tesis sobrecarga y calidad de vida del cuidador primario

7/25/2019 Tesis Sobrecarga y Calidad de Vida Del Cuidador Primario

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UNIVERSIDAD AUTNOMA DE ZACATECASFrancisco Garca Salinas

UNIDAD ACADMICA DE MEDICINA HUMANA CIENCIAS DE !A SA!UD

DIVISIN DE ESTUDIOS DE"OSGRADO

INSTITUTO ME#ICANO DE! SEGUROSOCIA! UNIDAD DE MEDICINA FAMI!IAR

No$ %% FRESNI!!O& ZACATECAS$

SOBRECARGA Y CALIDAD DE VIDA DELCUIDADOR PRIMARIO INFORMAL DEL ADULTO

MAYOR DEPENDIENTE

TESIS DE POSGRADO

"ARA O'TENER !A ES"ECIA!IDAD EN MEDICINA

FAMI!IAR

"r(s(n)a*

DRA. MARA ELIZABETH MARTNEZ PALACIOS

FRESNI!!O& ZACATECAS FE'RERO +,-+


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UNIVERSIDAD AUTNOMA DE ZACATECASFrancisco Garca Salinas

UNIDAD ACADMICA DE MEDICINA HUMANA CIENCIAS DE !A SA!UD

DIVISIN DE ESTUDIOS DE"OSGRADO

INSTITUTO ME#ICANO DE! SEGUROSOCIA! UNIDAD DE MEDICINA FAMI!IAR No$

%% FRESNI!!O& ZACATECAS$

SOBRECARGA Y CALIDAD DE VIDA DELCUIDADOR PRIMARIO INFORMAL DEL ADULTO

MAYOR DEPENDIENTE

TESIS DE POSGRADO

"ARA O'TENER !A ES"ECIA!IDAD EN MEDICINAFAMI!IAR

"r(s(n)a*

DRA. MARA ELIZABETH MARTNEZ PALACIOS

As(sor(s*

DRA. AURORA DEL VILLAR BARRIOSDR. JUAN CARLOS MEDRANO RODRGUEZ

FRESNI!!O& ZACATECAS FE'RERO +,-+


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NDICE


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$ Cri)(rios /( S(l(cci9n -,

$-$ Cri)(rios /( Incl2si9n -,

$+$ Cri)(rios /( E4cl2si9n -,

$6$ Cri)(rios /( Eli5inaci9n -,

-,$ Varia0l(s /( Es)2/io --

-,$-$ Varia0l( D(>(n/i(n)( --

-,$+$ Varia0l( In/(>(n/i(n)( --

--$ Consi/(racion(s )icas -+

-+$ "roc(/i5i(n)o -6

-6$ Anlisis Es)a/s)ico -6

-;$ R(s2l)a/os -;

-%$ Disc2si9n +:

-?$ Concl2sion(s 6-

-:$ R(co5(n/acion(s 6-

-


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ATHODO A)(nci9n Hos>i)alaria Do5iciliaria

IMSS Ins)i)2)o M(4icano /(l S(32ro Social

UMF Uni/a/ /( M(/icina Fa5iliar

SF=-+ C2(s)ionario 3(nrico /( cali/a/ /( 1i/a

S"SS "a2()( Es)a/s)ico >ara las Ci(ncias Social(s

IC In)(r1alo /( Con8iana

F Fr(c2(ncia

OR O//s Ra)io

DE D(s1iaci9n Es)n/ar

OMS Or3aniaci9n M2n/ial /( la Sal2/

ENASEM Enc2(s)a Nacional /( sal2/ B En1(@(ci5i(n)o (n M4ico

INSE .n/ic( /( Ni1(l Socio(con95icoAMD A/2l)o MaBor D(>(n/i(n)(

C"I C2i/a/or "ri5ario In8or5al

FF F2nci9n Fsica

RF Rol Fsico

DC Dolor Cor>oral

ESG Es)a/o /( Sal2/ G(n(ral

RE Rol E5ocional

Vi) Vi)ali/a/

FS F2nci9n Social

SM Sal2/ M(n)al

CSM Co5>on(n)( /( Sal2/ M(n)al

CSF Co5>on(n)( /( Sal2/ Fsica

EVC En8(r5(/a/ Vasc2lar C(r(0ral

DM+ Dia0()(s M(lli)2s )i>o +

E"OC En8(r5(/a/ "2l5onar O0s)r2c)i1a Cr9nicaHAS Hi>(r)(nsi9n Ar)(rial Sis)5ica

iii

NDICE DE FIGURAS


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Fi32ra - Gn(ro /( la >o0laci9n /( a/2l)os 5aBor(s -;

Fi32ra + Gr2>os /( (/a/ /(l a/2l)o 5aBor -%

Fi32ra 6 Ni1(l /( (s)2/ios /(l a/2l)o 5aBor -%

Fi32ra ; Es)a/o ci1il /(l a/2l)o 5aBor -?

Fi32ra % Gra/o /( /(>(n/(ncia /(l a/2l)o 5aBor -?

Fi32ra ? Gn(ro /( la >o0laci9n /(l c2i/a/or >ri5ario in8or5al -os /( (/a/ /(l c2i/a/or >ri5ario in8or5al -ri5ario in8or5al -

Fi32ra Oc2>aci9n /(l c2i/a/or >ri5ario in8or5al +,

Fi32ra -, Ni1(l socio(con95ico /(l c2i/a/or >ri5ario in8or5al +,

Fi32ra -- Aos /(/ica/os al c2i/a/o /(l a/2l)o 5aBor /(>(n/i(n)( +-

Fi32ra -+ Horas /(/ica/as al c2i/a/o /(l a/2l)o 5aBor /(>(n/i(n)( ++

Fi32ra -6 So0r(car3a /(l c2i/a/or >ri5ario in8or5al +6

Fi32ra -; Di5(nsion(s /(l SF=-+ /( los c2i/a/or(s >ri5arios in8or5al(s +;

Fi32ra -% Di5(nsion(s /(l SF=-+ /( los C"I +%

Fi32ra -? Co5>on(n)(s /( SF=-+ /( los C"I +%

iv


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NDICE DE TABLAS

Ta0la - E/a/ /( la >o0laci9n /( a/2l)os 5aBor(s -;

Ta0la + En8(r5(/a/(s cr9nico /(3(n(ra)i1as asocia/as a /(>(n/(ncia -:

Ta0la 6 E/a/ /( la >o0laci9n /( c2i/a/or(s >ri5arios in8or5al(s -:

Ta0la ; Escolari/a/ /(l c2i/a/or >ri5ario in8or5al -

Ta0la % "ar(n)(sco (n)r( C"I B AMD +-

Ta0la ? A>oBo 8a5iliar (n las la0or(s /( c2i/a/o ++

Ta0la : Ac)i1i/a/(s r(cr(a)i1as /(l c2i/a/or >ri5ario in8or5al +6

Ta0la < So0r(car3a /(l c2i/a/or >ri5ario in8or5al +6

Ta0la Anlisis /( corr(laci9n (n)r( 1aria0l(s

NDICE DE ANEXOS

+?

An(4o - Car)a /( Cons(n)i5i(n)o In8or5a/o$ 6?

An(4o + C2(s)ionario Es)r2c)2ra/o 6:

An(4o 6 Ni1(l Socio(con95ico ;%

An(4o ; .n/ic( /( a) ;?

An(4o % En)r(1is)a /( So0r(car3a /( Zari) ;:

An(4o ? SF=-+ %,

An(4o : O>(racionaliaci9n /( Varia0l(s %+

An(4o < Fl2@o3ra5a %:

An(4o Dic)a5(n (5i)i/o >or (l C!IS 66,-$ %i/a) 6$->ara (l anlisis 2ni B 0i1aria/o& (s)a/s)ica /(scri>)i1a B >ara asociaci9n /(1aria0l(s s( 2)ili9 ra9n /( 5o5ios con IC %J& >ara si3ni8icancia (s)a/s)ica2)ilia5os Ci+con >K,$,%$

RESULTADOS: D(l )o)al /( ;< c2i/a/or(s >ri5arios in8or5al(s ?,$;J son52@(r(s& (/a/ >ro5(/io ?+$:: L -6$ aos& ;%$ri5aria& ??$%J /(/ican 5s /( -+rs al c2i/a/o& (l %?$6J >r(s(n)9 so0r(car3a& (ncon)ran/o a8(cci9n (n )o/as las/i5(nsion(s /(l c2(s)ionario 3(nrico /( cali/a/ /( 1i/a B al corr(lacionar las

1aria0l(s (ncon)ra5os asociaci9n >osi)i1a& (s)a/s)ica5(n)( si3ni8ica)i1a OR -& IC %J& > ,$,%P$

CONCLUSIONES: !a so0r(car3a a8(c)a 8sica B (5ocional5(n)(& las la0or(s /(c2i/a/o 3(n(ran i5>ac)o (n la 1i/a /( 2i(n >ro>orciona los c2i/a/os$

PALABRAS CLAVE:So0r(car3a& Cali/a/ /( Vi/a& C2i/a/or "ri5ario In8or5al& A/2l)o5aBor /(>(n/i(n)($

1

!.- ANTECEDENTES

A ni1(l 52n/ial (l (n1(@(ci5i(n)o /( la >o0laci9n (s) a/2iri(n/o ca/a 1( 5aBori5>or)ancia& >or s2s i5>licancias (con95icas B social(s$ !a Or3aniaci9n M2n/ial/( la Sal2/ consi/(ra co5o >(rsonas a/2l)as 5aBor(s a a2(llas 2( )i(n(n ?, o


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5s aos$-!a OMS >r(1 2( >ara (l ao +,+% a0r as(s la)inoa5(ricanos )(n/rn al5(nos 2n -,J /( >o0laci9n anciana$+&6

En M4ico la (nc2(s)a socio/(5o3r8ica so0r( (l (n1(@(ci5i(n)o r(alia/a (n (l+,-, r(8l(@o 2( (n (4is)( 2na >o0laci9n )o)al /( $; 5illon(s o0laci9n (s 5aBor /( ?, aos& ; )(ni(n/o 2na(4>(c)a)i1a /( 1i/a ac)2al 2( s2>(ra los :+ aos (n a50os s(4os$ %

!os a/2l)os 5aBor(s son 2n 3r2>o 2( (@(rc( 2na 82(r)( /(5an/a al sis)(5a /(sal2/ >or los ca50ios >ro>ios /(l (n1(@(ci5i(n)o B 5aBor >r(s(ncia /((n8(r5(/a/(s cr9nico=/(3(n(ra)i1as 2( asocia/o a (s)ilos /( 1i/a insanos B3(n(ral5(n)( 5alas con/icion(s socio(con95icas& ll(1an al anciano a 2nasi)2aci9n /( 5aBor 12ln(ra0ili/a/& 5aln2)rici9n& >(r/i/a /( s2 a2)ono5a 8sica&s(nsorial& 5(n)al ( in)(l(c)2al& s)a >r/i/a /( s2 ca>aci/a/ 82ncional ll(1an ala/2l)o 5aBor a /(>(n/(r /( o)ra >(rsona >ara r(aliar ac)i1i/a/(s /( la 1i/a

/iaria$+

!a Or3aniaci9n M2n/ial /( la Sal2/ /(8in( la /(>(n/(ncia co5o la /is5in2ci9n oa2s(ncia /( la ca>aci/a/ >ara r(aliar al32na ac)i1i/a/ /( la 1i/a /iaria (n la8or5a o /(n)ro /( los 5r3(n(s consi/(ra/os co5o nor5al(s$? S( >2(/(nconsi/(rar ac)i1i/a/(s 0sicas /( la 1i/a /iaria (l ca5inar /(n)ro /(l o3ar& co5(r&0aars(& acos)ars( B l(1an)ars( /( la ca5a& as co5o 2sar (l sani)ario$ :

!a /(>(n/(ncia 82ncional s( a /(8ini/o co5o (l /(s(5>(o /( )ar(as /( c2i/a/o>(rsonal con s2>(r1isi9n& /ir(cci9n o asis)(ncia >(rsonal ac)i1a$ :

2

El Es)2/io Nacional /( Sal2/ B En1(@(ci5i(n)o (n M4ico ENASEM=+,,-P(ncon)r9 2( c(rca /( J /( a/2l)os 5aBor(s r(>or)a )(n(r >ro0l(5as /(82ncionali/a/ >or lo 5(nos con 2na ac)i1i/a/ /( la 1i/a /iaria$ lica 2( /(0( a0(r o)ra >(rsona 2( in)(r1(n3a /ir(c)a5(n)((n (l c2i/a/o /( la >(rsona /(>(n/i(n)( ( incl2so (n la sa)is8acci9n /( s2sn(c(si/a/(s 0sicas$?

!a 8a5ilia al s(r la 2ni/a/ 0sica /( con1i1(ncia B /is>on(r /( r(c2rsos co5oco(si9n& a/a>)a0ili/a/& nor5as B 1alor(s& >ro>orciona& (n 5aBor 5(/i/a& losc2i/a/os 2( r(2i(r(n las >(rsonas /(>(n/i(n)(s cons)i)2B(n/o 2na 82(n)(i5>or)an)( /( a>oBo& c2i/a/o B cario& 2( al (4>on(rs( a 5o5(n)os cr)icos 2(i5>li2(n >(r)2r0acion(s& >or (@(5>lo& la >r(s(ncia /( 2na (n8(r5(/a/inca>aci)an)( (n 2no /( s2s 5i(50ros a/2l)o 5aBorP& >or lo 3(n(ral a>ar(c( la/is>osici9n /( 2no /( los 5i(50ros co5o c2i/a/or /ir(c)o& B s( inicia 2naal)(raci9n (n la /in5ica B (s)r2c)2ra 8a5iliar& 2( si no s( s2>(ra /( 5o/osa)is8ac)orio s( >on( (n >(li3ro la (s)a0ili/a/ /( la 8a5ilia$&-,&--


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S2r3( /( (s)a 5an(ra la 8i32ra /(l c2i/a/or >ri5ario in8or5al& (n -& laOr3aniaci9n M2n/ial /( la Sal2/ /(8ini9 al c2i/a/or >ri5ario in8or5al co5o la>(rsona 2( as25( /( 8or5a 1ol2n)aria las >rinci>al(s )ar(as /( c2i/a/o no>ro8(sional B la r(s>onsa0ili/a/ 2( (s)o acarr(a& )o5a /(cision(s >or (l >aci(n)(B >ara (l >aci(n)(& c20r( las n(c(si/a/(s 0sicas /(l (n8(r5o& r(si/( (n s2 3ran

5aBora (n (l 5is5o /o5icilio 2( (l (n8(r5o& no (s r(52n(ra/o (con95ica5(n)(>or las )ar(as /( c2i/a/o& no a r(ci0i/o ca>aci)aci9n >r(1ia >ara la a)(nci9n /(l>aci(n)( B s( a /(/ica/o /2ran)( 2n 5ni5o /( ? s(5anas a 6 5(s(s a las)ar(as /( c2i/a/o$-+&-6&-;

El >(r8il )>ico /(l c2i/a/or >ri5ario in8or5al (s 52@(r (n)r( los %, B ?, aos& con2na r(laci9n /( >ar(n)(sco /ir(c)a 5a/r(& i@a o (s>osaP& con 0a@o ni1(l (/2ca)i1oB& 3(n(ral5(n)( /(/ica/a a las la0or(s /(l o3ar$-%& -?

