Revista médica de Chile
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Revista médica de Chile · Sep 2022
[Resilience, anxiety and stress among formal caregivers for institutionalized older people].
Caregiver stress is a common problem observed in nursing homes. ⋯ A higher score on the Resilience Scale was associated with the absence of anxiety and stress, working between 22 and 43 hours per week, sleeping between 7 and 8 hours of sleep and a satisfactory self-perception of sleep. Studying the factors associated with resilience in formal caregivers of the elderly allows healthcare personnel to focus preventive actions, intervening promptly in risk areas associated with the work context, and strengthening the personal resources of caregivers.
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Revista médica de Chile · Sep 2022
[Risk perception, preventive efficacy and social factors as predictors for COVID-19 preventive behavior in chileans].
Social isolation and hand washing are effective measures to prevent COVID-19 transmission Aim: To evaluate the predictive role of risk perception and preventive efficacy perception, along with sociodemographic and health factors, for adherence to hand washing and isolation behavior of Chilean adults. ⋯ Preventive behaviors are associated with several psychosocial factors, allowing to distinguish groups at higher risk, which should be the focus of COVID-19 preventive interventions.
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Revista médica de Chile · Sep 2022
[Mechanical thrombectomy in a Chilean public hospital. Experience in 149 patients].
Mechanical thrombectomy is the accepted treatment for acute ischemic stroke in Large Vessel Occlusion. The Barros Luco Trudeau hospital developed endovenous thrombolysis in 2010, and since 2012, implemented endovascular management, becoming the neurovascular center in the southern area of the metropolitan region. ⋯ Mechanical thrombectomy, according to this experience, has favorable clinical outcomes in patients with high NIHSS scores at entry.
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Revista médica de Chile · Sep 2022
[Risk factors associated with 10-year survival after coronary artery bypass grafting].
Coronary artery bypass grafting (CABG) is the treatment of choice for a broad spectrum of patients with coronary disease. ⋯ These patients had a 10-year survival comparable to large international series. Groups associated with lower 10-year survival were identified.
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Revista médica de Chile · Sep 2022
[Geographic sectorization of hospitalized patients to health care teams. Impact on teamwork and patient satisfaction].
Historically, the wards of hospitals were divided by services such as medicine, surgery and traumatology, among others. To optimize the use of beds, undifferentiated medical surgical services were implemented in different hospitals in the country. ⋯ Through some PlanStudy-Do-Act (PDSA) cycles of continuous improvement, more than 80% of the patients were quickly sectorized, however there were multiple threats during the project. Pre- and post-implementation surveys were conducted with nurses, internal medicine residents, and medical Staff, highlighting an improvement in multiple aspects concerning the quality of communication, interdisciplinary work, the time of visits, and satisfaction, among others.