scholarly journals Comunicación terapéutica del enfermero, desde la perspectiva del hospitalizado en el hospital General Jaén, Perú

2021 ◽  
Vol 20 (1) ◽  
pp. 363-394
Author(s):  
María Esther Saavedra Chinchayán ◽  
Gladys Bernardita León Montoya ◽  
Adalia Estefany Dávila Guerrero

Objetivo: Determinar el nivel de comunicación terapéutica del profesional de enfermería desde la perspectiva de las personas hospitalizadas en el servicio de medicina del Hospital General Jaén, Perú.Material y método: Estudio cuantitativo, nivel descriptivo; observacional, prospectivo, transversal, análisis estadístico univariado, muestra constituida por 122 personas hospitalizadas, se utilizó como instrumento el “Cuestionario de la comunicación terapéutica” elaborado por Lourdes Guevara Chuquillanqui, con validez por juicio de expertos fue VC = 2.2 > VT = 1.6449 y una confiabilidad de 0.92.Resultados: El 100% (122) de las personas hospitalizadas; 71.3% (87) percibió una comunicación terapéutica de nivel bajo y el 28.7% (35) nivel medio. Según las dimensiones: en empatía el 70.5% (86) percibió una comunicación terapéutica de nivel bajo, el 27% (33) nivel medio y 2.5% (3) nivel alto, en la dimensión respeto el 54.9% (67) percibió una comunicación terapéutica un nivel bajo, el 42.6% (52) un nivel medio y el 2.5% (3) nivel alto, en la dimensión escucha receptiva el 54.9% (67) percibió una comunicación terapéutica de nivel bajo y el 45.1% (55) nivel medio, en la dimensión emociones del paciente el 57.4% (70) percibió una comunicación terapéutica de nivel bajo, el 34.4% (42) nivel medio y el 8.2% (10) nivel alto, en la dimensión acompañamiento en su reflexión el 68% (83) percibió una comunicación terapéutica de nivel bajo, el 68% (83) nivel bajo, el 25.4% (31) nivel medio y 6.6% (8) nivel alto. Conclusiones: La percepción de comunicación terapéutica de las personas hospitalizadas fue de nivel bajo a medio. Objective: Determine the level of therapeutic communication professional nursing from the perspective of people hospitalized in the Internal Medicine Service of the General Hospital Jaén, Peru.Material and method: Research quantitative, descriptive level; an observational, prospective and cross-sectional study, univariate statistical analysis. The sample was composed of 122 people hospitalized, It was used as an instrument of the "therapeutic communication Questionnaire" developed by Lourdes Guevara Chuquillanqui, which was validated by expert judgement as VC = 2.2 > VT = 1.6449 and a reliability of 0.92.Results: 100% (122) of persons hospitalized; 71.3% (87) perceived a therapeutic communication of low level and the 28.7% (35) medium level. According to the dimensions: In empathy 86 (70.5%) perceived a therapeutic communication of low level, the 27% (33) Medium level and 2.5% (3) high level, in the respect dimension 67 (54.9%) perceived a therapeutic communication a low level, the 42.6% (52) a medium level and 2.5% (3) high level, in the dimension receptive listening 67 (54.9%) perceived a therapeutic communication of low level and the 45.1% (55) medium level, in the emotions of the patient 70 (57.4%) perceived a therapeutic communication of low level, the 34.4% (42) Medium level and 8.2% (10) high level, in the dimension accompanying upon their reflection the 68%(83) earned a therapeutic communication of low level, the 68% (83) low level, 25.4% (31) Medium level and 6.6% (8) high level. Conclusions: In conclusion the perception of therapeutic communication of persons hospitalized was of low to medium level. Objetivo: Determinar o nível de comunicação terapêutica do profissional de enfermagem a partir da perspectiva das pessoas hospitalizadas no serviço médico do Hospital Geral Jaén, Peru.Métodos: Estudo quantitativo, nível descritivo; análise estatística observacional, prospectiva, transversal, univariada, amostra constituída por 122 pessoas hospitalizadas. Como instrumento foi utilizado o "questionário terapêutico de comunicação" elaborado por Lourdes Guevara Chuquillanqui, com validade por juízo de especialistas foi VC = 2,2 > VT = 1,6449 e uma confiabilidade de 0,92.Resultados: 100% (122) das pessoas hospitalizadas; 71,3% (87) perceberam um baixo nível de comunicação terapêutica e 28,7% (35) um nível médio. De acordo com as dimensões: em em empatia 70,5% (86) percebeu um baixo nível de comunicação terapêutica, 27% (33) nível médio e 2,5% (3) nível alto, na dimensão respeito 54,9% (67) percebeu um baixo nível de comunicação terapêutica, 42,6% (52) nível médio e 2,5% (3) nível alto, na dimensão escuta receptiva 54,9% (67) percebeu um baixo nível de comunicação terapêutica e 45.1% (55) nível médio, na dimensão emocional do paciente 57,4% (70) percebeu um baixo nível de comunicação terapêutica, 34,4% (42) nível médio e 8,2% (10) nível alto, na dimensão de acompanhamento em reflexão 68% (83) percebeu um baixo nível de comunicação terapêutica, 68% (83) nível baixo, 25,4% (31) nível médio e 6,6% (8) nível alto. Conclusões: A percepção da comunicação terapêutica das pessoas hospitalizadas foi de baixo para médio nível.Palavras-chave: Comunicação terapêutica; profissional de enfermagem; perspectiva; pessoa hospitalizada.

