Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

Impacto de la práctica de actividad física en la autonomía funcional de ancianos afectados por el virus Chikungunya 身体活动对受基孔肯亚病毒影响的老年人功能独立的影响

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-05-30 DOI: 10.1016/j.regg.2025.101675

Ana Luísa Batista Santos , Claudio Lucas da Silva Farias , Joel de Almeida Siqueira Júnior , Francisco das Chagas Vasconcelos de Souza Silva

Introduction

The study explores the impact of physical activity on the functional autonomy of older adults affected by Chikungunya, a viral disease that causes chronic pain and limits joint mobility. Given the increasing ageing population and the risks posed by climate change in the spread of this infection, the study examines whether regular physical activity can help to preserve functional autonomy in elderly individuals affected by Chikungunya.

Methods

A descriptive, cross-sectional, and comparative study was conducted with 54 physically active older adults. Participants were divided into two groups: one affected by Chikungunya and the other with no history of the disease. Variables such as the presence and intensity of joint pain were assessed using the Visual Analogue Scale (VAS), and the GDLAM protocol was employed to evaluate the functional autonomy of the participants. Statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS).

Results

Although Chikungunya affected several joints of the elderly, particularly the knees and shoulders, the perception of pain varied according to the phase of the disease, being moderate in the acute phase and mild in the chronic and subacute phases. Both groups (affected and unaffected) showed similar performance in the functional autonomy tests, with no statistically significant differences.

Conclusions

Regular physical activity, regardless of the phase of Chikungunya, could help preserve functionality despite the disease's sequelae.

该研究探讨了身体活动对受基孔肯雅热影响的老年人功能自主的影响，基孔肯雅热是一种导致慢性疼痛并限制关节活动的病毒性疾病。鉴于人口老龄化日益加剧以及气候变化对这种感染传播带来的风险，该研究探讨了定期的身体活动是否有助于保持受基孔肯雅热影响的老年人的功能自主性。方法对54例老年人进行描述性、横断面性和比较性研究。参与者被分为两组：一组受基孔肯雅热影响，另一组没有该病史。使用视觉模拟量表（VAS）评估关节疼痛的存在和强度等变量，并采用GDLAM方案评估参与者的功能自主性。使用社会科学统计软件包（SPSS）进行统计分析。结果基孔肯雅热可累及老年人多个关节，尤其是膝关节和肩部，但疼痛感随病程的不同而不同，急性期为中度，慢性和亚急性期为轻度。两组（受影响的和未受影响的）在功能自主测试中表现相似，没有统计学上的显著差异。结论：无论基孔肯雅热处于哪个阶段，有规律的体育活动都有助于保持功能，尽管这种疾病有后遗症。

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引用次数: 0

La integración de la inteligencia artificial en la atención geriátrica: oportunidades y desafíos en la era digital 将人工智能融入老年护理：数字时代的机遇和挑战

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-05-30 DOI: 10.1016/j.regg.2025.101677

Javier Martínez-Peromingo , Esther Lueje Alonso , Daniel Rosselló-Jiménez

引用次数: 0

Elaboración y validación de la Escala de Fragilidad Multidimensional (EFM): fases iniciales 制定和验证多维脆弱性量表：初步阶段

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-29 DOI: 10.1016/j.regg.2025.101674

Joanes Lameirinhas, Arantxa Gorostiaga, Igone Etxeberria

Introduction

Although various instruments have been developed to assess frailty, they generally do not cover all its dimensions and have not demonstrated satisfactory psychometric properties. The aim of this study was to develop the Multidimensional Frailty Scale, originally called the Escala de Fragilidad Multidimensional (EFM), to assess the physical, cognitive, affective, social, and environmental dimensions of frailty in individuals aged 65 and over and to conduct the initial phases of the validation process. This was carried out over the course of three sequential studies.

Methods

A series of items were developed for each dimension and then evaluated by a panel of 13 experts. Subsequently, cognitive interviews were conducted with a sample of 23 older adults to examine the response processes. Finally, a pilot study was performed with a sample of 50 individuals aged between 65 and 98 years.

