension. These groups meet regularly, providing invaluable suggestions on how we can enhance the services they receive. Today’s patients are more conscious than ever about the quality of public services and their right to access them. They seek not just medical outcomes, but a satisfying experience that includes safe and comfortable facilities, efficient services, and pleasant interactions with health care personnel. Patients today are quick to voice their complaints about services, facilities, and health care personnel, often turning to social media. While this platform offers little chance for health care institutions to defend themselves, it provides an opportunity to listen, learn, and improve. Health care institutions should engage patients in advisory boards or patient panels to translate feedback into service improvements. We must use feedback channels, including social media and apps, to refine our services. While patient satisfaction is important, our goal is to improve patient outcomes. Patients should be informed about these efforts to reinforce the patient-centric nature of our services. Patient feedback ensures our health care system meets patients’ needs. It is the most valuable measure of our success. It is essential in the health care industry as it helps us shape a better health care system. It drives us to improve for the sake of every patient who walks through our doors.


Subject(s)
Patient Satisfaction
7.
Acta Medica Philippina ; : 103-109, 2024.
Article in English | WPRIM | ID: wpr-1016815

ABSTRACT

Background@#The 2019 coronavirus disease pandemic opened an opportunity to explore the role of telemedicine in pediatric rheumatology clinic as well as patient satisfaction with virtual visits.@*Objective@#To determine the usability and satisfaction rate of telemedicine among pediatric rheumatology patients and their caregivers.@*Method@#A cross-sectional online survey was conducted among patients and caregivers consulting via telemedicine at a pediatric rheumatology clinic of University of the Philippines – Philippine General Hospital (UP – PGH), a tertiary government hospital. Collected data included socio-demographics and the validated Telehealth Usability Questionnaire (TUQ).@*Results@#There were 39 (55.7%) patients and 31 (44.3%) primary caregivers included in the study. Across all usability factors, the response of primary caregivers did not significantly differ from those of patients. The average scores across all questions for both patients and primary caregivers were 5.96±1.19 and 6.04±1.34, respectively. This showed a high level of agreement that they were highly satisfied with telemedicine experience. Among the different usability factors, questions related to usefulness obtained the highest mean score for both patients (6.11±1.17) and primary caregivers (6.12±1.38). While the lowest mean score was observed on questions related to reliability, 5.65±1.33 for patients and 5.89±1.31 for primary caregivers.@*Conclusion@#Pediatric rheumatology patients as well as their caregivers are generally highly satisfied with telemedicine during this time of pandemic. With high patient and caregiver satisfaction, telemedicine could be an option for ambulatory patient care even after pandemic.


Subject(s)
Telemedicine , COVID-19 , Patient Satisfaction
8.
Ann. afr. méd. (En ligne) ; 18(1)2024. figures, tables
Article in French | AIM | ID: biblio-1585186

ABSTRACT

Context and objective. Obstetric violence represents all abuses suffered that women experience during childbirth. The present study was conducted to describe the nature, frequency and resentment of acts and abuses committed in maternity hospitals. Methods. This was a cross-sectional, multi-site descriptive study conducted in Kisangani from February 1, 2023 to June 30, 2023. Data were collected prospectively, using questionnaires from birth attendants at the maternity hospitals, and focused on the nature of the violence and patient satisfaction assessed on a Likert scale. Results. Two hundred and eight women (mean age 26.56±6.94 years) were enrolled. Approximately 1/5 of the deliveries (21.63%) were not allowed to have family support. The rate of women who had undergone vaginal touching without their consent was 58.65%, and the gynaecological position was systematic for all vaginal deliveries. The opinion of 54.02% of patients was that this position was imposed and 30.46% were dissatisfied with it. Caesarean section was performed without consent at a rate of 91.18%. The medical team's assistance was poor for 31.73% of patients. Disrespectful words were used in 29.33% of deliveries, and 6.25% of women were victims of blows. Episiotomy was performed without consent in 41.18% of cases. Conclusion. Obstetric violence remains a real problem in Kisangani maternity hospitals, where health care staff should humanize their actions while giving priority to patient consent.


Contexte et objectif. La violence obstétricale est l'ensemble des abus que les femmes subissent au cours de l'accouchement. La présente étude a été menée pour décrire la nature, fréquence et leur opinion face aux actes et abus commis dans les maternités. Méthodes. Il s'est agi d'une étude transversale descriptive, multisites menée à Kisangani du premier février 2023 au trente juin 2023. La collecte des données était prospective, sur des questionnaires, auprès des accouchées, à la maternité, et était centrée sur la nature des violences et la satisfaction des patientes évaluée à par rapport à l'échelle de Likert. Résultats. Deux cent et huit accouchées ont été enrôlées. Leur âge moyen était de 26,56±6,94 ans. 21,63% des accouchées n'étaient pas autorisées d'avoir un accompagnement familial. Le taux des accouchées ayant subi des touchers vaginaux sans leur consentement était de 58,65%. La position gynécologique était systématique pour tout accouchement par voie basse parmi lesquelles 54,02% avaient l'opinion d'une position imposée et 30,46% en étaient peu satisfaites. La césarienne était pratiquée sans consentement dans 91,18% des cas. 31,73% de patientes avaient trouvé que l'assistance par l'équipe médicale était mauvaise. Le taux d'accouchées victimes des paroles irrespectueuses était de 29,33% et 6,25% étaient victimes des coups. L'épisiotomie était pratiquée sans consentement dans 41,18 % des cas. Conclusion. Les violences obstétricales demeurent un problème réel dans les maternités de Kisangani où le personnel de santé devrait humaniser leurs actes tout en privilégiant le consentement des patientes.


