{"id":115027,"date":"2018-03-11T10:43:21","date_gmt":"2018-03-11T10:43:21","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/adherencia-de-los-pacientes-en-fase-post-aguda-a-consejos-de-fisioterapia-magnitud-y-factores-asociados\/"},"modified":"2018-03-11T10:43:21","modified_gmt":"2018-03-11T10:43:21","slug":"adherencia-de-los-pacientes-en-fase-post-aguda-a-consejos-de-fisioterapia-magnitud-y-factores-asociados","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/fisioterapia\/adherencia-de-los-pacientes-en-fase-post-aguda-a-consejos-de-fisioterapia-magnitud-y-factores-asociados\/","title":{"rendered":"Adherencia de los pacientes en fase post-aguda a consejos de fisioterapia: magnitud y factores asociados"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Victor Salinas Palacios <\/strong><\/h2>\n<p>Palabras clave: fisioterapia, rehabilitaci\u00f3n, consejos, adherencia.  introducci\u00f3n:   \tla medici\u00f3n de la adherencia es un requisito b\u00e1sico tanto en la pr\u00e1ctica cl\u00ednica como en la investigaci\u00f3n. En el \u00e1mbito cl\u00ednico se ha se\u00f1alado que es importante evaluar y monitorizar la adherencia m\u00e1s que asumir que el consejo es suficiente o que los pacientes que son adherentes durante las sesiones lo son tambi\u00e9n en sus domicilios. En el \u00e1mbito de la investigaci\u00f3n la medici\u00f3n de la adherencia es \u00fatil tanto para  determinar el nivel o preValencia como para su relaci\u00f3n con otro tipo de variables que se quieran asociar, tales como sus beneficios, sus determinantes o las estrategias para su mejora.  \tla medici\u00f3n de la adherencia terap\u00e9utica en los programas de fisioterapia es compleja porque habitualmente requieren diferentes actividades.  Se ha se\u00f1alado que la adherencia no puede ser medida de forma global sino que su medida necesita ser multifac\u00e9tica de acuerdo a cada uno de los comportamientos implicados.    objetivos:  \t1) describir la frecuencia en la que los pacientes en fase post-aguda reciben \tdurante la asistencia a fisioterapia consejos que implican la realizaci\u00f3n de \tejercicios domiciliarios espec\u00edficos para su problema, ejercicios de \tacondicionamiento general y el \u00e1rea del automanejo del dolor.  \t2) describir la adherencia existente al final del periodo de tratamiento de \tfisioterapia a diferentes \u00e1reas de consejos proporcionados a los pacientes \ten fase post-aguda. \t 3) analizar la adherencia a diferentes consejos de la fisioterapia de los \tpacientes en fase post-aguda seg\u00fan el perfil del paciente, sus experiencias y \tsu juicio global sobre la atenci\u00f3n proporcionada.  \t4) explorar y determinar la importancia relativa de diferentes factores \texplicativos a la adherencia a diferentes consejos de la fisioterapia en el \t\u00e1mbito \tde la atenci\u00f3n al paciente post-agudo.    material y m\u00e9todos:  \tse realiz\u00f3 un estudio transversal mediante cuestionario autocumplimentado por el paciente que recibe atenci\u00f3n de fisioterapia por problemas m\u00fasculoesqueleticos.    resultados y discusi\u00f3n:  \tel estudio se desarroll\u00f3 con 516 sujetos, obteniendo 465 respuestas al cuestionario.  \tun alto porcentaje de pacientes recibieron consejo en relaci\u00f3n a ejercicios espec\u00edficos para su problema y medidas para el automanejo del dolor (88% y 83.1% respectivamente). Los consejos relativos al ejercicio aer\u00f3bico (45.9%) fueron recibidos por un menor porcentaje de pacientes.  \ten cuanto al cumplimiento de las recomendaciones o adherencia por parte del paciente podemos se\u00f1alar que es muy alta para los consejos relacionados al ejercicio aer\u00f3bico y a las medidas para el automanejo del dolor.  \t conclusiones:  1)\tlos fisioterapeutas suelen aconsejar el automanejo del dolor y la realizaci\u00f3n de ejercicios domiciliarios a la mayor\u00eda de sus pacientes post-agudos, y la realizaci\u00f3n de actividades aer\u00f3bicas a la mitad de ellos aproximadamente. 2)\tla adherencia al consejo fisioter\u00e1pico es un problema en nuestro contexto cuya magnitud var\u00eda en funci\u00f3n del tipo de consejo. Es un problema muy frecuente en el caso de los ejercicios domiciliarios espec\u00edficos y, afortunadamente, menos frecuente para los ejercicios aer\u00f3bicos y automanejo del dolor.  3)\tno existe un perfil demogr\u00e1fico o cl\u00ednico asociado a la adherencia a los ejercicios incluidos en este estudio. Por el contrario, el sexo femenino es un determinante de la adherencia a los consejos para el automanejo del dolor.  4)\tlos fisioterapeutas pueden incrementar la adherencia a los ejercicios domiciliarios espec\u00edficos y el automanejo del dolor evitando experiencias problem\u00e1ticas con la informaci\u00f3n y educaci\u00f3n, y el apoyo emocional que prestan a sus pacientes. 