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Effectiveness of information and communication technologies to improve the knowledge of hospitalized patients: systematic review. 信息和通信技术在提高住院病人知识水平方面的效果:系统性综述。
IF 0.4 Q4 NURSING Pub Date : 2024-08-13 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3854
Maria Aline Moreira-Ximenes, Natália Ângela Oliveira-Fontenele, Maria Girlane Sousa-Albuquerque Brandão, Francisca Elizângela Teixeira-Lima, Samila Gomes Ribeiro, Cristiana Brasil de Almeida-Rebouças, Lívia Moreira-Barros, Joselany Áfio-Caetano

Introduction: Hospitals serve as important settings for health education initiatives facilitated by technology. Utilizing these resources, healthcare professionals can enhance patient care practices.

Objective: This study aims to assess the efficacy of information and communication technologies in enhancing the knowledge of hospitalized patients.

Materials and methods: A systematic review was conducted to address the research question: "Which information and communication technologies effectively improve the knowledge of hospitalized patients?" The search encompassed electronic databases such as Scopus, the National Library of Medicine, Web of Science, Cumulative Index of Nursing and Allied Health Literature, Scientific Electronic Library Online, Cochrane, and Excerpta Medica Database. Gray literature was sourced through Google Scholar. The exposure factor was educational interventions employing information and communication technologies, with the outcome measured as improved knowledge. Only randomized clinical trials in any language were included.

Results: A total of 1,153 articles were initially identified, from which four were deemed eligible for inclusion. These studies demonstrated effectiveness in enhancing knowledge through educational interventions utilizing technologies such as video, applications, and concept maps.

Discussion: Information and communication technologies have been shown to enhance patient knowledge. Nonetheless,there is a paucityofresearch exploring hospitals as platforms for technology-mediated educational interventions.

Conclusion: Educational interventions employing information and communication technologies in hospital settings effectively enhance patient knowledge.

导言:医院是技术促进健康教育活动的重要场所。利用这些资源,医疗保健专业人员可以加强患者护理实践。目的:探讨信息通信技术在提高住院患者知识方面的作用。材料与方法:针对“哪些信息和通信技术有效地提高了住院患者的知识”这一研究问题,进行了系统的综述。检索的电子数据库包括Scopus、美国国家医学图书馆、Web of Science、护理与相关健康文献累积索引、科学电子图书馆在线、Cochrane和摘录医学数据库。灰色文献来源于b谷歌Scholar。暴露因素是采用信息和通信技术的教育干预,其结果衡量为知识的提高。只包括随机临床试验在任何语言。结果:最初共确定了1153篇文章,其中4篇被认为符合纳入条件。这些研究证明了利用视频、应用程序和概念图等技术通过教育干预提高知识的有效性。讨论:信息和通信技术已被证明可以提高患者的知识。然而,探索医院作为技术介导的教育干预平台的研究很少。结论:在医院环境中使用信息和通信技术的教育干预有效地提高了患者的知识。
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引用次数: 0
The quality of life of people with multiple sclerosis in Portugal. 葡萄牙多发性硬化症患者的生活质量。
IF 0.4 Q4 NURSING Pub Date : 2024-08-08 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.2841
Rosa Martins, Sara Gomes, Patricia Vicente, Nélia Carvalho, Susana Batista

Introduction: Multiple sclerosis significantly affects the quality of life of those suffering from this specific condition.

Objective: To assess the quality of life of people with multiple sclerosis and analyse the correlation between the disease and its associated effects and different sociodemographic, clinical, and functional variables.

Materials and methods: An observational, cross-sectional, descriptive-correlational and quantitative study conducted using a non-probabilistic convenience sample composed of 70 patients suffering from multiple sclerosis registered with the Multiple Sclerosis Association of the Central Region of Portugal. The data collection protocol included sociodemographic and clinical questions, the Family Apgar Scale, and the Barthel Index. Descriptive and inferential statistics were used to process the data. Data collection took place between April and July 2021.

Results: The majority of participants reported a moderate overall quality of life (M=51,78 ± 24,09). Higher scores were observed in the social relationships and environmental health domains, while lower scores were recorded for the physical domain. Better quality of life was found to be positively associated with being under 45 years old, having higher educational qualifications, living in functional families, and experiencing greater functional independence in activities of daily living.

Discussion: The variables with the strongest association were those capable of influencing the physical and social domains. Those variables explained 59.00% and 53.00% of the variability.

Conclusions: These results indicate that people with multiple sclerosis have a compromised quality of life, highlighting the need for new strategies focusing on early diagnosis and effective preventive interventions meant to improve quality of life across all its domains.

