Research in Gerontological Nursing最新文献

英文中文

Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement 经历过丧偶之痛的日本社区居住老年人的幸福因素

IF 1.6 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240403-01

Kazuko Muroya, LLM, RN, Yasuko Tabuchi, PhD, RN, Yuki Kumagai, PhD, PHN, Maiko Sakamoto, PhD, Tsukasa Tajima, PhD

Purpose:

Providing support for older adults after spousal bereavement is crucial for psychological recovery through the grieving process and for promoting a healthy and happy remainder of life. The current study aimed to understand factors influencing well-being among Japanese community-dwelling older adults who experienced spousal bereavement by evaluating how their roles and activities affected their psychological well-being following the loss.

Method:

We conducted a cross-sectional, anonymous, self-administered questionnaire survey of 332 older adults who had experienced death of a spouse in later adulthood.

Results:

Identified factors that affected well-being after spousal loss were sex, ability to go out without assistance from others, long duration since spousal loss, having a hobby, and adopting a life-oriented approach to cope with bereavement. Well-being following spousal loss was influenced by participants' activities and roles.

Conclusion:

Findings of the current study provide potentially valuable suggestions for surviving spouses and their supporters when coping with grief following spousal loss. [Research in Gerontological Nursing, xx(x), xx–xx.]

目的：为丧偶后的老年人提供支持，对于他们在悲伤过程中的心理康复以及促进健康快乐的余生至关重要。本研究旨在通过评估丧偶后老年人的角色和活动对其心理健康的影响，了解影响丧偶后日本社区老年人幸福感的因素。方法：我们对 332 名成年后丧偶的老年人进行了横断面、匿名、自填式问卷调查。结果：已确定的影响丧偶后幸福感的因素有：性别、无需他人帮助即可外出的能力、丧偶时间较长、有业余爱好以及采用以生活为导向的方法来应对丧亲之痛。结论：本研究的结果为幸存配偶及其支持者应对丧偶后的悲痛提供了有价值的建议。[老年护理研究》，xx（x），xx-xx。］

{"title":"Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement","authors":"Kazuko Muroya, LLM, RN, Yasuko Tabuchi, PhD, RN, Yuki Kumagai, PhD, PHN, Maiko Sakamoto, PhD, Tsukasa Tajima, PhD","doi":"10.3928/19404921-20240403-01","DOIUrl":"https://doi.org/10.3928/19404921-20240403-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>Providing support for older adults after spousal bereavement is crucial for psychological recovery through the grieving process and for promoting a healthy and happy remainder of life. The current study aimed to understand factors influencing well-being among Japanese community-dwelling older adults who experienced spousal bereavement by evaluating how their roles and activities affected their psychological well-being following the loss.</p></section><section><h3>Method:</h3><p>We conducted a cross-sectional, anonymous, self-administered questionnaire survey of 332 older adults who had experienced death of a spouse in later adulthood.</p></section><section><h3>Results:</h3><p>Identified factors that affected well-being after spousal loss were sex, ability to go out without assistance from others, long duration since spousal loss, having a hobby, and adopting a life-oriented approach to cope with bereavement. Well-being following spousal loss was influenced by participants' activities and roles.</p></section><section><h3>Conclusion:</h3><p>Findings of the current study provide potentially valuable suggestions for surviving spouses and their supporters when coping with grief following spousal loss. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-Cultural Comparison of Older Adults' Emotional Responses Toward Death: A Pilot Study 老年人对死亡的情绪反应的跨文化比较：试点研究

IF 1.6 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240402-01

Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN

Purpose:

The current study reports preliminary findings from a pilot sample that sought to compare the emotional responses of older adults toward death in Egyptian and Spanish cultures.

Method:

A cohort of 90 eligible older adults from Egypt and Spain were recruited using a cross-sectional descriptive design.

Results:

Egyptian participants recorded a significantly higher score in approaching acceptance of death compared to their Spanish counterparts (mean = 21.57, SD = 9.4 and mean = 13.51, SD = 7.11, respectively). Post-hoc test showed there were differences in levels of valence (F[1,86] = 23.88, p < 0.001), indicating that older adults in Spain perceived such images as more unpleasant compared to Egyptian older adults. A significant difference related to death attitude profile scale was noted between Egyptian and Spanish older adults.

