Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Acidosis láctica por metformina, hipofosfatemia severa e hipocalcemia severa: un desafío diagnóstico y terapéutico","authors":"Cristina Aragón Hernández , Leire Eguzkiza-Ezponda , Ivon Y. Rivera Deras , Francisco José Sanz Segovia","doi":"10.1016/j.regg.2025.101698","DOIUrl":"10.1016/j.regg.2025.101698","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101698"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Programa de formación de cuidadores familiares de personas mayores en Chile: un estudio cualitativo","authors":"Cecilia Zavala Guzmán,&nbsp;Paula Jaman-Mewes,&nbsp;Carolina Arias Vivanco,&nbsp;María del Pilar Ureta Fernández","doi":"10.1016/j.regg.2025.101689","DOIUrl":"10.1016/j.regg.2025.101689","url":null,"abstract":"<div><h3>Background and objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101689"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144623780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consentimiento y derechos sexuales de las personas con demencia: un desafío para los profesionales del cuidado","authors":"Feliciano Villar","doi":"10.1016/j.regg.2024.101584","DOIUrl":"10.1016/j.regg.2024.101584","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101584"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Denosumab-induced hypocalcemia: A clinical challenge in older adults","authors":"Leire Eguzkiza-Ezponda,&nbsp;Ivon Y. Rivera Deras,&nbsp;Francisco Sanz Segovia,&nbsp;Francisco Robles Agudo,&nbsp;Manuela Beltrán de la Ascensión","doi":"10.1016/j.regg.2025.101688","DOIUrl":"10.1016/j.regg.2025.101688","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101688"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulvovaginitis candidiásica por inhibidores del cotransportador de sodio y glucosa tipo 2 (SGLT2): una entidad emergente","authors":"Miguel Mansilla-Polo ,&nbsp;Daniel Martín-Torregrosa ,&nbsp;Rafael Botella-Estrada","doi":"10.1016/j.regg.2025.101686","DOIUrl":"10.1016/j.regg.2025.101686","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101686"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deseo anticipado de muerte en personas mayores residentes de población española: estudio descriptivo","authors":"Rosa Ruiz Aragoneses,&nbsp;Marian Navarro Chamizo,&nbsp;Encarnación Calvache González,&nbsp;Laura Steegmman,&nbsp;David Almaraz,&nbsp;José Carlos Bermejo Higuera","doi":"10.1016/j.regg.2025.101685","DOIUrl":"10.1016/j.regg.2025.101685","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the prevalence of Wish to Hasten Death (WTHD) and associated variables in older adults in residential settings.</div></div><div><h3>Methods</h3><div>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 <em>ad hoc</em> questionnaire on various aspects possibly related to WTHD were also administered.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101685"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desigualdad territorial en el acceso a los cuidados residenciales para los mayores en España","authors":"Benjamin Muedra","doi":"10.1016/j.regg.2025.101684","DOIUrl":"10.1016/j.regg.2025.101684","url":null,"abstract":"<div><h3>Background and Objective</h3><div>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.</div></div><div><h3>Materials and Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101684"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo compartido de la disfagia orofaríngea secundaria a un ictus en paciente institucionalizado: a propósito de un caso","authors":"Belén Escudero-González ,&nbsp;Jesús Mateos-Nozal ,&nbsp;Jorge Luis Cañón ,&nbsp;Ana Gómez Gómez","doi":"10.1016/j.regg.2025.101682","DOIUrl":"10.1016/j.regg.2025.101682","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101682"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CIBERFES: nuestro CIBER","authors":"Pedro Abizanda","doi":"10.1016/j.regg.2025.101683","DOIUrl":"10.1016/j.regg.2025.101683","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101683"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervención educativa sobre polifarmacia y deprescripción en población adulta mayor de Colombia","authors":"Jorge A. Sánchez-Duque ,&nbsp;Hoover Molano-Dorado ,&nbsp;Diana M. Martínez-Cerón ,&nbsp;Claudia Giraldo-Giraldo ,&nbsp;Andrés Gaviria-Mendoza ,&nbsp;Manuel E. Machado-Duque ,&nbsp;Luis F. Valladales-Restrepo ,&nbsp;Jorge E. Machado-Alba","doi":"10.1016/j.regg.2025.101681","DOIUrl":"10.1016/j.regg.2025.101681","url":null,"abstract":"<div><h3>Background and objective</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> <!-->&lt;<!--> <!-->.01) and 4/7 practice items (<em>P</em> <!-->&lt;<!--> <!-->.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 (<em>P</em> <!-->&lt;<!--> <!-->.01).</div></div><div><h3>Conclusions</h3><div>Knowledge and practices of the prescribers were improved, likewise, the level of polypharmacy in geriatric patients was slightly reduced.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101681"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}