El a/2l)o 5aBor >2(/( /(>(n/(r /( 5an(ra )o)al /( s2 c2i/a/or >ri5ario in8or5al&(l c2al& a s2 1( >o/r s(n)irs( a3o0ia/o an)( (l (co /( 2( aora /(0(r /(c25>lir con s2s o0li3acion(s )an)o la0oral(s co5o las /(l o3ar B al 5is5o )i(5>o

(l c2i/a/o /(l anciano B (l c2i/ar a 2na >(rsona (n1(@(ci/a

3

/(>(n/i(n)( (s 2na )ar(a /i8cil& cansa/a B /( 3ran r(s>onsa0ili/a/& 2( /(5an/ar(aliar ac)i1i/a/(s >ara las 2( no s( (s) >r(>ara/o B 2( no si(5>r( sona3ra/a0l(s$-:

M2cas 1(c(s los c2i/a/or(s >ri5arios in8or5al(s (s)n )an in5(rsos (n lar(s>onsa0ili/a/ 2( i5>lica ac(rs( car3o /(l (n8(r5o ocasionan/o 2n con@2n)o/( (5ocion(s B con8lic)os >or lo 2( r(n2ncian& s( aslan o /is5in2B(n (n 52cos/( los casos& s2s r(lacion(s social(s& a25(n)an s2 car3a /( )ra0a@o& no s(>(r5i)(n 2n /(scanso >ara no s(n)irs( c2l>a0l(s /( no 0rin/ar s2 5aBor (s82(ro(n la a)(nci9n /(l >aci(n)( >or r(aliar ac)i1i/a/(s >ro>ias no r(laciona/as con (lc2i/a/o /(l o)roQ (n al32nos casos ll(3an a cr((r 2( na/i( 5s 2( (llos >2(/(na)(n/(r 0i(n al (n8(r5o& l(s r(s2l)a inconc(0i0l( /(@ar al >aci(n)( (n 5anos /(o)ra >(rsonaQ )o/o (s)o ll(3a a >ro1ocar >ro0l(5as 8sicos& 5(n)al(s Bsocio(con95icos$-aci(n)( 3(n(ra 2na so0r(car3a& la c2al (s 2n (s)a/o>sicol93ico 2( r(s2l)a /( la co50inaci9n /( )ra0a@o 8sico& >r(si9n (5ocional& lasr(s)riccion(s social(s& as co5o las /(5an/as (con95icas 2( s2r3(n al c2i/ar 2n(n8(r5o cr9nico o /isca>aci)a/o&-Si (s)( c2i/a/o s( 5an)i(n( >or 2n >(ro/o

>rolon3a/o /( )i(5>o >2(/( )(n(r cons(c2(ncias (n la 1i/a /(l c2i/a/or&-or a0an/ono /(l )ra0a@o r(52n(ra/o&5(r5a (con95ica& /()(rioro /( la 1i/a social& s2(l(n >r(s(n)ar c2a/ros /( (s)rs&ansi(/a/& 8a)i3a& /(>r(si9n& lo 2( >2(/( con/2cir al lla5a/o sn/ro5( /(lc2i/a/or 2( i5>lica s28ri5i(n)o (5ocional B 8sica 2( conll(1a (l ri(s3o /( 2((l c2i/a/or >i(r/a la sal2/& a8(c)( s2 cali/a/ /( 1i/a& s( con1i(r)a (n >aci(n)( B s(>ro/2ca 2na cla2/icaci9n 8a5iliar& si)2acion(s 2( in)(r8i(r(n (n (l 5an(@oa/(c2a/o /(l (n8(r5o B (n la >ro>ia (1ol2ci9n /( la (n8(r5(/a/& >ro1ocan/o al5is5o )i(5>o (l (5>(ora5i(n)o /( la cali/a/ /( 1i/a /(l c2i/a/or$+-&++


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!a cali/a/ /( 1i/a >2(/( s(r /(8ini/a (n )r5inos 3(n(ral(s co5o 2na 5(/i/aco5>2(s)a /( 0i(n(s)ar 8sico& 5(n)al B >sicol93ico& )al co5o lo >(rci0( ca/a>(rsona B ca/a 3r2>o$+6& +;

4

!a Or3aniaci9n M2n/ial /( la Sal2/ OMSP (n -;& a )ra1s /( 2n cons(nsoin)(rnacional in)(n)o /(8inir cali/a/ /( 1i/a co5o la >(rc(>ci9n >(rsonal /( 2nin/i1i/2o /( s2 si)2aci9n (n la 1i/a& /(n)ro /(l con)(4)o c2l)2ral B /( los 1alor(s (n2( 1i1( B la r(acci9n con s2s o0@()i1os& (4>(c)a)i1as& 1alor(s ( in)(r(s(s$ El)r5ino /( cali/a/ /( 1i/a r(laciona/a con la sal2/& /(si3na los @2icios /( 1alor2( 2n >aci(n)( r(alia ac(rca /( las cons(c2(ncias /( s2 (n8(r5(/a/ o s2)ra)a5i(n)o$+%

"or lo )an)o& la car3a B la )(nsi9n 2( s28r(n los c2i/a/or(s >ri5arios in8or5al(s

(s)n asocia/as a ni1(l(s al)os /( co5or0ili/a/&

son /(no5ina/os >aci(n)(soc2l)os o /(sconoci/os& /(sc2i/an s2 sal2/ 8sica B (5ocional B s( carac)(rian>or no conc2rrir a los s(r1icios 5/icos& >os)(r3an/o (l c2i/a/o /( s2 sal2/&ll(3an/o a ol1i/ars( /( s 5is5os al (s)ar 5s >r(oc2>a/os >or los c2i/a/os 2(/(0(n 0rin/ar al >aci(n)($+?& +:

Si32i(n/o s)( (n8o2(& Zari) /is(o la En)r(1is)a /( Car3a /(l C2i/a/or& 2no /(los ins)r25(n)os 5s 2)ilia/os >ara (1al2ar la s(n)i/a >or (l c2i/a/or& arro@an/o02(nos 1alor(s /( con8ia0ili/a/ B consis)(ncia in)(rna& la 1(rsi9n 1ali/a/ >orMon)orio B cols$ -

os(( 2n Al8a /( Cron0ac /( ,$,& (s 2n c2(s)ionario 2(>2(/( s(r a>lica/o o a2)oa>lica/o& cons)a /( ++ r(ac)i1os& (l c2al (4>lora los(8(c)os n(3a)i1os /(l c2i/a/o so0r( (l c2i/a/or& (s)a (scala (1ala )r(s 8ac)or(sr(laciona/os con la car3a /(l c2i/a/or 2( son* (l i5>ac)o /(l c2i/a/o& r(laci9nin)(r>(rsonal con (l >aci(n)( o 8a5iliar 2( r(ci0( (l c2i/a/o B las (4>(c)a)i1as /(a2)o(8ici(ncia& ca/a 2no /( (llos s( >2n)a (n 2na (scala )i>o !i(r) 2( 1a /( -n2ncaP& + casi n2ncaP& 6 al32nas 1(c(sP& ; 8r(c2(n)(5(n)(P B % si(5>r(P$ "arao0)(n(r (l >2n)a@( /( car3a 3lo0al 2( corr(s>on/( al r(ac)i1o ++& s( s25an )o/oslos r(ac)i1os la >2n)2aci9n )o)al oscila (n)r( ++ B --, >2n)os$ !os >2n)os /( cor)(2)ilia/os >ara (s)a 1(rsi9n son ++=;? >2n)os >ara a2s(ncia /( so0r(car3a& ;:=%%so0r(car3a l(1( B %?=--, so0r(car3a (4c(si1a$+(rsona /(>(n/i(n)( s( 0asa (n conoc(r s2 ca>aci/a/ >ara/(sarrollar ac)i1i/a/(s /( la 1i/a /iaria& >ara (l >r(s(n)( (s)2/io co5o ins)r25(n)o

/( (1al2aci9n /( la 82nci9n /(l anciano 2)iliar(5os (l n/ic( /( a) (s)aa/(c2a/a5(n)( 1ali/a/o& >os(( 2n al8a /( Cron0ac /( ,$; B s2 8ia0ili/a/

5

in)(ro0s(r1a/or (s /( ,$$ "or s2 r(>ro/2ci0ili/a/& s( >2(/( 2)iliar con 8in(s/(scri>)i1os /( 5oni)oriaci9n B /( >ron9s)ico$ S( consi/(ra 2( (l (n)r(1is)a/o (s/(>(n/i(n)( c2an/o n(c(si)a aB2/a >ara r(aliar 2na o 5s ac)i1i/a/(s 0sicas/( la 1i/a /iaria$ !a /(>(n/(ncia 82ncional (n ac)i1i/a/(s 0sicas& a s2 1(& s(s20clasi8ica (n* l(1(& c2an/o n(c(si)a aB2/a (n 2na ac)i1i/a/ /( la 1i/a /iariaQ


16/68

5o/(ra/a& c2an/o la aB2/a (s >ara /os ac)i1i/a/(s /( la 1i/a /iaria& B s(1(ra&c2an/o la aB2/a (s >ara )r(s o 5s ac)i1i/a/(s /( la 1i/a /iaria$ 6+& 66& 6; "or l)i5os( in/a3o so0r( la cali/a/ /( 1i/a r(laciona/a con la sal2/ 5(/ian)( (lc2(s)ionario 3(nrico /( sal2/ SF=-+& 2( r(co3( 5(/i/as so0r( (l (s)a/o82ncional B (5ocional /(l in/i1i/2o$6%!as -+ >r(32n)as 2( lo co5>on(n 1alora ara r(aliarac)i1i/a/(s 8sicas /(0i/as a >ro0l(5as /( sal2/Q rol 8sico* li5i)acion(s >arar(aliar ac)i1i/a/(s co)i/ianas /(0i/o a >ro0l(5as /( sal2/ 8sicaQ Dolor cor>oralQ(s)a/o /( sal2/ 3(n(ralQ 1i)ali/a/Q 82nci9n social* li5i)acion(s (n la >ar)ici>aci9n /(ac)i1i/a/(s social(s /(0i/o a >ro0l(5as /( sal2/Q rol (5ocional* li5i)acion(s >arar(aliar ac)i1i/a/(s co)i/ianas >or >ro0l(5as (5ocional(s B sal2/ 5(n)al$ "araca/a /i5(nsi9n los )(5s s( co/i8ican& s( a3r(3an B s( )rans8or5an (n 2n ran3o/( >2n)2aci9n 2( 1a /( , >(or (s)a/o /( sal2/P as)a -,, 5(@or (s)a/o /(sal2/P& con 2na 5(/ia /( %, B 2na DE /( -,& >or lo 2( >2n)2acion(s

s2>(rior(s o in8(rior(s a %, in/ican 5(@or o >(or (s)a/o /( sal2/$ 6?& 6:

6

".- JUSTIFICACI#N

El (n1(@(ci5i(n)o (s 2n 8(n95(no 2ni1(rsal ( in(1i)a0l(& (n (l +,-, (n n2(s)ro>as s( r(>or)aron $; 5illon(s /( >(rsonas 5aBor(s /( ?, aos& lo 2( (2i1al(al o0laci9n& (n Zaca)(cas (l +,J /( s2 >o0laci9n (s 5aBor/( ?, aos& a/(5s la (4>(c)a)i1a /( 1i/a 1a (n a25(n)o& (n n2(s)ro >as (s /(:%$; aos& >ara Zaca)(cas la (4>(c)a)i1a /( 1i/a (s /( :6$: aos (n los o50r(s B:ara las 52@(r& sin (50ar3o (s)( a25(n)o no si3ni8ica con/icion(s /(


17/68

1i/a sa)is8ac)oria (n (/a/(s a1ana/as& >or lo )an)o los a/2l)os 5aBor(s 2(n(c(si)an aB2/a >ara r(aliar ac)i1i/a/(s 0sicas /( la 1i/a /iaria )a50in 1a (na25(n)o& (ncon)ran/o 2( (l J /( la >o0laci9n 5aBor /( ?, aos )i(n(n/i8ic2l)a/ (n al 5(nos 2na ac)i1i/a/ /( la 1i/a /iaria& )o/o (s)o 3racias al (s)ilo /(1i/a insano& a los ca50ios >ro>ios /( la (/a/ B a la >r(s(ncia /( (n8(r5(/a/(s

cr9nico=/(3(n(ra)i1as$ Si(n/o la 8a5ilia B >rinci>al5(n)( (l c2i/a/or >ri5arioin8or5al 2i(n >ro>orciona la a)(nci9n 2( (l a/2l)o 5aBor /(>(n/i(n)( n(c(si)a&(llos @2(3an 2n >a>(l 52B i5>or)an)(& son 2n r(c2rso 1alioso& >(ro )a50in 52B12ln(ra0l(& Ba 2( (l co5>ro5iso /( c2i/ar a)i(n( i5>or)an)(s cos)(s 5a)(rial(s&(5ocional(s B /( sal2/& (s)2/ios r(alia/os (n M4ico r(>or)an 2( 2n +%=6,J /(los c2i/a/or(s >ri5arios >r(s(n)an so0r(car3a l(1( o (4c(si1a& >or lo 2( s( /(0(/( /()(c)ar (s)( )i>o /( >ro0l(5as a )i(5>o& r(alian/o 2na >(s2isa /( )o/osa2(llos /(r(coa0i(n)(s 2( r(alian la0or(s /( c2i/a/or& (1i)an/o 2( s(con1i(r)a (n >aci(n)(s sil(nciosos$ !a a)(nci9n >ri5aria /( sal2/ (s (l ni1(lasis)(ncial 5s c(rcano )an)o /(l >aci(n)( co5o /(l c2i/a/or B (s a /on/( s(/(0(n iniciar las (s)ra)(3ias /( a)(nci9n& a0or/arlo /( 8or5a 52l)i/isci>linaria&

a/(c2ar los s(r1icios B r(c2rsos sani)arios >ara c2i/ar s2 sal2/& r(/2cir (l ni1(l /(car3a B >r(1(nir 82)2ras (n8(r5(/a/(s$ Al /()(c)ar /( 5an(ra o>or)2na al c2i/a/or>ri5ario s( l( >o/r ori(n)ar >ara 2( s(>a r(conoc(r los >osi0l(s sn)o5as /(so0r(car3a& s( l( s23(rir la 0s2(/a /( 3r2>os& r(/(s /( a>oBo& la r(aliaci9n/( ac)i1i/a/(s l/icas o r(2nion(s 8a5iliar(s& B con (s)o >o/(r 5ini5iar (li5>ac)o 2( 3(n(ra (l c2i/ar a 2n >aci(n)( /(>(n/i(n)( B con (s)o 5(@orar s2cali/a/ /( 1i/a$

