ABSTRACT
INTRODUCTION: Non-pharmacological interventions are often the subject of debate in the scientific field. Therefore, it is essential to know the attitudes that health professionals have towards the novel Doll Therapy in Dementia (DTD). The objective of this study was to design and validate two questionnaires to find out the attitudes and knowledge on DTD in health professionals. MATERIAL AND METHODS: A total of 120 Spanish-speaking Geriatrics and Gerontology professionals, with a mean age of 38.3 years (DT = 10.99), participated, mostly women (88.3%). A questionnaire (TCM_DEMCO) on knowledge about the DTD and a questionnaire (TCM_DEMAC) on attitudes towards the DTD were designed and applied. The construct validity was assessed by exploratory factor analysis, and reliability was calculated using Cronbach's α. RESULTS: The exploratory factor analysis of the TCM_DEMCO questionnaire retained 10 items in 5 factors ("environment and dementia", "therapeutic application", "activities", "methodology" and "benefits and implications") that explained 70.1% of the total variability, giving a Cronbach α coefficient value > 0.50. The exploratory factor analysis of the TCM_DEMAC questionnaire retained 10 items in two factors ("positive attitudes" and "negative attitudes") that explained 61.2% of the total variability, giving a Cronbach α value > 0.85. CONCLUSIONS: Both questionnaires are a brief tool to learn about the attitudes and knowledge of Spanish-speaking Geriatrics and Gerontology professionals in matters of DTD. The reliability and validity analyses performed showed good psychometric properties of these tools.
Subject(s)
Attitude of Health Personnel , Dementia/therapy , Health Knowledge, Attitudes, Practice , Play Therapy , Play and Playthings , Surveys and Questionnaires , Aged , Female , Humans , MaleABSTRACT
O psicodrama com bonecos e brinquedos com adultos revelou ser um recurso poderoso na psicoterapia psicodramática bipessoal, na qual não há presença de grupo. A objetivação em cena de uma situação de conflito ou queixa subjetiva do paciente é realizada por meio de imagem psicodramática. Este artigo apresenta as possibilidades de manejo, com base em casos clínicos, tendo por referência as técnicas de Moreno e a fundamentação teórica das técnicas de construção de imagens de Rojas-Bermúdez.
Psychodrama with puppets and toys with adults proved to be a powerful resource in bipersonal psychodramatic psychotherapy, in which there is no group. The objectification on the scene of a conflict situation or a subjective patient complaint is accomplished through a psychodramatic image. This article presents the management possibilities, based on clinical cases, bearing as reference Morenos techniques and the theoretical foundation of Rojas-Bermúdezs image construction techniques.
El psicodrama con muñecas y juguetes con adultos ha demostrado ser un recurso poderoso en psicoterapia psicodramática bipersonal, en la que no hay presencia de grupo. La objetivación en la escena de una situación de conflicto o una queja subjetiva del paciente se logra a través de una imagen psicodramática. Este artículo presenta las posibilidades de manejo basadas en casos clínicos, teniendo como referencia las técnicas de Moreno y los fundamentos teóricos de las técnicas de construcción de imágenes de Rojas-Bermúdez.
ABSTRACT
La deformidad de Madelung es una alteración poco común de la articulación de las muñecas, con una prevalencia desconocida por los pocos casos reportados hasta la actualidad. Se vincula a mutaciones del gen SHOX. Se caracteriza por presentar alteraciones en el radio, el carpo y el cúbito, con predominio bilateral. Afecta principalmente a pacientes de sexo femenino; los signos y síntomas se revelan al inicio de la adolescencia. Presentamos el caso clínico de una paciente de sexo femenino de 17 años que registra las manifestaciones clínicas y radiográficas características. (AU)
Madelung deformity is a rare alteration of the wrist joint of unknown prevalence due to the few cases reported. It has been linked to SHOX gene mutations. Madelung deformity is characterized by alterations of the radius, carpus and ulna, predominantly bilateral and mainly seen in female patients at the beginning of the adolescence. We report the clinical case of a 17-yearold female patient presenting the characteristic clinical and radiographic deformities. (AU)