Conclusion:

Egyptian and Spanish older adults demonstrated different attitudes toward death in addition to differences in death anxiety and depression. This preliminary study validates the importance of developing effective nursing strategies to lessen anxiety and fear about death. [Research in Gerontological Nursing, xx(x), xx–xx.]

目的：本研究报告了一个试点样本的初步结果，该样本旨在比较埃及和西班牙文化中老年人对死亡的情绪反应。方法：本研究采用横断面描述性设计，从埃及和西班牙招募了 90 名符合条件的老年人。结果：与西班牙人相比，埃及参与者在接近接受死亡方面的得分明显更高（分别为平均值 = 21.57，SD = 9.4 和平均值 = 13.51，SD = 7.11）。事后检验表明，他们的情绪水平存在差异（F[1,86] = 23.88, p <0.001），这表明西班牙老年人与埃及老年人相比，认为这些图像更令人不快。结论：除了在死亡焦虑和抑郁方面存在差异外，埃及和西班牙老年人对死亡的态度也不尽相同。这项初步研究验证了制定有效护理策略以减轻对死亡的焦虑和恐惧的重要性。[老年护理研究》，xx（x），xx-xx。］

{"title":"Cross-Cultural Comparison of Older Adults' Emotional Responses Toward Death: A Pilot Study","authors":"Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN","doi":"10.3928/19404921-20240402-01","DOIUrl":"https://doi.org/10.3928/19404921-20240402-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current study reports preliminary findings from a pilot sample that sought to compare the emotional responses of older adults toward death in Egyptian and Spanish cultures.</p></section><section><h3>Method:</h3><p>A cohort of 90 eligible older adults from Egypt and Spain were recruited using a cross-sectional descriptive design.</p></section><section><h3>Results:</h3><p>Egyptian participants recorded a significantly higher score in approaching acceptance of death compared to their Spanish counterparts (mean = 21.57, <i>SD</i> = 9.4 and mean = 13.51, <i>SD</i> = 7.11, respectively). Post-hoc test showed there were differences in levels of valence (F[1,86] = 23.88, <i>p</i> < 0.001), indicating that older adults in Spain perceived such images as more unpleasant compared to Egyptian older adults. A significant difference related to death attitude profile scale was noted between Egyptian and Spanish older adults.</p></section><section><h3>Conclusion:</h3><p>Egyptian and Spanish older adults demonstrated different attitudes toward death in addition to differences in death anxiety and depression. This preliminary study validates the importance of developing effective nursing strategies to lessen anxiety and fear about death. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"10 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ready or Not: A Conceptual Model of Organizational Readiness for Embedded Pragmatic Dementia Research 准备好了吗？嵌入式务实痴呆症研究组织准备就绪程度的概念模型

IF 1.6 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240403-02

Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN

The National Institute on Aging Alzheimer's Disease/Alzheimer's Disease and Related Dementias Research Implementation Milestones emphasize the need for implementation research that maximizes up-take and scale-up of evidence-based dementia care practices across settings, diverse populations, and disease trajectories. Organizational readiness for implementation is a salient consideration when planning and conducting embedded pragmatic trials, in which interventions are implemented by provider staff. The current article examines the conceptual and theoretical underpinnings of organizational readiness for implementation and the operationalization of this construct. We offer a preliminary conceptual model for explicating and measuring organizational readiness and describe the unique characteristics and demands of implementing evidence-based interventions targeting persons with dementia and/or their care partners. [Research in Gerontological Nursing, xx(x), xx–xx.]