Subject(s)
Humans , Female , Women , Attitude , Cesarean Section , Patient Satisfaction , Delivery of Health Care , Parturition , Pregnant Women , Episiotomy , Obstetric Violence , Jealousy
9.
Rev. Hosp. El Cruce ; (33): 1-5, 2024.
Article in Spanish | LILACS, UNISALUD, BINACIS | ID: biblio-1565993

ABSTRACT

[RESUMEN]. INTRODUCCIÓN: El papel que desempeñan los pacientes en los sistemas sanitarios es cada vez más relevante; llega a considerarse como eje y principal motor de los servicios de salud. Las actuales políticas de calidad consideran la necesidad de introducir la opinión de los usuarios en las organizaciones sanitarias. El objetivo de nuestro estudio fue relevar la satisfacción de los pacientes con la atención médica en la Unidad de Cuidados Intermedios pediátricos del Hospital Néstor Carlos Kirchner "El Cruce". MÉTODOS: estudio de corte transversal; se incluyeron pacientes que egresaron de la UCIP desde abril hasta septiembre de 2023. Se completaron encuestas HCAPS previo al egreso. Las encuestas del CAHPS sobre la experiencia del paciente evalúan la calidad de la atención desde el punto de vista del paciente en diversos entornos ambulatorios e institucionales. Las preguntas 18 (las personas encuestadas evaluaron al hospital usando un número del 0 al 10; siendo el 0 peor y 10 el mejor hospital posible respectivamente) y 19 (las personas respondieron si le recomendarían el hospital a familiares y amigos según 4 categorías: Definitivamente no; Hasta cierto punto no; Hasta cierto punto si o Definitivamente sí ) fueron tomadas como proxy de satisfacción global con la atención médica. RESULTADOS: respondieron la encuesta 84 (37,3%) de 225 pacientes que egresaron de UCIP. Todas las personas evaluaron al hospital con un puntaje mayor a 8; 82/84 (97,6%) recomendarían definitivamente al hospital. CONCLUSIONES: detectamos un alto grado de satisfacción con la atención. Estudios cualitativos ayudarían a ahondar en los motivos que expliquen el alto grado de satisfacción obtenido.


[ABSTRACT]. INTRODUCTION: The role of patients in health systems is increasingly relevant. Their satisfaction appears as one of the main indicators to evaluate health management and quality of care. Current quality policies consider the need to introduce user opinions into healthcare organizations. The objective of our study was to survey patient satisfaction with medical care in the Pediatric Intermediate Care Unit of the Néstor Carlos Kirchner "El Cruce" Hospital. METHODS: cross-sectional study; Patients who were discharged from the UCIP since April to September 2023 were included. HCAPS surveys were completed prior to discharge. CAHPS patient experience surveys assess quality of care from the patient's point of view in various outpatient and institutional settings. Questions 18 (respondents evaluated the hospital using a number from 0 to 10; 0 being the worst and 10 the best possible hospital respectively) and 19 (respondents ansewerd if they would recommend the hospital to family and friends according to 4 categories: Definitely no; Up to a ponit no; Up to a ponit yes; or Definitely yes) were taken as a proxy for overall satisfaction with medical care. RESULTS: Eighty four (37.3%) of 225 patients who were discharged from the UCIP answered the survey. All people evaluated the hospital with a score greater than 8; 82/84 (97.6%) would definitely recommend the hospital. CONCLUSIONS: There is a high level of satisfaction with the attention. Qualitative studies would help to thoroughly explain the reasons.


Subject(s)
Patient Satisfaction , Pediatrics , Quality of Health Care
10.
Arch. pediatr. Urug ; 95(1): e201, 2024. tab
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1556975

ABSTRACT

Introducción: la patología de baja complejidad representa un número muy importante dentro de las cirugías que se realizan en pediatría. Los niños, en su mayoría, no presentan patologías previas que requieran cuidados especiales. Las listas de espera para resolución de pacientes de baja complejidad aumentan, en general, en meses donde el hospital se ve sobrecargado de ingresos, esto a su vez se ha visto incrementado en los últimos dos años, vinculado a la pandemia por COVID-19. Surgió, entonces, la necesidad de implementar un programa donde la patología de baja complejidad, en pacientes que cumplan ciertos criterios, pueda resolverse mediante la modalidad de cirugía ambulatoria. Esto implica un beneficio tanto para el niño y la familia, con reducción de los niveles de estrés vinculados a la permanencia en el hospital, menor probabilidad de adquirir infecciones intrahospitalarias, limitación en el impacto socioeconómico a nivel familiar, como claros beneficios para el hospital, ya que reduce el ingreso con reducción de costos y sin necesidad de utilizar camas de internación. Objetivo: analizar los resultados iniciales del programa de cirugía ambulatoria del Hospital Pediátrico del Centro Hospitalario Pereira Rossell (HP-CHPR) en base a la satisfacción de la familia. Material y método: se recabaron los datos de pacientes asistidos bajo el sistema de cirugía ambulatoria desde junio de 2021 hasta enero de 2022. Aplicamos un cuestionario breve para evaluar la satisfacción del programa con vistas a evaluar resultados iniciales, y, de requerirlo, realizar cambios en pos de su mejora. Resultados: ingresaron al programa 35 pacientes en el Departamento de Cirugía General; pudimos realizar la encuesta de satisfacción a las personas responsables de 25 pacientes. El 100% de los encuestados considera que es beneficioso acompañar a su hijo a la sala de operaciones. Detallamos la respuesta a cada punto del cuestionario realizado. En el último apartado, donde preguntamos qué cambios realizaría, en cuatro casos las respuestas fueron "tomar en cuenta más la opinión del niño", "mejorar la información preoperatoria" y "mejorar la comunicación con respecto a los cuidados posoperatorios" y "mejorar los tiempos de ingreso a block". Conclusiones: la satisfacción de los cuidadores de los niños asistidos en su mayoría es buena. Detectamos aspectos a mejorar basados en ajustar tiempos de ingreso a la sala de operaciones, así como en la comunicación con el cuidador y el niño en lo que respecta a los cuidados posoperatorios en domicilio.


