[Changes in social psychological and functional variables among older people attending a day care center]. / Evaluación de la funcionalidad y fragilidad de las personas mayores asistentes a centros de día.

BACKGROUND: Older people attending day care centers improve their social activities, perception of quality of life and reduce their institutionalization rate and risk of mortality in the medium term. AIM: To evaluate the changes in the integral geriatric assessment and frailty of a group of older people attending a day care center in Santiago. MATERIAL AND METHODS: Health self-perception, integral geriatric assessment, Barthel scale, frailty indicators, mini-mental state scale, Yesavage depression score and a scale about solitude perception were evaluated in 35 participants aged 73 ± 6 years on admission and at discharge from a day care center for older people. RESULTS: At discharge, significant improvements were observed for depression, perception of social support and physical frailty. However, no changes in functional status, cognitive function and perception of solitude were observed. CONCLUSIONS: Older people attending improve their perception of social support and decrease their frailty and depression scores.

Evaluación de la funcionalidad y fragilidad de las personas mayores asistentes a centros de día / Changes in social psychological and functional variables among older people attending a day care center

Background: Older people attending day care centers improve their social activities, perception of quality of life and reduce their institutionalization rate and risk of mortality in the medium term. Aim: To evaluate the changes in the integral geriatric assessment and frailty of a group of older people attending a day care center in Santiago. Material and Methods: Health self-perception, integral geriatric assessment, Barthel scale, frailty indicators, mini-mental state scale, Yesavage depression score and a scale about solitude perception were evaluated in 35 participants aged 73 ± 6 years on admission and at discharge from a day care center for older people. Results: At discharge, significant improvements were observed for depression, perception of social support and physical frailty. However, no changes in functional status, cognitive function and perception of solitude were observed. Conclusions: Older people attending improve their perception of social support and decrease their frailty and depression scores.

Programa Centros Diurnos del Adulto Mayor: recomendaciones para mejorar su funcionamiento / Elderly day care centers: recommendations for improvement

Introducción: Chile se ha transformado en un país que continuará envejeciendo a un ritmo acelerado. Una de las piezas claves de la Política Integral de Envejecimiento Positivo para Chile es el desarrollo de centros de día para personas mayores (CDPM) dirigidos al cuidadode ancianos con dependencia leve. Objetivo: Conocer la percepción que tiene un grupo de personas mayores, sus cuidadores y profesionales de su participación en un CDPM con el propósito de diseñar recomendaciones para mejorar este nuevo tipo de servicio geriátrico instaurado en el país. Metodología: Estudio descriptivo cualitativo realizado con 30 participantes a través de cuatro grupos focales: dos en personas mayores (n = 12), uno con cuidadores (n = 8) y uno con profesionales del centro (n = 10). El análisis de contenido se realizó según Kripperdorff y se cumplieron los criterios de rigor según Guba y Lincoln. Resultados: Se identificaron dos categorías comprensivas principales: 1) percepción de beneficios para las personas mayores: mejoría de la funcionalidad, aumento del bienestar y mayor inserción social y 2)recomendaciones de mejora del CDPM: criterios de ingreso inclusivo, flexibilidad y diversidad en actividades estipuladas y mejoras en el egreso. Conclusiones: Las personas mayores, sus cuidadores y los profesionales que los atienden coinciden en señalar que la asistencia de las personas mayores a este tipo de servicio les reporta beneficios en su funcionalidad, bienestar e inserción social. Este estudio contribuye a ampliar el entendimiento de los resultados en los usuarios de los CDPM, reportando una experiencia en un contexto social particular (AU)

Introduction: Chile has become a country that continues to grow at an accelerated pace. One of the key pieces of the Comprehensive Policy for Positive Aging for Chile is the development of Day Centers for the Elderly (CDPM) directed elderly at the foot of the dependency. Objective: To know the perception of a group of PMs, their caregivers and professionals of their participation in the CDPM with the purpose of designing recommendations to improve this new type of geriatric service established in the country. Methodology: Qualitative descriptive study performed in 30 participants through 4 focus groups: 2 in elderly (n=12), 1 with caregivers (n=8) and 1 with center professionals (n=10). Results: Two main comprehensive categories were identified: 1) Perception of benefits for elderly: improvement of functionality, increase of well-being and insertion of the social mayor, 2) Recommendations for improvement of CDPM: Criteria for inclusive income, flexibility and diversity in activities stipulated and Improvements in egress. Conclusions: The elderly, their caregivers and the professionals who attend them are consistent in pointing out that elderly assistance to this type of service reports benefits in its functionality, well-being and social insertion. This study contributes to broadening the understanding of results in the uses of CDPM by reporting an experience in a particular social context (AU)