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2081-2086 ◽  
Author(s):  
Pâmella Simões Barel ◽  
Cristina Silva Sousa ◽  
Vanessa de Brito Poveda ◽  
Ruth Natalia Teresa Turrini

ABSTRACT Objective: to verify the correlation between anxiety level and degree of knowledge in patients before they are subjected to orthognathic surgery. Method: Descriptive cross-sectional study with 40 patients in the preoperative period before orthognathic surgery of a private clinic in the city of São Paulo. Results: IDATE-trait anxiety levels feature prevalence of medium-level anxiety with 72.5% (n=29), followed by low-level anxiety with 72.5% (n=29) and high-level level anxiety with 10% (n=4). In the pre-operative period, transitory IDATE-state anxiety levels feature medium-level anxiety with 65% (n=26), followed by high-level anxiety with 22.5% (n=9) and low-level anxiety with 10% (n=4). Pearson’s correlation coefficient resulted in negative r (−0.2) for anxiety-trait (p 0.197) and in negative r (−0.1) for anxiety-state (p 0.417). Conclusion: The data shows a weak correlation in which greater knowledge about the surgical procedure reduces levels of anxiety that may be related to the absence of appropriate guidance about the surgical procedure.


2020 ◽  
Vol 14 ◽  
Author(s):  
Vanessa Ferreira de Almeida Piuchi ◽  
Claudia Barleta ◽  
Juliana Monte Real

Objetivo: analisar a violência de gênero sofrida pelas mulheres usuárias do Centro de Atenção Psicossocial Álcool e Drogas. Método: trata-se de um estudo quantitativo, descritivo, de corte transversal, com 30 mulheres atendidas pelo CAPS AD, que estavam ativas no sistema Registro das Ações Ambulatoriais de Saúde e responderam a um questionário estruturado. Analisaram-se os dados empregando a estatística não paramétrica. Resultados: apresenta-se, pelas mulheres pesquisadas, índice de violência elevada em relação à média nacional. Detalha-se que os fatores que apareceram como agravantes foram raça/cor, escolaridade e moradia, as maiores vítimas: mulheres negras e de escolaridade baixa. Conclusão: agrava-se, pelos fatores sociais, a violência praticada contra as mulheres pesquisadas. Mostra-se, para os agravantes, a necessidade de se incluir discussões nas políticas de combate à violência. Revela-se que o número de denúncia é baixo, assim como a procura por serviços de saúde. Descritores: Violência de Gênero; Saúde mental; Uso de Drogas; CAPS AD; Saúde Pública; Violência contra Mulheres.AbstractObjective: to analyze the gender violence suffered by women, users of the Psychosocial Care Center for Alcohol and Drugs. Method: this is a quantitative, descriptive, cross-sectional study of 30 women treated at CAPS AD, who were active in the Outpatient Health Actions Registry system and answered a structured questionnaire. Data was analyzed using nonparametric statistics. Results: the surveyed women presented a high level of violence in relation to the national average. It is noted that the factors that appeared as aggravating factors were race / color, education and housing, the biggest victims: black women and low education. Conclusion: the violence against women surveyed is aggravated by social factors. For the aggravating factors, the need to include discussions in the policies to combat violence is shown. The number of complaints is low, as is the demand for health services. Descriptors: Gender Violence; Mental Health; Drug Use; CAPS AD; Public Health; Violence Against Women.ResumenObjetivo: analizar la violencia de género que sufren las mujeres usuarias del Centro de Atención Psicosocial de Alcohol y Drogas. Método: este es un estudio cuantitativo, descriptivo, transversal con 30 mujeres atendidas por CAPS AD, que estaban activas en el sistema de Registro de Acciones de Salud Ambulatoria y respondieron un cuestionario estructurado. Los datos se analizaron mediante la estadística no paramétrica. Resultados: las mujeres encuestadas presentaron un alto nivel de violencia en relación con el promedio nacional. Cabe señalar que los factores que aparecieron como factores agravantes fueron la raza / color, la educación y la vivienda, las principales víctimas: las mujeres negras y de baja educación. Conclusión: la violencia contra las mujeres encuestadas se ve agravada por factores sociales. Para los factores agravantes, se muestra la necesidad de incluir discusiones en las políticas para combatir la violencia. El número de quejas es bajo, al igual que la demanda de servicios de salud. Descriptores: Violencia de Género; Salud Mental; Uso de Drogas; CAPS AD; Salud Pública; Violencia Contra la Mujer.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Andi Raga Ginting ◽  
Rudy Hidayat ◽  
Sumariyono Sumariyono ◽  
Sukamto Koesnoe