简介:多发性硬化症显著影响着患有这种特殊疾病的患者的生活质量。目的:评价多发性硬化症患者的生活质量,分析该疾病及其相关影响与不同社会人口学、临床和功能变量的相关性。材料和方法:一项观察性、横断面、描述性相关和定量研究,采用非概率方便样本,由70名在葡萄牙中部地区多发性硬化症协会注册的多发性硬化症患者组成。数据收集方案包括社会人口学和临床问题、家庭阿普加量表和巴特尔指数。采用描述性统计和推理统计对数据进行处理。数据收集于2021年4月至7月期间进行。结果:大多数参与者报告的总体生活质量为中等(M=51,78±24,09)。社会关系和环境健康领域的得分较高,而身体领域的得分较低。研究发现,年龄在45岁以下、学历较高、生活在功能健全的家庭中、在日常生活活动中经历更大的功能独立性,与更好的生活质量呈正相关。讨论:关联最强的变量是那些能够影响物理和社会领域的变量。这些变量解释了59.00%和53.00%的变异性。结论:这些结果表明,多发性硬化症患者的生活质量受到损害,强调需要关注早期诊断和有效预防干预的新策略,以改善所有领域的生活质量。
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引用次数: 0
Knowledge and practice of preconception care among women in southeastern Mexico. 墨西哥东南部妇女孕前护理的知识和实践。
IF 0.4 Q4 NURSING Pub Date : 2024-08-02 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3512
Nora Hernández-Martínez, Andrea Paola Pérez-Chablé, Velia Margarita Cárdenas-Villarreal, Norma Edith Cruz-Chávez, Jesús Melchor Santos-Flores

Introduction: Preconception care is intended to increase the chances of a favorable perinatal outcome; little is known about it in low- and middle income countries in Latin America.

Objective: To evaluate the knowledge and practices of PCC and its relationship with sociodemographic and obstetric characteristics in women of childbearing age in southeastern Mexico.

Materials and methods: A cross-sectional study was conducted with 138 women attending health care centers. Consecutive sampling was used, and data were collected with a structured questionnaire. Data analysis involved the calculation of frequencies, percentages, and inferential tests.

Results: Women's APC knowledge score obtained a mean of 13.3 ± 3.24 and for practices a mean of 8.13 ± 3.44 scores considered low for both. Knowledge of APC obtained a relationship with schooling (rs.460, p < .05), monthly economic income (rs =.334, p < .05). In addition, a positive and significant relationship was obtained between knowledge and practice of CPA (rs=.267, p < .05).

Discussion: These findings are consistent with results reported in studies conducted in low- and middle-income countries.

Conclusions: There is a relatively low level of knowledge and adoption of CPA practices in women of childbearing age in southern Mexico, and it is related to education and socioeconomic income, which places them in a population group at high risk for maternal and child health problems.

前言:孕前护理的目的是增加一个有利的围产期结局的机会;在拉丁美洲的低收入和中等收入国家,人们对此知之甚少。目的:评价墨西哥东南部育龄妇女PCC的知识和实践及其与社会人口统计学和产科特征的关系。材料与方法:对138名在保健中心就诊的妇女进行横断面研究。采用连续抽样,采用结构化问卷收集数据。数据分析包括频率、百分比和推断检验的计算。结果:女性APC知识得分平均为13.3±3.24分,实践得分平均为8.13±3.44分,均为低分。APC知识与学校教育(rs = 460, p < 0.05)、月经济收入(rs = 0.05)呈正相关。334, p < 0.05)。此外,注册会计师知识与实践之间存在显著正相关关系(rs=。267, p < 0.05)。讨论:这些发现与在低收入和中等收入国家进行的研究报告的结果一致。结论:墨西哥南部育龄妇女对注册会计师实践的了解和采用程度相对较低,这与教育和社会经济收入有关,这使她们处于孕产妇和儿童健康问题的高风险人群。
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引用次数: 0
Sleep quality and job satisfaction in Spanish nurses: the consequences of COVID-19. 西班牙护士的睡眠质量和工作满意度:COVID-19的后果
IF 0.4 Q4 NURSING Pub Date : 2024-07-30 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3452
Alba Maestro-González, David Zuazua-Rico, Carmen Juan-García, Salvador Villalgordo-García, María Pilar Mosteiro-Díaz, María Plaza-Carmona

Introduction: Sleep is fundamental to the quality of life and can affect individuals' well-being and mental health.

Objective: This study analyzed sleep quality and job satisfaction among Spanish nurses following the COVID-19 pandemic.

Materials and methods: A cross-sectional study was conducted using the Pittsburgh Sleep Quality Index (PSQI), Font Roja Job Satisfaction Questionnaire, and sociodemographic and work- related variables. A "snowball" sampling method was employed through social media dissemination.

