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1.
Psicol. conduct ; 30(2): 549-563, Sept. 2022. tab, ilus
Artículo en Español | IBECS | ID: ibc-208444

RESUMEN

La pandemia por Covid-19 ha tenido un impacto negativo en la salud mentalincluyendo el estrés. Nuestro estudio tuvo como objetivo diseñar y validarpsicométricamente la “Escala de estrés ante enfermedades transmisibles” (escalaAPA). La prueba de análisis discriminativo de ítems permitió eliminar cuatro ítems,quedando la prueba final conformada por 10 ítems. Asimismo, la validezconvergente utilizando el “Cuestionario de ansiedad social” (CASO) fue de r=0,377. El análisis factorial confirmatorio ratificó la estructura de dos componentes:el estrés general y el estrés ante la Covid-19. Se obtuvieron correlacionesmultivariadas entre los ítems utilizándose los índices de ajuste según el modeloesperado. Los índices de fiabilidad fueron buenos (α de Cronbach= 0,841 y ω deMcDonald= 0,848) y se estableció un baremo con percentiles por sexo con unamuestra de 1000 universitarios, teniendo un 28% de mujeres y un 22,9% dehombres con un alto nivel de estrés ante las enfermedades transmisibles. Estosresultados de validez y fiabilidad de la escala APA muestran su utilidad para evaluarel estrés ante las enfermedades transmisibles. (AU)


Covid-19 pandemic has had a negative impact on mental health, includingstress. The goal of our study was to design and psychometrically validate the StressScale for Transmissible Diseases (APA scale). The discriminative item analysis testallowed the elimination of four items, leaving the final test with 10 items. Likewise,the convergent validity using the Social Anxiety Questionnaire (SAQ) was r= .377.Confirmatory factor analysis confirmed the two-component structure: generalstress and stress in the face of Covid-19. Multivariate correlations between itemswere obtained using the fit indices according to the expected model. Reliabilityindices were good (Cronbach's α= .841 and McDonald's ω= .848) and percentilenorms were established by sex with a sample of 1,000 university students, with28% of women and 22.9% of men having a high level of stress in the face of transmissible diseases. These results of validity and reliability of the APA scale showits usefulness in assessing stress in the face of transmissible diseases. (AU)


Asunto(s)
Humanos , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Estrés Psicológico , Pandemias , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Encuestas y Cuestionarios , Perú
2.
Front Nutr ; 9: 949330, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36091243

RESUMEN

Background: The Young Lives longitudinal study switched to remote data collection methods including the adaptation of dietary intake assessment to online modes due to the physical contact restrictions imposed by the COVID-19 pandemic. This study aimed to describe the adaptation process and validation of an online quantitative food frequency questionnaire (FFQ) for Peruvian young adults. Methods: A previously validated face-to-face FFQ for the adult Peruvian population was adapted to be administered through an online self-administered questionnaire using a multi-stage process. Questionnaire development was informed by experts' opinions and pilot surveys. FFQ validity was assessed by estimating misreporting of energy intake (EI) using the McCrory method, and the FFQ reliability with Cronbach alpha. Logistic regressions were used to examine associations of misreporting with sociodemographic, body mass index (BMI), and physical activity covariates. Results: The FFQ was completed by 426 Peruvian young adults from urban and rural areas, among whom 31% were classified as misreporters, with most of them (16.2%) overreporting daily EI. Men had a lower risk of under-reporting and a higher risk of over-reporting (OR = 0.28 and 1.89). Participants without a higher education degree had a lower risk of under-reporting and a higher risk of over-reporting (OR = 2.18 and 0.36, respectively). No major difference in misreporting was found across age groups, areas, studying as the main activity, being physically active or sedentary, or BMI. Results showed good internal reliability for the overall FFQ (Cronbach alpha = 0.82). Conclusion: Misreporting of EI was mostly explained by education level and sex across participants. Other sociodemographic characteristics, physical activity, sedentary behavior, and BMI did not explain the differences in EI misreporting. The adapted online FFQ proved to be reliable and valid for assessing dietary intakes among Peruvian young adults during the COVID pandemic. Further studies should aim at using and validating innovative dietary intake data collection methods, such as those described, for informing public health policies targeting malnutrition in different contexts after the COVID-19 pandemic.