美国国立老龄化研究所阿尔茨海默病/阿兹海默症及相关痴呆症研究实施里程碑强调了实施研究的必要性，即在不同环境、不同人群和疾病轨迹中最大限度地吸收和推广循证痴呆症护理实践。在规划和开展嵌入式务实试验时，组织实施准备是一个突出的考虑因素，在这些试验中，干预措施由提供者的员工实施。本文探讨了组织实施准备的概念和理论基础，以及这一概念的可操作性。我们提供了一个初步的概念模型，用于解释和衡量组织准备情况，并描述了针对痴呆症患者和/或其护理伙伴实施循证干预的独特性和要求。[老年护理研究》，xx（x），xx-xx。］

{"title":"Ready or Not: A Conceptual Model of Organizational Readiness for Embedded Pragmatic Dementia Research","authors":"Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN","doi":"10.3928/19404921-20240403-02","DOIUrl":"https://doi.org/10.3928/19404921-20240403-02","url":null,"abstract":"<p>The National Institute on Aging Alzheimer's Disease/Alzheimer's Disease and Related Dementias Research Implementation Milestones emphasize the need for implementation research that maximizes up-take and scale-up of evidence-based dementia care practices across settings, diverse populations, and disease trajectories. Organizational readiness for implementation is a salient consideration when planning and conducting embedded pragmatic trials, in which interventions are implemented by provider staff. The current article examines the conceptual and theoretical underpinnings of organizational readiness for implementation and the operationalization of this construct. We offer a preliminary conceptual model for explicating and measuring organizational readiness and describe the unique characteristics and demands of implementing evidence-based interventions targeting persons with dementia and/or their care partners. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140612458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment. 多成分运动对社区居住的轻度认知障碍老年人的影响。

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI: 10.3928/19404921-20240112-02

Jun Zhang, Chao Yang, Yujie Pan, Li Wang

Purpose: To explore the effects of a group-based multicomponent exercise program on general cognitive functioning, depression, and social functioning in community-dwelling older adults with mild cognitive impairment (MCI) and whether the effects can be maintained.

Method: Fifty older adults with MCI were conveniently recruited from two communities in the study area and randomly assigned to the intervention group or control group. The intervention group received three sessions of 60-minute, multicomponent exercise per week for 3 months, plus MCI-related health education. The control group only received MCI-related health education. Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Beijing Version (MoCA-BJ) were used to assess general cognitive function. The Functional Activities Questionnaire (FAQ) and Geriatric Depression Scale (GDS-30) were used to evaluate participants' social function and depression, respectively. Participants' exercise intensity was assessed using the Category Ratio Scale.

Results: After the 3-month intervention, there were significant improvements in general cognitive function (p = 0.046), attention (p = 0.009), delayed recall (p = 0.015), and social function (p = 0.011) in the intervention group compared with the control group. However, after 3-month postintervention follow up, no significant differences in MMSE, MoCA-BJ, GDS-30, and FAQ scores were noted between groups.

Conclusion: The 3-month multicomponent exercise program improved general cognitive function and social functioning in community-dwelling older adults with MCI. However, there was no evidence that these benefits lasted for another 3 months after stopping the exercise program. [Research in Gerontological Nursing, 17(2), 65-79.].

目的：探讨以小组为基础的多成分锻炼计划对社区中患有轻度认知障碍（MCI）的老年人的一般认知功能、抑郁和社会功能的影响，以及这些影响是否能够保持：从研究地区的两个社区招募 50 名患有 MCI 的老年人，随机分配到干预组和对照组。干预组接受为期 3 个月的每周 3 次、每次 60 分钟的多成分运动，以及与 MCI 相关的健康教育。对照组只接受 MCI 相关的健康教育。采用迷你精神状态检查（MMSE）和蒙特利尔认知评估北京版（MoCA-BJ）评估一般认知功能。功能活动问卷（FAQ）和老年抑郁量表（GDS-30）分别用于评估参与者的社会功能和抑郁情况。参与者的运动强度采用分类比率量表进行评估：为期 3 个月的干预后，与对照组相比，干预组的一般认知功能（p = 0.046）、注意力（p = 0.009）、延迟回忆（p = 0.015）和社交功能（p = 0.011）均有显著改善。然而，经过 3 个月的干预后随访，干预组与对照组在 MMSE、MoCA-BJ、GDS-30 和常见问题得分上没有明显差异：结论：为期 3 个月的多成分运动计划改善了患有 MCI 的社区老年人的一般认知功能和社会功能。结论：为期 3 个月的多组分运动计划改善了患有 MCI 的社区老年人的一般认知功能和社会功能，但没有证据表明这些益处在停止运动计划 3 个月后仍能持续。[老年护理研究》，xx（x），xx-xx]。

