Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

El continuo funcional y deterioro funcional hospitalario en una Unidad Geriátrica de Agudos [急诊老年病科的功能连续性和医院相关功能衰退]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-18 DOI: 10.1016/j.regg.2024.101564

Carolina Muñoz Muñetón , Luis Carlos Venegas-Sanabria , María Teresa Martínez Sierra , María Mónica Valencia Murillo , Diego Andrés Chavarro-Carvajal , Carlos Alberto Cano-Gutiérrez

Background

Older adults are particularly vulnerable to experiencing hospital-associated functional decline; a multifaceted phenomenon linked to poorer outcomes and increased healthcare costs. Given that functionality serves as a crucial indicator of health in the elderly, various scales have been developed to gauge the continuum of functional ability, potentially serving as prognostic tools to inform tailored interventions.

Objectives

The aim of this study is to determine the prevalence of hospital-associated functional decline in an acute geriatric unit and examine its correlation with the functional continuum through a descriptive analysis of the patient population and exploration of associated factors.

Results

142 patients aged 75 and above were included in the analysis, revealing that 57% exhibited hospital-associated functional decline. Among patients with functional impairment, 26% fell into category 4 (dependence for instrumental activities of daily living and pre-frailty). Among the factors examined, age (OR 1.280, 95% CI 1.099 - 1.547) and prior independence (OR 15.939, 95% CI 1.857 - 186.655) were found to be associated with hospital functional decline.

Conclusion

Hospital-associated functional decline was observed in over half of the patients, with age and prior independence identified as significant contributing factors. This underscores the importance of implementing intervention measures for all elderly patients during their hospitalization, particularly for frail or pre-frail individuals with some level of instrumental dependency.

背景：老年人特别容易出现与医院相关的功能衰退；这是一种多方面的现象，与较差的治疗效果和增加的医疗费用有关。鉴于功能是老年人健康的一个重要指标，人们开发了各种量表来衡量功能能力的连续性，这些量表有可能成为预后工具，为有针对性的干预措施提供依据：本研究旨在通过对患者群体的描述性分析和对相关因素的探究，确定急诊老年病科中医院相关功能衰退的发生率，并研究其与功能连续性的相关性：142 名 75 岁及以上的患者参与了分析，结果显示 57% 的患者表现出与医院相关的功能衰退。在有功能障碍的患者中，26%属于第4类（日常生活工具活动依赖和虚弱前期）。在研究的因素中，年龄（OR 1.280，95% CI 1.099 - 1.547）和之前的独立性（OR 15.939，95% CI 1.857 - 186.655）与住院功能衰退有关：结论：半数以上的患者出现了住院相关功能衰退，年龄和既往独立性是重要的诱因。这强调了在住院期间对所有老年患者实施干预措施的重要性，尤其是对有一定程度工具依赖的虚弱或前期虚弱患者。

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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 : 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。

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引用次数: 0

Efectos a largo plazo de un programa de actividad física enriquecido en la calidad de vida relacionada con la salud en adultos mayores [基于资产、共同创造的体育活动干预对老年人健康相关生活质量的长期影响]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101537

Víctor Ramón Lisón Loriente , Berta Murillo Pardo , Eduardo Generelo Lanaspa , Enrique García Bengoechea

Purpose

The purpose of this study is to examine the long-term effects of a programme called Ser Mayor, un RETO («Being Older, a Challenge») aimed at improving quality of life in older adults over 60 living in the community.

Methods

This programme used co-design principles to create sustainable opportunities to improve quality of life, connecting with the community, and empowering older adults to take responsibility for their own health. Ser Mayor, un RETO was based on Bronfenbrenner's bio-social-ecological perspective and the health assets model. Its design was complemented with leisure education and physical activity promotion-based guidelines, identified in the scientific literature. The study design was quasi-experimental, with control group, and was conducted over a period of 20-months (September 2017 to June 2019) in several municipalities near the city of Zaragoza (Spain), with the participation of 213 older adults (n = 120 experimental group and n = 93 control group). Data were analysed using generalised linear mixed models controlling for age and gender of participants and accounting for initial differences between groups in the study outcomes.

