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“His Tongue Seems Shorter”: Experiences of Caregivers of Managing Communication With People With Parkinson Disease in Malaysia “他的舌头似乎更短”:护理人员与马来西亚帕金森病患者管理沟通的经验
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000402
A. Altaher, S. Chu, Joo Siang Tan, Sai Tarishini Sathiyasenan, D. Hersh, Rahayu Mustaffa Kamal
This qualitative study explored Malaysian caregivers' experiences when caring for people with Parkinson disease (PD). Semistructured interviews (n = 10) were conducted, transcribed verbatim, and analyzed using thematic analysis. Four major themes and 9 subthemes emerged from the challenges faced by these caregivers. The 4 themes were “communication challenges,” “coping with communication challenges,” “becoming more dependent,” and “reduction in social participation.” Caregivers often demonstrated poor knowledge of PD and reported communication, physical, and psychosocial impacts affecting both them and the person with PD. To ensure the well-being of both caregivers and dependents with PD, the communication and social participation needs of caregivers and dependents should be considered during assessment and the planning of intervention.
本质性研究探讨马来西亚照顾者在照顾帕金森病患者(PD)时的经验。进行了半结构化访谈(n = 10),逐字记录,并使用主题分析进行分析。从这些护理人员面临的挑战中产生了四个主要主题和9个次要主题。这四个主题分别是“沟通挑战”、“应对沟通挑战”、“变得更加依赖”和“减少社会参与”。护理人员通常表现出对PD的知识贫乏,并报告了影响他们和PD患者的沟通,身体和心理社会影响。为了确保护理者和PD患者家属的福祉,在评估和干预计划中应考虑护理者和家属的沟通和社会参与需求。
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引用次数: 0
The Yoga for Seniors “Continuum of Practice” 老年人瑜伽“连续练习”
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/tgr.0000000000000397
Carol Krucoff, K. Carson
Yoga enthusiasts are typically pictured as young, fit, and flexible; yet the reality is that more than a third of Americans who practice yoga are 50 years and older. Health benefits are a main reason why seniors practice yoga, as a growing body of evidence suggests yoga can enhance health and reduce the risk of numerous age-related disorders. Yet, like any therapeutic intervention that offers benefits, yoga practice also carries potential risks, which may be heightened in vulnerable populations such as older adults. This article outlines essential safety considerations developed in the Integrative Yoga for Seniors Professional Training offered at Duke Integrative Medicine, and details the Continuum of Practice, which is a tool we created to help yoga teachers and yoga therapists skillfully translate evidence-based movement considerations into safe, effective, and enjoyable variations of classic yoga postures.
瑜伽爱好者通常被描绘成年轻、健康、灵活;但事实是,练习瑜伽的美国人中,超过三分之一的人年龄在50岁及以上。健康益处是老年人练习瑜伽的主要原因,因为越来越多的证据表明,瑜伽可以增进健康,降低许多与年龄有关的疾病的风险。然而,就像任何有益的治疗干预一样,瑜伽练习也有潜在的风险,在老年人等弱势群体中,这种风险可能会增加。这篇文章概述了杜克大学综合医学提供的老年人综合瑜伽专业培训的基本安全考虑,并详细介绍了连续练习,这是我们创建的一个工具,帮助瑜伽老师和瑜伽治疗师熟练地将基于证据的运动考虑转化为安全、有效和愉快的经典瑜伽姿势变化。
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引用次数: 0
Impact of COVID-19 on Visitation Policies and Family Dynamics in Long-Term Care Facilities in Taiwan 新冠肺炎疫情对台湾长期照护机构探视政策及家庭动态的影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000404
Yu-Chia Chang, Wen-Yu Hu, Yun-Chen Chang
This study utilized a self-administered questionnaire and qualitative face-to-face interviews with 3 pairs of residents and family members to gather their perceptions on changes in visitation practices due to COVID-19. The study analyzed qualitative data to identify themes in visitation practices (no visitation, phone, and video visits) and their impact on family members. The findings suggested that altered patterns of visits had negative effects on the emotions of residents' family members, particularly when there was no communication between them. The study recommended that long-term care facilities should provide more support for residents and their families during the pandemic.
