Cuestionario de calidad de vida relacionado con el estado nutricional (CaVEN) / Quality of life questionnaire related to nutritional status

Objetivo: Construir y validar un instrumento para medir la calidad de vida percibida en relación con el estado nutricional. Material y método: Mediante grupos focales y entrevistas con expertos en nutrición se identificaron las dimensiones con mayor afectación. Tras la prueba de jueces se definió el cuestionario CaVEN. Para su validación se realizó un estudio multicéntrico, participando 7 hospitales españoles. La validez factorial del cuestionario se evaluó mediante análisis factorial exploratorio, solución en componentes principales y rotación varimax; la validez de criterio mediante correlaciones con los Gold standard nutricionales. La fiabilidad se estimó mediante el coeficiente α de Cronbach. Resultados: Se construyó un cuestionario de 26 ítems con 6 dimensiones de salud. Se aplicó a 68 pacientes que fueron valorados en las Unidades de Nutrición. El valor del test KMO fue de 0,756, mostrando que se adecua al modelo de Análisis Factorial. Se comprobó la existencia de direcciones principales de inercia (Bartlett p < 0,01). Las 6 dimensiones presentaron una varianza acumulada del 77,670. Se observó una relación directa entre la Valoración Global Subjetiva y CaVEN (p < 0,01) y entre Mini Nutritional Assessment Short (p = 0,02) lo que se interpretó como a mayor afectación del estado nutricional, peor calidad de vida detectada por el CaVEN. Conclusiones: El cuestionario CaVEN se ha revelado como un instrumento útil para evaluar la calidad de vida relacionada con el estado nutricional, incluso en colectivos con poca afectación del estado nutricional (AU)

Objective: To build and validate an instrument to measure the perceived quality of life in the nutritional status. Material and methods: By focal groups and interviews with nutrition experts, the dimensions with greater affectation were identified. After the judge test, the CaVEN questionnaire was defined. For its valuation a multicentric study was performed, participating 7 Spanish hospitals. The internal structure of the questionnaire was evaluated by explanatory factorial analysis. Reliability was tested using the Cronbach α coefficient and the validity of the criteria with the nutritional Gold Standards. Results: A questionnaire of 26 items with 6 health dimensions was built. It was applied to 68 patients that were valued in the Nutrition Units. The test KMO was 0.756, showing a good accuracy in the Factorial Analysis. The existence of principal dimension of inertia was found (Bartlett p < 0.01). The 6 dimensions showed an accumulative variance of 77.670. It was observed a direct relationship in the Subjective Global Valuation and CaVEN (p < 0.01) and with the "Mini Nutritional Assessment Short" (p = 0.02), which was interpreted as the greater affectation of the nutritional status, the lower the quality of life detected by the CaVEN. Conclusions: The CaVEN questionnaire has proved a useful tool for assessing the quality of life related to nutritional status, even in groups with little nutritional alterations (AU)

Presencia y adecuación de la terminología sobre desórdenes nutricionales y trastornos de la conducta alimentaria en las ediciones española e inglesa de la Wikipedia / Presence and adequacy of the nutritional and eating disorders terminology in the spanish and english editions of the Wikipedia

Objetivo: Determinar la presencia y analizar la adecuación de los descriptores sobre los desordenes nutricionales y trastornos de la conducta alimentaria en la Wikipedia en español e inglés. Método: Los términos se obtuvieron de los Thesauros: Medical Subject Headings (MeSH) y APA-Terms. Se constató la existencia de la terminología accediendo, vía Internet, a las ediciones española e inglesa de la Wikipedia (http://es.wikipedia.org/). La fecha final de la consulta y cálculos fue el 8 de junio de 2012. Resultado: Se identificaron un total de 89 Descriptores, encontrándose 56 (62,92%) de ellos como términos en la Wikipedia: 42 (47,19%) en la edición española y 56 (62,92%) en la inglesa. Existiendo diferencias significativas entre las dos ediciones (chi-cuadrado = 9,41; gl = 1; p < 0,001). Asimismo, se probó diferencias entre las dos ediciones en relación a las referencias contenidas en los términos (t-Student = -2,43; gl = 84,87; p = 0,017). No así en cuanto a la actualidad/obsolescencia de la información, ni en las consultas a los términos. Conclusiones: Las entradas sobre terminología relacionada con los desordenes nutricionales y trastornos de la conducta alimentaria aún no han alcanzado un nivel óptimo. Las diferencias encontradas entre las ediciones española e inglesa de la Wikipedia se deben más a criterios de principios de contenido (existencia del término) que a razones de adecuación de su información. La edición inglesa de la Wikipedia presenta un mayor refrendo científico, a través de las referencias bibliográficas que se citan, que la edición española (AU)

