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Workplace Spirituality in Nursing: A Systematic Review 护理工作场所灵性:系统回顾
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-09-30 DOI: 10.33879/amh.113.2020.01001
Ching-Wen Wei, Yi-Chen Wu, Szu-Ying Lee, H. Tung
Background/Purpose: Although we understand that the nurse’s workplace is a source of intense pressure, the relationship of nurses’ spirituality to other relevant workplace variables is not well understood. The purpose of this review was to synthesize the recent evidence on work performance and workplace spirituality in nurses. Methods: A comprehensive literature search of the electronic bibliographic databases CEPS, Medline/PubMed, Embase, Cochrane Library, and Google Scholar was performed using key words and the subject headings “ spirituality ”, “ workplace spirituality ”, “ work environment ”, and “ nurse ”, according to PRISMA guidelines. This yielded seven studies, with a total of 1,855 participants for review. Results: Seven quantitative studies were included. The findings suggested that nurses’ workplace spirituality was strongly related to work performance and psychological variables, such as turnover intention, withdrawal behavior, emotional exhaustion, organizational citizenship behavior, helping/Ihsan behavior, occupational ethics, job satisfaction, and job stress. A strategy based on enhancing well-being, positive mood, and organizational commitment can enhance positive behaviors in nurses. Conclusion: This review showed that workplace spirituality can enhance nurses’ positive behaviors in an organization, which has a profound impact on quality of performance. Further research should focus on the external factors associated with spirituality as well as examine the long-term impact of spirituality through a longitudinal study. Understanding the impact of workplace spirituality on nurses’ physical and psychological status and professional performance can increase awareness of the importance of workplace spirituality. Designing a spiritual intervention based on nurses’ needs as a means to promote good quality of work is key to retaining nurses.
背景/目的:虽然我们了解护士的工作场所是巨大压力的来源,但护士的灵性与其他相关工作场所变量的关系尚不清楚。本综述的目的是综合最近关于护士工作绩效和工作场所灵性的证据。方法:根据PRISMA指南,对电子书目数据库CEPS、Medline/PubMed、Embase、Cochrane Library和谷歌Scholar进行检索,检索关键词和主题为“灵性”、“工作场所灵性”、“工作环境”和“护士”。这产生了7项研究,共有1855名参与者进行了回顾。结果:纳入7项定量研究。研究结果表明,护士的职场灵性与离职倾向、退缩行为、情绪耗竭、组织公民行为、帮助/救助行为、职业道德、工作满意度、工作压力等工作绩效和心理变量密切相关。以提高幸福感、积极情绪和组织承诺为基础的策略可以提高护士的积极行为。结论:工作场所灵性可以增强护士在组织中的积极行为,并对绩效质量产生深远的影响。进一步的研究应该关注与灵性相关的外部因素,并通过纵向研究来检验灵性的长期影响。了解工作场所灵性对护士身心状况和专业绩效的影响,可以提高对工作场所灵性重要性的认识。设计一种基于护士需求的精神干预,作为提高工作质量的手段,是留住护士的关键。
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引用次数: 0
Metabolic Syndrome and Its Components Are Associated with Frailty: A Nationwide Population-Based Study in Taiwan 代谢症候群及其成分与虚弱相关:台湾一项全国性的人口研究
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-06-29 DOI: 10.33879/amh.2020.063-1907.017
Wei‐Ju Lee, L. Peng, Liang‐Kung Chen
Methods: The cross-sectional study comprised of 1,006 communityliving middle and old-age Taiwanese. Metabolic syndrome defined by using National Cholesterol Education Programme Adult Treatment Panel III guidelines. A frailty index of 35 items derived basing on the standard principles of frailty index development. As opposed to the usual method, frailty index (FI) ≤0.08 denoted non-frail; FI ≥0.25 indicated frail; the rest were pre-frail. Multivariable logistic regression analysis was employed to investigate associations between frailty and metabolic syndrome.
方法:对1006名台湾中老年社区居民进行横断面调查。使用国家胆固醇教育计划成人治疗小组III指南定义的代谢综合征。根据虚弱指数制定的标准原则得出的35项虚弱指数。与通常的方法相反,虚弱指数(FI)≤0.08表示不虚弱;FI≥0.25表示虚弱;其余的都是虚弱的。采用多变量逻辑回归分析来研究虚弱与代谢综合征之间的关系。
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引用次数: 5
Frailty in a Community Hospital in Singapore: Prevalence and Contributing Factors 新加坡社区医院的虚弱:患病率和影响因素
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-06-29 DOI: 10.33879/amh.2020.062-1907.015
Jeffrey Jiang, A. Han, Xin Tan, J. Goh, B. Tan
Methods: This was a cross-sectional study. The FRAIL scale was utilised to screen older adult patients aged 65 and above who were admitted as inpatients from 1 July 2017 to 30 April 2018, or seen as outpatients from 1 August to 31 December 2017. A total of 647 inpatients and 616 outpatients were screened. Data was analysed for both groups to determine the prevalence and contributing factors of frailty and compared with baseline demographic data.