Bone loss is one of the emerging extra-articular manifestations of rheumatoid arthritis. TNF-α is the main inflammatory cytokine that can directly increase bone resorption. However, its role in bone formation is still unknown, especially related to secreted frizzled-related protein 1 (SFRP-1), an osteoblast inhibitor. This study examines the correlation between TNF-α and SFRP-1, with a bone turn over marker (CTX and P1NP). This is a cross-sectional study with 38 subjects of premenopausal female patients with RA. This study found that 60.6% of the patients were in remission or low disease activity. The median of TNF-α was 10.6 pg/mL, mean of SFRP-1 was 9.29 ng/mL, mean of CTX was 2.74 ng/mL, and the median of P1NP was 34.04 pg/ml. There is positive correlation between TNF-α and P1NP (r=0.363, p=0.026), also between SFRP-1 and P1NP (r=0.341; p=0.036). A low level of TNF-𝛼, high level of SFRP-1, high level of CTX, and low level of P1NP in this study indicate a high bone turn over process, with dominant resorption activity in premenopausal female patients with RA.


2021 ◽  
Vol 17 (21) ◽  
pp. 366
Author(s):  
Diana Laura Sánchez Camacho ◽  
María Magdalena Gachuzo Elías ◽  
Ruth Magdalena Gallegos Torres

Introducción. La adicción a drogas lícitas e ilícitas constituye un problema de salud pública que se presenta tanto a nivel nacional como internacional. Las escuelas de medicina no están ajenas a este fenómeno, dado que los alumnos están sometidos a altas demandas académicas que se asocian, en algunos casos, a estrés, ansiedad y trastornos del ánimo. Objetivo. Identificar la prevalencia y tipo de drogas consumidas en estudiantes universitarios de la Licenciatura en Medicina, así como las características del estrés académico presente. Metodología. Estudio con enfoque cuantitativo, con un diseño descriptivo y trasversal, realizado con estudiantes de quinto hasta décimo semestre. Se aplicó la “Encuesta Nacional sobre Prevención y Uso de Drogas” conformada por 7 secciones, de 65 preguntas y el inventario SISCO de estrés académico. Los datos fueron procesados mediante estadística descriptiva. El proyecto se evaluó y registró ante un comité de investigación. Se cuidaron los aspectos éticos. Resultados. Se aplicaron 177 cuestionarios, 58.8% fueron mujeres. En cuanto al consumo de sustancias, 75.1% ha fumado y 99.4% ha consumido alcohol. El 66.1% ha consumido marihuana y 13.6% cocaína. Del Inventario SISCO, 97.2% presentó momentos de preocupación o nerviosismo durante el semestre, teniendo distintos tipos de reacciones como: fatiga, somnolencia o necesidad de dormir 34%, depresión y tristeza (39% algunas veces y 19.2% casi siempre). Conclusiones. La información obtenida plantea la posibilidad de la creación de un programa para reducir el estrés y sus manifestaciones con el fin de disminuir el consumo de drogas y preservar la salud física y mental de los alumnos. Introduction. Addiction to legal and illegal drugs represent a public health problem that take place nationally and internationally. Medical schools are not immune to this phenomenon, since students are expose to high academic demands that are associated, in some cases, with stress, anxiety and mood disorders. Objective. Identify the prevalence and type of drugs consumed by medical students, as well as the characteristics of the academic stress. Methodology. Quantitative, descriptive, cross-sectional study. Carried out with students from fifth to tenth semester. The “National Survey on Prevention and Use of Drugs” was applied, made up of seven sections, with 65 questions and the SISCO inventory of academic stress. The information was processed using descriptive statistics. Results. 177 questionnaires were applied, 58.8% were women. Regarding substance use, 75.1% have smoked and 99.4% have consumed alcohol. 66.1% have consumed marijuana and 13.6% cocaine. From the SISCO Inventory, 97.2% presented moments of panic or nervousness during the semester, having different types of reactions such as: fatigue, drowsiness or need to sleep 34%, depression and sadness (39% sometimes and 19.2% almost always). Conclusions. The information obtained allows us to suggest the creation of a program to reduce stress and its manifestations in order to lessen drug use and preserve the physical and mental health of students.