Results: The mean PSQI score was 9.75 ± 4.36 points. The poorest sleep quality was identified in participants without dependents (p=0.031; p=3.329; 95% CI=0.035-6.354) and those with dependents other than children (p=0.022; p=4.121; 95% CI=0.575- 7.667). However, having a Ph.D degree (p=0.001; p=-3.406; 95% CI=-5.503- 1.309) or specialist degree (p=0.021; p=-1.639; 95% CI=-3.031- -0.247) was associated with better sleep quality. Higher job satisfaction was found among women (p=0.034; p=0.104; 95% CI=0.007-0.201) who did not work with COVID-19 patients (p=0.049; p=-0.085; 95% CI=-0.174- -0.003).

Discussion: Improving working conditions, such as the nurse-to-patient ratio and distribution of work shifts, is crucial to enhancing nurses' sleep quality.

Conclusions: Spanish nurses reported poor sleep quality. Not having dependents or having dependents other than children were risk factors for poor sleep quality. Job satisfaction was higher among women who did not work with COVID-19 patients. No relationship was found between job satisfaction and sleep quality.

睡眠是生活质量的基础,可以影响个人的幸福和心理健康。目的:分析新冠肺炎大流行后西班牙护士的睡眠质量和工作满意度。材料与方法:采用匹兹堡睡眠质量指数(PSQI)、Font Roja工作满意度问卷、社会人口学和工作相关变量进行横断面研究。通过社交媒体传播采用“滚雪球”抽样方法。结果:PSQI平均评分为9.75±4.36分。无家属的参与者睡眠质量最差(p=0.031;p = 3.329;95% CI=0.035-6.354)和有非儿童家属的患者(p=0.022;p = 4.121;95% ci =0.575- 7.667)。然而,拥有博士学位(p=0.001;p = -3.406;95% CI=-5.503- 1.309)或专科学位(p=0.021;p = -1.639;95% CI=-3.031- -0.247)与较好的睡眠质量相关。女性的工作满意度较高(p=0.034;p = 0.104;95% CI=0.007-0.201),未与COVID-19患者一起工作(p=0.049;p = -0.085;95% ci =-0.174- -0.003)。讨论:改善工作条件,如护患比例和轮班分配,是提高护士睡眠质量的关键。结论:西班牙护士报告睡眠质量较差。没有被抚养人或被抚养人不是孩子是睡眠质量差的危险因素。没有接触过COVID-19患者的女性工作满意度更高。工作满意度和睡眠质量之间没有关系。
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引用次数: 0
Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia. 与男性发生性关系的男性使用精神活性物质的流行情况,哥伦比亚。
IF 0.4 Q4 NURSING Pub Date : 2024-07-26 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3477
Sebastián Bedoya Mejia, Doris Cardona Arango, Maite Catalina Agudelo Cifuentes, Sara Milena Ramos-Jaraba, Giselly Matagira-Rondón, Ángela M Segura-Cardona, Dedsy Yajaira Berbesí-Fernández

Introduction: The use of psychoactive substances (PS) in the population is a current problem that affects a large part of humanity, with diverse consequences.

Objective: To analyze the factors associated with the consumption of PS among men who have sex with other men (MSM) in three Colombian cities.

Material and methods: This cross-sectional descriptive study used the respondent-driven sampling (RDS) method and obtained a sample of 1301 MSM. The association between the sociodemographic and personal characteristics and the consumption of PS was assessed using the chi-square test. Prevalence ratios were calculated along with their 95% confidence intervals. For the multivariate analysis, a Poisson regression with a log link and robust estimator was employed to explore the factors associated with PS use.

Results: The prevalence of consumption of PS in the last year was 87%, prevailing the consumption of alcohol, marijuana, and poppers. Having occasional partners (PR: 0.44; 95% CI 0.29 - 0.67), attending public places or establishments such as bars and saunas (PR: 3.39; 95% CI 2.34 - 4.91), sex work, and not using a condom in the last sexual encounter (PR: 2.10 95% CI 1.37 - 3.22) are factors associated with the use of these substances.

Discussion: There is evidence of a high prevalence of recreational use of PS, even higher than that found in the general population.

Conclusion: A high prevalence and association with risky sexual behaviors is confirmed, which requires promotion and prevention actions to reduce the use of these substances.