Objective: To determine the presence and to assess the adequacy of the nutritional and eating disorders descriptors in the English and Spanish Wikipedia. Method: The terms were obtained from the thesaurus: Medical Subject Headings (MeSH) and APA-Terms. The existence of the terms was confirmed accessing to the Spanish and English editions of Wikipedia via the Internet (http://es.wikipedia.org/). The last date for consultation and calculations was June 8, 2012. Results: A total of 89 descriptors were identified, being 56 (62.92%) of them as terms in the Wikipedia: 42 (47.19%) in the Spanish edition and 56 (62.92%) in English. Significant differences between the two editions were assessed (chi-square = 9.41, df = 1, P <0.001). At the same time, differences between both editions according to the number of references in each term were observed (t-Student = -2,43; gl = 84,87; p = 0,017). However, there were not differences in the status of information being update/obsolete, neither in the number of queries. Conclusions: the entries related to nutritional and eating disorders terms have not yet reached an optimum level. Differences between english and spanish Wikipedia editions are more related to criteria of content principles (term existence) than adequacy of information. The English edition of Wikipedia has a more scientific endorsement, through the references cited, than the Spanish edition (AU)

[Presence and adequacy of the nutritional and eating disorders terminology in the Spanish and English editions of the Wikipedia]. / Presencia y adecuación de la terminología sobre desórdenes nutricionales y trastornos de la conducta alimentaria en las ediciones española e inglesa de la Wikipedia.

OBJECTIVE: To determine the presence and to assess the adequacy of the nutritional and eating disorders descriptors in the English and Spanish Wikipedia. METHOD: The terms were obtained from the thesaurus: Medical Subject Headings (MeSH) and APA-Terms. The existence of the terms was confirmed accessing to the Spanish and English editions of Wikipedia via the Internet (http://es.wikipedia.org/). The last date for consultation and calculations was June 8, 2012. RESULTS: A total of 89 descriptors were identified, being 56 (62.92%) of them as terms in the Wikipedia: 42 (47.19%) in the Spanish edition and 56 (62.92%) in English. Significant differences between the two editions were assessed (chi-square = 9.41, df = 1, P <0.001). At the same time, differences between both editions according to the number of references in each term were observed (t-Student = -2,43; gl = 84,87; p = 0,017). However, there were not differences in the status of information being update/obsolete, neither in the number of queries. CONCLUSIONS: The entries related to nutritional and eating disorders terms have not yet reached an optimum level. Differences between english and spanish Wikipedia editions are more related to criteria of content principles (term existence) than adequacy of information. The English edition of Wikipedia has a more scientific endorsement, through the references cited, than the Spanish edition.

[Quality of life questionnaire related to nutritional status]. / Cuestionario de calidad de vida relacionado con el estado nutricional (CaVEN).

OBJECTIVE: To build and validate an instrument to measure the perceived quality of life in the nutritional status. MATERIAL AND METHODS: By focal groups and interviews with nutrition experts, the dimensions with greater affectation were identified. After the judge test, the CaVEN questionnaire was defined. For its valuation a multicentric study was performed, participating 7 Spanish hospitals. The internal structure of the questionnaire was evaluated by explanatory factorial analysis. Reliability was tested using the Cronbach α coefficient and the validity of the criteria with the nutritional Gold Standards. RESULTS: A questionnaire of 26 items with 6 health dimensions was built. It was applied to 68 patients that were valued in the Nutrition Units. The test KMO was 0.756, showing a good accuracy in the Factorial Analysis. The existence of principal dimension of inertia was found (Bartlett p < 0.01). The 6 dimensions showed an accumulative variance of 77.670. It was observed a direct relationship in the Subjective Global Valuation and CaVEN (p < 0.01) and with the "Mini Nutritional Assessment Short" (p = 0.02), which was interpreted as the greater affectation of the nutritional status, the lower the quality of life detected by the CaVEN. CONCLUSIONS: The CaVEN questionnaire has proved a useful tool for assessing the quality of life related to nutritional status, even in groups with little nutritional alterations.

