{"id":61472,"date":"2018-03-09T22:49:21","date_gmt":"2018-03-09T22:49:21","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/eficacia-de-una-intervencion-medica-multidimensional-sobre-enfermos-con-demencia-y-sus-cuidadores-principales\/"},"modified":"2018-03-09T22:49:21","modified_gmt":"2018-03-09T22:49:21","slug":"eficacia-de-una-intervencion-medica-multidimensional-sobre-enfermos-con-demencia-y-sus-cuidadores-principales","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/eficacia-de-una-intervencion-medica-multidimensional-sobre-enfermos-con-demencia-y-sus-cuidadores-principales\/","title":{"rendered":"Eficacia de una intervenci\u00f3n m\u00e9dica multidimensional sobre enfermos con demencia y sus cuidadores principales."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Perez Del Molino Mart\u00edn <\/strong><\/h2>\n<p>Objetivo principal: evaluar la eficacia de una intervenci\u00f3n m\u00e9dica especializada sobre enfermos con demencia residentes en la comunidad y sus cuidadores principales. sujetos y m\u00e9todo: el estudio se realiz\u00f3 en el \u00e1rea urbana de guadalajara sobre 77 parejas de enfermos >= 60 a\u00f1os con demencia moderada-severa y sus cuidadores principales seleccionados a partir de registros hospitalarios y la asociaci\u00f3n de familares de alzheimer. Asignados aleatoriamente a grupos control (gi, n=40), e intervenci\u00f3n (gl, n=37), fueron evaluados protocolizadamente al inicio y tras 6 y 12 meses de la intervenci\u00f3n. Esta fue realizada durante 1 a\u00f1o por un especialista en geriatr\u00eda e incluy\u00f3 m\u00faltiples dimensiones: visista domiciliaria; asesoramiento telef\u00f3nico; gesti\u00f3n de casos; educaci\u00f3n sobre la demencia; coordinaci\u00f3n de grupos de autoayuda; gesti\u00f3n de un grupo de voluntariado. resultados: se observ\u00f3 un efecto positivo sobre la actitud hacia la institucionalizaci\u00f3n, ya que los ciudadores del gi apreciaron en un porcentaje superior (p=0.01) que la asistencia recibida podr\u00eda evitar el ingreso del enfermo en una residencia. Esto concede a la interenci\u00f3n una significaci\u00f3n social y permite predecir su eficiencia por su potencial efecto sobre el consumo de recursos. La significativa exclusi\u00f3n de casos m\u00e1s deteriorados funcional (p=0.006) y cognitivamente (p=0.012) en el gc apunta un fen\u00f3meno de adherencia al tratamiento de los casos m\u00e1s complejos y no permite descartar alg\u00fan otro beneficio real.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Eficacia de una intervenci\u00f3n m\u00e9dica multidimensional sobre enfermos con demencia y sus cuidadores principales.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Eficacia de una intervenci\u00f3n m\u00e9dica multidimensional sobre enfermos con demencia y sus cuidadores principales. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Perez Del Molino Mart\u00edn <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Cantabria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/11\/2007<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Llorca Diaz Francisco Javier<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Delgado rodriguez <\/li>\n<li>pascual Onofre combarros (vocal)<\/li>\n<li> Martin del buey Francisco (vocal)<\/li>\n<li>Mar\u00eda  concepci\u00f3n Fari\u00f1as alvarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Perez Del Molino Mart\u00edn Objetivo principal: evaluar la eficacia de una intervenci\u00f3n m\u00e9dica especializada sobre enfermos [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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