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Serrano Parra, María Dolores
Envejecimiento y fragilidad, Evaluación de intervenciones en cuidados, Manejo y control de signos y síntomas, Práctica clínica basada en la evidencia, Salud mental, Metodología docente.
  • Facultad de Enfermería. Cuenca. Universidad Castilla La Mancha
Validity of the Connor-Davidson resilience scale (10 items) in a population of elderly
Artículo
14/01/13 Cuenca
Área:
Salud mental
Ámbito:
Varios Ámbitos
Metodología:
Validación de instrumentos
Población:
Mayores (Ancianos) > 65 años
Autores:
Dolores Serrano-Parra M, Garrido-Abejar M, Notario-Pacheco B, Bartolomé-Gutiérrez R, Solera-Martínez M, Martínez-Vizcaíno V.
Ref. Bibliográfica:
Dolores Serrano-Parra M, Garrido-Abejar M, Notario-Pacheco B, Bartolomé-Gutiérrez R, Solera-Martínez M, Martínez-Vizcaíno V.Enferm Clin. 2013 Jan;23(1):14-21. doi: 10.1016/j.enfcli.2012.11.006. Epub 2013 Jan 23.

AIMS:
To examine the psychometric properties of the Spanish version of the CD-RISC 10-items in a sample of the elderly population of Cuenca, Spain; and to assess if the Spanish version preserves the same factorial structure as the original one.
METHODS:
A cross sectional study was conducted in five health centres in the province of Cuenca. The study included a random sample of 500 people aged 60-75 years who lived within the community. Measurements: The sociodemographic variables, CD-RISC-10 (resilience), PSS (perceived stress), SF-12v2, Pfeiffer Short Portable Mental Status questionnaire, GDS (geriatric depression), and MOS (social support), were all used to gather data. The number of factors underlying the CD-RISC 10 items was analysed using exploratory factor analysis. Furthermore, this factor structure was tested by confirmatory factor analysis.
RESULTS:
A single underlying factor was found in the CD-RISC 10 items. The factor structure was tested using confirmatory factor analysis and it was found that a single factor model showed acceptable goodness of fit values for both men and women. Convergent validity was performed to test whether the mean scores of the variables were significantly associated with resilience. The Cronbach's α coefficient for the CD-RISC 10 items scale was 0.81. The overall scores of the Spanish version of the CD-RISC-10 items correlated directly with MOS and the physical and mental components of SF-12, and inversely with the PSS and GDS.
CONCLUSIONS:
The Spanish version of the CD-RISC-10 showed good psychometric properties. Thus, it can be used as a valid and reliable instrument to measure resilience in the non-institutionalized older population.

VALIDITY OF THE CONNOR DAVIDSON RESILIENCE SCALE (CD-RISC) IN PEOPLE FROM 60-TO-75 YEARS OLD
Artículo
12/11/12 Cuenca
Área:
Salud mental
Ámbito:
Varios Ámbitos
Metodología:
Validación de instrumentos
Población:
Mayores (Ancianos) > 65 años
Autores:
Maria Dolores Serrano-Parra, Margarita Garrido-Abejar, Blanca Notario-Pacheco, Raquel Bartolomé-Gutierrez, Montserrat Solera-Martínez, Vicente Martínez-Vizcaino
Ref. Bibliográfica:
Maria Dolores Serrano-Parra, Margarita Garrido-Abejar, Blanca Notario-Pacheco, Raquel Bartolomé-Gutierrez, Montserrat Solera-Martínez, Vicente Martínez-Vizcaino. Validity of the Connor Davidson Resilience scale (CD-RISC) in people from 60-to-75 years old IJPR 5(2) 2012 PP. 49 - 57

