Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

«¡Hemos envejecido mucho en estos dos años!». Efectos de la pandemia de COVID-19 sobre la salud de las personas mayores viviendo solas “这两年我们老了很多！”COVID-19大流行对独居老年人健康的影响

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-29 DOI: 10.1016/j.regg.2025.101687

María del Pilar Díaz Conde , Juan López Doblas

Background and objective

Surveys carried out around the world agree that the COVID-19 pandemic has deteriorated the health of older people. Those who live alone have been especially affected. Our objective is to analyze this fact, comprehensively interpreting the descriptions that they themselves transmit.

Method

Qualitative research that follows the guidelines of Grounded Theory and uses interviews to collect information. The theoretical sampling consisted of 102 interviews, all in person, carried out in several phases.

Results

Three main themes are identified. 1) The adoption of an inactive and sedentary lifestyle by older people living alone throughout the pandemic. 2) This was accompanied by a deficit in health care, since they avoided going to hospitals and health centers as they were conceived as spaces with a high risk of COVID-19 infection, that is, for fear of contagion. Telephone support was not an effective alternative to face-to-face consultations. 3) The loss of subjective health, which they attribute to the pandemic, in the form of physical worsening, especially related to mobility, mental problems such as anxiety or depression and/or perceived cognitive impairment.

Conclusions

The pandemic has negatively affected the health status of older people living alone, and its effects were not only immediate, but would last in the medium and long term. We are faced with a particularly vulnerable group and what has happened in recent years suggests the need for urgent and profound social interventions that improve their quality of life.

背景和目的在世界各地开展的调查一致认为，COVID-19大流行恶化了老年人的健康状况。独居者受到的影响尤其严重。我们的目标是分析这一事实，全面解释它们自己传递的描述。方法定性研究遵循扎根理论的指导方针，并使用访谈来收集信息。理论抽样包括102个访谈，所有访谈都是面对面的，分几个阶段进行。结果确定了三个主要主题。1)大流行期间独居老年人采取不活动和久坐不动的生活方式。2)这伴随着医疗保健的短缺，因为他们避免去医院和医疗中心，因为他们被认为是COVID-19感染风险很高的地方，也就是说，因为害怕传染。电话支助不是面对面协商的有效替代办法。3)主观健康的丧失，他们将其归因于大流行病，表现为身体状况恶化，特别是与行动能力、焦虑或抑郁等精神问题和/或认知障碍有关。结论新冠肺炎疫情对独居老年人的健康状况产生了负面影响，其影响不仅是立竿见影的，而且会持续中长期。我们面对的是一个特别脆弱的群体，近年来发生的情况表明，需要进行紧急和深刻的社会干预，以改善他们的生活质量。

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引用次数: 0

Efecto del envejecimiento sobre el contenido motor en la fluidez de verbos 老化对动词流畅性中的动词内容的影响

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-26 DOI: 10.1016/j.regg.2025.101700

L. Leonardo Díaz-García , Mireya Chávez-Oliveros , Julio C. Flores-Lázaro

Backround

Verb fluency is a sensitive neuropsychological test to frontostriatal integrity. Changes in brain physiology and morphology occur with aging, however, their impact on semantic aspects of the verb fluency is unknown.

Objective

To assess the effect of aging on the sequential production of motor content and lexical frequency in the verb fluency task.

Materials and Methods

Eighty-six subjects were recruited, organized into four age groups: 51-55, 56-60, 61-65 and 66-70 years. The production sequence was analyzed in four 15-second intervals of the verb fluency paradigm with three measures: verbs produced, motor content, and lexical frequency. Mood, global cognitive state, and education was controlled.

Results

An initial effect of high motor content is reported in a sample of older adults, consisting verb production with higher motor content during the first 15-seconds interval of verb fluency. This initial motor content is lower in the 66-70 age group compared to adults aged 51-60 years and is independent of the psycholinguistic and demographic variables analyzed.

Conclusions

This study is pioneering in providing data on motor content during verb fluency in an exploratory sample of older Mexican Spanish speakers; larger studies are needed to generalize the results. The importance of assessing semantic parameters in verb fluency as a promising tool for clinical practice in patients with frontostriatal impairment is highlighted.

