Calidad de vida relacionada con la salud en pacientes ancianos en atención primaria
Health-related quality of life of elderly patients in primary care
J.M. Casado, N. González, S. Moraleda, R. Orueta
, J. Carmona, R.M. Gómez-Calcerrada
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Centro de Salud Sillería. Toledo.
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Loayssa Lara, F.M. González García" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.R." "apellidos" => "Loayssa Lara" ] 1 => array:2 [ "nombre" => "F.M." "apellidos" => "González García" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212656701789251?idApp=UINPBA00004N" "url" => "/02126567/0000002800000003/v1_201307091348/S0212656701789251/v1_201307091348/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Calidad de vida relacionada con la salud en pacientes ancianos en atención primaria" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "167" "paginaFinal" => "173" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Casado, N. González, S. Moraleda, R. Orueta, J. Carmona, R.M. Gómez-Calcerrada" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Casado" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "González" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Moraleda" ] 3 => array:4 [ "nombre" => "R." "apellidos" => "Orueta" "email" => array:1 [ 0 => "roruetas@papps.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Carmona" ] 5 => array:2 [ "nombre" => "R.M." "apellidos" => "Gómez-Calcerrada" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Centro de Salud Sillería. Toledo." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Centro Salud Sillería. C/ Sillería, s/n. 45001 Toledo." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Health-related quality of life of elderly patients in primary care" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2001-04-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec193988" "palabras" => array:3 [ 0 => "Examen de salud" 1 => "Calidad de vida" 2 => "Cuestionario" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec193989" "palabras" => array:3 [ 0 => "Health check" 1 => "Quality of life" 2 => "Questionnaire" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estudiar la calidad de vida relacionada con la salud de los pacientes ancianos consultantes y los factores asociados a aquélla.</p> <span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Observacional, transversal.</p> <span class="elsevierStyleSectionTitle">Ámbito</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Atención primaria. Centro de salud urbano.</p> <span class="elsevierStyleSectionTitle">Sujetos</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Pacientes mayores de 65 sin limitación física ni psíquica que alterase la comunicación médico-paciente que solicitasen consulta. Elección de muestra necesaria, por muestreo consecutivo, para precisión de 0,05 puntos y nivel de confianza del 95% (número necesario, 386).</p> <span class="elsevierStyleSectionTitle">Intervención</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los pacientes cumplimentaron la versión validada al castellano del Nottinghan Health Profile. Las variables sociodemográficas y de morbilidad fueron recogidas de la historia clínica o, en su defecto, de la entrevista al paciente.</p> <span class="elsevierStyleSectionTitle">Mediciones y resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El cuestionario fue contestado por 386 pacientes, con una puntuación media global de 9,166 puntos (25,5% de porcentaje de deterioro; IC del 95%, 23,8-27,1%), siendo el deterioro en cada una de las dimensiones del cuestionario de: «energía» (22%; IC del 95%, 25,3-18,7%), «dolor» (22,5%, IC del 95%, 24,9-20,1%), «sueño» (31,7%; IC del 95%, 34,8-28,6%), «aislamiento social» (16,5%; IC del 95%, 18,9-14,1%), «estado emocional» (27,9%; IC del 95%, 30,5-25,8%) y «movilidad» (28,3%; IC del 95%, 30,7-25,9%).