scholarly journals Discapacidad y su atención por personal sanitario en hospital de tercer nivel en Honduras

2021 ◽  
Vol 89 (1) ◽  
pp. 38-44
Author(s):  
José Elpidio Sierra ◽  
Jenny Zelaya ◽  
Andrea Ramírez ◽  
Mauricio Gonzales ◽  
Leonardo Sierra ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Trabajo En Equipo ◽  
Health Organization ◽  
Buenas Prácticas

Antecedentes: El 25% de hospitalizaciones pueden requerir rehabilitación y en Honduras la discapacidad en hospitales no ha sido considerada. Objetivo: Determinar proporción de discapacidad en pacientes hospitalizados y conocimientos, actitudes y prácticas (CAP) del personal sanitario en discapacidad/rehabilitación, Hospital Escuela, agosto 2016. Métodos: Estudio descriptivo transversal, en pacientes mayores de 18 años hospitalizados aplicándoles cuestionario World Health Organization Disability Assessment Schedule (WHODAS) para identiicar discapacidad. Al personal de salud se le aplicó instrumento para identiicar CAP de rehabilitación en personas con discapacidad. Se realizó análisis univariado; se obtuvo consentimiento informado escrito. Resultados: De 235 pacientes, 86.8% (204) tenía discapacidad. De éstos, 68.1% (139) edad 18-59 años, 53.4% (109) sexo femenino, 57.8% (118) discapacidad moderadacompleta. Sólo en 5.4% (11) se solicitó interconsulta con Servicio de Rehabilitación tras una semana desde ingreso. De 114 participantes del personal sanitario, 50.9% (58) tenía conocimiento deiciente; enfermeras profesionales 60.9% (14) y auxiliares de enfermería 75.0% (30); actitudes fueron positivas excepto reconocer no manejo integral en pacientes 50.9% (58), médicos especialistas 30.4% (7) y 32.1% (9) médicos residentes. De 9 prácticas evaluadas, 4 fueron menos realizadas: postura antiequino, liberación de prominencias óseas 39.5% (45), respectivamente; manejo de cavidad oral 50.0% (57), sedestación en cama 50.9% (58); menos realizadas por médicos residentes 54.6% y auxiliares de enfermería 58.5%. Discusión: Existe alta proporción de discapacidad con pobre respuesta posiblemente derivada de conocimiento deiciente y baja realización de buenas prácticas en rehabilitación. Debe capacitarse al personal sanitario en reconocer la discapacidad y mejorar trabajo en equipo con Servicio de Rehabilitación. Palabras claves: Clasiicación Internacional de Funcionamiento de la Discapacidad y de la Salud, Evaluación de la discapacidad, Honduras, Pacientes internos, Persona con discapacidad.

scholarly journals Colaboración entre el sector de WASH y el sector de la salud: Guía práctica para los programas de lucha contra las enfermedades tropicales desatendidas.

2020 ◽  
Keyword(s):  
World Health Organization ◽  
Tropical Disease ◽  
World Health ◽  
Neglected Tropical Disease ◽  
Working Together ◽  
Health Organization ◽  
Buenas Prácticas

Este documento presenta un conjunto de herramientas para ayudar a los países y los programas de lucha contra la ETD, a colaborar con la comunidad relacionada con las acciones de agua, saneamiento e higiene, y guía en la creación de alianzas, en la movilización de recursos y en el diseño, la aplicación y la evaluación de las intervenciones. Más que una guía de “buenas prácticas”, se trata de un conjunto de herramientas basadas en la experiencia adquirida en la realidad de un programa. Se espera que los interesados en usar este documento puedan elegir las herramientas y adaptarlas a sus necesidades y al contexto local. Estas herramientas ayudarán a 1) crear alianzas multisectoriales con los interesados directos clave: ministerios, agencias de WASH nacionales y locales, empresas, grupos locales activos en cuestiones de salud, expertos en cambio de comportamientos y en comunicación, etc.; 2) a formar estructuras de programa inteligentes centradas en la rendición de cuentas y en los objetivos comunes; 3) a establecer un método de programación adaptativo y flexible; 4) a garantizar la sostenibilidad mediante la creación de capacidad local a todos los niveles; y 5) a brindar apoyo y complementar las intervenciones clínicas y de salud pública en la lucha contra las EID. Version oficial en Españo de la obra original en inglés: WASH and health working together: A 'how-to' guide for Neglected Tropical Disease programmes. © World Health Organization 2019. ISBN: 978-92-4-151500-9.