方法:这是一项横断面研究。FRAIL量表用于筛查2017年7月1日至2018年4月30日住院的65岁及以上老年患者,或2017年8月1日到12月31日门诊的患者。共筛查了647名住院患者和616名门诊患者。对两组的数据进行分析,以确定虚弱的患病率和促成因素,并与基线人口统计数据进行比较。
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引用次数: 7
Health Status of Elderly Population in the Buea Health District, Cameroon 喀麦隆布埃亚卫生区的老年人口健康状况
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-03-24 DOI: 10.33879/amh.2020.033-1904.010
Agbor Nathan Emeh, Fongang Landis Che, Tambetakaw Njang Gilbert, Atongno Humphrey Ashu
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引用次数: 3
Dementia Care in Developing Countries 发展中国家的痴呆症护理
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-12-23 DOI: 10.33879/amh.2019.121-1912.022
Liang‐Kung Chen
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引用次数: 2
The Safety of Treatment with Cefepime in Elderly Patients 头孢吡肟治疗老年患者的安全性
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-12-23 DOI: 10.33879/amh.2019.125-1805.010
Joyce M. Cabradilla, P. Ong, E. Villaverde, Eloisa Marasigan, Nathalie Declarador, K. Tan, H. N. Tan, Y. Ding
Background/Purpose: Cefepime-induced neurotoxicity has been reported worldwide sporadically. Most patients affected are elderly and have renal impairment. Few cases were identified in our institution and prompted this review to formulate measures to prevent its occurrence. Methods: This is a quality improvement study done in the Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore. We retrieved case records of patients who received cefepime between March 2014 and September 2015. Demographic data, comorbidities, indication, duration and doses of cefepime were recorded. Case records of patients which developed neurologic symptoms were independently reviewed. Patients were determined to have cefepime-induced neurotoxicity based on set criteria. Results: Total of 279 records were reviewed. Cefepime was administered for a mean duration of 3.2 days. Urinary tract infection was the most common indication for prescribing cefepime. Majority of patients were cognitively impaired (n=174, 62%) and had chronic kidney disease (CKD) (n=157, 56%). Six cases (2.2%) were identified to have cefepime-induced neurotoxicity. The mean daily dose of cefepime administered for this group was lower compared to the rest of the cohort, but the duration of treatment was longer. Mean latency period was 3 days and mean recovery period was 4 days. Predominant symptoms were confusion (n=6) and drowsiness (n=5). Other symptoms were myoclonus (n=2) and agitation (n=2). Eighteen patients received higher dose of cefepime based on creatinine clearance, but none of them developed neurologic symptoms. Conclusion: Since this special group is vulnerable, there should be increased awareness for this condition, diligent adjustment of cefepime dosages according to renal function and timely de-escalation of antibiotics.