The aim of this study was to evaluate the psychometric properties of the Spanish
version of the CD-RISC in community dwelling older people, and compare its factorial
structure with the original one. We used the following scales: CD-RISC (resilience), PSS
(perceived stress), the mental component of the SF-12, GDS (Geriatric Depression) and
MOS (social support). It was finally a scale with three dimensions including 17 items.
Convergent validity was performed to test whether the means of the variables used are
significantly associated with resilience and global scores of Spanish version of CD-RISC
scale were directly correlated with the scores of MOS and mental component of SF-12,
and inversely related with the scores of PSS and GDS scales. In conclusion the Spanish
CD-RISC scale includes 17 items divided into three dimensions, shows acceptable
psychometric properties and correlates with social support, perceived stress, depression
and mental component of quality of life

Differences in the expression of the frailty syndrome in institutionalized elderly men and women with no severe cognitive decline
Artículo
04/10/12 CUENCA
Área:
Envejecimiento y fragilidad
Ámbito:
Varios Ámbitos
Metodología:
Estudio descriptivo
Población:
Mayores (Ancianos) > 65 años
Autores:
Garrido M, Serrano MD, Bartolomé R, Martínez-Vizcaíno V.
Ref. Bibliográfica:
Garrido M, Serrano MD, Bartolomé R, Martínez-Vizcaíno V.Differences in the expression of the frailty syndrome in institutionalized elderly men and women with no severe cognitive decline. Rev Esp Geriatr Gerontol. 2012 Nov-Dec;47(6):247-53. doi: 10.1016/j.regg.2012.06.007. Epub 2012 Oct 12.

AIM:
To analyse the differences between men and women as regards the prevalence of the frailty syndrome, its association with different sociodemographic and bio-psychosocial health factors, and its impact on the level of dependence of institutionalised elderly men and women with no severe cognitive decline.
METHODS:
A cross-sectional, descriptive and multicenter study was conducted in 16 nursing homes in Cuenca (Spain). A representative sample of 281 elderly who fulfilled the inclusion criteria was randomly selected. Measures: frailty following Fried's criteria, age, gender, morbidity, geriatric syndromes, level of dependence, cognitive status, mood and quality of life.
RESULTS:
The overall prevalence of frailty was 53.7% (60% among women). The following criteria were associated with frailty: age, respiratory diseases, arthritis, diabetes, sensory deficits, urinary and faecal incontinences, polypharmacy, hospitalization in the past year, functional impairment, cognitive decline and depressive symptoms. The states of frailty were independently associated with dependence (OR=5.1), more strongly in men (OR=7.3) than in women (OR=3.6). Clinical criteria of frailty that best predicted dependence were: exhaustion in women (OR=4.7) and low physical activity in men (OR=12.3).
CONCLUSIONS:
The prevalence of frailty found among the institutionalised elderly population was greater than that expected for a general population. Older frail adults had poorer biological and psychosocial health results, suggesting that the physical decline is accompanied by an identity crisis. Frailty expresses differently in men and women. Women have a higher prevalence, but its impact on their dependence is less than men.
Copyright © 2012 SEGG. Published by Elsevier Espana. All rights reserved.

Resiliencia y Salud Mental
Tesis
05/07/12 Cuenca
Área:
Salud mental
Ámbito:
Varios Ámbitos
Metodología:
Estudio descriptivo
Población:
Mayores (Ancianos) > 65 años
Universidad:
CASTILLA-LA MANCHA
Año de lectura:
2012

