Revista Espanola de Geriatria y Gerontologia最新文献_第10页

Increase in hospital care at the end of life: Retrospective analysis of the last 20 years of life of a cohort of patients 生命末期医院护理的增加：对一组患者生命最后 20 年的回顾性分析

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-03-28 DOI: 10.1016/j.regg.2024.101484

Alberto Jiménez-Puente , María Dolores Martín-Escalante , Francisco Martos-Pérez , Javier García-Alegría

{"title":"Increase in hospital care at the end of life: Retrospective analysis of the last 20 years of life of a cohort of patients","authors":"Alberto Jiménez-Puente , María Dolores Martín-Escalante , Francisco Martos-Pérez , Javier García-Alegría","doi":"10.1016/j.regg.2024.101484","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101484","url":null,"abstract":"<div><h3>Background</h3><p>There is an increasing need for end-of-life care due to society's progressive aging. This study aimed to describe how hospitalizations evolve long-term and in the last months life of a cohort of deceased patients.</p></div><div><h3>Methods</h3><p>The study population were those who died in one year who lived in a district in southern Spain. The number of hospital stays over the previous 20 years and number of contacts with the emergency department, hospitalization, outpatient clinics, and medical day hospital in the last three months of life were determined. The analyses were stratified by age, sex, and pattern of functional decline.</p></div><div><h3>Results</h3><p>The study population included 1773 patients (82.5% of all who died in the district). The hospital stays during the last 20 years of life were concentrated in the last five years (66%) and specially in the last six months (32%). Eighty percent had contact with the hospital during their last three months of life. The older group had the minimun of stays over the last 20 years and contacts with the hospital in the last months of life.</p></div><div><h3>Conclusions</h3><p>The majority of hospitalizations occur at the end of life and these admissions represent a significant part of an acute-care hospital's activity. The progressive prolongation of life does not have to go necessarily along with a proportional increase in hospital stays.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101484"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321008","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}

引用次数: 0

Correlación entre la actividad física y la sintomatología depresiva en centros integrales del adulto mayor de Lima, Perú 秘鲁利马老年人综合中心的体育活动与抑郁症状之间的相关性。

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-03-21 DOI: 10.1016/j.regg.2024.101489

Lizardo Damian Mija Chavez, Luis Enrique López Berrocal, Alvaro Del Carpio Coya, César Gutiérrez Villafuerte

{"title":"Correlación entre la actividad física y la sintomatología depresiva en centros integrales del adulto mayor de Lima, Perú","authors":"Lizardo Damian Mija Chavez, Luis Enrique López Berrocal, Alvaro Del Carpio Coya, César Gutiérrez Villafuerte","doi":"10.1016/j.regg.2024.101489","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101489","url":null,"abstract":"<div><h3>Background and objective</h3><p>Depression in the elderly is a growing problem, and exercise is a strategy to prevent it. We aim to identify the correlation between scores obtained in the Geriatric Depression Scale - 15 items (GDS-15) for depressive symptomatology and Metabolic equivalent of task (MET) obtained in the International Physical Activity Questionnaire - Short Form (IPAQ-S) for physical activity in aged attending senior centers in a district of Lima, Peru.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study in three senior centers in Miraflores, Lima, Peru. Participants (n=158) completed a three-part questionnaire, including a sociodemographic survey to collect general participant data, the GDS-15 to assess the level of depressive symptomatology, and the IPAQ-S to evaluate the amount of physical activity performed in the last week.</p></div><div><h3>Results</h3><p>A mild but significant inverse linear correlation was identified between the GDS-15 score and METs obtained in the IPAQ-S (rho=-0.213, p=0.007). Moderate to severe depressive symptomatology decreased with a higher level of physical activity: 4.3% low level, 3.3% moderate level, and no cases in those with vigorous activity; however, these differences were not significant (p=0.541, Kendall's Tau B test).</p></div><div><h3>Conclusión</h3><p>The results showed that individuals with moderate to severe depressive symptoms show a lower level of depressive symptoms in relation to the degree of physical activity carried out in the last week.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101489"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140181403","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}

