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ABSTRACT Objetive To determine the validity and reliability of the CUCACE (Quality of Nursing Care Questionnaire) in Colombia. Every day there is a growing interest in measuring the quality of care received from nursing personnel as a tangible element of care; however, not having reliable and valid instruments is an obstacle, especially in Colombia. Method A psychometric and evaluative instrumental study was conducted. Data of interest from CUCACE filled out in Spanish were extracted together with demographic information of the participants. Results Confirmed the validity of the content and construct validity of the scales of care, attention to nursing care and the perception of care in a Colombian hospital. Cronbach's alpha was higher than 0.7, and its reliability is accepted in the context. Conclusion The CUCACE is adequate to measure the satisfaction and experience of patients with nursing care in the Colombian context. The questionnaire with its two scales is useful, clear, precise, valid and reliable to evaluate the quality of nursing care.
ABSTRACT Objetivo Determinar la validez y confiabilidad del CUCACE (Cuestionario de Calidad de la Atención de Enfermería) en Colombia. Cada día hay un interés creciente en medir la calidad de la atención recibida por parte del personal de enfermería como elemento tangible de la atención; sin embargo, un obstáculo para medir la satisfacción del paciente es la no tenencia de instrumentos confiables y válidos, especialmente en Colombia. Método Se realizó un estudio instrumental psicométrico y evaluativo. Se extrajeron datos de interés del CUCACE cumplimentados en español, junto con la información demográfica de los participantes. Resultados Se confirmó la validez del contenido y construcción de las escalas de atención, atención al cuidado de enfermería y percepción del cuidado en un hospital colombiano. El alfa de Cronbach fue superior a 0,7; por lo tanto su fiabilidad se acepta en el contexto. Conclusión El CUCACE es adecuado para medir la satisfacción y experiencia de los pacientes con los cuidados de enfermería en el contexto colombiano. El cuestionario con sus dos escalas es útil, claro, preciso, válido y confiable para evaluar la calidad de la atención de enfermería.
RESUMO
RESUMEN Objetivo Determinar el costo de la atención de la hipertensión arterial, su impacto en el estadio de la enfermedad en un grupo de pacientes de una IPS en Tunja Boyacá Colombia. Materiales y Métodos Estudio transversal de costo-efectividad. Se estudiaron 172 historias clínicas de pacientes con HTA de Tunja Colombia. Resultados El costo de atención promedio en primer nivel fue de $184 631 pesos mes/ paciente, el 61% es gasto en talento humano, 20% en laboratorios y 10% en medicamentos. El cumplimiento frente a lo programado fue de 72.1%. Conclusiones El talento humano consume más del 50% de los recursos en el manejo de la HTA pero repercute en su control y manejo positivamente. Las cifras tensionales demuestran un manejo controlado de los pacientes del programa, el 61% de los mismos tenían cifras normales y 53% demuestran una clasificación en los estadios normales. La hipertensión arterial consume gran cantidad de recursos, por lo que deberá ser objeto de estudio por equipos multidisciplinarios de salud, en la búsqueda de alternativas de manejo más eficientes.(AU)
ABSTRACT Objective To determine the cost of care related to high blood pressure management and its impact on the stage of the disease in a group of patients from Tunja, Boyacá, Colombia. Materials and Methods Cost-effectiveness, cross-sectional study. 172 clinical histories of patients with high blood pressure from Tunja, Colombia, were included. Results The average cost of care in the primary care service was $184 631 pesos per month/patient; 61% of this amount is spent on human resources, 20% on laboratory tests and 10% on medication. Compliance with the program was 72.1%. Conclusions The expenditure on human talent is more than 50% of the resources allocated for the management of high blood pressure, but this has positive repercussions on the control and management of this condition. High blood pressure figures show controlled management of the patients included in the program: 61% of them had normal figures and 53% were classified in the normal stages. High blood pressure requires a large amount of resources, so it should be studied by multidisciplinary health teams in order to find more efficient management alternatives..(AU)
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Humanos , Atenção Primária à Saúde/economia , Custos de Cuidados de Saúde , Gestão em Saúde , Hipertensão/terapia , Estudos Transversais/instrumentação , Colômbia , Custos e Análise de Custo/métodosRESUMO
OBJECTIVE: To determine the cost of care related to high blood pressure management and its impact on the stage of the disease in a group of patients from Tunja, Boyacá, Colombia. MATERIALS AND METHODS: Cost-effectiveness, cross-sectional study. 172 clinical histories of patients with high blood pressure from Tunja, Colombia, were included. RESULTS: The average cost of care in the primary care service was $184 631 pesos per month/patient; 61% of this amount is spent on human resources, 20% on laboratory tests and 10% on medication. Compliance with the program was 72.1%. CONCLUSIONS: The expenditure on human talent is more than 50% of the resources allocated for the management of high blood pressure, but this has positive repercussions on the control and management of this condition. High blood pressure figures show controlled management of the patients included in the program: 61% of them had normal figures and 53% were classified in the normal stages. High blood pressure requires a large amount of resources, so it should be studied by multidisciplinary health teams in order to find more efficient management alternatives.
