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Instituto Nacional de Salud Pública

2020, Número 5

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salud publica mex 2020; 62 (5)


Comunicación abierta entre profesionales de la salud mental y padres de pacientes con discapacidad intelectual

Ángeles-Llerenas A, Domínguez-Esponda R, Katz-Guss G, Astudillo-García CI, Rodríguez-Valentín R, Madrigal-de León E, Salvador-Carulla L, Lazcano-Ponce E

Idioma: Español
Referencias bibliográficas: 46
Paginas: 494-503
Archivo PDF: 295.45 Kb.


RESUMEN

Objetivo. Estimar los factores asociados con la comunicación abierta entre profesionales de la salud mental y padres de pacientes con discapacidad intelectual y otros trastornos del neurodesarrollo. Material y métodos. Encuesta transversal en 759 profesionales de la salud mental. Se estimó la asociación entre el patrón de comunicación abierto y los atributos de la comunicación a través de un modelo logístico, ordinal y multivariado. Resultados. La prevalencia del patrón de comunicación abierta en profesionales de la salud mental fue de 30.6% (IC95% 27.4-34.0). Los factores asociados fueron menor edad (RM=2.42, IC95% 1.57-3.75), especialidad (RM=1.56, IC95% 1.09-2.23), alto valor a la verdad (RM=4.95, IC95% 3.21-7.65), bajo paternalismo (RM=10.93, IC95% 7.22-16.52) y cursos de bioética (RM=1.45, IC95% 1.01-2.09), ajustando por variables confusoras. Conclusión. Los profesionales de la salud mental reportaron bajos niveles de comunicación abierta con los padres de personas con trastornos del neurodesarrollo, por lo que priorizar el valor a la verdad, promover un menor paternalismo y el respeto a la autonomía de los pacientes puede contribuir a cambiar estos patrones de comunicación en la práctica clínica en México.


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