[Registry of preventive activities in women: variability in Vizcaya, Spain]. / Variabilidad en Vizcaya del registro de las actividades preventivas en la mujer.

BACKGROUND: Several studies have reported that there is a lack of preventive activities performance in Primary Health Care, however in Vizcaya, the situation is not known, so, we decided determine the percentage of preventive activities carried out on women by primary care physicians which are recorded in the Electronic Health Record (Osabide), and analyze the characteristics which determine differences in registration between regions and physicians. METHODS: We conducted a cross-sectional study involving 425 women aged between 26 and 51 years who were to the general practitioners' consult at least twice, and who were again on April 28, 29 or 30, 2011. We colleted as primary variable the registries of contraceptives practices (group aged between 26 and 51 years), the registries of cervical cytologies during the last five years, as well as the registries of mammograms performed during the two last years, and compared the medical record between men and women practitioners, health regions and between areas with and without centers for women, using the chi-square statistic. RESULTS: In 139 (34.1%) of all women and in 99 (48.3%) of women aged between 26 and 51 years there was registry of cytologies and contraceptives practices respectively. The mammography performance was registered in 22 (10.7%) of women aged between 52 and 65 years. CONCLUSIONS: The registry of preventive activities on women is low. We have observed differences by practitioners' gender.

Variabilidad en Vizcaya del registro de las actividades preventivas en la mujer / Registry of preventive activities in women. Variability in Vizcaya, Spain

Fundamentos: Diferentes estudios han puesto de manifiesto que existe un déficit de realización de actividades preventivas en nuestro medio, sin embargo, en Vizcaya la situación todavía no se conoce. El objetivo del trabajo es determinar el porcentaje de registro en la historia clínica informatizada (Osabide) de las actividades preventivas realizadas en la mujer por los médicos/as de atención primaria, y analizar las características que condicionan las diferencias en el registro. Métodos: Estudio descriptivo transversal que incluyó a 425 mujeres con edades comprendidas entre 26 y 65 años que habían acudido a consulta en más de una ocasión y que lo hicieron nuevamente los días 28, 29 ó 30 de abril de 2010. Se recogió como variable principal el registro de prácticas anticonceptivas (grupo de 26 a 51 años), de citologías cervicales durante los últimos 5 años, y de mamografías los últimos 2 años (grupo de 52 a 65 años), y se comparó dicho registro entre médicos y médicas, entre comarcas sanitarias y entre zonas con CAM (Centro de Atención a la Mujer) y sin él, mediante el estadístico chi2. Resultados: Del total de mujeres incluidas en el estudio, en 139 (34,1%) existía registro de citología en la historia clínica. De aquéllas con edad entre 26 a 51 años, 99 (48,3%) tenían registro de prácticas anticonceptivas. 22 (10,7%) de las mujeres con edad entre 52 a 65 años tenían registro de mamografía. Conclusiones: El registro de actividades preventivas en la mujer en Osabide-Vizcaya es bajo. Se han observado diferencias en el registro según sexo del médico(AU)

Background: Several studies have reported that there is a lack of preventive activities performance in Primary Health Care, however in Vizcaya, the situation is not known, so, we decided determine the percentage of preventive activities carried out on women by primary care physicians which are recorded in the Electronic Health Record (Osabide), and analyze the characteristics which determine differences in registration between regions and physicians. Methods: We conducted a cross-sectional study involving 425 women aged between 26 and 51 years who were to the general practitioners’ consult at least twice, and who were again on April 28, 29 or 30, 2011. We colleted as primary variable the registries of contraceptives practices (group aged between 26 and 51 years), the registries of cervical cytologies during the last five years, as well as the registries of mammograms performed during the two last years, and compared the medical record between men and women practitioners, health regions and between areas with and without centers for women, using the chi-square statistic. Results: In 139 (34.1%) of all women and in 99 (48.3%) of women aged between 26 and 51 years there was registry of cytologies and contraceptives practices respectively. The mammography performance was registered in 22 (10.7%) of women aged between 52 and 65 years. Conclusions: The registry of preventive activities on women is low. We have observed differences by practitioners’ gender(AU)

Hábito y actitud respecto al tabaco en enfermería de atención primaria de Bilbao / Smoking and attitudes to smoking among primary care nurses in Bilbao (Spain)

Objetivo. Explorar hábitos, conocimientos y actitudes con respecto al tabaquismo en enfermería de atención primaria de la zona de Bilbao (Osakidetza). Método. Estudio descriptivo mediante cuestionario autocumplimentado realizado entre diciembre de 2003 y febrero de 2004 en 23 centros de salud: 156 (72%) respuestas válidas sobre 218 cuestionarios remitidos. Resultados. El 89% son mujeres, con una media de edad de 42 años. El 22% son fumadores habituales; el 8%, ocasionales; el 33%, ex fumadores, y el 37%, no fumadores. Al 77% le gustaría dejarlo, y el 69% lo ha intentado. El 48% cree que no fumará en 2 años. El 95% es partidario de considerar los centros de salud como “áreas sin humo”, y el 82%, de hacerlo con los lugares públicos cerrados (entre los fumadores, sólo el 60%; p < 0,001). El 64% pregunta a sus pacientes por su hábito, y el 71% aconseja siempre el abandono del tabaco. El 12% cree tener conocimientos suficientes para llevar programas de deshabituación, y el 94% está interesado en formarse. El 99% cree que los profesionales no deberían fumar delante del paciente, y el 88% cita “dar buen ejemplo” como motivo para abandonar el tabaco. Conclusiones. Baja prevalencia de fumadores y alta tasa de ex fumadores en comparación con otros estudios en sanitarios y población general, pero aún lejos de los valores de otros países desarrollados. Gran disposición para aconsejar a los pacientes. Gran interés en formarse y en asumir el papel ejemplar de la enfermería. Creemos que hace falta una mayor implicación de la Administración para aplicar consensos antitabaquismo

Objective. To investigate smoking habits, and knowledge and attitudes related to smoking among nursing professionals in primary care in the area of Bilbao (Basque National Health Service). Method. A descriptive study was performed from December 2003 to February 2004 using a self completed questionnaire in 23 primary health care centres. Of 218 questionnaires sent, 156 (72%) valid responses were obtained. Results. Eighty-nine percent of respondents were female with a mean age of 42 years. Twenty-two percent were regular smokers, 8% smoked occasionally, 33% were former smokers and 37% were non-smokers. Seventy-seven percent of smokers wanted to quit, while 69% had attempted to quit. Forty-eight percent believed they would not smoke in the next 2 years. Ninety-five percent were in favor of making health centers a “No Smoking Area” and 82% were in favor of a smoking ban in all indoor public spaces (among smokers only 60%; p < 0.001). Sixty-four percent asked their patients about smoking and 71% advised them to give up. Twelve percent considered they had sufficient knowledge to carry out smoking cessation programs and 94% showed interest in receiving training. Ninety-nine percent believed that health professionals should not smoke in front of patients and 88% cited “setting a good example” as a reason for quitting. Conclusions. The present study found a low prevalence of smokers and a high rate of former smokers in comparison with other studies performed among health professionals and the general population, but the rates remain higher than in other developed countries. Nurses showed great willingness to give advice to patients and strong interest in training and serving as role models. We believe that greater efforts should be made by management to put smoking cessation programs into practice