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Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial 触觉按摩对改善长期护理机构老年居民心理健康的影响：随机对照试验
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-23 DOI: 10.1111/opn.12652
Pi-Hua Huang, Wan-Pin Chien, Ya-Chun Lin, Min-Huey Chung, Pi-Chu Lin, Yueh-Kuei Lin, Yeu-Hui Chuang

Background

Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals.

Objective

This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs.

Design

In this study, we applied a two-arm randomised controlled trial research design.

Methods

We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention.

Results

There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (B = 0.86, p < 0.001), relaxation (B = 1.00, p < 0.001), respiratory rate (B = −0.16, p = 0.021) and systolic blood pressure (B = − 4.17, p = 0.002) compared to the control group.

Conclusions

TM can help older residents who live in LTCFs feel relaxed and comfortable.

Implications for Practice

TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents dur

背景：孤独、焦虑和抑郁症状在长期护理机构（LTCF）的老年居民中很常见，会对他们的生活质量产生负面影响，并增加死亡率。解决这些心理健康问题是护理人员的一项重要任务。我们需要简便易行的干预措施来改善老年居民的负面情绪。触觉按摩（TM）是一种能诱发催产素的触觉疗法，它能让人感到放松、愉悦并减少焦虑。触觉按摩还能为个人提供安全感和关爱：本研究旨在评估触感疗法在改善长者护理中心老年居民心理健康方面的效果：本研究采用了双臂随机对照试验研究设计：方法：我们采用便利抽样法，在三家长期护理机构中招募了 55 名老年居民，并将他们随机分配到干预组和对比组。干预组接受研究助理的双手按摩，每次 15 分钟，每周两次，持续 4 周；对比组接受常规护理。干预前后的数据均已收集。采用广义估计方程（GEE）评估干预效果：结果：干预后，两组在孤独感、焦虑、抑郁症状、幸福感、耳温、心率或舒张压方面没有明显差异。但是，干预组在舒适度方面有明显改善（B = 0.86，p 结论：TM 可以帮助居住在养老院的老年居民：TM 可以帮助居住在长者护理中心的老年居民感到放松和舒适：TM 不需要任何工具，因此很容易实施。我们建议护理人员和医护人员将 TM 纳入日常护理工作中。我们建议护理人员和医护人员将 TM 作为日常护理的一部分，也可以鼓励家庭成员在探访住院者时为他们做 TM，以提高住院者的舒适度和放松感：本文采用了《试验报告综合标准》（CONSORT）核对表：试验注册：ClinicalTrials.gov（NCT05052138）。
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引用次数: 0
The Importance of Time: Nurses' Experiences of Working With Suicide Prevention and Suicide Risk Assessment in the Care of Older People 时间的重要性：护士在护理老年人过程中预防自杀和评估自杀风险的工作经验
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-21 DOI: 10.1111/opn.12650
Emelie Eriksson, Karin Säfströmer, Sally Hultsjö, Anna Persdotter, Rikard Wärdig
<div> <section> <h3> Aim</h3> <p>To describe nurses' experiences of working with suicide prevention and suicide risk assessment in the care of older people.</p> </section> <section> <h3> Background</h3> <p>Suicide is a problem among older people, worldwide. Risk factors for suicide are, among others, depression, illness and pain and a feeling of isolation. Nurses have valuable experience in suicide prevention and risk assessments. This study can shed light on what is needed to promote the mental health of older people, which has been partly overlooked in previous research.</p> </section> <section> <h3> Methods/Design</h3> <p>A descriptive qualitative study was conducted. Ten nurses working in care of older people across four different municipalities were interviewed. Conventional content analysis was used to analyse the data.</p> </section> <section> <h3> Results</h3> <p>Despite shortcomings in guidelines, nurses describe performing suicide risk assessments and suicide prevention in a similar manner. The importance of giving the patients time is emphasised, although time is exactly what appears to be lacking.</p> </section> <section> <h3> Conclusion</h3> <p>By engaging with the experiences of nurses, important aspects that require further attention are highlighted. Nurses should inquire about suicidal ideation, even if older persons do not explicitly express such thoughts. Normal ageing needs to be comprehended and considered in assessments. In this work, time is important.</p> </section> <section> <h3> Patient or Public Contribution</h3> <p>The results were coproduced by means of interviews with nurses working in care of older people.</p> </section> <section> <h3> Reporting Method</h3> <p>The study was conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.</p> </section> <section> <h3> Implications for Practice</h3> <p>Encountering older people who may have experienced the loss of loved ones and addressing one's personal capabilities in the context of the ageing body imposes substantial challenges on nursing care, necessitating a capacity to adeptly navigate and address these complex issues.</
目的 介绍护士在护理老年人时开展自杀预防和自杀风险评估工作的经验。 背景 自杀是全世界老年人面临的一个问题。自杀的风险因素包括抑郁、疾病和疼痛以及孤独感。护士在自杀预防和风险评估方面拥有宝贵的经验。本研究可以揭示促进老年人心理健康所需的条件，而以往的研究在一定程度上忽视了这一点。 方法/设计 进行了一项描述性定性研究。对四个不同城市中从事老年人护理工作的十名护士进行了访谈。采用传统的内容分析法对数据进行分析。 结果 尽管指导方针存在缺陷，但护士们对自杀风险评估和自杀预防的描述大同小异。给患者时间的重要性得到了强调，尽管时间似乎恰恰是最缺乏的。 结论 通过了解护士的经验，需要进一步关注的重要方面得到了强调。即使老年人没有明确表达自杀的想法，护士也应该询问他们是否有这种想法。在评估中需要理解和考虑正常的老龄化。在这项工作中，时间非常重要。 患者或公众贡献 通过对从事老年人护理工作的护士进行访谈，共同得出了研究结果。 报告方法 本研究根据定性研究报告综合标准（COREQ）指南进行。 对实践的启示 遇到可能经历过失去亲人的老年人，并在身体老化的背景下解决个人能力问题，这对护理工作提出了巨大挑战，要求护理人员有能力驾驭和解决这些复杂问题。
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引用次数: 0
Enhancing Measurement Precision in the Ms. Olsen Test of Clinical Competence: Further Examinations 提高奥尔森女士临床能力测试的测量精度：进一步考试。
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-19 DOI: 10.1111/opn.12648
Pia Cecilie Bing-Jonsson, Lene Svendsen, Erika Boman, Guro-Marie Eiken, Jeanette Melin