3.
PLoS One ; 17(9): e0274697, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36112588

RESUMEN

OBJECTIVES: To investigate the prevalence, associated factors and socioeconomic inequalities in chronic disease relapses (CDR) during 2020 in Peru. METHODS: A secondary analysis was made of the National Household Survey on Living Conditions and Poverty (ENAHO) 2020. Participants older than 18 years who suffered from a chronic disease and with information about the occurrence of a CDR in the last 4 weeks prior to the survey were included. Adjusted prevalence ratios (aPRs) were estimated to determine the associated factors. Socioeconomic inequality in CDR was estimated using concentration curves (CC) and the Erreygers concentration index (ECI). RESULTS: Data from 38,662 participants were analyzed; the prevalence of CDR in the last 4 weeks prior to the survey was 16.5% (95% CI: 15.8-17.2). Being female (aPR 1.29; 95% CI: 1.21-1.37), with regards to being male; being 30-39 (aPR 1.22; 95% CI: 1.05-1.42), 40-49 (aPR 1.29; 95% CI: 1.12-1.48), 50-59 (aPR 1.60; 95% CI: 1.41-1.82), and 60 years or older (aPR 1.80; 95% CI: 1.58-2.04), compared to 18-29; reaching up to primary (aPR 1.18; 95% CI: 1.07-1.31), or secondary education (aPR 1.13; 95% CI: 1.02-1.24), in contrast to tertiary education; presenting some physical, psychological or cognitive limitation (aPR 1.33; 95% CI: 1.21-1.46), with respect to experiencing no limitations; and being affiliated to a health insurance (aPR 1.18; CI 95%: 1.09-1.29), opposed to not having health insurance; were associated with a higher probability of CDR. Residing in the natural region of the coastal area (aPR 0.83; 95% CI: 0.74-0.92) was associated with a lower probability of relapse compared to residing in the jungle area. In people with limitations and residents of the jungle areas, the prevalence of CDR was concentrated in those with higher per capita spending. CONCLUSIONS: Approximately 1 in 6 Peruvians with chronic diseases had a relapse within the last 4 weeks prior to the survey of 2020 and certain geographic and sociodemographic factors were found to be associated with CDR. It was also found that a higher concentration of CDR was observed in the population with the highest per capita spending with some limitations, as well as in residents of the jungle, implying the need for appropriate policy interventions that address CDR with a special focus on these populations.


Asunto(s)
COVID-19 , COVID-19/epidemiología , Enfermedad Crónica , Estudios Transversales , Escolaridad , Femenino , Humanos , Masculino , Pandemias , Perú/epidemiología , Recurrencia
4.
Artículo en Inglés | MEDLINE | ID: mdl-36078763

RESUMEN

Greater occupational exposure may have a positive effect on the development of resilience. We aimed to determine the association between working time and resilience in Peruvian military personnel during the COVID-19 pandemic. A secondary data analysis was performed including 586 records of military personnel who supported the health emergency during the second epidemic wave in Lambayeque, Peru. Resilience was measured with the short form of the Connor-Davidson Resilience Scale (CD-RISC). Working time and other relevant covariates were collected by self-report. Generalized linear models were used. The mean resilience score was 22.18 and 43.2% scored high for resilience. Participants reported that they are strong individuals when facing difficulties (42.3%), are able to handle unpleasant feelings (40.3%), and achieve their goals despite obstacles (40.4%). Working more than 18 months was associated with a 35% higher prevalence of high resilience (PR: 1.35; 95% CI: 1.05-1.75). In conclusion, a notable number of military personnel experienced high levels of resilience during the pandemic. Working time may have played an important role in the development of this ability. Our findings could help guide the deployment and organization of the military in health emergency support missions.