Introduction: low complexity pathologies account for a very high number of the surgeries performed in pediatrics. Most of the children do not present previous pathologies that require special care. The waiting lists for the resolution of low complexity surgeries generally increases during the months when the hospital is overloaded with admissions, a trend that has grown in the last 2 years, due to the COVID-19 pandemic. The need arose to implement a program where low-complexity pathology in patients who meet certain criteria can be resolved through out-patient surgery. This implies a benefit for both the child and the family, reduced stress linked to hospital stay, a lower probability of acquiring nosocomial infections, limitation of the socioeconomic impact at the family level, as well as clear benefits for the hospital, such as reduction of admission costs and hospital beds. Objective: to analyze the initial results of the Out-Patient Surgery Program of the CHPR Pediatric Hospital based on family satisfaction. Material and Methods: the data of patients assisted under the Ambulatory Surgery system were collected from June 2021 to January 2022. We applied a brief questionnaire to assess initial satisfaction levels regarding the program and eventual changes required to improve the program. Results: 35 patients joined the program in the Department of General Surgery and the satisfaction survey was completed by 25 patients. 100% of the respondents consider that it is beneficial to accompany their children into the surgical room. We describe the responses provided to all the questions administered to the 25 patients. In the last section of the questionnaire, where we asked what changes they would make, in 4 cases the answers were: "take the child's opinion into account more often", "improve preoperative information", "improve communication regarding postoperative care". and "improve block entry times". Conclusion: satisfaction levels of the assisted children caregivers are mostly good. We detected aspects to improve regarding adjustment of admission times into the surgical room as well as communication with the caregiver and the child regarding postoperative home care.


Introdução: a patologia de baixa complexidade representa um importante número das cirurgias que são realizadas em pediatria. A maioria das crianças não apresenta patologias prévias que requeiram cuidados especiais. As listas de espera para resolução de pacientes de baixa complexidade geralmente aumentam nos meses em que o hospital está sobrecarregado com internações, neste caso aumentaram nos últimos 2 anos, por causa da Pandemia da covid-19. Neste período, surgiu a necessidade de implementar um programa onde a patologia de baixa complexidade em pacientes que reúnam determinados critérios possa ser resolvida através de cirurgia ambulatorial. Isto implica um benefício tanto para a criança como para a família, com redução dos níveis de stress ligados ao internamento, menor probabilidade de contrair infeções nosocomiais, limitação do impacto socioeconômico ao nível familiar, bem como claros benefícios para o hospital, pois reduz a internação com custos reduzidos e diminui a necessidade de utilização de leitos de internação. Objetivo: analisar os resultados iniciais do programa de Cirurgia Ambulatorial do Hospital Pediátrico do CHPR baseados nos níveis de satisfação das famílias. Material e método: foram coletados os dados dos pacientes atendidos no sistema de Cirurgia Ambulatorial, no período de junho de 2021 a janeiro de 2022. Aplicamos um breve questionário para avaliar a satisfação com o programa, a fim de avaliar os resultados iniciais e exigir mudanças após o programa de benefício. Resultados: 35 pacientes ingressaram no programa no Departamento de Cirurgia Geral, pudemos realizar a pesquisa de satisfação de 25 pacientes. 100% dos inquiridos consideram que é positivo acompanhar os filhos ao centro cirúrgico. Detalhamos a resposta a cada ponto do questionário aplicado aos 25 pacientes. Na última seção do questionário, onde perguntávamos quais mudanças eles fariam, em 4 casos as respostas foram: "levar mais em conta a opinião da criança", "melhorar a informação pré-operatória", "melhorar a comunicação sobre os cuidados pós-operatórios" e "melhorar os tempos de entrada do bloco". Conclusão: o nível de satisfação dos cuidadores das crianças atendidas é em sua maioria bom. Detectamos aspectos a melhorar com base na adequação dos horários de admissão na sala cirúrgica e na comunicação com o cuidador e a criança sobre os cuidados pós-operatórios em casa.


Subject(s)
Humans , Patient Satisfaction , Caregivers , Ambulatory Surgical Procedures , Hospitals, Pediatric , Uruguay , Retrospective Studies , Health Care Surveys
11.
Braz. dent. sci ; 27(3): 1-9, 2024. ilus, tab
Article in English | LILACS, BBO | ID: biblio-1581313

ABSTRACT

Objective: To evaluate the efficacy of a simplified technique for complete dentures (CD) fabrication focusing on patient-reported outcome measures (PROMs), masticatory efficiency (ME), temporomandibular disorders (TMD), and CD technical quality. Material and Methods: Fifty edentulous individuals were allocated into two groups based on the complete denture (CD) fabrication method: traditional (T) or simplified (S). Patients were evaluated at baseline and at a 3-month follow-up, considering quality of life and satisfaction. The technical quality of the CDs and masticatory efficiency were assessed at the 3-month follow-up using a validated instrument and a colorimetric test, respectively. Data were analyzed using McNemar and Mann-Whitney tests for intra-group comparisons and Chi-square, Fisher's Exact, or Wilcoxon tests for inter-group comparisons. Results: Forty-two patients completed the study (T = 20, S = 22). At the 3-month follow-up, no significant differences were observed between the groups for masticatory efficiency (p = 0.131), CD technical quality (p = 0.456), satisfaction (p = 0.146), and quality of life (p = 0.409). Patient-reported outcome measures (PROMs) improved from baseline to the 3-month follow-up (p < 0.01) for both groups. The presence of temporomandibular disorders (TMD) significantly decreased after denture replacement (p < 0.001). Conclusion: CD fabricated by a simplified technique seems to be time-efficient and as effective as that fabricated by a traditional technique. Insertion of new dentures positively influenced PROMs and TMD presence (AU)


