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El arte como aliado para mejorar la calidad de la asistencia en geriatría [艺术作为提高老年病学护理质量的盟友的作用]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101586
Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón
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引用次数: 0
Un modelo de panel de las relaciones entre soledad y depresión en personas mayores [老年人孤独与抑郁关系的面板模型]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101572
Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho

Antecedents and objective

The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.

Methodology

For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.

Results

The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.

Conclusions

We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.
前因和目标:出生率下降和预期寿命增加导致人口老龄化,在经济、社会和保健层面造成挑战。确保和维持老年人高水平的福祉和心理健康对于老龄生活的成功至关重要。鉴于先前的文献表明,感知到的孤独和抑郁症状对他们的生活质量构成了重大障碍,本研究的目的是研究随着时间的推移,社区居住的老年人如何感知孤独和抑郁交织在一起。方法:为此,我们使用SHARE数据库(欧洲健康、老龄化和退休调查)对46,317名欧洲老年人(57.40%为女性)进行了一项纵向研究,研究时间跨度为2016年至2020年的近四年,分别为第6,7和8波。利用结构方程建模软件包Mplus对多个交叉滞后面板模型进行了估计。结果:研究结果表明,孤独感和抑郁症是双向相关的,由于它们的反馈和稳定性,很难对抗。结论:我们讨论了这些发现的实际意义,即这些互惠关系对治疗和预防干预的潜在双刃剑,以及研究的局限性和未来的研究方向。
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引用次数: 0
Marco conceptual y perspectiva histórica de la atención intermedia [中间护理的概念框架和历史视角]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101575
Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González
The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.
IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.
The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).
With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.
人口老龄化提高了对国家卫生系统进行结构性改革的必要性。首先,需要增加所有医院的老年科服务。二是实施和整合中间护理(IC),三是保障长期护理中的医疗服务。综合医疗的特点是在急症医院护理和初级保健之间有广泛的资源,其中包括住院和非住院或禁闭的住院设备、家庭和门诊护理,这有助于提供连续性和有时间限制的过渡护理。IC的主要目标是在专门的老年护理的基础上,对老年人进行综合(多维)和综合(跨学科和不同护理水平之间的协调)护理。集成智能在当前卫生系统中的整合是基于建立初级保健和急性医院护理两种协调的工作动态,人工智能成为几个设备内部的关键,以防止住院(防止进入-加强-重点提供初级保健以避免不必要的住院)和促进急性医院的早期出院(降低-重点促进复杂急性护理后的最佳自主权和功能恢复)。考虑到这些目标,作为西班牙老年病学和老年学协会中间护理小组的成员,作者提出了以下工作,旨在修订西班牙现有IC资源的现状,分析背景、历史背景及其概念框架。所有这些都将突出IC对医疗保健专业人员和管理人员的不可否认的价值。
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引用次数: 0
Envejecer con sentido. Un estudio cualitativo y multicultural [有意义的老龄化:定性和多元文化研究]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101573
Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman

Introduction

Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.

Objectives

Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.

Method

We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.

Results

We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.

Conclusions

The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.
目前在加泰罗尼亚,多元文化主义正在增加,在老年人中也是如此。然而,关于赋予衰老意义的方面,或者是否存在起源和文化的差异,人们知之甚少。目标:确定50岁以上不同出身和文化背景的人如何有意义地变老。方法:我们提出了一项研究,对50岁以上的人进行了研究,他们来自不同的文化,共同生活在阿尔恩波尔顿地区(赫罗纳)。我们采用了定性方法,7个焦点小组和2个深度访谈。结果:我们确定了有意义的9个因素:1-基本需求得到满足。2-精神,3-家庭,4-社会贡献/感觉有用。(五)开展休闲活动。6 .接受衰老。7-能够选择在哪里以及如何变老和死亡。8-想象老年人9-个性化的关注。这9个因素的优先顺序的不同,使我们有意义地描述了三种衰老方式:a)沉思的衰老,b)享受机会的衰老,c)声称自己是成熟的代理人的衰老。结论:老年人群体与社会其他群体一样具有异质性。这种异质性意味着理解老年的意义和需求的不同方式。重要的是要与社会和卫生专业人员合作,以便他们了解了解患者的必要性和他们的兴趣,以便更好地进行个性化护理。
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引用次数: 0
Metástasis en coraza de adenocarcinoma de próstata 【前列腺腺癌皮肤转移】。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101580
María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde
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引用次数: 0
Terapia antineoplásica en el adulto mayor con cáncer de mama metastásico triple negativo: elección del régimen terapéutico, tolerabilidad y nuevas dianas. A propósito de un caso 老年患者三阴性转移性乳腺癌的治疗:治疗方法、耐受性和新的靶向治疗。关于一个病例报告]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101579
Claudia G. Álvarez Pinheiro, Celia Corral Tuesta, Elisabet Sánchez García
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引用次数: 0
El desafío del envejecimiento saludable: brechas entre las necesidades de las personas mayores y las políticas implementadas en Argentina [健康老龄化的挑战:阿根廷老年人的需求与已实施政策之间的差距]。
Q3 Medicine Pub Date : 2024-11-09 DOI: 10.1016/j.regg.2024.101583
Carolina Prado , María Victoria López , Ana Cavallo , Milagros García Díaz , Fabián Ortiz , Juan Manuel Serna , Diego Caruso , Vilma Irazola