7

$.- PLANTEAMIENTO DEL PROBLEMA

Es 8r(c2(n)( 2( los >ro8(sional(s /( la sal2/ /iri@an s2 a)(nci9n B r(c2rsosnica5(n)( al 5an(@o /( las (n8(r5(/a/(s /(l >aci(n)(& sin )(n(r (n c2(n)a (lcon)(4)o 8a5iliar /on/( s( 3(n(ra 2n sinn5(ro /( ca50ios& al32nos noci1os >arala sal2/ /( 2i(n(s /(s(5>(an las 82ncion(s /( c2i/a/or(s >ri5arios in8or5al(s$"or lo 2( (s i5>or)an)( la /()(cci9n B (l 5an(@o o>or)2no /( los c2i/a/or(s>ri5arios c2Ba so0r(car3a (s s28ici(n)( >ara li5i)ar s2 /(sarrollo >(rsonal$ El s(rc2i/a/or >ri5ario in8or5al /( 2na >(rsona /(>(n/i(n)( (s 2na (4>(ri(ncia 2()ras8or5a la 1i/a& (s 2na si)2aci9n )>ica5(n)( 3(n(ra/ora /( (s)rs B ansi(/a/&/(0i/o a 2( s( /a 2n in1ol2cra5i(n)o (5ocional con 2n 5i(50ro /( la 8a5ilia 2(

s28r( B 5i(n)ras 5s )i(5>o s( /(/ica al c2i/a/o 5as r(>(rc2)( /( 8or5a n(3a)i1a(n la sal2/ /( 2i(n >r(s)a (l s(r1icio& con1ir)in/os( (n 2n >aci(n)( sil(ncioso&>ro>(nso a s28rir co5or0ili/a/(s >rinci>al5(n)( >ro0l(5as >sicol93icos&/()(riorn/os( la cali/a/ /( 1i/a )an)o /(l c2i/a/or co5o /(l >aci(n)(/(>(n/i(n)($

Consi/(ran/o lo an)(rior B co5o >ar)( /( n2(s)ra 82nci9n co5o 5/icos 8a5iliar(sal )(n(r 2n al)o n/ic( /( >o0laci9n (n ()a>a /( a/2l)o 5aBor& la >r(32n)a /(in1(s)i3aci9n (s*


18/68

%C&'( )* (+ *,)/+0+ (+ /+(23+3 3) 423+ 3)( /&23+3, 526+2, 278,6+( 3)(+3&(9, 6+, 3)5)732)79) &) )/2) /,7*&(9+ 3,62/2(2+2+ 5, )( *)42/2, 3)ATHODO IMSS )7 F)*72((,; Z+/+9)/+*ri5ario in8or5al /(l a/2l)o 5aBor /(>(n/i(n)( a8(c)as2 cali/a/ /( 1i/a$

H>$= !a so0r(car3a /(l c2i/a/or >ri5ario in8or5al /(l a/2l)o 5aBor /(>(n/i(n)( noa8(c)a s2 cali/a/ /( 1i/a$

8

?.- OBJETIVOS

?.1.- OBJETIVO GENERAL:

-$ D()(r5inar la so0r(car3a B la cali/a/ /( 1i/a /(l c2i/a/or >ri5ario in8or5al/(l a/2l)o 5aBor /(>(n/i(n)( (n la cons2l)a /o5iciliaria /(l s(r1icio /(

ATHODO IMSS (n Fr(snillo& Zaca)(cas& (n (l >(ro/o co5>r(n/i/o /(s(>)i(50r( a /ici(50r( /(l +,--$

?.!.- OBJETIVOS ESPECFICOS:

-$ D(scri0ir las carac)(rs)icas socio/(5o3r8icas /(l c2i/a/or >ri5ario B /(l a/2l)o 5aBor/(>(n/i(n)(

+$ D()(r5inar (l 3ra/o /( /(>(n/(ncia /(l a/2l)o 5aBor$

6$ Es)a0l(c(r (l ni1(l /( so0r(car3a /( los c2i/a/or(s >ri5arios in8or5al(s

;$ I/(n)i8icar la cali/a/ /( 1i/a /(l c2i/a/or >ri5ario in8or5al

%$ I/(n)i8icar la r(laci9n (n)r( so0r(car3a B la cali/a/ /( 1i/a /(l c2i/a/or >ri5ario in8or5al$

@.- MATERIAL Y MTODOS

@.1.- TIPO DE ESTUDIO: Ti>o (nc2(s)a& )rans1(rsal& /(scri>)i1o& >ros>(c)i1o&o0s(r1acional$

@.!.- UNIVERSO DE TRABAJO: C2i/a/or(s >ri5arios in8or5al(s /( a/2l)os5aBor(s /(>(n/i(n)(s 2( r(ci0an cons2l)a /o5iciliaria >or >ar)( /(l s(r1icio /(

ATHODO IMSS& Fr(snillo& Zaca)(cas$


19/68

@.".- POBLACI#N DE ESTUDIO: C2i/a/or(s >ri5arios in8or5al(s /( a/2l)os 5aBor(s/(>(n/i(n)(s 2( /(s((n >ar)ici>ar$

@.$.- LUGAR: Do5icilios /( los >aci(n)(s /(l s(r1icio ATHODO IMSS& Fr(snillo&Zaca)(cas$

@.=.- TIEMPO: D( Oc)20r( a Dici(50r( +,--

9

.- MUESTREO

"or s(r 2n 2ni1(rso >(2(o no s( a>licar )cnica 52(s)ral

To)al /( >aci(n)(s /(l s(r1icio ATHODO IMSS* :; >aci(n)(s To)al /( >aci(n)(s 5aBor(s /( ?, aos* %, >aci(n)(s

"aci(n)(s 5aBor(s /( ?, aos no /(>(n/i(n)(s* 6 >aci(n)(s

D(82ncion(s /( >aci(n)(s 5aBor(s /( ?, aos* 6 /(82ncion(s

In3r(sos /( >aci(n)(s 5aBor(s /( ?, aos* ; >aci(n)(s

T,9+( 3) 5+/2)79)* &) )7)7 (,* /29)2,* 3) 27/(&*27: $ 5+/2)79)* *&*/&23+3,)* 526+2,* 278,6+()*

.- SELECCI#N DE LA POBLACI#N

.1.- CRITERIOS DE INCLUSI#N:

-$ C2i/a/or >ri5ario in8or5al /(l a/2l)o 5aBor /(>(n/i(n)( 2i(n r(ci0( cons2l)a a /o5icilio>or >ar)( /(l s(r1icio /( ATHODO IMSS& 5aBor /( -< aos /( (/a/& 2( s(>a l((r B(scri0ir B 5(/ian)( cons(n)i5i(n)o in8or5a/o ac(>)( >ar)ici>ar (n (l (s)2/io$

+$ 2( la /ia/a c2i/a/or=a/2l)o 5aBor 1i1a (n la 5is5a r(si/(ncia

6$ C2i/a/or(s >ri5arios 2( )(n3a 5s /( 6 5(s(s r(alian/o /( 8or5a inin)(rr25>i/a /ica82nci9n$

;$ 2( la 82nci9n /( c2i/a/or >ri5ario in8or5al no s(a r(52n(ra/a

.!.- CRITERIOS DE EXCLUSI#N:

-$ 2( no c25>la con los cri)(rios /( incl2si9n$


20/68

. ".- CRITERIOS DE ELIMINACI#N:

-$ C2(s)ionarios 2( no s( ll(n(n /( 8or5a co5>l()a$ +$D(82nci9n /(l a/2l)o 5aBor

1>.- VARIABLES DEL ESTUDIO

1>.1.- VARIABLES DEPENDIENTE:

-$ Cali/a/ /( 1i/a /(l c2i/a/or >ri5ario$

1>.!.- VARIABLES INDEPENDIENTES:

aP So0r(car3a (n (l c2i/a/or >ri5ario in8or5al$

0P D(>(n/(ncia /(l a/2l)o 5aBor

cP Varia0l(s Socio/(5o3r8ica /(l a/2l)o 5aBor

E/a/

Gn(ro

Escolari/a/

Es)a/o ci1il

En8(r5(/a/(s cr9nicas

/P C2i/a/or >ri5ario in8or5al

(P Varia0l(s Socio/(5o3r8ica /(l c2i/a/or >ri5ario in8or5al

E/a/

Gn(ro

Escolari/a/

Es)a/o ci1il !23ar /( r(si/(ncia

Oc2>aci9n

Ni1(l socio(con95ico

"ar(n)(sco con (l a/2l)o 5aBor

An)i3(/a/ (n aos al c2i/a/o /(l >aci(n)(

Ti(5>o /(/ica/o (n oras al c2i/a/o /(l >aci(n)(


21/68

A>oBo 8a5iliar

Ac)i1i/a/(s r(cr(a)i1as

11

11.- CONSIDERACIONES TICAS

El >r(s(n)( (s)2/io no con)ra1i(n( los as>(c)os )icos consi/(ra/os (n (l R(3la5(n)o/( la !(B G(n(ral /( Sal2/ (n Ma)(ria /( In1(s)i3aci9n >ara la Sal2/ /( los Es)a/osUni/os M(4icanos (n (l T)2lo S(32n/o (n s2s ca>)2los -6& -;&-? -:& +,& +-& 6?&6& ;, B%-&6la/as (n la D(claraci9n /( H(lsini B s2s 5o/i8icacion(s (n

E/i502r3o& Escocia +,,,$6& ;,

En (s)( s(n)i/o& (l an)(>roB(c)o s( (n1i9 al Co5i) !ocal /( In1(s)i3aci9n /(l IMSS /(lH$G$Z$ No$ - /( Zaca)(cas$ Zaca)(cas& >ara s2 a>ro0aci9n B r(3is)ro$

Es)( (s)2/io no s( consi/(ra /( ri(s3o& /( ac2(r/o a la !(B G(n(ral /( Sal2/ (n Ma)(ria/( In1(s)i3aci9n (n Sal2/ /( los Es)a/os Uni/os M(4icanos$ A los >ar)ici>an)(s s( l(s(4>lic9 (n 2 consis)( (l (s)2/io& s( aclararn s2s /2/as c2an)as 1(c(s s(a n(c(sario Bs( 32ar/ar (s>(cial c2i/a/o (n (l anoni5a)o B con8i/(nciali/a/$

S( l(s co5(n)9 2( (s)( (s)2/io consis)( (n la a>licaci9n /( 2n ins)r25(n)o /( )ra0a@oc2(s)ionarioP al c2i/a/or >ri5ario in8or5al$

!as consi/(racion(s )icas 2( s( )o5aron (n c2(n)a 82(ron /()(r5ina/as >or la in1asi9na la in)i5i/a/ >sicol93ica /(l >aci(n)(& as 2( s( consi/(ra i5>or)an)( lo si32i(n)(* car)a/( cons(n)i5i(n)o in8or5a/o >r(1io a la r(aliaci9n /(l (s)2/io B a/(5s cons(r1ar (lanoni5a)o /( ca/a >(rsona& >or lo c2al s( o5i)irn no50r(s B n25(ro /( a8iliaci9n /( los/oc25(n)os corr(s>on/i(n)(s& as co5o la /(scri>ci9n a ca/a 2no /( los in)(3ran)(s /(l(s)2/io /( las carac)(rs)icas /(l 5is5o$


22/68

1!.- PROCEDIMIENTO

S( (la0or9 >ro)ocolo /( (s)2/io& (l c2al 82( r(1isa/o B a2)oria/o >or (l co5i) local /(

in1(s)i3aci9n (n sal2/ C!IS 66,-P& s( solici)9 a2)oriaci9n a C2(r>o /( Go0i(rno /( laUni/a/ /( M(/icina Fa5iliar No$ %% B /(l HGZ + /( Fr(snillo& Zaca)(cas& >ara lai/(n)i8icaci9n /( los >ar)ici>an)(s 2( r(nan los cri)(rios /( incl2si9n /( la 52(s)ra$ S(r(ali9 2na >r2(0a >ilo)o con >aci(n)(s /is)in)os a los (s)i>2la/os >ara (l (s)2/io&>os)(rior5(n)(& s( solici)9 la >ar)ici>aci9n /( los c2i/a/or(s >ri5arios /(l a/2l)o 5aBor/(>(n/i(n)( 2( r(ci0( cons2l)a >or >ar)( /(l s(r1icio /( ATHODO >or 5(/io /( 2ncons(n)i5i(n)o in8or5a/o& /on/( s( l(s (4>lic9 (l o0@()i1o /(l (s)2/io$

S( a>lic9 (l ins)r25(n)o >ara la r(col(cci9n /( /a)os& 2)ilian/o 2n ins)r25(n)o >ara lar(col(cci9n /( /a)os socio/(5o3r8icos& s( incl2Bo (l INSE >ara ni1(l socio(con95ico B/os ins)r25(n)os 1ali/a/os >ara /()(r5inar la so0r(car3a /(l c2i/a/or >ri5ario in8or5al B

(l ins)r25(n)o 3(nrico >ara 1alorar la cali/a/ /( 1i/a /(l c2i/a/or >ri5ario in8or5al& la/(>(n/(ncia 82ncional /(l a/2l)o 5aBor s( 1alor9 con (l n/ic( /( a)$ !a a>licaci9n /(los ins)r25(n)os s( r(ali9 >or (l >ro>io in1(s)i3a/or >ara (1i)ar s(s3os$

1".- ANLISIS ESTADSTICO

S( (la0or9 2na 0as( /( /a)os (n E4c(l& s( ca>)2raron los /a)os o0)(ni/os (n (l >a2()((s)a/s)ico S"SS B E>i/a) 6$-& s( r(ali9 anlisis (s)a/s)ico 2ni B 0i1aria/o$ S( (8(c)2ar

(s)a/s)ica /(scri>)i1a >ara las 1aria0l(s c2an)i)a)i1as B c2ali)a)i1as& >ara las 1aria0l(sc2an)i)a)i1as s( a>licarn 5(/i/as /( )(n/(ncia c(n)ral B /is>(rsi9n& >ara las c2ali)a)i1as8r(c2(ncia B >orc(n)a@($ "ara la asociaci9n /( 1aria0l(s s( a>lic9 ra9n /( 5o5ios conin)(r1alo /( con8iana /( %J B >ara la si3ni8icancia (s)a/s)ica s( 2)ili9 Ci+& s((s)a0l(ci9 (n 1alor /( 1alor /( > K,$,%$

1$.- RESULTADOS

S( (s)2/iaron a 2n )o)al /( ;< a/2l)os 5aBor(s B s2s c2i/a/or(s >ri5arios in8or5al(s$ !ascarac)(rs)icas socio/(5o3r8icas /(l a/2l)o 5aBor /(>(n/i(n)( o0)(ni/as (n (s)( (s)2/io82(ron las si32i(n)(s*

D(l )o)al /( a/2l)os 5aBor(s (s)2/ia/os >r(/o5ina (l 3n(ro 8(5(nino (ncon)ran/o 2((l %?$6J son 52@(r(s B (l ;6$


23/68

Figura1. G nero de la poblacin de adultos mayores dependientes.