5)\tfacilitar que los pacientes valoren el servicio recibido como de buena calidad o altamente satisfactorio puede favorecer respectivamente la adherencia a los ejercicios domiciliarios espec\u00edficos y er\u00f3bicos.    keywords: fisioterapia, rehabilitaci\u00f3n, consejos, adherencia.  introduction :   \tmeasuring adherence is a basic requirement in both clinical practice and research . In clinical settings has indicated that it is important to assess and monitor adherence rather than assume that the advice is sufficient or that patients are adherent during sessions are also at home. In the research field of measuring adherence is useful for determining the level or prevalence as to its relationship with other variables that want to associate , such as benefits , its determinants and strategies for improvement.  \tmeasuring adherence in physiotherapy programs is complex because they usually require different activities. It has been suggested that adherence can not be measured global but multifaceted needs to be tailored according to each of the behaviors involved.   objectives:  \t1) describe the frequency that patients in post- acute phase received while \tattending physiotherapy tips involve making specific home exercises for their \tproblem , general conditioning exercises and pain self-management area . \t2) describe the adherence at the end of the physiotherapy  treatment period  \tto different areas of advice given to patients in post- acute phase . \t3) assess adherence to different  physiotherapy advices of patients in post- acute \tphase according to the patient&apos;s profile , their experiences and their overall \tassessment of the care provided . \t4) explore and determine the relative importance of different factors explaining \tthe different adherence to physiotherapy advices in the field of patient care post- \tacute .    material and methods :  \t\twe performed a cross-sectional study using self-administered \tquestionnaire for the patient receiving physiotherapy care for \tmusculoskeletal problems.  results and discussion:  \t\tthe study was conducted with 516 subjects , obtaining 465 responses to \tthe questionnaire. \t\ta high percentage of patients received advice in relation to specific \texercises for \tyour problem and measures for self-management of pain ( 88% \tand 83.1 % respectively). The advice relating to aerobic exercise (45.9 % ) \twere received by a smaller percentage of patients. \t\tregarding compliance with recommendations or adherence by the patient \tcan point which is very high for aerobic exercise -related advice and measures \tfor self- pain .  conclusions :  \t1) physical therapists often advise pain self-management and home-based \texercises most of its post- acute patients , and aerobic activities to approximately \thalf of them . \t2) adherence to physiotherapy advice is a problem in our context whose \tmagnitude varies depending on the kind of advice . It is a very common problem \tin the case of specific home exercises and fortunately less common for aerobic \texercise and self-management of pain. \t3 ) there is no demographic or clinical profile associated with adherence to the \texercises included in this study. By contrast , female gender is a determinant of \tadherence to self-management tips for pain . \t4) physical therapists can increase adherence to specific home exercises and \tavoiding pain self-management of problematic experiences with information and \teducation , and emotional support they provide to their patients. \t5) give that patients value the service they received as good quality or highly \tsatisfactory respectively may promote adherence to specific home exercises and \taerobics .<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Adherencia de los pacientes en fase post-aguda a consejos de fisioterapia: magnitud y factores asociados<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Adherencia de los pacientes en fase post-aguda a consejos de fisioterapia: magnitud y factores asociados <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Victor Salinas Palacios <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Francisco Javier Jimeno Serrano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Mar\u00eda  matilde Moreno cascales <\/li>\n<li>jacinto Javier Mart\u00ednez pay\u00e1 (vocal)<\/li>\n<li>esther Navarro pujalte (vocal)<\/li>\n<li>Jaime vicente Morera balaguer (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Victor Salinas Palacios Palabras clave: fisioterapia, rehabilitaci\u00f3n, consejos, adherencia. introducci\u00f3n: la medici\u00f3n de la adherencia es un [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","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":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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