背景动词流畅性是对额纹状体完整性的敏感神经心理学测试。随着年龄的增长，大脑的生理和形态会发生变化，然而，它们对动词流畅性的语义方面的影响尚不清楚。目的探讨年龄对动词流畅性任务中动作内容和词汇频率顺序产生的影响。材料与方法共招募受试者86例，分为51 ~ 55岁、56 ~ 60岁、61 ~ 65岁和66 ~ 70岁4组。在动词流畅性范式的四个15秒间隔内，用三个测量指标：动词产生量、动作内容和词汇频率来分析产生序列。情绪、整体认知状态和教育受控制。结果高运动内容的初始效应在老年人样本中被报道，包括在动词流利的前15秒间隔内产生较高的运动内容的动词。与51-60岁的成年人相比，66-70岁年龄组的初始运动内容较低，并且与所分析的心理语言学和人口统计学变量无关。本研究开创性地提供了对老年墨西哥西班牙语使用者在动词流利性过程中运动内容的数据；需要更大规模的研究来推广结果。评估动词流畅性的语义参数的重要性，作为一个有前途的工具，在临床实践的患者额纹状体损伤被强调。

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引用次数: 0

Functional recovery unit national map. FUN-RUN Map Project 功能恢复单位全国地图。FUN-RUN地图项目

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-24 DOI: 10.1016/j.regg.2025.101701

Ainhoa Esteve Arrien , Elena Romero Pisonero , Elena Fernández Arin , Alicia Calle Egusquiza , José Manuel Cancio Trujillo

Introduction

Functional recovery units (FRUs) provide bed-based functional reablement for adults affected by morbidity-related or healthcare system-induced functional decline. Despite strong evidence supporting their efficacy, FRU development has been uneven within national territory. This project aims to identify territorial accessibility to FRUs in Spain in 2024. The project's objectives included describing structure–process–outcome indicators and collecting staff opinions on some of these metrics.

Methods

A cross-sectional study was designed using a piloted questionnaire in an encrypted online platform, comprising sociodemographics, center-characteristics, unit-characteristics, and staff opinions. Inclusion criteria included publicly funded hospital units focused on geriatric rehabilitation, managed by physicians with MIR specialty. One hundred IC-Hospitals (ICH) were identified as potentially eligible within the National Catalogue of Hospitals, 55 centers meeting inclusion criteria where clinical referees were identified.

Results

Thirty-two questionnaires completed (response rate 58%) by geriatricians (81.25%), with an average of 13.4 years of FRU-experience. Geographic representation included 11 provinces and eight autonomous communities. 87.5% of FRUs are located in ICH and have an average experience of 22.69 years. 0.52 beds per 1000 inhabitants >65 years and 1.7 beds per 1000 >80 years were described in the provinces represented, and a national ratio of 0.2 beds/1000 >65 years and 0.7 beds/1000 >80 years. Staff ratios of 15.94 and 14.91 beds/doctor and beds/nurse slightly differ from the opinion of referees ideal of 14.3 beds/doctor and 11.7 beds/nurse. Structure, process and outcomes indicators are exhaustively described.

Conclusions

A national consensus is needed, integrating general recommendations/processes, Quality-standards stratification to optimize effectiveness and efficiency of these units and patients’ opinions to improve care quality and standards.

功能恢复单元（fru）为受发病率相关或卫生保健系统引起的功能下降影响的成年人提供基于床的功能恢复。尽管有强有力的证据支持其有效性，但FRU在国家范围内的发展并不均衡。该项目旨在确定2024年西班牙fru的领土可达性。该项目的目标包括描述结构-过程-结果指标，并收集工作人员对其中一些指标的意见。方法采用加密在线平台上的试点问卷设计横断面研究，包括社会人口统计学、中心特征、单位特征和员工意见。纳入标准包括由MIR专业医生管理的以老年康复为重点的公共资助医院单位。100家ic医院（ICH）被确定为符合国家医院目录的潜在资格，55家中心符合纳入标准，其中确定了临床裁判。结果老年医师（81.25%）共完成问卷32份，回复率58%，平均从事fru工作13.4年。地域代表性包括11个省和8个自治区。87.5%的fru位于非ICH，平均经验为22.69年。在所代表的省份，每1000名65岁的居民有0.52张床位，每1000名80岁的居民有1.7张床位，全国比例为0.2张床位/1000名65岁和0.7张床位/1000名80岁。员工比率分别为15.94张/医生及14.91张/护士，与裁判员理想的14.3张/医生及11.7张/护士有轻微差异。详尽地描述了结构、过程和结果指标。结论需要形成全国共识，整合一般建议/流程、质量标准分层优化单位效能和效率、患者意见提高护理质量和水平。

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引用次数: 0

Acidosis láctica por metformina, hipofosfatemia severa e hipocalcemia severa: un desafío diagnóstico y terapéutico 二甲双胍乳酸中毒、严重低磷酸血症和严重低钙血症：诊断和治疗方面的挑战

