Percepción de las relaciones familiares y nivel de resiliencia en el adulto mayor: un estudio descriptivo-comparativo / Perception of family relations and resilience level in the older adults: a descriptive-comparative study

Objetivo: Comparar la percepción de relaciones familiares y la resiliencia en adultos mayores. Metodología: Estudio cuantitativo, descriptivo, comparativo, prospectivo y de corte transversal; la muestra estuvo conformada por 130 adultos mayores de 60 años de diversas comunidades de la Región Lagunera, al norte de México, seleccionados por un muestreo no probabilístico a conveniencia. Para la recogida de datos se utilizaron el Test de percepción de relaciones familiares del anciano y la Escala de Resiliencia de Connor-Davidson. Los datos se analizaron en el programa SPSS v20 y se aplicaron frecuencias para variables cualitativas, medidas de tendencia central y dispersión para variables cuantitativas, y para la comparación de los grupos se utilizó la prueba de Kruskal Wallis. Resultados: La mayor parte de la muestra eran mujeres (76,9%) y el 56,2% no tenía pareja. Los tres grupos no mostraron diferencia significativa en las características sociodemográficas. El análisis inferencial mostró diferencia significativa entre la percepción de la relación familiar y el nivel de resiliencia en los adultos mayores, en los grupos de percepción disarmónica con los grupos de percepción poco armónica y armónica. Conclusiones: Existe diferencia entre la percepción de la relación familiar y el nivel de resiliencia en el adulto mayor; se observa que a mejor percepción de la relación familiar por el adulto más se incrementa el nivel de resiliencia (AU)

Objective: To compare the perception of family relations and resilience in older adults. Methodology: Quantitative, descriptive, comparative, prospective and cross-sectional study; the sample consisted of 130 adults over 60 years of age from diverse communities of the Lagunera Region, in northern Mexico, selected by a non-probabilistic sample at convenience. For the collection of data, the Elderly Family Relationship Perception Test and the Connor-Davidson Resilience Scale were used. The data were analyzed in the SPSS v20 program and frequencies were applied for qualitative variables, measures of central tendency and dispersion for quantitative variables, for comparison of the groups used the Kruskal Wallis test. Results: The majority of the sample were women (76.9%) and 56.2% did not have a partner. The three groups showed no significant difference in sociodemographic characteristics. The inferential analysis shows a significant difference between the perception of the family relationship and the level of resilience in the older adults, in the groups of disharmonic perception with the groups of perception that are not harmonious and harmonious. Conclusions: There is a difference between perception of the family relationship and the level of resilience in the older adult, it is observed the better perception of the family relationship by the older adult increases the level of resilience (AU)

Comparación de la percepción de calidad de vida relacionado con la salud en hombres y mujeres adultos mayores / Comparison of the perception of health-related quality of life between older men and women

Introducción: La calidad de vida relacionada con la salud se entiende como el efecto funcional y anímico que una enfermedad produce en una persona, incluyendo el tratamiento y cómo este proceso es percibido por la persona, el cual puede estar influido por el género.Objetivo: Determinar la percepción de la calidad de vida relacionada con la salud entre hombre y mujeres adultos mayores en la Comarca Lagunera de Coahuila.Método: Estudio cuantitativo y descriptivo de corte transversal. La muestra estuvo conformada por 100 adultos mayores seleccionados a conveniencia en la escuela de Lic. en Enfermería, U.T. de la Universidad Autónoma de Coahuila y un hospital público de la localidad. Los datos se analizaron en el programa SPSS v22 para Mac, se utilizó estadística descriptiva y la prueba U de Mann-Withney.Resultados: El análisis entre el género y la percepción de calidad de vida relacionada con la salud no observó diferencia significativa (U= 922.00, p=.178); sin embargo, al analizar la calidad de vida por dimensiones, existe diferencia significativa en tres componentes que son movilidad física (U= 812.00, p>.05), dolor (U= 816.00, p>.05) y energía (U= 807.50, p>.05).Conclusiones: En la presente investigación, se puede observar que los hombres y mujeres adultos mayores perciben la calidad de vida relacionada a la salud de una forma muy parecida, sin embargo, se encontró diferencia en algunos componentes que desde el punto de vista de los autores están muy ligados al rol social que cumple una mujer o un hombre adulto mayor

Introduction: The quality of life related to health is understood as the functional and emotional effect that a disease produces in a person, including treatment and how this process is perceived by the person, which may be influenced by gender.Objective: To determine the perception of quality of life related to health among men and older women in the Comarca Lagunera of Coahuila.Method: Quantitative and descriptive cross-sectional study. The sample was 100 old adults selected at convenience in the Nursing School, U.T. from the Autonomous University of Coahuila and a public hospital in the town. Data were analyzed in the SPSS v22 program for Mac, descriptive statistics and the Mann-Whitney U test were used.Results: The analysis between gender and health-related quality of life perception did not observe a significant difference (U=922.00, p=.178); However, when analyzing the quality of life by dimensions, there is a significant difference in three components that are physical mobility (U= 812.00, p< .05), pain (U= 816.00, p< .05) and energy (U= 807.50, p< .05).Conclusions: In the present investigation, it can be observed that older men and women perceive the quality of life related to health in a very similar way, however, a difference was found in some components that from the point of view of the authors, they are closely linked to the social role played by a woman or an older adult man

Allostatic load and canine companionship: a comparative study using biomarkers in older adults.