Asunto(s)
COVID-19 , Personal Militar , Resiliencia Psicológica , COVID-19/epidemiología , Estudios Transversales , Humanos , Pandemias , Perú/epidemiología
5.
Artículo en Inglés | MEDLINE | ID: mdl-36141745

RESUMEN

The purpose of this research was to analyze the implications of exposure to various news channels that broadcast information on COVID-19 and their impact on the mental health of older adults in the sparsely populated area of the Tacna Region during the year 2021. The present study used a descriptive correlational type of quantitative approach on a sample of 389 older adults aged 60 years and over, who were recruited by non-probabilistic convenience sampling. For the application of the survey technique, the instrument used was a questionnaire modified by the authors. In terms of research ethics for the development of the study, the respondents provided informed consent, and other ethical considerations were addressed. In relation to sociodemographic variables of mental health, it was found that women had a greater incidence of anxiety (p < 0.01) and that people with fewer years of study had a greater incidence of depression (p < 0.01) and anxiety in sparsely populated areas. Exposure to news through television was associated with depression, and news obtained from other people was associated with depression (p < 0.001). An association was also found between the number of hours of television news and stress (p < 0.05), and radio news was associated with anxiety (p < 0.05). In terms of psychological consequences, the highest mean for television exposure was fear, while the greatest psychological consequence of radio news was fear, followed by stress and awareness. Finally, negative, inverse, and significant relationships were found that indicate protective factors, such as depression with awareness and indignation, and anxiety was inversely related to awareness.


Asunto(s)
COVID-19 , Anciano , Ansiedad/epidemiología , Ansiedad/psicología , COVID-19/epidemiología , Depresión/epidemiología , Miedo , Femenino , Humanos , Salud Mental , Persona de Mediana Edad , Perú
6.
Artículo en Inglés | MEDLINE | ID: mdl-36142027

RESUMEN

A range of health-related and behavioral risk factors are associated with COVID-19 incidence and mortality. In the present study, we assess the association between incidence, mortality, and case fatality rate due to COVID-19 and the prevalence of hypertension, obesity, overweight, tobacco and alcohol use in the Peruvian population aged ≥15 years during the first and second year of the COVID-19 pandemic. In this ecological study, we used the prevalence rates of hypertension, overweight, obesity, tobacco, and alcohol use obtained from the Encuesta Demográfica y de Salud Familiar (ENDES) 2020 and 2021. We estimated the crude incidence and mortality rates (per 100,000 habitants) and case fatality rate (%) of COVID-19 in 25 Peruvian regions using data from the Peruvian Ministry of Health that were accurate as of 31 December 2021. Spearman correlation and lineal regression analysis was applied to assess the correlations between the study variables as well as multivariable regression analysis adjusted by confounding factors affecting the incidence and mortality rate and case fatality rate of COVID-19. In 2020, adjusted by confounding factors, the prevalence rate of obesity (ß = 0.582; p = 0.037) was found to be associated with the COVID-19 mortality rate (per 100,000 habitants). There was also an association between obesity and the COVID-19 case fatality rate (ß = 0.993; p = 0.014). In 2021, the prevalence of obesity was also found to be associated with the COVID-19 mortality rate (ß = 0.713; p = 0.028); however, adjusted by confounding factors, including COVID-19 vaccination coverage rates, no association was found between the obesity prevalence and the COVID-19 mortality rate (ß = 0.031; p = 0.895). In summary, Peruvian regions with higher obesity prevalence rates had higher COVID-19 mortality and case fatality rates during the first year of the COVID-19 pandemic. However, adjusted by the COVID-19 vaccination coverage, no association between the obesity prevalence rate and the COVID-19 mortality rate was found during the second year of the COVID-19 pandemic.


Asunto(s)
COVID-19 , Hipertensión , Enfermedades no Transmisibles , COVID-19/epidemiología , Vacunas contra la COVID-19 , Humanos , Hipertensión/epidemiología , Enfermedades no Transmisibles/epidemiología , Obesidad/epidemiología , Sobrepeso/epidemiología , Pandemias , Perú/epidemiología
7.
Risk Manag Healthc Policy ; 15: 1705-1715, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36110565

