Correo Electrónico
DNINFOA - SIA
Bibliotecas
Convocatorias
Identidad U.N.
Publicado
Perfil psicosocial de adultos mayores mexicanos hospitalizados por fractura de cadera secundaria a caída
Psychosocial profile of Mexican elders hospitalized for fall-related hip fracture
DOI:
https://doi.org/10.15446/rsap.v21n2.79382Palabras clave:
Salud del anciano, atención integral de salud, anciano frágil, fracturas de cadera, pobreza (es)Aged, health services for the aged, frail elderly, hip fractures, poverty (en)
Descargas
Objetivo Definir el perfil psicosocial de adultos mayores de 65 años hospitalizados por fractura de cadera secundaria a caída.
Métodos Se realizó un estudio de prevalencia, descriptivo, cuantitativo; reclutándose 55 sujetos mayores de 65 años hospitalizados de marzo 2017 a febrero 2018. Los datos fueron recolectados a través de un cuestionario socioeconómico y el índice de Barthel para Actividades de la Vida Diaria.
Resultados El promedio de edad fue de 80,8 años, de los cuales 76,36% eran mujeres. El 58,2% de pacientes eran viudos; 61,8% habían cursado solo la educación primaria y 29,1% no contaban con estudios. El 69,1% de la muestra se encontraba desempleada y 56,36% subsistía con un ingreso mensual menor a US$101,77, dependiendo de programas de apoyo social gubernamental como fuente de ingreso. Los hallazgos en las condiciones de vivienda fueron homogéneos entre la población estudiada. El 67.3% de la muestra presentaba un grado variable de dependencia en las actividades cotidianas.
Discusión Los resultados permiten generar la hipótesis de que el riesgo de complicaciones médicas y socioeconómicas durante el periodo de recuperación puede ser mayor en nuestra población debido a las condiciones premórbidas descritas.
Objective To define the psychosocial profile of elders hospitalized for fall-related hip fracture.
Methods A quantitative, descriptive, prevalence study was performed by evaluating 55 individuals aged 65 years old or more, from March 2017 through February 2018. Data were collected using a socioeconomic questionnaire and the Barthel Index for Activities of Daily Living.
Results The mean age was 80.8 years and 76.36% of the sample was made up of women. Most patients were widowed (58.2%). Regarding educational attainment, 61.8% had completed primary education and 29.1% were uneducated. Unemployment prevailed among the sample (69.1%) and 6.36% had a monthly income below 101,77 USD and reported social support as their main source of income. Household conditions were homogenous across the sample. A variable degree of loss of autonomy in activities of daily living was reported in 67.3% of the sample.
Discussion The findings allow hypothesizing that the risk for medical and socioeconomic complications during the recovery period could be higher in the study population due to the reported psychosocial vulnerabilities.
Referencias
INEGI. Perfil sociodemográfico de adultos mayores. Vol. 1, Censo de Población y Vivienda 2010; 2014.
Lucio LN, Alejandro E, Cortés Z, Reséndiz A. Consideraciones epidemiológicas de las fracturas del fémur proximal. Ortho-tips. 2012; 8(2):135–9.
Johansson H, Clark P, Carlos F, Oden A. Increasing age- and sex-specific rates of hip fracture in Mexico : a survey of the Mexican institute of social security. Osteoporos Int. 2011; 22:2359–64.
Berry SD, Miller RR. Falls: Epidemiology, pathophysiology, and relationship to fracture. Curr Osteoporos Rep. 2008; 6(4):149–54.
Parker MJ. Hip fractures in the elderly. Surgery. 2010; 28(10):483–8.
CENETEC. Intervenciones de enfermeria en la atencion del adulto mayor con fractura de cadera. Guias Pract Clin. 2013.
Duarte-Flores JO. Las unidades de ortogeriatría en México son una prioridad. Rev Med del Inst Mex del Seguro Soc. 2018; 56(4):332–3.
Borgström F, Curiel D, Guirant L, Clark P, Svedbom A, Carlos F, et al. Health-related quality of life during the first year after a hip fracture: results of the Mexican arm of the International Cost and Utility Related to Osteoporotic Fractures Study (MexICUROS). Osteoporos Int. 2018; 29(5):1147–54.
Clark P, Carlos F, Barrera C, Guzman J, Maetzel A, Lavielle P, et al. Direct costs of osteoporosis and hip fracture: An analysis for the Mexican healthcare system. Salud Publica Mex. 2009;51(1):269–76.
Parker M, Johansen A. Hip fracture: Clinical Review. Br Med J. 2006;333(7557):27–30.
World Health Organization (WHO). ICD-10: International statistical classification of diseases and related health problems 10th revision. Vol. 5th Editio. 2016.