La resiliencia ha sido considerada como un importante factor de Salud Mental (Garmezy, 1985; Maddi y Khosaba 1994; Seligman y Csikszentmilhalyi 2000, Friedli, 2009). La resiliencia es un constructo dinámico y multidimensional que hace referencia a la capacidad que tienen los sistemas personales de afrontar o recuperarse con éxito de las situaciones adversas; se asocia a crecimiento positivo y a superación de los desafíos (Masten, 2007). La resiliencia funcionaría como un mecanismo autorregulador, que podría proteger a los sistemas personales de las consecuencias negativas en etapas difíciles (Bonanno, 2004). Algunos investigadores afirman que la vejez es una etapa caracterizada por resiliencia, y que ésta podría considerarse como un puente entre la supervivencia y el desarrollo que garantiza que los mayores logren resultados satisfactorios a pesar de los retos y el estrés (Leipold y Greve, 2009).
El objetivo de esta tesis doctoral fue evaluar las características psicométricas de la escala de resiliencia CD-RISC de Connor-Davidson en una población de mayores entre 60 y 75 año, no institucionalizados, en sus dos versiones en inglés: la versión original de 25 ítems validada por Connor-Davidson (2003) y una versión posterior de 10 ítems validada por Campbell-Sills y Stein (2007). Para validarlas se utilizaron las siguientes escalas: CD-RISC (resiliencia), PSS (estrés percibido), el componente mental del SF-12, GDS (depresión geriátrica y MOS (apoyo social), obteniendo que las puntuaciones de resiliencia correlacionaban directamente con las de apoyo social y el componente mental del SF-12 e inversamente con las de percepción de estrés y depresión.
De las correspondientes validaciones se obtuvo una primera versión en español con 17 ítems y tres dimensiones que mostró muy buenas propiedades psicométricas y adecuados valores de bondad de ajuste y consistencia interna y otra versión en español del CD-RISC de 10 ítems, con un único factor subyacente. La estructura factorial se testó mediante análisis factorial confirmatorio, comprobándose que un modelo de un único factor mostraba aceptables valores de bondad de ajuste tanto en hombres como en mujeres. La consistencia interna de los ítems se realizó mediante el alfade Cronbach que fue de 0,81.
Como conclusión considramos que las dos versiones en español han mostrado buenas propiedades psicométricas, y por lo tanto pueden ser utilizadas como un instrumento válido y fiable para medir la resiliencia en la poblaciónes de mayores no institucionalizados

Factors associated with health-related quality of life in the institutionalised elderly: differences between men and women
Artículo
19/02/12 Cuenca
Área:
Envejecimiento y fragilidad
Ámbito:
Atención Sociosanitaria
Metodología:
Estudio descriptivo
Población:
Mayores (Ancianos) > 65 años
Autores:
Garrido-Abejar M, Serrano-Parra MD, Bartolomé-Gutiérrez R, Martínez-Vizcaino V.
Ref. Bibliográfica:
Garrido-Abejar M, Serrano-Parra MD, Bartolomé-Gutiérrez R, Martínez-Vizcaino V.Enferm Clin. 2012 Jan-Feb;22(1):27-34. doi: 10.1016/j.enfcli.2011.09.006. Epub 2011 Dec 7.

AIM:
To examine the relationship between co-morbidity, functional capacity, mood and perception of social support, and the physical and mental dimensions of the Health-Related Quality of Life and assess the differences between institutionalised elderly men and women without severe cognitive impairment in Cuenca, Spain.
METHODS:
A cross sectional, descriptive and multicentre study was conducted in 16 nursing homes. A representative sample of 281 elderly patients was randomly selected. Measures: demographic, clinic variables and standardised tools: SF12 health questionnaire, Mini-Mental State Examination, Barthel Index, Geriatric Depression Scale and Medical Outcomes Study Social Support Survey. Data analysis was performed using multiple lineal regression models for physical and mental dimension of SF12, differentiated for gender.
RESULTS:
The sample included 55% elderly women with an mean age of 82.6 years, and 45% men with a mean age of 81.2 years. Comorbidity was higher in women (1.96), but in the linear regression this was not associated with the physical dimension of HRQOL. We found an association with disability (β=313), depressive symptoms (β=-.164) and perceived social support (β=158). The worst HRQOL in women was found in the mental dimension associated with depressive symptoms (β= -.422) and in the low perceived social support (β=154).
CONCLUSIONS:
Biological and functional factors were only associated with the physical dimension, while depression was associated with both dimensions (physical and psychological). The differential factor that could explain the lower HRQOL in institutionalised women could be explained by a more negative experience of the disability and loss of social support.

Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults
Artículo
02/08/11 Cuenca
Área:
Salud mental
Ámbito:
Varios Ámbitos
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
Notario-Pacheco B, Solera-Martínez M, Serrano-Parra MD, Bartolomé-Gutiérrez R, García-Campayo J, Martínez-Vizcaíno V.
Ref. Bibliográfica:
Notario-Pacheco B, Solera-Martínez M, Serrano-Parra MD, Bartolomé-Gutiérrez R, García-Campayo J, Martínez-Vizcaíno V.Health Qual Life Outcomes. 2011 Aug 5;9:63. doi: 10.1186/1477-7525-9-63.

BACKGROUND:
The 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) is an instrument for measuring resilience that has shown good psychometric properties in its original version in English. The aim of this study was to evaluate the validity and reliability of the Spanish version of the 10-item CD-RISC in young adults and to verify whether it is structured in a single dimension as in the original English version.
FINDINGS:
Cross-sectional observational study including 681 university students ranging in age from 18 to 30 years. The number of latent factors in the 10 items of the scale was analyzed by exploratory factor analysis. Confirmatory factor analysis was used to verify whether a single factor underlies the 10 items of the scale as in the original version in English. The convergent validity was analyzed by testing whether the mean of the scores of the mental component of SF-12 (MCS) and the quality of sleep as measured with the Pittsburgh Sleep Index (PSQI) were higher in subjects with better levels of resilience. The internal consistency of the 10-item CD-RISC was estimated using the Cronbach α test and test-retest reliability was estimated with the intraclass correlation coefficient.The Cronbach α coefficient was 0.85 and the test-retest intraclass correlation coefficient was 0.71. The mean MCS score and the level of quality of sleep in both men and women were significantly worse in subjects with lower resilience scores.
CONCLUSIONS:
The Spanish version of the 10-item CD-RISC showed good psychometric properties in young adults and thus can be used as a reliable and valid instrument for measuring resilience. Our study confirmed that a single factor underlies the resilience construct, as was the case of the original scale in English.

Modelos y teorías de Enfermería: un enfoque epistemológico
Artículo
02/04/94 Cuenca
Área:
Evaluación de intervenciones en cuidados
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Garrido Abejar M, Serrano Parra MªD
Ref. Bibliográfica:
Garrido Abejar M, Serrano Parra MªD. Modelos y teorías de enfermería: un enfoque epistemológico. La Revista de la Enfermera Mexicana. 1994; 19(2): 14-27.

Comunicación terapéutica y Cuidado
Artículo
01/02/94 Cuenca
Área:
Manejo y control de signos y síntomas
Ámbito:
Varios Ámbitos
Metodología:
Interpretativo/constructivista (Fenomelogía, Teoría fundamentada, Etnografía)
Población:
Adultos > 18 años
Autores:
Garrido Abejar M,Serrano Parra MD
Ref. Bibliográfica:
Garrido Abejar M, Serrano Parra MªD. Comunicación terapéutica y cuidado. Rol de Enfermería. 1990; 147:123-128

Este artículo pretende sensibilizar a los profesionales de la Enfermería sobre la importancia que tiene establecer unas eficaces relaciones terapéuticas en la actividad de cuidar. Se analizan en sus páginas, la comunicación verbal y no verbal, los factores que las afectan y las responsabilidades de las enfermeras en el proceso de comunicación: la escucha activa y las respuestas profesionales

Diagnóstico de Enfermería. Concepto y utilidad
Artículo
01/05/93 Cuenca
Área:
Práctica clínica basada en la evidencia
Ámbito:
Universidad
Metodología:
Interpretativo/constructivista (Fenomelogía, Teoría fundamentada, Etnografía)
Población:
Adultos > 18 años
Autores:
Garrido Abejar M, Fuentes Chacón R, Serrano Parra MªD
Ref. Bibliográfica:
Garrido Abejar M, Fuentes Chacón R, Serrano Parra MªD. Diagnóstico de Enfermería: Concepto y utilidad. Revista de Enfermería, Escuela Universitaria de Albacete, Universidad de Castilla la Mancha. 1993; 3: 179-1

De la teoría a la práctica
Artículo
02/06/91 Cuenca
Área:
Metodología docente
Ámbito:
Varios Ámbitos
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Serrano Parra MD, Garrido Abejar M