Objetivo: Avaliar a eficácia de uma técnica simplificada para fabricação de próteses totais (PT) nos desfechos relatados pelo paciente (PROMs), eficiência mastigatória (EM), difunções temporomandibulares (DTM) e qualidade técnica da prótese. Material e Métodos: 50 indivíduos edêntulos foram alocados em dois grupos com base no método de fabricação da prótese total (PT): tradicional (T) ou simplificado (S). Os pacientes foram avaliados antes e 3 meses após a instalação das próteses, considerando a qualidade de vida e a satisfação. A qualidade técnica das PTs e a eficiência mastigatória foram avaliadas no seguimento de 3 meses usando um instrumento validado e um teste colorimétrico, respectivamente. Os dados foram analisados usando os testes de McNemar e Mann-Whitney para comparações intra-grupo e os testes Qui-quadrado, Exato de Fisher ou Wilcoxon para comparações entre os grupos. Resultados: Quarenta e dois pacientes completaram o estudo (T = 20, S = 22). 3 meses após a instalação das PTs não foram observadas diferenças significativas entre os grupos quanto à eficiência mastigatória (p = 0,131), qualidade técnica das PTs (p = 0,456), satisfação (p = 0,146) e qualidade de vida (p = 0,409). Os desfechos relatados pelos pacientes (PROMs) melhoraram 3 meses após a instalação das próteses (p < 0,01) para ambos os grupos. A presença de disfunções temporomandibulares (DTM) diminuiu significativamente após a substituição das próteses (p < 0,001). Conclusão: As PTs fabricadas pela técnica simplificada parecem ser tão eficazes quanto aquelas fabricadas pela técnica tradicional. A inserção de novas PTs influenciou positivamente os PROMs e a presença de DTM(AU)


Subject(s)
Humans , Quality of Life , Temporomandibular Joint Disorders , Patient Satisfaction , Denture, Complete , Mastication
12.
Article in Spanish | LILACS, BINACIS | ID: biblio-1556241

ABSTRACT

Introducción: La técnica de anestesia local con epinefrina sin el uso de manguito hemostático (Wide Awake Local Anesthesia - No Tourniquet, WALANT) se desarrolló para mejorar el acceso a la atención de la cirugía de mano y optimizar recursos médicos. El principal objetivo de este estudio fue evaluar la experiencia del paciente y analizar el ahorro de costos hospitalarios en el tratamiento quirúrgico de descompresión del síndrome del túnel carpiano utilizando esta técnica anestésica. Materiales y Métodos: Se realizó un estudio descriptivo prospectivo observacional en pacientes con diagnóstico clínico de síndrome del túnel carpiano operados entre 2016 y 2022. El grado de satisfacción del paciente fue evaluado mediante un cuestionario sobre el dolor en diferentes momentos, la ansiedad y la experiencia con el procedimiento. También se analizaron los costos de la técnica anestésica. Resultados: Se evaluó a 92 pacientes. La mayoría se mostró satisfecha y el 94,5% confirmó que volvería a elegir este procedimiento, los niveles de dolor y ansiedad fueron bajos. Se registró un ahorro de costos del 60,6% por procedimiento. Conclusiones: La descompresión del síndrome del túnel carpiano con técnica WALANT generó un ahorro de costos considerable para el sistema de salud nacional, los resultados fueron buenos sobre la base de la satisfacción, la ansiedad y el dolor; y es un procedimiento seguro, cómodo y eficiente. Los beneficios y su rentabilidad al emplear menos recursos hospitalarios podrían ser optimizados y reproducidos para generar un ahorro considerable en gastos de salud. Nivel de Evidencia: IV


Introduction: Wide-awake local anesthesia no tourniquet (WALANT) is an anesthetic technique that was developed to improve patient access to treatment and optimize the use of available medical resources in hand surgery. The main purpose of this study was to evaluate patient experience and hospital cost savings during surgical treatment of carpal tunnel syndrome (CTS) with this technique at a South American public hospital. Materials and Methods: Between 2016 and 2022, a descriptive prospective observational study was conducted on patients with a clinical diagnosis of CTS who had undergone surgical treatment. Patient satisfaction was assessed using a questionnaire that asked about pain during different periods of time, anxiety, and the procedure itself. The costs of the anesthetic technique were also analyzed. Results: 92 patients were evaluated and the majority of them were satisfied with their WALANT experience; 94.5% said they would choose this procedure again, citing low levels of pain and anxiety. A cost reduction of 60.6% per procedure was achieved. Conclusions: CTS decompression with the WALANT technique resulted in significant cost savings for the national health system, as well as favorable outcomes in terms of satisfaction, anxiety, and pain; the procedure was safe, comfortable, and efficient. The benefits and profitability of employing fewer hospital resources could be further optimized and replicated to result in significant health-care cost savings. Level of Evidence: IV


Subject(s)
Adult , Middle Aged , Aged , Carpal Tunnel Syndrome , Patient Satisfaction , Hand , Anesthesia, Local
13.
REVISA (Online) ; 13(Especial 2): 1079-1091, 2024.
Article in Portuguese | LILACS | ID: biblio-1580175

ABSTRACT

Objetivo:Avaliar a satisfação das gestantes com a assistência pré-natal oferecida por enfermeiros no contexto da Estratégia Saúde da Família, e propor uma cartilha de boas práticas para melhorar essa assistência. Método:Realizou-se uma revisão integrativa da literatura nas bases PubMed, SciELO, SCOPUS e BVS, com artigos publicados entre 2014 e 2024, utilizando os descritores "satisfação do paciente" e "cuidados pré-natal". Foram selecionados 12 artigos que abordavam a percepção das gestantes sobre a assistência oferecida por enfermeiros. Resultados:A maioria das gestantes considerou a assistência positiva, destacando o interesse e conhecimento técnico dos enfermeiros. No entanto, falhas na comunicação e no acolhimento ainda impactam a experiência de algumas pacientes. Conclusão:A assistência pré-natal oferecida por enfermeiros pode garantir um atendimento humanizado e eficaz, mas ajustes são necessários para otimizar a satisfação das gestantes.