引用次数: 0

Dominios operativos del envejecimiento saludable: una descripción cualitativa en personas adultas mayores de Perú 健康老龄化的操作领域：秘鲁老年人的定性描述

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-03-21 DOI: 10.1016/j.regg.2024.101485

Julio Domínguez-Vergara , Henry Santa-Cruz-Espinoza , Gina Noemí Torres-Villanueva , Eduardo Franco Cabos Zelada

{"title":"Dominios operativos del envejecimiento saludable: una descripción cualitativa en personas adultas mayores de Perú","authors":"Julio Domínguez-Vergara , Henry Santa-Cruz-Espinoza , Gina Noemí Torres-Villanueva , Eduardo Franco Cabos Zelada","doi":"10.1016/j.regg.2024.101485","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101485","url":null,"abstract":"<div><h3>Background and objective</h3><p>Understanding the domains of healthy aging (HA) through the perceptions of older adults is important for the multidimensional determination of the construct according to the culture of Peru and for the development of plans that promote the health, well-being, resources and strengths of older adults. The purpose of this study is to qualitatively explore the operational domains of HA in Peruvian older adults.</p></div><div><h3>Method</h3><p>The approach adopted was fundamental qualitative descriptive. A purposive sampling was used and 26 participants attending senior centers belonging to the municipal commune of Lima were recruited (Medad=67.9; SD=6.64). Semi-structured interviews were conducted and the content analysis was carried out using an inductive method identifying the units of meaning of the HA.</p></div><div><h3>Results</h3><p>The content analysis showed 11 sub-themes and 4 main themes. The identified themes were as follows: “functional health”, “psychological well-being”, “active engagement with life” and “religion”. Given this, the results demonstrate the multidimensionality of HA in Peruvian older adults.</p></div><div><h3>Conclusion</h3><p>The operational domains of HA indicate the importance of individual perceptions considering functional health, psychological well-being, active engagement with life, and religion. This perspective supports the multidimensional concept of HA. This can be implemented as a guide for government entities working with PAMs. In addition, to formulate new public policies focusing on the domains of HA.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101485"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180676","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}

引用次数: 0

Estado cognitivo, emocional y nivel de dependencia en personas adultas y mayores institucionalizadas 被安置在养老院的成年人和老年人的认知和情绪状态以及依赖程度。

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-28 DOI: 10.1016/j.regg.2024.101481

María Herrero Teijón , Armando González-Sánchez , Lizbeth de la Torre , Antonio Sánchez Cabaco

{"title":"Estado cognitivo, emocional y nivel de dependencia en personas adultas y mayores institucionalizadas","authors":"María Herrero Teijón , Armando González-Sánchez , Lizbeth de la Torre , Antonio Sánchez Cabaco","doi":"10.1016/j.regg.2024.101481","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101481","url":null,"abstract":"<div><h3>Introduction</h3><p>It is necessary to analyze the aging process in institutionalized older people. For this purpose, a descriptive and analytical epidemiological study was carried out in nursing homes for older adults before the COVID-19 pandemic.</p></div><div><h3>Objective</h3><p>Provide an in-depth insight into cognitive (MEC), emotional (Geriatric Depression Scale), and functional (Barthel Scale) status within the older adult participants.</p></div><div><h3>Method</h3><p>A sample of 973 participants analyzed the relationship between cognitive status, vulnerability to depression, and autonomous performance in Daily Day Activities (DDA) to predict the impact of the comorbidity of these variables. Therefore, in addition to the general distribution of the sample in the previously mentioned dimensions, differences were analyzed according to gender, age, educational level, and geographic area.</p></div><div><h3>Results</h3><p>The results confirm the hypothesis that a more impaired cognitive state is associated with higher levels of depression and lower functional capacity. The MEC scores have positive and highly significant correlations with Barthel and Yesavage. The relationship between dementia and autonomy is observed for both sexes, while the relationship between dementia and depression is only observed in women. The educational level influences the MEC scores (the more education, the better performance) and the Barthel scores (the less education, the greater dependency). Statistically significant differences were also found depending on the area of residence location.</p></div><div><h3>Conclusions</h3><p>The more deteriorated cognitive state will be associated with a higher level of depression and lower functional capacity in daily life activities.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101481"},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992421","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}