背景/目的:头孢吡肟引起的神经毒性在世界范围内零星报道。大多数受影响的患者是老年人,有肾功能损害。在我们的机构中发现的病例很少,这促使这次审查制定了防止其发生的措施。方法:这是一项在新加坡Tan Tock Seng医院老年医学部进行的质量改进研究。我们检索了2014年3月至2015年9月期间接受头孢吡肟治疗的患者的病例记录。记录人口统计学数据、合并症、适应症、持续时间和头孢吡肟的剂量。对出现神经系统症状的患者的病例记录进行独立审查。根据设定的标准,确定患者具有头孢吡肟诱导的神经毒性。结果:共审查了279份记录。头孢吡肟给药的平均持续时间为3.2天。尿路感染是开头孢吡肟最常见的适应症。大多数患者认知受损(n=174,62%),患有慢性肾脏疾病(CKD)(n=157,56%)。6例(2.2%)被鉴定为具有头孢吡肟诱导的神经毒性。与其他队列相比,该组患者的头孢吡肟平均日剂量较低,但治疗持续时间较长。平均潜伏期为3天,平均恢复期为4天。主要症状为意识模糊(n=6)和嗜睡(n=5)。其他症状为肌阵挛(n=2)和烦躁不安(n=2)。根据肌酸酐清除率,18名患者接受了更高剂量的头孢吡肟治疗,但没有一名患者出现神经系统症状。结论:由于这一特殊人群易感,应提高对这种情况的认识,根据肾功能适时调整头孢吡肟的剂量,并及时停用抗生素。
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引用次数: 3
The Effectiveness of a Timely Discharge Plan in Older Adults: A Prospective Hospital-Based Cohort Study in Southern Taiwan 老年人及时出院计划的有效性:台湾南部一项前瞻性医院队列研究
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-09-24 DOI: 10.33879/amh.2019.1902
Yu-Chun Wang, Yinghui Lu, Jinhang Wang, C. Liang, M. Chou, Yu-Te Lin, F. Chen, Miao-Ling Lin, Su-Hua Lee, Joh‐Jong Huang
Background/Purpose: The aim of this study was to explore the effect of a timely discharge plan for community-based long-term care (LTC) in older adults (age 65+ years) admitted to a tertiary teaching hospital. Methods: Older patients in geriatric wards who needed communitybased LTC were enrolled between October 2016 and June 2017. Patients living in Kaohsiung City needing community-based LTC received timely discharge, with LTC assessed and arranged prior to discharge. Patients with the same needs but living in a different administrative area served as the control group and received traditional discharge, with LTC arranged after discharge home. All were assessed by the discharge planning team of nurses, geriatricians, and physical therapists. Rates of 3-day Emergency Department (ED) revisit and 14-day, 30-day, and 180-day readmission after hospitalization were assessed, as was length of hospital stay (LOS) and the time until LTC service delivery. Results: Of the 84 participants (mean=80.5 years, standard deviation=9.3 years, 33.3% female) recruited, 42 received timely discharge. Compared to the control group, the timely discharge group waited significantly less for LCT service post discharge (3.4±7.1 days versus 36.4±20.7 days, p <0.001), had shorter LOS (21.1±13.0 days versus 24.2±25.9 days, p=0.531), and lower rates of ED revisit (2.4% versus 4.8%), readmission within 14 days (4.8% versus 9.5%), 30 days (11.9% versus 23.8%), and 180 days (35.7% versus 47.6%). Conclusion: Timely discharge can significantly shorten the wait for community-based LTC for hospitalized older adults. Further studies should seek to reduce LOS, readmissions and ED revisits. 2663-8851/Copyright © 2019, Asian Association for Frailty and Sarcopenia and Taiwan Association for Integrated Care. Published by Full Universe Integrated Marketing Limited. *Correspondence Dr. Ming-Yueh Chou Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan E-mail: pitychou@gmail.com Dr. Joh-Jong Huang Bureau of Social Affairs, Tainan City Government, Tainan, Taiwan Email: jjhua@seed.net.tw Received 1 February 2019 Accepted 12 February 2019
背景/目的:本研究的目的是探讨及时出院计划对入住三级教学医院的老年人(65岁以上)进行社区长期护理(LTC)的效果。方法:在2016年10月至2017年6月期间,老年病房中需要社区LTC的老年患者被纳入研究。居住在高雄市的需要社区LTC的患者及时出院,出院前对LTC进行评估和安排。有相同需求但居住在不同行政区域的患者作为对照组,接受传统出院,出院后安排LTC回家。所有这些都是由护士、老年病学家和物理治疗师组成的出院计划团队进行评估的。评估了住院后3天急诊科(ED)复诊率和14天、30天和180天再次入院率,以及住院时间(LOS)和LTC服务提供时间。结果:在招募的84名参与者中(平均值=80.5岁,标准差=9.3岁,33.3%为女性),42人及时出院。与对照组相比,及时出院组在出院后等待LCT服务的时间显著减少(3.4±7.1天对36.4±20.7天,p<0.001),服务水平更短(21.1±13.0天对24.2±25.9天,p=0.531),ED再次就诊率更低(2.4%对4.8%),14天内再次入院率更低(4.8%对9.5%),30天内再次住院率更低(11.9%对23.8%),180天(35.7%对47.6%)。结论:及时出院可以显著缩短住院老年人对社区LTC的等待时间。进一步的研究应寻求减少LOS、再次入院和ED再次就诊。2663-8851/版权所有©2019,亚洲虚弱和肉瘤协会和台湾综合护理协会。由Full Universe Integrated Marketing Limited出版*通讯台湾高雄荣总医院周明岳老人老年病学中心电子邮件:pitychou@gmail.com台湾台南市台南市政府社会事务局Joh-JongHuang博士电子邮件:jjhua@seed.net.tw接收日期2019年2月1日接受日期2019年12月