RESUMEN

Purpose: The presence of the COVID-19 coronavirus in Peru, and especially in northern Peru, was very fast and caused many deaths. As a result, vaccination proved to be the most immediate option to control it. However, a sector of the population was reluctant to vaccination. Therefore, this study aimed to analyze the factors associated with the acceptance of COVID-19 vaccines by citizens of northern Peru. Patients and Methods: The study was observational, descriptive-correlational and the sample was stratified and consisted of 516 citizens from eight departments of northern Peru, who answered an online questionnaire regarding sociodemographic, cultural and health aspects. The data were analyzed using statistical tests of association and a logistic model was estimated to identify factors predicting vaccine acceptance. Results: Among the factors associated with vaccine acceptance, sociodemographic factors such as age and family income, cultural factors such as level of knowledge, and health factors such as having another chronic disease and a vaccine with a higher confidence (p<0.05) were found. In addition, 12% of the population do not trust them, 10% are afraid that they may cause thrombosis, 13% disagree with vaccination for children, 7% think that a chip will be implanted and 8% believe that their DNA will be changed. However, most people accept vaccination and consider it necessary. A multivariate analysis was also performed for the acceptance of vaccines, which presented a percentage of 80.2% correct in the prognosis. Conclusion: The multivariate analysis allowed a conclusion that the predictor variables for vaccine acceptance are household income of less than 1000 Peruvian soles per month, low or medium levels of knowledge, and having another chronic disease.

8.
Rev Chilena Infectol ; 39(3): 273-286, 2022 06.
Artículo en Español | MEDLINE | ID: mdl-36156689

RESUMEN

BACKGROUND: Despite the proven efficacy and safety of COVID-19 vaccines, pediatric vaccination coverage remains low in many countries. There are still doubts and fears in parents about vaccination in their children under 12 years of age. AIM: To evaluate the perceptions and intention of parents to vaccinate their children under 12 years of age. METHODS: Analytical cross-sectional study based on an online survey that evaluated the parents' perceptions regarding the risk of COVID-19 infection, the need for a vaccine, and the vaccine adverse events in their children under 12 years. We assessed the factors associated with the intention to vaccinate through crude (cPR) and adjusted prevalence rates (aPR), with confidence interval of 95% (CI 95%). RESULTS: 83.5% of respondents had the intention to vaccinate their children under 12 years of age. In the multivariate analysis, the factors associated with a decrease in the intention to vaccinate were to believe that the vaccine was not necessary (aPR 0.65; 95% CI 0.44 - 0.94), that it would not protect (aPR: 0.14; 95% CI 0.03 - 0.63), it would not be safe (aPR: 0.80; 95% CI 0.70 - 0.92) and it would cause long-term side effects (aPR: 0.92; 95% CI 0.85 - 1.00). On the other hand, living on the highlands or jungle was associated with an increase in the intention. CONCLUSION: In Peru, 16.5% of parents would not vaccinate their children under 12 years of age, because they perceived that the vaccine was not necessary and would not protect against COVID-19. In addition, they expressed concerns about the development of possible adverse events.


Asunto(s)
COVID-19 , Vacunas , COVID-19/prevención & control , Vacunas contra la COVID-19/efectos adversos , Niño , Estudios Transversales , Conocimientos, Actitudes y Práctica en Salud , Humanos , Intención , Padres , Perú/epidemiología , Vacunación/efectos adversos
9.
Front Public Health ; 10: 946697, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36159279

RESUMEN

This study aims to examine the relationships between symptoms of anxiety, depression, stress, worry about COVID-19 and fear of loneliness during COVID-19 lockdown in Peru using network analysis. There were 854 participants aged 18 to 50 years (Mean = 36.54; SD = 9.23); 634 females (74.20%) and 220 males (25.80%), who completed the Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire (PHQ-9), Perceived Stress Scale (PSS-10), Preoccupation with COVID-19 Contagion (PRE-COVID-19), Brief Scale of Fear of Loneliness (BSFL). A partial unregularized network was estimated through the ggmModSelect function. Expected influence (EI) and bridging EI values were calculated to identify central symptoms and bridging symptoms respectively. The results reveal those two symptoms of depression-stress and anxiety-were the most central symptoms in the network. Depressive symptoms are at the same time the most comorbid and it is shown that there are no differences in the network when compared between those who left home and those who did not leave home during lockdown. Depressive symptoms are concluded to be central and bridging in the network and interconnected with some symptoms of stress and anxiety. These findings may be important to understand the experience of COVID-19 lockdown in Peru.


