Exploración de necesidades multidimensionales en la demencia: un abordaje desde el reconocimiento hacia la justicia social en Colombia

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dc.contributor.advisorPardo Turriago, Rodrigo
dc.contributor.advisorMoreno Angarita, Marisol
dc.contributor.authorRomero Vanegas, Sara Julieta
dc.contributor.cvlacRomero Vanegas, Sara Julieta https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001115960spa
dc.contributor.googlescholarSara J Romero-Vanegas https://scholar.google.com/citations?user=qYsvh60AAAAJ&hl=es&oi=aospa
dc.contributor.orcid0000-0001-6606-7409spa
dc.contributor.researchgateSara romero-vanegas https://www.researchgate.net/profile/Sara-Romero-Vanegasspa
dc.contributor.researchgroupDiscapacidad, Políticas y Justicia Social.spa
dc.date.accessioned2023-01-11T16:21:34Z
dc.date.available2023-01-11T16:21:34Z
dc.date.issued2022-12
dc.descriptionilustraciones, graficas, mapasspa
dc.description.abstractObjetivo: Explorar e identificar las necesidades multidimensionales de las personas con demencia, sus cuidadores y la red de profesionales en salud. Método: Diseño de métodos mixtos de tipo exploratorio secuencial. Población colombiana, de diversos territorios, régimen de aseguramiento, alfabetizados, con disponibilidad y acceso a internet y un dispositivo de conexión. Se llevaron a cabo 2 fases, una cuantitativa, conformada por personas con demencia (N:28), y cuidadores (N:208), y una cualitativa con 88 personas (N:49 cuidadores y N:39 profesionales). La información cuantitativa fue analizada con R software® y también se empleó la técnica de jerarquización analítica; la información cualitativa, fue analizada con los software Maxqda® y Coheris Analytics SPAD®. Resultados: A partir de las seis necesidades exploradas, emergió un conjunto de diez necesidades reportadas por los participantes (capacitación, atención y acceso a salud, movilidad, riesgos locativos y ambientales, legales-ocupacionales-laborales, patrimoniales, psicológicas y conductuales, socioculturales, respiro y creencias y valores), las cuales están interpretadas a la luz de los determinantes sociales y a las esferas del reconocimiento postuladas por Axel Honneth. Así mismo, se evidencia que las necesidades, aunque son las mismas en los territorios participantes, su vivencia es distinta, debido a las diferencias relacionadas con las necesidades de atención y acceso a salud, capacitación, riesgos locativos y ambientales, movilidad, psicológicas y conductuales; siendo también notorias las relacionadas con las necesidades legales-ocupacionales-laborales, patrimoniales, socioculturales, de respiro y creencias y valores. Conclusiones: La identificación de necesidades multidimensionales debe ser el primer paso para la formulación de las políticas públicas y estas deben reconocer y ser sensibles a los territorios, las vivencias de las personas con demencia, de los cuidadores y la red de profesionales que situados en un contexto, buscan el reconocimiento relacionado al cuidado, a la valoración social, las necesidades y los derechos. (Texto tomado de la fuente)spa
dc.description.abstractObjective: To explore and identify the multidimensional needs of people with dementia, their caregivers and the network of health professionals. Method: Exploratory sequential mixed methods design. Colombian population, from distinct territories, insurance regime, alphabets, with availability and access to the internet and a connection device. Two phases were carried out, a quantitative one, made up of people with dementia (N:28), and caregivers (N:208), and a qualitative one with 88 people (N:49 caregivers and N:39 professionals). The quantitative information was analyzed with R software® and the analytical hierarchy method was also used; the qualitative information was analyzed with the Maxqda® and Coheris Analytics SPAD® software. Results: From the six needs explored, a set of ten needs reported by the participants emerged (training, care and access to health, mobility, locative and environmental risks, legal-occupational-labour, patrimonial, psychological and behavioral, sociocultural, respite and beliefs and values), which are interpreted in the light of social determinants and the spheres of recognition postulated by Axel Honneth. Likewise, it is evident that the needs, although they are the same in the participating territories, their experience is dissimilar, due to the differences related to the needs of care and access to health, training, locative and environmental risks, mobility, psychological and behavioral. ; being also notorious those related to legal-occupational-labour, patrimonial, sociocultural, respite and beliefs and values needs. Conclusions: The identification of multidimensional needs must be the first step for the formulation of public policies, and these must recognize and be sensitive to the territories, the experiences of people with dementia, the caregivers and the network of professionals who, situated in a specific context. They seek recognition related to care, social value, needs and rights.eng
