Now showing 1 - 10 of 29
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    A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E. Manual on health self-management and patient-reported outcomes among low-income young adult Mexicans on chronic dialysis: Feasibility study
    (2022)
    Brito-Suárez, Juliette Marie
    ;
    Medina-Hernández, Elba
    ;
    Medeiros, Mara
    ;
    ;
    Morales-Buenrostro, Luis Eduardo
    We evaluated disease knowledge/self-management skills among low-income Mexican young adults maintained on dialysis and to test the effectiveness of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E (AYNIL) Manual – Spanish Version on patient-reported outcomes. This is a low literacy teaching tool designed with patients and educators' input.
      1  11Scopus© Citations 6
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    Calidad de la atención médica desde un punto de vista bioético en un hospital oftalmológico de Ciudad de México
    (2019)
    Romero-Chávez, Edith
    ;
    Contreras, Daniela
    ;
    Objetivo: Analizar la percepción de la calidad de la atención médica desde un punto de vista bioético. Material y métodos: Estudio trasversal, analítico, descriptivo y cuantitativo. Utilizamos dos cuestionarios para evaluar la percepción la atención médica en cuanto a los principios bioéticos. Hicimos un análisis descriptivo y bivariado con cada una de las variables, y sacamos un puntaje de las preguntas que se relacionaban con los principios bioéticos. Resultados: Incluimos 252 participantes y encontramos que, durante la atención médica, se cumplieron los siguientes principios: 14% autonomía, 72% beneficencia, 51% dignidad, 30% integridad, 42% justicia, 52% no maleficencia y 27% vulnerabilidad. 3% obtuvo todos los principios bioéticos. Conclusiones: Uno de los grandes retos de la medicina es la implementación de modelos de calidad de la atención médica, que garanticen que los pacientes reciban una atención médica que tome en cuenta los principios bioéticos.
      1  2
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    Ley de la voluntad anticipada en México
    En la ciudad de México se dispone de una Ley de Voluntad Anticipada (LVA) desde 2008. Dicha ley tiene por objeto respetar la dignidad de la vida que declina y evitar tanto la obstinación como el abandono terapéutico de los pacientes en enfermedad terminal. Por otra parte, el artículo 8.o de la ley permite expresar el deseo de donar órganos para trasplante. Sin embargo, esta ley, que podría tener efectos benéficos para la procuración de órganos, es muy poco conocida según estudios que hemos realizado. Se llevó a cabo una investigación cualitativa con una entrevista semiestructurada, que había sido previamente validada, para documentar el conocimiento de los habitantes de la ciudad de México sobre la LVA.
    Scopus© Citations 1  1  10
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    Decreased Autonomy In Community-Dwelling Older Adults
    (2019)
    Sánchez-García, Sergio
    ;
    García-Peña, Carmen
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    Ramírez-García, Eliseo
    ;
    Moreno-Tamayo, Karla
    ;
    Purpose: The present study aims to explore characteristics associated with low perception of autonomy among community-dwelling older adults. Patients and methods: This original research was derived from a cross-sectional study based on the study COSFOMA with information from 1,252 (60 years and older) community-dwelling older adults whose data was obtained through a questionnaire that included sociodemographic characteristics, as well as different scales of geriatric assessment. The perception of autonomy was evaluated with the autonomy sub-scale of the Quality of Life Scale of Older Adults from the World Health Organization (World Health Organization Quality of Life of Older Adults, WHOQOL-OLD).
      1  8Scopus© Citations 48
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    Self-Management and Health Care Transition Among Adolescents and Young Adults With Chronic Kidney Disease: Medical and Psychosocial Considerations
    (2017)
    Díaz-González de Ferris, Maria E.
    ;
    Villar-Vilchis, Marta Del
    ;
    Guerrero, Ricardo
    ;
    Barajas-Valencia, Victor M.
    ;
    Vander-Schaaf, Emily B.
    Health care transition (HCT) is a process that requires preparation as a continuum from pediatric- to adult-focused services. For adolescents and young adults with chronic or ESRD, this process can be prolonged due to their physical, psychological, family, or ecological factors. HCT preparation is a matter of patient safety and patient rights as the consequences of poor preparation at the time of transfer to adult-focused services are great, including rejection of organs, disease relapse, or even death. We present a case to illustrate important points of HCT preparation, with suggestions for intervention by the interdisciplinary team members who serve (and will serve) these survivors of pediatric-onset health conditions. To monitor the HCT process, yearly measurements of skill mastery need to take place guide interventions.