Objective:To assess the satisfaction of pregnant women with prenatal care provided by nurses in the context of the Family Health Strategy, and to propose a guide of good practices to improve this care. Method:An integrative literature review was conducted in the PubMed, SciELO, SCOPUS and BVS databases, with articles published between 2014 and 2024, using the descriptors "patient satisfaction" and "prenatal care". Twelve articles that addressed the perception of pregnant women about the care provided by nurses were selected. Results:Most pregnant women considered the care to be positive, highlighting the interest and technical knowledge of nurses. However, failures in communication and reception still impact the experience of some patients. Conclusion:Prenatal care provided by nurses can ensure humanized and effective care, but adjustments are necessary to optimize the satisfaction of pregnant women


Objetivo:Evaluar la satisfacción de las gestantes con la atención prenatal ofrecida por el enfermero en el contexto de la Estrategia Salud de la Familia y proponer un folleto de buenas prácticas para mejorar esa asistencia. Método:Se realizó una revisión integrativa de la literatura en las bases de datos PubMed, SciELO, SCOPUS y VHL, con artículos publicados entre 2014 y 2024, utilizando los descriptores "satisfacción del paciente" y "atención prenatal". Se seleccionaron 12 artículos que abordaron la percepción de las mujeres embarazadas sobre la asistencia ofrecida por las enfermeras. Resultados:La mayoría de las gestantes consideró positiva la asistencia, destacando el interés y conocimiento técnico de las enfermeras. Sin embargo, las fallas en la comunicación y la recepción aún impactan la experiencia de algunos pacientes. Conclusión:La atención prenatal ofrecida por enfermeras puede garantizar una atención humanizada y eficaz, pero son necesarios ajustes para optimizar la satisfacción de las gestantes.


Subject(s)
Prenatal Care , Nursing , Patient Satisfaction , Nursing Care
14.
Psicol. ciênc. prof ; 44: e264104, 2024. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1564965

ABSTRACT

Esta pesquisa teve como objetivo investigar as perspectivas dos psicólogos dos Centros de Referência da Assistência Social (CRAS) que compõem a equipe de Proteção e Atenção Integral à Família (PAIF) a respeito do seu trabalho no Acompanhamento Familiar oferecido para famílias com membros com transtornos mentais. Oito psicólogos que atuavam nos CRAS de um município no interior de Minas Gerais participaram do estudo. O instrumento utilizado foi um roteiro de entrevista semiestruturada, com a subsequente análise de conteúdo temática. As categorias temáticas foram analisadas à luz da literatura específica da área. De maneira geral, os resultados indicaram que os psicólogos se sentem despreparados para o exercício de sua função no CRAS, uma vez que a formação específica e continuada em Psicologia não ofereceu subsídios adequados para o conhecimento da atuação no campo da Assistência Social. A natureza (psico)terapêutica do trabalho é discutida, assim como a necessidade de formações continuadas para a atuação. Ressalta-se a necessidade de mais pesquisas que abordem a formação em Psicologia e suas relações com a Assistência Social, bem como os impactos desse despreparo na prática dos profissionais, de maneira a fomentar maior satisfação pessoal/profissional e, consequentemente, aprimorar a assistência oferecida à comunidade.(AU)


This study aims to investigate the views of psychologists who worked at Social Assistance Reference Centers (CRAS) associated with the Comprehensive Family Care Program (PAIF) on their work with the aforementioned program. Overall, eight psychologists who worked at CRAS units in small municipalities in Minas Gerais for at least one year participated in this research. The instrument used was a semi-structured interview script, and the data were analyzed under the content analysis (thematic) method. Thematic categories were analyzed based on the specific literature. Results indicate that the psychologists generally felt unprepared to work at CRAS since their degree in Psychology provided inadequate knowledge to deal with Social Assistance issues. This study discusses the (psycho)therapeutic nature of their practice and the need for ongoing training for their proper performance. This study highlights the need for further research that addresses the links between education in Psychology and Social Assistance and the impacts of said unpreparedness on the performance of those professionals. Such research might provide more professional/personal satisfaction and, in turn, improve the quality of the offered service.(AU)


Este estudio tuvo la intención de conocer las perspectivas de los psicólogos de los Centros de Referencia de Asistencia Social (CRAS) que forman parte de los equipos del Protección y Atención Integral a la Familia (PAIF) acerca del seguimiento de familias con miembros portadores de trastornos mentales. Ocho psicólogos que actuaban en los CRAS de un municipio del interior del estado de Minas Gerais (Brasil) participaron en el estudio. El instrumento utilizado fue un guion de entrevistas semiestructuradas; y, para análisis de datos, se utilizó el análisis de contenido temático. Las categorías temáticas se analizaron a la luz de la literatura específica del campo. De modo general, los resultados indicaron que los psicólogos no se sienten preparados para desempeñar la función en el CRAS, puesto que la formación en Psicología no ofreció conocimientos adecuados para actuar en el campo de la asistencia social. Se discuten la naturaleza (psico)terapéutica del trabajo y la necesidad de formación continua para esta actuación. Se destaca la necesidad de más investigaciones que tratan de la formación en Psicología y sus relaciones con la asistencia social, y los impactos de esta falta de preparo en la práctica de los profesionales, de modo a promover una satisfacción personal/profesional y, consecuentemente, optimizar la asistencia ofrecida a la comunidad.(AU)