精神活性物质(PS)在人群中的使用是一个当前的问题,影响了人类的很大一部分,带来了各种各样的后果。目的:分析哥伦比亚三个城市男男性行为者(MSM)服用PS的相关因素。材料和方法:本研究采用被调查者驱动抽样(RDS)方法,对1301名男男性行为者进行了横断面描述性研究。使用卡方检验评估社会人口学和个人特征与PS消费之间的关系。患病率与其95%置信区间一起计算。对于多变量分析,采用带日志链接的泊松回归和稳健估计器来探索与PS使用相关的因素。结果:去年吸食PS的患病率为87%,其次是酒精、大麻和罂粟花。偶尔有伴侣(PR: 0.44;95% CI 0.29 - 0.67),去公共场所或酒吧和桑拿浴室等场所(PR: 3.39;95% CI 2.34 - 4.91)、性工作和在最后一次性接触中未使用安全套(PR: 2.10 95% CI 1.37 - 3.22)是与使用这些物质相关的因素。讨论:有证据表明,PS的娱乐性使用非常普遍,甚至高于普通人群。结论:确认其高患病率并与危险性行为相关,需要采取促进和预防措施来减少这些物质的使用。
{"title":"Prevalence of psychoactive substance use in men who have sexual relationships with men, Colombia.","authors":"Sebastián Bedoya Mejia, Doris Cardona Arango, Maite Catalina Agudelo Cifuentes, Sara Milena Ramos-Jaraba, Giselly Matagira-Rondón, Ángela M Segura-Cardona, Dedsy Yajaira Berbesí-Fernández","doi":"10.15649/cuidarte.3477","DOIUrl":"10.15649/cuidarte.3477","url":null,"abstract":"<p><strong>Introduction: </strong>The use of psychoactive substances (PS) in the population is a current problem that affects a large part of humanity, with diverse consequences.</p><p><strong>Objective: </strong>To analyze the factors associated with the consumption of PS among men who have sex with other men (MSM) in three Colombian cities.</p><p><strong>Material and methods: </strong>This cross-sectional descriptive study used the respondent-driven sampling (RDS) method and obtained a sample of 1301 MSM. The association between the sociodemographic and personal characteristics and the consumption of PS was assessed using the chi-square test. Prevalence ratios were calculated along with their 95% confidence intervals. For the multivariate analysis, a Poisson regression with a log link and robust estimator was employed to explore the factors associated with PS use.</p><p><strong>Results: </strong>The prevalence of consumption of PS in the last year was 87%, prevailing the consumption of alcohol, marijuana, and poppers. Having occasional partners (PR: 0.44; 95% CI 0.29 - 0.67), attending public places or establishments such as bars and saunas (PR: 3.39; 95% CI 2.34 <b>-</b> 4.91), sex work, and not using a condom in the last sexual encounter (PR: 2.10 95% CI 1.37 - 3.22) are factors associated with the use of these substances.</p><p><strong>Discussion: </strong>There is evidence of a high prevalence of recreational use of PS, even higher than that found in the general population.</p><p><strong>Conclusion: </strong>A high prevalence and association with risky sexual behaviors is confirmed, which requires promotion and prevention actions to reduce the use of these substances.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"15 2","pages":"e3477"},"PeriodicalIF":0.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Technological mediation and humanization of nursing care: a systematic literature review. 技术中介与护理人性化:系统文献综述。
IF 0.4 Q4 NURSING Pub Date : 2024-06-26 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3537
Clara Inés Padilla García, Isabel Jiménez Becerra

Introduction: One of the purposes of nursing education is to provide the health system with highly competent professionals oriented to the generation of humane care practices in their daily work. To achieve this purpose, it is essential to identify the needs that arise within the teaching processes and to clearly establish how the pedagogical use of technologies can improve learning environments.

Objective: To investigate and critically evaluate the contribution of technology to the strengthening of the humanization of care in the field of nursing.

Materials and methods: The methodological approach for systematic literature reviews defined by Okoli, which involves following a rigorous and standardized process to systematically and explicitly identify, evaluate, and synthesize the existing body of research. Initially, 51 articles were selected for analysis. After applying exclusion criteria, 26 studies were extracted and reviewed, identifying categories that highlight the positive influence of technology on cognitive, psychomotor, and affective competencies. Subsequently, the document with the main conclusions was drafted.

Results: The findings reveal the effectiveness of various technological environments in nursing education, highlighting the prioritization of competencies linked to knowing and doing. However, there is an observed tendency to underestimate affective competencies crucial for humane care.

Discussion: The results revealed a diverse landscape regarding the impact of various technologies on the development of nursing competencies, highlighting both strengths and limitations. The ability of these tools to create immersive and realistic learning environments is emphasized, although the need to delve into competencies that promote humane care is acknowledged.

Conclusions: Future research is required to understand the contribution of technologies to the knowledge, attitudes, and values of the professional in training to promote humane nursing care.

