Atencion primaria
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Randomized Controlled Trial Multicenter Study
[Evaluation of a protocol to monitor cardiovascular risk factors in diabetic patients attended in primary care].
To evaluate a primary care protocol for intensive monitoring of cardiovascular risk (CVR) factors in type-2 diabetes patients versus usual care. ⋯ Although improvement of CVR is greater in the IG, the difference between the two groups is not significant. The characteristics of the doctors chosen may have meant that the patients of the two groups received similar treatment.
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Randomized Controlled Trial Multicenter Study
[How does intensive therapy of cardiovascular risk factors affect health-related quality of life in diabetic patients?].
To assess the health-related quality of life (HRQoL) in diabetic patients who have followed a protocol of intensive treatment of cardiovascular risks (CVR). ⋯ The HRQoL in diabetic patients is not affected by intensive therapy of cardiovascular risk factors. Diabetes has a negative impact on HRQoL in the patients studied.
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Randomized Controlled Trial Multicenter Study Comparative Study
[Efficacy of respiratory rehabilitation on patients with moderate COPD in primary care and maintenance of benefits at 2 years].
To assess the efficacy of a pulmonary rehabilitation programme lasting 24 months and carried out at primary care health centres in improving the quality of life of patients with moderate COPD, compared with a programme of 12 weeks pulmonary rehabilitation with the usual care. Secondary aims include the assessment of the effects of the programme on dyspnoea, exercise capacity, reduction of crises, hospital admissions and length of time in hospital. ⋯ Quality of life with the Chronic Respiratory Questionnaire, 6-minute walking test, Borg Dyspnoea Scale, Medical Research Council Dyspnoea Score, Lung Function Tests, and intervention group.
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Randomized Controlled Trial
[Evaluation of the efficacy of a comprehensive programme of secondary prevention of cardiovascular disease in primary care: the PREseAP Study].
To assess the efficacy of a comprehensive secondary prevention programme to reduce morbidity and mortality in patients who have suffered a cardiovascular (CV) event; to control CV risk factors and prophylactic treatment in order to prevent recurrence; and to improve the quality of life of patients with cardiovascular disease. ⋯ Cardiovascular fatal events, cardiovascular non-fatal events, total mortality and health-related quality of life (SF-36).
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Randomized Controlled Trial Comparative Study
[Effectiveness of a programme of intensive tobacco counselling by nursing professionals].
To determine the effectiveness of a systematic intensive tobacco counselling programme conducted by nursing professionals. ⋯ In smokers seen in primary care, the effectiveness of a programme of intensive tobacco counselling by nursing staff is no more effective than the doctor's brief, one-off counselling. Brief counselling has a better cost-effectiveness relationship than intensive counselling.