Results

The results indicate that the experimental group experienced an improvement in levels of quality of life relative to the control group, which was sustained over the study period, especially in several physical dimensions of quality of life: physical function (P = .014), physical role (P = .027), physical component summary (P = .022) and in emotional role (P = .033).

Conclusion

The Ser Mayor, un RETO programme had a positive effect on the quality of life of older adults, showing potential for sustainability of its effects and for the service providers to develop a sense of ownership over the programme.

目的：本研究旨在考察一项名为 Ser Mayor, un RETO（"上了年纪，面临挑战"）的计划的长期效果，该计划旨在提高居住在社区的 60 岁以上老年人的生活质量：该计划采用共同设计原则，创造可持续的机会来提高生活质量，与社区建立联系，并增强老年人对自身健康负责的能力。市长办公室 "un RETO "以布朗芬布伦纳的生物-社会-生态观点和健康资产模式为基础。其设计与科学文献中确定的以休闲教育和体育活动促进为基础的指导方针相辅相成。研究采用准实验设计，设有对照组，在萨拉戈萨市（西班牙）附近的几个城市进行，为期20个月（2017年9月至2019年6月），共有213名老年人参与（实验组人数=120人，对照组人数=93人）。数据采用广义线性混合模型进行分析，控制了参与者的年龄和性别，并考虑了研究结果中各组之间的初始差异：结果表明，与对照组相比，实验组的生活质量水平有所提高，而且这种提高在研究期间一直持续，特别是在生活质量的几个物理维度上：身体功能（P=.014）、身体角色（P=.027）、身体部分总结（P=.022）和情感角色（P=.033）：Ser Mayor, un RETO 计划对老年人的生活质量产生了积极影响，显示出其效果的可持续性潜力，以及服务提供者对该计划产生主人翁感的潜力。

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引用次数: 0

Preparación para afrontar la muerte de pacientes en profesionales geriátricos [卫生专业人员面对病人死亡的专业培训]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101539

Isabel Bermejo-Gómez

引用次数: 0

Predisposición de los pacientes a participar en ensayos clínicos en el Hospital Dr. César Milstein: un estudio de corte transversal [患者参与医院临床试验的倾向性：一项横断面研究]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101536

Li Sz Wei, María Pia Izaguirre Germain, Diego Caruso

Introduction

Clinical trials are a fundamental tool in evidence-based medicine, with participant recruitment being a critical factor for their execution. Low participation in a study leads to inadequate sample size. Older adults constitute a minority in clinical trials, and various factors influence their level of participation and retention during the study process. Our objective is to determine the willingness of older adults to participate in clinical trials and identify their main barriers and facilitator.

Methods

A cross-sectional study was carried out on outpatient adults over 60 years of age. The rate of desire for voluntary participation in clinical trials was determined and through a validated survey “National Health Information Trends Survey (HINTS 5, cycle 4)” the knowledge, rate of prior participation in CE and the influence of different factors that could be associated with a positive attitude to participate. These factors were analyzed using ordinal logistic regression.

Results

251 older adults were surveyed. Of them, 171 (68%) reported not having any knowledge about clinical trials and 80 (31.87%) reported having it to some degree. 12 patients (5%) previously participated in a CS and up to 88 patients (35%) expressed that they would probably or definitely participate in one. It was observed that, the older the age, the less willingness to participate in CE [OR]: 0.55 (CI 95% 0.34-0.88). Likewise, male sex was associated with a greater desire to participate [OR]: 1.74 (CI 95% 1.06-2.84), respectively. The scenarios that were associated with a greater desire to participate in CE were knowing that by participating you could help others [OR]: 1.95 (95% CI 1.36-2.178), the possibility of receiving help for participating [OR]: 1.69 (95% CI 1.26-2.26) and the possibility of trying a new type of medical care [OR]: 1.71 (95% CI 1.20-2.42).