导读:护理教育的目的之一是为卫生系统提供高素质的专业人员,以在日常工作中产生人性化的护理实践。为了实现这一目的,必须确定教学过程中出现的需求,并清楚地确定如何在教学中使用技术来改善学习环境。目的:探讨和批判性评价技术对加强护理领域人性化护理的贡献。材料和方法:由Okoli定义的系统性文献综述的方法学方法,包括遵循严格和标准化的过程,系统地和明确地识别、评估和综合现有的研究主体。最初,我们选择了51篇文章进行分析。在应用排除标准后,提取并回顾了26项研究,确定了突出技术对认知、精神运动和情感能力的积极影响的类别。随后,起草了载有主要结论的文件。结果:研究结果揭示了各种技术环境在护理教育中的有效性,突出了与认识和行动相关的能力的优先级。然而,有一种观察到的倾向,低估了对人道关怀至关重要的情感能力。讨论:结果揭示了各种技术对护理能力发展的影响的不同景观,突出了优势和局限性。虽然承认需要深入研究促进人文关怀的能力,但强调了这些工具创造沉浸式和现实学习环境的能力。结论:未来的研究需要了解技术对培训专业人员的知识,态度和价值观的贡献,以促进人性化护理。
{"title":"Technological mediation and humanization of nursing care: a systematic literature review.","authors":"Clara Inés Padilla García, Isabel Jiménez Becerra","doi":"10.15649/cuidarte.3537","DOIUrl":"10.15649/cuidarte.3537","url":null,"abstract":"<p><strong>Introduction: </strong>One of the purposes of nursing education is to provide the health system with highly competent professionals oriented to the generation of humane care practices in their daily work. To achieve this purpose, it is essential to identify the needs that arise within the teaching processes and to clearly establish how the pedagogical use of technologies can improve learning environments.</p><p><strong>Objective: </strong>To investigate and critically evaluate the contribution of technology to the strengthening of the humanization of care in the field of nursing.</p><p><strong>Materials and methods: </strong>The methodological approach for systematic literature reviews defined by Okoli, which involves following a rigorous and standardized process to systematically and explicitly identify, evaluate, and synthesize the existing body of research. Initially, 51 articles were selected for analysis. After applying exclusion criteria, 26 studies were extracted and reviewed, identifying categories that highlight the positive influence of technology on cognitive, psychomotor, and affective competencies. Subsequently, the document with the main conclusions was drafted.</p><p><strong>Results: </strong>The findings reveal the effectiveness of various technological environments in nursing education, highlighting the prioritization of competencies linked to knowing and doing. However, there is an observed tendency to underestimate affective competencies crucial for humane care.</p><p><strong>Discussion: </strong>The results revealed a diverse landscape regarding the impact of various technologies on the development of nursing competencies, highlighting both strengths and limitations. The ability of these tools to create immersive and realistic learning environments is emphasized, although the need to delve into competencies that promote humane care is acknowledged.</p><p><strong>Conclusions: </strong>Future research is required to understand the contribution of technologies to the knowledge, attitudes, and values of the professional in training to promote humane nursing care.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":"15 2","pages":"e3537"},"PeriodicalIF":0.4,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of health outcomes in acute myocardial infarction: a value-based healthcare approach. 急性心肌梗死的医疗效果分析:基于价值的医疗保健方法。
IF 0.4 Q4 NURSING Pub Date : 2024-06-21 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3796
Anderson Bermon, Maricel Licht-Ardila, Edgar Fabián Manrique-Hernández, Alexandra Hurtado-Ortiz

Introduction: Understanding the impact of value-based healthcare and various healthcare payment models on the health outcomes of patients with acute myocardial infarction (AMI) is pivotal for guiding clinical strategies and decisions.

Objective: To compare health outcomes and costs associated with healthcare for AMI patients under insurance prospective global payment (PGP) and fee-for-service models.

Materials and methods: A retrospective cohort study encompassing AMI patients was conducted from 2021-2023. Convenience sampling of participants over 18 years of age diagnosed with type 2 myocardial infarction was conducted. Analysis was based on Colombian healthcare system payment models: PGP and fee-for-service.

Results: The study involved 2134 patients, 657 (31%) under PGP and 1477 (69%) under fee-for-service. Length of hospital stay was associated with the payment model (coefficient -0.68, CI 95%: 0.40 to 0.98, p=0.037). Payment models also correlated with costs (845 USD, CI 95%: 87.92 to 1601; p=0.02). In-hospital mortality is not associated with either of the two contracting models. Quality-adjusted life years (QALYs) totaled 1.6 over a 2-year follow-up.

Discussion: It is evident that throughout the care cycle at the Center of Excellence for Acute Myocardial Infarction, there is added value for patients with the PGP model, as the costs are lower and health outcomes comparable to the fee-for-service model.

