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1.
Med. paliat ; 16(1): 34-38, ene. 2009. graf
Article in Spanish | IBECS | ID: ibc-60737

ABSTRACT

Objetivo: conocer las actitudes de los pacientes de atención primaria ante su futura asistencia sanitaria en los momentos finales de la vida. Material y método: Diseño: estudio descriptivo transversal mediante encuesta. Emplazamiento: zona básica de salud urbana. Participantes:selección de 300 pacientes de atención primaria, por muestreo consecutivo no probabilístico, según el orden de citación en consulta. Mediciones principales: cuestionario anónimo autoadministrado de preguntas cerradas. Resultados: el número de respuestas fue de 131 (43%), con una media de edad de 53,3 años (DE: 17,7). El 96,1% considera útil el documento de voluntades anticipadas (DVA). El 61,9% comentaría el DVA solamente con sus seres queridos, el 13,5% con el médico únicamente, y el 24,6% con ambos. Respecto a una futura situación de incapacidad para tomar decisiones por una enfermedad grave e irreversible, el 52% cree que serían sus seres queridos quienes velarían mejor para que se respetasen sus deseos, mientras un 32,3% confía exclusivamente en el DVA. Existe una asociación estadísticamente significativa (p = 0,045) entre un más alto nivel de estudios y una mayor preferencia por morir fuera de un hospital. Conclusiones: los pacientes que han participado en la encuesta piensan que el DVA es útil, y no tienen inconveniente en hablar con su médico de la futura asistencia sanitaria en los momentos finales de su vida. Al mismo tiempo, manifiestan querer incluir en ese diálogo, y de un modo preferente, a sus seres queridos. El impacto del nivel de estudios de los pacientes sugiere que el futuro abordaje de las cuestiones acerca de los momentos finales de la vida se desarrolle de una forma asequible para quienes tienen menos formación académica (AU)


Objective: to explore attitudes towards end-of-life issues among primary-care patients. Material and method: Design: a cross-sectional descriptive study by means of a survey. Setting: an urban primary healthcare center. Participants: the survey protocol was designed so that 300 primary-care patients were selected by consecutive sampling. Main measurements: anonymous self-administered questionnaire with closed questions. Results: respondents were 43% (131/300). Mean age was 53.3 (SD17.7). Most respondents (96.1%) had a positive attitude toward the living wills document (LWD); 61.9% would deal with the LWD only with their loved ones, 13.5% with their physician, and 24.6% with both; 52% believed that their loved ones would ensure that their wishes be respected in case they became mentally handicapped later in life, and 32.3% confided exclusively in the LWD. Higher levels of education were associated with dying out of hospital (p = 0.045). Conclusions: patients find LWD useful in dealing with end-of-life issues, but prefer to implicate loved ones in making decisions. The consistent impact of education suggests that future efforts about end-of-life issues should include efforts to access elders with less education, and should include educational materials that could be readily understood by persons with lower education levels (AU)


Subject(s)
Humans , Attitude to Death , Primary Health Care/statistics & numerical data , Living Wills/trends , Health Care Surveys , Patient Rights
2.
Gac Sanit ; 6(30): 117-21, 1992.
Article in Spanish | MEDLINE | ID: mdl-1399294

ABSTRACT

We conducted a retrospective analysis of the levels of alcohol in the blood of a group of 54 drivers who required hospital emergency care after having suffered a traffic accident on roads in the Health Area III of Navarra (Spain) from June to September 1989, and compared them to another group of 219 drivers, not victims of traffic accidents, submitted to the breathalyser (test of alcoholaemia) on the roads of the same Health Area over the same period of time. In the group of 54 accident victims, the median alcoholaemia was 100 mg/dl, with a quartile deviation of 88 mg/dl, and the percentage of positives (alcoholaemia equal to or greater than 80 mg/dl) was 50.9%. In the group of 219 drivers not victims of traffic accidents, the median alcoholaemia was 16 mg/dl, the quartile deviation 18.5 mg/dl and the percentage of positive alcoholaemia was 1.8%. Drivers with a level of blood alcohol equal to or greater than 80 mg/dl have an estimated risk (Odds Ratio) of being injured in a traffic accident 55.82 times higher than drivers with a lower level.


Subject(s)
Accidents, Traffic/statistics & numerical data , Alcohol Drinking , Wounds and Injuries/epidemiology , Humans , Risk , Spain/epidemiology
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