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Biomedical subjects

E Bailón

Publications and source records attributed to E Bailón.

7 recordsLinked to original sources
PubMed1998

[The genogram in the evaluation of natural family vital cycle and its dislocations].

OBJECTIVES: To evaluate whether the reading of the genogram allows the stages of the family vital cycle (FVC) and the map of relationships to be identified; and to study how it can be used to find the FVC and its dislocations, and family relationships. DESIGN: Descriptive crossover study. SETTING: Primary Care. Health Centres at Almanjayar and Cartuja (Granada). Patients and other participants. 499 genograms performed and analysed by Primary Care doctors. INTERVENTIONS: Reading of the genograms by two doctors who had not participated in taking them, to establish whether the FVC stages and the map of relationships could be identified, and the cycle and its dislocations classified. RESULTS: The reading of the genogram enabled the stages of the FVC to be identified in 96% of cases. 66% of the genograms had the map of relationships correctly drawn. We found that 30% of families were at the fourth stage, 22% in II-B and 19% in II-A. 43% of the genograms contributed data on family relationships. Dislocations in the FVC were evident in 16.6%. CONCLUSIONS: When the genogram is well-constructed, we consider it a good tool for classifying families into the appropriate stage of the FVC, evaluating the role of family interactions throughout the cycle and discovering disruptions in the FVC.

Adult↗
PubMed1993

[The companion at the clinical interview].

OBJECTIVE: To discover how often patients attend a clinical interview with a companion; and to define this companion by the variables of age, gender, reason for the interview, the relationship (friend or relation) and his/her typology. DESIGN: This was a descriptive, prospective study. SETTING: The study was carried out in the Almanjayar and Cartuja Health Centres. PATIENTS AND OTHER PARTICIPANTS: The 899 people who attended for a consultation during the last week of July, 1991, were included in the study. MEASUREMENTS AND MAIN RESULTS: Companions were present in 39.15% of the clinical interviews. Patients under 20 and those with acute complaints were those who most commonly attended with a companion. 94% of the companions were family members: most commonly, the mother or the husband/wife. 18.7% of the companions caused conflict. CONCLUSIONS: The companion can be seen as an important element of the health network as well as a social support. Companions with a collaborative attitude can be used to find out clinical data and family background during the interview; whereas difficult or sick companions require a particular approach to prevent their interfering with the development of the clinical interview.

Adult↗
PubMed1992

[Efficacy of auditing in improving a Control Program of Pregnancy].

OBJECTIVE: To compare the results obtained in two successive audits to observe the effectiveness of this control method. DESIGN: The care process followed by pregnant women attended in 1986-87 is compared with that in 1988. LOCATION: Cartuja Health Centre (Granada). PARTICIPANTS: Data referring to 20 markers with defined quality criteria are obtained by auditing clinical protocols. METHODS AND MAIN RESULTS: The qualitative markers were compared to the comparison test of two proportions for separate samples and the quantitative markers with the of student for separate samples and equal variants. The quality index improved in 9 markers and worsened in 1; the remainder did not change. The results prove the effectiveness of quality control to improve care given in a Health Centre.

Female↗
PubMed1991

[Validation of a functional social support scale for use in the family doctor's office].

OBJECTIVE: The present work seeks to validate the Duke-UNC questionnaire as modified by Broadhead, which is used to measure social support in its qualitative dimension. DESIGN: It is a transversal, prospective and observational study. LOCATION: The study has been done at the primary care level, corresponding to the basic health area of Cartuja (Granada). PATIENTS: The questionnaire was administered to 139 patients seen in the offices of the Cartuja Health Centre. 25 of them were male and 114 female, of an age ranging from 18 to 84. The subjects were selected on a systematic base of three by three with a random starting-point from among people over 18 years old visiting the office. INTERVENTIONS: To check the reliability and validity of the questionnaire, Pearson's, Edward's and Cronbach's alpha techniques were used. The factorial analysis was verified by the varimax rotation method. MEASUREMENTS AND MAIN RESULTS: We have observed that the questionnaire correctly measures qualitative social support, it being appreciated that the correlation coefficients are high, as is the internal consistency of the scale. After the factorial analysis we also confirmed the existence of two components: Factor 1 which measures the confidential social support and Factor 2 which measures the affective social support. CONCLUSIONS: The Duke-UNC questionnaire reduced to 11 items is a fast and simple instrument for detecting the level of social support in its affective and confidential dimensions. Its use will allow us to discover situations of high social risk; permitting us in these cases to carry out the relevant support interventions.

Adolescent↗