Conclusions: The findings of this study underscore the importance of understanding the relationship between value-based healthcare, different healthcare payment models, and health outcomes in AMI patients.

简介:了解基于价值的医疗保健和各种医疗支付模式对急性心肌梗死(AMI)患者健康结果的影响,对于指导临床策略和决策至关重要。目的:比较保险预期全球支付(PGP)和按服务收费模式下AMI患者的健康结果和与医疗保健相关的成本。材料和方法:在2021-2023年进行了一项包括AMI患者的回顾性队列研究。对18岁以上诊断为2型心肌梗死的参与者进行方便抽样。分析是基于哥伦比亚医疗保健系统的支付模式:PGP和按服务收费。结果:该研究涉及2134例患者,657例(31%)采用PGP, 1477例(69%)采用收费服务。住院时间与支付模式相关(系数-0.68,CI 95%: 0.40至0.98,p=0.037)。付费模式也与成本相关(845美元,CI 95%: 87.92 - 1601;p = 0.02)。住院死亡率与两种承包模式均无关联。在2年随访期间,质量调整生命年(QALYs)总计为1.6年。讨论:很明显,在急性心肌梗死卓越中心的整个护理周期中,PGP模式对患者有附加价值,因为成本更低,健康结果与服务收费模式相当。结论:本研究的结果强调了理解基于价值的医疗保健、不同的医疗保健支付模式和急性心肌梗死患者健康结果之间关系的重要性。
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引用次数: 0
Factors associated with adherence to antihypertensive agents in the older adult. 老年人抗高血压药物依从性的相关因素。
IF 0.4 Q4 NURSING Pub Date : 2024-05-28 eCollection Date: 2024-05-01 DOI: 10.15649/cuidarte.3474
Jack Roberto Silva Fhon, María Del Pilar Gómez-Luján, Gideany Maiara Caetano, Giovanna Sara Cáceda-Ñazco, Alexandre Pereira Dos Santos-Neto, Zoila Esperanza Leitón-Espinoza

Introduction: With aging, there is an increased risk of suffering from different chronic diseases, including high blood pressure. Hypertension management must be carried out by health professionals, whether or not treatment involves medication. By controlling drug treatment, especially adherence, serious health problems for older people can be avoided.

Objective: To determine the factors associated with adherence to arterial hypertension treatment in older adults who live at home.

Materials and methods: A quantitative and cross-sectional study was conducted in La Libertad Region, Peru, with 342 older adults living at home. For data collection, a sociodemographic profile form, anthropometric measurements, blood pressure measurements, the Mini-mental State Examination (MMSE) test, the Geriatric Depression Scale (GDS), and the Morisky Green Levine (MGL) adherence scale were used. In addition, descriptive and analytical statistics were used.

Result: 57.60% of the participants did not adhere to the pharmacological treatment, and, in most of the sociodemographic variables examined, they did not adhere to pharmacological treatment in most cases. Likewise, a relationship between retirement in older adults and the MGL adherence scale score was identified. The study showed evidence linking treatment adherence and age (p=0.01), retirement status (p=0.05), and history of stroke (p=0.004).

Discussion: Treatment adherence depends on sociodemographic and health factors for disease control and a healthy lifestyle.

Conclusion: Older adults and their caregivers need guidance and education to improve adherence to pharmacological treatments.

导读:随着年龄的增长,患各种慢性疾病的风险增加,包括高血压。高血压管理必须由卫生专业人员进行,无论治疗是否涉及药物治疗。通过控制药物治疗,特别是依从性,可以避免老年人出现严重的健康问题。目的:确定与居家老年人动脉高血压治疗依从性相关的因素。材料和方法:在秘鲁拉利伯塔德地区进行了一项定量和横断面研究,共有342名住在家里的老年人。数据收集使用了社会人口统计资料表、人体测量、血压测量、迷你精神状态检查(MMSE)测试、老年抑郁量表(GDS)和Morisky Green Levine (MGL)依从性量表。此外,还采用了描述性统计和分析性统计。结果:57.60%的参与者没有坚持药物治疗,并且在大多数检查的社会人口学变量中,他们在大多数情况下没有坚持药物治疗。同样,老年人退休与MGL依从性量表得分之间的关系也被确定。研究显示,治疗依从性与年龄(p=0.01)、退休状态(p=0.05)和中风史(p=0.004)有关。讨论:治疗依从性取决于疾病控制和健康生活方式的社会人口学和健康因素。结论:老年人及其护理人员需要指导和教育来提高对药物治疗的依从性。
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引用次数: 0
[Psychosocial Factors and Work Performance of Collaborators at a Private Educational Institution, Lima, 2021Fatores psicossociais e desempenho profissional em funcionários de uma instituido de ensino privada, Lima, 2021]. 2021年,利马,私人教育机构合作者的心理社会因素和工作表现
IF 0.4 Q4 NURSING Pub Date : 2023-12-25 eCollection Date: 2023-09-01 DOI: 10.15649/cuidarte.2738
María Magdalena Díaz Orihuela, Janett Virginia Chávez Sosa, Luz Victoria Castillo Zamorra, Dajana Lyz Marquez Arcce, Jhon David Tantajulca Zuta, David Bryan Santamaría Gutiérrez