Aim

This paper aims to report on two modifications made to improve the measurement precision of the Ms. Olsen test. Specifically, three items were added to the Ms. Olsen test and an extended scoring was applied to some items.

Design

The competence assessment had a quantitative cross-sectional design comprising of test results from 111 Registered Nurses in four municipalities in South-Eastern Norway.

Methods

The Rasch model was applied to evaluate the measurement properties in four versions: the Ms. Olsen test with 19 items and the same with three added items, and the Ms. Olsen test with 19 items with an expanded scoring for the original and expanded version, respectively.

Results

The person separation indexes were improved from 0.50 to 0.62. Other measurement properties were not alternating between the four versions; all had shortcomings in terms of targeting (person measure means 3.02–3.87) and unidimensionality (% t-test >5% 9.01%–13.51%).

Conclusion

The clinical relevance and relatively short time spent on testing makes the Ms. Olsen test a reasonable choice and a step in the right direction for assessing competence as a means of targeting continuous professional development of nurses throughout their career. Nevertheless, depending on what kind of decisions are to be made, reliability might still be too low and further development is suggested.

Public Contribution

The initiative for the competence assessment came from nursing leaders in the four municipalities involved. The municipalities were represented in all stages of the research process through co-author LS, that is, design, data collection, data analysis, writing of the manuscript as well as dissemination of the results to the four municipalities.

Implications for Practice

The Ms. Olsen test exemplifies a move towards objective assessments in nursing. Precise and reliable measurements are essential to support the ongoing professional development of nurses.

