Presencia de factores de riesgo de maltrato en ancianos asistidos en extrahospitalaria en Segovia

  1. Rosa María Cárdaba García 1
  2. Inés Cárdaba García 2
  1. 1 Facultad de Enfermería de Valladolid. Valladolid. España.
  2. 2 Unidad Docente de matronas de Segovia-Valladolid. Valladolid. España.
Revue:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Année de publication: 2020

Volumen: 31

Número: 4

Pages: 221-225

Type: Article

D'autres publications dans: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Résumé

ABSTRACT Objective: to determine the frequency of risk factors of abuse in elderly people assisted by the emergency mobile unit of extra-hospital emergencies in Segovia. Methodology: it´s a descriptive study with the purpose of describing the risk factors present in the elderly people of the research. The sample consists of 365 participants over 65 years. Results: the sample is homogeneous by gender (188 men and 177 women), the majority group is 71 to 90 years (67.9%). The average age is of 80 years (σ = 8.91), the majority health status is of medium degree (41.6%), the degree of media dependence and the moderate one suppose a total of 56.7%, the presentation of a cognitive is 50.4%. The frequency of urinary incontinence is 72.1%, social isolation appears in 24.4, the current situation is 51.2%, 24.4%, alcohol abuse, 13.2%, few they live in institutions (15.6%). The relationship with the caregiver is good in 86% of cases. Conclusions: the population has been quite old, what is already in it´s more risk of suffering abuse. People at risk of abuse by general health status, cognitive knowledge and dependence, account for almost half of the sample. Urinary incontinence is the most common factor. Depressive disorders are not frequent, as is the consumption of alcohol, but its weight is very high. Highlight that the delay in requesting help is high, being many hyperusers, and some are malnourished and fall repeatedly.