Introduction: People's work has always transformed the world; however, it has also posed many risks and diseases. Likewise, work has been affected by globalization, technology, and the COVID-19 health crisis. There have been transformations in employment structures and working conditions, which have become more demanding. These conditions have predisposed negative psychosocial factors that threaten health, causing occupational illnesses and accidents and, consequently, poor work performance.

Objective: To determine the relationship between psychosocial factors and work performance in employees of a private educational institution in Lima.

Methods: Quantitative approach, non-experimental, cross-sectional, and correlational design. A total of 120 employees of the private educational institution participated in the study, according to a non-probabilistic sampling method. The Psychosocial Factors at Work Questionnaire and the "Individual Work Performance Questionnaire," shared digitally via e-mail, were used.

Results: Of the total respondents, 52.50% had a good perception of psychosocial factors; however, a poor perception was identified in the dimensions "work demands" (63.30%) and "satisfaction with performance compensation" (52.50%).

Conclusion: Workers who indicated high work demands were 11 times more likely to have high work performance (OR: 11.03; 95% CI: 1.71-17.95).

重点:工作受到全球化、技术和COVID-19健康危机的影响;工作条件的变化。新的工作形式带来了新的职业风险和疾病。职业危险条件使心理社会因素对健康构成威胁,导致疾病和职业事故。工人的职业健康被认为是必不可少的安全保障,这导致了新的心理社会挑战。工人的职业健康认为,在COVID-19大流行造成新的心理社会挑战的影响下,保障安全和健康至关重要。简介:人们的工作活动总是改变着世界,但它也带来了许多风险和疾病。此外,全球化、技术和COVID-19造成的健康危机也影响了工作。这些条件导致就业结构和工作条件发生变化,对工作领域的要求越来越高,从而导致威胁健康的消极心理社会因素;造成职业病和事故,导致工作表现不佳。摘要目的:探讨社会心理因素与利马某私立教育机构员工工作绩效的关系。方法:定量方法,非实验设计,横断面和相关类型。本研究以私立教育机构的120名员工为研究对象,采用非概率抽样;作为工具,我们采用了“工作中的心理社会因素”问卷和通过电子邮件数字化分享的“个人工作绩效问卷”。结果:52.50%的受访者对心理社会因素有良好的认知;然而,对工作需求维度的感知较差,为63.30%,对绩效薪酬的满意度为52.50%;在可变工作绩效方面,75.00%的人表现出较高的水平。结论:表现出高工作要求的员工在工作中表现出高绩效的可能性要高出11倍(OR: 11.03;95% ci: 1.71 - 17.95)。引用这篇文章:diaz Orihuela, maria Magdalena, chavez Sosa Janett Virginia, Castillo Zamora Luz Victoria, Marquez Arcce Dajana Lyz, Tantajulca Zuta Jhon David和santamaria gutierrez David Bryan。私立教育机构合作者的社会心理因素和工作表现,利马,2021年。《Cuidarte》杂志,2023;14(3):e2738。http://dx.doi.org/10.15649/cuidarte.2738
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引用次数: 0
[Construction and validation of a video about breast cancer for deaf womenConstrucción y validación de un video sobre el cáncer de mama para mujeres sordas]. 聋人乳腺癌症视频的构建与验证
IF 0.4 Q4 NURSING Pub Date : 2023-12-24 eCollection Date: 2023-09-01 DOI: 10.15649/cuidarte.3076
Júlia Diana Pereira-Gomes, Aline Tomaz-De-Carvalho, Maria Girlane Sousa-Albuquerque-Brandao, Nelson Miguel Galindo-Neto, Maria Do-Livramento-Fortes-Figueiredo, Monaliza Ribeiro Mariano-Grimaldi

Introduction: In the world, one billion people have some kind of disability, among them hearing impairment and more than 190 million are deaf women. It is relevant technologies for inclusive and accessible education about breast cancer to deaf women.

Objective: To build and validate an educational video for deaf women on breast cancer prevention and screening.

