Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

Financial well-being of the older adult Brazilians 巴西老年人的经济状况

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-02-12 DOI: 10.1016/j.regg.2025.101631

Kelmara Mendes Vieira, Taiane Keila Matheis, Breno Augusto Diniz Pereira, Leander Luiz Klein

Background and objective

The objective of this study is to identify the perceived financial well-being of older adult Brazilians. Additionally, it aims to evaluate whether this perception differs according to socioeconomic and demographic profiles. As far as is known, this is the first study to assess the financial well-being of the older adult in a representative sample of cases.

Materials and methods

A survey was conducted with 1129 Brazilians aged 60 or older. Perceived financial well-being was assessed using a set of 23 items distributed across four dimensions: financial security, financial tranquility, financial freedom, and satisfaction with financial management. The analysis techniques included descriptive statistics, chi-square tests, and regression analysis.

Results

The results indicate that most older adult exhibited high levels of financial well-being. A significant portion of the older adult (40%) still show shallow levels of financial well-being. When analyzing the dimensions that form financial well-being, it was found that although the older adults are mostly satisfied with how they manage their resources, few still feel financially secure, especially regarding their future financial capacity. It is also noteworthy that despite good results for financial freedom, there is still a significant portion of the older adult for whom this freedom mainly refers to satisfying day-to-day consumption needs, but is rarely enough to support larger financial expenditures such as a vacation trip. The worst levels were identified among those from lower social classes, non-whites, those with lower levels of education, and those without their own home.

Conclusions

The government, the financial system, and society need to unite to prevent financial digitalization, the lack of financial preparation for retirement, and changes in social security systems from negatively impacting the financial well-being of the older adult.

背景和目的本研究的目的是确定巴西老年人的财务状况。此外，它旨在评估这种看法是否会根据社会经济和人口状况而有所不同。就目前所知，这是第一个在代表性案例样本中评估老年人财务状况的研究。材料与方法对1129名60岁及以上的巴西人进行了调查。感知财务健康是通过一组23个项目来评估的，这些项目分布在四个方面：财务安全、财务安宁、财务自由和对财务管理的满意度。分析方法包括描述性统计、卡方检验和回归分析。结果结果表明，大多数老年人表现出较高的财务幸福感。很大一部分老年人（40%）的财务状况仍然很差。在分析构成财务健康的维度时，我们发现，尽管老年人大多对自己管理资源的方式感到满意，但很少有人仍然感到财务安全，特别是关于他们未来的财务能力。同样值得注意的是，尽管财务自由取得了良好的结果，但仍有相当一部分老年人认为这种自由主要是指满足日常消费需求，但很少足以支持更大的财务支出，如度假旅行。社会地位较低的人、非白人、受教育程度较低的人和没有自己家的人的情况最差。政府、金融系统和社会需要团结起来，防止金融数字化、缺乏退休财务准备以及社会保障制度的变化对老年人的财务福祉产生负面影响。

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引用次数: 0

Manejo multidisciplinar de un caso severo de pioderma gangrenoso en una paciente de edad avanzada 老年患者严重坏疽性皮表皮病的多学科管理

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-02-04 DOI: 10.1016/j.regg.2024.101617

Miguel Mansilla-Polo , Carlos Abril-Pérez , Mar Merino-Romero , Rafael Botella-Estrada

引用次数: 0

La geriatría dentro del sistema sanitario español: pasado y futuro [西班牙医疗系统中的老年医学：过去与未来]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-31 DOI: 10.1016/j.regg.2025.101626

José Manuel Ribera Casado , Alfonso J. Cruz Jentoft

Geriatrics is the medical specialty that cares for health problems of older persons, including acute care, chronic care and rehabilitation, in various settings such as the community, hospitals and long-term care. This article analyzes the situation of geriatric medicine in Spain before and after the COVID-19 pandemic, highlighting the challenges and changes needed to improve geriatric care in the future.

The first part of this paper describes the main landmarks of the Spanish health system. In 1986, a key law (Ley General de Sanidad) was approved by the Spanish Parliament, launching the development of the national health care system. In parallel, we describe and comment the development of geriatrics in Spain along this period is described. Later, the interactions between the health system and geriatrics along the next decades is reported, using 2020 (when started the COVID-19 pandemic started) as deadline of our past history. In the second part, the most important characteristics of the current situation of Spanish and European geriatric medicine are described, in order to propose ideas on how geriatric care can be designed and reimagined in the future.