引用次数: 0

Investigation of the adaptation of older adults to online learning and artificial intelligence 调查老年人对在线学习和人工智能的适应情况

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-28 DOI: 10.1016/j.regg.2024.101477

Elif Gur Kabul , Bilge Basakci Calik , Nadir Tayfun Ozcan , Suleyman Gursoy

{"title":"Investigation of the adaptation of older adults to online learning and artificial intelligence","authors":"Elif Gur Kabul , Bilge Basakci Calik , Nadir Tayfun Ozcan , Suleyman Gursoy","doi":"10.1016/j.regg.2024.101477","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101477","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to investigate the adaptation of older adults, to online learning and artificial intelligence.</p></div><div><h3>Material and methods</h3><p>210 older adults (109 women; 101 men) aged 65 and over, were included. Hodkinson Mental Test, Online Learning Readiness Scale (OLRS) and Artificial Intelligence Anxiety Scale (AIAS) were used in evaluation. Older adults with 6 score and above in Hodkinson Mental Test, in which their cognitive level was evaluated, were included. Older adults were stratified according to their gender and age (Group I: 65–70 years; Group II: 71–75 years; Group III: 76 years and over).</p></div><div><h3>Results</h3><p>In comparison analysis between age groups, there was a significant difference in the total score and all subdimensions of OLRS in favor of Group I (<em>p</em>  <0.05). When analyzed according to gender, “The computer/Internet self-efficacy” subdimension of OLRS was significantly higher in male older adults (<em>p</em>  <0.05).</p></div><div><h3>Conclusion</h3><p>With increasing age in older adults, the readiness for online learning decreases and the level of artificial intelligence anxiety increases. There is no difference between male and female older adults in the readiness for online learning and artificial intelligence anxiety levels, and it is moderate in both genders. In this context, we think that information about online and artificial intelligence applications for older adults would be beneficial.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101477"},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139993161","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}

引用次数: 0

Test Alusti como variable premonitoria de procesos adversos de salud en una residencia de mayores. Seguimiento a 2 años 作为养老院不良健康事件预测因子的奥卢斯提试验。两年随访

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-27 DOI: 10.1016/j.regg.2024.101476

Olga Bueno Yáñez , Juan José Calvo Aguirre , Joana Uranga Zaldua , Josu Alustiza Navarro , Maider Ugartemendia Yerobi

{"title":"Test Alusti como variable premonitoria de procesos adversos de salud en una residencia de mayores. Seguimiento a 2 años","authors":"Olga Bueno Yáñez , Juan José Calvo Aguirre , Joana Uranga Zaldua , Josu Alustiza Navarro , Maider Ugartemendia Yerobi","doi":"10.1016/j.regg.2024.101476","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101476","url":null,"abstract":"<div><h3>Introduction</h3><p>Functional capacity is a good indicator of health, quality of life, and a good predictor of morbimortality. It is a priority to functionally assess the geriatric population through objective, precise, and simple instruments. The Alusti Test in its two versions, complete (TA) and abbreviated (TAA), is a scale that meets these criteria.</p></div><div><h3>Objective</h3><p>To determine the usefulness of the Alusti Test as a predictor of adverse health events: falls, hospitalizations, cognitive deterioration, and mortality in the elderly institutionalized population, with a two-year follow-up.</p></div><div><h3>Material and methods</h3><p>This observational study's sample included 176 persons admitted to a nursing home for 32months, with a mean age of 85.5years. The TA was performed on 138 and the TAA on 38.</p></div><div><h3>Results</h3><p>The ratio of falls is much higher in residents with mild dependence than in those with total dependence (<em>P</em>  <.001) than in those with preserved mobility. Cognitive impairment is similar in all the populations with some mild-moderate level of functional dependence and decreases in the population with preserved mobility. Categorization as total and mild/severe dependence is related to a 3-4times higher mortality at six months follow-up.</p></div><div><h3>Conclusions</h3><p>A higher mild-moderate level of dependence on the AT correlates with a lower risk of falls, a lower rate of hospitalization, and a higher risk of mortality at six months.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101476"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139986395","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}

