[Cognitive, Emotional and Dependency Level on Institutionalized Older Adults]. / Estado cognitivo, emocional y nivel de dependencia en personas adultas y mayores institucionalizadas.

INTRODUCTION: It is necessary to analyze the aging process in institutionalized older people. For this purpose, a descriptive and analytical epidemiological study was carried out in nursing homes for older adults before the COVID-19 pandemic. OBJECTIVE: Provide an in-depth insight into cognitive (MEC), emotional (Geriatric Depression Scale), and functional (Barthel Scale) status within the older adult participants. METHOD: A sample of 973 participants analyzed the relationship between cognitive status, vulnerability to depression, and autonomous performance in Daily Day Activities (DDA) to predict the impact of the comorbidity of these variables. Therefore, in addition to the general distribution of the sample in the previously mentioned dimensions, differences were analyzed according to gender, age, educational level, and geographic area. RESULTS: The results confirm the hypothesis that a more impaired cognitive state is associated with higher levels of depression and lower functional capacity. The MEC scores have positive and highly significant correlations with Barthel and Yesavage. The relationship between dementia and autonomy is observed for both sexes, while the relationship between dementia and depression is only observed in women. The educational level influences the MEC scores (the more education, the better performance) and the Barthel scores (the less education, the greater dependency). Statistically significant differences were also found depending on the area of residence location. CONCLUSIONS: The more deteriorated cognitive state will be associated with a higher level of depression and lower functional capacity in daily life activities.

El síndrome de burnout en trabajadores de centros sociosanitarios / Burnout Syndrome in Sociosanitary Center workers

Objetivo: determinar el grado de burnout de los profesionales de los centros sociosanitarios de la provincia de Salamanca, así como explorar cuál es la influencia de factores sociodemográficos y laborales en este problema.Método: se llevó a cabo un estudio descriptivo transversal con una muestra escogida por conveniencia de trabajadores de centros sociosanitarios de la provincia de Salamanca (n= 461). Se administró el cuestionario Maslach Burnout Inventory (MBI). Se realizó un análisis descriptivo y para la comparación entre variables se utilizó el test estadístico de Chi cuadrado con un nivel de significación elegido de p< 0,05.Resultados: se analizaron 368 cuestionarios; un 81% era mujer, un 64,4% auxiliar de Enfermería. La puntuación media en el MBI fue de 66,75 (DE: 12,14): un nivel medio-alto de burnout y casi el 16% padecía de burnout. Un 29,9% presentó nivel alto de cansancio emocional, un 64,4% nivel alto de despersonalización y un 26,6% un bajo nivel de realización personal. Se hallaron diferencias estadísticamente significativas entre el burnout global con el estado civil, la categoría profesional, la antigüedad en la profesión y tener alguna persona dependiente económicamente, aunque otras variables como la edad o la zona geográfica también estaban relacionadas con el cansancio emocional y la despersonalización, así como el sexo con la realización personal.Conclusiones: los profesionales presentaban un nivel medio-alto de burnout. Todas las variables sociodemográficas tenían asociación con alguna de las dimensiones del burnout. Se debe ofrecer formación a los profesionales para prevenir el burnout y mejorar la salud de los trabajadores y de sus pacientes.(AU)

Objective: to determine the burnout level of professionals from sociosanitary centers in the province of Salamanca, as well as to explore the influence of sociodemographic and occupational factors in this issue.Method: a cross-sectional descriptive study was conducted, including workers from sociosanitary centers of the province of Salamanca (n=461) selected through convenience sampling. The Maslach Burnout Inventory (MBI) questionnaire was applied. There was descriptive analysis, and the Chi Square statistical test was used for comparison between variables, with a significance level selected at p< 0.05.Results: in total, 368 questionnaires were analyzed; 81% of the participants were female, and 64.4% were Nursing Assistants. The mean MBI score was 66.75 (SD: 12.14): a medium-high burnout level, and almost 16% experienced burnout. A 29.9% presented a high level of emotional exhaustion, 64.4% presented a high level of depersonalization, and 26.6% a low level of personal fulfilment. There were statistically significant differences between overall burnout in terms of marital status, professional category, labor seniority, and having some person depending economically from them; although other variables such as age and geographical area were also associated with emotional exhaustion and depersonalization, as well as gender with personal fulfillment.Conclusions: professionals presented a medium-high level of burnout. All sociodemographic variables were associated with some of the burnout dimensions. Professionals must be offered training in order to prevent burnout and improve the health of workers and their patients.(AU)