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González Pisano, Ana
Cuidadores / Dependencia, Gestión (de cuidados/del personal), Procesos crónicos.
  • Servicio de Salud del Principado de Asturias
[Modifying habits and treatment adherence, essential for controlling the chronic disease].
Artículo
17/02/14
Área:
Procesos crónicos
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
Pisano González MM,González Pisano A

Therapeutic adherence is defined as the extent to which a person's behavior (taking medications, following a diet and changes in lifestyle) coincides with health recommendations (WHO, 2004). We can deduce that is a multiple, complex and changing phenomenon, that there can be total or partial adherence to a treatment, and depending on timing and circumstances. Lack of adherence is a worrying problem; due to its great magnitude and complexity (over two hundred factors) it is responsible for the increased morbid-mortality, complications, hospital admissions, health costs, and dissatisfaction of the user and health professionals. In this paper we develop effective interventions in changing habits and improving adherence: cognitive (education and improved communication), behavior and motivation. Interventions areas include pharmacological treatments, habits and life style, as well as social and family support. The most effective model emphasizes self-care and self-responsibility of the user to manage their disease and increase adherence.

Copyright © 2013 Elsevier España, S.L. All rights reserved.

Informe de actividad de Enfermería en Atención Primaria en Asturias (primer informe)
Artículo
15/10/12 Oviedo
Área:
Gestión (de cuidados/del personal)
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
González Pisano AC, Fernéndez González C, Alonso García E, del Castillo Arévalo F, Pisano González M, González Sánchez S, Blanco Crespo S, Cotillo Cueria Y.
Ref. Bibliográfica:
González Pisano AC, Fernández González C, Alonso García E, del Castillo Arévalo F, Pisano González M et al. Informe de actividad de Enfermería en Atención Primaria en Asturias (primer informe)

[Quality of life related to health in caregivers of dependent people in two rural areas of León].
Artículo
05/10/09 Villablino
Área:
Cuidadores / Dependencia
Ámbito:
Atención Sociosanitaria
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
González-Pisano AC,Granado-Villacé R,García-Jáñez E,Del Cano-González C,Fernández-Fernández MA

To study the quality of life related to health and the relationship with the social support, family function and the level of overload for carers of people with a medium/high level of dependence have.
Cross-sectional study of people in Villablino Palacios del Sil making a Dependence Application in 2007. A questionnaire was administered to explore the socioeconomic characteristics, family function (Apgar Family), social support (Duke-UNC), quality of life related to health (Coop-wonca sheeting) and burden level (Zarit) of caregivers. A descriptive analysis was carried out for each one of the variables, and for the bivariate analysis the Spearman rank correlation coefficient, and Pearson's correlation coefficient were used for the continuous variables.
A total of 79.31% of the target population (58 people) answered the questionnaire, with an average age of 55.74 years (standard deviation=11.6), 82.6% (38) women, and 45.7% (21) have a low social support and 76.1% (35) are normal functioning families. A total of 67.4% (31) had an intense burden. There was a statistically positive significant relationship (P<0.05) between the quality of life associated with health and family function and perceived social support, and a negative significant relationship with the burden of the caregiver.
The quality of life related to health in caregivers is better in those with a good social and family support, a good state of health, and they maintained their level of physical activity and positive feelings, but it got worse when the social support decreased and the level of overload increased.