Atencion Primaria最新文献

英文中文

La salud podológica como estrategia de equidad y prevención desde la atención primaria 足部健康作为初级保健中的公平和预防战略

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103422

Natalia Tovaruela-Carrión , Daniel López-López , Juan Gómez-Salgado

引用次数: 0

Revisión de la autoexploración mamaria y autoconciencia mamaria 乳房自我检查和乳房自我意识审查

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103435

Cruz Bartolome-Moreno , Jorge Navarro-Soriano , Elena Melus-Palazón

引用次数: 0

Efecto de una intervención grupal interdisciplinar en pacientes frágiles: un estudio cuasiexperimental pre-post [跨学科群体干预对虚弱患者的影响：一项前后准实验研究]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2026-01-06 DOI: 10.1016/j.aprim.2025.103412

Gemma Riera Arias , Aina Bao Fang Rodriguez Rubio , Marina Casadevall Arnaus , Judith Serra Corcoll , Glòria Arnau Solé , Núria Prat Gil

Objective

To evaluate the effect of an interdisciplinary group intervention in frail patients in relation to their frailty index, eating habits, quality of life and prescribed pharmacological regimen.

Design

Non-controlled, quasi-experimental longitudinal study. A pre-post intervention.

Location

Sant Hipòlit de Voltregà Primary Health Care Center, Barcelona.

Participants

Sixty-one participants were recruited who met the initial frailty diagnosis (0.20-0.35 VIG frailty index). Finally 6 participants dropped out of the intervention and 55 participants completed the study.

Intervention

Individualized intervention with psychosocial assessment, adequacy of the therapeutic plan assessment and interdisciplinary group intervention of 12 sessions to inform on the management of frailty.

Main measurements

Sociodemographic/psychosocial information was collected from the clinical history, the participant's level of frailty was assessed using the VIG-frail test, quality of life was assessed using the EuroQol questionnaire, adherence to the Mediterranean diet using the PREDIMED questionnaire and the adequacy of the therapeutic plan by measuring the decrease in medication-related incidents.

Results

Statistically significant improvements were observed in the PREDIMED Mediterranean diet adherence test (p-valor=001) and in the aspects of the EuroQol test related to the level of anxiety/depression (p-valor=037). Pharmacological incidences were reduced by 45.28%.

Conclusions

This interdisciplinary preventive intervention helps people with initial frailty to build healthy eating habits, promotes emotional well-being and reduces medication-related incidences.

目的：评价跨学科群体干预对虚弱患者虚弱指数、饮食习惯、生活质量和处方药物治疗方案的影响。设计：非对照、准实验纵向研究。前后干预。地点：Sant Hipòlit de voltreg初级保健中心，巴塞罗那。参与者：招募61名符合初始虚弱诊断（0.20-0.35 VIG虚弱指数）的参与者。最后，6名参与者退出了干预，55名参与者完成了研究。干预：个体化干预，包括心理社会评估、治疗计划评估的充分性和12次跨学科小组干预，以了解虚弱的管理。主要测量方法：从临床病史中收集社会人口学/心理社会信息，使用vg -虚弱测试评估参与者的虚弱程度，使用EuroQol问卷评估生活质量，使用PREDIMED问卷评估地中海饮食的依从性，并通过测量药物相关事件的减少来评估治疗计划的充分性。结果：在PREDIMED地中海饮食依从性测试（p-valor=001）和EuroQol测试中与焦虑/抑郁水平相关的方面（p-valor=037）观察到统计学上显著的改善。药理学发生率降低45.28%。结论：这种跨学科的预防干预可以帮助最初虚弱的人建立健康的饮食习惯，促进情绪健康，减少药物相关的发病率。

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引用次数: 0

Efectos secundarios y farmacovigilancia de los agonistas GLP1 GLP1激动剂的副作用和药物警戒

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2025-12-27 DOI: 10.1016/j.aprim.2025.103411

Miguel Angel Maria Tablado

引用次数: 0

Universidad y Medicina Familiar y Comunitaria: nuevas estrategias y perspectivas de acción en los próximos años 大学与家庭和社区医学：今后几年的新战略和行动前景

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2025-12-16 DOI: 10.1016/j.aprim.2025.103424

Verónica Casado Vicente, Junta rectora AMFE-semFYC

引用次数: 0

Conflicto trabajo-familia y su impacto en la salud de la mujer trabajadora: una revisión sistemática 工作与家庭冲突及其对女工健康的影响：系统审查

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.aprim.2025.103391

Isabel García-Rodríguez , Juan Gómez-Salgado , Blanca Prieto-Callejero , Javier Fagundo-Rivera , Luis El Khoury-Moreno , Juan Jesús García-Iglesias

Objective

To evaluate the impact of dual presence (work-family conflict) on the physical and mental health of working women.

