Los pacientes optimistas (OD) presentaban un menor riesgo de ser ingresados que los pesimistas (PD) (OR: 0,55 IC 95%: 0,32-0,94 p <0,05) y los pacientes con ingresos hospitalarios mostraron una puntuación en el LOT-R significativamente menor que los que no ingresaron (19,4 ± 5,7 frente a 22,3 ± 4,6 p = 0,001). Resultados: La edad media fue de 64,8 ± 14,3 años la mediana de tiempo en hemodiálisis de 2,9 años (rango: 0-32), y la mediana en el LOT-R 21 (rango: 6-30). 3) Índice de comorbilidad de Charlson (ICM). 2) Calidad de vida relacionada con la salud (CVRS) mediante las láminas COOP/WONCA: a mayor puntuación peor calidad de vida referida. Se utilizaron los siguientes cuestionarios y variables: 1) O/P disposicional mediante el LOT-R de Scheier (1994) en su versión española: a mayor puntuación, mayor grado de optimismo disposicional. Material y métodos: Se estudiaron 239 pacientes en hemodiálisis que fueron categorizados en dos grupos respecto a las variables ingresos /no ingresos hospitalarios en el último año y optimismo/pesimismo disposicional.
Objetivo: Analizar si el optimismo disposicional guarda relación con el número de ingresos hospitalarios que han presentado en el último año los enfermos renales crónicos estadio Vd en nuestros centros. Introducción: El optimismo disposicional es un rasgo de personalidad que se relaciona significativamente con el empleo de estrategias positivas de afrontamiento y con el grado de bienestar psicológico y físico percibidos por el paciente, y que parece ser, también, un importante predictor de enfermedad. Optimistic patients perceived a better state of health. Conclusions: Pessimistic personality trait is significantly associated with hospital admissions in chronic haemodialysis patients, regardless of age, gender and comorbidity. PD patients had significantly higher scores than OD patients in all COOP-WONCA aspects except in aspect 1 (physical fitness) and 5 (change in health). Admitted patients showed worse HRQoL (higher scores in total CW) than those that were not (Total CW: 22.37 vs 19.42 P<.001). We found no significant differences between admitted and not admitted patients in age, gender, time on haemodialysis and comorbidity. PD Patients that were admitted in the last year showed a significantly lower score on LOT-R (they were more pessimistic) than those that had no hospital admissions (19.4±5.7 vs 22.3±4.6 P=.001). Patients considered DO had a lower risk of hospital admissions than pessimists (DP) (OR: 0.55 IC 95%: 0.32-0.94 P<.05).
Results: Mean age was 64.8☑4.3 years median time on dialysis 2.9 years (range: 0-32) and median LOT-R 21 (range 6-30). 3) Modified Charlson Comorbidity Index (mCCI). In this case higher scores mean lower HRQoL. 2) Health-related quality of life (HRQoL) using the different aspects of the COOP/WONCA (CW) charts and its total score. We used the following variables and questionnaires: 1) Dispositional O/P using the Spanish-validated cross-cultural adaptation of the revised version of the Life Orientation Test (LOT-R) (Scheier, 1994): higher scores mean a higher degree of dispositional optimism. of admissions in the last year and dispositional optimism (DO). Patients were categorised into two groups according to the variables: hospital admissions/no. Methods: We studied 239 patients on chronic haemodialysis.
Objectives: To analyse if dispositional optimism is significantly associated with the number of hospital admissions of our chronic haemodialysis patients, as well as its relationship with perceived state of health. Introduction: Dispositional optimism is a personality trait significantly associated with the use of positive adaptive coping strategies as well as with perceived psychological and physical well-being, and it appears to be an important predictor of illness.
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