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Efectividad de las actividades preventivas analizada en el ámbito de centros de salud adscritos al Programa de Actividades Preventivas y de Promoción de la Salud (PAPPS) de la semFYC
Analysis of the effectiveness of preventive actions in health centres committed to the programme of preventive activities and health promotion (PAPPS) of the semFYC
P.J. Subías Loren*, J.R. García-Mata, L. Pérula de Torres, Grupo de Evaluación del PAPPS *
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Conocer la efectividad de un programa de actividades preventivas en el adulto &#40;hipertensi&#243;n arterial &#91;HTA&#93;&#44; tabaco y alcohol&#41; medida por el n&#250;mero de casos detectados&#44; evaluaci&#243;n de las intervenciones iniciales y el grado de control de los factores detectados&#46;</p> <span class="elsevierStyleSectionTitle">Dise&#241;o</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Retrospectivo&#59; revisi&#243;n de historias cl&#237;nicas&#46;</p> <span class="elsevierStyleSectionTitle">Emplazamiento</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Atenci&#243;n primaria&#46; Estudio multic&#233;ntrico&#58; centros de salud de toda Espa&#241;a&#46;</p> <span class="elsevierStyleSectionTitle">Poblaci&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Un total de 7&#46;562 historias cl&#237;nicas de pacientes de edad mayor de 20 a&#241;os&#44; extra&#237;dos mediante muestreo sistem&#225;tico de 378 unidades asistenciales &#40;m&#233;dico &#43; enfermera&#41; de 85 centros de salud adscritos al Programa de Actividades Preventivas y de Promoci&#243;n de la Salud &#40;PAPPS&#41; de la Sociedad Espa&#241;ola de Medicina de Familia y Comunitaria &#40;semFYC&#41; que participaron voluntariamente&#46; El per&#237;odo de estudio fue entre el 1 de mayo de 1995 y el 30 de abril de 1997&#46;</p> <span class="elsevierStyleSectionTitle">Mediciones y resultados principales</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Mediante cuestionario&#44; se obtuvo&#58; edad&#44; sexo y datos sobre h&#225;bito tab&#225;quico&#44; consumo de alcohol y toma de presi&#243;n arterial &#40;consta la actividad&#44; fecha del diagn&#243;stico&#44; valoraci&#243;n inicial y control posterior&#41;&#46; La proporci&#243;n de individuos con tabaquismo fue del 28&#44;3&#37;&#44; de consumo excesivo de alcohol 6&#44;9&#37; y de HTA 22&#44;2&#37;&#46; Alrededor de un 20&#37; de casos de cada factor de riesgo fue detectado en el per&#237;odo de estudio&#46; Estaba registrado el abandono del h&#225;bito en un 7&#44;6&#37; de fumadores y en el 19&#44;7&#37; de los bebedores excesivos&#46; Un 78&#44;6&#37; de los hipertensos ten&#237;a un grado de control aceptable-&#243;ptimo&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El n&#250;mero de casos detectados indica un aceptable rendimiento del programa PAPPS&#46; En cuanto al resultado de la intervenci&#243;n&#44; los abandonos del h&#225;bito tab&#225;quico y consumo de alcohol&#44; as&#237; como el grado de control de la HTA son cercanos a los ensayos publicados&#46; El PAPPS es un programa efectivo para el control de factores de riesgo en atenci&#243;n primaria&#46;</p>"
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Información del artículo
ISSN: 02126567
Idioma original: Español
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