本研究采用自填问卷和对3对居民和家庭成员的定性面对面访谈,收集他们对新冠肺炎导致的探视实践变化的看法。该研究分析了定性数据,以确定探视实践中的主题(无探视、电话和视频探视)及其对家庭成员的影响。研究结果表明,探访模式的改变会对居民家庭成员的情绪产生负面影响,尤其是在他们之间没有沟通的情况下。该研究建议,在疫情期间,长期护理机构应为居民及其家人提供更多支持。
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引用次数: 0
Relationship Between Handgrip Strength and Pulmonary Function, Respiratory Muscle Strength, and Cardiopulmonary Fitness in Community-Dwelling Older Adults 社区老年人握力与肺功能、呼吸肌力量和心肺健康的关系
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000400
C. Li, M. Hsu
Background: This study explored the relationship between handgrip strength (HGS) and pulmonary function, respiratory muscle strength, and cardiopulmonary endurance in older adults. Methods: We recruited 128 community-dwelling older adults. Correlations between HGS, pulmonary function parameters, respiratory muscle strength, and cardiopulmonary endurance were analyzed. Results: Forced vital capacity (r = 0.180, P < .05), maximum voluntary ventilation (r = 0.180, P < .05), and 2-minute step test (r = 0.204, P < .05) were weakly correlated with HGS. Maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP) had moderate correlations with HGS (r = 0.431 for MIP, 0.492 for MEP, P < .001). Conclusion: HGS was correlated with pulmonary function, respiratory muscle strength, and cardiorespiratory endurance.
背景:本研究探讨了老年人握力(HGS)与肺功能、呼吸肌力量和心肺耐力之间的关系。方法:我们招募了128名居住在社区的老年人。分析了HGS、肺功能参数、呼吸肌力量和心肺耐力之间的相关性。结果:强迫肺活量(r=0.180,P<.05)、最大自主通气量(r=.180,P<.05)和2分钟步进试验(r=0.204,P<0.05)与HGS呈弱相关。最大吸气压(MIP)和最大呼气压(MEP)与HGS具有中等相关性(MIP为0.431,MEP为0.492,P<.001)。结论:HGS与肺功能、呼吸肌强度和心肺耐力相关。
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引用次数: 0
Preface 前言
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/tgr.0000000000000396
W. James
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引用次数: 0
Multidimensional Analysis of Communication Skills in Geriatric Individuals 老年人沟通技巧的多维分析
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000403
Zehra Aydoğan, Banu Baş, Gizem Babaoğlu Demiröz, S. Aksoy
Background: The prevalence of hearing loss increases significantly with age. Untreated hearing loss causes additional problems such as communication disorders, depression, dementia, isolation from society, loneliness, and decreased quality of life. To investigate the effects of hearing impairment in geriatric population and communication barriers due to hearing impairment and its effects on perception, attention, memory, fine motor skills and quality of life. Methods: Ninety volunteered elderly, aged minimum 65 years with no dementia, participated. Demographic information of the participants was obtained and the Stroop Test, Hearing Handicap Inventory for the Elderly form, quality of life-elderly form, Digit Span Test, and Timed Fine Motor Test were applied respectively. They were divided into 3 groups (no hearing impairment: n = 27; mild to moderate impairment: n = 33; and significant impairment: n = 30) according to the Hearing Handicap Inventory for the Elderly. Results: The mean age of the participants was 80.2 ± 7.14 years, and 70% of them had self-reported hearing loss. According to the results of the analysis, the statistically significant differences were found between the hearing impairment scale and memory (P < .05), perception and attention (P < .05), fine motor skills (P < .05), and quality of life (P < .05). Conclusion: In terms of the hearing impairment scale, if the hearing impairment was worse, the quality of life was also worse. The elderly with cognitive communication problems and hearing loss were more likely to experience problems such as perception and attention, memory, and fine motor skills. Developing multidisciplinary early screening protocols for identifying and intervening hearing loss/communication skills potentially reduces such possible risks.