Subject(s)
Humans , Male , Female , Psychology , Psychology, Social , Social Support , Acting Out , Anxiety , Orientation , Patient Escort Service , Pensions , Personal Satisfaction , Poverty , Prejudice , Psychomotor Agitation , Public Policy , Quality of Life , Rural Population , Self Care , Self Mutilation , Social Behavior , Social Change , Social Identification , Social Problems , Social Responsibility , Social Sciences , Social Security , Social Welfare , Social Work , Socioeconomic Factors , Suicide , Behavioral Sciences , Health Policy, Planning and Management , Adaptation, Psychological , Family , Patient Acceptance of Health Care , Child Development , Residence Characteristics , Hygiene , Mental Health , Rural Health , Occupational Health , Treatment Refusal , Health Strategies , Self-Injurious Behavior , Patient Satisfaction , Negotiating , Family Planning Policy , Health Personnel , Disabled Persons , Domestic Violence , Comprehensive Health Care , Constitution and Bylaws , Community Networks , Continuity of Patient Care , Program , Persons with Mental Disabilities , Health Management , Creativity , Crisis Intervention , Personal Autonomy , State , Delivery of Health Care , Aggression , Depression , Diagnosis , Education , Ego , Emotions , Workforce , Humanization of Assistance , User Embracement , Health Care Facilities, Manpower, and Services , Family Conflict , Family Relations , Resilience, Psychological , Protective Factors , Sociological Factors , Problem Behavior , Work Performance , Psychosocial Support Systems , Treatment Adherence and Compliance , Work Engagement , Social Construction of Ethnic Identity , Adverse Childhood Experiences , Family Separation , Leadership and Governance Capacity , Solidarity , Social Protection in Health , Health Sector Stewardship and Governance , Indigenous Peoples , Empowerment , Psychosocial Intervention , Social Inclusion , Community Support , Social Vulnerability , Belonging , Diversity, Equity, Inclusion , Psychological Well-Being , Working Conditions , Workforce Diversity , Health Policy , Health Promotion , Health Resources , Health Services Accessibility , Human Rights , Interpersonal Relations , Object Attachment
16.
Article in English | LILACS, BBO | ID: biblio-1550594

ABSTRACT

ABSTRACT Objective: To assess the relationship between patients' and dentists' perceptions of shade selection and its impact on satisfaction with the prosthesis. Material and Methods: A single group pre-post study was conducted at the Prosthodontics department of a teaching hospital in India. One hundred ten participants were selected through a systematic random sampling technique with inclusion and exclusion criteria. Patients' attitudes regarding the aesthetics of their maxillary anterior teeth were recorded using a validated questionnaire. Shades for the intended prosthetic crown selected by the dentist and chosen by the patient were recorded separately, and patient satisfaction with the appearance of the final prosthesis was recorded. We used descriptive statistics followed by Pearson's Chi-square test and a binomial logistic regression model for inferential statistics. Results: 109 participant's data were available for final analysis. Patients choose lighter shades than the dentist's selection, which is statistically significant (p=0.000). 73.4% were satisfied with the final prosthesis, and the binomial logistic regression model identified using patient-selected shade for the final prosthesis was significantly associated with patients' satisfaction with the final prosthesis (OR=3.3, p=0.001). Conclusion: The patient's preference should be considered with the dentist's option when selecting a shade to create good esthetics.


Subject(s)
Humans , Animals , Adult , Middle Aged , Aged , Patient Satisfaction , Color Perception , Dentists , Denture, Partial, Fixed , Esthetics, Dental , Chi-Square Distribution , Logistic Models , Tooth Crown
17.
Article in Spanish | LILACS, BDENF, CUMED | ID: biblio-1569823

ABSTRACT

Introducción: Los servicios de urgencias son contextos multiprofesionales, donde la satisfacción, fenómeno multifactorial, va unida a la calidad. Entonces, es necesaria la contextualización del fenómeno desde la Enfermería, pues cada profesional hace su análisis desde su objeto de estudio. Objetivo: Sistematizar la satisfacción de pacientes con los servicios de urgencia desde una perspectiva de Hildegard E. Peplau. Métodos: Se realizó una revisión integrativa de artículos originales y de revisión publicados en las bases de datos SciELO, Medigraphic, Index, Sciencedirect, PubMed y Cuiden. Se elaboró la pregunta guía a través del acrónimo PICo. La estrategia de búsqueda se realizó mediante los descriptores en Ciencias de la Salud (DeCS) "satisfacción" AND "servicios de atención de urgencia" AND "enfermería" AND "Teoría de Enfermería" OR "atención de enfermería". Se utilizó el diagrama de flujo (PRISMA), se identificaron y revisaron 93 artículos, de los que 8 fueron útiles de la evolución de la categoría, se realizó análisis de contenido de documentos. Conclusiones: La sistematización favoreció la identificación de regularidades y elementos relevantes enfocados en la concepción de Enfermería, tales como: indicador para evaluar la calidad de la atención en salud, mediada por la relación interpersonal, reconocimiento de necesidades, reconocer expectativas y objetivos concretos, análisis y percepción final de resultados y grado de satisfacción(AU)