scholarly journals Meningkatnya Risiko Disabilitas Pada Penduduk Dengan Penyakit Tidak Menular: Analisa Lanjut Riskesdas 2013

2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Isfandari Siti ◽  
Betty Roosihermiatie
Keyword(s):  
World Health Organization ◽  
Communicable Disease ◽  
World Health ◽  
Disability Assessment ◽  
Population Groups ◽  
Younger Age ◽  
The World ◽  
People With Disability ◽  
Health Organization ◽  
Develop Program

Intersectoral approach is essential to develop program for people with disability in Indonesia. Coordination across ministries are necessary to manage this issue. The planning, provision and monitoring of medical and support services as well as program for population groups with disability may require assessment. Purpose of this study is to assess disability in Indonesia. Methods: performing analysis of disability data from 2013 Indonesian Household Health Survey known as Riskesdas. Level of disability obtained from two main population groups: those with and without non communicable disease (NCD). They then divided by age. The World Health Organization Disability Assessment Schedule II (WHODASII) was used to measure disability. Results: contribution of NCD on disability is obvious among older age indicated by higher proportion of disability with NCD. While risk of disability among younger age is unclear, since disability with NCDproportion is lower than disability without NCD. Probably risk of disability among younger age is other than NCD. None of the groups had members with extreme disability on their global WHO-DASII scores. The analysis identifi es target groups for each stakeholder to develop program for people with disability to reach their maximum potential. Abstrak Penanganan penduduk dengan disabilitas membutuhkan keterlibatan lintas kementerian. Diperlukan informasi besar masalah penduduk dengan disabilitas di Indonesia. Analisa bertujuan mengetahui besaran masalah. Metode: analisa deskriptif univariat dan bivariat data disabilitas Riskesdas 2013 untuk memperoleh Informasi disabilitas seluruh penduduk. Selanjutnya dilakukan analisa besaran disabilitas pada penduduk dengan dan tanpa Penyakit Tidak Menular (PTM). Kelompok ini kemudian digolongkan menurut umur. Instrumen The World Health Organization Disability Assessment Schedule II (WHO-DASII) digunakan untuk mengukur disabilitas. Hasil: 18% penduduk Indonesia mengalami disabilitas. Informasi lebih rinci 8,2% mengalami kesulitan ringan, 6,8% kesulitan sedang dan 3% kesulitan berat. Kontribusi PTM terhadap disabilitas terlihat jelas pada kelompok usia 45 tahun atau lebih ditunjukkan dengan lebih tingginya proporsi disabilitas dengan PTM. Sedangkan risiko disabilitas pada kelompok usia sebelum 45 tahun bukan PTM, karena proporsidisabilitas dengan PTM lebih rendah.

scholarly journals Using the World Health Organization Disability Assessment Schedule 2.0 to assess disability in veterans with posttraumatic stress disorder

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0220806
Author(s):  
Michelle J. Bovin ◽  
Eric C. Meyer ◽  
Nathan A. Kimbrel ◽  
Sarah E. Kleiman ◽  
Jonathan D. Green ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
World Health Organization ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
World Health ◽  
Disability Assessment ◽  
The World ◽  
Health Organization

Measurement of Disability-free Survival after Surgery

2015 ◽  
Vol 122 (3) ◽  
pp. 524-536 ◽  
Author(s):  
Mark A. Shulman ◽  
Paul S. Myles ◽  
Matthew T. V. Chan ◽  
David R. McIlroy ◽  
Sophie Wallace ◽  
...  
Keyword(s):  
World Health Organization ◽  
Convergent Validity ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Outcome Data ◽  
World Health ◽  
Disability Assessment ◽  
Patient Centered ◽  
Health Organization