老年病学是在社区、医院和长期护理等各种环境中照顾老年人健康问题的医学专业，包括急性护理、慢性护理和康复。本文分析了2019冠状病毒病大流行前后西班牙老年医学状况，强调了未来改善老年医疗所面临的挑战和需要做出的改变。本文的第一部分描述了西班牙卫生系统的主要标志。1986年，西班牙议会通过了一项重要的法律（leygeneraldesanidad），启动了国家卫生保健系统的发展。同时，我们描述和评论沿着这一时期西班牙老年病学的发展。随后，以2020年（COVID-19大流行开始的时间）作为我们过去历史的最后期限，报告了未来几十年卫生系统与老年病学之间的相互作用。在第二部分中，描述了西班牙和欧洲老年医学现状的最重要特征，以便提出未来如何设计和重新构想老年护理的想法。

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引用次数: 0

Invaginación duodenal en paciente octogenario: a propósito de un caso [80岁高龄十二指肠肠套叠1例报告]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-31 DOI: 10.1016/j.regg.2025.101622

Myriam Teresa Aponte , Juan Ignacio Maglio , Clara Cabré-Verdiell Surribas , Alberto Alonso Babarro

引用次数: 0

Diagnóstico diferencial del síncope en el paciente mayor, a raíz de un caso clínico 【老年晕厥的鉴别诊断，附一例临床病例】。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-31 DOI: 10.1016/j.regg.2025.101621

Rodrigo Molero-de-Ávila , María Gonzalo-Lázaro , Inhar Esnaola-Barriola , Marta Lorente-Escudero

引用次数: 0

Marcadores neuropsicológicos y factores asociados al deterioro cognitivo leve amnésico [与失忆症轻度认知障碍相关的神经心理学标记和因素]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-31 DOI: 10.1016/j.regg.2024.101620

Juan Camilo Benítez Agudelo , Edgar Navarro Lechuga , Karen Cecilia Flórez Lozano , Ernesto Barceló Martínez , Carlos Mario de Oro Aguado

Background

Mild amnestic cognitive impairment (aMCI) is a syndrome in which there are cognitive deficits characterized by memory complaints, with the endophenotype with the highest rate of conversion to dementia, especially the Alzheimer type. The objective of the study was to establish neuropsychological markers and factors associated with aMCI.

Methods

Transversal descriptive study with case and control analysis, with a sample of 426 subjects selected by non-probabilistic convenience sampling. The average age was 58.8 ± 5.5 years, 57.3% (244) of the sample were women, and 184 subjects (43.2%) had university studies. The clinical history shows that 47.9% (204) had a clinical history of hypertension, followed by symptoms of depression with 37.6% (160) and a tendency to isolation with 28.6% (122). Information on neuropsychological markers and associated factors was obtained through a neuropsychological assessment protocol.

Results

In the aMCI group, the domains of: focused care (OR: 10.74 95% CI 3.386-34.11) were found as significantly associated factors with respect to subjects without apparent pathology; episodic memory (storage) (OR: 36.52 95% CI 15.14-88.05) and denomination (OR: 5.043 95% CI 1.816-14.00).

Conclusions

Focused attention, episodic memory (storage) and naming become neuropsychological markers associated with aMCI; likewise, social isolation is shown to be a factor associated with aMCI when compared to subjects with non-amnestic predominant mild cognitive impairment (anMCI).

背景：轻度遗忘性认知障碍（aMCI）是一种以记忆抱怨为特征的认知缺陷综合征，其内表型转化为痴呆的比例最高，尤其是阿尔茨海默氏型。本研究的目的是建立与aMCI相关的神经心理学标志物和因素。方法：采用非概率方便抽样法，采用病例与对照相结合的横向描述性研究方法，抽取426名被试。平均年龄58.8±5.5岁，女性占57.3%（244人），大学学历184人（43.2%）。临床病史中，有高血压病史的占47.9%（204人），有抑郁症状的占37.6%（160人），有孤立倾向的占28.6%（122人）。通过神经心理学评估方案获得神经心理学标志物和相关因素的信息。结果：在aMCI组中，集中护理领域（OR: 10.74 95% CI 3.386-34.11）被发现是与无明显病理的受试者显著相关的因素；情景记忆（存储）（OR: 36.52 95% CI 15.14-88.05）和名称（OR: 5.043 95% CI 1.816-14.00）。结论：注意力集中、情景记忆（储存）和命名是与aMCI相关的神经心理指标；同样，与非健忘症为主的轻度认知障碍（anMCI）受试者相比，社会孤立被证明是与aMCI相关的一个因素。