Results

The panel of experts awarded the items a mean appropriateness rating of between 3.18 and 4 out of 4. The cognitive interviews provided insight into response processes and comprehension difficulties. The corrected item-dimension correlations ranged between .02 and .83. Based on the results obtained in the three studies, some items were removed. Following these modifications, the internal consistency of the five dimensions ranged between .71 and .90.

Conclusions

The results of this study enabled the first version of the EFM to be refined, obtaining satisfactory internal consistency and item functioning indexes.

虽然已经开发了各种各样的工具来评估脆弱，但它们通常不能涵盖所有的维度，也没有显示出令人满意的心理测量特性。本研究的目的是开发多维脆弱性量表，最初称为Escala de Fragilidad多维脆弱性量表（EFM），以评估65岁及以上老年人的身体、认知、情感、社会和环境方面的脆弱性，并进行验证过程的初始阶段。这是在三个连续的研究过程中进行的。方法为每个维度制定一系列项目，然后由13名专家组成的小组进行评估。随后，对23名老年人进行了认知访谈，以检查他们的反应过程。最后，对50名年龄在65岁到98岁之间的人进行了一项初步研究。结果专家小组对这些项目的平均适当性评分在3.18到4之间（满分4分）。认知访谈提供了对反应过程和理解困难的洞察。修正后的项目维度相关性在0.02到0.83之间。根据这三项研究的结果，我们删除了一些条目。经过这些修改，五个维度的内部一致性范围在0.71到0.90之间。结论本研究的结果使初版EFM得以完善，获得了满意的内部一致性和项目功能指标。

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引用次数: 0

Utilidad de ecografía clínica a pie de cama o en el punto de atención en la toma de decisiones en geriatría. Taponamiento cardíaco en paciente nonagenario: a propósito de un caso 临床超声在床边或老年病学决策点的应用。90多岁患者的心脏栓塞：以个案为目的

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-28 DOI: 10.1016/j.regg.2025.101671

Lucía Corral Sastre , Diana Graciela Garay Abanto , Rocío Menéndez Colino , Paola Reinoso-Párraga

引用次数: 0

El duelo anticipado y postfallecimiento en cuidadores familiares de personas con demencia: aprendiendo a convivir con la pérdida 照顾痴呆者的临终前和死后哀悼：学会面对失去

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-24 DOI: 10.1016/j.regg.2025.101672

Isabel Bermejo-Gómez , Cristina Huertas Domingo

引用次数: 0

Fístula cutánea odontogénica: una entidad a tener en cuenta en el diagnóstico de lesiones peribucales en la edad avanzada 牙原性皮肤瘘：老年口腔周围病变诊断的一个考虑因素

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-24 DOI: 10.1016/j.regg.2025.101673

Miguel Mansilla-Polo , Daniel Morgado-Carrasco

引用次数: 0

Ikigai (purpose in life) and quality of life in older adults in socially disadvantaged conditions within a rural Colombian context 哥伦比亚农村地区社会弱势条件下老年人的生活目的和生活质量

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-21 DOI: 10.1016/j.regg.2025.101657

Stefano Vinaccia , Sandra Milena Castelblanco-Toro , Japcy Margarita Quiceno , María del Rosario Vargas

Introduction

Purpose of life and quality of life are essential to the development of the overall well-being of older adults.

Objective

The aim of this study was to evaluate the relationships between ikigai (purpose in life), resilience, loneliness and negative emotions (anxiety, depression and stress) on quality of life in older adults of Afro-descendant and Amerindian descent in a rural area of the Colombian department of Córdoba.

Methods

A non-experimental, descriptive, correlational and cross-sectional design was used for this study. The sample consisted of 100 older adults, men and women, with an average age (M = 69, SD = 6.6) of low socioeconomic stratum. The measurement instruments used were the IKIGAI-9 Life Purpose Scale, the BRCS Resilience Scale, the DASS-21 Scale (anxiety, depression and stress), the UCLA Brief Loneliness Scale and the CAPS-19 Quality of Life Scale.