43.8%Hombres

56.3%Mujeres

!a (/a/ 5(/ia /( los a/2l)os 5aBor(s /(>(n/i(n)(s (s /( :


24/68


25/68

Figura 4. 'stado ci&il del adulto mayor dependiente.

0

10

20

30

40

50

60

!0

(asado )i&orciado *iudo +oltero

62.5

4.2

31.3

2.1

$

Figura 5. Grado de dependencia del adulto mayor.

D e)en(en&ae*e 15%

De)en(en&amo(era(a

27%

D e)en(en&ase*era58%

R(s>(c)o al (s)a/o ci1il /( los a/2l)os 5aBor(s /(>(n/i(n)(s la 5aBor >ar)(son casa/os con 2n ?+$%J& 5i(n)ras 2( (l 6-$6J son 1i2/os Fi32ra ;P$

!a )o)ali/a/ /( a/2l)os 5aBor(s (n (s)( (s)2/io son /(>(n/i(n)(s& (ncon)ran/o2( (l %(n/(ncia s(1(ra& (l +:$-J /(>(n/(ncia 5o/(ra/a Bsolo (l -;$?J /(>(n/(ncia l(1( Fi32ra %P$


26/68

16

En c2an)o a las (n8(r5(/a/(s cr9nicas /(3(n(ra)i1as /(l a/2l)o 5aBor 2(s( asocian a 5aBor /(>(n/(ncia (ncon)ra5os 2( (n n2(s)ra >o0laci9n /((s)2/io >r(/o5inan las (n8(r5(/a/(s n(2rol93icas& >rinci>al5(n)( las s(c2(las

/( EVC con 2n +%J& s(32i/as >or co5>licacion(s >or DM+ (n 2n +,$a)as + ;$+

Cnc(r + ;$+

En8(r5(/a/(s >si2i)ricas - +$-

To)al ;< -,,$,

Ta0la +$ En8(r5(/a/(s cr9nicas /(3(n(ra)i1as asocia/as a 5aBor /(>(n/(ncia (n(l a/2l)o 5aBor$

!as carac)(rs)icas socio/(5o3r8icas (ncon)ra/as /( los c2i/a/or(s >ri5arios82(ron las si32i(n)(s* !a 5(/ia (n la (/a/ /( los C"I (s /( ?+$:: L -6$ aos& con2n ran3o /( (/a/ /( 6+ a ara las 52@(r(s (s /( ?,$; L--$ aos B >ara los o50r(s (s /( :%$, L -:$< aos Ta0la 6P$

Gn(ro 8 M(/ia DE Mni5o M4i5o

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Mujeres83%

Hombres 17%

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-ri5arios in8or5al(s )a50in (s 0a@o&

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28/68

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Figura 11. ,os dedicados al cuidado del adulto mayor dependiente.

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1 a 51 10a6 a 1511 #15

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31/68

Figura 12 . oras dedicadas al cuidado del adulto mayor dependiente.

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32/68

Figura 13. +obrecarga del cuidador primario inormal.

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33/68

Figura 14. )imensiones del +F-12.

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El ?,$;J s( si(n)( (4a2s)o o cansa/o la 5aBor >ar)( /(l )i(5>o 2( l( 3(n(ra>ro0l(5as con s2s ac)i1i/a/(s co)i/ianas 1i)ali/a/P& (l ?;$?J /( los C"I no r(alias2s ac)i1i/a/(s social(s >or >ro0l(5as 8sicos o (5ocional(s 82nci9n socialP& (l%;$+J a >r(s(n)a/o s(n)i5i(n)os /( an32s)ia B /(>r(si9n sal2/ 5(n)alP& (l %,Ja )(ni/o li5i)acion(s (n s2 )ra0a@o o (n s2s ac)i1i/a/(s co)i/ianas /(0i/o a>ro0l(5as (5ocional(s rol (5ocionalP Fi32ra -%P$

+;


34/68

Figura 15. )imensiones del +F-12

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El %?$6J /( los C"I )i(n( li5i)acion(s (n (l co5>on(n)( /( sal2/ 5(n)al 2( (sla s25a /( la /i5(nsi9n /( SMG B RE& B (l %+$-J )i(n( li5i)acion(s (n (lco5>on(n)( /( sal2/ 8sica 2( (s la s25a /( las /i5(nsion(s FF& FF B DC& lo 2(si3ni8ica 2( los C"I (s)2/ia/os )i(n(n 2na 5ala >(rc(>ci9n /( sal2/ )an)o 5(n)alco5o 8sico Fi32ra -?P$

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En (l anlisis /( corr(laci9n 0i1aria/a (n)r( la so0r(car3a B la cali/a/ /(1i/a r(laciona/a con la sal2/& s( (ncon)r9 2na asociaci9n >osi)i1a&(s)a/s)ica5(n)( si3ni8ica)i1a (n)r( )o/as las /i5(nsion(s /( sal2/ B la so0r(car3ap ,$,%& IC %JP Ta0la P$

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36/68

>ar)ic2lar /( los 5aBor(s /( as /2ran)( (l +,-, (l Ins)i)2)oNacional /( Es)a/s)ica B G(o3ra8a r(>or)a 2( (l o0laci9n(s 5aBor /( ?, aos& con 2na (4>(c)a)i1a /( 1i/a 2( s2>(ra los :+ aos /((/a/$;

En c2an)o al >(r8il /(l a/2l)o 5aBor (ncon)ra5os si5ili)2/ a lo r(>or)a/o (n la

0i0lio3ra8a$ En n2(s)ro (s)2/io (l >ro5(/io /( (/a/ >ara (l AM (s /( :20lica/o >or Moral(s () al +,-,P& (n (l E/o$ D( M4ico& /on/((l >ro5(/io /( (/a/ /(l AM 82( /( :%$:< aos$-?Za1ala=Gonl( () al +,-,P (ns2 (s)2/io r(alia/o (n Villa(r5osa& Ta0asco r(>or)a 2n >ro5(/io /( (/a/ /(:,$< L ?$< aos$%Es)a /i8(r(ncia >2(/( s(r /(0i/o a 2( (l (s)a/o /( Zaca)(cas)i(n( 2na (4>(c)a)i1a /( 1i/a 5aBor co5>ara/a con (l r(s)o /( los (s)a/os$; El3r2>o ()ario 2( >r(/o5ino (n n2(s)ro (s)2/io (s (l /( or)a/o >or Es>inoa () al +,,P& (n

Cil($+

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R(s>(c)o al (s)a/o ci1il (l ?+$%J /( los a/2l)os 5aBor(s son casa/os B (l 6-$6Json 1i2/os& 5i(n)ras 2( Var(la () al r(>or)a 2( 2n %,$%J /( AM son casa/os B2n 62(/( r(lacionars( con los ni1(l(s c2l)2ral(s B social(s /( (s)( >as$ En (s)((s)2/io s( (ncon)r9 2( (l +:$-J /( los a/2l)os 5aBor(s son anal8a0()as& (l-?$:J sa0( l((r B (scri0ir B solo (l ;%$ri5aria& co5>ara/o conZa1ala=Gonl( 2i(n r(>or)o 2( (l :+$,J /( los AM )i(n(n (/2caci9n >ri5aria

B (l $+,J (s anal8a0()a$%

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la /(s)ina/a >ara as25ir (l rol /( c2i/a/ora& la 52@(r (s) 5s >r(>ara/a >arar(aliar la0or(s /( c2i/a/o /(0i/o a 2( )i(n/( a in1ol2crars( /(s/( (l >2n)o /(1is)a (5ocional B a8(c)i1o$

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2n %;$;J& co5>ara/o con lo r(>or)a/o >or Ri1(ra () al /on/( (l >ro5(/io /( (/a/82( /( %+$ aos& >r(/o5inan/o (l 3r2>o /( ;- a ?, aos con 2n %?$?J$ !o 2(r(8l(@a 2( la (/a/ /(l c2i/a/or (s) 52B c(rcana a la /(l a/2l)o 5aBor/(>(n/i(n)(& a25(n)an/o la car3a /( >ro0l(5as /( sal2/ B /(s3a)( (5ocional$ -%

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+,--P (ncon)raron 2( (l %,J /( los C"I )i(n(n (/2caci9n >ri5aria& (l ++$6J>r(>ara)oria B --$6J (s)2/ios >ro8(sional(s$6,

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(rsonas 2(r(alian las la0or(s /( c2i/a/o son 8a5iliar(s /ir(c)os& (ncon)ra5os 2( (l

;%$or (l c9nB23( con

;6$rinci>al c2i/a/or 82( la i@a con%osa con -+$:J$-?

En r(laci9n a la an)i3(/a/ 2( s( )i(n( r(alian/o las la0or(s /( c2i/a/o(ncon)ra5os 2( (l 6:$%J ll(1an (n)r( - a % aos c2i/an/o al AMD& s(32i/o >or+$-J 2( )i(n( (n)r( -- B -% aos& 5i(n)ras 2( Ri1(ra () al r(>or)o 2( (l ;;Jll(1a0a (n)r( - B % aos B (l +6J 5s /( -- aos$-% Ti(5>o 2( >o/ra )(n(r 5aBori5>ac)o /(0i/o a 2( (n los >ri5(ros aos s( )i(n(n 2( aco>lar a la n2(1aac)i1i/a/ B con8or5( >asan los aos s( 1a 3(n(ran/o 5aBor car3a >or (l )i(5>o Bla can)i/a/ /( r(c2rsos >(rsonal(s B (5ocional(s in1(r)i/os$

En c2an)o a las oras /( c2i/a/o al /a& (ncon)ra5os 2( la 5aBor >ar)( /( los

c2i/a/or(s >ri5arios in8or5al(s 0rin/an la 5aBor >ar)( /(l /a a las )ar(as /(c2i/a/o& (n (s)( (s)2/io (l ??$%J /(/ican 5s /( -+ rs a las la0or(s /( c2i/a/o&si5ilar a lo r(>or)a/o >or Al8aro=Ra5r( () al 2i(n r(8i(r( 2( (ncon)r9 2n ?:J/( los C"I /(/ica0an 5s /( -+ rs$-+

En r(laci9n al a>oBo 8a5iliar r(ci0i/o >ara (l c2i/a/o /(l a/2l)o 5aBor/(>(n/i(n)( (ncon)ra5os 2( 2n ?+$%J /( los C"I no r(ci0(n a>oBo 8a5iliar B 2n

+6:$%J si r(ci0(n a>oBo 8a5iliar& co5>ara/o con (l 6+J /( los C"I 2( no r(ci0(na>oBo B (l ?oBo r(>or)a/o >or Ri1(ra () al$ -%

D(l )o)al /( C"I solo (l -or)a/o >or D2(as () al2i(n r(8i(r( 2( (l 6?$6J r(alia al32na ac)i1i/a/ r(cr(a)i1a B (l ?6$:J no r(alianin32na ac)i1i/a/ r(cr(a)i1a$-,

!a >r(1al(ncia /( so0r(car3a (ncon)ra/a (n n2(s)ra >o0laci9n /( (s)2/io 82( /(%?$6J& si(n/o l(1( (n (l 6-$?J B (4c(si1a (l -%$2n)2aci9n 5(/ia o0)(ni/a(n /ico c2(s)ionario 82( /( ;2n)os& a /i8(r(ncia /( lo r(>or)a/o >or

!9>( Gil () al /on/( la >r(1al(ncia /( so0r(car3a 82( /( ??$;J si(n/o l(1( (n (l


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+6$:J B (4c(si1a 6+$:J$ !a >2n)2aci9n 5(/ia 82( /( %6$: >2n)os$-;

R(s>(c)o a la cali/a/ /( 1i/a /( los c2i/a/or(s >ri5arios in8or5al(s (ncon)ra5os2na 5ala >(rc(>ci9n /( sal2/ (n )o/as las /i5(nsion(s /(l c2(s)ionario /( sal2/SF=-+& (ncon)ra5os 2( la 82nci9n 8sica (s la 5(nos a8(c)a/a& a/(5s las>(rsonas c2i/a/oras >(rci0(n >(or s2 (s)a/o /( sal2/ 5(n)al 2( (l 8sico& (l

c2i/a/or >ri5ario s( (nc2(n)ra 0a@o si)2acion(s /( /(5an/a (5ocional in)(nsa2( lo si)a (n >osicion(s /( ri(s3o >ara s2 sal2/& r(s2l)a/os si5ilar(s s((ncon)raron (n lo r(>or)a/o >or F(rnn/( () al (n Es>aa$ 6,

