Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

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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引用次数: 0

Manejo compartido de la disfagia orofaríngea secundaria a un ictus en paciente institucionalizado: a propósito de un caso 机构患者中继发性口咽困难与中风的共同管理：以一个病例为目的

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-11 DOI: 10.1016/j.regg.2025.101682

Belén Escudero-González , Jesús Mateos-Nozal , Jorge Luis Cañón , Ana Gómez Gómez

引用次数: 0

CIBERFES: nuestro CIBER CIBERFES：我们的CIBER

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-11 DOI: 10.1016/j.regg.2025.101683

Pedro Abizanda

引用次数: 0

Intervención educativa sobre polifarmacia y deprescripción en población adulta mayor de Colombia 哥伦比亚老年人多药和抑郁教育干预

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-06-04 DOI: 10.1016/j.regg.2025.101681

Jorge A. Sánchez-Duque , Hoover Molano-Dorado , Diana M. Martínez-Cerón , Claudia Giraldo-Giraldo , Andrés Gaviria-Mendoza , Manuel E. Machado-Duque , Luis F. Valladales-Restrepo , Jorge E. Machado-Alba

Background and objective

Polypharmacy in older adults is a common condition associated with negative clinical outcomes. The objective was to evaluate the impact of an educational intervention on polypharmacy and deprescribing.

Materials and methods

A prospective study, with measurement before and after an educational intervention, without control. Outpatient physicians (prescribers) were included, who participated in a workshop (virtual intervention, July 2021) and completed informed consent. The intervention had four modules based on audiovisual content, theoretical material and a graded test. A questionnaire on knowledge, attitudes and practices (KAP) on polypharmacy was applied before and after finishing the workshop. Once the prescribers were identified, their prescriptions to patients between 60-100 years old were analyzed, during the second half of 2021.

Results

Of 121 physicians, 75 (61.98%) passed the workshop and were included (average age: 38 .91 ± 11 years; 72.00% women). The KAP presented a Cronbach's alpha of 0.91 and 84% explanation in three dimensions by factor analysis. A significant improvement was obtained in 7/7 knowledge items (P < .01) and 4/7 practice items (P < .03). Prescriptions from 19,442 patients were included (mean age: 71.32 ± 8.3 years; 61.95% women). The prevalence of polypharmacy was 33.77% at the beginning and 32.11% at the end of the study. Monitoring of the prescription month by month presented a significant variation (P < .01).

Conclusions

Knowledge and practices of the prescribers were improved, likewise, the level of polypharmacy in geriatric patients was slightly reduced.

背景与目的老年人多药是一种与不良临床结果相关的常见病。目的是评估教育干预对多药和处方化的影响。材料与方法一项前瞻性研究，在教育干预前后进行测量，无控制。包括门诊医生（开处方者），他们参加了研讨会（虚拟干预，2021年7月）并填写了知情同意书。干预有四个模块，基于视听内容、理论材料和分级测试。在研讨会结束前和结束后分别进行了对多药知识、态度和实践的问卷调查。一旦确定了处方者，在2021年下半年，他们对60-100岁患者的处方进行了分析。结果121名医师中，75名（61.98%）通过研修班并被纳入(平均年龄：38.91±11岁；72.00%的女性)。通过因子分析，KAP的Cronbach's alpha值为0.91，在三个维度上的解释率为84%。在7/7个知识项目(P <；.01)和4/7个练习项目(P <；03)。纳入19442例患者的处方(平均年龄：71.32±8.3岁；61.95%的女性)。研究开始时和结束时，多药使用率分别为33.77%和32.11%。每月监测处方出现显著变化(P <；. 01)。结论处方医师的知识和实践水平有所提高，老年患者的综合用药水平略有下降。

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引用次数: 0

Preliminary results of orthogeriatric management in patients with hip fracture: Impact on functional recovery and survival 髋部骨折患者骨科治疗的初步结果：对功能恢复和生存的影响

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-05-30 DOI: 10.1016/j.regg.2025.101676

Hanadi Al Hamad , Navas Nadukkandiyil , Jorge Luis Passarelli , Shirmila Syamala , Renan Elsadeg , Malaz Sifeeldin Musa , Brijesh Sathian , Al Anoud Ali H.Z. Al Fehaidi , Ahmad Musa Musallam , Francisco José Tarazona-Santabalbina

Introduction

Orthogeriatric units have demonstrated improvements in functional recovery and survival in older adults hospitalised for hip fracture. The aim of this study is to present preliminary results of the interdisciplinary orthogeriatric activity at the Surgical Specialty Centre, Hamad Medical Corporation (Doha, Qatar).

Methods

A prospective observational study was designed to evaluate the activity of the orthogeriatric unit in hip fracture patients between 2022 and 2024.

