Autocuidado y calidad de vida en adultos mayores residentes en una zona desfavorecida de Comas, Lima 2026
DOI:
https://doi.org/10.53684/csp.v6i1.184Keywords:
Self-care, Quality of life, Aged, Aging (Source: DeCS/MeSH).Abstract
Objetivo: Identificar la relación entre autocuidado y calidad de vida en adultos mayores residentes en una zona desfavorecida de Comas, Lima 2026
Materiales y métodos: Se realizó un estudio cuantitativo, correlacional y transversal, donde participo una muestra de 76 adultos mayores. El autocuidado se evaluó con la Escala de Autocuidado del Adulto Mayor (EA-AM), integrada por 24 ítems, y la calidad de vida con la Escala de Calidad de Vida del Adulto Mayor (ECV-AM), conformada por 18 ítems. Resultados: La edad promedio de los informantes fue de 70,45 años. Predominaron los participantes de sexo masculino (63,2%), con educación secundaria (68,4 %) y convivencia familiar (93,4%). El autocuidado mostró principalmente un valor moderado (63,2%), al igual que la calidad de vida (59,2%). Se encontró una relación positiva y estadísticamente significativa entre ambas variables (rho=0,616; p<0,001). Todas las dimensiones del autocuidado se asociaron con la calidad de vida; las relaciones de mayor magnitud correspondieron a eliminación (rho=0,605), descanso y sueño (rho=0,578) y alimentación e hidratación (rho=0,550). Conclusiones: En la población estudiada, una mayor presencia de conductas de autocuidado se relacionó con una mejor valoración de la calidad de vida. Los hallazgos resaltan la necesidad de reforzar acciones comunitarias vinculadas con actividad física, seguimiento de la salud, descanso, manejo de medicamentos y participación social.
References
World Health Organization. Ageing and health [Internet]. Geneva: WHO; 2025 [citado 31 ene 2026]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Pan American Health Organization, Economic Commission for Latin America and the Caribbean. Demographic outlook for population aging in the Region of the Americas. Washington (DC): PAHO; 2023. Disponible en: https://www.paho.org/en/documents/demographic-outlook-population-aging-region-americas
González-González E, Requena C. Self-care interventions of community-dwelling older adults: a systematic review and meta-analysis. Front Public Health. 2023;11:1254172. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37876713/
Hu Q, Toonsiri C, Hengudomsub P. Factors affecting quality of life among older adults with hypertension in Wenzhou, China: a cross-sectional study. Belitung Nurs J. 2024;10(6):654-61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39601033/
Mikkonen U, Tusa N, Sinikallio S, Lehto SM, Ruusunen A, Kautiainen H, et al. The relationship between self-care preparedness and quality of life in a 3-year-follow-up: a study in primary health care. Fam Pract. 2025;42(1):cmae069. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39673498/
Cecchini S, Comelatto P, Holz R, Kang S, Paes Y. Impactos económicos del envejecimiento en América Latina y el Caribe: desafíos y oportunidades [Internet]. Santiago: CEPAL; 2025 [citado 31 ene 2026]. Disponible en: https://www.cepal.org/es/publicaciones/82262-impactos-economicos-envejecimiento-america-latina-caribe-desafios-oportunidades
Santamaria-Garcia H, Sainz-Ballesteros A, Hernandez H, Moguilner S, Maito M, Ochoa-Rosales C, et al. Factors associated with healthy aging in Latin American populations. Nat Med. 2023;29(9):2248-58. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37563242/
Fernández-Ortiz YN. Healthy aging in Colombia 2018 and its variation in relation to social conditions. Int J Environ Res Public Health. 2024;21(9):1244. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39338127/
Mrejen M, Nunes L, Giacomin K. Socioeconomic inequalities in health and healthcare utilization among the elderly in Brazil: results from the 2019 National Health Survey. Public Health. 2024;226:165-72. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38071949/
Salinas-Rodríguez A, Fernández-Niño JA, Rivera-Almaraz A, Manrique-Espinoza B. Intrinsic capacity trajectories and socioeconomic inequalities in health: the contributions of wealth, education, gender, and ethnicity. Int J Equity Health. 2024;23(1):48. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38462637/
Cortés-Hernández ME, Cano-Estrada EA, Castañeda-Márquez AC, Hurtado-Salgado EM, Aya-Roa KJ, Hernández-Mariano JA. Self-care and health-related quality of life in Mexican older adults with type 2 diabetes. J Educ Health Promot. 2025;14:51. Disponible en: https://pubmed.ncbi.nlm.nih.gov/40144149/
Instituto Nacional de Estadística e Informática. Situación de la población adulta mayor: III trimestre 2025. Informe Técnico N.° 04 [Internet]. Lima: INEI; 2025 [citado 31 ene 2026]. Disponible en: https://www.inei.gob.pe/media/MenuRecursivo/boletines/situacion-de-la-poblacion-adulta-mayor-iii-trimestre-2025.pdf
