Nivel de ansiedad y proceso de afrontamiento en adultos mayores atendidos en un centro de salud de Ica Perú 2017 / Anxiety level and courting process in elderly adults served at Ica Peru 2017 health center

Objetivo: Determinar el nivel de ansiedad y proceso de afrontamiento en los adultos mayores atendidos en un Centro de Salud Ica Perú 2017. Materiales y métodos: El estudio fue cuantitativo, de tipo descriptivo, y transversal, la muestra estuvo conformada por 62 adultos mayores que fueron seleccionados a través del muestreo no probabilístico intencional, la técnica que se utilizó fue la encuesta y entrevista. Resultados: En relación a los datos generales, el 56% es de sexo femenino, el 58% tienen entre 60 a 70 años, el 45% son empleados, el 89% presentan alguna enfermedad crónica, y el 45% vive con su cónyuge. Respecto al Nivel de ansiedad de los adultos mayores según escala de Hamilton el 58% presenta intensidad leve, 35% no presenta ansiedad, 5% intensidad media y el 2% tiene intensidad elevada. El Proceso de afrontamiento es desfavorable en la dimensión resolución de problemas, expresión emocional, apoyo social y evitación de problemas con 58%, 61%; 52%, 53% y favorable en 42%; 39%; 48% y 47% obteniéndose un consolidado global desfavorable en 56%(35) y favorable en 44%(27). Conclusiones: El nivel de ansiedad es leve en la mayoría de los adultos mayores, aunque existe un 5% con intensidad media y 2% tiene intensidad elevada; el proceso de afrontamiento es desfavorable, por lo que se recomienda la valoración geriátrica integral así como sitios de encuentro entre pares con el fin que pueda socializar con más personas de su misma edad lo cual contribuirá en una mejor calidad de vida. (AU)

Objective: To determine the level of anxiety and coping process in the elderly served in an Ica Peru 2017 Health Center. Materials and methods: The study was quantitative, descriptive, and cross-sectional; the sample consisted of 62 older adults who were selected through intentional non-probabilistic sampling, the technique used was the survey and interview. Results: In relation to the general data, 56% are female, 58% are between 60 and 70 years old, 45% are employed, 89% have some illness, and 45% live with their spouse. Regarding the anxiety level of the elderly according to the Hamilton scale, 58% present mild intensity, 35% have no anxiety, 5% average intensity and 2% have high intensity. The process of coping is unfavorable in the dimension of problem solving, emotional expression, social support and avoidance of problems with 58%, 61%; 52%, 53% and favorable in 42%; 39% ; 48% and 47% obtaining a global consolidated is unfavorable in 56% and favorable in 44% according to results. Conclusions: The level of anxiety is mild in the majority of older adults, although there is 5% with medium intensity and 2% with high intensity; the process of coping is unfavorable, which is why comprehensive geriatric assessment is recommended as well as meeting places between peers so that you can socialize with more people of the same age, which will contribute to a better quality of life. (AU)

Chronic disease control and compliance--the HOPE worldwide Jamaica experience

HOPE worldwide Jamaica has provided mobile curative and preventative services to fourteen rural government clinics since 1994. The patient records of 1,091 chronic disease patients, aged >30 years between January and December 1999 were reviewed. They were all above 30 years of age with an average age of 64 years; 81were female and 60were hypertensive, 16diabetic and 24had both diabetes and hypertension. There were 2,390 visits for hypertension, with an average of 2 visits per patient. Thirty-four per cent of patients had BP of < or = 140/90 mmHg while 43had BP <160/ 95 mmHg. Compliance was defined as daily consistency in taking prescribed medication. Forty-four per cent of hypertensives were non-compliant at the time of their visit. Anti-hypertensive treatment included thiazide diuretics (65), reserpine (50), ACE inhibitors (30) and alpha-methyldopa (5). There were 1,129 visits for diabetes, with an average of 2 visits per patient. Twenty-four per cent of diabetic patients were controlled to fasting blood glucose FBG levels of <6.7 mmol/l and 38controlled to (FBG) levels <8 mmol/l. Thirty per cent of diabetics were non-compliant at the time of their visit. The most frequently used oral hypoglycaemic agents were metformin (78), glyburide (43) and chlorpropamide (30). Fourteen per cent of diabetics were on treatment with insulin 70/30 (12) and lente insulin (2). Electrocardiograms (ECG) were done on 24(n=267) of patients in the previous two years. Thirty-six per cent had evidence of left ventricular hypertrophy and 15had evidence of ischaemic heart disease. The level of blood pressure and blood glucose control is inadequate, despitethe provision of regular monitoring, surveillance and improved access to pharmaceuticals. It is perceived that poor socioeconomic conditions, lack of education, cultural beliefs, in addition to other factors, continue to militate against improved compliance and control.