Horricks CH. The Psychosocial Profile: A History-Taking Aid. Can Fam Physician. 1985; 31(April):864–8.
Peel NM, McClure RJ, Hendrikz JK. Psychosocial factors associated with fall-related hip fractures. Age Ageing. 2007; 36(2):145–51.
NJ K-S. The importance of psychosocial factors in determining disability and perceived health in a group of older Hispanic-Americans recovering from hip fracture. J Geriatr Phys Ther. 2003; 26(2):3–8 6p.
Chua B, Bonifacio L, Faisham W. Correlation of psychosocial factor with functional outcome: one year after hip fracture surgery. Malaysian rthop J. 2014; 8(1):21–5.
Wiklund R, Toots A, Conradsson M, Olofsson B, Holmberg H, Rosendahl E, et al. Risk factors for hip fracture in very old people: a population-based study. Osteoporos Int. 2016; 27(3):923–31.
Wu ZJ, Zhao P, Liu B, Yuan ZC. Effect of cigarette smoking on risk of hip fracture in men: A meta-analysis of 14 prospective cohort studies. PLoS One. 2016; 11(12):1–11.
Bergland A. Fall risk factors in community-dwelling elderly people. 2012;22(2):151–64.
Liu W, Unick J, Galik E, Resnick B. Barthel Index of Activities of Daily Living. Nurs Res. 2015; 64(2):88–99 12p.
Hokby A, Reimers A, Laflamme L. Hip fractures among older people: Do marital status and type of residence matter? Public Health. 2003; 117(3):196–201.
Espino D V, Palmer RF, Miles TP, Mouton CP, Wood RC, Bayne NS, et al. Prevalence, incidence, and risk factors associated with hip fractures in community-dwelling older Mexican Americans: results of the Hispanic EPESE study. Establish Population for the Epidemiologic Study for the Elderly. J Am Geriatr Soc. 2000; 48(10):1252–60.
Peel NM. Epidemiology of Falls in Older Age. Can J Aging / La Rev Can du Vieil. 2011; 30(01):7–19.
Farrow L, Hall A, Wood AD, Smith R, James K, Holt G, et al. Quality of Care in Hip Fracture Patients. J Bone Jt Surg. 2018;100(9):751–7.
Molina MJ, González C, Villaumbrosia D, Martín E, Murga DF De, Alarcón T, et al. Registro de fracturas de cadera multicéntrico de unidades de Ortogeriatría de la Comunidad Autónoma de Madrid. Rev Esp Geriatr Gerontol. 2019; 54(1):5–11.
Wilson RT, Chase GA, Chrischilles EA, Wallace RB. Hip fracture risk among community-dwelling elderly people in the United States: A prospective study of physical, cognitive, and socioeconomic indicators. Am J Public Health. 2006; 96(7):1210–8.
Winter H, Watt K, Peel NM. Falls prevention interventions for community-dwelling older persons with cognitive impairment: a systematic review.Int Psychogeriatr. 2013; 25(2):215–27.
CONEVAL. CONEVAL Informa la evolución de la pobreza 2010-2016. 2016.
Frenk J, González-Pier E, Gómez-Dantés O, Lezana MA, Knaul FM. Comprehensive reform to improve health system performance in Mexico.Lancet. 2006; 368(9546):1524–34.
Heinrich S, Rapp K, Rissmann U, Becker C, König HH. Cost of falls in old age: A systematic review. Osteoporos Int. 2010; 21(6):891–902.
Emaus N, Olsen LR, Ahmed LA, Balteskard L, Jacobsen BK, Magnus T, et al. Hip fractures in a city in Northern Norway over 15 years: Time trends, seasonal variation and mortality The Harstad Injury Prevention Study. Osteoporos Int. 2011; 22(10):2603–10.
Barrios-Moyano A, Contreras-Mendoza EG. Frequency of complications in patients older than 60 years with hip fracture. Acta Ortop Mex. 2018; 32(2):65–9.
CONEVAL. La pobreza por ingresos en México [Internet]. 2010. http://bit.ly/2QW0mtz.
Cómo citar
APA
ACM
ACS
ABNT
Chicago
Harvard
IEEE
MLA
Turabian
Vancouver
Descargar cita
Licencia
Derechos de autor 2020 Revista de Salud Pública
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Esta revista provee acceso libre inmediato a su contenido bajo el principio de que hacer disponible gratuitamente investigación al publico apoya a un mayor intercambio de conocimiento global.
Todos los contenidos de esta revista, excepto dónde está identificado, están publicados bajo una Licencia Creative Commons Atribución 4.0.