Asunto(s)
COVID-19 , Trastorno Depresivo Mayor , Ansiedad/epidemiología , COVID-19/epidemiología , Control de Enfermedades Transmisibles , Depresión/epidemiología , Miedo , Femenino , Humanos , Soledad , Masculino , Perú/epidemiología
10.
BMJ Open ; 12(9): e063411, 2022 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-36123096

RESUMEN

OBJECTIVES: During the COVID-19 pandemic, convolutional neural networks (CNNs) have been used in clinical medicine (eg, X-rays classification). Whether CNNs could inform the epidemiology of COVID-19 classifying street images according to COVID-19 risk is unknown, yet it could pinpoint high-risk places and relevant features of the built environment. In a feasibility study, we trained CNNs to classify the area surrounding bus stops (Lima, Peru) into moderate or extreme COVID-19 risk. DESIGN: CNN analysis based on images from bus stops and the surrounding area. We used transfer learning and updated the output layer of five CNNs: NASNetLarge, InceptionResNetV2, Xception, ResNet152V2 and ResNet101V2. We chose the best performing CNN, which was further tuned. We used GradCam to understand the classification process. SETTING: Bus stops from Lima, Peru. We used five images per bus stop. PRIMARY AND SECONDARY OUTCOME MEASURES: Bus stop images were classified according to COVID-19 risk into two labels: moderate or extreme. RESULTS: NASNetLarge outperformed the other CNNs except in the recall metric for the moderate label and in the precision metric for the extreme label; the ResNet152V2 performed better in these two metrics (85% vs 76% and 63% vs 60%, respectively). The NASNetLarge was further tuned. The best recall (75%) and F1 score (65%) for the extreme label were reached with data augmentation techniques. Areas close to buildings or with people were often classified as extreme risk. CONCLUSIONS: This feasibility study showed that CNNs have the potential to classify street images according to levels of COVID-19 risk. In addition to applications in clinical medicine, CNNs and street images could advance the epidemiology of COVID-19 at the population level.


Asunto(s)
COVID-19 , COVID-19/epidemiología , Estudios de Factibilidad , Humanos , Redes Neurales de la Computación , Pandemias , Perú/epidemiología
11.
Front Cell Infect Microbiol ; 12: 1000291, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36147602

RESUMEN

Zonulin has previously been related to intestinal permeability in various inflammatory diseases, and more recently to the physiopathology of severe COVID-19 infections. We analysed serum samples from a previous study of a Peruvian cohort of hospitalised COVID-19 patients, for the quantification of zonulin by sandwich ELISA. Comparisons with clinical data, haematological and biochemical parameters and cytokine/chemokine levels were made. We found higher baseline zonulin levels in deceased patients, and zonulin was associated with fatal outcome in multivariable analyses, even after adjustment for age, gender, and obesity. There were also positive correlations between zonulin, creatinine, D-dimer values and prothrombin time, while inverse correlations were found for Sa/FiO2 ratio and CCL5 (RANTES). Further longitudinal studies are recommended to analyse the variation of zonulin levels over time as well as their relationship with long-COVID.


Asunto(s)
COVID-19 , Haptoglobinas , Precursores de Proteínas , Biomarcadores , COVID-19/mortalidad , Quimiocina CCL5 , Creatinina , Humanos , Permeabilidad , Perú/epidemiología
12.
Lima; OPS; 2022-08-19.
No convencional en Español | PAHO-IRIS | ID: phr2-56311

RESUMEN

La población refugiada y migrante de Venezuela en el Perú constituye una población vulnerable cuyas necesidades de salud han sido progresivamente atendidas a nivel nacional, regional y local. Sin embargo, es posible que la pandemia de COVID-19 haya no solo limitado estas acciones sino empeorado la situación general de esta población. Durante la pandemia del COVID-19, el gobierno peruano implementó algunas políticas públicas con el fin de facilitar la integración y el acceso a servicios de la población refugiada y migrante de Venezuela, buscando reducir los impactos negativos de la migración. Sin embargo, en la práctica, el efecto de estas medidas no se ha evidenciado adecuadamente, al menos desde las percepciones de quienes forman parte de esta población. Adicionalmente, la pandemia de COVID-19 en el Perú y su repercusión socioeconómica han propiciado, entre otras cosas, la reagudización de las discriminaciones, inequidades y limitaciones en el acceso a la salud, en perjuicio de la población refugiada y migrante venezolana en el Perú. La Organización Panamericana de la Salud / Organización Mundial de la Salud (OPS/OMS) ha impulsado la realización del presente estudio cuantitativo y cualitativo para actualizar la información correspondiente a los problemas, necesidades y brechas de salud, y para identificar los riesgos sanitarios que involucran a las personas refugiadas y migrantes de Venezuela. Con ello, se busca contribuir a orientar el diseño y desarrollo de intervenciones de salud dirigidas a esta población.