本文旨在报告为提高奥尔森女士测试的测量精度而进行的两项修改。具体来说，在奥尔森女士测验中增加了三个项目，并对某些项目进行了扩展计分。设计能力评估采用定量横断面设计，包括挪威东南部四个城市111名注册护士的测验结果。方法应用 Rasch 模型评估了四个版本的测量属性：19 个项目的奥尔森女士测试和增加了三个项目的相同版本，以及 19 个项目的奥尔森女士测试，并分别对原始版本和扩展版本进行了扩展计分。结论临床相关性和相对较短的测试时间使奥尔森女士测验成为一个合理的选择，并在能力评估的正确方向上迈出了一步，成为护士在整个职业生涯中持续专业发展的一种手段。然而，根据需要做出的决定，可靠性可能仍然太低，建议进一步开发。在研究过程的所有阶段，即设计、数据收集、数据分析、撰写手稿以及向四个城市传播结果的阶段，四个城市都有代表参与。精确、可靠的测量对于支持护士的持续专业发展至关重要。
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引用次数: 0
Timed Up-and-Go Test and Sit-to-Stand Test in Community-Dwelling Older Person: Inter and Intraobserver Reliability Among Turkish Nurses 社区老年人的定时起立和坐立测试：土耳其护士观察者之间和观察者内部的可靠性
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-19 DOI: 10.1111/opn.12649
Behire Sancar, Aysel Doğan, Serkan Taş

Background

A decrease in dynamic balance and muscle strength related to ageing is associated with a decreased quality of life, reduced life expectancy and increased risk of falls. Timed stand-up test (TUG) is one of the most used clinical tests for the evaluation of dynamic balance and sit-to-stand test (STS). Although these tests are reported to be reliable in pathological conditions in different populations and different countries, there is a gap in the evaluation of the reliability of the tests by nurses in the older persons living in Turkish society.

Objective

The present study aimed to investigate the inter- and intra-observer reliability of the timed up-and-go test (TUG) and sit-to-stand test (STS) performed by nurses in Turkish community-dwelling older persons.

Methods

A total of 97 community-dwelling older persons participated in this study. To determine the interobserver reliability of the TUG and STS tests, all tests were performed at an interval of 30 min by two nurses. To determine the intra-observer reliability of the tests, each measurement was repeated 1 week after the first measurement by another nurse.

Results

Excellent intra-observer reliability was found for the TUG (intraclass correlation coefficient [ICC] = 0.962) and STS tests (ICC = 0.996), with a total range of 0.943–0.997. Excellent interobserver reliability was found for the TUG (ICC = 0.995) and STS (ICC = 0.996) tests. The coefficient of variant values for the tests was < 15%.

Conclusion

Our results demonstrated that the TUG and STS tests can be reliably used by nurses in community-dwelling older persons.

Implications for Practice

This study is important in terms of determining the risk of falling among older persons aged 60 and over in Turkey, preventing hospitalisations due to falls and developing nursing policies that promote the safety of older persons individuals.

背景 随着年龄的增长，动态平衡和肌肉力量的下降与生活质量下降、预期寿命缩短和跌倒风险增加有关。定时站立测试（TUG）是评估动态平衡和坐立测试（STS）最常用的临床测试之一。尽管有报告称这些测试在不同人群和不同国家的病理情况下都是可靠的，但在对生活在土耳其社会中的老年人进行护士测试的可靠性评估方面还存在空白。 目的 本研究旨在调查由护士对土耳其社区老年人进行的定时起立行走测试（TUG）和坐立测试（STS）的观察者之间和观察者内部的可靠性。 方法 共有 97 名社区老年人参与了本研究。为了确定 TUG 和 STS 测试的观察者间可靠性，所有测试均由两名护士在间隔 30 分钟后进行。为了确定测试的观察者内部可靠性，在第一次测量一周后，由另一名护士重复进行每次测量。 结果 TUG（类内相关系数 [ICC] = 0.962）和 STS 测试（ICC = 0.996）的观察者内部可靠性极佳，总范围为 0.943-0.997。TUG（ICC = 0.995）和 STS（ICC = 0.996）测试的观察者间可靠性极佳。测试的变异系数为 15%。 结论 我们的研究结果表明，在社区居住的老年人中，护士可以可靠地使用 TUG 和 STS 测试。 实践意义 本研究对于确定土耳其 60 岁及以上老年人的跌倒风险、预防跌倒导致的住院以及制定促进老年人个人安全的护理政策具有重要意义。
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引用次数: 0
Resilience of Family Caregivers of People With Dementia in South Korea: A Scoping Review 韩国痴呆症患者家庭照顾者的复原力：范围审查
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-15 DOI: 10.1111/opn.12647
Hyun-Ju Seo, Song-I Park, Min-Jung Choi, Il-Han Choo, Jeong-Hwan Park