Author(s):  
Visweswara Rao Guthi ◽  
A. Sreedevi

AbstractBackground: Leprosy is a chronic infectious disease caused by Mycobacterium leprae. It affects mainly the peripheral nerves. There is very little data on the types of problems faced by people with leprosy-related disabilities (PLD) and the resulting needs. So this study made an attempt to study the disability limitation, rehabilitation needs of persons affected by leprosy and to assess their dehabilitation status.Materials and Methods: This is a community based cross–sectional study conducted in Kurnool district. There were 296 registered persons affected by leprosy between May 2012 to October 2013 out of which 276 registered persons affected by leprosy were available for the study. Information collected was to assess the disability limitation, rehabilitation needs, social needs and to assess their dehabilitation status of the registered cases.Results: This study shown that out of 276 patients affected by leprosy, 65/276 (23.56%) of the study subjects had disabilities. Out of which 9.06 % had only Grade 1 and 14.50% had Grade 2 disability. 65 (100%) of the subjects having deformity needed skin care, 14 (21.53%) needed wound care, 31 (47.69%) needed joint care, 7 (10.76%) needed swelling care, 10 (15.38%) needed nerve care and 2 (3.07%) needed eye care. 15/254 (5.90%) suffered from high level of dehabilitation and 43/254 (16.93%) suffered from medium level of dehabilitation.Conclusions: Knowledge and practice among those needing self care practices were grossly deficient. The general health staff had not informed in most circumstances to persons affected by leprosy about self care practices in leprosy.High level of dehabilitation in the study population was present only in patients having visible deformity.


2014 ◽  
Vol 142 (11) ◽  
pp. 2422-2432 ◽  
Author(s):  
A. HAZEL ◽  
S. PONNALURI-WEARS ◽  
G. S. DAVIS ◽  
B. S. LOW ◽  
B. FOXMAN

SUMMARYThe highly remote pastoralist communities in Kaokoland, Namibia, have long been presumed to have high gonorrhoea prevalence. To estimate gonorrhoea prevalence and correlates of infection, we conducted a cross-sectional study of 446 adults across 28 rural villages. Gonorrhoea status was determined from urethral and vaginal swabs via qPCR assay. All participants answered a closed-ended interview about demographics, sexual behaviour and symptom history. Sixteen per cent of participants had high-level infections (⩾ID50dose) and 48% had low-level infections (<ID50dose). Women had higher prevalence than men of both high- and low-level infections. High-level infections were regionally and seasonally clustered, occurring in young adults in the Ehama region during the winter. Low-level infections were distributed homogenously across demographic characteristics, season, and region. All low-level infections and most high-level infections (men 78%, women 95%) were asymptomatic and left untreated. The epidemic-like nature of high-level gonorrhoea cases suggests that intervention efforts can be focused on seasons of high social activity.


Scientifica ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mahboobeh Maazallahi ◽  
Asma Ghonchepour ◽  
Mostafa Sohrabi ◽  
Zakiyeh Golestani ◽  
Peiman Parandeh Afshar ◽  
...  

Spiritual well-being is one dimension of health that provides a person with stability, meaning, fulfillment in life, and self-belief. This study aimed to compare the spiritual well-being among students of Kerman University of Medical Sciences and the Shahid Bahonar University of Kerman. With the demographic questionnaire and 20-item spiritual well-being scale of the “Paloutzian and Ellison” questionnaire, a cross-sectional study was conducted on 626 students of the universities of medical and nonmedical sciences by the quota sampling method in Kerman in 2017-2018. The scores of spiritual well-being and its two components were significantly higher in nonmedical science students (89.83 ± 16.79) than in the medical science students (81.61 ± 15.21) ( p < 0.05 ). In addition, one percent of the nonmedical science students had a low level, 67.7% had a moderate level, and 31.3% had a high level of spiritual well-being. 0.3% of the medical science students had a low level, 84% had a moderate level, and 15.7% had a high level of spiritual well-being. Since spirituality is important for the profession of medical science students, it may be necessary to expand this component in their curriculum.


