Percepción de la salud ante la crisis política asociada al proceso de independencia de Cataluña (España) / Health's Perception in the Face of the Political Crisis Associated with the Catalonia's (Spain) Independence Process

Objetivo principal: Conocer la percepción de las personas sobre la repercusión del contexto político en su salud. Metodología: Se realizó un estudio cualitativo. Participaron cinco usuarios del Centro de Atención Primaria Raval Nord en Barcelona que verbalizaron en consulta malestar físico y emocional relacionado con el contexto político. Se realizaron entrevistas semiestructuradas, preservando el rigor científico mediante la triangulación del investigador. Resultados principales: Todos los participantes manifestaron malestar emocional y físico que relacionaron con incertidumbre y desconfianza hacia las instituciones políticas. Refirieron diferentes tipos de afrontamiento; la evitación fue el más utilizado entre otros como la resignación, la socialización o la implicación. Conclusión principal: Los participantes perciben su salud biopsicosocial afectada por la crisis política. Identifican el contexto político como principal estresor. La integración en la práctica profesional de la dimensión social y la percepción de salud de la persona debe ser una realidad, y es esencial para un cuidado holístico y de calidad

Objective: Get to know people's perception about the consequences of the political context on their own health. Methods: A qualitative study was conducted. Five users of the Raval Nord Primary Care Center in Barcelona city, who during consultation verbalized physical and emotional discomfort related to the political context. Semi-structured interviews were carried out, preserving scientific rigor through the triangulation of the researcher. Results: All participants expressed emotional and physical discomfort related to uncertainty and distrust towards political institutions. They manifested different types coping strategies; avoidance was the most used among others as resignation, socialization and involvement were also described. Conclusions: Participants perceive their biopsychosocial health as affected by the political crisis. They identify the political context as the main stressor. The social dimension and the person health's perception must be integrated into the professional practice, and it is essential for a holistic quality care

Calidad de vida percibida de los pacientes complejos en un programa de gestión de casos en atención primaria de salud / Quality of life perceived by complex patients in a case management program in primary health care

Objetivo Describir la calidad de vida de los pacientes complejos atendidos en un programa de gestión de casos en Atención Primaria de Salud. Material y métodos Estudio descriptivo transversal, mediante muestreo consecutivo, de los pacientes complejos sin deterioro cognitivo atendidos durante el segundo semestre de 2010 en 2 áreas básicas de salud de Barcelona litoral. Se administró el test EuroQol, mediante entrevista individualizada, analizándose los valores en la escala visual analógica (EQ-EVA), y el índice EuroQol, a partir de las 5 dimensiones clave del instrumento. Resultados Se analizan 50 pacientes, con una edad media de 71,46 años, de las cuales son mujeres el 66%. De las dimensiones clave, el dolor es el problema más prevalente, presente en el 80% de los casos, seguido de los problemas de movilidad, actividades de la vida cotidiana, y ansiedad/depresión, con el 62,5%, y por último, los problemas para el cuidado personal, con el 47,5%. Los valores globales en EQ-EVA e índice EuroQol son 51,89 (DE 21,19) y 0,53 (DE 0,26), respectivamente. Se ha detectado peor calidad de vida en EQ-EVA e índice EuroQol en mujeres, y en situaciones de soledad, comorbilidad e hiperfrecuentación al hospital. En el caso de EQ-EVA se aprecia una tendencia a puntuar mejor a mayor edad, y sensiblemente inferior en el caso de los hombres que viven solos (EQ-EVA 36,67 ± 15,27). Conclusiones Los pacientes complejos de nuestro contexto presentan peor calidad de vida que la población >70 años de Cataluña. El uso del EuroQol es útil para realizar comparaciones entre grupos poblacionales (AU)

Objective: To determine the quality of life of complex patients who were part of a case management program in Primary Health Care. Material and methods: A cross-sectional descriptive study was conducted on complex patients who had no cognitive impairment selected by consecutive sampling, who were seen, during the last six months of the year 2010, in two Basic Health Areas on the Coast of Barcelona (Spain). The EuroQol test was administered as an individualised questionnaire. The values were assessed by using Visual Analogue Scale (EQ-VAS) and EuroQol index, from the five key dimensions of the instrument. Results: Fifty patients with a mean age of 71.46 years, and 66% of whom were female, were included in the study. Within the key dimensions, pain was the most important problem in 80% of cases, followed by mobility problems, activities of daily life and anxiety/depression problems in 62.5%, and finally, personal care problems in 47.5% of cases. The global values of EQ-VAS and EuroQol index were 51.89 (SD 21.19) and 0.53 (SD 0.26), respectively. The worst quality of life was detected in EQ-VAS and EuroQol Index for women, in situations of loneliness, co-morbidity, and with higher frequency of visits to hospital. In the EQ-VAS, there was a tendency to score higher when older, and significantly less in case of the men living alone (EQ-EVA 36.67 ± 15.27). Conclusions: Complex patients in our context have a worst quality of life than the general population in Catalonia older than 70 years old (AU)

[Quality of life perceived by complex patients in a case management program in primary health care]. / Calidad de vida percibida de los pacientes complejos en un programa de gestión de casos en atención primaria de salud.

OBJECTIVE: To determine the quality of life of complex patients who were part of a case management program in Primary Health Care. MATERIAL AND METHODS: A cross-sectional descriptive study was conducted on complex patients who had no cognitive impairment selected by consecutive sampling, who were seen, during the last six months of the year 2010, in two Basic Health Areas on the Coast of Barcelona (Spain). The EuroQol test was administered as an individualised questionnaire. The values were assessed by using Visual Analogue Scale (EQ-VAS) and EuroQol index, from the five key dimensions of the instrument. RESULTS: Fifty patients with a mean age of 71.46 years, and 66% of whom were female, were included in the study. Within the key dimensions, pain was the most important problem in 80% of cases, followed by mobility problems, activities of daily life and anxiety/depression problems in 62.5%, and finally, personal care problems in 47.5% of cases. The global values of EQ-VAS and EuroQol index were 51.89 (SD 21.19) and 0.53 (SD 0.26), respectively. The worst quality of life was detected in EQ-VAS and EuroQol Index for women, in situations of loneliness, co-morbidity, and with higher frequency of visits to hospital. In the EQ-VAS, there was a tendency to score higher when older, and significantly less in case of the men living alone (EQ-EVA 36.67±15.27) CONCLUSIONS: Complex patients in our context have a worst quality of life than the general population in Catalonia older than 70 years old. EuroQol is useful to perform comparisons between population groups.