Results

Statistical analyses indicated that there was no significant association between gender and the psychological variables of the study, except for the resilience variable. The study psychological variables also showed both positive (resilience rs = 0.686, p < 0.001 and IKIGAI rs = 0.507, p < 0.001) and negative (anxiety, depression, stress rs = −0.528, p < 0.001 and loneliness rs = −0.537, p < 0.001) correlations with the quality-of-life variables.

Conclusions

This population of older adults predominantly reports a favorable state of resilience, life purpose, and acceptable quality of life despite facing significant economic, social, and educational inequalities, reassuring us of the resilience of the human spirit.

生活目的和生活质量对老年人整体福祉的发展至关重要。目的本研究的目的是评估ikigai（生活目的）、适应力、孤独感和负面情绪（焦虑、抑郁和压力）对哥伦比亚省Córdoba农村地区非洲裔和美洲印第安人后裔老年人生活质量的影响。方法采用非实验、描述性、相关性和横断面设计。样本由100名老年人组成，男女皆有，平均年龄（M = 69, SD = 6.6）为低社会经济阶层。使用的测量工具是IKIGAI-9生活目的量表、BRCS弹性量表、DASS-21量表（焦虑、抑郁和压力）、UCLA短暂孤独量表和CAPS-19生活质量量表。结果统计分析表明，除心理弹性变量外，性别与本研究的心理变量无显著相关。研究心理变量也均呈正(弹性rs = 0.686, p <；0.001, IKIGAI rs = 0.507, p <；0.001)和阴性(焦虑、抑郁、压力rs = - 0.528, p <；0.001与孤独感rs =−0.537,p <；0.001)与生活质量变量的相关性。尽管面临着重大的经济、社会和教育不平等，但老年人主要报告了良好的适应能力、生活目标和可接受的生活质量，这让我们确信人类精神的适应能力。

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引用次数: 0

Determinantes de la soledad no deseada en los adultos mayores: un análisis de factores psicológicos y sociodemográficos 老年人不受欢迎的孤独的决定因素：心理和社会人口因素分析

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-21 DOI: 10.1016/j.regg.2025.101670

Juan C. Meléndez, Judit Llopis, Isabel Marti-Hoyos, Carmen Bueno, Encarnacion Satorres, Iraida Delhom

Background and objective

Loneliness in old age is associated with a decline in quality of life, so it is important to identify the risk factors for loneliness. This study examines the predictors of loneliness in individuals over 65 years of age, focusing on sociodemographic variables (age, marital status, and educational level) and psychological factors (depressive symptoms and hopelessness).

Methods

An analysis was conducted with 246 older adults over 65 years who lived independently. Variables were assessed using the following instruments: the Center for Epidemiological Studies Depression Scale (CES-D) for depression, the Beck Hopelessness Scale (BHS) for hopelessness, and the UCLA Loneliness Scale for loneliness. Binary logistic regression was applied to evaluate the relationship between these variables, as well as age, marital status, and educational level, and the likelihood of experiencing loneliness.

Results

The results indicate that age and high scores on depression (CES-D) and negative expectations (BHS) significantly increase the likelihood of experiencing loneliness. A higher educational level was found to be a protective factor, reducing the likelihood of loneliness. However, neither marital status nor loss of motivation on the BHS were significant predictors.

Conclusions

The study confirms that both sociodemographic and psychological factors influence the perception of loneliness in old age. Promoting social and educational activities could reduce the risk of loneliness, and addressing depressive symptoms and negative thoughts may improve well-being in older adults.

背景与客观老年孤独感与生活质量下降有关，因此确定孤独感的危险因素很重要。本研究考察了65岁以上个体的孤独预测因素，重点关注社会人口学变量（年龄、婚姻状况和教育水平）和心理因素（抑郁症状和绝望）。方法对246名65岁以上独立生活的老年人进行分析。使用以下工具评估变量：流行病学研究中心抑郁量表（CES-D）评估抑郁，贝克绝望量表（BHS）评估绝望，加州大学洛杉矶分校孤独量表评估孤独。应用二元逻辑回归来评估这些变量之间的关系，以及年龄、婚姻状况、教育水平和经历孤独的可能性。结果年龄、抑郁（CES-D）和负面期望（BHS）高分显著增加了孤独感的可能性。研究发现，较高的教育水平是一个保护因素，减少了孤独感的可能性。然而，婚姻状况和BHS上的动机丧失都不是显著的预测因子。结论社会人口学和心理因素对老年人的孤独感有影响。促进社会和教育活动可以减少孤独的风险，解决抑郁症状和消极想法可能会改善老年人的幸福感。

