{"id":17582,"date":"2018-03-09T09:05:43","date_gmt":"2018-03-09T09:05:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/oxigenoterapia-y-aerosolterapia-domiciliara-resultados-de-un-programa-de-itnervencion\/"},"modified":"2018-03-09T09:05:43","modified_gmt":"2018-03-09T09:05:43","slug":"oxigenoterapia-y-aerosolterapia-domiciliara-resultados-de-un-programa-de-itnervencion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/oxigenoterapia-y-aerosolterapia-domiciliara-resultados-de-un-programa-de-itnervencion\/","title":{"rendered":"Oxigenoterapia y aerosolterapia domiciliara: resultados de un programa de itnervenci\u00f3n"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Marin S\u00e1nchez <\/strong><\/h2>\n<p>Objetivos  conocer las caracter\u00edsticas cl\u00ednicas y funcionales de los apcientes con ox\u00edgeno o nebulizadores, evaluar su cumplimiento e indicaci\u00f3n y valorar los efectos de nuestra intervenci\u00f3n sobre la preValencia y costes.  material y m\u00e9todo  entre abril de 1999 y diciembre de 2000, se evaluaron de forma prospectiva todas las nuevas prescripciones de ox\u00edgeno (ocd) o nebulizadores (nd) (estudio longitudional) y se revisaron a los pacientes en tratamiento cont\u00ednuo con \u00e9stas terapias (estudio transversal). Creamos la unidad de control de terapias respiratorias domiciliarias (uctr) y se aplicaron los criterios de consenso para la indicaci\u00f3n de ocd y nd.  resultados  220 pacientes corresponden al estudio longitudinal o prospectivo y 654 al transversal. 426 ten\u00edan ox\u00edgenoterapia y 448 un nebulizador. La preValencia inicial era de 197 casos por 100.000 habitantes en ocd y de 165 casos por 100.000 habitante en nd. Despu\u00e9s de nuestra intervenci\u00f3n baj\u00f3 a 115 y 112 casos por 100.000 habitantes, respectivamente. Ahorramos 55 millones de pesetas anuales (331.325 euros). El grado de indicaci\u00f3n correcta fue de 35% en ocd y el cumplimiento adecuado de la ocd del 20%. En un 40% de los casos en ocd y nd se retir\u00f3 la prestaci\u00f3n. Usaban incorrectamente el sistema de inhalaci\u00f3n el 59% de los pacientes, la mayor\u00eda de ellos por una incompleta informaci\u00f3n m\u00e9dica.  conclusiones  antes de la creaci\u00f3n de la uctr, exist\u00eda en nuestra \u00e1rea sanitaria una alta preValencia de terapias respiratorias domiciliarias. Hemos detectado un n\u00famero importante de prescripciones incorrectas. El grado de cumplimiento de la ox\u00edgenoterapia fue muy deficiente. Demostramos la gran importancia de la uctr para mejorar la calidad asistencial y generar ahorro econ\u00f3mico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Oxigenoterapia y aerosolterapia domiciliara: resultados de un programa de itnervenci\u00f3n<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Oxigenoterapia y aerosolterapia domiciliara: resultados de un programa de itnervenci\u00f3n <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Marin S\u00e1nchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/06\/2002<\/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>Miguel Rosales Jaldo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn Fern\u00e1ndez-crehuet navajas <\/li>\n<li>alicia Conde valero (vocal)<\/li>\n<li>inmaculada Alfageme michavila (vocal)<\/li>\n<li>pedro Valdivieso felices (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Marin S\u00e1nchez Objetivos conocer las caracter\u00edsticas cl\u00ednicas y funcionales de los apcientes con ox\u00edgeno o nebulizadores, [&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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