OBJECTIVE: to compare the biomarkers and the allostatic load levels in a sample of older persons with and without canine companionship. METHOD: descriptive and comparative study. Data were collected using a sociodemographic questionnaire and a fasting blood sample. The allostatic load comprised 11 biomarkers that are primary and secondary stress mediators, which arise from the following systems: neuroendocrine, immune, metabolic, cardiovascular and anthropometric. RESULTS: a significant difference was found in two biomarkers: cortisol (t= -3.091, df=104, p=0.003) and total cholesterol (t= -2.566, df=104, p=0.012), in the allostatic load levels between older adults with and without a canine companionship (U= 1714.00, Z= 2.01, p=0.044). By associating the allostatic load level with the canine companionship, there was a higher frequency of older adults with low allostatic load among those who have canine companion, compared with those who do not have canine companionship. (χ2= 3.69, df=1, p= 0.043). CONCLUSION: canine companionship influences health in a positive way, as the allostatic load is lower in older adults who have a dog as companion, in addition to presenting lower levels of cortisol and total cholesterol.

Allostatic load and canine companionship: a comparative study using biomarkers in older adults / Carga alostática e companhia canina: um estudo comparativo utilizando biomarcadores em idosos / Carga alostática y compañía canina: un estudio comparativo mediante biomarcadores en adultos mayores

ABSTRACT Objective: to compare the biomarkers and the allostatic load levels in a sample of older persons with and without canine companionship. Method: descriptive and comparative study. Data were collected using a sociodemographic questionnaire and a fasting blood sample. The allostatic load comprised 11 biomarkers that are primary and secondary stress mediators, which arise from the following systems: neuroendocrine, immune, metabolic, cardiovascular and anthropometric. Results: a significant difference was found in two biomarkers: cortisol (t= -3.091, df=104, p=0.003) and total cholesterol (t= -2.566, df=104, p=0.012), in the allostatic load levels between older adults with and without a canine companionship (U= 1714.00, Z= 2.01, p=0.044). By associating the allostatic load level with the canine companionship, there was a higher frequency of older adults with low allostatic load among those who have canine companion, compared with those who do not have canine companionship. (χ2= 3.69, df=1, p= 0.043). Conclusion: canine companionship influences health in a positive way, as the allostatic load is lower in older adults who have a dog as companion, in addition to presenting lower levels of cortisol and total cholesterol.

RESUMO Objetivo: comparar os biomarcadores e o nível de carga alostática em uma amostra de idosos com e sem companhia canina. Método: estudo descritivo e comparativo. Os dados foram coletados por meio de uma ficha sociodemográfica e uma amostra de sangue em jejum. A carga alostática incluiu 11 biomarcadores que são mediadores primários e secundários de estresse, os quais são resultantes dos sistemas: neuroendócrino, imune, metabólico, cardiovascular e antropométrico. Resultados: houve diferença significativa em dois biomarcadores: cortisol (t= -3,091; gl=104; p=0,003) e colesterol total (t= -2,566; gl=104; p=0,012), no nível de carga alostática entre os idosos com e sem companhia canina (U= 1714,00; Z= 2,01; p= 0,044). Ao associar o nível de carga alostática com a companhia canina, houve uma maior frequência de idosos com baixa carga alostática naqueles que têm companhia canina, em comparação com aqueles que não têm a companhia canina (χ2= 3,69; gl=1; p=0,043). Conclusão: a companhia canina interfere na saúde de maneira positiva, pois a carga alostática dos idosos que têm um cão como companhia é menor, além de apresentarem uma concentração menor de cortisol e de colesterol total.

RESUMEN Objetivo: comparar los biomarcadores y el nivel de carga alostática en una muestra de adultos mayores con y sin acompañamiento canino. Método: estudio descriptivo, comparativo. Los datos se colectaron mediante una ficha sociodemográfica y una muestra de sangre en ayuno. La carga alostática incluyó 11 biomarcadores que son mediadores primarios y secundarios del estrés, los cuales provienen de los sistemas: neuroendocrino, inmune, metabólico, cardiovascular y antropométrico. Resultados: hubo diferencia significativa en dos biomarcadores: cortisol (t=-3.091, gl=104, p=0.003) y colesterol total (t=-2.566, gl=104, p=0.012), en el nivel de carga alostática entre los adultos mayores con y sin compañía canina (U=1714.00, Z=2.01, p=0.044). Al asociar el nivel de carga alostática con la compañía canina, existió mayor frecuencia de adultos mayores con carga alostática baja en quienes son acompañados por un canino, comparado con aquellos que no tienen acompañamiento canino (χ2=3.69, gl=1, p=0.043). Conclusión: el acompañamiento canino interviene en la salud de forma positiva, ya que es menor la carga alostática de los adultos mayores que tienen un perro como compañía, asimismo, presentan menor concentración de cortisol y colesterol total.