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Objective Physical Activity Levels, Sedentary Time, and Muscle Mass, Strength, and Function: Impact on Physical and Mental Health-Related Quality of Life in Older Adults. 目的:体力活动水平、久坐时间、肌肉质量、力量和功能:对老年人身心健康相关生活质量的影响。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-04-15 DOI: 10.3928/19404921-20220408-01
M. Taani, S. Strath, Chi C Cho, J. Ellis, Hyunkyoung Oh
Limited physical activity, sedentary behavior, and reduction in muscle mass, strength, and function are accompanied by negative outcomes. The relationship between these factors and physical and mental health-related quality of life (HRQoL) has yet to be elucidated in continuing care retirement community (CCRC) residents. The current study investigated the relationships among physical activity, sedentary behavior, and muscle mass, strength, and function to physical and mental HRQoL. A sample of 105 CCRC residents participated in this cross-sectional correlational study. Findings demonstrated that low physical activity and muscle function were significantly associated with low physical HRQoL and explained 38% of the variance in physical HRQoL. Handgrip strength was significantly associated with low mental HRQoL and explained 8% of the variance in mental HRQoL. Older adults living in CCRCs may benefit from interventions targeting physical activity and the distinct muscle components of sarcopenia that have the potential to improve physical and mental HRQoL. [Research in Gerontological Nursing, xx(x), xx-xx.].
身体活动有限、久坐不动、肌肉质量、力量和功能的减少都伴随着负面结果。这些因素与持续护理退休社区(CCRC)居民身心健康相关生活质量(HRQoL)之间的关系尚未得到阐明。目前的研究调查了体力活动、久坐行为、肌肉质量、力量和功能与身心HRQoL之间的关系。本研究以105名常住居民为样本进行横断面相关性研究。研究结果表明,低体力活动和肌肉功能与低HRQoL显著相关,并解释了38%的HRQoL差异。握力与较低的心理HRQoL显著相关,解释了8%的心理HRQoL方差。生活在CCRCs的老年人可能受益于针对身体活动和肌肉减少症的独特肌肉成分的干预措施,这些干预措施有可能改善身心HRQoL。[老年护理研究,xx(x), xx-xx.]
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引用次数: 4
Korean Family Caregivers' Experiences With Managing Behavioral and Psychological Symptoms of Dementia: Keeping Harmony in Daily Life. 韩国家庭照顾者管理痴呆症行为和心理症状的经验:在日常生活中保持和谐。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-04-01 DOI: 10.3928/19404921-20220324-02
Jiyeon Kim, Jun-Ah Song, S. Jung, H. Cheon
Behavioral and psychological symptoms of dementia (BPSD) are symptoms of dementia that family care-givers find difficult to manage. Competence in managing BPSD differs according to individual family caregiver. The current study investigated the competence in managing BPSD, focusing on family caregivers who were recognized as managing them well. Twenty-four Korean family caregivers (83% female, mean age = 67 years) living with persons with dementia (PWD) were interviewed. Four themes were derived from the content analysis: Entering and Looking into the World of PWD, Keeping Daily Life in Harmony With BPSD, Becoming an Expert in BPSD, and Balancing Between Caregiving and Myself. Family caregivers minimized the impact of BPSD and maintained life balance. As a result, they were able to continue a harmonious life with PWD. [Research in Gerontological Nursing, xx(x), xx-xx.].
痴呆症的行为和心理症状(BPSD)是痴呆症的症状,家庭护理人员发现难以管理。管理BPSD的能力因个人家庭照顾者而异。本研究调查了管理BPSD的能力,重点关注那些被认为管理得很好的家庭照顾者。对24名与痴呆症患者(PWD)生活在一起的韩国家庭照顾者(83%为女性,平均年龄= 67岁)进行了访谈。从内容分析中得出四个主题:进入和展望残疾人的世界、与残疾人和谐相处、成为残疾人专家、照顾与自我平衡。家庭照顾者尽量减少BPSD的影响并维持生活平衡。因此,他们能够继续与残疾人士和谐相处。[老年护理研究,xx(x), xx-xx.]
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引用次数: 0
The Role of Social Engagement in Older Adults' Health. 社会参与在老年人健康中的作用。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-04-01 DOI: 10.3928/19404921-20220324-01
J. Steppe, M. Ramos, Ryan Falvai
The purpose of the current study was to explore the association between social engagement and the health status, cognition, and perceived well-being of older adults using data from the National Health and Aging Trends Study. Descriptive statistics, clustering, and regression modeling were performed to analyze the data. We used the regression model to identify statistically significant relationships between the representative variables and the extent to which participants participated in social activities. The most representative variable for each of the three clusters was selected and fitted to the regression model, which consists of (1) acute health problems and events, (2) cognitive and communication barriers, and (3) chronic conditions contributing to long-term health status. A regression model found that two factors-cognitive and communication barriers and chronic conditions contributing to long-term health status-were statistically significant in determining social engagement in older adults. Health care providers should consider various factors in planning and implementing social programs that can positively engage older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].
本研究的目的是利用国家健康和老龄化趋势研究的数据,探讨社会参与与老年人的健康状况、认知和感知幸福感之间的关系。采用描述性统计、聚类和回归模型对数据进行分析。我们使用回归模型来确定代表性变量与参与者参与社会活动的程度之间的统计显著关系。选择三个集群中最具代表性的变量并拟合到回归模型中,该模型由(1)急性健康问题和事件,(2)认知和沟通障碍以及(3)影响长期健康状况的慢性疾病组成。一个回归模型发现两个因素——认知和沟通障碍以及影响长期健康状况的慢性疾病——在决定老年人的社会参与方面具有统计学意义。卫生保健提供者在规划和实施能够积极吸引老年人的社会项目时应考虑各种因素。[老年护理研究,xx(x), xx-xx.]
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引用次数: 1
Nurses and the Decade of Healthy Ageing: An Unprecedented Opportunity. 护士与健康老龄化十年:前所未有的机遇。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-04-01 DOI: 10.3928/19404921-20220420-01
J. Baumbusch, E. Blakey, Anna M Carapellotti, Marleen D W Dohmen, D. Fick, S. Kagan, G. Melendez-Torres, Brianna E Morgan, Ellen Munsterman, B. Resnick, H. Young
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引用次数: 1
Older Adults' Perceived Risk Regarding COVID-19 and Intention to Vaccinate: Role of Health-Related Literacy. 老年人对COVID-19的感知风险和接种疫苗的意愿:健康相关素养的作用
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.3928/19404921-20220218-02
Shaimaa Samir Dawood, Rasha Salah Eweida, Zohour Ibrahim Rashwan, Maha Mohammed Abd Elmoniem, Nancy Mahmoud Elsakhy

