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The comfort theory was applied in the development of a nursing process for the clinical case of an older adult with pneumonia treated under hospital at home. It was observed that the theory is easy to apply in the domiciliary context and that it allows the implementation of a holistic care plan.

Objective: to evaluate the effect and gender differences of an innovative intervention involving in-person and telephone nursing counseling to control cardiovascular risk factors (arterial hypertension, dyslipidemia, and overweight), improve health-related quality of life and strengthen self-efficacy and social support in persons using the municipal health centers' cardiovascular health program.Method: a randomized controlled clinical trial involving participants randomized into the intervention group who received traditional consultation plus personalized and telephone nursing counseling for 7 months (n = 53) and the control group (n = 56). The study followed the Consolidated Standards of Reporting Trials Statement.Results: women in the intervention group presented a significant increase in the physical and mental health components compared to the control group, with decreases in weight, abdominal circumference, total cholesterol, low-density lipoprotein cholesterol, and the atherogenic index. The effects attributable to the intervention in the men in the intervention group were increased physical and emotional roles and decreased systolic and diastolic pressure, waist circumference, total cholesterol, low-density lipoprotein cholesterol, atherogenic index, cardiovascular risk factor, and 10-year coronary risk.Conclusion: this intervention is an effective strategy for the control of three cardiovascular risk factors and the improvement of health-related quality of life.

eHealth interventions use information technology to provide attention to patients with chronic cardiovascular conditions, thereby supporting their self-management abilities. Objective: Identify barriers and aids to the implementation of eHealth interventions in people with chronic cardiovascular conditions from the perspectives of users, health professionals and institutions. Method: An integrative database review of WoS, Scopus, PubMed and Scielo of publications between 2016 and 2020 reporting eHealth interventions in people with chronic cardiovascular diseases. Keywords used were eHealth and chronic disease. Following inclusion and exclusion criteria application, 14 articles were identified. Results: Barriers and aids were identified from the viewpoints of users, health professionals and health institutions. Some notable barriers include users’ age and low technological literacy, perceived depersonalization in attention, limitations in technology access and usability, and associated costs. Aids included digital education and support from significant others. Conclusions: eHealth interventions are an alternative with wide potentiality for chronic disease management; however, their implementation must be actively managed.

The objective was to describe the sexual life satisfaction of couples in the climacteric stage and determine whether there are differences between the perception of satisfaction and the sex life of each partner. We studied 142 couples obtained by stratified sampling of family health centers, Concepción, Chile. 66% of women and 84% of men reported being very or somewhat satisfied with their sex lives. Slight concordance was found between the responses of the partners in relation to satisfaction with their sexual life. Moreover, a slight degree of agreement was found between the sexual life satisfaction reported by women and their partners' perceptions of the women's sexual life satisfaction. Additionally, a slight degree of agreement was reported between the sexual life satisfaction reported by men and their partners' perceptions of the men's sexual life satisfaction. This study provides new information about Chilean couples in the climacteric stage in relation to self-reported sexual satisfaction and perceived satisfaction in couples.

Antecedentes: El control de las enfermedades cardiovasculares es un reto para los sistemas de salud. Objetivo: Determinar si la atención proporcionada por los equipos de salud a usuarios/as con enfermedades cardiovasculares crónicas es congruente con el Modelo de Cuidados Crónicos y explorar su efectividad a través de indicadores de compensación del programa de salud cardiovascular.

This study aimed to identify variables associated to the consumption of benzodiazepine among workers of a private company in the VIII Region, Chile. This is a cross-sectional and correlative study. Study population: 40 employees of a private company. The instruments included a questionnaire on socio-demographic variables and a benzodiazepine questionnaire. There was no record of benzodiazepine consumption at the moment of the study. Twenty percent (20%) of the interviewees had already used benzodiazepine in the past, whereas, half of them (10%) in the last year. The bivariate analysis of the last year consumption of benzodiazepine with work hours variables showed no significant relation (p=0.073). No association was found between benzodiazepine consumption and socio-demographic variables among the study participants.

Objetivo: describir la producción empírica sobre indicadores para evaluar la calidad de la atención en salud otorgada a usuarios de unidades de hospitalización domiciliaria (HD). Materiales y métodos: se realizó una revisión integradora en las bases Pubmed, Web of Science, IBECS, SciELO y Biblioteca Cochrane. El periodo de búsqueda se extendió del año 1990 hasta el 2017. Resultados: se hallaron 10 documentos, de los cuales 6 correspondieron a artículos originales y 4 a revisiones sistemáticas. Sólo en 3 de los 6 artículos originales hallados se mencionaron indicadores relacionados con reingresos hospitalarios no planificados, llamadas telefónicas no planificadas realizadas por los pacientes y/o el equipo de salud de HD, negativa de los pacientes a ser ingresados a HD y errores en la administración de medicamentos. Conclusión: la investigación de la evaluación de la calidad de la atención en salud en HD mediante indicadores ha tenido un escaso desarrollo, especialmente en enfermería. Los indicadores pesquisados han sido desarrollados sólo en algunos países europeos pero sin reportar bases conceptuales claras y sin asegurar la solidez científica y factibilidad de las medidas.