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">De forma estadísticamente significativa, presentaron mayor grado de deterioro las mujeres que los varones (28,7% frente a 19,0%; p < 0,001), excepto en la esfera «energía»; las personas de mayor edad (23,1%, 21,1%, 24,4%, 30,5% y 35,9%, respectivamente, en los grupos de edad 65-69, 70-74, 75-79, 80-84 y > 84 años; p < 0,001), excepto en las esferas «dolor» y «sueño», los que vivían solos o sin su pareja, los incluidos en el programa de atención domiciliaria (42,8% frente a 23,3%; p < 001), los que presentaban mayor número de patologías crónicas y los que consumían mayor número de fármacos.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Existe un deterioro importante de la calidad de vida de nuestros ancianos, asociándose a distintos factores sociodemográficos y de morbilidad. La valoración de la calidad de vida subjetiva debería convertirse en una herramienta de uso habitual en la práctica clínica.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">To study the quality of life of the consultant elderly people and the associated factors to them.</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">A transversal and observational study.</p> <span class="elsevierStyleSectionTitle">Setting</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Primary care. An urban health center.</p> <span class="elsevierStyleSectionTitle">Participants</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Patients over 64 years without any phsysical or psiquical limitation that disturb the communication between patient and doctor, that ask for a consultation. Election of a necessary sample trough consecutive sampling, to precision of 0,05 points and 95% CI.</p> <span class="elsevierStyleSectionTitle">Operations</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">The patients filled out the valid version to Spanish of the Nottinghan Health Profile. The social demographics and the morbility variables were taken through clinical histories or in other case, through the patients interviews.</p> <span class="elsevierStyleSectionTitle">Measurements and main results</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">The questionnaire was answered for 386 patients with a global mid puntuation of 9166 points (25,5% of deterioration; 95% CI, 23,8-27,1%), being the deterioration in each one of following sizes: «energy» (22%; 95% CI, 25,3-18,7%); «pain» (22,5%; 95% CI, 24,9-20,1%); «sleep» (31,7%; 95% CI, 34,8-28,6%), «social isolation» (16,5%; 95% CI, 18,9-14%); «emotional state» (27,9%; 95% CI, 30,5-25,8%) and «mobility» (28,3%; 95% CI, 30,7-25,9%). It was presented with a high level of deterioration and with differences statiscally significant, women (28,7% versus 19,0%;</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">p < 0,001), except in «energy» sphere, patients with elevated age (23,1%, 21,1%, 24,4%, 30,5% y 35,9% in 65-69, 70-74, 75-79, 80-84 and > 84 years old respectively; p < 0,001), except in «pain» and «sleep» sphere), those who lived alone or without partner, those who were included in the house attention program 42,8% frente a 23,3%; p < 0,001), those who had a major number of chronic disease and those who took a great number of drugs.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">There are an important deterioration in the quality of life of our elderly people, associated to different social demography factors and morbidity. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 2 | 6 |
| 2024 Octubre | 15 | 11 | 26 |
| 2024 Septiembre | 15 | 19 | 34 |
| 2024 Agosto | 7 | 15 | 22 |
| 2024 Julio | 10 | 17 | 27 |
| 2024 Junio | 27 | 21 | 48 |
| 2024 Mayo | 16 | 14 | 30 |
| 2024 Abril | 14 | 18 | 32 |
| 2024 Marzo | 28 | 56 | 84 |
| 2024 Febrero | 27 | 30 | 57 |
| 2024 Enero | 15 | 28 | 43 |
| 2023 Diciembre | 32 | 35 | 67 |
| 2023 Noviembre | 30 | 41 | 71 |
