ABSTRACT
OBJECTIVE: Validation of a questionnaire designed to stratify the level of digital competence in chronic patients. METHOD: Cross-sectional study, carried out in the Endocrinology and Nutrition Section of the Complejo Asistencial Universitario de León (CAULE). We selected the digital competencies section of the Cambados questionnaire, designed for the identification of digital chronic patient, with a maximum score of 20 points. The questionnaire was completed for validation by patients for whom were prescribed a digital tool for glycemic control. Reliability was assessed by assessing the correct use of the prescribed tool and internal consistency. RESULTS: The questionnaire was completely filled in by 171 patients, with a mean age of 44.36 (SD 17.36). The mean score obtained in the questionnaire was 11.04 (SD 4.74) and a score over 12 was the most appropriate cut-off point to discriminate between patients according to their level of digital competence. 48.54% of the patients made adequate use of the tool. The scale showed good internal consistency with a Cronbach's alpha of 0.77. CONCLUSIONS: The results reached in the present study allow us to affirm that the responses obtained from the patients in the digital competency definition questionnaire are a good indicator of the use of digital tools.
Subject(s)
Diabetes Mellitus, Type 1 , Humans , Adult , Diabetes Mellitus, Type 1/therapy , Reproducibility of Results , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
BACKGROUND: The expansion of intensive care areas has been one of the most significant measures in this forced adaptation to the evolution of the different phases of the COVID-19 pandemic. The objective is to evaluate the deployment of contingency plans in the care of patients admitted to intensive care units during the period from March 19 to April 20, 2020, in a public hospital, reference for 300,000 inhabitants belonging to the Galician Health Service. MATERIALS AND METHODS: Qualitative research from focus groups, with systematic sampling. Based on the adaptation to the health environment of the 10 measures recommended by Deloitte to face a pandemic, an evaluation was carried out by the quality unit of the Health Area. As outcome indicators, the number of COVID-19 patients, % of patients admitted to hospital, % patients admitted to intensive care units, as well as the number of deaths from COVID-19, were evaluated in seven health areas in the period March 19 to April 20, 2020. RESULTS: The qualitative evaluation identified 2 areas for improvement (communication and risk assessment) of the 10 recommended measures. The Health Area has the lowest relative (2.6%) and absolute (16) rate of deceased patients, as well as the lowest relative (7.9%) and absolute (24) rate of patients admitted to intensive services for COVID-19. The infection rate in professionals has been 4.4%. CONCLUSIONS: The simplicity and identification of areas for improvement added to the low consumption of resources are strengths of this proposal. This self-assessment can be helpful in identifying areas for improvement.
Subject(s)
COVID-19 , COVID-19/epidemiology , Critical Care , Hospitals , Humans , Intensive Care Units , PandemicsABSTRACT
INTRODUCTION: The objective of this study is to determine the reasons for refusing the flu vaccination in the Primary Care Health Centre of Vilanova de Arousa, Spain, as well as to evaluate the flu vaccination coverage after an educational intervention. MATERIAL AND METHODS: A quasi-experimental before and after study was conducted after an educational intervention on a total of 73 people that included those Primary Care Health Centre patients from Vilanova de Arousa who had refused the flu vaccination in 2014, and who did not meet the exclusion criteria (death during 2014 and 2015 campaigns, non-acceptance of participation, vaccine registration mistakes, contraindication or no indication for the vaccine, inability to contact). After a brief educational intervention, vaccination data from those patients in the 2015 and 2016 campaigns were checked. A descriptive analysis of the variables under study was then carried out. Of the 73 patients initially included, 72 completed the study. RESULTS: The main reasons for refusing a vaccination were the concerns about the adverse effects and patient perception of good health. Vaccination coverage was 50.7% in 2015, and 48.6% in 2016. CONCLUSIONS: The reasons for refusing vaccination are approachable with a brief intervention since the refusal decreases by half in the long-term.
Subject(s)
Health Education/methods , Influenza Vaccines/administration & dosage , Influenza, Human/prevention & control , Vaccination Refusal/statistics & numerical data , Aged , Female , Humans , Influenza Vaccines/adverse effects , Male , Primary Health Care , Spain , Vaccination/statistics & numerical data , Vaccination Coverage/statistics & numerical data , Vaccination Refusal/psychologyABSTRACT
Los tumores renales son causantes de hipertensión arterial en un bajo porcentaje de casos. El más frecuentemente implicado es el feocromocitoma, aunque están descritos otros tumores. Uno de ellos es el hipernefroma, caso que a continuación se describe y que además utilizamos como ejemplo de cronoterapia
Renal tumors cause arterial hypertension in a low percentage of cases. The most frequently involved is pheochromocytoma, although other tumors are described. One of them is hypernephroma, a case is described in the following and is also used as an example of chronotherapy
