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Asociación del síndrome de fragilidad y funcionalidad familiar en el adulto mayor con retinopatía diabética.

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Title: Asociación del síndrome de fragilidad y funcionalidad familiar en el adulto mayor con retinopatía diabética.
Alternate Title: Association between frailty syndrome and family functioning among older adults with diabetic retinopathy.
Authors: Olmos Valencia, Jesús Enrique1, Escorcia Reyes, Verónica2, Galicia Rodríguez, Liliana3 lilianagalicia@hotmail.com, Villarreal Ríos, Enrique4
Source: Revista Horizonte Médico. jul-set2024, Vol. 24 Issue 3, p68-74. 7p.
Abstract (English): Objective: To determine the association between frailty syndrome and family functioning among older adults with diabetic retinopathy. Materials and methods: An analytical and cross-sectional study conducted among patients diagnosed with diabetic retinopathy. The ophthalmology department diagnosed diabetic retinopathy through pupil dilation, using tetracaine and an ophthalmoscope. Three groups were determined using the FRAIL questionnaire: frail, prefrail and nonfrail; the sample sizes were 39, 64 and 76, respectively, matched by age. The study variables included age, sex, education, marital status and occupation. Additionally, the time since the diagnosis of diabetic retinopathy was measured. Furthermore, the type of family was determined according to Huerta's classification, which identifies nuclear family, extended family, composite extended family, single-parent family and blended family. Family functioning was evaluated with the FF-SIL questionnaire. The statistical analysis included the chi-square test. The protocol was registered with the research and ethics committee of the health institution, and surveys were administered after obtaining prior informed consent. Results: The median ages in the frail (73 years), prefrail (71 years) and nonfrail (70 years) groups were statistically similar (p = 0.061). The prevalence of living as a couple was 23.1 % in the frail group, 48.4 % in the prefrail group and 60.5 % in the nonfrail group, with statistically significant differences among these groups (p = 0.001). There was an association between frailty syndrome and type of family functioning: in the nonfrail group, 88.2 % had a functional family, compared to 46.9 % in the prefrail group and 15.4 % in the frail group (p = 0.000). Conclusions: There is an association between frailty syndrome and family functioning among geriatric patients with diabetic retinopathy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Determinar la asociación entre el síndrome de fragilidad y la funcionalidad familiar en el adulto mayor con retinopatía diabética. Materiales y métodos: Diseño transversal y analítico en pacientes con diagnóstico de retinopatía diabética. El servicio de oftalmología realizó el diagnóstico de retinopatía diabética mediante dilatación pupilar, gracias a la aplicación de tetracaína y el uso del oftalmoscopio. Se estudiaron tres grupos, determinados con el cuestionario FRAIL: pacientes con síndrome de fragilidad, pacientes prefrágiles y pacientes sin fragilidad; los tamaños de las muestras fueron 39, 64 y 76, respectivamente, pareados por edad. Las variables estudiadas incluyeron edad, sexo, escolaridad, estado civil y ocupación. Además, se midió el tiempo de evolución del diagnóstico de retinopatía diabética. Por otro lado, el tipo de familia se determinó según lo descrito por Huerta, quien identifica la siguiente clasificación: familia nuclear, familia extensa, familia extensa compuesta, familia monoparental y familia reconstruida. La funcionalidad familiar se evaluó con el cuestionario de funcionamiento familiar (FF-SIL). Respecto al análisis estadístico, se incluyó la prueba ji al cuadrado. El protocolo se registró ante el Comité de Investigación y Ética de la institución de salud; posteriormente, se aplicaron las encuestas previo consentimiento informado. Resultados: La mediana de edad en los grupos frágil (73,00 años), prefrágil (71,00 años) y sin fragilidad (70,00 años), es igual desde el punto de vista estadístico (p = 0,061). La vida en pareja en el grupo frágil representa el 23,1 %; en el prefrágil, 48,4 %, y en el grupo sin fragilidad, 60,5 %. Estas prevalencias son diferentes estadísticamente (p = 0,001). Existe asociación entre el síndrome de fragilidad y el tipo de funcionalidad familiar. En el grupo sin fragilidad, la familia funcional es 88,2 %; en el grupo prefrágil, la prevalencia de familia funcional es 46,9 %, y en el grupo con fragilidad, 15,4 % (p = 0,000). Conclusiones: Existe asociación entre funcionalidad familiar y síndrome de fragilidad en el paciente geriátrico con retinopatía diabética. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Objective: To determine the association between frailty syndrome and family functioning among older adults with diabetic retinopathy. Materials and methods: An analytical and cross-sectional study conducted among patients diagnosed with diabetic retinopathy. The ophthalmology department diagnosed diabetic retinopathy through pupil dilation, using tetracaine and an ophthalmoscope. Three groups were determined using the FRAIL questionnaire: frail, prefrail and nonfrail; the sample sizes were 39, 64 and 76, respectively, matched by age. The study variables included age, sex, education, marital status and occupation. Additionally, the time since the diagnosis of diabetic retinopathy was measured. Furthermore, the type of family was determined according to Huerta's classification, which identifies nuclear family, extended family, composite extended family, single-parent family and blended family. Family functioning was evaluated with the FF-SIL questionnaire. The statistical analysis included the chi-square test. The protocol was registered with the research and ethics committee of the health institution, and surveys were administered after obtaining prior informed consent. Results: The median ages in the frail (73 years), prefrail (71 years) and nonfrail (70 years) groups were statistically similar (p = 0.061). The prevalence of living as a couple was 23.1 % in the frail group, 48.4 % in the prefrail group and 60.5 % in the nonfrail group, with statistically significant differences among these groups (p = 0.001). There was an association between frailty syndrome and type of family functioning: in the nonfrail group, 88.2 % had a functional family, compared to 46.9 % in the prefrail group and 15.4 % in the frail group (p = 0.000). Conclusions: There is an association between frailty syndrome and family functioning among geriatric patients with diabetic retinopathy. [ABSTRACT FROM AUTHOR]
ISSN:1727558X
DOI:10.24265/horizmed.2024.v24n3.08