{"title":"Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment.","authors":"Jun Zhang, Chao Yang, Yujie Pan, Li Wang","doi":"10.3928/19404921-20240112-02","DOIUrl":"10.3928/19404921-20240112-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the effects of a group-based multicomponent exercise program on general cognitive functioning, depression, and social functioning in community-dwelling older adults with mild cognitive impairment (MCI) and whether the effects can be maintained.</p><p><strong>Method: </strong>Fifty older adults with MCI were conveniently recruited from two communities in the study area and randomly assigned to the intervention group or control group. The intervention group received three sessions of 60-minute, multicomponent exercise per week for 3 months, plus MCI-related health education. The control group only received MCI-related health education. Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Beijing Version (MoCA-BJ) were used to assess general cognitive function. The Functional Activities Questionnaire (FAQ) and Geriatric Depression Scale (GDS-30) were used to evaluate participants' social function and depression, respectively. Participants' exercise intensity was assessed using the Category Ratio Scale.</p><p><strong>Results: </strong>After the 3-month intervention, there were significant improvements in general cognitive function (<i>p</i> = 0.046), attention (<i>p</i> = 0.009), delayed recall (<i>p</i> = 0.015), and social function (<i>p</i> = 0.011) in the intervention group compared with the control group. However, after 3-month postintervention follow up, no significant differences in MMSE, MoCA-BJ, GDS-30, and FAQ scores were noted between groups.</p><p><strong>Conclusion: </strong>The 3-month multicomponent exercise program improved general cognitive function and social functioning in community-dwelling older adults with MCI. However, there was no evidence that these benefits lasted for another 3 months after stopping the exercise program. [<i>Research in Gerontological Nursing, 17</i>(2), 65-79.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"65-79"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Remembering Claire M. Fagin. 缅怀克莱尔-M-费金

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 DOI: 10.3928/19404921-20240229-01

Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young

引用次数: 0

Partner Caregiver Resilience: A Scoping Review. 伴侣照顾者的复原力：范围审查。

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.3928/19404921-20240206-01

Shandra D Burton, Sarah H Ailey, Olimpia Paun

Purpose: Caring for older adults with Alzheimer's disease and related dementias (ADRD) is a significant challenge for partner caregivers (i.e., committed, married, or cohabiting individuals). Understanding partner caregivers' needs is crucial to promote their well-being during the disease trajectory. The concept of resilience may help explain how ADRD partner caregivers manage in the face of significant challenges. The purpose of the current scoping review was to synthesize the qualitative evidence of the level of resilience among partner caregivers of persons with ADRD.

Method: A scoping review was conducted, which resulted in 19 research studies meeting inclusion criteria.

Results: Findings were grouped by significant aspects of resilience as reflected in the studies reviewed, including risk and protective factors, partner caregivers' characteristics, and challenges and facilitators of resilience. Knowledge, skills, and access to social, psychological, and emotional support are needed to foster partner caregiver resilience.

Conclusion: Further resilience research is necessary to inform development of public policies, programs, and interventions tailored to the unique needs of ADRD partner caregivers. [Research in Gerontological Nursing, 17(2), 99-108.].

目的：照顾患有阿尔茨海默病和相关痴呆症（ADRD）的老年人对于伴侣照顾者（即已婚、已承诺或同居的个人）来说是一项重大挑战。了解伴侣照顾者的需求对于促进他们在疾病过程中的福祉至关重要。抗逆力的概念可能有助于解释 ADRD 伴侣照顾者如何面对重大挑战。本范围综述旨在综合 ADRD 患者伴侣照顾者抗逆力水平的定性证据：方法：进行了一次范围界定综述，结果有 19 项研究符合纳入标准：结果：研究结果按照综述研究中反映出的抗逆力的重要方面进行了分组，包括风险和保护因素、伴侣照顾者的特征以及抗逆力面临的挑战和促进因素。要培养伴侣照顾者的抗逆力，需要知识、技能以及社会、心理和情感支持：有必要进一步开展抗逆力研究，以便为制定适合 ADRD 伴侣照顾者独特需求的公共政策、计划和干预措施提供信息。[老年护理研究，xx（x），xx-xx]。