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引用次数: 0

Translating lessons from immortal models: Hydra and the immortal jellyfish 翻译不朽模型的教训：九头蛇和不朽水母。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-31 DOI: 10.1016/j.regg.2025.101624

Cristina Mas-Bargues

引用次数: 0

Papel y función del apoyo social en los post-cuidadores familiares de personas mayores dependientes [社会支持在受抚养人家庭后照顾者中的作用和功能]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-16 DOI: 10.1016/j.regg.2024.101612

María Camila Parra Ortiz , Ana Belén Navarro Prados , María Cruz Sánchez Gómez , Juan Luis Cabanillas García

Introduction and objective

Social support appears to have a positive impact on the mental health and well-being of post-caregivers. Therefore, the aim of this paper is to examine the perceived social support network and its role in post-caregiving.

Materials and methods

56 family post-caregivers of older people participated in a semi-structured interview. In addition, the Social Support Questionnaire -MOS- and qualitative measures were applied. Descriptive analyses of the relationship between variables were carried out. At the qualitative level, we worked with a phenomenological design using the NVIVO program. Finally, data were triangulated using the mixed concurrent triangulation design methodology (DITRIAC).

Results

Post-care adjustment was positively associated with the dimensions of the perceived social support scale. The network of friends was found to be supportive during the loss, generating spaces for leisure and recreation that allowed post-caregivers to resume their social life. The family unit can move closer or further away. Children played a role of support and companionship for the post-caregivers and are also a source of motivation to cope and adapt to the loss of the cared-for relative. Participants emph

asised the need to feel listened to and welcomed. 64.3% of participants referred to not having received psychological care.

Conclusions

It is essential to carry out interventions that favor the development and maintenance of the family caregiver.

前言和目的：社会支持似乎对后照顾者的心理健康和福祉有积极影响。因此，本研究的目的是研究感知社会支持网络及其在护理后的作用。材料与方法：对56名老年人家庭后照顾者进行半结构化访谈。此外，还采用了社会支持问卷（mos）和定性测量。对变量之间的关系进行了描述性分析。在定性层面，我们使用NVIVO程序进行现象学设计。最后，使用混合并发三角剖分设计方法（DITRIAC）对数据进行三角剖分。结果：护理后适应与感知社会支持量表各维度呈正相关。研究发现，在失去亲人期间，朋友圈会给予他们支持，创造出休闲和娱乐的空间，让失去照顾者的人能够恢复他们的社交生活。家庭单位可以移动得更近或更远。儿童对失去照顾者的人起到了支持和陪伴的作用，也是应对和适应失去照顾者亲人的动力来源。与会者强调需要感到被倾听和受欢迎。64.3%的参与者表示没有接受过心理治疗。结论：实施有利于家庭照顾者发展和维持的干预措施是必要的。

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引用次数: 0

Factors associated with sarcopenia in a population of non-disabled older patients 非残疾老年患者人群中与肌肉减少症相关的因素

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-16 DOI: 10.1016/j.regg.2024.101608

Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft

Background and aim

To evaluate the association between sarcopenia and metabolic syndrome.

Patients and methods

A case–control study. Setting. Geriatric Care Clinic of Metepec (México). Inclusion criteria. Outpatients with physical and mental independence to perform daily living activities (DLA). Exclusion criteria. Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.

Patients

124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation ± 6.5 years).

Measurements

62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.

Results

Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).

Conclusions

We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.