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引用次数: 2
Assessment of Cognitive Impairment in Geriatrics Outpatient Clinics–Achieving Standards of Care 老年门诊认知障碍评估——达到护理标准
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-09-24 DOI: 10.33879/amh.2019.1834
L. V. Onn, S. Teo
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引用次数: 0
Development of Integrated Care Certification Program in Taiwan 台湾综合护理认证项目的发展
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-09-24 DOI: 10.33879/amh.2019.1905
H. Tung, Szu-Ying Lee, Sophia H Hu, Huitian. Lin, S. Tseng, Liang‐Kung Chen
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引用次数: 3
Relationship Between Advanced Glycation End Products, Coronary Risk Factors, Abdominal Aortic Diameter and Carotid Intimal Thickness in Elderly Diabetics 老年糖尿病患者晚期糖化终产物、冠状动脉危险因素、腹主动脉直径和颈动脉内膜厚度的关系
IF 1 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2019-09-24 DOI: 10.33879/amh.2019.1904
Walaa W Aly, M. M. Monier, Dalia Hussein Helmy El-Sheikh, M. S. Amer, O. Omar, Ramy M Mahmoud
Background/Purpose: Aortic aneurysm early detection is crucial in cases having elevated clinical risk due to its life-threatening sequelae. This study aims to understand the relationship between advanced glycation end products (AGEs), coronary risk factors, abdominal aortic diameter (AAD) and carotid blood flow in elderly diabetes mellitus (DM). Methods: A case control study conducted on 90 elderly patients, 60 years and above, recruited from the Ain Shams University Hospital. Elderly subjects were divided into 3 groups. Group I (controls): 30 patients without DM; Group II (cases): 30 diabetic cases without co-morbidities; and Group III (cases): 30 diabetic cases with co-morbidities. All groups have undergone assessment of blood sugar, serum lipids, and AGEs, in addition to measurement of carotid intima-medial thickness (CIMT) by carotid duplex scan. Results: Coronary risk is significantly high in Group III (19.300±9.542) followed by Group II (18.200±11.704) then the control group (7.562±5.241). CIMT is significantly higher in Group III (1.377±0.220) followed by Group II (1.193±0.276) then the control group (0.993±0.246). AGEs are significantly high in Group I followed by Group II then Group III. CIMT is statistically significantly correlated with AGEs in Group I. No statistically significant correlation between AAD and AGEs in study groups. There is highly significant correlation between coronary risk and AGEs in Group II. Conclusion: Mean carotid intimal thickness is considered as an early marker of atherosclerotic disease. 2663-8851/Copyright © 2019, Asian Association for Frailty and Sarcopenia and Taiwan Association for Integrated Care. Published by Full Universe Integrated Marketing Limited. *Correspondence Dr. Walaa W Aly Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University, Egypt E-mail: walaawessam@yahoo.com Received 16 February 2019 Accepted 20 June 2019
背景/目的:对于因其危及生命的后遗症而导致临床风险升高的病例,早期发现主动脉瘤至关重要。本研究旨在了解老年糖尿病患者晚期糖基化终产物(AGEs)、冠状动脉危险因素、腹主动脉直径(AAD)和颈动脉血流量之间的关系。方法:对艾因沙姆斯大学医院招募的90名60岁及以上老年患者进行病例对照研究。将老年受试者分为3组。I组(对照组):30例无DM患者;第二组(例):30例无合并症的糖尿病患者;第三组(例):糖尿病合并症30例。除了通过颈动脉双重扫描测量颈动脉内膜中层厚度(CIMT)外,所有组都接受了血糖、血脂和AGEs的评估。结果:冠状动脉风险在III组(19.300±9.542)、II组(18.200±11.704)和对照组(7.562±5.241。CIMT与I组的AGEs在统计学上显著相关。研究组的AAD与AGEs之间没有统计学上显著的相关性。在II组中,冠状动脉风险与AGEs之间存在高度显著的相关性。结论:平均颈动脉内膜厚度是动脉粥样硬化性疾病的早期标志。2663-8851/版权所有©2019,亚洲虚弱和肉瘤协会和台湾综合护理协会。由Full Universe Integrated Marketing Limited出版*通讯:埃及艾因沙姆斯大学医学院Walaa W Aly老年医学和老年病学系电子邮件:walaawessam@yahoo.com2019年2月16日收到2019年6月20日接受
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引用次数: 0
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Aging Medicine and Healthcare
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