Calidad percibida en adultos mayores sobre el proceso de vacunación contra la Covid-19 en Jalisco, México / Perceived quality in older adults about the vaccination process against covid-19 in Jalisco, Mexico

El adulto mayor (AM) percibe la calidad a partir de las acciones ejecutadas al momento de brindarle algún servicio de salud. El propósito fue identificar la calidad percibida por los adultos mayores durante el proceso para la aplicación de la vacuna contra la COVID-19. El estudio fue cuantitativo-descriptivo, transversal, N=14,508 AM, n=494, muestreo aleatorio, se utilizó estadística descriptiva; prueba U de Mann-Whitney y Chi-cuadrado de Pearson, fijando el valor de significancia de p=≤0.05. El estudio contempló los principios de Helsinki. La muestra se compuso de 494 AM. (58.5%) fueron mujeres y (41.5%) eran hombres. La edad mínima fue de 60 años y la máxima de 93 años. La primera causa de enfermedad que dijo padecer el AM fue la enfermedad hipertensiva (35.6%), a través de Chi-cuadrado de Pearson, se estableció que no existen diferencias estadísticamente significativas entre el sexo y enfermedad, sig. 0.293 (p= ≤0.05). 0.05), la percepción del AM sobre el trato recibido por parte del personal de enfermería, durante la aplicación de la vacuna lo describieron como bueno 312 (63.2%), sig.=0.002 (p= ≤0.05). Los AM manifiestan que el personal de enfermería brindó información sobre el proceso para la aplicación de la vacuna y refieren estar totalmente satisfechos 399 (92.4%), sig.=0.001 (p= ≤0.05). Los resultados son novedosos, ya que evidencian el reconocimiento de la calidad de las intervenciones que las enfermeras realizan al proporcionar el cuidado, y permiten identificar que los AM tuvieron buena percepción de calidad durante el proceso de vacunación y total satisfacción con el trato recibido por enfermería. (AU)

The older adult perceives the quality from the actions carried out at the time of providing a health service. The purpose was to identify the quality perceived by older adults during the process for the application of the COVID-19 vaccine, the study was quantitative descriptive, cross-sectional, N=14,508 AM, n=494, random sampling, descriptive statistics were used; Mann-Whitney U test and Pearson’s Chi-square, fixing the significance value of p=≤0.05. The Helsinki principles were applied. The sample consisted of 494 older adult (58.5%) were women and (41.5%) were men. The minimum age was 60 years, and the maximum was 93 years. The first cause of disease reported to suffer from participants was hypertensive disease (35.6%), through Pearson’s Chi-square, it was established that there are no statistically significant differences between sex and disease, sig. 0.293 (p= ≤0.05). 0.05), the perception of the participants about the treatment received by the nursing staff, during the application of the vaccine was described as good by 312 (63.2%), sig.=0.002 (p= ≤0.05).The older adult state that the nursing staff provided information on the process for the application of the vaccine and reported being totally satisfied 399 (92.4%), sig.=0.001 (p= ≤0.05). The results are novel since they show the recognition of the quality of the interventions that nurses carry out when providing care and allow to identify that the older adult had a good perception of quality during the vaccination process and total satisfaction with the treatment received by nursing. (AU)

Ghrelin-Reactive Autoantibodies as Potential Modulators of Dysfunctional Eating Patterns in Women: An Exploratory Study.

Dysfunctional eating patterns include alterations in experiencing and expressing hunger, appetite, and satiety, which may lead to eating disorders or obesity in the long term. Alterations in hormones such as ghrelin have been suggested to influence emotional eating in women with obesity. Ghrelin-reactive autoantibodies (autoAbs) are present both in healthy individuals and those with eating disorders and have been suggested to protect the hormone from degradation and preserve its functional activity. This study aimed to evaluate the relationship between IgG ghrelin-reactive autoAbs with dysfunctional eating patterns, subjective perception of stress, and body composition parameters in young women. This cross-sectional study included 82 women (age 21±2 years) classified according to body fat percentage. Dysfunctional eating patterns were measured with the Spanish version of the Three-factor Eating Questionnaire-R18, and perceived stress was measured with the Spanish version of the Perceived Stress Scale - 10. A validated in-house enzyme-linked immunosorbent assay was performed to measure IgG ghrelin-reactive autoAbs in its free, total, and immune complex fractions. Free IgG ghrelin-reactive autoAbs were positively correlated with weight, BMI, body fat percentage, waist, and hip circumference in women with very high body fat percentage. In this group, a negative correlation was observed between ghrelin immune complexes and uncontrolled eating. This exploratory research shows that IgG ghrelin-reactive autoAbs have a potential role in altered body composition parameters and appetite expression, such as uncontrolled eating in women with very high body fat. Further studies are required to clarify the role of IgG autoAbs in eating behavior.