Abstract Background: Survival and freedom from disability are arguably the most important patient-centered outcomes after surgery, but it is unclear how postoperative disability should be measured. The authors thus evaluated the World Health Organization Disability Assessment Schedule 2.0 in a surgical population. Methods: The authors examined the psychometric properties of World Health Organization Disability Assessment Schedule 2.0 in a diverse cohort of 510 surgical patients. The authors assessed clinical acceptability, validity, reliability, and responsiveness up to 12 months after surgery. Results: Criterion and convergent validity of World Health Organization Disability Assessment Schedule 2.0 were supported by good correlation with the 40-item quality of recovery scale at 30 days after surgery (r = −0.70) and at 3, 6, and 12 months after surgery with physical functioning (The Katz index of independence in Activities of Daily Living; r = −0.70, r = −0.60, and rho = −0.47); quality of life (EQ-5D; r = −0.57, −0.60, and −0.52); and pain interference scores (modified Brief Pain Inventory Short Form; r = 0.72, 0.74, and 0.81) (all P < 0.0005). Construct validity was supported by increased hospital stay (6.9 vs. 5.3 days, P = 0.008) and increased day 30 complications (20% vs. 11%, P = 0.042) in patients with new disability. There was excellent internal consistency with Cronbach’s α and split-half coefficients greater than 0.90 at all time points (all P < 0.0005). Responsiveness was excellent with effect sizes of 3.4, 3.0, and 1.0 at 3, 6, and 12 months after surgery, respectively. Conclusions: World Health Organization Disability Assessment Schedule 2.0 is a clinically acceptable, valid, reliable, and responsive instrument for measuring postoperative disability in a diverse surgical population. Its use as an endpoint in future perioperative studies can provide outcome data that are meaningful to clinicians and patients alike.

Disability in bipolar I disorder: The 36-item World Health Organization Disability Assessment Schedule 2.0

2015 ◽  
Vol 174 ◽  
pp. 353-360 ◽  
Author(s):  
Georgina Guilera ◽  
Juana Gómez-Benito ◽  
Óscar Pino ◽  
Emilio Rojo ◽  
Eduard Vieta ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Bipolar I Disorder ◽  
Health Organization

Using World Health Organization Disability Assessment Schedule 2.0 in people with schizophrenia: a 4-year follow-up

2019 ◽  
Vol 270 (3) ◽  
pp. 301-310 ◽  
Author(s):  
Ruey Chen ◽  
Tsan-Hon Liou ◽  
Nae-Fang Miao ◽  
Kwang-Hwa Chang ◽  
Chia-Feng Yen ◽  
...  
Keyword(s):  
World Health Organization ◽  
World Health ◽  
Disability Assessment ◽  
Health Organization

An Analysis of the World Health Organization Disability Assessment Schedule 2.0 Measurement Model Using Partial Least Squares–Structural Equation Modeling

Assessment ◽  
2019 ◽  
Vol 27 (8) ◽  
pp. 1731-1747 ◽  
Author(s):  
Saundra M. Tabet ◽  
Glenn W. Lambie ◽  
Shiva Jahani ◽  
S. Mostafa Rasoolimanesh
Keyword(s):  
Structural Equation Modeling ◽  
World Health Organization ◽  
Structural Equation ◽  
Measurement Model ◽  
World Health ◽  
Equation Modeling ◽  
Disability Assessment ◽  
Whodas 2.0 ◽  
The World ◽  
Health Organization

The researchers examined the factor structure and model specifications of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with confirmatory tetrad analysis (CTA) using partial least squares–structural equation modeling (PLS-SEM) with a sample of adult clients ( N = 298) receiving individual therapy at a university-based counseling research center. The CTA and PLS-SEM results identified the formative nature of the WHODAS 2.0 subscale scores, supporting an alternative measurement model of the WHODAS 2.0 scores as a second-order formative–formative model.

Sign in / Sign up

Export Citation Format

Share Document