Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model

Salazar-Barajas, Martha Elba; Crespo, Manuel Lillo; Cortez, Perla Lizeth Hernández; Reyna, María de los Ángeles Villarreal; Cabriales, Esther Carlota Gallegos; Meza, Marco Vinicio Gómez; González, Beatriz

doi:10.17533/udea.iee.v36n2e08

Cited by 22 publications

(21 citation statements)

References 16 publications

(27 reference statements)

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“…La literatura indica que algunas enfermedades crónicas alteran la agudeza olfativa y gustativa, (3) a su vez, dichas afecciones afectan la manera en que se realizan las actividades de la vida diaria, (17) sin embargo, los resultados de este estudio no mostraron relación estadísticamente significativa entre la agudeza olfativa y gustativa con las ABVD, únicamente se encontró que a mayor función olfativa y gustativa mayor independencia para realizar las AIVD; se piensa que la falta de significancia estadística pudiera estar relacionada con el tiempo de diagnóstico de la enfermedad, por lo que se sugiere que en futuros estudios se busque conocer la relación entre el tiempo de padecer la enfermedad y la alteración de la función sensorial. En este sentido, los resultados de otro estudio (18) sugieren que la enfermedad crónica especialmente en las mujeres es mejor que en los hombres, ya que socialmente se espera que en el caso de las mujeres se encarguen de las tareas domésticas implicadas en las AIVD. Es así como, el enfoque de género se convierte en una limitante al contrastar la relación entre la función sensorial y la dependencia, debido a que los instrumentos empleados incluyen actividades de la vida diaria que en nuestro contexto social y culturalmente están asignadas a las mujeres como la preparación de la comida, cuidado de la casa y lavado de la ropa.…”

Section: Discussionunclassified

Función sensorial y dependencia en adultos mayores con enfermedad crónica

Durán-Badillo

Salazar-Barajas

Hernández-Cortés

et al. 2020

SANUS

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Introducción: Con el envejecimiento se presentan cambios en los sentidos y en consecuencia, alteraciones en la función del gusto y olfato que influyen en la descompensación de enfermedades crónicas. Objetivo: conocer la función sensorial y su asociación con la dependencia para realizar Actividades básicas de la vida diaria e Instrumentales en adultos mayores con enfermedad crónica. Metodología: studio correlacional en una muestra de 96 participantes. Instrumentos utilizados: Carta Snellen, Audiómetro Manual, monofilamento de Semmes-Weinstein, prueba de aromas de Gustos Básicos e Índice de Barthel. El análisis estadístico implicó estadística descriptiva e inferencial, correlación de Spearman, U de Mann-Whitney. Resultados: El 71% de los participantes presentó alteración visual. 48% obtuvo audición normal en oído izquierdo y 43% oído derecho, 24% calificó con alteración táctil del pie izquierdo y 30% en pie derecho. Alteración de olfato y gusto en 77%. Presentaron dependencia en actividades Básicas (ABVD) 40%, 24 % en Instrumentadas (AIVD). Se identificó relación entre el tacto en ambos pies y agudeza auditiva con ABVD (p= <.05). La edad y AIVD (p=<.001) agudeza tacto pie izquierdo(p=<.031), auditiva(p=< .005), olfato (p=.018) y gusto (p= <.047). La dependencia en ABVD no presentó diferencia en la prueba con anteojos (U=146.000; p= <.754) y sin anteojos (U=127.500; p=.079); de igual manera en AIVD con anteojos (U=115.000; p= <.079) y sin anteojos (U=160.000; p=.202). Conclusión. A mayor función en los sentidos de tacto y oído, menor dependencia para realizar las ABVD y a mayor función del tacto, oído, olfato y gusto menor dependencia en las AIVD.

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Section: Discussionunclassified

Función sensorial y dependencia en adultos mayores con enfermedad crónica

Durán-Badillo

Salazar-Barajas

Hernández-Cortés

et al. 2020

SANUS

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“…Moderate or severe mild cognitive impairment was 23.53% in the intervention group and 41.18 % in the control group, which is different from the study conducted by Soto et al in which 52.9% were identified to present this feature but in this study, patients from hospital palliative care units in Spain were only involved. The level of cognitive impairment and patient dependency were determining factors for keeping elderly patients active, (27) having an impact on caregiver burden.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial

Parra¹,

Contreras²,

Arboleda³

et al. 2019

Invest Educ Enferm

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Objective. To evaluate the effect of the "Caring for Caregivers" program in the caring ability and burden in family caregivers of patients with chronic diseases at health care institutions. Methods. A randomized controlled clinical trial was conducted in 34 relatives of patients with chronic diseases that had cared for them for more than 3 months. Zarit scale was used to measure caregiver burden and the CAI (Caring Ability Inventory) was also used to measure caring ability. An educational intervention was applied based on the "Caring for Caregivers" strategy of the Universidad Nacional de Colombia. Results. Although both groups improved their percentage of unburdened caregivers from the first to the second assessment, the difference between the two assessments was 41.

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“…The Roy adaption model provides a theoretical basis for studies on the adaptation processes, where patients interact with a changing environment and nurses facilitate their different modes of adaptation [17]. This process establishes four adaptive modes: physiological, self-concept, role mastery, and interdependence [18]. These dimensions, such as health-related behaviors or perceptions, are sensitive to nursing interventions and can be assessed using the Nursing Outcomes Classi cation (NOC).…”

Section: Introductionmentioning

confidence: 99%

Validating the CUIDARE Scale in Measuring the Impact on Patients and the Adaptation Process of their Family Caregivers.

Pórcel‐Gálvez¹,

Fernández‐García²,

García³

et al. 2020

Preprint

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Background: The family caregiving process requires adaptation and be evaluated to ensure a correct approach in supporting patients and their caregivers. The objective of the present study is to design and validate an instrument to determine the family caregivers’ adaptation to the caregiving process in relation to the care dependency of hospitalized patients. This paper presents CUIDARE, a validated scale based on the Nursing Outcomes Classification indicators and the Roy Adaptation Model, that evaluates the adaptation process of caregivers in hospital settings and its impact on hospitalized patients. Methods: A cross-sectional and psychometric validation study was carried out in ten public hospitals in the Andalusian Healthcare System. Data collection was undertaken between May 2016 and February 2017 in medical and surgical units, included 432 family caregivers. Results: The CUIDARE scale was shown to be internally consistent (Cronbach’s alpha = 0.818). The Exploratory Factor Analysis grouped 4 items into a single component with a variance-explanatory power of 65.6%. The Confirmatory Factor Analysis tested the unidimensionality of the scale with good fit model (CMIN/DF = 2.152; AGFI = 0.975; NFI = 0.993; CFI = 0.996; RFI = 0.979; RMSEA = 0.052). Conclusions: There is an association between the patients’ care dependency level and the family caregiver’s adaptation to caregiving (p-value <.001). Nursing professionals are encouraged to apply this instrument for the purpose of screening to facilitate the adaptation process of family caregivers and to improve the quality of care.

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Factors Contributing to Active Aging in Older Adults, from the Framework of Roy’s Adaptation Model

Cited by 22 publications

References 16 publications

Función sensorial y dependencia en adultos mayores con enfermedad crónica

Función sensorial y dependencia en adultos mayores con enfermedad crónica

Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial

Validating the CUIDARE Scale in Measuring the Impact on Patients and the Adaptation Process of their Family Caregivers.

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