引用次数: 0

Millennials y generación Z: intentando retener el talento de los nuevos geriatras. Un reto compartido... y competido 千禧一代和 Z 世代：努力留住新老年医学人才。共同的挑战......也是竞争的挑战

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-24 DOI: 10.1016/j.regg.2024.101480

Daniel Rosselló-Jiméne, Sami Loutfi, Mireia Llonch-Masriera

引用次数: 0

Estereotipos negativos de la vejez en los nuevos médicos internos residentes 新来的医学实习生对老年的负面成见

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-24 DOI: 10.1016/j.regg.2024.101478

Santiago Cotobal Rodeles , Francisco Javier Martín Sánchez , Manuel Martínez-Selles

{"title":"Estereotipos negativos de la vejez en los nuevos médicos internos residentes","authors":"Santiago Cotobal Rodeles , Francisco Javier Martín Sánchez , Manuel Martínez-Selles","doi":"10.1016/j.regg.2024.101478","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101478","url":null,"abstract":"<div><h3>Objectives</h3><p>To determine the presence of negative stereotypes of old age in new medical intern residents (MIR) of the Community of Madrid.</p></div><div><h3>Material and methods</h3><p>A descriptive cross-sectional survey study of first year MIRs was carried out anonymously during the process of registration at the Madrid College of Physicians between 25/03 and 26/05 of 2023. The Questionnaire of Negative Stereotypes towards Old Age (CENVE) and the Let's Fight All Together Against Ageism (LTJCE) survey were used.</p></div><div><h3>Results</h3><p>A total of 829 new MIRs were included, with a mean age of 26.0 (standard deviation [SD]=3.5) years. According to the LTJCE survey, 29.1% consider that in general older people are similar to each other; 47.5%, that deterioration of health in old age is inevitable, 26.8% that old age begins at 60 years; 30.5%, that age <em>per se</em> is a determinant when making clinical decisions and 31.0%, that aging is an obstacle that we must overcome in order to lead a healthy life. The mean total score of the CENVE scale (range 15-60) was 28.3 (SD=7.0) and the means of the different factors (range 5-20) were 8.6 (SD=2.8) for health; 9.8 (SD=2.6) for motivational-social; 10.0 (SD=2.7) for character-personality.</p></div><div><h3>Conclusions</h3><p>Most new MIRs do not present old age-related stereotypes.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101478"},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139945065","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}

引用次数: 0

The COVID-19 Vaccine Gamble—By luck they worked in the oldest, frailest people COVID-19 疫苗赌博--幸运的是，它们在最年老体弱的人群中起了作用

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-02-24 DOI: 10.1016/j.regg.2023.101427

Roy L. Soiza , Megan Niven

引用次数: 0

¿Conocen los pacientes con insuficiencia cardiaca avanzada las características y el pronóstico de su enfermedad? 晚期心力衰竭患者了解自己疾病的特点和预后吗？

Revista Espanola de Geriatria y Gerontologia Pub Date : 2024-01-20 DOI: 10.1016/j.regg.2023.101456

Anna Contra, Lourdes Garcia, Paula Pons, Francesc Formiga

引用次数: 0