Domínguez-Vergara J, Santa-Cruz-Espinoza H, Torres-Villanueva GN, Franco Cabos Zelada E. Operational domains of healthy aging: a qualitative description in older adults in Peru. Rev Esp Geriatr Gerontol. 2024;59(4):101485. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38518548/
Pérez Agüero CY, Runzer Colmenares FM, Vásquez Alva R, Villavicencio Chávez C. Factores asociados a la calidad de vida en adultos mayores con insuficiencia orgánica crónica avanzada en un hospital de Lima-Perú. Rev Fac Med Hum. 2023;23(2):77-87. Disponible en: https://www.scielo.org.pe/scielo.php?pid=S2308-05312023000200077&script=sci_arttext
Arteaga N, Leiton Z, Villanueva B. Autoestima y práctica de autocuidado en personas adultas mayores. SCIÉNDO. 2024;27(2):219-26. Disponible en: https://revistas.unitru.edu.pe/index.php/SCIENDO/es/article/view/5954
Martínez N, Connelly CD, Pérez A, Calero P. Self-care: a concept analysis. Int J Nurs Sci. 2021;8(4):418-25. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34631992/
Penton H, Dayson C, Hulme C, Young T. A qualitative investigation of older adults' conceptualization of quality of life and a think-aloud content validation of the EQ-5D-5L, SF-12v2, Warwick Edinburgh Mental Wellbeing Scale, and Office of National Statistics-4. Value Health. 2022;25(12):2017-27. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35760713/
Creswell JW, Creswell JD. Research design: qualitative, quantitative, and mixed methods approaches. 6th ed. Thousand Oaks: SAGE Publications; 2022.
Wang X, Cheng Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest. 2020;158(1 Suppl):S65-S71. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32658654/
Ponto J. Understanding and evaluating survey research. J Adv Pract Oncol. 2015;6(2):168-171. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC4601897/
Orem DE. Nursing: Concepts of Practice. 6th ed. St. Louis: Mosby; 2001.
Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126(5):1763-1768. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29481436/
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human participants. JAMA. 2025;333(1):71-74. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2825290
Lawless MT, Oster C, Block H, Cash B, Bulto LN, Pinero de Plaza MA, et al. Self-management support interventions for socioeconomically disadvantaged older adults with chronic conditions: a systematic review. Patient Educ Couns. 2025;141:109305. Disponible en: https://pubmed.ncbi.nlm.nih.gov/40845471/
Taaon C, Kraithaworn P, Piaseu N. The effects of nursing case management on self-care behaviors, clinical outcomes, and quality of life among community-dwelling older adults with poorly controlled type 2 diabetes in Thailand. J Community Health Nurs. 2024;41(1):11-20. Disponible en: https://pubmed.ncbi.nlm.nih.gov/37846859/
Ziv I, Caspi D, CoJocaru D. Self-management elucidates how practicing physical exercises influences the health related quality of life of independently dwelling older adults. Inquiry. 2024;61:469580241271272. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39323068/
Palmberg L, Suorsa K, Löppönen A, Karavirta L, Rantanen T, Rantalainen T. 24-hour movement behaviors and changes in quality of life over time among community-dwelling older adults: a compositional data analysis. Int J Behav Nutr Phys Act. 2024;21(1):130. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39533320/
Yan F, Xiao L, Huang C, Tang S, Li L. Effectiveness of a nurse-led hybrid self-management program for community-dwelling older people with urinary incontinence: a randomized controlled trial. Int J Nurs Stud. 2025;170:105157. Disponible en: https://pubmed.ncbi.nlm.nih.gov/40639206/
Zhu W, Wang F, Cao Y, Wu Q. The relationships among family functioning, sleep quality and quality of life in Chinese community-dwelling older adults with insomnia: a structural equation model. Clin Gerontol. 2025;48(5):1126-1139. Disponible en: https://pubmed.ncbi.nlm.nih.gov/38781533/
Previdoli G, Cheong VL, Alldred D, Tomlinson J, Tyndale-Biscoe S, Silcock J, et al. A rapid review of interventions to improve medicine self-management for older people living at home. Health Expect. 2023;26(3):945-988. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36919190/
Yang YT, Yao M, Yang YW, Lin T. Self-management experiences in fall prevention among community-dwelling older adults in China: a descriptive qualitative study. Ann Med. 2024;56(1):2392878. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39320983/
Liang LY. The impact of social participation on the quality of life among older adults in China: a chain mediation analysis of loneliness, depression, and anxiety. Front Public Health. 2024;12:1473657. Disponible en: https://pubmed.ncbi.nlm.nih.gov/39386948/







