{"id":24109,"date":"2023-09-05T09:02:11","date_gmt":"2023-09-05T07:02:11","guid":{"rendered":"https:\/\/idibell.cat\/?p=24109"},"modified":"2023-09-05T09:22:31","modified_gmt":"2023-09-05T07:22:31","slug":"els-factors-psicoemocionals-culturals-i-socials-es-relacionen-directament-amb-la-reconsulta-a-urgencies","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2023\/09\/els-factors-psicoemocionals-culturals-i-socials-es-relacionen-directament-amb-la-reconsulta-a-urgencies\/","title":{"rendered":"Els factors psicoemocionals, culturals i socials es relacionen directament amb la reconsulta a Urg\u00e8ncies"},"content":{"rendered":"<p>Un estudi recent posa de manifest la influ\u00e8ncia directa dels factors psicoemocionals, culturals i socials en les reconsultes al servei d&#8217;Urg\u00e8ncies. Aquest treball, liderat per la infermera del Servei d\u2019Urg\u00e8ncies de l\u2019Hospital Universitari de Bellvitge (HUB) i investigadora del <a href=\"https:\/\/idibell.cat\/recerca\/area-de-medicina-translacional\/programa-de-sistema-digestiu-diagnostic-farmacogenetica-infermeria-i-prevencio-clinica\/enfermeria\/\">grup de recerca infermera<\/a> GRIN-IDIBELL, Andrea Urbina, revela que el benestar emocional i social dels pacients \u00e9s determinant i, de fet, els pacients m\u00e9s complexos tenen una probabilitat m\u00e9s alta de reconsultar en els 30 dies posteriors a l\u2019alta d\u2019Urg\u00e8ncies.<\/p>\n<p>Tradicionalment, s\u2019ha estudiat m\u00e9s l\u2019esfera m\u00e9s biol\u00f2gica del pacient, \u00e9s a dir, com l\u2019edat i les patologies es relacionen amb pitjors resultats de salut. Per\u00f2 hi ha altres factors de complexitat de cures que tamb\u00e9 afecten l\u2019evoluci\u00f3 del pacient, com ho s\u00f3n els de l\u2019esfera sociocultural o psicoemocional.<\/p>\n<p>\u201cPer a la pr\u00e0ctica assistencial, aquest estudi permet evidenciar la import\u00e0ncia de considerar tots els aspectes de la salut del pacient de forma hol\u00edstica, no nom\u00e9s els aspectes m\u00e8dics, a l&#8217;hora de tractar les seves necessitats. El benestar emocional, el nivell cultural i els aspectes socials poden ser factors clau que afecten la freq\u00fc\u00e8ncia amb qu\u00e8 una persona busca assist\u00e8ncia als serveis d&#8217;urg\u00e8ncia\u201d, en paraules de la infermera.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Una de cada cinc reconsultes s\u00f3n de pacients hiperfreq\u00fcentadors<\/strong><\/p>\n<p>Dades recollides de 15.556 episodis de pacients atesos a Urg\u00e8ncies de l\u2019Hospital de Bellvitge mostren que el 82,4% d\u2019ells presenta algun factor de complexitat de cures.<\/p>\n<p>A m\u00e9s, al voltant d\u2019un 12% dels pacients reconsulten al Servei d\u2019Urg\u00e8ncies. Entre els factors que s\u2019han associat amb m\u00e9s freq\u00fc\u00e8ncia a aquestes reconsultes en els 30 dies seg\u00fcents a l\u2019alta hi ha la incontin\u00e8ncia, la inestabilitat hemodin\u00e0mica, el risc d\u2019hemorr\u00e0gia, l\u2019edat avan\u00e7ada, l\u2019ansietat i la por, el deteriorament de funcions cognitives i l\u2019analfabetisme. Per tant, l\u2019estudi mostra que la reconsulta tamb\u00e9 est\u00e0 associada a factors socioecon\u00f2mics i culturals, aix\u00ed com problemes relacionats a salut integral o vulnerabilitat social.<\/p>\n<p>\u201cDisposar d\u2019aquesta informaci\u00f3 en forma d\u2019alerta a la hist\u00f2ria cl\u00ednica electr\u00f2nica podria ajudar als equips d\u2019Urg\u00e8ncies a identificar aquells pacients que poden tenir un major risc de tornar a requerir atenci\u00f3 urgent i desenvolupar estrat\u00e8gies per millorar la continu\u00eftat de les seves cures i alhora disminuir l\u2019impacte econ\u00f2mic en el sistema de salut\u201d, segons Urbina.<\/p>\n<p>Les conclusions d\u2019aquest treball obren reptes i oportunitats, incloent-hi la possibilitat d\u2019establir noves estrat\u00e8gies de seguiment dels pacients amb l\u2019Atenci\u00f3 Prim\u00e0ria, potenciant-ne la continu\u00eftat de cures, o la coordinaci\u00f3 amb professionals de serveis socials a l\u2019alta.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Una d\u00e8cada de recerca infermera de primer nivell a Bellvitge <\/strong><\/p>\n<p>L&#8217;estudi ha estat publicat a la prestigiosa <a href=\"http:\/\/emergencias.portalsemes.org\/descargar\/factores-de-complejidad-de-cuidados-asociados-a-la-reconsulta-en-un-servicio-de-urgencias\/\">revista cient\u00edfica <em>Emergencias<\/em><\/a>, una de les principals en l&#8217;\u00e0mbit d&#8217;urg\u00e8ncies i emerg\u00e8ncies a escala mundial. Els autors de l&#8217;estudi formen part del grup de recerca infermera GRIN-IDIBELL, que investiga la complexitat de cures des de fa m\u00e9s d&#8217;una d\u00e8cada sota el lideratge de la Dra. Maria Eul\u00e0lia Juv\u00e9, qui va crear la terminologia ATIC d\u2019arquitectura del coneixement infermer en el marc de l\u2019Institut Catal\u00e0 de la Salut.<\/p>\n<p>La publicaci\u00f3 de l\u2019article ha anat acompanyada d\u2019una Editorial on es destaca la import\u00e0ncia de continuar investigant sobre la l\u00ednia de complexitat de cures, amb el repte de \u201ccontemplar la visi\u00f3 hol\u00edstica infermera en la valoraci\u00f3 dels pacients\u201d.<\/p>\n<p>Precisament, GRIN-IDIBELL treballa conjuntament en la l\u00ednia de <em>Pacient Complex<\/em> per obrir l\u00ednies d\u2019investigaci\u00f3 futures sobre l\u2019impacte de la complexitat de cures sobre els resultats de salut dels pacients. Aquest darrer estudi forma part de la tesi doctoral de la infermera Andrea Urbina, el director de la qual \u00e9s el Dr. Jordi Adamuz, infermer de suport a la recerca de l\u2019Hospital Universitari de Bellvitge i la Dra. Marta Romero, professora la Facultat d\u2019Infermeria de la Universitat de Barcelona.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un nou estudi publicat i destacat per la revista cient\u00edfica Emergencias revela la relaci\u00f3 directa entre tenir dos o m\u00e9s factors, com ara  l\u2019analfabetisme, l\u2019ansietat o la falta de cuidadors, i el fet de tornar a Urg\u00e8ncies en menys de 30 dies <\/p>\n","protected":false},"author":8,"featured_media":24111,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[476,334,469],"tags":[],"publishpress_future_action":{"enabled":false,"date":"2024-05-16 22:20:48","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24109"}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=24109"}],"version-history":[{"count":1,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24109\/revisions"}],"predecessor-version":[{"id":24112,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/24109\/revisions\/24112"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/24111"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=24109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=24109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=24109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}