Background

Due to rapid increases in the number of Korean people with dementia, dementia has become a priority health issue in South Korea. Likewise, the well-being of family caregivers of people with dementia has also become an issue of concern. However, little is known about the resilience of Korean family caregivers because there is a lack of review studies from a Korean cultural perspective about the resilience of family caregivers of people with dementia.

Objectives

The purpose of this scoping review was to investigate quantitative studies related to resilience theories, measurement instruments, correlates and resilience interventions for family caregivers of people with dementia.

Method

This review was conducted according to the Joanna Briggs Institute based on Arksey and O'Malley. Nine databases were searched to retrieve evidence published in English or Korean between January 2000 and September 2022. Studies with a quantitative research design reporting the resilience of family caregivers of people with dementia based on a resilience theory framework were included.

Results

A total of 13 studies were included in this review. All studies used either a modified McCubbin and McCubbin's family stress, adjustment and adaptation model or Walsh's family resilience model. All resilience instruments were used without cross-cultural adaptation. Family adaptation, social support, life satisfaction, family (di)stress and caregiver burden were associated with resilience among family caregivers. A few family resilience-enhancing programmes showed a positive effect on caregiver resilience.

Conclusion

This review noted that all the resilience measures documented in this study need to test for cultural adaptation in a Korean context. Further research is required to develop and implement family-based, culturally tailored interventions to effectively enhance Korean resilience for family caregivers of people with dementia.

Implications for Practice

Gerontological nurses should include Korean family caregivers in their nursing care and assess whether family caregivers have depression or suicidal thoughts to promote better health outcomes for caregivers and their family members.

背景 由于韩国痴呆症患者人数的快速增长，痴呆症已成为韩国优先考虑的健康问题。同样，痴呆症患者的家庭照顾者的福祉也成为一个值得关注的问题。然而，由于缺乏从韩国文化角度对痴呆症患者家庭照护者复原力的回顾性研究，人们对韩国家庭照护者的复原力知之甚少。 本综述旨在调查与痴呆症患者家庭照护者的抗逆力理论、测量工具、相关因素和抗逆力干预措施有关的定量研究。 方法 本综述是根据乔安娜-布里格斯研究所（Joanna Briggs Institute）以 Arksey 和 O'Malley 为基础进行的。我们搜索了九个数据库，以检索 2000 年 1 月至 2022 年 9 月期间用英语或韩语发表的证据。纳入的研究均采用定量研究设计，以复原力理论框架为基础，报告痴呆症患者家庭照顾者的复原力。 结果 本综述共纳入 13 项研究。所有研究都使用了修改过的麦卡宾和麦卡宾的家庭压力、调整和适应模型或沃尔什的家庭复原力模型。所有复原力工具均未经跨文化调整。家庭适应、社会支持、生活满意度、家庭（压力）和照顾者负担与家庭照顾者的复原力相关。一些增强家庭复原力的计划对照顾者的复原力产生了积极影响。 结论 本综述指出，本研究中记录的所有抗逆力测量方法都需要测试在韩国背景下的文化适应性。需要进一步开展研究，以开发和实施基于家庭、适合韩国文化的干预措施，从而有效提高痴呆症患者家庭照顾者的抗逆力。 对实践的启示 老年学护士应将韩国家庭照护者纳入其护理工作中，并评估家庭照护者是否有抑郁或自杀的想法，以促进照护者及其家庭成员获得更好的健康结果。
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引用次数: 0
Attitudes of Nursing Home Managers Regarding Cognitively Stimulating Activities in People With Dementia: A Multicentre Cross-Sectional Study 养老院管理人员对痴呆症患者认知刺激活动的态度：一项多中心横断面研究
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-14 DOI: 10.1111/opn.12645
Julie Guicheteau, Sascha Köpke, Ümran Sema Seven, Ann-Kristin Folkerts, Elke Kalbe, Martin N. Dichter