Introduction: Emergency departments are multiprofessional scenarios, in which satisfaction, a multifactorial phenomenon, goes hand in hand with quality. Therefore, it is necessary to contextualize the phenomenon from the nursing perspective, since each professional makes their analysis from their object of study. Objective: To systematize patient satisfaction with emergency services from the perspective of Hildegard E. Peplau. Methods: An integrative review was conducted of original and review articles published in the SciELO, Medigraphic, Index, Sciencedirect, PubMed and Cuiden databases. The guiding question was elaborated using the acronym PICo. The search strategy was performed using the descriptors in Health Sciences (DeCS) satisfacción [satisfaction] AND servicios de atención de urgencia [emergency care services] AND enfermería [nursing] AND teoría de enfermería [nursing theory] OR atención de enfermería [nursing care]. The flowchart (PRISMA) was used; as well as 93 articles were identified and reviewed, of which 8 were useful. In addition, content analysis of documents was performed. Conclusions: The systematization favored the identification of regularities and relevant elements focused on the nursing conception, such as an indicator to evaluate the quality of health care, mediated by interpersonal relationship, recognition of needs, recognition of expectations and concrete objectives, analysis and final perception of results, and degree of satisfaction(AU)


Subject(s)
Humans , Quality of Health Care , Nursing Theory , Emergency Medical Services , Nursing Care , Patient Satisfaction
18.
Rev. Ciênc. Plur ; 9(3): 33414, 26 dez. 2023. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1524471

ABSTRACT

Introdução:A estética do sorriso é um aspecto valorizado pela sociedade atual, o que demanda que os profissionais de odontologia estejam atualizados sobre materiais dentários e novas técnicas para alcançar resultados estéticos restauradores de alta qualidade. A resina composta é frequentemente utilizada para simplificar a reabilitação oral, pois oferece facetas dentárias que combinam excelente estética e durabilidade. Objetivo:Este artigo tem como objetivo relatar um caso clínico de reabilitação estética utilizando facetas em resina composta com fechamento de diastemas.Relato de caso:Uma paciente do sexo feminino, com 24 anos de idade, procurou a clínica escola de odontologia com insatisfação em relação à estética do seu sorriso. A pacienteapresentava diastemas, restauração defeituosa e desproporção no tamanho dos dentes anteriores. O tratamento consistiu em um clareamento caseiro prévio, seguido pela confecção de facetas diretas em resina composta para fechamento dos diastemas e correção da desproporção dentária. Foram utilizados um Jig Estético e o software Digital Smile Design (DSD)para o planejamento, além de um mock-up em resina bisacrílica. Após a confecção das facetas, foi obtido um resultado estético final satisfatório. O caso incluiu um total de oito facetas,dos dentes 14 ao 24. Conclusão:O tratamento utilizando restaurações em resina composta proporcionou à paciente uma reabilitação estética, funcional e biológica (AU).


Introduction:Smile aesthetics is an aspect valued by today's society, which demands that dental professionals are up to date on dental materials and new techniques to achieve high-quality restorative aesthetic results. Composite resin is often used to simplify oral rehabilitation, as it offers dental veneers which combine excellent aesthetics and durability. Objective:This article aims to report a clinical case of aesthetic rehabilitation using composite resin veneers with diastema closure. Case report:A24-year-old female patient came to the dental school clinic with dissatisfaction regarding the aesthetics of her smile. The patient had diastemas, defective restoration and disproportionate anterior teeth size. The treatment consisted of prior at-home tooth bleaching, followed by creating direct composite resin veneers to close the diastemas and correct tooth disproportion. An Aesthetic Jig and the Digital Smile Design (DSD) software program were used for planning, in addition to a mock-up in bisacrylic resin. After treatment, a satisfactory final aesthetic result was obtained. The case included a total of eight veneers, from teeth 14 to 24. Conclusion:Treatment using composite resin restorations provided the patient with aesthetic, functional and biological rehabilitation (AU).


Introducción: La estética de la sonrisa es un aspecto valorado por la sociedad actual, hecho que demanda de los profesionales de odontología actualización constante sobre los materiales dentarios y nuevas técnicas para alcanzar resultados estéticos restauradores de altacualidad. La resina compuesta es frecuentemente utilizada para simplificar la rehabilitación oral, pues ofrece facetas dentarias que combinan excelente estética y durabilidad.Objetivo: Este artículo tiene como objetivo relatar un caso clínico de rehabilitación estética a partir de la utilización de facetas en resina compuesta con cierre de diastemas. Informe de caso: Una paciente, del sexo femenino, con 24 años de edad, buscó la clínica-escuela de odontología insatisfecha con la estética de su sonrisa. La paciente presentaba diastemas, restauración dentaria defectuosa y desproporción en el tamaño de los dientes anteriores. El tratamiento consistió en un blanqueamiento casero previo, seguido por la confección de facetas directas de resina compuesta para cierre de los diastemas y corrección de la desproporción dentaria. Fueron utilizados un Jig Estético y el software Digital Smile Design(DSD) para el planeamiento, además de un mock-upen resina bisacrílica. Tras la confección de las facetas, fue obtenido un resultado estético final satisfactorio. El caso incluyó un total de ocho facetas, de los dientes 14 al 24.Conclusión: El tratamiento a partir de restauraciones en resina compuesta proporcionó a la paciente una rehabilitación estética, funcional y biológica (AU).


