ABSTRACT
Este studio quiere describer el consume de preparados de plantas medicinales (PM) en el barrio de Gracia de la ciudad de Barcelona. Para ello, se realizó una encuesta auto-administrada a 161 usuarios de Atención Primaria (AP) atendidos en consulta de enfermería, entre mayo y julio del 2012. El consumo de PM es muy elevado puesto que ciento treinta y siete individuos (85%) se declaran consumidores habituales de PM. Las PM más utilizadas son: manzanilla (81% de los consumidores), tomillo y menta; mayoritariamente en forma de infusión (58%). Las personas mayores de 65 años representan el 48,2% de consumidores de PM de la muestra y de la población joven (entre 20-40 años), el 96% se declaran consumidores de PM. En conclusión, la ingesta de PM es común y alcanza niveles elevados. Siendo así, debe considerarse el registro informático de este hábito en los centros de atención primaria, para evaluar posibles interacciones farmacológicas y efectos secundarios (AU)
Este estudo pretende descrever o consumo de preparaçoes à base de plantas (PM), no bairro de Gracias, em Barcelona. Para isso, fou realizado um inquérito auto-administrado a 161 utentes de Cuidados de Saúde Primários atendidos em consultas de enfermagem, entre Maio e Julho de 2012. O consumo de PM è muito elevado, visto que cento e trinta e sete individuos (85%) declararam-se consumidores regulares de PM. As PM mais consumidad sao: camomila (81% consumidores), tomilho e menta; principalmente na forma de infusao (58%). As pessoas maiores de 65 anos representas 48,2% dos consumidores de PM da amostra, e da populaçao joven (entre 20-40 anos) 96% declararam-se consumidores de PM. Em conclusao o consumo de PM è comum e alcança níveis elevados. Assim, debe consider-se o registo informático desde hábito de consumo de PM nos Serviços de Saúde Pública, para avaliar possíveis interaçoes medicamentosas e efeitos colaterais (AU)
This study aims to describe the consumption of herbal preparations (PM) in the Gracia district of Barcelona. For this, a self-administered survey of 161 users of Primary Care (AP) seen in nursing consultations between May and July 2012 was performed. PM consumption is very high as one hundred thirty seven individuals (85%) are regular users of PM. The PM most consumed are: chamomile (81% os consumers), thyme and mint; mostly as an infusion (58%). People over 65 account for 48.2% of PM consumers of the sample and the 96% of the young population (20-40 years), declare to be PM consumers. In conclusion, the intake of PM is common and hign. For this reason, the computer recording of this habit should be considered in primary care, in order to evaluate possible drug interactions and side effects ( AU)
Subject(s)
Humans , Male , Female , Middle Aged , Plants, Medicinal , Office Nursing , Chamomile , Surveys and Questionnaires , Phytotherapy/methods , Phytotherapy , Primary Health Care/methods , Primary Health Care , Cross-Sectional Studies/methods , Cross-Sectional Studies , Confidence IntervalsABSTRACT
BACKGROUND: Ambulatory blood pressure monitoring (ABPM) was implemented in our primary care setting four years ago. Since then, 450 ABPMs have been performed and 69 riser subjects identified. The riser pattern is an independent risk factor for both incidence of cardiovascular events and their associated mortality. OBJECTIVE: The purpose of this study was to assess the amount of control of essential hypertension (EH) among riser patients and to evaluate how our health professionals manage therapeutic changes in riser individuals. MATERIALS AND METHODOLOGY: This retrospective study involved 34,289 inhabitants served in a centre in the Barcelona metropolitan area. EH individuals (450) were recruited and ABPM was performed following guidelines of the MAPAPRES (www.cardiorisc.com/MP/index_MP.asp). RESULTS: Good control of blood pressure was observed in 46% of dipper and non-dipper subjects but only 35% of riser subjects had blood pressures within good control ranges. The measured cardiovascular risk was either high or very high in 35% of riser individuals. Changes in medication were introduced in riser patients with both good and poor blood pressure control. A second follow-up ABPM was done in only 27% of the riser individuals. In these subjects, therapeutic changes successfully modified ABPM patterns in 87% of cases. CONCLUSIONS: Therapeutic changes in riser patients were introduced when these subjects were poorly controlled and these changes were highly effective. Additional ABPM to confirm the effectiveness of therapeutic changes was only performed in some individuals. Thus, for management of riser patients, more specific training of health professionals is needed.
Subject(s)
Blood Pressure Monitoring, Ambulatory/standards , Cardiovascular Diseases/prevention & control , Hypertension/diagnosis , Hypertension/drug therapy , Outcome Assessment, Health Care , Primary Health Care/methods , Antihypertensive Agents/therapeutic use , Blood Pressure Monitoring, Ambulatory/trends , Cohort Studies , Disease Management , Essential Hypertension , Female , Health Care Surveys , Health Personnel , Humans , Male , Prognosis , Retrospective Studies , Risk Assessment , Severity of Illness Index , Spain , Treatment Outcome , Urban PopulationABSTRACT
BACKGROUND: Ambulatory blood pressure monitoring (ABPM) predicts cardiovascular risk and identifies white-coat and masked hypertension, efficacy of treatment and the circadian cycle of hypertensive patients. OBJECTIVE: To analyze the effectiveness of ABPM implementation thoughtout a nurse-driven training program. MATERIALS AND METHODOLOGY: Twenty eight professionals were involved in the study carried out in the primary care center of the metropolitan area of Barcelona that serves 34,289 inhabitants. The ABPM implementation program was driven by two nurses that held four education sessions. After a 2-year follow-up period, we assessed the outcome of attendance at the educational sessions. First, we evaluated whether the program increased the number of orders of ABPM. Second, we used a survey to evaluate to what extent the input of our educational sessions was understood by attendants. Third, we analyzed the effect ABPM results had on the treatment of patients with a bad control of their hypertension. RESULTS: After the training sessions we found a 6-fold increase in the number of patients undergoing ABPM. We analyzed 204 hypertensive individuals: 41% dippers, 34% were non-dippers, 20% were risers and 5% were extremely dippers. According to our survey, 100% of attendants had a good practice regarding ABPM management. However only 27% of riser patients were studied with a second ABPM. CONCLUSIONS: Specific training processes are needed for implementation of ABPM and an even more concentrated effort should be focused on training in the correct interpretation of ABPM results.