背景:听力损失的患病率随着年龄的增长而显著增加。未经治疗的听力损失会导致其他问题,如沟通障碍、抑郁、痴呆、与社会隔离、孤独和生活质量下降。探讨听力障碍对老年人群的影响及其对感知、注意、记忆、精细运动技能和生活质量的影响。方法:90名年龄不低于65岁、无痴呆的志愿者参与。获得被试的人口学信息,分别采用Stroop测验、老年人听力障碍量表、生活质量量表、数字广度测验和定时精细运动测验。随机分为3组(无听力障碍组27例;轻至中度损伤:n = 33;和严重损伤:n = 30),根据老年人听力障碍量表。结果:参与者平均年龄为80.2±7.14岁,自报听力损失的占70%。根据分析结果,听力障碍量表与记忆(P < 0.05)、感知和注意(P < 0.05)、精细运动技能(P < 0.05)、生活质量(P < 0.05)之间的差异有统计学意义。结论:从听力损害量表来看,听力损害越严重,生活质量越差。有认知沟通问题和听力损失的老年人更有可能出现感知、注意力、记忆力和精细运动技能等问题。制定多学科早期筛查方案,以识别和干预听力损失/沟通技能,可能会降低这种可能的风险。
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引用次数: 0
The Difference in Functions of the Upper Extremity Between Elderly and Young Adult 老年人与青年人上肢功能的差异
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000382
Numpung Punyanirun, Rungpetch Sanguanpong
To compare functions of the upper extremity between the elderly and young adults, 72 participants were recruited into the study. All participants were divided into 4 groups: aged 25 to 35 years, 60 to 69 years, 70 to 79 years, and 80 years and older. Participants were tested on the ability to perform activities with their upper limb by using the upper extremity performance test for the elderly (TEMPA [Test D'évaluation Des Membres Supérieurs Des Personnes Âgées]). A Kruskal-Wallis test with post hoc Bonferroni test was also used in this study to compare the results between groups. The results show that the ability to perform activities with the upper limb in young adults is significantly different from that of the elderly. Also, the study illustrates that there is a notable difference in unilateral hand function and bilateral hand function. The difference in upper extremity function has statistical significance between the elderly and young adults.
为了比较老年人和年轻人的上肢功能,研究人员招募了72名参与者。所有参与者分为4组:年龄在25 - 35岁、60 - 69岁、70 - 79岁和80岁及以上。通过老年人上肢运动能力测试(TEMPA [test D' samuresdes members supsamrieurs Des Personnes Âgées],对参与者进行上肢活动能力的测试。本研究还采用Kruskal-Wallis检验和事后Bonferroni检验来比较组间结果。结果表明,青壮年的上肢活动能力与老年人有显著差异。此外,研究还表明,单侧手功能与双侧手功能存在显著差异。老年人与年轻人上肢功能差异有统计学意义。
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引用次数: 1
Validity, Reliability, and Responsiveness of the Dubousset Functional Test in Older Adults 老年人Dubousset功能测验的效度、信度和反应性
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000401
A. Abit Kocaman, M. Sertel, S. Aydoğan Arslan
Objective: The aim of our study was to examine the test-retest reliability and validity of the Dubousset Functional Test (DFT) in older adults. Methods: The DFT, 3-m Backward Walk Test (3MBWT), Timed Up and Go (TUG) test, and Tinetti Performance-Oriented Mobility Assessment (POMA) were administered to 80 older adults. Results: Intraclass correlation coefficient (ICC) values were between 0.819 and 0.965 (excellent agreement). A correlation was found between DFT parameters and the TUG test, 3MBWT, and POMA scores. A low correlation was found between the TUG test and 3MBWT with the dual-task test; no correlation was determined between the POMA scores with the dual-task test. Conclusion: It was concluded that the DFT is a valid and reliable test for older adults.