2020 ◽  
Vol 62 (5, sep-oct) ◽  
pp. 477-486
Author(s):  
Marisela Vázquez-Duran ◽  
María Eugenia Jiménez-Corona ◽  
Laura Moreno-Altamirano ◽  
Enrique Octavio Graue-Hernández ◽  
Noé Guarneros ◽  
...  

Objective. We assessed the prevalence of overweight and obesity and its association with some social determinants in a highly marginalized population in Mexico. Materials and methods. Cross-sectional study conducted in Comitán, Chiapas, from 2010 to 2012, comprising 1 858 subjects aged ≥20 years. We evaluated proximal, intermediate, and structural social determinants. Results. The prevalence of overweight and obesity was 37.9 and 16.5%, respectively. The probability of overweight and obesity was higher in participants with ≥primary school, self-reported non-indigenous origin, and medium level of marginalization compared with those with <primary school, self-reported indigenous origin, and high/ very high level of marginalization. Conclusion. The pro­bability of overweight and obesity was higher in population with more favorable social conditions, which may be partially explained by changes in the traditional lifestyle with greater access to high energy foods and physical inactivity.


2016 ◽  
Vol 35 (2) ◽  
pp. 37
Author(s):  
Thirawat Agrasuta ◽  
Jarurin Pitanupong

Objective: To study the perceived level of stigma in patients with schizophrenia and caregivers. Material and Method: This was a cross-sectional study. The researchers collected all data of patients with schizophrenia and caregivers in the psychiatric out-patient unit in Songklanagarind Hospital from May 2015 to March 2016. A self-administered questionnaire was used. Demographics and level of perception of stigma data were analyzed using descriptive statistics and presented in the form of a percentage, mean, and standard deviation.Results: One hundred seventy-one patients with schizophrenia participated. Eighty-nine patients were female (52.0%); the average age was 42.3 years [standard deviation (S.D.)=13.4]; duration of illness was 15 years (S.D.=11.4). Most patients were Buddhist (84.2%), unemployed (38.0%), paranoid type (68.4%). One hundred seventy-one caregivers participated. The average age was 51.2 years (S.D.=13.4). Most caregivers were female (71.9%), Buddhist (86.0%), a parent of patient (40.4%). Average duration of care was 12.7 years (S.D.=9.3). The study found that the patients perceived a low level of stigma (62.0%). Only 1.8% of patients perceived a high level of stigma. The caregivers also perceived a low level of stigma (62.0%). Only 0.6% of caregivers perceived a high level of stigma.Conclusion: Most patients with schizophrenia and caregivers perceived a low level of stigma.


2014 ◽  
Vol 17 (2) ◽  
pp. 421-436 ◽  
Author(s):  
Miguel Ataide Pinto da Costa ◽  
Ana Gloria Godoi Vasconcelos ◽  
Maria de Jesus Mendes da Fonseca

A cross sectional study to investigate the prevalence of obesity, overweight and abdominal obesity and its association with the level of physical activity (PA) measured in employees of a Rio de Janeiro University according to the International Physical Activity Questionnaire (IPAQ).299 employees selected by random sampling were interviewed. The association between PA and anthropometric markers was estimated by Poisson models (robust variance). The prevalence of obesity was 27.4% (men 22.8% and 36.3% women), the prevalence of overweight was 63.5% (men 65.0% and women 65.8%) and the prevalence of abdominal obesity was 45.2% (men 35.5% and 63.7% women). Women reported a higher prevalence of low PA (42.2%) compared to men (33.0%). The models adjusted for socio-demographic and behavioral variables and habits related to health, showed a significant association between PA and the outcomes analyzed. The low level of practice of PA (high level reference) has remained associated with the occurrence of obesity (PR = 1.89; 95%CI 1.05 - 3.42) and overweight (PR = 1.40; 95%CI 1.08 - 1.80). For the abdominal obesity, both the mid level (PR = 1.70; 95%CI 1.11 - 2.58) and the low level (PR = 1.74; 95%CI 1.14 - 2.66) were related. This study found inverse association between the practice of PA and obesity in line with what has been recommended by the WHO, and it reinforces the use of IPAQ in population studies. Specifically in relation to abdominal obesity, a remarkable gradient was not observed between levels of PA, suggesting that what is important is the high level of practice of PA.


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