{"title":"Partner Caregiver Resilience: A Scoping Review.","authors":"Shandra D Burton, Sarah H Ailey, Olimpia Paun","doi":"10.3928/19404921-20240206-01","DOIUrl":"10.3928/19404921-20240206-01","url":null,"abstract":"<p><strong>Purpose: </strong>Caring for older adults with Alzheimer's disease and related dementias (ADRD) is a significant challenge for partner caregivers (i.e., committed, married, or cohabiting individuals). Understanding partner caregivers' needs is crucial to promote their well-being during the disease trajectory. The concept of resilience may help explain how ADRD partner caregivers manage in the face of significant challenges. The purpose of the current scoping review was to synthesize the qualitative evidence of the level of resilience among partner caregivers of persons with ADRD.</p><p><strong>Method: </strong>A scoping review was conducted, which resulted in 19 research studies meeting inclusion criteria.</p><p><strong>Results: </strong>Findings were grouped by significant aspects of resilience as reflected in the studies reviewed, including risk and protective factors, partner caregivers' characteristics, and challenges and facilitators of resilience. Knowledge, skills, and access to social, psychological, and emotional support are needed to foster partner caregiver resilience.</p><p><strong>Conclusion: </strong>Further resilience research is necessary to inform development of public policies, programs, and interventions tailored to the unique needs of ADRD partner caregivers. [<i>Research in Gerontological Nursing, 17</i>(2), 99-108.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"99-108"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotion Regulation, Coping Strategies, and Hazardous Drinking Among Family Caregivers of People With Alzheimer's Disease and Related Dementias. 阿尔茨海默病及相关痴呆症患者家庭照顾者的情绪调节、应对策略和危险饮酒。

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 DOI: 10.3928/19404921-20240229-02

Jessica Andrea Hernandez Chilatra, Wesley R Browning, Mustafa Yildiz, Tami P Sullivan, Carolyn E Pickering

Purpose: The current study investigated hazardous drinking and alcohol use disorders among 453 family caregivers of individuals living with Alzheimer's disease and related dementias (ADRD).

Method: We examined the prevalence of hazardous drinking and its relationship with emotion regulation and coping strategies (problem-solving, social support, and avoidance) using data from the first wave of a longitudinal study on daily ADRD caregiving experiences. A binary logistic regression model was performed to predict the relationship between potential risk factors and hazardous drinking.

Results: Findings revealed that 18.1% of ADRD caregivers screened positive for hazardous drinking based on the Alcohol Use Disorders Identification Test-Consumption. Caregivers experiencing greater difficulties in emotion regulation and greater reliance on avoidance as a coping strategy were at higher risk of screening positive for hazardous drinking.

Conclusion: These findings stress the importance of targeted interventions to improve emotion regulation and reduce avoidance coping in ADRD caregivers, ultimately enhancing their well-being. [Research in Gerontological Nursing, 17(2), 81-90.].

目的：本研究调查了 453 名阿尔茨海默病及相关痴呆症（ADRD）患者家庭照顾者中的危险饮酒和酒精使用障碍：我们利用第一波 ADRD 日常护理经验纵向研究的数据，研究了危险饮酒的发生率及其与情绪调节和应对策略（解决问题、社会支持和回避）之间的关系。通过二元逻辑回归模型来预测潜在风险因素与危险饮酒之间的关系：研究结果显示，18.1%的ADRD照护者在酒精使用障碍识别测试--饮酒测试中对危险饮酒呈阳性筛查。在情绪调节方面有更大困难、更依赖于回避作为应对策略的照顾者，其危险饮酒阳性筛查的风险更高：这些发现强调了有针对性的干预措施的重要性，以改善 ADRD 护理者的情绪调节并减少回避应对，最终提高他们的幸福感。[老年护理研究》（Research in Gerontological Nursing），17（2），81-90。