Asunto(s)
Refugiados , Migrantes , Poblaciones Vulnerables , COVID-19 , Perú , Venezuela
13.
Rev Colomb Psiquiatr ; 2022 Aug 09.
Artículo en Español | MEDLINE | ID: mdl-35967544

RESUMEN

INTRODUCTION: Eating disorders (ED) are serious conditions that have diverse consequences, associated with high morbidity and mortality: Among the factors associated with their development are, being female, and stress, which increased during the pandemic, and was higher in medical students. Our objective was to identify the prevalence and factors associated with ED in medical students. METHODS: Cross-sectional study, conducted with an online questionnaire, between January 1 and 31, 2021, in 22 universities, using the Eating Disorder Scale (EAT-26) and the Family Communication Scale (FCS). Generalized logistic regressions were used to identify the association between variables. RESULTS: A total of 1224 participants were recruited, and the prevalence was 12.5%. Associated factors included a poor perception of health in 34.3%, having a family and/or social environment member with an eating disorder in 21.7%, and medium or low satisfaction with family communication in 57.3% and 34.9% respectively, in addition to the academic year, dieting, concern for body image and the perception of inadequate eating. CONCLUSIONS: Our results show that, in the context of the COVID-19 pandemic, 1-2 out of 10 Human Medicine students had an ED. The associated factors that influenced development of the condition included a fair or poor perception of health, the academic year completed, and medium or low satisfaction with family communication.

14.
J Popul Ageing ; : 1-8, 2022 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-35937280

RESUMEN

The COVID-19 pandemic changed the way of living on the planet and, in my case, revealed the fragility of primary care services to respond to a health emergency that mainly affected older adults. Upon obtaining my medical degree, I felt guaranteed to have the skills to be a primary care physician; however, the coronavirus gave me "a reality bath with the aroma of impotence, bewilderment, and abandonment." Contradictory provisions and regulations, absence of a continuous policy, poor leadership, insufficient resources, and mismanagement by the Ministry of Health. Scandals of possible corruption and vices in the processes of research studies on vaccines. Anti-vaccine strategies, screening tests without evidence. The reference hospitals without oxygen, intensive care beds, and the outpatient consultations of specialist doctors closed. A community that is organized and wants to help but does not have a clear technical guide. These are some of the things I have had to deal with as head of a municipal health program. Meanwhile, I watched helplessly as members of my community continued to die and become disabled. Learning from mistakes and horrors is our duty. I narrate this experience to contribute to being prepared for the next time.

