<?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>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592024000100203</article-id>
<article-id pub-id-type="doi">10.19136/hs.a23n1.5724</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia del trabajo con familias en duelo complicado por COVID-19 en el primer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of working with families in grief complicated by COVID-19 at the first level]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina-Hernández]]></surname>
<given-names><![CDATA[Thalía Selene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garrido-Pérez]]></surname>
<given-names><![CDATA[Silvia María Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Rodríguez]]></surname>
<given-names><![CDATA[Rosa María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo-Orueta]]></surname>
<given-names><![CDATA[María Luisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avalos-García]]></surname>
<given-names><![CDATA[María Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud CESSA Tierra Colorada ]]></institution>
<addr-line><![CDATA[ Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría de Salud del Gobierno del Estado de Tabasco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Secretaría de Salud del Gobierno del Estado de Tabasco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Secretaría de Salud del Gobierno del Estado de Tabasco  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>203</fpage>
<lpage>210</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592024000100203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592024000100203&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592024000100203&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar la eficacia del trabajo con familias en fase de duelo complicado por COVID-19, para restablecer la homeostasis y dinámica familiar.  Material y Métodos: Estudio con enfoque mixto, bajo un diseño cuasi experimental. Se desarrolló en tres etapas: diagnóstica, intervención y evaluación. En la primera se encuestaron 99 personas que perdieron a un familiar durante la pandemia con el test Inventario de duelo complicado (IDC) y el FF.SIL para estudiar la funcionalidad familiar. Se realizó intervención a cinco familias con duelo complicado y disfunción familiar, mediante trece sesiones presenciales y el empleo de técnicas de terapia narrativa y Gestalt, con la finalidad de recuperar la homeostasis familiar. Para evaluar el efecto de la intervención se aplicó un pos-test, así como los comentarios de las familias. Se realizó prueba t de Student para la diferencia pre y pos-test.  Resultados: Se encontraron familias con duelo complicado y disfunción familiar en el 25.3%. En el pretest-postest del FF-SIL, la prueba T de Student observó diferencia de medias de &#574;=8.571, desviación estándar de s±7.387, intervalo de confianza de IC95% Li: 4.306; Ls: 12.837 y valor de t= 4.341, gl=13 y valor de p=0.0001, estadísticamente significativo.  Conclusión: Con la intervención se logró restablecer la homeostasis, dinámica y salud familiar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To determine the effectiveness of working with families in a phase of grief complicated by COVID-19 to restore homeostasis and family dynamics.  Material and Methods: Study with a mixed approach, under a quasi-experimental design. It was developed in three stages: diagnosis, intervention and evaluation. In the first, 99 people who lost a family member during the pandemic were surveyed with the Complicated Grief Inventory (IDC) test and the FF.SIL to study family functionality. An intervention was carried out on five families with complicated grief and family dysfunction, through thirteen face-to-face sessions and the use of narrative and Gestalt therapy techniques, with the aim of recovering family homeostasis. To evaluate the effect of the intervention, a post-test was applied, as well as the families' comments. Student's t test was performed for the pre- and post-test difference.  Results: Families with complicated grief and family dysfunction were found in 25.3%. In the pretest-posttest of the FF-SIL, the Student's T test observed a mean difference of &#574;=8.571, standard deviation of s±7.387, 95% CI confidence interval Li: 4.306; Ls: 12.837 and t value= 4.341, df=13 and p value=.0001, statistically significant.  Conclusion: With the intervention, homeostasis, dynamics and family health were restored.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Efecto]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Duelo]]></kwd>
<kwd lng="es"><![CDATA[Dinámica Familiar]]></kwd>
<kwd lng="es"><![CDATA[Homeostasis]]></kwd>
<kwd lng="en"><![CDATA[Effect]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Complicated Grief]]></kwd>
<kwd lng="en"><![CDATA[Family Dynamics]]></kwd>
<kwd lng="en"><![CDATA[Homeostasis]]></kwd>
</kwd-group>
</article-meta>
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