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Juárez Vela, Raúl
Cuidadores / Dependencia, Envejecimiento y fragilidad, Procesos crónicos, Promoción de la salud / Educación sanitaria.
  • Universidad San Jorge Facultad de Ciencias de la Salud.
A Dyadic Approach to Managing Heart Failure With Confidence.
Artículo
05/02/15
Área:
Procesos crónicos
Ámbito:
Atención Hospitalaria
Metodología:
Experimental
Población:
Mayores (Ancianos) > 65 años
Autores:
Lyons KS,Vellone E,Lee CS,Cocchieri A,Bidwell JT,D'Agostino F,Hiatt SO,Alvaro R,Vela RJ,Riegel B

The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement of family caregivers. Although self-care confidence has been found to play an important role in the effectiveness of HF self-care management on patient outcomes, no known research has examined self-care confidence within a dyadic context.
The purpose of this study was to identify individual and dyadic determinants of self-care confidence in HF care dyads.
Multilevel modeling, which controls for the interdependent nature of dyadic data, was used to examine 329 Italian HF dyads (caregivers were either spouses or adult children).
Both patients and caregivers reported lower-than-adequate levels of confidence, with caregivers reporting slightly higher confidence than patients. Patient and caregiver levels of confidence were significantly associated with greater patient-reported relationship quality and better caregiver mental health. Patient confidence in self-care was significantly associated with patient female gender, nonspousal care dyads, poor caregiver physical health, and low care strain. Caregiver confidence to contribute to self-care was significantly associated with poor emotional quality of life in patients and greater perceived social support by caregivers.
Findings are supportive of the need for a dyadic perspective of HF self-care in practice and research as well as the importance of addressing the needs of both members of the dyad to maximize optimal outcomes for both.

Psychometric properties of the Caregiver Preparedness Scale in caregivers of stroke survivors.
Artículo
16/10/14
Área:
Cuidadores / Dependencia
Ámbito:
Atención Hospitalaria
Metodología:
Validación de instrumentos
Población:
Adultos > 18 años
Autores:
Pucciarelli G,Savini S,Byun E,Simeone S,Barbaranelli C,Vela RJ,Alvaro R,Vellone E

To evaluate the psychometric characteristics of the Caregiver Preparedness Scale (CPS) in caregivers of stroke survivors.
Caregiver preparedness can have an important impact on both the caregiver and the stroke survivor. The validity and reliability of the CPS has not been tested for the stroke-caregiver population.
We used a cross-sectional design to study a sample of 156 caregivers of stroke survivors. Construct validity of the CPS was evaluated by confirmatory factor analysis (CFA). Internal consistency and test-retest reliability were also evaluated.
Caregivers were, on average, 54 year old (SD = 13.2) and most were women (64.7%). CFA supported the unidimensionality of the scale (comparative fit index = 0.98). Reliability was also supported: item-reliability index and item-total correlations above 0.30; composite reliability index = 0.93; Cronbach's alpha = 0.94; factor score determinacy = 0.97; and test-retest reliability = 0.92.
The CPS is valid and reliable in caregivers of stroke survivors. Scores on this scale may assist health-care providers in identifying caregivers with less preparedness to provide specific interventions.

Copyright © 2014 Elsevier Inc. All rights reserved.

[Basic concepts on end of life processes and palliative care].
Artículo
04/08/14
Área:
Envejecimiento y fragilidad
Ámbito:
Universidad
Metodología:
Revisión sistemática
Población:
Adultos > 18 años
Autores:
Guerrero Portillo S,Juárez Vela R,Ramón Arbués E,Martínez Abadía B,Granada López JM,Pellicer García B,Lambán Antoñanzas C

[Palliative nursing care: drugs and pain].
Artículo
28/05/14
Área:
Envejecimiento y fragilidad
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Revisión sistemática
Población:
Adolescentes 12 a 18 años
Autores:
Juárez Vela R,Ramon Arbués E,Martínez Abadía B,Guerrero Portillo S,Granada López JM,Lamban Antoñanzas C

[Prevalence and profile of the elderly home care valid suffering in a private residence falls].
Artículo
19/02/14
Área:
Envejecimiento y fragilidad
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
Pellicer García B,Juárez Vela R,Delgado Sevilla D,Redondo Castan LC,Martínez Abadía B,Ramón Arbués E

To estimate the prevalence of falls in people over 65 years old institutionalized and to know the elderly profile of those who suffered falls in the last 12 months.
It was performed a transversal-descriptive study. The instruments used were the Mini-Mental State Examination (MMSE-35 Lobo, 1979) and the Questionnaire (1989) for the study of falls in the elderly. It was collected the following variables: age, sex, BMI, weight, height, assistive devices for ambulation, fear of falling, falling place, difficulty in actions, sort of footwear, fall time, lighting at the fall time, objects that could favour the fall, type of fall and contact with the health system.
All of the participants in this study were 51 valid elderly and institutionalized. In the last 12 months, 21 individuals suffered a fall. This is equivalent to 41,17% in both sexes, being a 61,91% for women and 38,09% for men. The BMI average in all of the study participants amounts to 26,6 kg/m2. By the MCA, it was observed how the overweight variable is, without any doubt, linked with suffering a fall. In the Mantel-Haenszel test, it was obtained that women between 85-90 years old had a 42% more probability of falling. The places with the highest prevalence of falls were inside the nursing home with 71,4%.

[The most frequent digestive disorders in the elderly].
Artículo
02/07/13
Área:
Envejecimiento y fragilidad
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
Juárez Vela R,Ramón Arbués E,Martínez Abadía B,Pellicer García B,Delgado Sevilla D,Abadía Pardo MP

Aging is a stage with various changes and physiological modifications. It's a progressive, dynamic and irreversible process. Elderly people are beings fragile, multipathological, and polimedicated. 40 Of the world's population has indigestion. They are the most common digestive disorders: constipation, dysphagia, and dyspepsia, reaching levels of prevalence around the 25, 30 and 25 respectively. The main activity of the nursing professional lies in making a proper assessment of the patient and offer a health education regarding habits hygiene and dietetics, in order to reduce the intake of drugs and increase the quality of life of our elders. We should not forget that the family plays a fundamental role for the treatment of these disorders.

[Combined therapy for a vascular ulcer. 2008 Biatain First Prize. A clinical case of a patient with an infected vascular ulcer].
Artículo
25/05/09
Área:
Envejecimiento y fragilidad
Ámbito:
Atención Primaria/Comunitaria
Metodología:
Estudio descriptivo
Población:
Mayores (Ancianos) > 65 años
Autores:
Romo Sanz MI,Juárez Vela R

The use of a combined therapy which includes hydropolymeric dressings with ionic silver and dressings which release of ibuprofen together with a constant reevaluation made it possible to heal an ulcer which had afflicted a patient for 10 years. In order to succeed in doing so, medical professionals started off with the evidence that, in the complicated process which the cicatrization of long-lasting wounds difficult to cure constitutes, a series of factors involved in tissue regeneration appear which, at the same time, are not expected and which delay and slow down this process (critical colonization and infection, nutritional and metabolic state, repetitive infections, vascular state or hormonal alterations). This case story won the 2008 Biatain First Prize in the category "Clinical Case Study of a patient with an infected leg ulcer".

[Prevention of occupational risks. Occupational safety within the scope of nursing].
Artículo
30/04/08
Área:
Promoción de la salud / Educación sanitaria
Ámbito:
Varios Ámbitos
Metodología:
Estudio descriptivo
Población:
Adultos > 18 años
Autores:
Juárez Vela R,Gómez Tarragona EI,Sánchez de San Lorenzo A,Romo Sanz MI