Introduction

Group-based cognitive stimulation has shown short-term benefits for the cognitive outcomes of people with dementia living in nursing homes (NH). However, group participation can be a barrier for people with advanced dementia, bedridden people or isolated people. The CogStim24 project seeks to develop and implement a new psychosocial intervention based on cognitively stimulating (CS) activities integrated into daily nursing care. As part of the intervention development process, this study aimed to survey NH managers' attitudes and describe currently used approaches to CS activities in German NH.

Methods

We performed a multicentre cross-sectional study between September and December 2021 in randomly recruited NH in the German federal state of North Rhine-Westphalia. NH representatives were asked to fill in a self-developed online questionnaire. We analysed data descriptively, presenting means and standard deviations. For case scenario questions, we used a summative content analysis.

Results

We contacted 354 NH and 106 agreed to participate. Representatives of 64 facilities completed the survey. Almost all stated to have implemented CS activities. Cognitive exercises (98%), physical and relaxation exercises (98%) and reminiscence therapy (95%) were most often used. The majority (96%) thought that CS activities could support people with dementia in maintaining their cognitive functions and that nurses should have a key role in the implementation of CS activities. More than half believed that regular CS activities were easy to implement alongside routine nursing care.

Conclusions

Results indicate that CS activities are frequently applied in German NH. The positive attitude of NH managers regarding the implementation and effects of CS activities is an important implementation resource.

Implications for Practice

Nursing staff should be more involved in providing CS activities for people with dementia. Training, information, and implementation material must be made available for nursing staff who wish to have an active role in providing CS activities.

导言：以小组为基础的认知刺激对居住在疗养院（NH）中的痴呆症患者的认知结果有短期益处。然而，对于晚期痴呆症患者、卧床不起的患者或与世隔绝的患者来说，参加小组活动可能是一个障碍。CogStim24 项目旨在开发和实施一种新的社会心理干预措施，该措施基于日常护理中的认知刺激（CS）活动。作为干预措施开发过程的一部分，本研究旨在调查疗养院管理人员的态度，并描述德国疗养院目前使用的 CS 活动方法。 方法 我们于 2021 年 9 月至 12 月期间在德国联邦北莱茵-威斯特法伦州随机招募的 NH 中开展了一项多中心横断面研究。国家卫生机构代表被要求填写一份自行开发的在线问卷。我们对数据进行了描述性分析，列出了平均值和标准差。对于案例情景问题，我们采用了总结性内容分析。 结果 我们联系了 354 家 NH，其中 106 家同意参与调查。64 家医疗机构的代表完成了调查。几乎所有机构都表示已经开展了 CS 活动。认知练习（98%）、体能和放松练习（98%）以及回忆疗法（95%）是最常用的方法。大多数人（96%）认为，CS 活动可以帮助痴呆症患者保持认知功能，护士应该在 CS 活动的实施中扮演重要角色。半数以上的人认为，在开展常规护理的同时，定期开展 CS 活动也很容易。 结论 结果表明，CS 活动在德国的 NH 中得到了广泛应用。疗养院管理者对 CS 活动的实施和效果所持的积极态度是一项重要的实施资源。 对实践的启示 护理人员应更多地参与为痴呆症患者提供的 CS 活动。必须为希望积极参与 CS 活动的护理人员提供培训、信息和实施材料。
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引用次数: 0
Towards Establishing Quality Standards on Human Rights for Services in Dementia Care 建立痴呆症护理服务的人权质量标准
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-11 DOI: 10.1111/opn.12643
Nena Panagiotidou, Jesmine Dhooper, Michelle Funk, Nathalie Drew, Katrin Seeher, Tarun Dua, Martin Orrell

Background

People with dementia often experience violations of fundamental human rights and impeded access to healthcare. This study aims to investigate the views of experts regarding the use of the United Nations Convention on the Rights of People with Disabilities (CRPD) principles as quality standards for human rights–based care.