目的:我们研究的目的是检验Dubousset功能测试(DFT)在老年人中的重测信度和有效性。方法:对80名老年人进行DFT、3米后向步行测试(3MBWT)、定时上下运动测试(TUG)和Tinetti面向表现的移动性评估(POMA)。结果:组内相关系数(ICC)在0.819和0.965之间(非常一致)。DFT参数与TUG检验、3MBWT和POMA评分之间存在相关性。TUG测试与3MBWT双任务测试之间的相关性较低;POMA评分与双任务测试之间没有相关性。结论:DFT是一种对老年人有效、可靠的检测方法。
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引用次数: 0
Falls and Fall-Related Injuries in an Evidence-Based Tai Ji Quan Intervention in Rural West Virginia Churches. 西弗吉尼亚州乡村教堂太极拳干预中的跌倒和跌倒相关损伤。
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000398
Dina L Jones, Terry Kit Selfe, Sara Wilcox, Clinton Tyler Cosner, Justin Mitchell, Benjamin D Ray, Craig Stipec, David Switay, Corrie A Mancinelli

Background: This paper identifies the independent predictors of falls in an implementation study of Tai Ji Quan: Moving for Better Balance® (TJQMBB) in older adults in rural West Virginia churches.

Methods: Falls and injuries were identified via calendars, questionnaire, and verbal reports.

Results: Fall predictors were gait speed (OR 0.27; 95% CI 0.08, 0.90); low back pain (OR 8.04; 95% CI 1.71, 37.79); and pain, stiffness, or swelling limiting activity (OR 2.44; 95% CI 1.09, 5.45).

Conclusions: Determining differences between fallers and non-fallers may identify people with different fall risk profiles and ultimately better tailor fall-prevention programming to individual needs.

背景:本文在《太极拳:为更好的平衡而运动®》(TJQMBB)在西弗吉尼亚州农村教堂老年人中的实施研究中确定了跌倒的独立预测因素。方法:通过日历、问卷和口头报告来确定跌倒和受伤情况。结果:跌倒预测因子为步态速度(OR 0.27;95%CI 0.080.90);腰痛(OR 8.04;95%CI 1.71,37.79);以及疼痛、僵硬或肿胀限制活动(or 2.44;95%CI 1.09,5.45)。结论:确定跌倒者和非跌倒者之间的差异可以识别具有不同跌倒风险的人,并最终更好地根据个人需求制定跌倒预防计划。
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引用次数: 0
Effect of Rhythmic Finger Movement Training on Freezing of Gait and Electroencephalography Activity in People With Parkinson Disease 节奏性手指运动训练对帕金森病患者步态冻结和脑电图活动的影响
IF 0.5 4区 医学 Q4 GERONTOLOGY Pub Date : 2023-07-01 DOI: 10.1097/TGR.0000000000000399
Hideki Nakano, Shin Murata, T. Kodama, H. Nakae, M. Soma
We examined the effects of rhythmic finger movement training on freezing of gait (FOG) and electroencephalography (EEG) activity in 3 participants with Parkinson disease (PD). Participants underwent 3 minutes' rhythmic finger movement training twice daily for 4 weeks. We measured walking condition acceleration and EEG activity with and without a doorway, pre- and postintervention. Freezing index (FI), indicating FOG, was calculated from acceleration data. The high walking condition FI observed pretraining with a doorway decreased posttraining. The high pretraining frontal β-band activity decreased posttraining. Therefore, the participants' FOG and β-band activity decreased. Rhythmic finger movement training shows potential as an effective intervention for FOG; more study is needed.
我们研究了有节奏的手指运动训练对3名帕金森病(PD)参与者步态冻结(FOG)和脑电图(EEG)活动的影响。参与者接受了为期4周的3分钟有节奏的手指运动训练,每天两次。在干预前后,我们测量了有无门口的步行条件加速度和脑电图活动。根据加速度数据计算出冻结指数(FI),表示FOG。在有门口的训练前观察到的高步行条件FI在训练后降低。训练前较高的额叶β-带活性在训练后降低。因此,参与者的FOG和β-带活性降低。有节奏的手指运动训练显示出作为FOG的有效干预的潜力;还需要更多的研究。
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引用次数: 0
期刊
Topics in Geriatric Rehabilitation
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