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• W2033787364 abstract "El estudio del estrés durante la hospitalización se ha centrado principalmente en los pacientes que ingresan en hospitales de agudos sin que se haya descrito el mismo fenómeno en pacientes crónicos que ingresan en centros sociosanitarios ni se haya relacionado con factores psicosociales, como la calidad de vida relacionada con la salud (CVRS). El objetivo de este estudio es estudiar la presencia de estrés y las estrategias de afrontamiento en pacientes con enfermedad pulmonar obstructiva crónica (EPOC) en el hospital sociosanitario y su relación con la calidad de vida antes del ingreso, el grado de gravedad y el grado de disnea. Se evaluó a 51 pacientes con EPOC en el hospital Joan March (Islas Baleares) mediante la escala de estresores hospitalarios, la escala de disnea del Medical Research Council, el perfil de salud de Nottingham y un listado de estrategias de afrontamiento. Se han detectado bajos grados de estrés en los pacientes mayores con EPOC hospitalizados en el centro sociosanitario. El grado de estrés no varía en función del grado de gravedad de la EPOC (p>0,05). Los pacientes con disnea leve presentaron más estrés (p<0,05) y los pacientes con una mala calidad de vida antes del ingreso mostraron mayores grados de estrés (p<0,05). Las estrategias de afrontamiento basadas en la evitación son las más prevalentes en el adulto mayor hospitalizado. El estrés generado en el anciano con EPOC durante la hospitalización se relaciona más con las condiciones psicosociales previas, como la CVRS, y afecta más a los pacientes con mayor independencia funcional. Studies of stress during hospitalization have mainly focused on patients admitted for acute problems. However, stress and its relationship with health-related quality of life (HRQOL) has yet to be described in chronic and elderly patients. The objective of this paper is to study the presence of stress and coping strategies in patients with chronic obstructive pulmonary disease (COPD) in a public geriatric hospital and its relationship with HRQL prior to admission, COPD severity, and dyspnea stage. Fifty-one patients with a diagnosis of COPD were evaluated in the Joan March Hospital (Balearic Islands, Spain) by means of the Hospital Stress Rating Scale, the Dyspnea Scale, the Nottingham Health Profile, and a list of coping strategies. Low stress levels were found in elderly hospitalized COPD patients. Stress levels were independent of the COPD severity stage. Patients with mild dyspnea had higher stress levels than those with the most severe dyspnea (p<0.05). Patients with poor HRQOL before admission had higher stress levels during hospitalization (p<0.05). The most prevalent coping strategies in these hospitalized patients were related to avoidance. The stress generated during hospitalization in elderly COPD patients was related to prior psychosocial conditions (HRQOL) and had a greater effect on patients with greater functional independence." @default.
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• W2033787364 date "2009-05-01" @default.
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• W2033787364 title "Estrés en ancianos hospitalizados con enfermedad respiratoria crónica: valoración en el hospital sociosanitario" @default.
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• W2033787364 doi "https://doi.org/10.1016/j.regg.2009.01.006" @default.
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