Results

100 patients were recruited with a mean age of 74.2 (SD 7.8) years, 57% were men, and a mean age-adjusted Charlson comorbidity index (CCI) of 4.4 (SD 1.7). Surgical delay was 1.8 (SD 3.4) days, with only 16% of the total undergoing surgery in more than 48 h. The length of stay (LOS) of the enrolled sample was 15.8 (SD 23.1) days. In terms of functional recovery, the Barthel Index (BI) score increased significantly from 34.8 (SD 14.8) points on the first day of hospital admission to 55.7 (20.5) points at discharge, p < 0.001; with a relative functional gain of 38.5 (SD 34.3) % and a rehabilitation efficiency (Heinemann Index above 50%) of 34.5%. The Heinemann Index calculated six months after discharge showed a rehabilitation efficiency of 60% of the total sample. Only one patient (1%) died in hospital and 3 (6%) had died at 6 months. Cox regression showed that CCI and LOS increased the risk of mortality, whereas BI score decreased it.

Conclusions

The introduction of an interdisciplinary orthogeriatric team in Qatar led to improvements in nutritional status, functional recovery and survival.

骨科单位已经证明了因髋部骨折住院的老年人的功能恢复和生存率的改善。本研究的目的是介绍哈马德医疗公司（卡塔尔多哈）外科专业中心跨学科骨科活动的初步结果。方法设计一项前瞻性观察研究，评估2022 - 2024年髋部骨折患者骨科单元的活动情况。结果入选100例患者，平均年龄74.2 （SD 7.8）岁，男性占57%，平均年龄校正Charlson合并症指数（CCI）为4.4 （SD 1.7）。手术延迟为1.8 （SD 3.4）天，只有16%的患者在48小时以上接受手术。入组患者的住院时间（LOS）为15.8 （SD 23.1）天。在功能恢复方面，Barthel指数（BI）评分从入院第一天的34.8 （SD 14.8）分显著上升至出院时的55.7（20.5）分，p <；0.001;相对功能增益为38.5% (SD 34.3%) %，康复效率（Heinemann指数大于50%）为34.5%。出院后6个月计算的Heinemann指数显示，总样本的康复效率为60%。只有1例（1%）患者在医院死亡，3例（6%）患者在6个月时死亡。Cox回归分析显示，CCI和LOS增加了死亡风险，而BI评分降低了死亡风险。结论在卡塔尔引进一个跨学科的骨科团队，改善了患者的营养状况、功能恢复和生存率。

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引用次数: 0

Estereotipos negativos hacia la vejez en los estudiantes de trabajo social 社会工作学生对老年的负面刻板印象

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-05-30 DOI: 10.1016/j.regg.2025.101680

M. Pilar Cañas Belmar, Aurelio Lascorz Fumanal

Introduction/objectives

A view free of stereotypes contributes to improve the quality of life and care for the elderly. This study evaluated the degree of negative stereotypes towards old age in social work students and their relation with different variables.

Method

Descriptive cross-sectional study, incidental sample. A total of 124 students participated; they filled in the Questionnaire of Negative Stereotypes towards Old Age (CENVE) and provided data on previous studies, degree of contact with elderly people, fear of old age and death, among others. Application of the Kolmogorov-Smirnov test revealed that the CENVE total score did not follow a normal distribution. Correlational analyses were applied based on Spearman's Rho correlation coefficient. Kruskal-Wallis H-tests and Mann-Whitney U-tests were used for between-group comparisons.

Results

Relation is found among CENVE scores according to course, age, taking Social Work and Aging and age aging starts.

Conclusions

Negative stereotypes towards old age are present in a large part of the sample of students, although with a low intensity. Aging is part of the life cycle and should be done with dignity. During university education, it is crucial that teachers and students become aware of negative stereotypes and attitudes towards old age and question them.

引言/目的摆脱刻板印象的观点有助于提高老年人的生活质量和护理。本研究旨在评估社工学生对老年的负面刻板印象程度及其与不同变量的关系。方法描述性横断面研究，随机抽样。共有124名学生参与；他们填写了对老年的消极刻板印象调查表（CENVE），并提供了关于以前的研究、与老年人接触程度、对老年和死亡的恐惧等方面的数据。应用Kolmogorov-Smirnov检验发现，CENVE总分不服从正态分布。采用Spearman相关系数进行相关分析。组间比较采用Kruskal-Wallis h检验和Mann-Whitney u检验。结果按课程、年龄、选修社会工作和老年化课程的学生CENVE成绩与老年化开始之间存在相关性。结论：对老年的负面刻板印象存在于大部分学生样本中，尽管强度较低。变老是生命周期的一部分，应该有尊严地去做。在大学教育中，至关重要的是，教师和学生要意识到对老年的负面刻板印象和态度，并对它们提出质疑。

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