<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2020000500256</article-id>
<article-id pub-id-type="doi">s1134-928x2020000500011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Teleconsulta como sistema de información en el cuidado de pacientes con deterioro de la integridad cutánea]]></article-title>
<article-title xml:lang="en"><![CDATA[Teleconsultation as an information system in the care of patients with cutaneous integrity deterioration]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Díaz]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diez Esteban]]></surname>
<given-names><![CDATA[María Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nevado Sánchez]]></surname>
<given-names><![CDATA[Endika]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Martínez]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud José Luis Santamaría Enfermería Familiar y Comunitaria ]]></institution>
<addr-line><![CDATA[Burgos ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario de Burgos Unidad de Heridas ]]></institution>
<addr-line><![CDATA[Burgos ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario de Burgos Cirugía Plástica, Estética y Reparadora ]]></institution>
<addr-line><![CDATA[Burgos ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de León  ]]></institution>
<addr-line><![CDATA[León ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>31</volume>
<numero>4</numero>
<fpage>256</fpage>
<lpage>260</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2020000500256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2020000500256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2020000500256&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivos: Evaluar los beneficios de la teleconsulta frente a la consulta presencial convencional en pacientes con deterioro de la integridad cutánea.  Metodología: Estudio piloto de intervención controlado, aleatorizado, abierto. Sujetos de estudio: pacientes con deterioro de la integridad cutánea pertenecientes a los centros de salud urbanos. Se crearon dos grupos, uno sobre el que se realizó la intervención a través de la teleconsulta y otro grupo control donde la consulta y la valoración se hizo de forma presencial. Recogida de los datos mediante observación, entrevistas, cuestionarios y escalas validadas.  Resultados: Se realizaron un total de 31 consultas desde los centros de salud, 12 de las cuales fueron de forma presencial (38,7%) y 19 a través de la teleconsulta (61,3%). Las lesiones consultadas fueron en su mayoría de etiología venosa. Estos pacientes presentaban alteración de su calidad de vida. Se obtuvo una media de mejoría de 6 puntos en la escala PUSH en la modalidad presencial frente a 8 puntos en la teleconsulta, siendo menor el tiempo en que se consigue la epitelización de las lesiones en esta última.  Conclusiones: La teleconsulta se perfila como un nuevo sistema organizativo, una nueva manera de organizar y gestionar la provisión de los servicios sanitarios en beneficio de los pacientes, profesionales y sistema sanitario en general, estableciendo un canal de comunicación rápido, fluido, efectivo y eficiente que repercuta directamente en el paciente disminuyendo tiempos para la resolución de su problema de salud, evitando desplazamientos innecesarios y disminuyendo los costes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objectives: To evaluate the benefits of teleconsultation compared to the conventional face-to-face consultation in patients with cutaneous integrity deterioration.  Methodology: Pilot study of controlled, randomized, open intervention. Subjects of study: patients with deterioration of the cutaneous integrity belonging to the urban health centers. Two groups were created, one on which the intervention will be carried out through teleconsultation and another control group where the consultation and Assessment was done in person. Collection of data through observation, interviews, questionnaires and validated scales.  Results: A total of 31 consultations were carried out from the health centers, 12 of which were in person (38.7%) and 19 through teleconsultation (61.3%). The lesions consulted are mostly of venous origin. These patients present altered quality of life. A mean improvement of 6 points is obtained in the PUSH scale in the face-to-face modality versus 8 points in the teleconsultation, the time in which the epithelialization of the lesions in the latter is achieved.  Conclusions: Teleconsultation is emerging as a new organizational system, a new way of organizing and managing the provision of health services for the benefit of patients, professionals and the health system in general. Establishing a fast, fluid, effective and efficient communication channel that has a direct impact on the patient, reducing time for the resolution of his health problem, avoiding unnecessary movements and reducing costs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Teleconsulta]]></kwd>
<kwd lng="es"><![CDATA[heridas]]></kwd>
<kwd lng="es"><![CDATA[comunicación]]></kwd>
<kwd lng="es"><![CDATA[calidad]]></kwd>
<kwd lng="en"><![CDATA[Teleconsultation]]></kwd>
<kwd lng="en"><![CDATA[wounds]]></kwd>
<kwd lng="en"><![CDATA[communication]]></kwd>
<kwd lng="en"><![CDATA[quality]]></kwd>
</kwd-group>
</article-meta>
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