Références bibliographiques

  • (2019). ine.es. Instituto Nacional de Estadística. Madrid.
  • Niño Martín, V. (2015). Cuidados al paciente crónico. DAE. Madrid.
  • Tabloski, PA. (2010). Enfermería Gerontológica. Prentice-Hall. Madrid.
  • Moreno Díaz, T. (2017). Rol de enfermería en la detección y manejo del maltrato en ancianos. UPF. Barcelona.
  • Proaño, M. (2010). La vida no tiene edad, Adultos Mayores. La Globalización de la Injusticia. PUCE. Quito, Ecuador.
  • Martínez de la Iglesia, J,Dueñas, R,Onis, MC,Aguado, C,Albert, C,Luque, R. (2001). Adaptación y validación al castellano del cuestionario de Pfeiffer (SPMSQ) para detectar la existencia de deterioro cognitivo en personas mayores de 65 años. Med Clin (Barc). 117. 129
  • Sanz, C,Morente, M,Calvo, C,Gallego, P,Carra, B. (1995). Valoración psico-física del anciano. Escalas utilizadas. Rev Rol Enferm. 18. 17-20
  • Cabañero-Martinez, MJ,Cabrero-Garcia, J,Richart-Martinez, M,Munoz-Mendoza, CL. (2009). The Spanish versions of the Barthel index (BI) and the Katz index (KI) of activities of daily living (ADL): a structured review. Arch Gerontol Geriatr. 49. 77-84
  • Brink, TL,Yesavage, JA,Lum, O. (1982). Screening tests for geriatric depression. Clin Gerontol. 1. 37-43
  • Aguado, C,Martínez, J,Onís, MC,Dueñas, RM,Albert, C,Espejo, J. (2000). Adaptación y validación al castellano de la versión abreviada de la "Geriatric Depression Scale" de Yesavage. Aten Primaria. 26. 328
  • Fang, B,Yan, E. (2017). Abuso de personas mayores con discapacidades cognitivas y físicas: comparación de porcentajes entre informantes y definiciones operativas. Revista de Violencia Interpersonal.
  • Molinelli, A,Ventura, F,Pinto, SL,Drommi, M,Stefano, F de. (2017). Elder abuse in Europe's "most elderly" city: an assessment of the phenomenon and an analysis of the data from the Penal Court of Genoa from 2010 to 2015. Aging Clin Exp Res. 29. 1285
  • Brownell, P. (2016). A reflection on gender issues in elder abuse research: Brazil and Portugal. Cien Saude Colet. 21. 3323
  • Orfila, F,Coma-Solé, M,Cabanas, M,Cegri-Lombardo, F,Moleras-Serra, A,Pujol-Ribera, E. (2018). Family caregiver mistreatment of the elderly: prevalence of risk and associated factors. BMC Public Health. 18.
  • Yadollah Abolfathi, M,Tengku Aizan, H,Rahimah, I. (2013). Teorías y medidas del maltrato a personas mayores. Psychogeriatrics.
  • Inelmen, EM,Sergi, G,Manzato, E. (2019). Elder abuse: are we turning a blind eye to a crucial issue?. Intern Emerg Med. 14. 503
  • Beach, S,Carpenter, C,Rosen, T,Sharps, P,Gelles, R. (2016). Screening and detection of elder abuse: Research opportunities and lessons learned from emergency geriatric care, intimate partner violence, and child abuse. J Elder Abuse Negl. 28. 185-216
  • Laan, W,Zuithoff, N,Drubbel, I,Bleijenberg, N,Numans, M,Wit, N de. (2014). Validity and reliability of the Katz-15 scale to measure unfavorable health outcomes in community-dwelling older people. J Nutr Health Aging. 18. 848
  • Ostaszkiewicz, J. (2018). A conceptual model of the risk of elder abuse posed by incontinence and care dependence. Int J Older People Nurs. 13.
  • Ziminski, C,Phillips, L,Woods, D. (2012). Raising the Index of Suspicion for Elder Abuse: Cognitive Impairment, Falls, and Injury Patterns in the Emergency Department. Geriatr Nurs. 33. 105
  • Coma, M,Muñoz, J,Postigo, P,Ayuso, M,Sierra, C,Sayrol, T. (2007). Visión del maltrato al anciano desde atención primaria. Gac Sanit. 21. 235
  • Corbi, G,Grattagliano, I,Ivshina, E,Ferrara, N,Solimeno, CA,Campobasso, C. (2015). Elderly abuse: risk factors and nursing role. Intern Emerg Med. 10. 297-303
  • Radermacher, H,Li Toh, Y,Western, D,Coles, J,Goeman, D,lowthian, J. (2018). Staff conceptualisations of elder abuse in residential aged care: A rapid review. Australas J Ageing. 37. 254
  • Baker, P,Francis, D,Hairi, N,Othman, S,Choo, W. (2016). Interventions for preventing abuse in the elderly. Cochrane Database Syst Rev.
  • Liu, P,Conrad, K,Beach, S,Iris, M,Schiamberg, L. (2019). The Importance of Investigating Abuser Characteristics in Elder Emotional/Psychological Abuse: Results from Adult Protective Services Data. J Gerontol B Psychol Sci Soc Sci. 74. 897-907
  • Ryan, J,Roman, N. (2019). Family-Centred Interventions for Elder Abuse: a Narrative Review. J Cross Cult Gerontol.
  • Herráez Rodríguez, I,Rodríguez García, Y,Lopez Gómez, MV,Rodríguez García, AM. (2018). Programa de prevención del maltrato en ancianos pluripatológicos. Rev Esp Geriatr Gerontol. 53.
  • Ramos Guimarães, M,Vago Daher, D,Tocantins Romijn, F,Ramos Velasco, A,Cardoso de Souza, A. (2017). Prácticas de promoción de la salud y la prevención de los malos tratos a las personas mayores: una revisión integradora. Cultura de los Cuidados. 158
  • Santos, A,Nunes, B,Kislaya, I,Gil, A,Ribeiro, O. (2017). Exploring the Correlates to Depression in Elder Abuse Victims: Abusive Experience or Individual Characteristics?. J Interpers Violence.
  • Wolter, DK. (2018). Altgewordene Suchtkranke. Z Gerontol Geriatr. 51. 758