The current cross-sectional descriptive study aimed to explore the association between coronavirus disease 2019 (COVID-19)-related health literacy, perceived risk, and intention to receive a COVID-19 vaccine. A sample of 414 older adults completed several questionnaires regarding COVID-19 risk perception, intention to vaccinate, and health literacy. Results revealed that more than one half of older adults demonstrated perceived high risk related to COVID-19 infection. Moreover, 31.6% of older adults noted their unwillingness to get vaccinated, and 39.4% demonstrated low health literacy regarding COVID-19. A significant positive correlation was found among older adults' perceived risk regarding COVID-19 infection, intention toward vaccination against COVID-19, and COVID-19-related health literacy. Findings serve to aid the Ministry of Health in planning proactive steps to increase COVID-19 vaccine uptake in older adults. [Research in Gerontological Nursing, 15(2), 57-67.].

当前的横断面描述性研究旨在探讨2019冠状病毒病(COVID-19)相关健康素养、感知风险和接种COVID-19疫苗意愿之间的关系。414名老年人完成了几份关于COVID-19风险认知、接种疫苗意愿和健康素养的问卷调查。结果显示,超过一半的老年人表现出与COVID-19感染相关的高风险。此外,31.6%的老年人表示不愿意接种疫苗,39.4%的老年人表示对COVID-19的健康素养较低。老年人对COVID-19感染的感知风险、接种COVID-19疫苗的意愿与COVID-19相关的健康素养之间存在显著的正相关。调查结果有助于卫生部规划积极措施,以增加老年人的COVID-19疫苗接种率。老年护理研究,15(2),57-67。
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引用次数: 1
Development and Pilot Analysis of the Nursing Home Health Information Technology Maturity Survey and Staging Model. 养老院健康信息技术成熟度调查与分期模型的开发与试点分析。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.3928/19404921-20220218-04
Gregory L Alexander, Chelsea B Deroche, Kimberly R Powell, Abu Saleh Mohammad Mosa, Lori Popejoy, Richelle J Koopman, Jianfang Liu

