Angelina Dois

Factores de riesgo asociados a síntomas depresivos post parto en mujeres de bajo riesgo obstétrico atendidas en el sistema público

Background: Postpartum depression (PPD) is a public health problem with high prevalence in Chile. Many factors are associated with PPD. Aim: To analyze the factors associated with the incidence of depressive symptoms (SD) in women with low obstetric risk. Material and Methods: Cross-sectional analytical study on a sample of 105 postpartum women with low obstetric risk assessed by the Edinburgh Depression Scale at the eighth week postpartum. Results: A 37% prevalence of depressive symptoms was found. Univariate analysis showed that the perception of family functioning, overcrowding and number of siblings, were significantly associated with postpartum depressive symptoms. A multiple regression model only accepted family functioning as a predictor of depression. Conclusions: Perception of family functioning was the only variable that explained in part the presence of depressive symptoms in women with low obstetric risk.BACKGROUND Postpartum depression (PPD) is a public health problem with high prevalence in Chile. Many factors are associated with PPD. AIM To analyze the factors associated with the incidence of depressive symptoms (SD) in women with low obstetric risk. MATERIAL AND METHODS Cross-sectional analytical study on a sample of 105 postpartum women with low obstetric risk assessed by the Edinburgh Depression Scale at the eighth week postpartum. RESULTS A 37% prevalence of depressive symptoms was found. Univariate analysis showed that the perception of family functioning, overcrowding and number of siblings, were significantly associated with postpartum depressive symptoms. A multiple regression model only accepted family functioning as a predictor of depression. CONCLUSIONS Perception of family functioning was the only variable that explained in part the presence of depressive symptoms in women with low obstetric risk.

Principios orientadores del Modelo Integral de Salud Familiar y Comunitario desde la perspectiva de los usuarios

Background: The integral Model of Family and Community Health care is based on three essential principles: patient centered care, comprehensive care and continuity of care. Aim: To know the perception of primary care clinic users about the elements that should be considered in a patient centered integrated health care. Material and Methods: Ten males and 31 females aged 18 to 78 years, users of two public family primary care centers participated in focus groups, which were recorded. A qualitative descriptive research design based on content analysis according to Krippendorf was done. Results: Seven issues emerged from the description of patients’ experiences: professional-patient relationship, fragmentation of care, continued care with the same professional, promotion and prevention, availability of services and patient records. Conclusions: There are difficulties to install an integral model of family and community health care. The concerns raised by participants should be considered in order to modify the design of these models.

Patient-centred care and shared decision-making in Chile: Rising momentum for progress and implementation in clinical practice

The Chilean legislation establishes that patients have rights and responsibilities in regards to their healthcare. This is an important statement as it declares that people must be informed and become actively involved in their care; meanwhile, the health system needs to coordinate the provision of personalised and effective services. Although patient-centred care (PCC) and shared decision making (SDM) are relatively new concepts in Chile, the country is experiencing an interesting political momentum to create more interventions to achieve PCC and SDM and explore clinical implementation. Currently, research efforts in Chile have focused on better understanding the state of the art related to both concepts and how new clinical approaches could help to operationalize them.

Menopause, the beginning of aging for Chilean women: A qualitative study

OBJECTIVES To develop the meaning of menopause of a group of post-menopausal women and their relationship with aging. METHODS Qualitative descriptive study on 15 Chilean women that completed a taped face-to-face in depth interview that were interpreted according to Krippendorff. RESULTS A qualitative content analysis revealed the presence of two themes: (a) Cessation of women´s reproductive stage and (b) a life transition to aging. CONCLUSIONS Women perceived their menopause as the beginning of aging focusing on the end of fertility and the social connotation that this new role implies. Feeling old 10 years before the customary beginning of old age is an important starting point to be incorporated in womens health education.