Adaptación y validación de la versión chilena del cuestionario "Evaluación de la Atención de Enfermedades Crónicas para pacientes" / Assessment of a Chilean Spanish version of the Patient Assessment of Chronic Illness Care Questionnaire

Background: The Patient Assessment of Chronic Illness Care (PACIC) questionnaire is a widely used instrument to assess chronic disease care from a patient's perspective. Aim: To adapt the PACIC questionnaire to Chilean Spanish and to evaluate the psychometric properties of the translation. Material and Methods: Descriptive, cross-sectional design with exploratory and confirmatory factor analysis. The PACIC questionnaire was applied, throughout an external client, to 200 users who received health care at the cardiovascular program in a Family Health Center in Concepción, Chile. Results: The confirmatory factor analysis did not show a good adjustment with the proposed structure in the original instrument. An exploratory factor analysis revealed five factors explaining 58% of total data variability. The distribution of the factor-items of the original questionnaire underwent some modifications, which are explained when analyzing the theoretical construct. A good reliability of the global scale was obtained (Cronbach's α 0.886). Conclusions: The PACIC questionnaire, Chilean version does not replicate the proposed structure of the original questionnaire. Therefore, further research about its validity, incorporating a higher number or diversity of participants is recommended.

Percepción de los hombres y sus parejas sobre la calidad de vida en el climaterio masculino / Perception of men and their partners about the quality of life in the male climacteric

OBJETIVO: Determinar si existen diferencias entre la percepción de los hombres y de sus parejas sobre la calidad de vida relacionada con salud en la etapa de climaterio masculino. MÉTODO: Diseño descriptivo y correlacional. Población del estudio integrada por 49 parejas, formadas por hombres entre 40-65 años y sus parejas mujeres entre 40-60 años de un Centro de Salud de Concepción, Chile. Las parejas fueron entrevistadas en sus hogares previo consentimiento informado. Ambos respondieron de forma independiente la escala Aging Males' Symptoms. Se utilizó estadística descriptiva, Indice de Kappa y t de Student. RESULTADOS: La edad promedio fue 53,2 años para los hombres y 50,7 años para las mujeres. El 54,8% de los hombres mostró alguna alteración de la calidad de vida, mostrando mayor alteración en las sub-escalas somatovege-tativa y sexual. Al comparar los puntajes de los hombres en las tres sub-escalas, con la percepción de sus parejas, hubo diferencias significativas sólo en la sub-escala psicológica (p<0,01). CONCLUSIÓN: No existen diferencias significativas en la percepción que los hombres y sus parejas tienen respecto de calidad de vida relacionada con salud de los hombres durante esta etapa, en los aspectos somatovegetativo y sexual, sólo existe diferencia en el aspecto psicológico.

OBJECTIVE: To determine if there are differences between men's and their couples' perception of health related quality of life during the male climacteric period. METHOD: Cross-sectional and correlational design. The studied sample consisted of 49 couples, made up of men in a range of 40 to 65 years of age and women in a range of 40 to 60 years of age, enrolled in a Community Health Center in Concepción, Chile. Couples were interviewed in their homes after providing informed consent. Both members answered the Aging Males' Symptoms independently. Descriptive statistics, Kappa and Student-t tests were used. RESULTS: The average age was 53.2 years and 50.7 for men and women, respectively. 58.4% of the men showed any kind of alteration of their quality of life, having more deterioration in the somato-vegetative and sexual subscale. By comparing men scores in three sub-scales to their couples' perception, only psychological sub-scale (p<0.01) presented a significant difference. CONCLUSION: Men's perception of quality of life related to health during the male climacteric period is not different from their couples' in somato-vegetative and sexual sub-scales. The psychological subscale is the only exception.

Percepción de las mujeres y sus parejas sobre la calidad de vida en el climaterio / Perceptions of women and their partners about the quality of life in climacteric period

Objetivo: Determinar si existen diferencias entre la percepción de las mujeres y de sus parejas sobre la calidad de vida relacionada con salud en la etapa de climaterio. Método: Diseño descriptivo y correlacional. Población del estudio integrada por 49 parejas, formadas por mujeres entre 40-60 años y hombres entre 40-65 años de un Centro de Salud de Concepción, Chile. Las parejas fueron entrevistadas en sus hogares previo consentimiento informado. Ambos respondieron de forma independiente el Cuestionario Específico de Calidad de Vida en la Menopausia. Se utilizó estadística descriptiva, índice de Kappa y t de Student. Se consideró como significativo valores de p<0,05. Resultados: La edad promedio fue 50,7 años para las mujeres y 53,2 para los hombres. La mayoría de las mujeres percibieron una moderada alteración de la calidad de vida en los dominios psicosocial, físico y sexual, percibiendo mayor deterioro en los dominios físico y sexual. Al comparar los puntajes de las mujeres, en los cuatro dominios, con la percepción de sus parejas, hubo diferencias significativas en los dominios vasomotor (p<0,05), psicosocial (p<0,01) y físico (p<0,05). El dominio sexual fue el único en el que no hubo diferencias significativas entre la percepción de ambos miembros de la pareja. Conclusión: Existen diferencias en la percepción que la mujer tiene respecto de su calidad de vida relacionada con salud durante la etapa climaterio y la percepción que sus esposos tienen, con excepción del dominio sexual.

Objective: To determine if there are differences between women's and their couples' perception of health related quality of life during the climacteric period. Method: Cross-sectional and correlational design. The studied sample consisted of 49 couples, made up of women in a range of 40 to 60 years of age and men in a range of 40 to 65 years of age, enrolled in a Community Health Center in Concepción, Chile. Couples were interviewed in their homes after providing informed consent. Both members answered the Menopause-Specific Quality of Life Questionnaire independently. Descriptive statistics, Kappa and Student-t tests were used, considering p<0.05 as statistically significant. Results: The average age was 50.7 years and 53.2 for women and men, respectively. Most women presented a moderate alteration in their quality of life specifically in their sexual, physical and psychosocial domains, having more deterioration in the sexual and physical domains. Comparing women's scores in the four domains of the Menopause-Specific Quality of Life Questionnaire to their couples' scores, important differences were found in the vasomotor (p<0.05), psycosocial (p<0.01) and physical (p<0.05) domains. The sexual domain was the only one that did not present significant differences between women's and men's perceptions. Conclusion: Women's perception of quality of life related to health during the climacteric period is different from their husband's. The sexual domain is the only exception.

Desempeño laboral y climaterio en trabajadoras de instituciones públicas / Job performance and climacteric in female workers

Background: During climacteric, the presence of disabling symptoms and the higher incidence of chronic diseases, may impair the job performance of women. Aim: To relate job performance levels with the climacteric period and associated factors in working women aged from 42 to 55 years old. Subjects and Methods: In a cross-sectional and correlative design, 64 secretaries at two public organizations at the Eighth Region of Chile, were assessed using the following instruments: Menopause-Specific Quality of Life Questionnaire (University of Toronto), adapted for Chile by PROSAM, Climacteric Self-care Questionnaire, Perceived Social Support Scale and Biodemographics Variables Questionnaire. A Perception of the Job Performance Scale was applied to the persons that superintended these woman. Results: The Department Heads or persons supervising these women, determined that most workers did their work well. The best evaluations were given by older bosses. Most women under study showed a moderate alteration of the Menopause Quality of Life. A deficit of self-care during the climacteric period was detected in 92.2percent. The perceived social support from friends correlated with job performance. Menopause quality of life in its different domains had no correlation with job performance variable. Conclusions: No association between changes during the climacteric period and job performance was observed among women participating in this study.