Design

Systematic literature review following the PRISMA Declaration (Preferred Reporting Items for Systematic reviews and Meta-Analyses).

Data sources

Searches were conducted in Web of Science, Scopus, and PubMed.

Selection of studies

The search strategy followed the PECO model (Population, Exposure, Comparison, Outcome), using terms such as “Women”, “Working”, “Health”, and “Work-Family Conflict (WFC)”. Studies addressing the relationship between dual presence and women's health were included.

Data extraction

The methodological quality of studies was assessed using the Joanna Briggs Institute critical appraisal tools.

Results

A total of 21 studies were included. Dual presence was associated with both the volume of domestic-family work and paid employment conditions, as well as psychosocial exposures related to work organization. Dual presence may increase the risk of physical and mental health problems in women, particularly when combined with additional occupational risk factors.

Conclusions

Dual presence is a significant determinant of working women's health. Addressing this issue is essential in the development of occupational health and labor policies.

目的评价双重存在（工作-家庭冲突）对职业妇女身心健康的影响。设计遵循PRISMA声明进行系统文献综述（系统综述和荟萃分析的首选报告项目）。数据来源在Web of Science、Scopus和PubMed中进行搜索。研究选择搜索策略遵循PECO模型（人口、暴露、比较、结果），使用诸如“妇女”、“工作”、“健康”和“工作-家庭冲突（WFC）”等术语。其中包括关于双重存在与妇女健康之间关系的研究。数据提取研究的方法学质量使用乔安娜布里格斯研究所的关键评估工具进行评估。结果共纳入21项研究。双重存在与家庭家务工作量和有偿就业条件以及与工作组织相关的社会心理暴露有关。双重存在可能增加妇女身心健康问题的风险，特别是在与其他职业风险因素结合时。结论双重存在是影响职业妇女健康的重要因素。解决这一问题对于制定职业健康和劳工政策至关重要。

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引用次数: 0

Chemsex y riesgo sexual en hombres que tienen sexo con hombres: una revisión de alcance Chemsex和男男性行为者的性风险：全面审查

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-02-01 Epub Date: 2026-01-16 DOI: 10.1016/j.aprim.2025.103374

Miguel Ángel Ayuga-Luque , Dolores Torres-Enamorado , Rosa Casado-Mejía

Objective

To determine whether chemsex, by itself, constitutes a sexual risk factor among men who have sex with men (MSM), particularly concerning condomless sex and sexually transmitted infections (STIs).

Design

Scoping review conducted according to PRISMA-ScR guidelines.

Data sources

PubMed®, WOS®, Scopus®, CINAHL®, CUIDEN®, and BV-SSPA were searched between December 2023 and January 2024 using terms such as «Sexual and Gender Minorities», «Chemsex», «Sexual Behavior», and «Sexually Transmitted Diseases».

Study selection

A total of 1,168 records were identified. After removing duplicates and applying eligibility criteria, 19 studies were included. All required an explicit definition of chemsex and direct analysis of its association with condomless sex and/or STI acquisition.

Data extraction

Three reviewers independently extracted data. Variables included study type, chemsex as independent or dependent variable, condom use, HIV/STI screening, PrEP use, and STI prevalence.

Results

Chemsex was associated with increased condomless sex (up to 79%) and higher STI rates (e.g., gonorrhea: 57.4% in chemsexers vs. 39.1%). PrEP use was more common among chemsexers but not clearly linked to lower STI incidence. Confidence intervals and sensitivity analyses were inconsistently reported across studies.

Conclusions

Chemsex is a high-risk sexual practice among MSM, strongly associated with condomless sex and increased STI prevalence. Primary care should implement targeted strategies for prevention, early detection, and sexual health education in this population.

目的确定化学性行为本身是否构成男男性行为（MSM）的性危险因素，特别是涉及无安全套性行为和性传播感染（STIs）。根据PRISMA-ScR指南进行设计范围审查。数据来源pubmed®，WOS®，Scopus®，CINAHL®，CUIDEN®和BV-SSPA在2023年12月至2024年1月期间使用“性和性别少数群体”，“Chemsex”，“性行为”和“性传播疾病”等术语进行检索。研究选择共鉴定了1168份记录。在排除重复项并应用资格标准后，纳入了19项研究。所有这些都需要明确定义化学性，并直接分析其与无安全套性行为和/或性传播感染的关系。数据提取三名审稿人独立提取数据。变量包括研究类型、化学性作为自变量或因变量、避孕套使用、HIV/STI筛查、PrEP使用和STI患病率。结果图式性行为与无安全套性行为增加（高达79%）和性传播感染（例如淋病：化学性别者57.4%对39.1%）相关。PrEP的使用在化学工作者中更为普遍，但与较低的性传播感染发病率没有明确的联系。各研究报告的置信区间和敏感性分析不一致。结论性行为是MSM人群中的高危性行为，与无安全套性行为和性传播感染的增加密切相关。初级保健应在这一人群中实施有针对性的预防、早期发现和性健康教育战略。