| 2023 Octubre | 48 | 60 | 108 |
| 2023 Septiembre | 12 | 42 | 54 |
| 2023 Agosto | 12 | 24 | 36 |
| 2023 Julio | 19 | 67 | 86 |
| 2023 Junio | 23 | 12 | 35 |
| 2023 Mayo | 10 | 5 | 15 |
| 2023 Abril | 12 | 7 | 19 |
| 2023 Marzo | 15 | 31 | 46 |
| 2023 Febrero | 13 | 12 | 25 |
| 2023 Enero | 13 | 11 | 24 |
| 2022 Diciembre | 25 | 7 | 32 |
| 2022 Noviembre | 45 | 33 | 78 |
| 2022 Octubre | 30 | 28 | 58 |
| 2022 Septiembre | 25 | 42 | 67 |
| 2022 Agosto | 37 | 25 | 62 |
| 2022 Julio | 10 | 15 | 25 |
| 2022 Junio | 21 | 25 | 46 |
| 2022 Mayo | 19 | 16 | 35 |
| 2022 Abril | 27 | 16 | 43 |
| 2022 Marzo | 42 | 16 | 58 |
| 2022 Febrero | 23 | 7 | 30 |
| 2022 Enero | 17 | 7 | 24 |
| 2021 Diciembre | 14 | 10 | 24 |
| 2021 Noviembre | 32 | 15 | 47 |
| 2021 Octubre | 48 | 12 | 60 |
| 2021 Septiembre | 28 | 12 | 40 |
| 2021 Agosto | 21 | 5 | 26 |
| 2021 Julio | 19 | 20 | 39 |
| 2021 Junio | 10 | 13 | 23 |
| 2021 Mayo | 23 | 17 | 40 |
| 2021 Abril | 52 | 17 | 69 |
| 2021 Marzo | 32 | 14 | 46 |
| 2021 Febrero | 17 | 14 | 31 |
| 2021 Enero | 26 | 9 | 35 |
| 2020 Diciembre | 28 | 27 | 55 |
| 2020 Noviembre | 33 | 9 | 42 |
| 2020 Octubre | 34 | 8 | 42 |
| 2020 Septiembre | 26 | 11 | 37 |
| 2020 Agosto | 24 | 15 | 39 |
| 2020 Julio | 15 | 5 | 20 |
| 2020 Junio | 20 | 11 | 31 |
| 2020 Mayo | 25 | 16 | 41 |
| 2020 Abril | 22 | 10 | 32 |
| 2020 Marzo | 25 | 22 | 47 |
| 2020 Febrero | 19 | 8 | 27 |
| 2020 Enero | 33 | 26 | 59 |
| 2019 Diciembre | 35 | 31 | 66 |
| 2019 Noviembre | 16 | 13 | 29 |
| 2019 Octubre | 15 | 12 | 27 |
| 2019 Septiembre | 27 | 15 | 42 |
| 2019 Agosto | 6 | 7 | 13 |
| 2019 Julio | 26 | 10 | 36 |
| 2019 Junio | 100 | 54 | 154 |
| 2019 Mayo | 229 | 110 | 339 |
| 2019 Abril | 71 | 19 | 90 |
| 2019 Marzo | 14 | 5 | 19 |
| 2019 Febrero | 18 | 12 | 30 |
| 2019 Enero | 19 | 12 | 31 |
| 2018 Diciembre | 19 | 8 | 27 |
| 2018 Noviembre | 21 | 24 | 45 |
| 2018 Octubre | 34 | 19 | 53 |
| 2018 Septiembre | 16 | 9 | 25 |
| 2018 Agosto | 10 | 5 | 15 |
| 2018 Julio | 9 | 6 | 15 |
| 2018 Junio | 21 | 8 | 29 |
| 2018 Mayo | 23 | 5 | 28 |
| 2018 Abril | 12 | 0 | 12 |
| 2018 Marzo | 12 | 2 | 14 |
| 2018 Febrero | 13 | 2 | 15 |
| 2018 Enero | 13 | 1 | 14 |
| 2017 Diciembre | 17 | 1 | 18 |
| 2017 Noviembre | 29 | 6 | 35 |
| 2017 Octubre | 21 | 2 | 23 |
| 2017 Septiembre | 11 | 7 | 18 |
| 2017 Agosto | 19 | 0 | 19 |
| 2017 Julio | 26 | 1 | 27 |
| 2017 Junio | 28 | 6 | 34 |
| 2017 Mayo | 34 | 11 | 45 |
| 2017 Abril | 27 | 24 | 51 |
| 2017 Marzo | 19 | 51 | 70 |
| 2017 Febrero | 23 | 4 | 27 |
| 2017 Enero | 17 | 1 | 18 |
| 2016 Diciembre | 42 | 3 | 45 |
| 2016 Noviembre | 61 | 5 | 66 |
| 2016 Octubre | 78 | 9 | 87 |
| 2016 Septiembre | 27 | 4 | 31 |
| 2016 Agosto | 11 | 3 | 14 |
| 2016 Julio | 24 | 1 | 25 |
| 2016 Junio | 33 | 11 | 44 |
| 2016 Mayo | 62 | 10 | 72 |
| 2016 Abril | 41 | 8 | 49 |
| 2016 Marzo | 41 | 5 | 46 |
| 2016 Febrero | 37 | 8 | 45 |
| 2016 Enero | 32 | 12 | 44 |
| 2015 Diciembre | 35 | 12 | 47 |
| 2015 Noviembre | 37 | 4 | 41 |
| 2015 Octubre | 41 | 4 | 45 |
| 2015 Septiembre | 42 | 8 | 50 |
| 2015 Agosto | 47 | 6 | 53 |
| 2015 Julio | 48 | 4 | 52 |
| 2015 Junio | 32 | 2 | 34 |
| 2015 Mayo | 34 | 5 | 39 |
| 2015 Abril | 33 | 12 | 45 |
| 2015 Marzo | 44 | 6 | 50 |
| 2015 Febrero | 44 | 2 | 46 |
| 2015 Enero | 34 | 3 | 37 |
| 2014 Diciembre | 61 | 5 | 66 |
| 2014 Noviembre | 36 | 2 | 38 |
| 2014 Octubre | 74 | 3 | 77 |
| 2014 Septiembre | 49 | 6 | 55 |
| 2014 Agosto | 43 | 2 | 45 |
| 2014 Julio | 39 | 1 | 40 |
| 2014 Junio | 55 | 4 | 59 |
| 2014 Mayo | 33 | 2 | 35 |
| 2014 Abril | 30 | 1 | 31 |
| 2014 Marzo | 38 | 2 | 40 |
| 2014 Febrero | 39 | 0 | 39 |
| 2014 Enero | 30 | 2 | 32 |
| 2013 Diciembre | 41 | 3 | 44 |
| 2013 Noviembre | 59 | 5 | 64 |
| 2013 Octubre | 55 | 3 | 58 |
| 2013 Septiembre | 42 | 4 | 46 |
| 2013 Agosto | 68 | 4 | 72 |
| 2013 Julio | 62 | 5 | 67 |
| 2001 Julio | 3422 | 0 | 3422 |
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