Background and objectives

While the concept of healthy aging tends to be homogenized, differential characteristics are observed among regions and even within the same country. There are policies aimed at promoting healthy aging; however, it is essential to understand the needs of the population so that these policies can be effective. The objective of this project was to identify gaps between the needs of individuals over 60 years old to achieve healthy aging and the policies implemented in Argentina to support this purpose.

Materials and methods

Descriptive study with a mixed qualitative–quantitative approach was employed in three stages: 1. Documentary review of current programs in Argentina. 2. Visualization of the needs of individuals over 60 years old. 3. Identification of gaps between the stated needs and the proposals of the programs.

Results

Twenty-eight programs were identified with components such as entertainment, peer relationships, social inclusion, and health care and promotion. When evaluating needs for healthy aging, the most frequent responses were maintaining good physical health, keeping the mind active, and continuing to engage in activities. In the gap analysis, it was observed that needs such as continuing activities, family support, and positive attitudes were prioritized more by participants than by the surveyed programs.

Conclusions

There were gaps between the needs identified by adults aged 60 and over and the evaluated programs. This study represents an initial contribution to identify priorities and contribute to aligning government policies with the specific needs of this population group.
背景和目标:虽然健康老龄化的概念趋于单一化,但在不同地区,甚至在同一国家内,也存在着不同的特点。目前已有一些旨在促进健康老龄化的政策,但必须了解人口的需求,才能使这些政策行之有效。本项目旨在找出 60 岁以上老年人实现健康老龄化的需求与阿根廷为支持这一目标而实施的政策之间的差距:采用定性与定量相结合的方法,分三个阶段进行描述性研究:1.对阿根廷现行计划进行文献回顾。2.对 60 岁以上老年人的需求进行可视化分析。3.确定所述需求与计划建议之间的差距:结果:确定了 28 项计划,其内容包括娱乐、同龄人关系、社会包容、保健和宣传。在评估健康老龄化的需求时,最常见的回答是保持良好的身体健康、保持思维活跃和继续参与活动。在差距分析中,我们注意到参与者对持续活动、家庭支持和积极态度等需求的重视程度高于受调查计划:结论:60 岁及以上成年人提出的需求与接受评估的计划之间存在差距。这项研究为确定优先事项做出了初步贡献,有助于使政府政策与这一人口群体的具体需求相一致。
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引用次数: 0
[Consent and sexual rights of people with dementia: A challenge for care professionals]. [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 Pub Date : 2024-11-07 DOI: 10.1016/j.regg.2024.101584
Feliciano Villar
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引用次数: 0
Geriatría y la atención intermedia: socios estratégicos en los hospitales de agudos [老年医学和中级护理:急症护理医院的战略伙伴]。
Q3 Medicine Pub Date : 2024-11-07 DOI: 10.1016/j.regg.2024.101577
Javier Gómez Pavón
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引用次数: 0
Importancia de la Revista Española de Geriatría y Gerontología en Latinoamérica [西班牙老年医学和老年学杂志在拉丁美洲的重要性]。
Q3 Medicine Pub Date : 2024-11-01 DOI: 10.1016/j.regg.2024.101574
Eduardo Gallegos Chávez
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引用次数: 0
期刊
Revista Espanola de Geriatria y Gerontologia
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