15.
Dis Markers ; 2022: 2497202, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35937941

RESUMEN

Background: The prognostic value of the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in patients with COVID-19 is rarely described in older adults. We aimed to estimate the prognostic value of NLR and PLR, determining the mortality of adults over 60 years of age hospitalized for COVID-19 in three hospitals in Peru from March to May 2020. Methods: We performed a secondary analysis of data from a retrospective cohort carried out in Lambayeque, Peru, from March 18 to May 13, 2020. Older adults hospitalized for COVID-19 were included. The outcome variable was in-hospital mortality by all causes, while the exposure variable was the NLR and PLR (categorized in tertiles and numerically, performing a logarithmic transformation). We included sociodemographic variables, comorbidities, vital functions, laboratory markers, and treatment received during hospital stay. We evaluated the association between NLR and PLR using the hazard ratio (HR) in a Cox regression model. We estimated HR with their respective 95% confidence intervals (95% CI). We estimated cumulative/dynamic time-dependent ROC curves and reported area under the curve ROC (AUC-ROC) for 15-, 30-, and 60-day mortality with their respective simultaneous confidence intervals (confidence bands (CB)). Also, we estimated an optimal cut-off point based on the maximally selected rank statistics. Results: A total of 262 hospitalized older adults were analyzed, 71.8% (n = 188) of whom were male with a median age of 70 years (interquartile range: 65-78). The mean NLR and PLR were 16.8 (95% CI: 14.9-18.7; SD: 15.5) and 50.3 (95% CI: 44.6-55.9; SD: 46.3), respectively. The mortality rate was 68.7% (95% CI: 62.7-74.3). The adjusted Cox regression analysis showed that the high NLR (adjusted HR (aHR) = 2.12; 95% CI: 1.43-3.14) and PLR (aHR = 1.90; 95% CI: 1.30-2.79) tertiles were associated with a higher risk of mortality. The maximum AUC-ROC values at 60 days of follow-up for NLR and PLR were 0.713 (95%CB: 0.627-0.800) and 0.697 (95%CB: 0.583-0.754), respectively. Conclusions: The NLR and PLR are predictors of higher risk of mortality, and these results suggest that both could be reliable and practical markers for the identification of older adults at high risk of mortality by COVID-19. NLR and PLR have prognostic value, with an AUC greater than 0.5; however, by themselves, they are weak prognostic markers. It is important to carry out future studies incorporating these two markers into preexisting models or designing new ones considering them.


Asunto(s)
COVID-19 , Neutrófilos , Anciano , Biomarcadores , Femenino , Humanos , Linfocitos , Masculino , Persona de Mediana Edad , Perú , Estudios Retrospectivos
16.
Holist Nurs Pract ; 36(5): E48-E56, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35981119

RESUMEN

Evidence has been found of how the coronavirus disease-2019 (COVID-19) pandemic has increased stress and anxiety indicators. Against this background, the present research aims to determine the effect of a distance Reiki intervention program on stress and anxiety during the period of isolation due to COVID-19 among people working in the city of Lima, Peru. The related hypothesis was that distance Reiki would generate a reduction in stress and anxiety levels. It was a quasiexperimental design with pre- and posttests, with nonprobabilistic purposive sampling. In total, 28 employees participated (12 in the experimental group and 16 in the control group). As part of the method, the following instruments were used: the EPGE, IDARE, and Coronavirus Anxiety Scale (CAS). There was a large decrease in the distress parameter (Cohen's d = 1.006), as well as in the state anxiety parameter (d = 1.678) and a large increase in eustress (d = 0.921). Similarly, there was an overall reduction in the trait anxiety parameter (d = 0.373) in all cases as compared with the control group. Coronavirus anxiety showed no major impact. These results provide initial evidence on the effects of distance Reiki among Peruvians and provide the basis for promoting this cost-effective therapy, generating a practical and social contribution.


Asunto(s)
COVID-19 , Tacto Terapéutico , Ansiedad/epidemiología , Ansiedad/terapia , COVID-19/epidemiología , COVID-19/prevención & control , Depresión/terapia , Humanos , Pandemias , Perú/epidemiología , Tacto Terapéutico/métodos
17.
Artículo en Inglés | MEDLINE | ID: mdl-35959506

RESUMEN

Objectives: The worldwide heart failure (HF) prevalence is 8.52 per 1000 inhabitants, with a global economic burden of 346.17 billion dollars. With the COVID-19 pandemic, the focus of medical care has changed to treating the morbidity and mortality of patients with COVID-19 and reducing medical procedures or visits to patients with HF, with the impact being greater in low- and middle-income countries. Methods: We performed an interrupted time series analysis of HF to determine the changes in the trend of hospitalizations and in-hospital mortality of HF patients before and after the mandatory lockdown in Peru. Results: A total of 18,514 adults were included in the analysis. Monthly hospital admissions immediately decreased by 599 (95% confidence interval [CI]: 113 to 1085) and the difference in slope before and after the lockdown was 6.4 hospital admissions (95% CI: -4 to 18). In-hospital mortality increased by 18% (95% CI: -8%-43%) and the difference in slope before and after the lockdown was -0.3% (95% CI: -0.9%-0.25%). Conclusions: There was a reduction in hospitalizations and an increase in the in-hospital mortality of patients with HF before and after the mandatory lockdown due to the COVID-19 pandemic in Peru.