      2  10Scopus© Citations 18
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    Análisis de las características sociodemográficas de los pacientes con enfermedad renal crónica terminal: Diferencias en un periodo de seis años
    (2012-07) ;
    Rodríguez, Graciela
    ;
    Luque Coqui, Mercedes
    ;
    Romero, Benjamín
    ;
    Valverde, Saúl
    Background. Chronic renal disease (CRD) is a disease with a strong impact on the childhood Mexican population with short-range limiting and serious consequences. Poverty and a social environment devoid of social justice hinder timely medical attention and long-range rehabilitation. The aim of this study was to determine the differences regarding sociodemographic features in patients under treatment at Hospital Infantil de México Federico Gómez, with a 6-year difference: patients diagnosed in 2003 as compared to those diagnosed in 2009. Methods. A retrospective comparative study was carried out with end-stage chronic renal disease (ESRD) patients with information obtained from the clinical files. Data were obtained on age, gender, renal insufficiency etiology, socioeconomic level, type of financing, place of origin, and whether patient entered a rehabilitation program (dialysis or transplant).
      1  31
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    Self-Management and Transition Readiness Assessment: Development, Reliability, and Factor Structure of the STARx Questionnaire
    (2015)
    Ferris, María E.
    ;
    Cohen, Sarah E.
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    Haberman, Cara
    ;
    Javalkar, Karina
    ;
    Massengill, Susan F.
    Introduction The Self-Management and Transition to Adulthood with Rx = Treatment (STARx) Questionnaire was developed to collect information on self-management and health care transition (HCT) skills, via self-report, in a broad population of adolescents and young adults (AYAs) with chronic conditions.
      1  7Scopus© Citations 145
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    Evaluation of physician–patient relationship and bioethical principles in COVID-19 patients
    (2022)
    Gómez Guerrero, Irma Eloísa
    ;
    Arroyo-Valerio, América
    ;
    Reding-Bernal, Arturo
    ;
    ;
    García, Ana Isabel
    The COVID-19 pandemic has impacted medical care in many ways; previously, a patient would enter a hospital and had an approximate idea of what would happen upon his admission, the physician informed them about it, but in the last two years this scenario has changed. Therefore, our aim was to identify if bioethical principles are present in the physician–patient relationship and the effect of these in the health care provided, through an observational and descriptive study where patients answered the validated ReMePaB questionnaire that measures the presence of bioethical principles in the physician–patient relationship, on the seventh day of their hospital stay and 24 h after discharge, during the period from 1 August to 5 November 2020. In autonomy, an improvement in the score was observed in the second application compared to the first measurement; in the principle of non-vulnerability, the same scenario was observed for the first and second measurements, respectively. In the principles of beneficence, dignity, and justice, no statistically significant differences were observed. Considering the presence or absence of bioethical aspects in health care in this pandemic creates an area of opportunity to know the feelings of the patient during the care received and to maintain what is done well and improve those aspects that can be improved.
    Scopus© Citations 1  2  16
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    Fe de errores de “Revisión de modelos para el análisis de dilemas éticos”
    (2015)
    Ruíz-Cano, Jennifer
    ;
    ;
    Ávila-Montiel, Diana
    ;
    Gamboa-Marrufo, José Domingo
    ;
    Juárez-Villegas, Luis E.
    En el artículo titulado “Revisión de modelos para el análisis de dilemas éticos” publicado en el Boletín Médico del Hospital Infantil de México, Bol Med Hosp Infant Mex. 2015;72(2):89-98, se ha detectado un error en la filiación del Dr. Adalberto de Hoyos-Bermea, siendo los datos correctos: Instituto Politécnico Nacional, México, D.F. México.
      2  7
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    La trascendencia del Consentimiento Informado en bioética y la complejidad de informar al paciente terminal su pronóstico en la primera visita: Visión del paciente y familiares en el Instituto Nacional de Cancerología
    (2013)
    Allende-Péreza, Silvia
    ;
    ;
    Verástegui-Avilés, Emma
    In Mexico, Informed Consent (IC) is an ethical obligation and a legal requirement specified in laws however, some studies have suggested that the right to self-determination, which is the basis of respect for patient autonomy movement Anglo-American applied ethics, must be adapted to the particularities of the Mexican context. The majority of patients treated at the Instituto Nacional de Cancerología (INCan) are women with breast or cervical neoplasia, followed by cancers of the digestive tract. A significant percentage of patients seen are illiterate and more than half have six years or less of schooling. In terms of occupation, almost 70% of patients are unemployed or non-formal jobs, with monthly incomes of less than 3,000.00 pesos. We conducted a qualitative, ethnographic and phenomenological method with participant observation technique depth interviews with 10 cases. The situational collective case study was conducted in the palliative care service. Our study showed that to ensure that the signing of IC in palliative care is made by the patient and family is required to fully consider the physical and emotional condition. The document should provide clear, concise and jargon explicit about palliative care, models of care, referral and against reference. Your application will be accurate and in their proper perspective the risk of iatrogenic informative according to the strict application standpoint of patients and families surveyed. The vision of 95% of patients on the IC showed to be for information about care and palliative medicine and signed the document.
      1  5