Conclusions

The level of knowledge about CE among older adults is low and up to a third of them would participate as volunteers in a CE. The dissemination of information about ECs could encourage a higher participation rate.

导言：临床试验是循证医学的一项基本工具，而参与者的招募则是实施临床试验的关键因素。参与度低会导致样本量不足。老年人在临床试验中占少数，在研究过程中，各种因素会影响他们的参与度和保留率。我们的目标是确定老年人参与临床试验的意愿，并找出他们的主要障碍和促进因素：我们对 60 岁以上的门诊成年人进行了一项横断面研究。通过 "全国健康信息趋势调查（HINTS 5，第 4 周期）"的有效调查，确定了老年人自愿参与临床试验的愿望率，以及他们对CE的了解程度、先前参与CE的比率和可能与积极的参与态度相关的不同因素的影响。结果：251 名老年人接受了调查。其中，171 人（68%）表示对临床试验一无所知，80 人（31.87%）表示对临床试验有一定程度的了解。12名患者（5%）曾参加过临床试验，88名患者（35%）表示可能或肯定会参加临床试验。据观察，年龄越大，参与 CE 的意愿越低 [OR]：0.55（CI 95% 0.34-0.88）。同样，男性性别也与参与意愿越强有关[OR]：1.74（CI 95% 1.06-2.84）。与参与行政首长协调会的更大愿望相关的情景是：知道参与行政首长协调会可以帮助他人[OR]：1.95（95% CI 1.36-2.178），参与后可能得到帮助[OR]：1.69（95% CI 1.26-2.26）和尝试新型医疗的可能性[OR]：结论：结论：老年人对长者健康中心的了解程度较低，多达三分之一的老年人愿意作为志愿者参加长者健康中心。传播有关义工的信息可以提高参与率。

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引用次数: 0

Colitis linfocítica asociada a duloxetina [与度洛西汀有关的淋巴细胞性结肠炎]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101561

Yanira Aranda Rubio , Beatriz Pallardo Rodil , Francisco Javier Gómez Pavón

引用次数: 0

Anemia: interesante hallazgo en el adulto mayor [贫血：老年人的有趣发现]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-08 DOI: 10.1016/j.regg.2024.101529

Gloria Elizabeth Toapanta Yanza , Ana Merello de Miguel , Viridiana Cabrera Romero , Cecilia Daniella Palacios Revilla , Juan Ignacio González Montalvo

引用次数: 0

Associations between nutritional status and abdominal adiposity with cognitive domains and depressive symptoms in older persons with multimorbidity: Understanding an understudied population 患有多种疾病的老年人的营养状况和腹部脂肪含量与认知领域和抑郁症状之间的关系：了解研究不足的人群。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101558

Mateo Londoño Pereira , Alejandro Estrada Restrepo , Ángela María Preciado Tamayo , Melissa Botero Bernal , Miguel Germán Borda

Background

Malnutrition is a prevalent issue among older persons and has been linked to adverse outcomes. Limited information exists regarding its connection with cognition and depression in older persons burdened by chronic diseases, experiencing heightened nutritional and psychosocial vulnerability. In this study, we examined the association between nutritional status, cognitive performance, and depressive symptomatology, in a cohort of older persons with multimorbidity.

Methods

This was a cross-sectional study of 114 pluripathological older persons. Nutritional status was assessed through Mini Nutritional Assessment (MNA), body mass index (BMI) and waist and calf circumferences. Cognition was assessed using Montreal Cognitive Assessment (MoCA) and depressive symptoms were measured with the 15-item Geriatric Depression Scale (GDS-15).