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引用次数: 0

Evaluation of the National Immunization Program in a city in the interior of Pernambuco in the light of Donabedian's triad 根据多纳伯迪安黑社会对伯南布哥内陆某城市国家免疫规划的评价

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-01 Epub Date: 2026-01-08 DOI: 10.1016/j.aprim.2025.103401

Manoel Felipe Nunes da Rocha , Mirtys Vivianne Pedroza Lopes , Juliana de Castro Nunes Pereira , Sayane Marlla Silva Leite Montenegro

Objectives

This study aims to evaluate the National Immunization Program (NIP) of a city in the interior of Pernambuco in the light of Donabedian's triad.

Methods

An epidemiological, descriptive and observational study focused on analyzing data from 2019 to 2024 from the city of Calçado – PE. It seeks to understand the efficiency of the National Immunization Program (NIP), guided by the question of how to qualify the NIP in logistics and execution of immunobiologicals. The NIP Information System and SISAB were used to collect data. The evaluation is based on the structure, processes and results of vaccine care. The data was analyzed using SPSS software.

Results

Calçado has over 11,000 inhabitants and 100% Family Health Strategy (ESF) coverage. The Primary Health Care (PHC) network has five Basic Health Units (BHU) and two support points in rural areas. Each UBS has vaccination rooms and is coordinated by a health team organized according to Ministry of Health guidelines. The infrastructure of the UBS is inconsistent in relation to the expected standards, with challenges in vaccination rooms and temperature control of vaccines. No new protocols have been created in the last five years. Supervision is carried out on a monthly basis, and the team faces challenges in terms of training and the population's adherence to vaccination.

Conclusion

Vaccination coverage in Calçado is monitored, but there is a lack of structured interaction between the NIP and the teams. Epidemiological surveillance is carried out, and educational actions are promoted, but there is a lack of formal feedback from the population that can help improve services. The study provides a clear view of the NIP's performance in the municipality, allowing us to discuss the quality of the health care offered.

目的结合多纳贝迪安三合会对伯南布哥省内陆某城市的国家免疫规划（NIP）进行评价。方法采用流行病学、描述性和观察性研究方法，重点分析2019 - 2024年calado - PE市的数据。它试图了解国家免疫规划（NIP）的效率，指导问题是如何使NIP在免疫生物制剂的后勤和执行方面合格。使用NIP信息系统和SISAB收集数据。评估的基础是疫苗保健的结构、过程和结果。采用SPSS软件对数据进行分析。结果塞拉多有11 000多名居民，家庭保健战略覆盖率达到100%。初级保健网络在农村地区设有五个基本保健单位和两个支助点。每个联合银行都有疫苗接种室，并由一个按照卫生部指导方针组织的保健小组进行协调。瑞士联合银行的基础设施与预期标准不一致，在疫苗接种室和疫苗温度控制方面存在挑战。在过去的五年里没有新的协议被创建。监督是按月进行的，该小组在培训和人口坚持接种疫苗方面面临挑战。结论卡尔帕拉多对疫苗接种覆盖率进行了监测，但国家免疫NIP与各工作队之间缺乏有组织的互动。开展了流行病学监测，并促进了教育行动，但缺乏来自民众的有助于改善服务的正式反馈。这项研究为NIP在本市的表现提供了清晰的视角，使我们能够讨论所提供的医疗保健的质量。

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引用次数: 0

Lesiones forunculares en viajero al regreso de Senegal 从塞内加尔返回的旅行者的疖疮

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-01 Epub Date: 2025-11-03 DOI: 10.1016/j.aprim.2025.103388

Virginia Cerpa Almenara , Teresa Nebreda Mayoral , Cristina Polo García

引用次数: 0

El rol del género en la aceptación de la telemedicina en las zonas rurales [性别在农村地区接受远程医疗中的作用]。

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria

Pub Date : 2026-01-01 Epub Date: 2025-12-16 DOI: 10.1016/j.aprim.2025.103389

Aldo Medina Gamero

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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