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Bibliographische Detailangaben
1. Verfasser:	E. Cabada-Ramos
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado 2016
Schlagworte:	Medicina salud ansiedad diálisis depresión Calidad de vida
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=47347633003
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Calidad de vida, depresión y ansiedad en pacientes dializados E. Cabada-Ramos ID Cruz-García A Emanuel-Quezada Medicina salud ansiedad diálisis depresión Calidad de vida La calidad de vida es un concepto subjetivo, multidimensional que incluye tres aspectos: el físico, psicológico y social. Depresión y ansiedad son expresadas por los pacientes cuando no se adhieren al tratamientoe incumplen con las restricciones dietéticas que los con-ducen al deterioro en la calidad de vida aumentando así los riesgos de mortalidad.OBJETIVO: identificar la calidad de vida, depresión y ansiedad en pacientes dializados.MATERIAL Y MÉTODO: transversal, descriptivo, prospectivo, ob-servacional. Instrumentos: Cuestionario SF-36, escalas de Beck para depresión-ansiedad. Muestra: 35 pacientes.RESULTADOS: en la escala de calidad de vida el puntaje medio fue de 57.43/100, en salud física, 49.01/100 y salud mental 65.86/100. El 77.2% tuvo depresión en diferentes grados y 100% ansiedad de leve a grave. No existieron diferencias estadísticamente significativas entre sexos: depresión (p = 0.074), ansiedad (p = 0.533) y calidad de vida (p = 0.577).CONCLUSIÓN: el paciente en tratamiento de diálisis peritoneal per-cibió que ésta le ha afectado en su calidad de vida, principalmente en lo referente al área de salud física ya que reporta limitaciones para realizar actividades que requieren movilidad y esfuerzo, que le causan sensaciones de inoperancia e inutilidad que han derivado que un alto porcentaje presente depresión y ansiedad, que son una de las causas de la falta de apego a las indicaciones médicas y nutricionales. 2016 artículo científico 1665-7330 https://www.redalyc.org/articulo.oa?id=47347633003 es http://www.redalyc.org/revista.oa?id=473 Revista de Especialidades Médico-Quirúrgicas application/pdf Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Revista de Especialidades Médico-Quirúrgicas (México) Num.3 Vol.21

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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