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引用次数: 0

Addictive behaviors in older adults: The role of psychopathological symptoms, health, purpose in life, and loneliness 老年人的成瘾行为：精神病理症状、健康、生活目的和孤独的作用

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-19 DOI: 10.1016/j.regg.2025.101658

Gema Aonso-Diego, Pilar Castro-Blanco, Amaia García-Barandiaran, Ana Estévez

Background and objetives

This study explored addictive behaviors, including both substance use and behavioral addictions. Specifically, we examined the predictive role of psychopathological symptoms, health, loneliness, and purpose in life in addictive behaviors, as well as analyzing gender differences in the variables studied.

Method

The sample comprises 100 individuals over 60 (M_age = 69.1; SD = 6.7; 52% men). Multiple linear regression analyses were conducted to examine predictors of addictive behaviors, and t-tests to analyze gender differences.

Results

Psychopathological symptoms were identified as a risk factor for problematic alcohol and substance use (β between −.392 and .877). Additionally, psychopathological symptoms (β between .314 and .432) and mental health were both significant predictors of compulsive buying (β = −.579). Women exhibited higher scores in psychopathological symptoms (p ≤ .015), while men showed higher levels of physical and mental health (p ≤ .022).

Conclusion

Understanding the risk factors associated with addictive behaviors in older adults is crucial to increasing public awareness of these problems and to improving early detection and effective management of addictions in this demographic group.

背景和目的本研究探讨成瘾行为，包括物质使用和行为成瘾。具体来说，我们研究了精神病理症状、健康状况、孤独和生活目标在成瘾行为中的预测作用，并分析了所研究变量的性别差异。方法样本为100例60岁以上个体(Mage = 69.1；sd = 6.7；52%的男性)。采用多元线性回归分析来检验成瘾行为的预测因素，并采用t检验来分析性别差异。结果精神病理症状被确定为问题酒精和物质使用的危险因素(β在−。392和。877)。此外，精神病理症状（β值在0.314和0.432之间）和心理健康都是强迫性购买的显著预测因子（β值= - 0.579）。女性在精神病理症状方面得分较高（p≤0.015），而男性在生理和心理健康方面得分较高（p≤0.022）。结论了解与老年人成瘾行为相关的危险因素对于提高公众对这些问题的认识，改善老年人成瘾的早期发现和有效管理至关重要。

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Linfoma secundario de tiroides: una patología engañosa 甲状腺继发性淋巴瘤：一种误导性的病理

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-04-18 DOI: 10.1016/j.regg.2025.101628

María José Vallejo Herrera , Verónica Vallejo Herrera

Introduction

The thyroid gland frequently presents malignant lesions, usually of follicular origin. Thyroid lymphoma, primary or secondary, is an extremely rare disease.

Abstract and conclusions

Secondary thyroid lymphoma poses a diagnostic challenge, which includes in its differential diagnosis thyroid carcinoma and other rare entities, such as primary lymphoma (history of Hashimoto's thyroiditis) or intrathyroidal metastases (history of oncology), the diagnostic key being the anatomopathological study.

Results

A patient with involvement of the gland by a secondary lymphoma with erroneous orientation in the initial diagnosis is presented, with resolution of the same after anatomopathological confirmation.

甲状腺经常出现恶性病变，通常起源于滤泡。原发性或继发性甲状腺淋巴瘤是一种极为罕见的疾病。摘要与结论继发性甲状腺淋巴瘤的诊断是一个挑战，其鉴别诊断包括甲状腺癌和其他罕见的实体，如原发性淋巴瘤（桥本甲状腺炎病史）或甲状腺内转移（肿瘤病史），诊断的关键是解剖病理学研究。结果本文报告了一例继发性淋巴瘤累及腺体的病例，其初步诊断方向错误，经解剖病理证实。

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