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1.
J Endocrinol Invest ; 2024 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-38499935

RESUMO

PURPOSE: The main study goal is to assess the relationship between adherence to the mediterranean diet (MD) and the presence of diabetic peripheral neuropathy (DPN) in patients with type 2 diabetes mellitus (T2DM). METHODS: Observational pilot study of 174 patients diagnosed with T2DM. Sociodemographic and anthropometric variables, physical activity, smoking habits, blood biochemical parameters and comorbidities were recorded. The presence of alterations in sensitivity to pressure, pain, thermal and vibration was explored. Good MD adherence was a score ≥ 9 the 14-point MD adherence questionnaire (MEDAS-14). RESULTS: The study population consisted of 174 patients (61.5% men and 38.5% women), with a mean age of 69.56 ± 8.86 years; 19% of these patients adhered to the MD. The score obtained in the MEDAS-14 was higher in patients who did not present alterations in sensitivity to pressure (p = 0.047) or vibration (p = 0.021). The patients without diabetic peripheral neuropathy were more likely to comply with the MD and had a higher score on the MEDAS-14 (p = 0.047). However, multivariate analysis showed that only altered sensitivity to pressure was associated with adherence to the MD (altered sensitivity OR = 2.9; 95%CI 1.02-8.22; p = 0.045). CONCLUSIONS: Although the patients with DPN had lower scores on the MEDAS questionnaire and therefore poorer adherence to the mediterranean diet, the only parameter significantly associated with the MD was that of sensitivity to pressure (monofilament test).

4.
Cuad. gest. prof. aten. prim. (Ed. impr.) ; 9(2): 101-113, abr. 2003. tab
Artigo em Es | IBECS | ID: ibc-24942

RESUMO

La acreditación de los centros de atención primaria se presenta como una oportunidad para demostrar estándares de calidad aceptables, sirviendo como un instrumento de evaluación interna. Desde esta perspectiva, la dirección del Centro de Salud Los Ángeles y la Dirección de Atención Primaria del área 18 valoraron la certificación de los servicios asistenciales prestados desde este centro con las normas ISO 9002, como una estrategia para mejorar la calidad del equipo de atención primaria, que, una vez conseguida, sería arma de indudable valor en el plan de calidad total de la asistencia sanitaria de la Comunidad Valenciana. El proyecto se inició en 1999, con el objetivo de garantizar la calidad de los procesos mediante su evaluación y monitorización o de implicar al profesional en la estrategia de mejora de la calidad, consiguiéndose la certificación en noviembre del 2002.En el presente artículo exponemos las características del proceso desarrollado en la certificación, así como las no conformidades, aspectos positivos y dificultades identificadas. (AU)


Assuntos
Qualidade da Assistência à Saúde , Atenção Primária à Saúde , Acreditação , Instalações de Saúde , Espanha
5.
Aten Primaria ; 17(1): 18-22, 1996 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-8742140

RESUMO

OBJECTIVES: To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN: An observational crossover study. SETTING: Primary Care. Concentaina Health Centre. PATIENTS: 144 patients in our centre's diabetes mellitus health programme. MEASUREMENTS AND MAIN RESULTS: There were 31 cases of IOP over 20 mmHg measured with the Schiörtz tonometer, on whom the ophthalmologist repeated the measurement with the Perkins tonometer, i.e. viewing the back of the eye to confirm the existence of papillary cupping consistent with the presence of Glaucoma. We chose a group with normal IOP, homogeneous with the group with high IOP to validate the Schiörtz tonometer, using as confirmation the results obtained by the ophthalmologist with the Perkins tonometer; and as confirmation in the detection of glaucoma, finding papillary excavation in the binocular ophthalmoscopy. Prevalence of glaucoma was 11%, which was 75% in the newly diagnosed cases. The positive predictive value of the Schiörtz tonometer in detecting increases in IOP was 87.1%, and with respect to the detection of glaucoma, it was 35.5%. CONCLUSIONS: The high prevalence of glaucoma in diabetic patients justifies the systematic study of this risk factor. The Schiörtz tonometer is a useful and valid method, that can be used in primary care for glaucoma screening in this population group.


Assuntos
Retinopatia Diabética/diagnóstico , Glaucoma/etiologia , Tonometria Ocular/instrumentação , Idoso , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 2/complicações , Feminino , Glaucoma/epidemiologia , Humanos , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Prevalência , Atenção Primária à Saúde , Espanha/epidemiologia , Tonometria Ocular/métodos
6.
Aten Primaria ; 16(7): 423-7, 1995 Oct 31.
Artigo em Espanhol | MEDLINE | ID: mdl-7495951

RESUMO

OBJECTIVE: To find the reasons which determine failures to comply with anti-flu vaccinations, so that these can be corrected and the coverage of this preventive action be increased. DESIGN: Observational crossover study, done by means of a telephone survey of people over 65. A questionnaire with closed questions, composed after a pilot study and validated by Cronbach's alpha. SETTING: Primary Care Centre (PCC). PATIENTS: We calculated a population sample for qualitative variables (_ = 0.05; p = 0.60; e = 0.05) of 294 people over 65, chosen from the PCC records, by means of random sampling (K = 4) stratified for age and discounting the telephone selection bias. MEASUREMENTS AND RESULTS: The proportion of vaccinated patients (60.9%) obtained in our study did not significantly differ from that in the general population. The percentage of patients included in the programme for the first time was 14%. Level of satisfaction among those vaccinated was 89.4%, with 8.9% of problems detected being light. Main causes of non-vaccination were: thinking that they didn't need it (63.5%), ignorance of the campaign (35.7%), fear of the reaction (24.3%), forgetting (10.4%). The main form of access to the campaign information was from the PCC, both through individuals and posters. Lack of information was statistically significant (p < 0.00001) as a determinant of non-vaccination, without other factors (age, sex, associated pathologies...) explaining these differences. CONCLUSIONS: Individualised and on-going health education by the PCC is fundamental. This would enable the identification of the group not vaccinated due to their express refusal and the recovery of non-vaccinated patients.


Assuntos
Vacinas contra Influenza/administração & dosagem , Influenza Humana/prevenção & controle , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos Cross-Over , Feminino , Humanos , Entrevistas como Assunto , Masculino , Cooperação do Paciente , Satisfação do Paciente , Fatores Sexuais , Inquéritos e Questionários , Vacinação
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