Al corr(lacionar las /i5(nsion(s B los co5>on(n)(s /(l c2(s)ionario /( sal2/ B laso0r(car3a /(l C"I s( (ncon)raron corr(lacion(s >osi)i1as& (s)a/s)ica5(n)(si3ni8ica)i1as (n)r( )o/as las /i5(nsion(s B la so0r(car3a >,$,%& IC %JP& si5ilara lo r(>or)a/o >or F(rnn/( () al$6,

6,

1?.- CONCLUSIONES

"or los r(s2l)a/os o0)(ni/os >o/(5os concl2ir 2( (l >(r8il /(l c2i/a/or >ri5arioin8or5al /( n2(s)ro (s)2/io (s si5ilar a lo r(>or)a/o >or la 0i0lio3ra8a )an)onacional co5o in)(rnacional& (s /(cir& la 5aBora son 52@(r(s& casa/as& a5as /(casa& i@as o (s>osa /(l AMD& con (scolari/a/ 0sica& /(/ica/as co5>l()a5(n)( alc2i/a/o /(l AMD$

El c2i/ar a 2na >(rsona (n1(@(ci/a (4i3( 52co )i(5>o B /(/icaci9n ocasionan/o2na car3a (5ocional B 8sica in)(nsa$ Encon)ran/o 2na >r(1al(ncia /( so0r(car3a/(l %?$6J& a/(5s s( (ncon)r9 la a8(c)aci9n /( la cali/a/ /( 1i/a /(l c2i/a/or

>ri5ario (n )o/as las /i5(nsion(s analia/as$ Es claro 2( (l a25(n)o (n la car3aa8(c)a 8sica B (5ocional5(n)(& (ncon)ran/o 2( las la0or(s /( c2i/a/o 3(n(ran2n 3ran i5>ac)o (n la 1i/a /( 2i(n >ro>orciona los c2i/a/os$ "or lo 2( la>r(32n)a /( in1(s)i3aci9n 82( con)(s)a/a sa)is8ac)oria5(n)(& corro0oran/o lai>9)(sis /( )ra0a@o B c25>li(n/o con ca/a 2no /( los o0@()i1os >lan)(a/os$

[email protected] RECOMENDACIONES


40/68

Es i5>or)an)( conoc(r (l i5>ac)o >(rsonal 2( 3(n(ra (l c2i/ar a 2n AMD& >or lo2( s( s23i(r( i5>l(5(n)ar a ni1(l ins)i)2cional& >rinci>al5(n)( (n (l >ri5(r ni1(l/( a)(nci9n& >ro3ra5as /( a>oBo B r(aliar in)(r1(ncion(s >sicol93icas 0r(1(s 2(>ro52(1an las a0ili/a/(s /( a2)oc2i/a/o B a8ron)a5i(n)o /(l (s)rs& >r(1ini(n/ola so0r(car3a o si (s)a Ba s( >r(s(n)o 5ini5iar (l i5>ac)o so0r( (l c2i/a/or

>ri5ario& 5(@oran/o s2 cali/a/ /( 1i/a B lo3ran/o 2n 5aBor 0i(n(s)ar /( losc2i/a/or(s >ri5arios$

1.- LIMITACIONES

"or s(r 2na 52(s)ra >(2(a li5i)a5os a 2( los r(s2l)a/os o0)(ni/os s(3(n(ralic(n a )o/a la >o0laci9n& >or lo 2( nica5(n)( >2(/(n )rans8(rirs( a>o0lacion(s 2( co5>ar)an si5ili)2/(s socio/(5o3r8icas a la >o0laci9n r(8(ri/a(n (s)( (s)2/io$

6-1.- BIBLIOGRAFA

- R2i=Dios(s !& Ca5>os=!(9n M& "(a N$ Si)2aci9n socio8a5iliar& 1aloraci9n82ncional B (n8(r5(/a/(s >r(1al(n)(s /(l A/2l)o MaBor 2( ac2/( a(s)a0l(ci5i(n)os /(l >ri5(r ni1(l /( a)(nci9n$ R(1 "(r M(/ E4> Sal2/ "0lica$+,,inoa E& Mn/( V& !ara R& Ri1(ra "$ Fac)ors associa)(/ )o )( l(1(l o8

o1(rloa/ in in8or5al car()a(rs o8 /(>(n/an) s(nior a/2l)s 2n/(r con)rol$ T(oria(n ln(aP +,,Q -< -P* ?=:$

6 !9>( D1alos G& Do5n32( G2(/(a MT& Ocoa Marco0ic M"& Mon)i(l Car1a@alMM& !a0orin Wl1ar( 7F& Do5n32( G2(/(a R!& () al$ Vali/aci9n /( la (scala /(0i(n(s)ar s20@()i1o (n c2i/a/or(s 8a5iliar(s /( a/2l)os 5aBor(s$ "sicolo3a BSal2/$ +,-,Q +, -P* -6=++$

; Ins)i)2)o Nacional /( Es)a/s)ica B G(o3ra8a INEGIP$ M2@(r(s B Ho50r(s (nM4ico +,-,$

% Za1ala=Gonl( MA& "osa/a=Ar1alo SE& Can)="r( RG$ D(>(n/(ncia82ncional B /(>r(si9n (n 2n 3r2>o /( ancianos /( Villa(r5osa& M4ico$ Arci1os/( M(/icina Fa5iliar$ +,-,Q -+ ;P* --?=-+?$

? Doran)(s=M(n/oa G& W1ila=F2n(s 7A& M(@a=Aran3o S& G2)irr(=Ro0l(/o !M$Fac)or(s asocia/os con la /(>(n/(ncia 82ncional (n los a/2l)os 5aBor(s* 2nanlisis s(c2n/ario /(l Es)2/io Nacional so0r( Sal2/ B En1(@(ci5i(n)o (n M4ico&+,,-$ R(1 "ana5 Sal2/ "0lica$ +,,:Q ++ -P* -=--$


41/68

: Manri2(=Es>inoa '& Salinas=Ro/r32( A& Mor(no=Ta5aBo & Tll(=Ro@o MM$"r(1al(ncia /( /(>(n/(ncia 82ncional B s2 asociaci9n con ca/as (n 2na 52(s)ra/( a/2l)os 5aBor(s >o0r(s (n M4ico$ Sal2/ "0lica M(4$ +,--Q %6 -P* +?=66$

< Xon3 R& Es>inoa M& "alloni A$ A/2l)os 5aBor(s 5(4icanos (n con)(4)o

socio(con95ico a5>lio* sal2/ B (n1(@(ci5i(n)o$ Sal2/ "0lica M(4$ +,,:Q ; ;P*;6?=;;:$

'2r3os Garri/o "& Fi32(roa Ro/r32( V& F2(n)(s V(r/23o M& 2i@a/a H(rnn/(I& Es>inoa !a1o E$ Carac)(ria)ion an/ noYl(/3( l(1(l o8 )( in8or5al car(3i1(ro8 >a)i(n)s Yi) s(1(r( /(>(n/(nc($ T(oria (n ln(aP$ +,,( U$ So0r(car3a& ansi(/a/ B /(>r(si9n (n c2i/a/or(s>ri5arios /( >aci(n)(s con /olor cr9nico B )(r5inal(s$ R(1 M(/ Ins) M(4 S(32roSoc$ +,,r(si9n& (s)rs B so0r(car3a (n c2i/a/or(s 8a5iliar(s /( >(rsonas con /(5(ncia)i>o Al(i5(r$ R(1is)a Cil(na /( N(2ro>sicolo3a$ +,-,Q % +P* -6:-;%$

-; !9>( Gil M7& Or2()a Snc( R& G95( Caro S& Snc( Oro>(a A& Car5ona/( la Mor(na 7& Alonso Mor(no F7$ El rol /( c2i/a/or /( >(rsonas /(>(n/i(n)(s Bs2s r(>(rc2sion(s so0r( s2 Cali/a/ /( Vi/a B s2 Sal2/$ R(1 Clin M(/ Fa5$ +,,Q+ :P* 66+=66$

-% Ri1(ra=Mora H& D1ila=M(n/oa R& Gonl(="(/raa A1ils A$ Cali/a/ /( 1i/a /(los c2i/a/or(s >ri5arios /( >aci(n)(s 3(ri)ricos /( la clnica /( M(/icina Fa5iliarDr$ I3nacio C1(& ISSSTE$ R(1 Es> M(/ 2ir$ +,--Q -? -P* +:=6+$

-? Moral(s Cario EM& Enr2( San/o1al M!& 7i5n( H(rr(ra '!& Miran/a D2ar)(A& S(rrano Miran/a TA$ E1al2aci9n /(l cola>so /(l c2i/a/or (n (l >aci(n)( a/2l)o5aBor con os)(oar)rosis$ R(1 M(4 M(/ Fis R(a0$ +,-,Q ++ 6P* ?=-,,$

-: V(lasco Ca5>os MA$ Man(@o /(l (n8(r5o cr9nico B s2 8a5ilia$ E/i)orial Man2alMo/(rno$ M4ico& D$F$ +,,-Q >$ :?=$


42/68

-< Ar(ca0ala MC& Ca)oni MI& "al5a E& 'arrios S$ D(>r(si9n B A2)o>(rc(>ci9n /( lacar3a /(l c2i/a/o (n >aci(n)(s (n (5o/ilisis B s2s c2i/a/or(s$ R(1 "ana5Sal2/ "0lica$ +,--Q 6, -P* :;=:$

- Mar)n( Gonl( !D& Ro0l(s R(n/9n MT& Ra5os /(l Rio '& San)i(s)(0an

Macario F& Garca Val/s ME& Moral(s Enr2( MG& () al$ Car3a >(rci0i/a /(lc2i/a/or >ri5ario /(l >aci(n)( con >arlisis c(r(0ral in8an)il s(1(ra /(l C(n)ro /(R(a0ili)aci9n In8an)il T(l()9n$ R(1is)a M(4icana /( M(/icina Fsica BR(a0ili)aci9n$ +,,(an=Gonl( 7M& Sil(rio=V2( 7& Cas)illo=Da R& "arra=Do5n32( M!$"ro8il( an/ o1(rcar3( o8 )( >ri5arB car( >ro1i/(rs o8 )( 5a@or a/2l) >a)i(n) Yi)n(2rolo3ical a88(c)ions$ R(1 CONAMED$ +,,( CG$Vali/( /( la (n)r(1is)a /( car3a /( Zari) (n 2na 52(s)ra /( c2i/a/or(s >ri5ariosin8or5al(s$ "sicolo3a B Sal2/$ +,,


43/68

+ Mon)orio I& F(rnn/( M& !9>( A& Snc( M$ !a En)r(1is)a /( Car3a /(lC2i/a/or$ U)ili/a/ B 1ali/( /(l conc(>)o /( car3a$ Anal(s /( "sicolo3a$ -ci9n /(l(s)a/o /( sal2/ (n 8a5iliar(s c2i/a/or(s B s2 r(laci9n con (l ni1(l /( so0r(car3a$"sico)(5a (n ln(aP$ +,--Q +6 6P* 6


44/68

6%UNIVERSIDAD AUTNOMA DE ZACATECAS

Francisco Garca SalinasUNIDAD ACADMICA DE MEDICINA HUMANA

CIENCIAS DE !A SA!UDDIVISIN DE ESTUDIOS DE "OSGRADO

INSTITUTO ME#ICANO DE! SEGURO SOCIA!UNIDAD DE MEDICINA FAMI!IAR No$ %% FRESNI!!O&

ZACATECAS$

ANEXO 1

CARTA DE CONSENTIMIENTO INFORMADO

"or 5(/io /( la >r(s(n)( ac(>)o >ar)ici>ar (n (l >roB(c)o /( in1(s)i3aci9n )i)2la/oSO'RECARGA CA!IDAD DE VIDA DE! CUIDADOR "RIMARIO INFORMA! DE!

ADU!TO MAOR DE"ENDIENTE& r(3is)ra/o an)( (l Co5i) !ocal /( In1(s)i3aci9n (nSal2/& /(l Hos>i)al G(n(ral /( Zona No$ - /(l IMSS (n Zaca)(cas& Zaca)(cas$El o0@()i1o /( (s)( (s)2/io (s /()(r5inar la cali/a/ /( 1i/a B la so0r(car3a /(l c2i/a/or

>ri5ario in8or5al /(l a/2l)o 5aBor /(>(n/i(n)( 2( r(ci0( cons2l)a a /o5icilio >or >ar)(/(l s(r1icio ATHODO IMSS& (n Fr(snillo& Zaca)(cas$S( 5( a (4>lica/o 2( 5i >ar)ici>aci9n consis)ir (n /ar r(s>2(s)a a la c/2la /(

r(col(cci9n /( /a)os corr(s>on/i(n)( B ac(>)ar (n)rar al (s)2/io co5>ro5()in/o5( ar(s>on/(r (n 8or5a 1(r/ica a las >r(32n)as 2( s( 5( r(alian$D(claro 2( s( 5( a in8or5a/o 2( no (4is)(n ri(s3os /(ri1a/os /( 5i >ar)ici>aci9n (n

(l (s)2/io B con (l 0(n(8icio /( 0rin/ar 2n 5(@or s(r1icio (n sal2/$En)i(n/o 2( cons(r1o (l /(r(co /( r()irar5( /(l (s)2/io (n c2al2i(r 5o5(n)o (n 2(

consi/(r( con1(ni(n)(& sin 2( (llo a8(c)( la a)(nci9n 5/ica 2( r(ci0o (n (l ins)i)2)o$ Elin1(s)i3a/or >rinci>al 5( a /a/o la s(32ri/a/ /( 2( no s( 5( i/(n)i8icara (n las>r(s(n)acion(s B >20licacion(s 2( /(ri1(n /( (s)( (s)2/io B 2( los /a)os r(laciona/os