dc.description.degreelevelDoctoradospa
dc.description.degreenameDoctor en Salud Públicaspa
dc.description.methodsEste proyecto es un estudio mixto con un diseño exploratorio secuencial . Implica el estudio de este fenómeno de necesidades mediante fases. La fase inicial, cuantitativa, estuvo comprendida por la recolección de información mediante el diligenciamiento de unos instrumentos que incluyeron: una escala de calidad de vida, escalas de depresión y entrevista semiestructurada. una fase cualitativa abordada con el tecnica de grupos focales. para esta fase, se emplearon como parámetros de rigurosidad: 1). Exploración para evaluar la precisión de las preguntas a explorar en las siete categorías de la evaluación de necesidades. Y 2). Triangulación, explorando un subgrupo de las categorías de la evaluación de necesidades. Para realizar la descripción las características estadísticas de las variables, se exportó la información de forms a una base de datos diseñada en Microsoft Excel 365®para tal fin; para el análisis, se empleó el R Statistical Software versión 4.1.2® (R Project – 2021). Se describieron las características demográficas y las diversas categorías de análisis, medidas de tendencia central y dispersión (media, mediana, rango, desviación estándar y rango intercuartílico). El análisis de la información cualitativa se realizó con el Software Maxqda® versión 2022. Para el análisis mixto se empleó el software de análisis estadístico de datos textuales Coheris SPAD Real-Time software 2022®, por medio del método descriptivo multidimensionalspa
dc.description.researchareaVida Dignaspa
dc.format.extent199 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameUniversidad Nacional de Colombiaspa
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombiaspa
dc.identifier.repourlhttps://repositorio.unal.edu.co/spa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/82875
dc.language.isospaspa
dc.publisherUniversidad Nacional de Colombiaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
dc.publisher.departmentDoctorado Interfacultades en Salud Públicaspa
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.placeBogotá, Colombiaspa
dc.publisher.programBogotá - Medicina - Doctorado en Salud Públicaspa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-SinDerivadas 4.0 Internacionalspa
dc.rights.urihttp://creativecommons.org/licenses/by-nd/4.0/spa
dc.subject.ddc610 - Medicina y salud::616 - Enfermedadesspa
dc.subject.otherCuidadoresspa
dc.subject.otherCaregiverseng
dc.subject.otherDemenciaspa
dc.subject.otherDementiaeng
dc.subject.otherEvaluación de Necesidadesspa
dc.subject.otherNeeds Assessmenteng
dc.subject.otherNecesidades y Demandas de Servicios de Saludspa
dc.subject.otherHealth Services Needs and Demandeng
dc.subject.proposalEvaluación de necesidadesspa
dc.subject.proposalProfesionales de saludspa
dc.subject.proposalSalud públicaspa
dc.subject.proposalNecesidades multidimensionalesspa
dc.subject.proposalPolíticas en saludspa
dc.subject.proposalNeeds assessmenteng
dc.subject.proposalMultidimensional needseng
dc.subject.proposalHealth careeng
dc.subject.proposalHealth professionalseng
dc.subject.proposalPublic healtheng
dc.subject.proposalHealth policyeng
dc.titleExploración de necesidades multidimensionales en la demencia: un abordaje desde el reconocimiento hacia la justicia social en Colombiaspa
dc.title.translatedExploration of Multidimensional Needs in Dementia: an Approach from Recognition as Social Justiceeng
dc.typeTrabajo de grado - Doctoradospa
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dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
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dcterms.audience.professionaldevelopmentInvestigadoresspa
dcterms.audience.professionaldevelopmentMaestrosspa
dcterms.audience.professionaldevelopmentMedios de comunicaciónspa
dcterms.audience.professionaldevelopmentResponsables políticosspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa

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