The current research includes a psychometric test of a nursing home (NH) health information technology (HIT) maturity survey and staging model. NHs were assembled based on HIT survey scores from a prior study representing NHs with low (20%), medium (60%), and high (20%) HIT scores. Inclusion criteria were NHs that completed at least two annual surveys over 4 years. NH administrators were excluded who participated in the Delphi panel responsible for instrument recommendations. Recruitment occurred from January to May 2019. Administrators from 121 of 429 facilities completed surveys. NHs were characteristically for-profit, medium bed size, and metropolitan. A covariance matrix demonstrated that all dimensions and domains were significantly correlated, except HIT capabilities and integration in administrative activities. Cronbach's alpha was very good (0.86). Principal component analysis revealed all items loaded intuitively onto four components, explaining 80% variance. The HIT maturity survey and staging model can be used to assess nine dimensions and domains, total HIT maturity, and stage, leading to reliable assumptions about NH HIT. [Research in Gerontological Nursing, 15(2), 93-99.].

目前的研究包括养老院(NH)健康信息技术(HIT)成熟度调查和分期模型的心理测量测试。NHs是根据来自先前研究的HIT调查分数来组装的,这些研究代表了低(20%)、中(60%)和高(20%)HIT分数的NHs。纳入标准是在4年内完成至少两次年度调查的NHs。不包括参与德尔菲小组负责仪器建议的NH管理人员。招聘时间为2019年1月至5月。来自429个设施中的121个的管理人员完成了调查。NHs的特点是以营利为目的,中等大小的床位,和大都市。协方差矩阵表明,除了HIT能力和行政活动整合外,所有维度和领域都显著相关。Cronbach's alpha非常好(0.86)。主成分分析将所有项目直观地加载到四个分量上,解释了80%的方差。HIT成熟度调查和分期模型可用于评估9个维度和领域、HIT总成熟度和阶段,从而得出关于NH HIT的可靠假设。老年护理研究,15(2),93-99。
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引用次数: 2
Music Therapy as an Intervention to Reduce Blood Pressure and Anxiety Levels in Older Adults With Hypertension: A Randomized Controlled Trial. 音乐疗法干预降低老年高血压患者血压和焦虑水平:一项随机对照试验。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.3928/19404921-20220218-03
Mateja Lorber, Suzana Divjak

Hypertension is a serious medical condition, the frequency of which increases significantly with age; has a negative impact on certain health complications; and increases the rate of mortality. Music therapy as a nonpharmacological treatment has many positive effects on an individual's body and mind. A randomized controlled trial was used to evaluate the effects of music therapy on blood pressure, heart rate, and anxiety levels in older adults with hypertension living in a nursing home. Sixty older adults were randomly divided into experimental and control groups (n = 30 each). Significant reductions in systolic blood pressure, heart rate, and anxiety levels were found in older adults with hypertension receiving music therapy compared with the control group. The current study confirms music therapy as a safe, noninvasive, nonpharmacological, and cost-effective intervention for reducing blood pressure, heart rate, and anxiety levels in older adults with hypertension. [Research in Gerontological Nursing, 15(2), 85-92.].

高血压是一种严重的疾病,其发病频率随着年龄的增长而显著增加;对某些健康并发症有负面影响;也增加了死亡率。音乐疗法作为一种非药物治疗对个人的身心有许多积极的影响。一项随机对照试验用于评估音乐治疗对住在养老院的高血压老年人血压、心率和焦虑水平的影响。60名老年人随机分为实验组和对照组,每组30人。与对照组相比,接受音乐治疗的老年高血压患者的收缩压、心率和焦虑水平显著降低。目前的研究证实,音乐疗法是一种安全、无创、非药物、经济有效的干预手段,可以降低老年人高血压患者的血压、心率和焦虑水平。老年护理研究,15(2),85-92。
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引用次数: 5
Interventions for Rural Caregiver Health: An Integrative Review. 农村照顾者健康的干预措施:一项综合综述。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-03-01 Epub Date: 2022-02-11 DOI: 10.3928/19404921-20220204-01
Tamara Braley, Christine Eisenhauer, Sheri A Rowland

Few health behavior interventions exist for rural caregivers of persons with dementia (PWD) in the United States. Of interventions that have been studied, little is known about health outcomes that are included in interventions and which interventions are most effective on health outcomes. An integrative literature review of intervention studies for rural caregiver health throughout the United States was undertaken with an emphasis on concepts related to health promotion, self-management, self-care, and/or self-efficacy. Findings from this review indicated multicomponent interventions that included self-care strategies were associated with improvements of caregiver psychosocial health outcomes of depression, burden, self-efficacy, social support, and self-rated health. Sleep problems and endurance potential were the only physical health outcomes measured. To prevent adverse physical health outcomes, interventions with attention to rural context are needed that emphasize health promotion with a focus on health behaviors and health outcome measurement in rural caregivers of PWD. [Research in Gerontological Nursing, 15(2), 101-108.].