45/68

con 5i >ri1aci/a/ s(rn 5an(@a/os (n 8or5a con8i/(ncial$ Ta50in s( a co5>ro5()i/o a>ro>orcionar5( la in8or5aci9n ac)2alia/a 2( s( o0)(n3a /2ran)( (l (s)2/io& a2n2( (s)a>2/i(ra ca50iar /( >ar(c(r r(s>(c)o a 5i >(r5an(ncia (n (l 5is5o$"ara c2al2i(r /2/a o >r(32n)a 8a1or /( co52nicars( al )(l8ono 6 + ,< + /( r(s(n)( c2(s)ionario cons)a /( ?+ >r(32n)as las c2al(s /(0(rn s(rco5>l()a/as s(3n los /a)os 2( s( l( 1aBan >i/i(n/o$ Dico c2(s)ionario s(r a>lica/o>or (l in1(s)i3a/or (n 8or5a /ir(c)a al c2i/a/or >ri5ario in8or5al /(l a/2l)o 5aBor/(>(n/i(n)($

FECHA* \\\\\\\\]\\\\\\\]\\\\\\\\$ Folio* \\\\\\\\\\\

DIA MES A^O

DATOS SOCIODEMOGRFICOS DEL ADULTO MAYOR:

-$= E/a/ /(l a/2l)o 5aBor aos c25>li/osP* P-P ?,=? aos +P :,=: aos 6P


46/68

6$= Escolari/a/ /(l a/2l)o 5aBor* P-P Anal8a0()a +P >ri5aria 6P s(c2n/aria ;P "r(>ara)oria %P >ro8(sional

;$= Es)a/o Ci1il /(l a/2l)o 5aBor* P-P Casa/o +P Di1orcia/o 6P Vi2/o ;P Uni9n !i0r( %P Sol)(ro

%$= En8(r5(/a/(s Cronico/(3(n(ra)i1as* \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\

DATOS SOCIODEMOGRFICOS DEL CUIDADOR PRIMARIO

?$= E/a/ /(l c2i/a/or >ri5ario* P-P 6,=;% aos +P ;? a ?, aos 6P ?-=:% aos ;P :%aos

:$= Gn(ro* P-P Masc2lino +P F(5(nino

ri5ario in8or5al* P-P Anal8a0()a +P "ri5aria 6P S(c2n/aria ;P "r(>ara)oria %P Uni1(rsi/a/

$= Es)a/o ci1il* P-P Casa/o +P Di1orcia/o 6P Vi2/o ;P Uni9n !i0r( %P Sol)(ro

6:-,$= Oc2>aci9n* P

-P "ro8(sionis)a +P E5>l(a/o 6P A5a /( casa ;P O0r(ro %P Ca5>(sino?P D(s(5>l(a/o :P "(nsiona/o

--$= !23ar /( r(si/(ncia* P-P Ur0ana +P R2ral

-+$= Ma)(rial /( >iso* P-$ R(c20ri5i(n)o* los()a& 5a/(ra 02(noP+$ C(5(n)o r(32larP6$ Ti(rra 5aloP

-6$= A32a "o)a0l(* P-$ In)ra/o5icilaria 02(noP

+$ D(n)ro /(l 1(cin/ario o )(rr(no r(32larP6$ Hi/ran)( >0lico 5aloP

-;$= Eli5inaci9n /( (4cr()as* P-$ Dr(na@( 02(noP

+$ O)ros* l()rina& >oo n(3ro& 8(calis5o 5aloP

-%$= Ni1(l /( acina5i(n)o* >(rsona >or c2ar)o P-$ No acina/o* as)a + 02(noP+$ S(5iacina/o* 6 r(32larP


47/68

6$ Hacina/o* ; B 5s 5aloP

-?$= "ar(n)(sco con (l a/2l)o 5aBor* P-P C9nB23( ;P H(r5ano aP :P (rno+P 5a/r( o "a/r( %P Ni()o aP6P Hi@o aP ?P N2(ra

aci(n)(* P-P K - ao +P -=% aos 6P ?=-, aos ;P --=-% aos %P -? o 5as

-o /(/ica/o al c2i/a/o /(l >aci(n)( orasP* P-P ?=-, rs +P --=-% 6P -?=+,rs ;P +-=+;rs

-$= R(ci0( a>oBo >or >ar)( /( s2 8a5ilia* P-P Si +P No

+,$= R(alia al32na ac)i1i/a/ r(cr(a)i1a* P

-P Si +P No

6l()a5(n)( sin aB2/a& o r(ci0( aB2/a solo >ara 2na >ar)( /( c2(r>o& >or

(@(5>lo* la (s>al/a$+P N(c(si)a aB2/a >ara 5s /( 2na >ar)( /(l c2(r>o& >ara (n)rar o salir /( la 0a(ra o

a/i)a5(n)os (s>(cial(s (n la 0a(ra$6P Co5>l()a5(n)( inca>a >ara /ars( 2n 0ao >or s 5is5o$

++$= S2 8a5iliar* P-P Es ca>a /( (sco3(r ro>a& 1(s)irs(]/(s1(s)irs(& 5an(@ar cin)2ron(s]s2@()a/or(sQ s(

(4cl2B( (l a)ars( los a>a)os

+P N(c(si)a aB2/a >2(s solo (s) >arcial5(n)( 1(s)i/o$6P Co5>l()a5(n)( inca>a /( 1(s)irs( >or s 5is5o$

+6$= S2 8a5iliar* P-P Es ca>a /( >(inars(& a8(i)ars( sin aB2/a+P N(c(si)a aB2/a >ara >(inars(& a8(i)ars(6P Co5>l()a5(n)( inca>a /( c2i/ar s2 a>ari(ncia$

+;$= S2 8a5iliar* P-P Es ca>a /( ir al ino/oro& s(n)ars( B >arars(& a@2s)ar la ro>a& li5>iar 9r3anos /( (4cr(ci9n$


48/68

+P R(ci0( aB2/a >ara acc(/(r a B 2sar (l ino/oroQ 2sa orinal r(32lar5(n)($6P Co5>l()a5(n)( inca>a /( 2sar (l ino/oro$

+%$= S2 8a5iliar* P-P Ti(n( con)rol /( la Micci9n]/(8(caci9n+P Ti(n( incon)in(ncia 8(cal]2rinaria >arcial o )o)al& 2sa (n(5as& 2so r(32la/o /(

orinal(s]c95o/os$ 6P Usa ca))(r o colos)o5a

+?$= S2 8a5iliar* P-P Es ca>a /( acos)ars(]s(n)ars( B l(1an)ars( /( la ca5a]silla sin asis)(ncia 25ana o

5(cnica+P N(c(si)a aB2/a 25ana o 5(cnica6P Co5>l()a5(n)( inca>a /( )rasla/ars(Q n(c(si)a s(r l(1an)a/o$

+:$= S2 8a5iliar* P-P Es ca>a /( ca5inar sin aB2/a& (4c(>)o >or (l 0as)9n+P N(c(si)a asis)(ncia 25ana]an/a/or& 52l()as

6P Co5>l()a5(n)( inca>a /( ca5inarQ n(c(si)a s(r l(1an)a/o

6+a /( ali5(n)ars( co5>l()a5(n)( a si 5is5o +P N(c(si)aaB2/a >ara cor)ar o 2n)ar (l >an& ()c$6P Co5>l()a5(n)( inca>a /( ali5(n)ars( >or s 5is5o o n(c(si)a ali5(n)aci9n>ar(n)(ral$

ENTREVISTA DE SOBRECARGA DE ZARIT

+$= "i(nsa 2( s2 8a5iliar l( >i/( 5s aB2/a /( la 2( r(al5(n)( n(c(si)a[

-

NUNCA CASI NUNCAALGUNAS VECES FRECUENTEMENTE SIEMPRE

6,$= "i(nsa 2( /(0i/o al )i(5>o 2( /(/ica a s2 8a5iliar no )i(n( s28ici(n)( )i(5>o >ara2s)(/[

NUNCA CASI NUNCA ALGUNAS VECES FRECUENTEMENTESIEMPRE

6-$= S( si(n)( a3o0ia/o >or in)(n)ar co5>a)i0iliar (l c2i/a/o /( s2 8a5iliar con o)rasR(s>onsa0ili/a/(s )ra0a@o& 8a5iliaP[

+ 6 ; %

%

- + 6 ;


49/68

- + 6 ; %


6+$= Si(n)( 1(r3(na >or la con/2c)a /( s2 8a5iliar[

- + 6 ; %


66$= S( si(n)( (n8a/a/o c2an/o (s) c(rca /( s2 8a5iliar[

- + 6 ; %


6;$= "i(nsa 2 (l c2i/ar /( s2 8a5iliar a8(c)a n(3a)i1a5(n)( la r(laci9n 2( 2s)(/ )i(n(con o)ros 5i(50ros /( s2 8a5ilia[

- + 6 ; %


;,6%$= Ti(n( 5i(/o >or (l 82)2ro /( s2 8a5iliar[

- + 6 ; %


6?$= "i(nsa 2 s2 8a5iliar /(>(n/( /( 2s)(/[

NUNCA CASINUNCA ALGUNAS VECES FRECUENTEMENTE SIEMPRE

6:$= S( si(n)( )(nso c2an/o (s) c(rca /( s2 8a5iliar[

- + 6 ; %


- + 6; %


50/68

6(rsona 2( lo >2(/( c2i/ar[

- + 6 ; %


;-;6$= "i(nsa 2 no )i(n( s28ici(n)(s in3r(sos (con95icos >ara los 3as)os /( c2i/ar a s28a5iliar& a/(5s /( s2s o)ros 3as)os[

NUNCA CASI NUNCAALGUNAS VECES FRECUENTEMENTE SIEMPRE

;;$= "i(nsa 2 no s(r ca>a /( c2i/ar a s2 8a5iliar >or 52co 5s )i(5>o[NUNCA CASI NUNCA ALGUNAS VECESFRECUENTEMENTE SIEMPRE

;%$= Si(n)( 2 a >(r/i/o (l con)rol /( s2 1i/a /(s/( 2( co5(n9 la (n8(r5(/a/ /( s28a5iliar[

-

+

; %6

+ 6

-

; %

6 ; %

- +

- +%

6


51/68

NUNCACASI NUNCAALGUNAS VECES

FRECUENTEMENTE SIEMPRE

;?$= D(s(ara >o/(r /(@ar (l c2i/a/o /( s2 8a5iliar a o)ra >(rsona_[

- + 6 ; %


;:$= S( si(n)( in/(ciso so0r( 2 ac(r con s2 8a5iliar_[

NUNCA CASI NUNCA ALGUNASVECES FRECUENTEMENTE SIEMPRE

;o/ra c2i/ar 5(@or a s2 8a5iliar_[

NUNCA CASI NUNCA ALGUNAS VECESFRECUENTEMENTE SIEMPRE

%,$= Glo0al5(n)(& 2 3ra/o /( car3a (4>(ri5(n)a >or (l (co /( c2i/ar a s2 8a5iliar[

- + 6 ; %

NADA POCA MODERADA MUCHAEXCESIVA

;+

CUESTIONARIO SOBRE CALIDAD DE VIDA

%-$= En 3(n(ral& 2s)(/ /ira 2( s2 sal2/ (s*

1 ! " $ =

%

- + 6 ;

+ 6 ;

%

- +

-6

;

+ 6

-

; %


52/68

E/)()79) M& &)7+ B&)7+ R)0&(+ M+(+

!as si32i(n)(s >r(32n)as s( r(8i(r(n a ac)i1i/a/(s o cosas 2( 2s)(/ >o/ra ac(r (n 2n/a nor5al$ S2 sal2/ ac)2al& l( li5i)a >ara ac(r (sas ac)i1i/a/(s o cosas[ Si (s as&c2n)o[

1 ! "SK; SK; N,; 7,

6) (2629+ 6) (2629+ 6) (2629+ 6&/, &7 5,/, 7+3+

%+$= E*8&),* 6,3)+3,*& co5o 5o1(r 2na 5(sa&>asar la as>ira/ora& @23ar a los0olos o ca5inar 5s /( - ora

%6$= S20ir 4+2,* >isos >or la (scal(ra

D2ran)( las ; l)i5as s(5anas& a )(ni/o al32no /( los si32i(n)(s >ro0l(5as (n s2

)ra0a@o o (n s2s ac)i1i/a/(s co)i/ianas& a ca2sa /( s2 sal2/ 8sica[

S1 NO!

%;$= H2, 6)7,*/( lo 2( 20i(ra 2(ri/o ac(r[

%%$= T21o 2( 3)+ 3) +/) +(0&7+* 9+)+* (n s2 )ra0a@o o (ns2s ac)i1i/a/(s co)i/ianas[

D2ran)( las ; l)i5as s(5anas& a )(ni/o al32no /( los si32i(n)(s >ro0l(5as (n s2)ra0a@o o (n s2s ac)i1i/a/(s co)i/ianas& a ca2sa /( al3n >ro0l(5a (5ocional co5o

(s)ar )ris)(& /(>ri5i/o& o n(r1iosoP[ 1 !S NO

%?$= H2, 6)7,* /( lo 2( 20i(ra 2(ri/o ac(r& 5, +(075,()6+ )6,/2,7+([

%:$= No io s2 )ra0a@o o s2s ac)i1i/a/(s co)i/ianas )an/&23+3,*+6)79) co5o /( cos)250r(& 5, +(07 5,()6+)6,/2,7+(

;6%2n)o (l /olor l( a /i8ic2l)a/o s2 )ra0a@oa0i)2al incl2i/o (l )ra0a@o 82(ra /( casa B las )ar(as /o5s)icasP[

1 ! " $ =

N+3+ U7 5,/, R)0&(+ B+*9+79) M&/,


53/68

!as >r(32n)as 2( si32(n s( r(8i(r(n a c95o s( a s(n)i/o B c95o l( an i/o las cosas/2ran)( las ; l)i5as s(5anas$ En ca/a >r(32n)a r(s>on/a lo 2( s( >ar(ca 5s a c95os( a s(n)i/o 2s)(/$ D2ran)( las ; l)i5as s(5anas c2n)o )i(5>o$$$

1 ! " $ = ?