Materials and method: Methodological study with construction of educational video and validation by 11 content specialists and seven technical specialists. Content based on the Ministry of Health and the National Cancer Institute. The Health Education Content Validation Instrument was used for content analysis. Validity was attested by the Content Validity Index and the binomial test.

Results: The video is 17 minutes and 12 seconds long. In the content validation all items had agreement above 90.9% among participants. The overall Content Validity Index was above 0.90 among the content experts. 85.8% of the technical experts considered the material excellent, very good or good.

Discussion: The video contributes to teaching and learning about the theme, self-care actions and health promotion for deaf women.

Conclusions: Video constructed with narration in LIBRAS, was considered valid in terms of content and technical aspects and can be used in future research and health education for deaf women.

亮点:教育视频在指导聋哑妇女乳腺癌症筛查和预防的同时,促进了健康包容。视频是一种妇女(包括聋人)可以获得的技术产品,有助于获得信息,这可以降低这种疾病的死亡率。视频中使用的交流有音频、葡萄牙语字幕、LIBRAS翻译、解释性动画图像,从而提供了一些有趣的元素,促进了可访问性。即使在没有卫生专业人员的情况下,该视频也可以用于个人或集体交流,因为它有明确和标准化的指导方针,自我指导和灵活。简介:在世界上,有10亿人患有某种残疾,其中包括听力损失,超过1.9亿是聋哑妇女。为聋人提供包容和可获得的癌症乳腺癌教育的技术是相关的。目的:建立并验证聋哑妇女乳腺癌症预防和筛查的教育视频。材料和方法:由11名内容专家和7名技术专家进行的教育视频构建和验证的方法学研究。内容基于卫生部和国家癌症研究所。在内容分析中,使用了《健康教育内容验证工具》。有效性通过内容有效性指数和二项式检验进行验证。结果:视频时长17分12秒。在内容验证中,所有项目在参与者中的一致性均在90.9%以上。内容专家的全球内容有效性指数高于0.90。85.8%的技术专家认为这种材料很好、很好或很好。讨论:该视频有助于教授和学习聋人的主题、自我保健行动和健康促进。结论:在LIBRAS中使用叙述构建的视频在内容和技术方面是有效的,可用于未来的研究和聋人健康教育。如何引用这篇文章:戈梅斯,朱莉亚·戴安娜·佩雷拉;德卡瓦略、阿琳·托马斯;Brandão,Maria Girlane Sousa Albuquerque;加林多·内托、纳尔逊·米格尔;Figueiredo,María Do Livramento Fortes;格里马尔迪,莫纳丽莎·里贝罗·马里亚诺。为聋哑妇女制作癌症视频并进行验证。Cuidart杂志。2023年;14(3):e3076。http://dx.doi.org/10.15649/cuidarte.3076
{"title":"[Construction and validation of a video about breast cancer for deaf womenConstrucción y validación de un video sobre el cáncer de mama para mujeres sordas].","authors":"Júlia Diana Pereira-Gomes, Aline Tomaz-De-Carvalho, Maria Girlane Sousa-Albuquerque-Brandao, Nelson Miguel Galindo-Neto, Maria Do-Livramento-Fortes-Figueiredo, Monaliza Ribeiro Mariano-Grimaldi","doi":"10.15649/cuidarte.3076","DOIUrl":"10.15649/cuidarte.3076","url":null,"abstract":"<p><strong>Introduction: </strong>In the world, one billion people have some kind of disability, among them hearing impairment and more than 190 million are deaf women. It is relevant technologies for inclusive and accessible education about breast cancer to deaf women.</p><p><strong>Objective: </strong>To build and validate an educational video for deaf women on breast cancer prevention and screening.</p><p><strong>Materials and method: </strong>Methodological study with construction of educational video and validation by 11 content specialists and seven technical specialists. Content based on the Ministry of Health and the National Cancer Institute. The Health Education Content Validation Instrument was used for content analysis. Validity was attested by the Content Validity Index and the binomial test.</p><p><strong>Results: </strong>The video is 17 minutes and 12 seconds long. In the content validation all items had agreement above 90.9% among participants. The overall Content Validity Index was above 0.90 among the content experts. 85.8% of the technical experts considered the material excellent, very good or good.</p><p><strong>Discussion: </strong>The video contributes to teaching and learning about the theme, self-care actions and health promotion for deaf women.</p><p><strong>Conclusions: </strong>Video constructed with narration in LIBRAS, was considered valid in terms of content and technical aspects and can be used in future research and health education for deaf women.</p>","PeriodicalId":43234,"journal":{"name":"Revista Cuidarte","volume":" ","pages":"e12"},"PeriodicalIF":0.4,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41900430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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