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-14 DOI: 10.1016/j.regg.2025.101698

Cristina Aragón Hernández , Leire Eguzkiza-Ezponda , Ivon Y. Rivera Deras , Francisco José Sanz Segovia

引用次数: 0

Programa de formación de cuidadores familiares de personas mayores en Chile: un estudio cualitativo 智利老年照料者培训方案：定性研究

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-14 DOI: 10.1016/j.regg.2025.101689

Cecilia Zavala Guzmán, Paula Jaman-Mewes, Carolina Arias Vivanco, María del Pilar Ureta Fernández

Background and objective

Population aging in Latin America, particularly in Chile, is advancing rapidly, increasing the demand for trained caregivers who can provide quality care. However, caregiver training remains limited, and online education programs represent an innovative alternative. This study aimed to describe the experiences of family caregivers of older adults who participated in an online training program developed by a Chilean university.

Methods

A descriptive qualitative study with content analysis was conducted. Purposive sampling was used, and semi-structured interviews were carried out with 11 female family caregivers who participated in a 13-session online training program. The content was based on comprehensive geriatric assessment (physical, mental, functional, social, and spiritual domains) and caregiver self-care.

Results

Family caregivers valued the program as a space that provided both knowledge and emotional support to help them face their caregiving responsibilities. Four main categories emerged from the analysis: 1) multiple learnings; 2) simulation led by nursing students; 3) meaningful support, and 4) awareness of the caregiving role and the need for ongoing learning.

Conclusions

The online educational program was well received by caregivers, who reported relevant learning experiences and greater awareness of their role. Although findings should be interpreted with caution due to the small sample size, the program may help strengthen caregiver competencies and support networks. Adapting content to diverse contexts and assessing program sustainability is recommended.

背景和目的拉丁美洲，特别是智利的人口老龄化正在迅速推进，这增加了对能够提供高质量护理的训练有素的护理人员的需求。然而，护理人员培训仍然有限，在线教育项目代表了一种创新的选择。本研究旨在描述参加智利一所大学开发的在线培训计划的老年人家庭照顾者的经历。方法采用内容分析的描述性定性研究方法。采用有目的的抽样方法，对参加了13期在线培训计划的11名女性家庭照顾者进行了半结构化访谈。内容是基于全面的老年评估（身体，心理，功能，社会和精神领域）和照顾者的自我照顾。结果家庭照顾者认为该项目提供了知识和情感支持，帮助他们面对照顾责任。从分析中可以得出四个主要类别：1)多重学习；2)由护生主导模拟；3)有意义的支持；4)意识到照顾者的角色和持续学习的需要。结论在线教育项目受到护理人员的欢迎，他们报告了相关的学习经验，并提高了他们的角色意识。虽然由于样本量小，研究结果应谨慎解释，但该计划可能有助于加强护理人员的能力和支持网络。建议根据不同的背景调整内容并评估项目的可持续性。

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引用次数: 0

Consentimiento y derechos sexuales de las personas con demencia: un desafío para los profesionales del cuidado [痴呆症患者的同意和性权利：护理专业人员面临的挑战]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-07-01 DOI: 10.1016/j.regg.2024.101584

Feliciano Villar

引用次数: 0

Denosumab-induced hypocalcemia: A clinical challenge in older adults denosumab诱导的低钙血症：老年人的临床挑战

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-20 DOI: 10.1016/j.regg.2025.101688

Leire Eguzkiza-Ezponda, Ivon Y. Rivera Deras, Francisco Sanz Segovia, Francisco Robles Agudo, Manuela Beltrán de la Ascensión

引用次数: 0

Vulvovaginitis candidiásica por inhibidores del cotransportador de sodio y glucosa tipo 2 (SGLT2): una entidad emergente 2型钠-葡萄糖共转运抑制剂（SGLT2）引起的念珠菌性外阴阴道炎：一个新兴实体

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-20 DOI: 10.1016/j.regg.2025.101686

Miguel Mansilla-Polo , Daniel Martín-Torregrosa , Rafael Botella-Estrada

引用次数: 0

Deseo anticipado de muerte en personas mayores residentes de población española: estudio descriptivo 西班牙老年人的早逝愿望：描述性研究

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-19 DOI: 10.1016/j.regg.2025.101685

Rosa Ruiz Aragoneses, Marian Navarro Chamizo, Encarnación Calvache González, Laura Steegmman, David Almaraz, José Carlos Bermejo Higuera

Objective

To explore the prevalence of Wish to Hasten Death (WTHD) and associated variables in older adults in residential settings.