S2)65)C+*2

*2)65)M&/+*4)/)*

A(0&7+*4)/)*

S(,+(0&7+

4) N&7/+

%$= S( sin)i9 cal5a/o B)ran2ilo[

?,$= T21o 52ca (n(r3a[

?-$= S( sin)i9 /(sani5a/o B)ris)([

?+$= D2ran)( las ; l)i5as s(5anas& con 2 8r(c2(ncia la sal2/ 8sica o los >ro0l(5as(5ocional(s l( an /i8ic2l)a/o s2s ac)i1i/a/(s social(s co5o 1isi)ar a los a5i3os o8a5iliar(sP[

1 ! " $ =

S2)65) C+*2 *2)65) A(0&7+* 4)/)*

S(, +(0&7+ 4) N&7/+

;;


54/68

ANEXO "

NDICE DE NIVEL SOCIOECON#MICO: INSE

"ara /()(r5inar (l ni1(l socio(con95ico s( consi/(ra co5o i/9n(a 2)iliar (lINSE& (l c2al (s 2n ins)r25(n)o a5>lia5(n)( conoci/o con 1ali/aci9n r(conoci/aB 2( cons)a /( ; >r(32n)as con >osi0l(s r(s>2(s)as ca/a 2na B 2( nos >(r5i)i9i/(n)i8icar (s)a 1aria0l( (n 2na (scala c2ali)a)i1a or/inal clasi8ican/o (n NSE (n02(no& r(32lar B 5alo$

732/) 3) N24)( S,/2,)/,762/,: INSE

-$= Ma)(rial /( >iso*-$ R(c20ri5i(n)o* los()a& 5a/(ra 02(noP

+$ C(5(n)o r(32larP6$ Ti(rra 5aloP `````````$ P

+$= A32a "o)a0l(*-$ In)ra/o5icilaria 02(noP+$ D(n)ro /(l 1(cin/ario o )(rr(no r(32larP6$ Hi/ran)( >0lico 5aloP ``````````$ P

6$= Eli5inaci9n /( (4cr()as*-$ Dr(na@( 02(noP

+$ O)ros* l()rina& >oo n(3ro& 8(calis5o 5aloP ``````$$$$$$ P

;$= Ni1(l /( acina5i(n)o* >(rsona >or c2ar)o-$ No acina/o* as)a + 02(noP+$ S(5iacina/o* 6 r(32larP

6$ Hacina/o* ; B 5s 5aloP ``````````$ P

Ni1(l socio(con95ico 5alo


55/68

ANEXO $

EVALUACI#N DE LAS ACTIVIDADES BSICAS DE LA VIDA DIARIA NDICEDE ATZ

'A^ARSE*I S( 0aa co5>l()a5(n)( sin aB2/a& o r(ci0( aB2/a solo >ara 2na >ar)( /( c2(r>o& >or (@(5>lo* la (s>al/a$A N(c(si)a aB2/a >ara 5s /( 2na >ar)( /(l c2(r>o& >ara (n)rar o salir /( la 0a(ra o a/i)a5(n)os(s>(cial(s (n la 0a(ra$D Co5>l()a5(n)( inca>a >ara /ars( 2n 0ao >or s 5is5o$

VESTIRSE*I Ca>a /( (sco3(r ro>a& 1(s)irs(]/(s1(s)irs(& 5an(@ar cin)2ron(s]s2@()a/or(sQ s( (4cl2B( (l a)ars( losa>a)os

A N(c(si)a aB2/a >2(s solo (s) >arcial5(n)( 1(s)i/o$D Co5>l()a5(n)( inca>a /( 1(s)irs( >or s 5is5o$

A"ARIENCIA "ERSONA!*I Ca>a /( >(inars(& a8(i)ars( sin aB2/a

A N(c(si)a aB2/a >ara >(inars(& a8(i)ars(D Co5>l()a5(n)( inca>a /( c2i/ar s2 a>ari(ncia$

USAR E! INODORO*I Ca>a /( ir al ino/oro& s(n)ars( B >arars(& a@2s)ar la ro>a& li5>iar 9r3anos /( (4cr(ci9n$

A r(ci0( aB2/a >ara acc(/(r a B 2sar (l ino/oroQ 2sa orinal r(32lar5(n)($ D Co5>l()a5(n)( inca>a /( 2sar (l ino/oro$

CONTINENCIA*I Micci9n]/(8(caci9n a2)ocon)rola/os

A incon)in(ncia 8(cal]2rinaria >arcial o )o)al& con)rol 5(/ian)( (n(5as& ca))(r(s& 2so r(32la/o /( orinal(s$ D Usa ca))(r o colos)o5a

TRAS!ADARSE*I Ca>a /( acos)ars(]s(n)ars( B l(1an)ars( /( la ca5a]silla sin asis)(ncia 25ana o 5(cnica

A N(c(si)a aB2/a 25ana o 5(cnicaD co5>l()a5(n)( inca>a /( )rasla/ars(Q n(c(si)a s(r l(1an)a/o$

CAMINAR*I Ca>a /( ca5inar sin aB2/a& (4c(>)o >or (l 0as)9n

A N(c(si)a asis)(ncia 25ana]an/a/or& 52l()asD Co5>l()a5(n)( inca>a /( ca5inarQ n(c(si)a s(r l(1an)a/o

A!IMENTARSE*I Ca>a /( ali5(n)ars( co5>l()a5(n)( a si 5is5o A N(c(si)a aB2/a >ara cor)ar o 2n)ar (l >an& ()c$

D co5>l()a5(n)( inca>a /( ali5(n)ars( >or si 5is5o o n(c(si)a ali5(n)aci9n >ar(n)(ral$

INTER"RETACIN*S( consi/(ra Iin/(>(n/i(n)( a 2na >(rsona 2( no >r(cisa aB2/a o 2)ilia aB2/a solo >ara 2n co5>on(n)( /( la ac)i1i/a/&B D /(>(n/i(n)( a a2(lla 2( n(c(si)a aB2/a /( o)ra >(rsona& incl2B(n/o s2>(r1isi9n o 32a& >ara )o/os losco5>on(n)(s /( la ac)i1i/a/Q (l A3ra/o in)(r5(/io /( /(>(n/(ncia (s a2(lla >(rsona 2( r(2i(r( /( asis)(ncia >ara5s /( 2n co5>on(n)(& >(ro >2(/( r(aliar o)ros co5>on(n)(s /( la ac)i1i/a/ sin aB2/a o s2>(r1isi9n$ !a /(>(n/(ncia s(s20clasi8ica a s2 1( (n& ()4)c2an/o n(c(si)a aB2/a (n 2na ac)i1i/a/ /( la 1i/a /iaria& 6,3)+3+c2an/o n(c(si)a aB2/a(n + ac)i1i/a/(s B *)4)+c2an/o n(c(si)a aB2/a (n )r(s o 5s ac)i1i/a/(s /( la 1i/a /iaria

;?


56/68

ANEXO =

ENTREVISTA DE SOBRECARGA DE ZARIT

A con)in2aci9n s( >r(s(n)a 2na lis)a /( a8ir5acion(s& (n las c2al(s s( r(8l(@a c95o s(

si(n)(n& a 1(c(s& las >(rsonas 2( c2i/an a o)ra >(rsona$ D(s>2s /( l((r ca/a

a8ir5aci9n& /(0( 5arcar 2na casilla 2( in/i2( con 2 8r(c2(ncia s( si(n)( 2s)(/ as*

n2nca& casi n2nca& al32nas 1(c(s& 8r(c2(n)(5(n)( o si(5>r($ A la ora /( r(s>on/(r

>i(ns( 2( no (4is)(n r(s>2(s)as ac(r)a/as o (2i1oca/as& sino )an s9lo s2 (4>(ri(ncia$

- n2nca& + casi n2nca& 6 al32nas 1(c(s& ; 8r(c2(n)(5(n)(& % si(5>r(

-$= "i(nsa 2( s2 8a5iliar l( >i/( 5s aB2/a /( la 2( r(al5(n)( n(c(si)a[

-

NUNCA CASINUNCA ALGUNAS VECES FRECUENTEMENTE SIEMPRE

+$= "i(nsa 2( /(0i/o al )i(5>o 2( /(/ica a s2 8a5iliar no )i(n( s28ici(n)( )i(5>o >ara2s)(/[


6$= S( si(n)( a3o0ia/o >or in)(n)ar co5>a)i0iliar (l c2i/a/o /( s2 8a5iliar con o)rasR(s>onsa0ili/a/(s )ra0a@o& 8a5iliaP[

- + 6 ; %


;$= Si(n)( 1(r3(na >or la con/2c)a /( s2 8a5iliar[

- + 6 ; %


%$= S( si(n)( (n8a/a/o c2an/o (s) c(rca /( s2 8a5iliar[

- + 6 ; %


+ 6 ; %

%

- + 6 ;


57/68

3 5421

NNCA CA#I NNCA ANA# ECE# -ECENEMENE #IEM'-E

54321


ANEXO ??$= "i(nsa 2( (l c2i/ar /( s2 8a5iliar a8(c)a n(3a)i1a5(n)( la r(laci9n 2( 2s)(/ )i(n(con o)ros 5i(50ros /( s2 8a5ilia[

- + 6 ; %


;::$= Ti(n( 5i(/o >or (l 82)2ro /( s2 8a5iliar[

NUNCACASI NUNCA ALGUNAS VECES FRECUENTEMENTE SIEMPRE

(ora/o /(0i/o a )(n(r 2( c2i/ar /( s2 8a5iliar[

- + 6 ; %


--$= "i(nsa 2( no )i(n( )an)a in)i5i/a/ co5o l( 32s)ara /(0i/o a )(n(r 2( c2i/ar/( s2 Fa5iliar[

-+$= "i(nsa 2( s2 1i/a social s( a 1is)o a8(c)a/a n(3a)i1a5(n)( >or )(n(r 2(

c2i/ar a s2 Fa5iliar[NUNCA CASI NUNCA ALGUNAS

VECES FRECUENTEMENTE SIEMPRE

-6$= S( si(n)( inc95o/o >or /is)anciars( /( s2s a5is)a/(s /(0i/o a )(n(r 2( c2i/ar/( s2 Fa5iliar[

-

+ 6 ; %

-

+

; % 6


58/68

54321


1 5432


ANEXO @

-;$= "i(nsa 2( s2 8a5iliar l( consi/(ra a 2s)(/ la nica >(rsona 2( lo >2(/( c2i/ar[

- + 6 ; %


-%$= "i(nsa 2( no )i(n( s28ici(n)(s in3r(sos (con95icos >ara los 3as)os /( c2i/ar a s28a5iliar& a/(5s /(s2s o)ros 3as)os[


;or s2 8a5iliar_[

- + 6 ; %

%

- + 6 ;

%

+ 6 ;

- +

-


59/68

ANEXO NUNCA CASI NUNCA ALGUNAS VECES FRECUENTEMENTESIEMPRE

+-$= "i(nsa 2( >o/ra c2i/ar 5(@or a s2 8a5iliar_[


++$= Glo0al5(n)(& 2 3ra/o /( car3a (4>(ri5(n)a >or (l (co /( c2i/ar a s28a5iliar[

- + 6 ; %

NADA POCA MODERADAMUCHA EXCESIVA

++=;? a2s(ncia /( so0r(car3a

;:=%% so0r(car3a l(1(

%?=--, so0r(car3a (4c(si1a

;ANEXO ?

CUESTIONARIO SF-1! SOBRE EL ESTADO DE SALUD

!as >r(32n)as 2( si32(n s( r(8i(r(n a lo 2( 2s)(/ >i(nsa so0r( s2 sal2/$ S2s

r(s>2(s)as >(r5i)irn sa0(r c95o s( (nc2(n)ra 2s)(/ B as)a 2 >2n)o (s ca>a

/( ac(r s2s ac)i1i/a/(s a0i)2al(s$ "or 8a1or& con)(s)( ca/a >r(32n)a 5arcan/o

2na casilla$ Si no (s) s(32ro]a /( c95o r(s>on/(r a 2na >r(32n)a& >or 8a1or&

con)(s)( lo 2( l( >ar(ca 5s ci(r)o$

-$ En 3(n(ral& 2s)(/ /ira 2( s2 sal2/ (s*

1 ! " $ =

E/)()79) M& &)7+ B&)7+ R)0&(+ M+(+

!as si32i(n)(s >r(32n)as s( r(8i(r(n a ac)i1i/a/(s o cosas 2( 2s)(/ >o/ra ac(r (n 2n /anor5al$ S2 sal2/ ac)2al& l( li5i)a >ara ac(r (sas ac)i1i/a/(s o cosas[ Si (s as& c2n)o[

%6

+ 6

-; %


60/68

ANEXO

1 ! "SK;

6) (2629+6&/,

SK;M) (2629+ &75,/,

N,; 7,6)(2629+

7+3+

+$ E*8&),* 6,3)+3,*& co5o 5o1(r 2na 5(sa& >asar laas>ira/ora& @23ar a los 0olos o ca5inar 5s /( - ora

6$ S20ir 4+2,* >isos >or la (scal(ra

D2ran)( las ; l)i5as s(5anas& a )(ni/o al32no /( los si32i(n)(s >ro0l(5as (n s2 )ra0a@o o(n s2s ac)i1i/a/(s co)i/ianas& a ca2sa /( s2 sal2/ 8sica[

1 !S NO

;$ H2, 6)7,*/( lo 2( 20i(ra 2(ri/o ac(r[

%$ T21o 2( 3)+ 3) +/) +(0&7+* 9+)+* (n s2 )ra0a@o o (ns2s ac)i1i/a/(s co)i/ianas[

%,D2ran)( las ; l)i5as s(5anas& a )(ni/o al32no /( los si32i(n)(s >ro0l(5as (n s2 )ra0a@o o(n s2s ac)i1i/a/(s co)i/ianas& a ca2sa /( al3n >ro0l(5a (5ocional co5o (s)ar )ris)(&/(>ri5i/o& o n(r1iosoP[

1 !?$ H2, 6)7,*/( lo 2( 20i(ra 2(ri/o ac(r& S NO 5, +(07

5,()6+ )6,/2,7+([

:$ No io s2 )ra0a@o o s2s ac)i1i/a/(s co)i/ianas )an /&23+3,*+6)79) co5o/( cos)250r(& 5, +(07 5,()6+ )6,/2,7+([

2n)o (l /olor l( a /i8ic2l)a/o s2)ra0a@o a0i)2al incl2i/o (l )ra0a@o 82(ra /( casa B las )ar(as /o5s)icasP[

1 ! " $ =

N+3+ U7 5,/, R)0&(+ B+*9+79) M&/,


61/68

ANEXO 1>!as >r(32n)as 2( si32(n s( r(8i(r(n a c95o s( a s(n)i/o B c95o l( an i/o las cosas/2ran)( las ; l)i5as s(5anas$ En ca/a >r(32n)a r(s>on/a lo 2( s( >ar(ca 5s a c95os( a s(n)i/o 2s)(/$ D2ran)( las ; l)i5as s(5anas c2n)o )i(5>o$$$