Subject(s)
Humans , Female , Adult , Dental Veneers , Diastema/therapy , Tooth Bleaching , Patient Satisfaction , Dental Materials/therapeutic use , Esthetics, Dental , Mouth Rehabilitation
19.
Rev. cuba. med. mil ; 52(4)dic. 2023. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1559847

ABSTRACT

Introducción: La administración organizacional en salud busca garantizar una atención efectiva y una gestión eficiente; evalúa la atención y satisfacción que a su vez guardan una estrecha y compleja relación. Objetivo: Estimar la asociación entre la calidad de atención y la satisfacción del usuario externo, del servicio de laboratorio clínico. Métodos: Estudio cuantitativo, correlacional, de diseño observacional transversal. La población estudiada fueron usuarios atendidos en el servicio de laboratorio clínico de un hospital privado, en Lima, Perú, a quienes se les aplicó un cuestionario de elaboración propia sobre calidad de atención y otro de satisfacción del usuario adaptado del modelo SERVPERF. La información obtenida fue analizada con el software IBM SPSS Statistics 23.0 y para la prueba de hipótesis se aplicó el coeficiente de correlación de Spearman. Resultados: De los 220 usuarios encuestados, el 69,1 por ciento calificó como alta la calidad brindada, en la cual la dimensión mejor calificada fue la calidad humana (71,8 por ciento); asimismo, el 73,6 por ciento de los usuarios afirmaron estar satisfechos y dentro de ello, las dimensiones con mayor satisfacción fueron la empatía (73,2 por ciento) y la seguridad (73,1 por ciento). Conclusiones: La calidad de atención y sus dimensiones que la conforman se asocian con la satisfacción de los usuarios(AU)


Introduction: The healthcare management seeks to guarantee effective care and efficient management, assesses care and satisfaction, which in turn have a close and complex relationship. Objective: To estimate the association between the quality of care and the satisfaction of the external user of the clinical laboratory service. Methods: Quantitative, correlational study, with a cross-sectional observational design. The population studied were users treated in the clinical laboratory service of a private hospital in Lima, Peru, to whom a self-developed questionnaire was applied on quality of care and another on user satisfaction adapted from the SERVPERF model. The information obtained was analyzed with the IBM SPSS Statistics 23.0 software and Spearman's correlation coefficient was applied for the hypothesis test. Results: Of the 220 users surveyed, 69.1 percent rated the quality provided as high, in which the best rated dimension was human quality (71.8 percent ); Likewise, 73.6 percent of the users stated that they were satisfied and within this, the dimensions with the greatest satisfaction were empathy (73.2 percent ) and security (73.1 percent). Conclusions: The quality of care and its dimensions that make it up are associated with user satisfaction(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Quality of Health Care/organization & administration , Process Assessment, Health Care/methods , Patient Satisfaction , Clinical Laboratory Services/organization & administration , Cross-Sectional Studies , Hospitals, Private , Health Care Surveys/methods , Observational Studies as Topic , Evaluation Studies as Topic
20.
Rev. latinoam. enferm. (Online) ; 31: e3923, ene.-dic. 2023. tab, graf
Article in Spanish | LILACS, BDENF | ID: biblio-1441995

ABSTRACT

Objetivo: examinar el efecto de la técnica de tos de mediana intensidad durante la inyección subcutánea de heparina de bajo peso molecular sobre la severidad del dolor y la satisfacción individual en pacientes de cirugía general. Método: estudio prospectivo, cuasi experimental, que incluyó a 100 pacientes a los que se les prescribió una inyección subcutánea de heparina de bajo peso molecular una vez cada 24 horas. Cada paciente recibió dos inyecciones por el mismo investigador utilizando técnica de inyección estándar con técnica de tos de intensidad media y solo técnica de inyección estándar. Resultados: hubo una diferencia estadísticamente significativa entre las puntuaciones medias de los pacientes sobre la intensidad del dolor y los niveles de satisfacción después de las inyecciones administradas por las dos técnicas (p= 0,000). Además, se encontró que el género afectó la severidad del dolor relacionado con la inyección, pero no afectó el nivel de satisfacción individual. Conclusión: se encontró que la técnica de tos de intensidad media reduce la severidad del dolor y aumenta la satisfacción del paciente de cirugía general que reciben inyecciones subcutáneas de heparina de bajo peso molecular. Registro del ensayo: NCT05681338.


Objective: to examine the effect of the medium intensity coughing technique during subcutaneous low molecular weight heparin injection on pain severity and individual satisfaction in general surgery patients. Method: the prospective, quasi-experimental study included 100 patients who had been prescribed a subcutaneous low molecular weight heparin injection once in 24 hours. Each patient received two injections by the same researcher, one using the standard injection technique with medium intensity coughing technique and the other only the standard injection technique. Results: there was a statistically significant difference between patients' mean scores on pain severity and satisfaction levels after injections administered by the two techniques (p= 0.000). Also, it was found that gender affected pain severity relating to the injection but did not affect the level of individual satisfaction. Conclusion: the medium intensity coughing technique was found to reduce pain severity and increase patient satisfaction in general surgery patients receiving subcutaneous low molecular weight heparin injections. Trial registration: NCT05681338.


Objetivo: examinar o efeito da técnica de tosse de média intensidade durante injeção subcutânea de heparina de baixo peso molecular na intensidade da dor e satisfação individual em pacientes submetidos à cirurgia geral. Método: estudo prospetivo, quasi experimental que incluiu 100 pacientes que haviam recebido uma injeção subcutânea de heparina de baixo peso molecular em 24 horas. Cada paciente recebeu duas injeções pelo mesmo pesquisador usando a técnica de injeção padrão com técnica de tosse de média intensidade e apenas técnica de injeção padrão. Resultados: houve diferença estatisticamente significativa entre as pontuações médias dos pacientes quanto à gravidade da dor e níveis de satisfação após as injeções administradas pelas duas técnicas (p = 0,000). Além disso, verificou-se que o sexo do paciente afetou a intensidade da dor relacionada à injeção, mas não afetou o nível de satisfação individual. Conclusão: a técnica de tosse de média intensidade reduz a intensidade da dor e aumenta a satisfação de pacientes submetidos à cirurgia geral recebendo injeções subcutâneas de heparina de baixo peso molecular. Registro do ensaio clínico: NCT05681338.


Subject(s)
Humans , General Surgery , Pain Measurement , Heparin , Prospective Studies , Patient Satisfaction , Cough , Anticoagulants
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