Voluntades de la población sobre los cuidados y decisiones al final de la vida / Populations wills about the decisions and cares at the end of life

Objetivo: Conocer los deseos y voluntades anticipadas de la población en el momento del final de la vida, en el supuesto de padecer una enfermedad terminal. Método: Estudio cuali-cuantitativo, mediante encuesta, bajo el supuesto de que el encuestado padece una enfermedad terminal. Se realizaron 10 preguntas sobre los deseos de la población al final de su vida. Se utilizaron técnicas descriptivas, además de los test de χ2 Pearson, χ2 Fisher y T de Student para el análisis. Así mismo, se realizó un análisis del contenido de los comentarios de los encuestados. Resultados: Se han analizado 403 encuestas, con edad media de 38,2 años. El 63,8% desearía morir en su casa IC95%, [59,1%-68,5%]. La mayoría preferiría a la esposa o pareja como cuidador 43,4% IC 95% [38,6-48,3]. El 85,9%, IC 95% [82,5-89,3] no querría ser sometido a maniobras de resucitación, ni otros medios que prolongaran su vida. El 49,4% IC 95% [44,5-54,3] querrían ser alimentados artificialmente. Conclusiones: Se observó, en la población de mayor edad, un rechazo a la hora de hablar de su propia muerte. De los encuestados, la mayoría, desearían morir en su casa, cuidados preferiblemente por su pareja y no ser sometidos a maniobras o procedimientos para prolongar su vida. La mitad de ellos quieren ser alimentado artificialmente hasta el final de sus días (AU)

Objective: To know the wishes and willings of the general population at the end of life under the assumption of suffering a terminal disease. Method: Crosswise quanti-qualitative study. An opinion poll has been made under the assumption of suffering a terminal disease with 10 questions about the wishes of the population at the end of life Descriptive techniques have been used as well as χ2 Pearson, χ2 Fisher and Student's T tests for the analysis. Also, analysis of the comments contents techniques have been used. Results: 403 polls have been analyzed with an age mean of 38.2 years. 63.8% of the people prefer to end their life at home IC 95%, [59.1%-68.5%]. The majority prefer their partners as care giver 43.4% IC 95% [38.6-48.3]. The 85.9% IC 95% [82.5-89.3] would not wish to be undergone to either resuscitation maneuvers or other ways to extend their lifes to the maximum. The 49.4% IC 95% [44.5-54.3] would want to receive special nutritional support. Conclusions: It was observed that the oldest population refuses to talk about their own death. The vast majority of the polled people would want to die at home with their partner's cares. Half of the people want to be feed artificially until the end of their days (AU)

[Population wills about the decisions and cares at the end of life]. / Voluntades de la población sobre los cuidados y decisiones al final de la vida.

OBJECTIVE: To know the wishes and willings of the general population at the end of life under the assumption of suffering a terminal disease. METHOD: Crosswise quanti-qualitative study. An opinion poll has been made under the assumption of suffering a terminal disease with 10 questions about the wishes of the population at the end of life Descriptive techniques have been used as well as chi(2) Pearson, chi(2) Fisher and Student's T tests for the analysis. Also, analysis of the comments contents techniques have been used. RESULTS: 403 polls have been analyzed with an age mean of 38.2 years. 63.8% of the people prefer to end their life at home IC 95%, [59.1%-68.5%]. The majority prefer their partners as care giver 43.4% IC 95% [38.6-48.3]. The 85.9% IC 95% [82.5-89.3] would not wish to be undergone to either resuscitation maneuvers or other ways to extend their lifes to the maximum. The 49.4% IC 95% [44.5-54.3] would want to receive special nutritional support. CONCLUSIONS: It was observed that the oldest population refuses to talk about their own death. The vast majority of the polled people would want to die at home with their partner's cares. Half of the people want to be feed artificially until the end of their days.