1 ! " $ = ?S(,S2)65) C+*2 M&/+* A(0&7+* +(0&7+ N&7/+*2)65) 4)/)* 4)/)* 4)

$ s( sin)i9 cal5a/o B)ran2ilo[

-,$ )21o 52ca (n(r3a[

--$ s( sin)i9 /(sani5a/o B)ris)([

-+$ D2ran)( las ; l)i5as s(5anas& con 2 8r(c2(ncia la sal2/ 8sica o los>ro0l(5as (5ocional(s l( an /i8ic2l)a/o s2s ac)i1i/a/(s social(s co5o 1isi)ara los a5i3os o 8a5iliar(sP[

1 ! " $ =

S2)65) C+*2 *2)65) A(0&7+* 4)/)* S(, +(0&7+ 4) N&7/+

"ara ca/a /i5(nsi9n los )(5s s( co/i8ican& s( a3r(3an B s( )rans8or5an (n 2nran3o /( >2n)2aci9n 2( 1a /( , >(or (s)a/o /( sal2/P as)a -,, 5(@or (s)a/o /(

sal2/P& con 2na 5(/ia /( %, B 2na DE /( -,& >or lo 2( >2n)2acion(s s2>(rior(s o

in8(rior(s a %, in/ican 5(@or o >(or (s)a/o /( sal2/$

%-ANEXO @

OPERACIONALIZACI#N DE LAS VARIABLES

VARIABLE DEFINICI#NCONCEPTUAL DEFINICI#NOPERACIONAL ESCALA DEMEDICI#N UNIDAD DEMEDICI#N


62/68

ANEXO ="C2i/a/or >ri5ario

in8or5al"(rsona

r(s>onsa0l( /(la)(n/(r las

82ncion(s 0sicas/(l >aci(n)(

/(>(n/i(n)(

"(rsona 2(>ro1i(n( /(l crc2lo8a5iliar o 1(cinal& s((ncar3a /(l c2i/a/ono >ro8(sional /(l

(n8(r5o /( 8or5a1ol2n)aria& no (sr(52n(ra/o

(con95ica5(n)(& nor(ci0( ca>aci)aci9n

>r(1ia >ara laa)(nci9n /(l

>aci(n)(& /(/ica/o/2ran)( 2n 5ni5o/( ? s(5anas a 65(s(s a las )ar(as

/( c2i/a/o

C2ali)a)i1aNo5inal

"olico)95ica

Es>oso aPMa/r("a/r(

H(r5ano aPHi@o aP

A5i3o aPO)ros 8a5iliar(s

So0r(car3a Es 2n (s)a/o

>sicol93ico 2(r(s2l)a /( la

co50inaci9n /()ra0a@o 8sico&

>r(si9n (5ocional&las r(s)riccion(s

social(s& as co5o/(5an/as

(con95icas 2(s2r3(n al c2i/ar 2n(n8(r5o cr9nico o/isca>aci)a/o B 2(>2(/(n a8(c)ar s2sac)i1i/a/(s /( ocio&r(lacion(s social(s&

a5is)a/(s&in)i5i/a/& li0(r)a/ B(2ili0rio (5ocional

Car3a 2( r(8i(r( (l

c2i/a/or >ri5ario al5o5(n)o /( r(aliar

la (nc2(s)a*so0r(car3a /(l

c2i/a/or >ri5ario /(Zari)

C2ali)a)i1a

Or/inal

A2s(ncia /(

so0r(car3aSo0r(car3a l(1(

So0r(car3a(4c(si1a

Cali/a/ /( 1i/a Es la 1aloriaci9n2( r(alia 2na

>(rsona& /(ac2(r/o con s2s

>ro>ios cri)(rios /(l(s)a/o 8sico&

(5ocional B social(n 2( s(

(nc2(n)ra (n 2n5o5(n)o /a/o

Cali/a/ /( 1i/ao0)(ni/a >or 5(/io

/(l c2(s)ionarioSF-+

C2ali)a)i1aNo5inal

Dico)95ica

Mala K %, '2(na%-=-,,

VARIABLE DEFINICI#NCONCEPTUAL

DEFINICI#NOPERACIONAL

ESCALA DEMEDICI#N

UNIDAD DEMEDICI#N

F2nci9n 8sica Mo1i5i(n)ocor>oral

>ro/2ci/o >or los5sc2los

(s2(l)icos 2((4i@a 3as)o /(

!i5i)aci9n >arar(aliar

ac)i1i/a/(s8sicas /(0i/o a

>ro0l(5as /(sal2/

C2ali)a)i1aNo5inal

Dico)95ica

Mala K %, '2(na%-=-,,


63/68

ANEXO =$(n(r3a

Rol Fsico F2nci9n 8sica 2(s( c25>l(

co)i/iana5(n)(

!i5i)aci9n 8sica>ara r(aliarac)i1i/a/(s

co)i/ianas >or>ro0l(5as /(sal2/ 8sica

C2ali)a)i1aNo5inal

ico)95ica

Mala K%, '2(na%-=-,,

Dolor cor>oral E4>(ri(ncias(nsorial B(5ocional

/(sa3ra/a0l(r(laciona/a con

2n /ao r(al o>o)(ncial /( )(@i/os

Dolor cor>oral C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,

Es)a/o /( sal2/3(n(ral

Es)a/o /(co5>l()o

0i(n(s)ar 8sico&5()al B social

Es)a/o /( sal2/3(n(ral >(rci0i/o>or (l c2i/a/or

>ri5ario in8or5al

C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,

Vi)ali/a/ En(r3a Bac)i1i/a/ 2(>r(s(n)a 2na>(rsona >ara

1i1ir o

/(sarrollars(

En(r3a 2(>r(s(n)a 2na>(rsona >arar(aliar s2sac)i1i/a/(sco)i/ianas

C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,

F2nci9n social Ac)i1i/a/(sr(alia/as (n

co5>aa /( o)ras>(rsonas

!i5i)aci9n (n la>ar)ici>aci9n /(

ac)i1i/a/(ssocial(s /(0i/o a

>ro0l(5as /(sal2/

C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,

Rol (5ocional F2nci9n>sico8isiol93ica2( r(>r(s(n)an

5o/os /(a/a>)aci9n a

ci(r)os (s)52losa50i(n)al(s o /(2no 5is5o

!i5i)aci9n >arar(aliar

ac)i1i/a/(sco)i/ianas /(0i/o a

>ro0l(5as

(5ocional(s

C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,



ESCALA DEMEDICI#N

UNIDAD DEMEDICI#N


64/68

ANEXO ==Sal2/ 5(n)al Es)a/o /( 0i(n(s)ar

/on/( (l in/i1i/2o (sconsci(n)( /( s2s

ca>aci/a/(s& >2(/(a8ron)ar las )(nsion(s

/( la 1i/a B r(aliarac)i1i/a/(s /( la 1i/a/iaria$

Sal2/ 5(n)al3(n(ral

C2ali)a)i1aNo5inal

Dico)95ica

Mala K%, '2(na%-=-,,

Co5>on(n)( /(sal2/ 8sico

R(s2l)a/o /( las25a /( las

/i5(nsion(s 82nci9n8sica& rol 8sico& /olor

cor>oral

R(s2l)a/o /( las25a /( las/i5(nsion(s

82nci9n 8sica& rol8sico& /olor

cor>oral

C2ali)a)i1aNo5inal

Dico)95ica

Malo K%, '2(no%-=-,,

Co5>on(n)( /(sal2/ 5(n)al


/i5(nsion(s sal2/

5(n)al B rol(5ocional


/i5(nsion(s sal2/

5(n)al B rol(5ocional

C2ali)a)i1aNo5inal

Dico)95ica

Malo K%, '2(no%-=-,,

D(>(n/(ncia Dis5in2ci9n oa2s(ncia /( laca>aci/a/ >arar(aliar al32na

ac)i1i/a/ (n la 8or5ao /(n)ro /( los

5r3(n(sconsi/(ra/os co5o

nor5al(s

D(>(n/(ncia82ncional

i/(n)i8ica/a5(/ian)( la

a>licaci9n /(lins)r25(n)o a)

C2ali)a)i1aOr/inal

D(>(n/i(n)( !(1(-P

Mo/(ra/o +PS(1(ro 6 o bP

E/a/ Aos c25>li/os Ti(5>o 2( ll(1a(4is)i(n/o 2na

>(rsona /(s/( s2naci5i(n)o as)a

(l /a ac)2al

C2an)i)a)i1a

Discr()a

aos c25>li/os

Gn(ro !o ac(>)a/o /(ac2(r/o a s2scarac)(rs)icas8(no)>icas& s(a

o50r( o 52@(r

Carac)(rs)icas0iol93icas 2(/i8(r(ncian alo50r( /( la

52@(r

C2ali)a)i1aNo5inal

Dico)95ica

F(5(ninoMasc2lino

Escolari/a/ Gra/o aca/5ico Ti(5>o /2ran)( (lc2al s( asis)( a la

(sc2(la o a 2nc(n)ro /(

(ns(ana

C2ali)a)i1aor/inal

Anal8a0()a "ri5ariaS(c2n/aria

"r(>ara)oria o'acill(ra)o

"ro8(sional



ESCALA DEMEDICI#N

UNIDAD DEMEDICI#N


65/68

ANEXO =?Es)a/o Ci1il Si)2aci9n l(3al Si)2aci9n /(

ca/a >(rsona (nr(laci9n con las

l(B(s ocos)250r(sr(la)i1as al

5a)ri5onio 2((4is)(n (n (l >as

C2ali)a)i1aNo5inal

>olico)95ica

Casa/o aPSol)(ro aPVi2/o aP

Di1orcia/o aPUni9n li0r(

En8(r5(/a/(scr9nicas

En8(r5(/a/(s/( lar3a /2raci9nB >or lo 3(n(ral/( >ro3r(si9n

l(n)a

En8(r5(/a/cr9nica r(8(ri/a>or (l >aci(n)(

C2ali)a)i1aNo5inal

"olico)95ica

Hi>(r)(nsi9nar)(rial

Dia0()(s 5(lli)2sO)(o52sc2lar(scar/io1asc2lar(s

R(s>ira)oriasN(2rol93icas"si2i)ricas

!23ar /(r(si/(ncia

!23ar (n /on/(con1i1( 2nin/i1i/2o /(

8or5a>(r5an(n)(

Ti>o /( 1i1i(n/a/on/( a0i)a la

/ia/a>aci(n)(c2i/a/or

C2ali)a)i1aNo5inal

Dico)95ica

Ur0anaR2ral

Oc2>aci9n E5>l(o r(8(ri/o(n (l 5o5(n)o/( a>licar la(nc2(s)a& /(ac2(r/o al

INEGI$

Ac)i1i/a/ (n 2(al32i(n /(0((5>l(ar s2

)i(5>o

C2ali)a)i1aNo5inal

"olico)95ica

"ro8(sionis)as&o0r(ro&

(5>l(a/o&co5(rcian)(&a5a /( casa&/(s(5>l(a/o&>(nsiona/o

Ni1(lsocio(con95ico

Ni1(lsocio(con95icoi/(n)i8ica/o conla a>licaci9n /(l

Ni1(lSocio(con95ico

INSE

Es (l (s)a/o 2(32ar/a (l

in/i1i/2o (n lasoci(/a/ /(ac2(r/o a s2(cono5a$

C2ali)a)i1aOr/inal

Malo PR(32lar ;=%>P

'2(no ;>P

"ar(n)(sco R(laci9n o 2ni9n(n)r( las

>(rsonas >or1ir)2/ /( la

na)2ral(a o l(B

R(laci9n 2()i(n( (l c2i/a/or>ri5ario con (la/2l)o 5aBor/(>(n/i(n)(

C2ali)a)i1aNo5inal

"olico)95ica

Es>oso aPMa/r( o "a/r(H(r5ano aP

Hi@o aPNi()o aPN2(ra(rno

A5i3o

%%

N DE LAS VARIABLES


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ANEXO =@VARIABLE DEFINICI#N

CONCEPTUALDEFINICI#N

OPERACIONALESCALA DEMEDICI#N

UNIDAD DEMEDICI#N

An)i3(/a/ (n (lc2i/a/o /(l>aci(n)(

Ti(5>o (n aos/(/ica/o alc2i/a/o /(l

>aci(n)(

N5(ro /( aos2( )i(n( alc2i/a/o /(l

>aci(n)(

C2an)i)a)i1aDiscr()a

Aos r(8(ri/os>or (l c2i/a/or

>ri5ario al

5o5(n)o /( la(nc2(s)aTi(5>o /(/ica/o

al c2i/a/oTi(5>o /(/ica/oa las ac)i1i/a/(s

/( c2i/a/o

Horas /iarias/(/ica/as alc2i/a/o /(l>aci(n)(

r(8(ri/as al5o5(n)o /( la

(nc2(s)a

C2an)i)a)i1aDiscr()a

Horas r(8(ri/as>or (l c2i/a/or

>ri5ario al5o5(n)o /( la

(nc2(s)a

A>oBo 8a5iliar "ro)(cci9n&aB2/a o 8a1oro)or3a/o >or la

8a5ilia

AB2/a >(rci0i/a>or (l c2i/a/or

>ri5ario >or>ar)( /( s2

8a5ilia

C2ali)a)i1aNo5inal

Dico)95ica

SiNo

R(cr(aci9n Ac)i1i/a/(sa3ra/a0l(s (n

las 2( >ar)ici>a2na >(rsona/2ran)( s2

)i(5>o li0r( B2( son (l(3i/as1ol2n)aria5(n)(

>ara o0)(n(r>lac(r& 0(n(8icios

>(rsonal(s Bsocial(s

Ac)i1i/a/r(alia/a >or (l

c2i/a/or >ri5ario(n s2 )i(5>oli0r(B 2( l( 3(n(r(3oo o >lac(r

C2ali)a)i1aNo5inal

Dico)95ica

SiNo

%?ANEXO

FLUJOGRAMA


67/68

'9,7:,(8;%:F 55 < G? 2

898(,(8:%'+ @=8(,+

>'7, 89:=:

>%8*'+: )' =,7,A:4" ,(8'%='+

,98(,(8;% )'(>'+=8:%,8:'+=>(=>,):

7,+' )' ),=:+,%B98+8+ '+=,)C+=8(:

'D('9+++ *15'8),= 3.1

'+>9=,):+

)8F>+8;% < >798(,(8:%

ANEXO =

%:


68/68

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