Methods

A single-round Delphi e-consultation with 15 dementia experts was designed to evaluate each CRPD principle and collect feedback on their views about the application of the CRPD principles in dementia care.

Results

The CRPD principles were fully endorsed as quality standards; however, several experts commented on the complexities of the use of CRPD principles in relation to information disclosure, capacity assessment, stakeholders' involvement in decision-making, respecting needs and preferences, holistic approaches in care practice, and protection against abuse, neglect and discrimination.

Conclusions

These findings indicate the CRPD quality standards were fully applicable for people with dementia although some clarification around interpretation could assist in their use. Future research should elaborate on further points of support and guidance for dementia care providing examples of good practice from across the globe, and develop a concordant, human rights–based scheme for the implementation and evaluation of dementia services.

Implications for Practice

This study suggests that the CRPD can serve as a benchmark for human rights-based practices in dementia services globally that could enhance nursing care practice. Nursing staff are encouraged to consider human rights in relation to the complexities associated with people with dementia, their caregivers, and other services involved in their care.

背景 痴呆症患者的基本人权经常受到侵犯，他们获得医疗保健的途径也受到阻碍。本研究旨在调查专家们对使用《联合国残疾人权利公约》（CRPD）原则作为基于人权的医疗质量标准的看法。 方法 对 15 名痴呆症专家进行了单轮德尔菲电子咨询，以评估《残疾人权利公约》的每项原则，并收集他们对《残疾人权利公约》原则在痴呆症护理中的应用的反馈意见。 结果 《残疾人权利公约》的原则作为质量标准得到了充分认可；然而，一些专家评论说，在信息披露、能力评估、利益相关者参与决策、尊重需求和偏好、护理实践中的整体方法以及防止虐待、忽视和歧视等方面，《残疾人权利公约》原则的应用非常复杂。 结论 这些研究结果表明，《残疾人权利公约》的质量标准完全适用于痴呆症患者，尽管对其解释的一些澄清可能有助于其使用。未来的研究应详细阐述痴呆症护理的更多支持和指导要点，提供全球范围内的良好实践范例，并为痴呆症服务的实施和评估制定基于人权的一致计划。 对实践的启示 本研究表明，《残疾人权利公约》可以作为全球痴呆症服务中基于人权的实践基准，从而加强护理实践。我们鼓励护理人员在考虑与痴呆症患者、其护理人员以及参与其护理的其他服务相关的复杂性时考虑人权。
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引用次数: 0
Perceptions of Older People in Nursing Facilities About Advance Care Planning: A Systematic Review 护理机构中的老年人对预先护理规划的看法：系统回顾
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-04 DOI: 10.1111/opn.12646
Ting Liang, Jia Feng, Xiao-ning Feng, Tao Yang

Background

With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.

Objective

This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.

Methods

The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.

Results

A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.

Conclusion

This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.

Implications for Practice

It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.

背景：随着人口老龄化的加剧，在护理机构中实施预先护理计划（ACP）尤为重要：本研究旨在搜索和综合探讨护理机构中老年人对 ACP 讨论的看法的定性研究：研究人员在 PubMed、Web of Science、Cochrane Library、CNKI、Wanfang、VIP 和 CBM 上进行了检索。采用 PICo 模型制定纳入和排除标准。根据纳入和排除标准，两名研究人员筛选文献、提取数据，然后使用整合综合法对文献进行整合：共纳入了 12 篇文章，提取了 47 个主题，并总结了三项研究整合：(1) 对 ACP 的理解；(2) 对 ACP 的态度；(3) 参与 ACP 的影响因素：本研究为护理机构中老年人参与 ACP 的未来发展提供了指导：有必要结合不同国家的文化特点，加强 ACP 相关知识的教育，通过专业团队合作为老年人提供跨学科支持，促进 ACP 相关实践的发展和完善。
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引用次数: 0
On the Relationship Between Frailty, Nutritional Status, Depression and Quality of Life Among Older People 老年人体弱、营养状况、抑郁和生活质量之间的关系。
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-03 DOI: 10.1111/opn.12644
Ayele Semachew Kasa, Victoria Traynor, Shu-Chun Lee, Peta Drury