Results

MNA score was positively correlated with the MoCA's visuospatial score (rho = 0.262) and, participants with normal nutritional status according to MNA, performed better in orientation (p = 0.037) and abstraction (p = 0.013) domains. MNA was also associated with depressive symptoms, with odds 8.6 times higher in malnourished participants (AOR 8.6, 95% CI 2.6–28.8, p = 0.000). Abdominal obesity, meanwhile, was associated with a decrease of 3.33 points in the overall MoCA score (β −3.33, 95% CI = −5.92; −0.73, p = 0.013).

Conclusion

In older persons with multimorbidity, abdominal obesity and malnutrition were factors associated with lower global and domain-specific cognitive performance and increased depressive symptomatology.

背景：营养不良是老年人中普遍存在的问题，并与不良后果有关。对于患有慢性疾病、营养和心理社会脆弱性较高的老年人，有关营养不良与认知和抑郁之间关系的信息十分有限。在这项研究中，我们研究了一组患有多种疾病的老年人的营养状况、认知能力和抑郁症状之间的关系：这是一项针对 114 名多病老年人的横断面研究。营养状况通过迷你营养评估（MNA）、体重指数（BMI）以及腰围和小腿围进行评估。认知能力通过蒙特利尔认知评估（MoCA）进行评估，抑郁症状通过 15 项老年抑郁量表（GDS-15）进行测量：结果：MNA评分与MoCA的视觉空间评分呈正相关（rho=0.262），根据MNA评分，营养状况正常的参与者在定向（p=0.037）和抽象（p=0.013）领域表现更好。MNA 还与抑郁症状有关，营养不良的参与者出现抑郁症状的几率要高出 8.6 倍（AOR 8.6，95% CI 2.6-28.8，p=0.000）。同时，腹部肥胖与MoCA总分下降3.33分有关（β-3.33，95% CI=-5.92；-0.73，p=0.013）：在患有多病的老年人中，腹部肥胖和营养不良与整体和特定领域认知能力下降以及抑郁症状增加有关。

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引用次数: 0

¿Igualdad o equidad? Percepción de normas de no discriminación de la vejez [平等还是公平？对老年非歧视规则的看法]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101569

Claudia Estrada Goic , Yaninee Oyarzún Oyarzún , Carla Huaquin Ulloa , Ismael Gallardo Cuadra

Introduction/objectives

This study aimed to determine adherence to 2 basic non-discrimination norms when evaluated by a stigmatized group (older adults) and a sample of the adult population.

Method

A total of 200 participants, half of them from the adult population and the other half from older adults (stigmatized group), responded to a Non-Discrimination Norms (NND) questionnaire to define their adherence to one norm or the other regarding the category of “old age”. Additionally, they assessed their perception of social support, and only the older adults evaluated their perception of subtle and overt discrimination.

Results and conclusions

The results indicate that both groups agree that the use of the equity NND is more desirable for addressing discrimination. Regarding the equality NND, older adults show higher levels of adherence. Subtle prejudice is reported as more prevalent than overt prejudice. These results are discussed in terms of the challenges of combating discrimination from both the perpetrator and victim perspectives.

导言/目标：本研究旨在确定被鄙视群体（老年人）和成人抽样调查对象对 2 项基本非歧视准则的遵守情况：共有 200 名参与者（其中一半来自成年人，另一半来自老年人（被鄙视群体））回答了非歧视准则（NND）问卷，以确定他们是否遵守有关 "老年 "类别的一种或另一种准则。此外，他们还评估了自己对社会支持的看法，只有老年人评估了自己对微妙和公开歧视的看法：结果表明，两组人都认为使用公平 NND 解决歧视问题更为可取。关于平等国家责任，老年人表现出更高的遵守水平。据报告，微妙的偏见比公开的偏见更为普遍。从施害者和受害者的角度讨论了消除歧视所面临的挑战。

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引用次数: 0

Arteritis de células gigantes: causa atípica de accidente cerebrovascular isquémico, a propósito de un caso [巨细胞动脉炎：缺血性脑血管意外的非典型病因，一例报告]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101567

Gemma Cuesta , Leidy Yohanna Ceballos , Josep M. Aragonès , Matilde Barneto

引用次数: 0

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