背景与目的：探讨肌肉减少症与代谢综合征的关系。患者和方法：病例对照研究。地点：梅特佩克老年保健诊所。纳入标准：门诊患者身心独立进行日常生活活动（DLA）。排除标准：需要照顾者帮助的身体或精神残疾、活动性癌症、心脏病和肾脏疾病。患者：124例（59.6%为女性），年龄大于60岁（平均年龄69.7岁，标准差±6.5岁）。测量结果：根据EGWSOP 2019的定义，62例患有肌肉减少症。评估高血压、糖尿病、肥胖和血脂异常，计算病例和对照组中代谢综合征的患病率和比值比（OR）。结果：患有肌肉减少症的参与者更有可能是女性（80%对41.8%），在其他特征上与对照组没有重大差异。46.7%的参与者肥胖，两组中25.8%符合代谢综合征的诊断标准；在定义代谢综合征的项目中，只有高血压、肥胖II级和中心性肥胖与肌肉减少症的存在相关(OR 2.12；分别为3.39和1.93,95% CI)。结论：我们不能证实肌肉减少症与代谢综合征之间的联系，但与肥胖和高血压成分有关。

{"title":"Factors associated with sarcopenia in a population of non-disabled older patients","authors":"Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft","doi":"10.1016/j.regg.2024.101608","DOIUrl":"10.1016/j.regg.2024.101608","url":null,"abstract":"<div><h3>Background and aim</h3><div>To evaluate the association between sarcopenia and metabolic syndrome.</div></div><div><h3>Patients and methods</h3><div>A case–control study. Setting. Geriatric Care Clinic of Metepec (México). <em>Inclusion criteria.</em> Outpatients with physical and mental independence to perform daily living activities (DLA). <em>Exclusion criteria.</em> Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.</div></div><div><h3>Patients</h3><div>124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation±6.5 years).</div></div><div><h3>Measurements</h3><div>62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.</div></div><div><h3>Results</h3><div>Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).</div></div><div><h3>Conclusions</h3><div>We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101608"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aceptación e intención de uso de una camiseta con sensores fisiológicos en el ámbito de la salud en pacientes mayores [老年患者对健康领域生理传感器衬衫的接受程度和使用意向]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-01 Epub Date: 2024-10-08 DOI: 10.1016/j.regg.2024.101559

Almudena Ramírez-Martín , Francisco Poveda Gómez , Marta Aranda-Gallardo , Elena Martin-Bautista , Francisco Rivas Ruiz , José Javier García-Alegría

Objectives

To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption.

Methods

Cross-sectional study using questionnaires addressed to patients between 60 and 85 years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales.

Results

Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5 years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n = 35) scored significantly higher than those unwilling to wear the shirt (n = 13) on perceived ubiquity (P = .031), perceived ease of use (P = .002), and perceived utility (P = .007).

Conclusions

In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.

目的评估医疗机构中老年患者对生理传感器衬衫的接受程度和使用意向，并确定鼓励对其采用积极态度的因素：横断面研究：通过面对面访谈的方式，向 60 至 85 岁的患者发放问卷，以确定他们是否有意使用带有生理传感器的衬衫。研究使用了技术接受模型（TAM）的扩展版问卷，并使用了生活质量和感知压力量表：48名患者参与了研究，其中54.2%为男性，平均年龄为70.5岁。使用态度和使用意愿的平均分分别为 3.9（标度：0.8）和 3.3（标度：0.8），满分为 5 分。有意使用可穿戴技术的患者（35 人）在感知到普遍性（P=.031）、感知到易用性（P=.002）和感知到实用性（P=.007）方面的得分显著高于不愿意穿衬衫的患者（13 人）：在医疗保健行业的独立老年人样本中，发现他们非常愿意使用带有生理传感器的衬衫。通过 TAM 问卷调查，普遍性、感知易用性和感知有用性被认为是促使其被采用的关键因素。

{"title":"Aceptación e intención de uso de una camiseta con sensores fisiológicos en el ámbito de la salud en pacientes mayores","authors":"Almudena Ramírez-Martín , Francisco Poveda Gómez , Marta Aranda-Gallardo , Elena Martin-Bautista , Francisco Rivas Ruiz , José Javier García-Alegría","doi":"10.1016/j.regg.2024.101559","DOIUrl":"10.1016/j.regg.2024.101559","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption.</div></div><div><h3>Methods</h3><div>Cross-sectional study using questionnaires addressed to patients between 60 and 85years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales.</div></div><div><h3>Results</h3><div>Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n=35) scored significantly higher than those unwilling to wear the shirt (n=13) on perceived ubiquity (<em>P</em>  =.002), and perceived utility (<em>P</em>  <!-->.007).</div></div><div><h3>Conclusions</h3><div>In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101559"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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