Background

Frailty is a multidimensional geriatric syndrome associated with physical, psychological and social changes. There is a paucity of research on frailty in Sub-Saharan African (SSA) countries, especially Ethiopia.

Objectives

To assess the initial correlations among frailty, nutritional status, depression and QOL (quality of life) in a group of older people in Ethiopia who are later enrolled in a study examining the effects of a nurse-led community intervention on frailty and related health outcomes.

Methods

Data from 68 community-dwelling individuals 60 years of age, or over, were collected. Frailty was measured using the Amharic version of the Tilburg Frailty Indicator. The statistical analysis included Spearman's rank correlation coefficient for degrees of association, Mann–Whitney U-test for variables with two categories and Kruskal–Wallis for variables with three or more categories.

Results

The mean frailty score for participants was 7.3 (±1.9). Participants with higher frailty scores had lower nutritional status (rs = −0.46, p < 0.01). There was a statistically significant relationship (positive) between frailty scores and depression (rs = 0.39, p < 0.01). Depressed (Md = 9, n = 23) and non-depressed frail older people (Md = 7, n = 45) showed a significant difference in their overall frailty score, U = 330.50, z = −2.49, p = 0.01, r = 0.30. There was an inverse significant association between the level of frailty across different domains in the QOL: physical (rs = −0.44, p < 0.01), psychological (rs = −0.45, p < 0.01), social relations (rs = −0.29, p < 0.05) and environmental (rs = −0.47, p < 0.01).

Conclusion

The findings from this study were consistent with those from across middle-income and high-income countries.

Implications for Practice

This research indicates that older people living in communities who are identified as frail often suffer from a poor n

背景：虚弱是一种多方面的老年综合症，与身体、心理和社会变化有关。在撒哈拉以南非洲（SSA）国家，尤其是埃塞俄比亚，有关虚弱的研究还很少：目的：评估埃塞俄比亚老年人体弱、营养状况、抑郁和 QOL（生活质量）之间的初步相关性，这些老年人随后被纳入一项研究，探讨由护士主导的社区干预措施对体弱和相关健康结果的影响：方法：收集了 68 名 60 岁或以上社区居民的数据。虚弱程度使用阿姆哈拉语版的蒂尔堡虚弱指标进行测量。统计分析包括斯皮尔曼等级相关系数（Spearman's rank correlation coefficient for degrees of association）、曼-惠特尼 U 检验（Mann-Whitney U-test for variables with two categories）和 Kruskal-Wallis 检验（Kruskal-Wallis for variables with three or more categories）：参与者的平均虚弱评分为 7.3（±1.9）分。虚弱评分越高的参与者营养状况越差（rs = -0.46，P s = 0.39，P s = -0.44，P s = -0.45，P s = -0.29，P s = -0.47，P 结论：虚弱评分越高的参与者营养状况越差：本研究的结果与中等收入和高收入国家的研究结果一致：这项研究表明，生活在社区中被认定为体弱的老年人往往营养不良、抑郁和生活质量下降。研究表明，撒哈拉以南国家的医疗保健专业人员应认识到这一人群的虚弱状况，并制定旨在改善营养、心理健康和整体福祉的干预措施，从而从中受益。
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引用次数: 0
Revisiting the Why of Peer Review: Sustainability of the Current System 重新审视同行评审的原因：现行制度的可持续性。
IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY
International Journal of Older People Nursing
Pub Date : 2024-09-01 DOI: 10.1111/opn.12642
Sameh Eltaybani
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引用次数: 0
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