在美国,很少有针对农村痴呆症患者(PWD)护理人员的健康行为干预措施存在。在已研究的干预措施中,对干预措施所包括的健康结果以及哪些干预措施对健康结果最有效知之甚少。对美国农村护理人员健康干预研究进行了综合文献综述,重点关注与健康促进、自我管理、自我护理和/或自我效能相关的概念。本综述的研究结果表明,包括自我护理策略在内的多组分干预与护理者抑郁、负担、自我效能、社会支持和自评健康等心理社会健康结果的改善有关。睡眠问题和耐力潜力是唯一测量的身体健康结果。为了预防不利的身体健康结果,需要注意农村情况的干预措施,强调健康促进,重点关注农村残疾人护理人员的健康行为和健康结果测量。老年护理研究,15(2),101-108。
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引用次数: 0
Willingness to Participate in Clinical Research Among Individuals With Cognitive Impairment. 认知障碍患者参与临床研究的意愿。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2022-03-01 Epub Date: 2022-02-11 DOI: 10.3928/19404921-20220131-01
Mengchi Li, Hyejin Kim, Susan M Sereika, Trevor J Nissley, Jennifer H Lingler

This secondary analysis examined (1) factors associated with willingness to participate in clinical research for cognitive health among individuals with cognitive impairment and their care partners, and (2) concordance regarding such willingness between individuals with cognitive impairment and their care partners (dyads). Neuropsychological factors and willingness to participate in clinical research were collected using self-reported questionnaires. Participants' sociodemographic and clinical information was extracted from the University of Pittsburgh Alzheimer's Disease Research Center record. Binary logistic regression and Cohen's kappa coefficient analyses were performed. Greater trust in medical researchers (p = 0.031, B = 0.127) and more severe cognitive impairment (p = 0.009, B = -0.289) were associated with willingness to participate in clinical research among individuals with cognitive impairment. Dyadic agreement on willingness to have the individual with cognitive impairment enroll in clinical research was poor to fair (κ = 0.380). Findings suggest that individuals with cognitive impairment with greater trust in health professionals are more likely to agree to clinical research participation. Nurses and other health care providers who counsel individuals with cognitive impairment and their care partners should work to build trusting relationships with participants and be mindful of how increased trust can alter power dynamics between participants and health care professionals. [Research in Gerontological Nursing, 15(2), 76-84.].

这项二次分析研究了(1)与认知障碍患者及其护理伙伴参与认知健康临床研究的意愿相关的因素,以及(2)认知障碍患者及其护理伙伴(二人组)之间在这种意愿方面的一致性。神经心理因素和参与临床研究的意愿是通过自我报告问卷收集的。参与者的社会人口学和临床信息来自匹兹堡大学阿尔茨海默病研究中心的记录。研究人员进行了二元逻辑回归和科恩卡帕系数分析。认知障碍患者对医学研究人员的信任度越高(p = 0.031,B = 0.127),认知障碍越严重(p = 0.009,B = -0.289),他们参与临床研究的意愿就越高。对于认知障碍患者参与临床研究的意愿,双方的一致程度为较差到一般(κ = 0.380)。研究结果表明,认知障碍患者如果更信任医疗专业人员,则更有可能同意参与临床研究。为认知障碍患者及其护理伙伴提供咨询的护士和其他医疗服务提供者应努力与参与者建立信任关系,并注意信任的增加会如何改变参与者与医疗专业人员之间的权力动态关系。[老年护理研究》(Research in Gerontological Nursing),15(2),76-84。
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引用次数: 0
Measurement of Sexual Orientation and Gender Identity Among Older Adults. 老年人性取向与性别认同的测量。
IF 1.6 4区 医学 Q2 Nursing Pub Date : 2022-03-01 DOI: 10.3928/19404921-20220218-01
Samy Taha, Laurence Bernard, Sarah Abboud, Dave Holmes
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引用次数: 0
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Research in Gerontological Nursing
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