Alfabetización en salud y adherencia farmacológica en adultos mayores con enfermedades crónicas, de la ciudad de Temuco / Association between health literacy and adherence to medications among older adults

Background: Lack of compliance with medication prescription is common among older adults and hamper an adequate management of chronic conditions. Aim: To study the association between health literacy and medication adherence in older adults with chronic diseases in Temuco, Chile. Material and Methods: The Health Literacy survey for Spanish-speaking Adults, MiniMental examination and the Morisky-Green test to assess compliance with medication prescription were applied to 119 older adults aged 60 to 88 years. Results: All participants had an adequate global cognitive performance; 24% had inadequate literacy, and 42% did not comply with medication prescription. There was a significant correlation between health literacy and medication adherence. Conclusions: Health literacy influences medication adherence in Chilean older adults.

[Association between health literacy and adherence to medications among older adults]. / Alfabetización en salud y adherencia farmacológica en adultos mayores con enfermedades crónicas, de la ciudad de Temuco.

BACKGROUND: Lack of compliance with medication prescription is common among older adults and hamper an adequate management of chronic conditions. AIM: To study the association between health literacy and medication adherence in older adults with chronic diseases in Temuco, Chile. MATERIAL AND METHODS: The Health Literacy survey for Spanish-speaking Adults, MiniMental examination and the Morisky-Green test to assess compliance with medication prescription were applied to 119 older adults aged 60 to 88 years. RESULTS: All participants had an adequate global cognitive performance; 24% had inadequate literacy, and 42% did not comply with medication prescription. There was a significant correlation between health literacy and medication adherence. CONCLUSIONS: Health literacy influences medication adherence in Chilean older adults.

Estudio de caso: efecto de la intervención fisioterapéutica en un paciente con secuelas de chikungunya / Case study: Effect of a physiotherapy intervention in a patient with chikungunya sequelae

Antecedentes: La fiebre del chikungunya es una enfermedad vírica transmitida por mosquitos del género Aedes aegypti. Cursa con una fase aguda, en la que se presenta fiebre, exantemas y artralgias, y una fase crónica, en la que hay persistencia de artralgias incapacitantes, con un patrón poliarticular y distal; el tratamiento de la enfermedad es principalmente farmacológico y hay una baja evidencia sobre el tratamiento de las secuelas de la enfermedad. Objetivo: Evaluar el efecto de la intervención fisioterapéutica en un paciente con secuelas de chikungunya. Paciente: De género masculino, con 36 años, infectado con el virus en el 2015 y en el que persiste la artralgia, la disminución de la movilidad articular y el edema. Método: Se realiza una intervención fisioterapéutica durante 8 semanas con actividad física, modalidades terapéuticas e hidroterapia; al final de la intervención se evalúan los cambios. Conclusión: El programa propuesto permite disminuir el dolor y mejorar la movilidad articular y la capacidad funcional

Background: Chikungunya fever is a viral disease transmitted by mosquitoes of the genus Aedes aegypti. It has an acute phase in which there is fever, rashes and arthralgia, and a chronic phase in which there is a persistent disabling arthralgia, with a polyarticular and distal pattern. The treatment of the disease is mainly pharmacological, and there is little evidence about the treatment of the sequelae of the disease. Objective: To evaluate the effect of a physiotherapy intervention in a patient with chikungunya sequelae. Patient: Male, 36 years old, infected with the virus in 2015 and who has persistent arthralgia, decreased joint mobility, and oedema. Method: A physiotherapy intervention was performed for 8 weeks with physical activity, therapeutic modalities, and hydrotherapy. At the end of the intervention the changes were evaluated. Conclusion: The proposed program helped to reduce pain and improve joint mobility and functional capacity

[Validation of Q-PAD: Questionnaire for the assessment of psychopathology in adolescent colombian sample]. / Validación del Q-PAD: cuestionario para la evaluación de psicopatología en adolescentes.

The main objective of this study was to contribute to the validation of the Questionnaire for the Evaluation of Psychopathology in Adolescents (Q-PAD) in a nonclinical sample of Colombian adolescents. The sample consisted of 559 students of a center of public secondary education. Correlations between 9 Q-PAD subscales were significant and positive, except for the self-esteem subscale. The internal structure of each scale showed an essentially unidimensional structure, except for the Psychosocial Risk subscale. The internal consistency for the subscales ranged between 0.78 and 0.91 (McDonald's omega). The exploratory factor analysis yielded a solution of 6 factors. A good external validity between the Q-PAD Family Problems subscale and the three subscales of Interpersonal Relations Scale (ERI) was observed. The results indicate that scores of Q-PAD have an appropriate psychometric support and this instrument would allow screening for psychosocial and mental health problems in Colombian adolescents in an efficient, easy, fast and non-invasive way.