18.
Vaccine X ; 12: 100198, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35935750

RESUMEN

We aimed to estimate the prevalence and factors associated with parents' non-intention to vaccinate their children and adolescents against COVID-19 in Colombia and Peru. We performed a secondary analysis using a database generated by the University of Maryland and Facebook (Facebook, Inc). We Included adult (18 and over) Facebook users residing in LAC who responded to the survey between May 20, and November 5, 2021. We Included sociodemographic characteristics, comorbidities, mental health, economic and food insecurity, compliance with mitigation strategies against COVID-19, and practices related to vaccination against this disease. We estimated crude (cPR) and adjusted (aPR) prevalence ratios with their respective 95 %CI. We analyzed a sample of 44,678 adults from Colombia and 24,302 from Peru. The prevalence of parents' non-intention to vaccinate their children and adolescents against COVID-19 was 7.41 % (n = 3,274) for Colombia and 6.64 % (n = 1,464) for Peru. In Colombia, age above 35 years old, compliance with physical distancing, use of masks, having economic insecurity, anxiety symptoms, having a chronic condition or more comorbidities, and being vaccinated were associated with a higher probability of vaccinating children and adolescents against COVID-19. In Peru, female gender, compliance with physical distancing, use of masks, having economic insecurity, anxiety symptoms, having a chronic condition or more comorbidities, having had COVID-19, and being vaccinated were associated with a higher probability of vaccinating children against COVID-19. Living in a town, a village, or a rural area was associated with a higher prevalence of non-intention to vaccinate children and adolescents against COVID-19. About 9 out of 10 parents in Colombia and Peru intend to vaccinate their children and adolescents against COVID-19. This intention is associated with some factors which are similar between the two countries, as well as other factors and variations among the different regions of each country.

19.
Artículo en Inglés | MEDLINE | ID: mdl-35954701

RESUMEN

Although the effect of the COVID-19 pandemic on children and adolescents' mental health has been studied, there is still scarce evidence of the influence of nuclear family on the development of post-traumatic stress disorder (PTSD). This study aimed to determine the association between family dysfunction and PTSD in Peruvian high-school students during the COVID-19 pandemic. A cross-sectional study was conducted using a virtual survey administered to 562 high-school students in three schools in Chiclayo, Peru. The dependent variable was PTSD, which was measured with the Child PTSD Symptom Scale. Family dysfunction was the main independent variable, measured with the Family APGAR Questionnaire. Prevalence ratios (PR) and 95% confidence intervals (95% CI) were estimated with generalized linear models. Most of the students were female (88.3%) and the average age was 14.4 years. We found that 21.4% showed severe family dysfunction and 60.3% had PTSD. Students with mild and moderate family dysfunction had 37% (PR: 1.37; 95% CI: 1.14-1.65) and 26% (PR: 1.26; 95% CI: 1.04-1.54) higher PTSD prevalence, respectively. In conclusion, family dysfunction may influence the development of PTSD in adolescents. This study suggests the importance to develop a healthy family environment to help adolescents face critical situations experienced during the pandemic.


Asunto(s)
COVID-19 , Trastornos por Estrés Postraumático , Adolescente , COVID-19/epidemiología , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Pandemias , Perú/epidemiología , Trastornos por Estrés Postraumático/psicología , Estudiantes/psicología
20.
Front Psychol ; 13: 917302, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35959066

RESUMEN

The health crisis caused by COVID-19 has resulted in the physical and emotional deterioration of health personnel, especially nurses, whose emotional state is affected by the high risk of contagion, the high demands of health services, and the exhausting working hours. The objective of this research was to determine the relationship between fear, anxiety, and fatigue of nurses caring for patients with COVID-19 in a second level public hospital in Peru. This study presents a quantitative approach and correlational level, cross-sectional, and non-experimental design. The sample consisted of 145 nurses who attended patients with COVID-19 in health care areas. The results show a significant relationship between fear of contagion and physical-cognitive fatigue (p < 0.001; r = 317) and a significant relationship between generalized anxiety and physical-cognitive fatigue (p < 0.001; r = 480). It is concluded that in this context, both fear of contagion and generalized anxiety are related to physical-cognitive fatigue.

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