Browsing by Author "Lange Haensgen, Ilta Anita H."

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    Del autocuidado al automanejo : la escuela de enfermería en la vanguardia del cuidado crónico UC en la vanguardia del cuidado crónico
    (2015) Lange Haensgen, Ilta Anita H.; Bustamante Troncoso, Claudia Raquel; Alcayaga Rojas, Claudia Andrea; Escobar, Maria Cristina; Herrera López, Luz María; Ferrer Lagunas, Lilian Marcela; Campos Romero, Solange; Urrutia, Myla
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    Effect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile
    (2010) Lange Haensgen, Ilta Anita H.; Campos Romero, Solange; Urrutia Bunster, Mila; Bustamante Troncoso, Claudia Raquel; Alcayaga Rojas, Claudia Andrea; Tellez, Alvaro; Pérez Ewert, Janet Carola; Villarroel del Pino, Luis A.; Chamorro S., Gastón; O'Connor, Annette; Piette, John
    Telephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the "Summary of Diabetes Self-care Activities Measure" and the "Spanish Diabetes Self-efficacy" scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.
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    Estrategias innovadoras para el cuidado y el autocuidado de personas con enfermedades crónicas en América Latina
    (2010) Sapag Muñoz de la Peña, Jaime; Lange Haensgen, Ilta Anita H.; Campos Romero, Solange; Piette, J.D.
    Objetivos. Identificar estrategias innovadoras dirigidas a mejorar el cuidado y el autocuidado de los pacientes con enfermedades crónicas (EC) en América Latina y explorar el interés en crear una red latinoamericana de profesionales en ese campo. Métodos. Estudio descriptivo exploratorio basado en una encuesta aplicada a expertos clave con reconocido liderazgo nacional o regional en la atención de pacientes con EC. El cuestionario de 25 preguntas recababa información sobre su experiencia en iniciativas de cuidado y autocuidado de pacientes con EC, la descripción de las iniciativas exitosas, la percepción de la capacidad de los países para innovar en este ámbito y el interés en participar en una red de profesionales latinoamericanos en ese campo, entre otras. Se realizó un análisis de contenidos para elaborar recomendaciones para la Región. Resultados. Se obtuvo respuesta de 17 (37,8%) de los 45 expertos invitados; 82,4% afirmó conocer o participar en alguna iniciativa innovadora en el tema planteado. Existe un incipiente desarrollo de los tres tipos de estrategias innovadoras: cuidado por pares, cuidadores informales y telecuidado, esta última es la menos explorada. Hay un real interés en conformar una red latinoamericana para el desarrollo de estrategias innovadoras dirigidas al autocuidado de pacientes con EC. Conclusiones. Las bases para una red de trabajo conjunto son promisorias y es prioritario fortalecer las competencias en esta área y desarrollar propuestas innovadoras para mejorar la atención de los pacientes con EC en la Región. Las medidas innovadoras deben ser complementarias y se deben ajustar al contexto específico de cada escenario.
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    Evaluación del Modelo Multi-componente de Telecuidado de apoyo a Personas con Pre-diabetes en Chile
    (2016) Pérez Ewert, Janet Carola; Bustamante Troncoso, Claudia Raquel; Alcayaga Rojas, Claudia Andrea; Medina, Margarita; Sánchez Castillo, Hugo; Campos Romero, Solange; Beltrán, Angela; Urrutia, Myla; Lange Haensgen, Ilta Anita H.
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    Experiencia de transferencia tecnológica de la consejería telefónica para cuidados crónicos de salud, a equipos de atención primaria
    (2012) Bustamante Troncoso, Claudia Raquel; Riquelme, Giselle; Alcayaga Rojas, Claudia Andrea; Lange Haensgen, Ilta Anita H.; Urrutia, Myla
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    Plan piloto del sistema de comunicación y seguimiento móvil en salud para personas con diabetes
    (2014) Alcayaga Rojas, Claudia Andrea; Pérez, Janet Carola; Bustamante Troncoso, Claudia Raquel; Campos Romero, Solange; Lange Haensgen, Ilta Anita H.; Zúñiga, Francisca
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    Programa de apoyo al trabajador-cuidador familiar : fenómeno social emergente
    (2014) Herrera López, Luz María; Alcayaga Rojas, Claudia Andrea; Torres Hidalgo, Marisa; Funk Buntemeyer, Regina; Riquelme, Giselle; Campos Romero, Solange; Urrutia, Myla; Lange Haensgen, Ilta Anita H.; Bustamante Troncoso, Claudia Raquel
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    Use of telephone care in a cardiovascular disease management programme for type 2 diabetes patients in Santiago, Chile
    (2006) Piette, John D.; Lange Haensgen, Ilta Anita H.; Issel, Michelle; Campos Romero, Solange; Bustamante Troncoso, Claudia Raquel; Sapag Muñoz de la Peña, Jaime; Poblete A., Fernando; Tugwell, Peter; O'Connor, Annette M.
    Objectives: In 2004, the Chilean National Ministry of Health instituted a cardiovascular disease (CVD) management programme aimed at improving diabetes care among patients treated in the public healthcare system. We sought to identify the characteristics of patients participating in the CVD programme and the feasibility of extending its reach through structured nurse telephone contacts between outpatient encounters. Methods: We surveyed 569 low-income adults with type 2 diabetes treated in public clinics of Santiago, to assess patients’ participation in the CVD programme and willingness to use telephone care services. Surveys were linked to information from medical records. Results: One-third of patients met the target of two visits to the CVD programme in the previous 6 months, and an additional 32% made more than three visits. Use of the CVD programme was associated with greater patient satisfaction, even after controlling for potential confounders. However, 27% of patients had inadequate programme contact, and many of these patients were in poor health. Many CVD programme participants reported difficulties with lifestyle changes, and greater contact with the CVD programme was not associated with healthier behaviours. Most patients (95%) reported telephone access and 37% had used the telephone to contact their clinic. The majority of patients would be willing to use telephone care for additional behaviour change and emotional support. Patients with fewer CVD programme visits were particularly likely to report willingness to use telephone care. Discussion: Clinic-based CVD disease management services reach a large number of socio-economically vulnerable Chileans with diabetes. However, barriers to access remain, and planned telephone care services may increase the reach of self-management support.