Carmen Gloria Hidalgo

Satisfacción Usuaria: Un Indicador de Calidad del Modelo de SaludFamiliar, Evaluada en un Programa de Atención de Familias en RiesgoBiopsicosocial, en la Atención Primaria

Resumen es: Este articulo presenta los resultados de una investigacion que evaluo la satisfaccion usuaria de los consultantes a un programa experimental de Salud Fa...

Intervención de Salud en Familias de Alto Riesgo Biopsicosocial: Seguimiento a Largo Plazo del Funcionamiento Familiar

Este estudio forma parte de otro mayor que tuvo como objetivo evaluar el impacto a largo plazo de un programa de salud integral familiar, de un centro de salud de la comuna de La Florida en Santiago. Se informan los hallazgos de la evaluacion de seguimiento del funcionamiento familiar de las familias en condiciones de riesgo biopsicosocial que participaron en el programa. Se utilizo un diseno cuasiexperimental prospectivo de mediciones repetidas: pre intervencion, post intervencion y seguimiento. Se administro el test “Como es su familia”, a 31 madres de las familias intervenidas, evidenciandose una mejoria significativa en factores importantes del funcionamiento familiar, como la comunicacion y el estilo familiar de resolucion de problemas, lo que es relevante, al ser un factor de proteccion de las condiciones de salud de los individuos.

Los Programas Educativos para Parejas y Matrimonios: una nueva propuesta clínica para Chile

Education aimed at couples and marriage has a broad development in the world and in several countries has been incorporated into adult educational programs as part of preventive public policies of disharmony, rupture and relationship healthy couples. Initiatives that were originally promoted by religious groups today are a preventive alternative to promote healthy relationships, based on advances in psychological research and rigorously evaluated. The paper presents (a) to present the logic behind preventive interventions (b) make known the initiatives in education for couples and families in other countries (c) systematize the findings about their effectiveness (d) discuss the reasons which would be useful for incorporation into the country.

Intentos de suicidio y heridas auto-inferidas: 12 meses de seguimiento de conductas de riesgo de consumidores de cocaína no consultantes de servicios de rehabilitación

BACKGROUND Cocaine users tend to have a higher frequency of risk behaviors. AIM To compare risk behaviors of out -of -treatment Cocaine Base Paste (CBP) and Cocaine Hydrochloride (CH) users, by means of Privileged Access Interviewing in a one- year prospective study. MATERIAL AND METHODS Twenty -eight interviewers were trained to recruit and administer a questionnaire on substance use patterns and related risk behaviors. Intentioned sampling was carried out in four municipalities of Santiago, Chile. Subjects who used CBP (group 1) or CH (group 2) at least once in the last month, with primary current use of CBP (group 1) or CH (group 2), and without treatment for substance abuse in the last six months were interviewed. Generalized Estimating Equations (GEE) were employed to compare risk behaviors during follow -up. RESULTS Four hundred and two of 467 subjects (86.1%) were followed up for one year. CBP users (n = 204) reported greater frequency of self -inflicted injuries (Odds Ratio (OR): 1.97 [95% confidence intervals (CI): 1.07-3.66]) and suicide attempts (OR: 2.68 [95% CI: 1.19-6.01]) than CH users. CONCLUSIONS CBP users had a greater frequency of self -inflicted injuries and suicide attempts, both life threatening risk behaviors, than CH users. This profile shows the high vulnerability of CBP users and should encourage further research and design of outreach interventions, particularly focused on this group.Background: Cocaine users tend to have a higher frequency of risk behaviors. Aim: To compare risk behaviors of out ¬of ¬treatment Cocaine Base Paste (CBP) and Cocaine Hydrochloride (CH) users, by means of Privileged Access Interviewing in a one¬ year prospective study. Material and methods: Twenty ¬eight interviewers were trained to recruit and administer a questionnaire on substance use patterns and related risk behaviors. Intentioned sampling was carried out in four municipalities of Santiago, Chile. Subjects who used CBP (group 1) or CH (group 2) at least once in the last month, with primary current use of CBP (group 1) or CH (group 2), and without treatment for substance abuse in the last six months were interviewed. Generalized Estimating Equations (GEE) were employed to compare risk behaviors during follow ¬up. Results: Four hundred and two of 467 subjects (86.1%) were followed up for one year. CBP users (n=204) reported greater frequency of self ¬inflicted injuries (Odds Ratio (OR): 1.97 [95% confidence intervals (CI): 1.07¬3.66]) and suicide attempts (OR: 2.68 (95%CI: 1.19¬6.01]) than CH users. Conclusions: CBP users had a greater frequency of self ¬inflicted injuries and suicide attempts, both life threatening risk behaviors, than CH users. This profile shows the high vulnerability of CBP users and should encourage further research and design of outreach interventions, particularly focused on this group.