OBJETIVO: Determinar el costo de la atención de la hipertensión arterial, su impacto en el estadio de la enfermedad en un grupo de pacientes de una IPS en Tunja Boyacá Colombia. MATERIALES Y MÉTODOS: Estudio transversal de costo-efectividad. Se estudiaron 172 historias clínicas de pacientes con HTA de Tunja Colombia. RESULTADOS: El costo de atención promedio en primer nivel fue de $184 631 pesos mes/ paciente, el 61% es gasto en talento humano, 20% en laboratorios y 10% en medicamentos. El cumplimiento frente a lo programado fue de 72.1%. CONCLUSIONES: El talento humano consume más del 50% de los recursos en el manejo de la HTA pero repercute en su control y manejo positivamente. Las cifras tensionales demuestran un manejo controlado de los pacientes del programa, el 61% de los mismos tenían cifras normales y 53% demuestran una clasificación en los estadios normales. La hipertensión arterial consume gran cantidad de recursos, por lo que deberá ser objeto de estudio por equipos multidisciplinarios de salud, en la búsqueda de alternativas de manejo más eficientes.
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Análise Custo-Benefício , Custos de Cuidados de Saúde , Hipertensão/economia , Hipertensão/terapia , Atenção Primária à Saúde/economia , Idoso , Idoso de 80 Anos ou mais , Colômbia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
OBJECTIVES: Assessing lifetime prevalence of illegal substance use and accessibility to such substances. Determining risk factors and the protective factors linked to them. METHODS: This was a cross-sectional study using descriptive and bivariate analysis. A survey was applied to 1,515 students from 8th to 11th grades in the city's schools, ages ranging from 12 to 18. RESULTS: An increase in lifetime prevalence and lower age for consumption onset were found. The main risk factors were determined to be academic environment and attitudes towards school authorities, linked to recreational and sports groups without control by elders, gang membership and engaging in risky and dangerous activities. CONCLUSIONS: The results showed the need for a critical review of current promotion and prevention strategies aimed at controlling the use of psychoactive substances amongst children and adolescents, according to the current reality of trafficking and domestic consumption in Colombia.
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Transtornos Relacionados ao Uso de Cocaína/epidemiologia , Abuso de Maconha/epidemiologia , Estudantes/estatística & dados numéricos , Adolescente , Idade de Início , Atitude , Criança , Transtornos Relacionados ao Uso de Cocaína/psicologia , Colômbia , Estudos Transversais , Comportamento Perigoso , Uso de Medicamentos/legislação & jurisprudência , Feminino , Humanos , Masculino , Abuso de Maconha/psicologia , Grupo Associado , Prevalência , Recreação , Fatores de Risco , Assunção de Riscos , Instituições Acadêmicas/classificação , Estudantes/psicologia , População Urbana/estatística & dados numéricosRESUMO
Objectives Assessing lifetime prevalence of illegal substance use and accessibility to such substances. Determining risk factors and the protective factors linked to them. Methods This was a cross-sectional study using descriptive and bivariate analysis. A survey was applied to 1,515 students from 8th to 11th grades in the city's schools, ages ranging from 12 to 18. Results An increase in lifetime prevalence and lower age for consumption onset were found. The main risk factors were determined to be academic environment and attitudes towards school authorities, linked to recreational and sports groups without control by elders, gang membership and engaging in risky and dangerous activities. Conclusions The results showed the need for a critical review of current promotion and prevention strategies aimed at controlling the use of psychoactive substances amongst children and adolescents, according to the current reality of trafficking and domestic consumption in Colombia.
Objetivo Evaluar la prevalencia de vida del consumo de sustancias ilegales y la accesibilidad a sustancias ilegales. Determinar factores de riesgo y factores protectores relacionados con el consumo. Métodos Se realizó un estudio de corte transversal mediante el análisis descriptivo y bivariado. Se aplicó una encuesta a 1 515 estudiantes de los grados 8 al 11 en las escuelas de la ciudad, entre las edades de 12 a 18. Resultados Se encontró un aumento de la prevalencia de vida y una disminución en la edad de inicio al consumo. Los principales factores de riesgo encontrados fueron: ambiente académico y las actitudes hacia las autoridades escolares, la vinculación a los grupos de deportes recreativos, no respeto a los mayores, pertenecer a pandillas y participar en actividades riesgosas y peligrosas. Conclusiones Los resultados mostraron la necesidad de una revisión crítica de la promoción actual y las estrategias de prevención destinadas a controlar el uso de sustancias psicoactivas entre los niños y adolescentes, de acuerdo a la nueva realidad de la tráfico y consumo interno en Colombia.