Methods

A cross-sectional descriptive study was conducted with 27 residents of a nursing home, recording demographic, cognitive, functional, depression and medical history variables. The Desire for Death Rating Scale (DDRS) and an ad hoc questionnaire on various aspects possibly related to WTHD were also administered.

Results

59.3% of the participants exhibited WTHD. No significant relationships were found with variables commonly associated with WTHD in previous research or with the desire for euthanasia. However, there was a relationship between indicators of meaning in life, WTHD, and depression.

Conclusions

The prevalence is significant in the studied sample (more than half) without being associated with depressive symptoms or suicidal desires. On the contrary, they express such a desire alongside a certain satisfaction with their life or life fatigue, which in both cases involves a wish for a natural and complete closure. Expanding the different meanings that older adults without terminal pathologies attribute to the wish to die could help differentiate their experience and improve the most appropriate intervention and support in end-of-life care.

目的探讨老年人急死意愿（WTHD）患病率及相关因素。方法采用横断面描述性研究方法，对27名老年人进行人口统计学、认知、功能、抑郁和病史等变量的记录。采用死亡欲望评定量表（DDRS）和一份与WTHD可能相关的问卷调查。结果59.3%的参与者表现为WTHD。在以前的研究中，没有发现与WTHD相关的变量或与安乐死的愿望有显著的关系。然而，生活意义指标、WTHD和抑郁之间存在关系。结论在研究样本中患病率显著（超过一半），与抑郁症状或自杀欲望无关。相反，他们在表达这种愿望的同时，还表达了对生活的某种满足或对生活的某种厌倦，这两种情况都涉及到自然和彻底结束的愿望。扩展没有临终病理的老年人对死亡愿望的不同含义，可以帮助区分他们的经历，并在临终关怀中改善最适当的干预和支持。

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引用次数: 0

Desigualdad territorial en el acceso a los cuidados residenciales para los mayores en España 西班牙老年人在获得住宅护理方面的地域不平等

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-17 DOI: 10.1016/j.regg.2025.101684

Benjamin Muedra

Background and Objective

Spain has a shortage of beds in care homes for the aged, although this does not affect all territories equally. The aim of the study was to identify geographical areas of supply and demand imbalance using ad-hoc created units of analysis.

Materials and Methods

Through road network analysis, using basic health areas as a starting point, the national territory was divided into 668 units. The rate of residential beds per person over 85 years old in each unit was calculated. A minimum of 0.2 was considered adequate.

Results

Five thousand five hundred sixty-seven care homes, 393,403 beds, and 1,600,700 people over 85 years old were identified. Spatial availability analysis showed two groups of autonomous communities: those where the majority of the aged population resided in units with adequate supply (Madrid, Basque Country, Cantabria, Catalonia, Castile and León, Navarre, La Rioja, Aragon, Extremadura, Castile-La Mancha, and Asturias) and those where the majority resided in units with inadequate or no supply (Andalusia, Balearic Islands, Galicia, Region of Murcia, Valencian Community, and Canary Islands).

Conclusions

Availability in homes for the aged in Spain in 2023 presented a concerning situation in its territorial distribution, with a notable deficit in the island communities, the Mediterranean coast (except Catalonia), and Galicia. Spatial analysis is a useful tool for planning health and social resources, as it identifies areas of supply and demand imbalance.

背景和目的西班牙老年人护理中心床位短缺，尽管这并不是平等地影响到所有地区。这项研究的目的是使用特别创建的分析单元来确定供需不平衡的地理区域。材料与方法通过路网分析，以基本卫生区为切入点，将全国版图划分为668个单位。计算各单位每85岁以上老人的居住床位比率。至少0.2被认为是足够的。结果共发现养老院55667家，床位393403张，85岁以上老人160.700人。空间可用性分析显示了两组自治区：大多数老年人口居住在供应充足的单位（马德里、巴斯克地区、坎塔布里亚、加泰罗尼亚、卡斯蒂利亚和León、纳瓦拉、拉里奥哈、阿拉贡、埃斯特雷马杜拉、卡斯蒂利亚-拉曼恰和阿斯图里亚斯）和大多数老年人居住在供应不足或没有供应的单位（安达卢西亚、巴利阿里群岛、加利西亚、穆尔西亚地区、瓦伦西亚社区和加那利群岛）。结论2023年西班牙养老院的可用性在地域分布上呈现出令人担忧的状况，在岛屿社区、地中海沿岸（加泰罗尼亚除外）和加利西亚明显不足。空间分析是规划卫生和社会资源的有用工具，因为它确定了供需不平衡的领域。

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