{"title":"Emotion Regulation, Coping Strategies, and Hazardous Drinking Among Family Caregivers of People With Alzheimer's Disease and Related Dementias.","authors":"Jessica Andrea Hernandez Chilatra, Wesley R Browning, Mustafa Yildiz, Tami P Sullivan, Carolyn E Pickering","doi":"10.3928/19404921-20240229-02","DOIUrl":"10.3928/19404921-20240229-02","url":null,"abstract":"<p><strong>Purpose: </strong>The current study investigated hazardous drinking and alcohol use disorders among 453 family caregivers of individuals living with Alzheimer's disease and related dementias (ADRD).</p><p><strong>Method: </strong>We examined the prevalence of hazardous drinking and its relationship with emotion regulation and coping strategies (problem-solving, social support, and avoidance) using data from the first wave of a longitudinal study on daily ADRD caregiving experiences. A binary logistic regression model was performed to predict the relationship between potential risk factors and hazardous drinking.</p><p><strong>Results: </strong>Findings revealed that 18.1% of ADRD caregivers screened positive for hazardous drinking based on the Alcohol Use Disorders Identification Test-Consumption. Caregivers experiencing greater difficulties in emotion regulation and greater reliance on avoidance as a coping strategy were at higher risk of screening positive for hazardous drinking.</p><p><strong>Conclusion: </strong>These findings stress the importance of targeted interventions to improve emotion regulation and reduce avoidance coping in ADRD caregivers, ultimately enhancing their well-being. [<i>Research in Gerontological Nursing, 17</i>(2), 81-90.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 2","pages":"81-90"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents. 最低数据集 3.0 标准化自理能力和行动能力数据元素在长期住院疗养院住户中的可靠性和有效性。

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI: 10.3928/19404921-20240112-01

Molly Marino, Anne Deutsch, Tracy Kline, Alice Smith, Qinghua Li, Jenny Beizer, Tara McMullen

Purpose: To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states.

Method: Trained clinicians assessed residents' functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach's alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis.

Results: We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from -0.53 to -0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities.

Conclusion: These findings establish the feasibility of data collection, internal consistency reliability, and construct validity of the selected Section GG items among long-stay nursing home residents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning. [Research in Gerontological Nursing, 17(2), 57-64.].

目的：对美国五个州七家疗养院的 147 名长期居住在疗养院的住院患者进行最低数据集（MDS）3.0 GG 部分数据元素（即标准化自我护理和移动能力）子集的可靠性和有效性评估：方法：训练有素的临床医生使用选定的 GG 部分项目和 G 部分日常生活活动项目评估住院患者的功能能力。我们使用 Cronbach's alpha、G 部分与 GG 部分项目之间的相关性、确证因子分析 (CFA) 和 Rasch 测量分析对数据的可靠性和构建有效性进行了检验：我们观察到所有标准化项目（0.98）、自理项目（0.93）和移动项目（0.98）的内部一致性值均可接受。与概念相关的 G 部分和 GG 部分项目之间的相关性介于 -0.53 和 -0.84 之间。CFA 分析结果显示，所有拟合指数的值均可接受。Rasch 分析表明，除了最简单和最困难的活动外，大多数项目的拟合统计量都可以接受：这些研究结果证实了在长期入住养老院的居民中收集数据的可行性、内部一致性可靠性以及 GG 部分所选项目的构建有效性。在急性期后护理和长期护理人群中使用相同的标准化数据元素有助于改进功能编码，并加深我们对居民功能的了解。[老年护理研究》，xx（x），xx-xx]。

{"title":"Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents.","authors":"Molly Marino, Anne Deutsch, Tracy Kline, Alice Smith, Qinghua Li, Jenny Beizer, Tara McMullen","doi":"10.3928/19404921-20240112-01","DOIUrl":"10.3928/19404921-20240112-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states.</p><p><strong>Method: </strong>Trained clinicians assessed residents' functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach's alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis.</p><p><strong>Results: </strong>We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from -0.53 to -0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities.</p><p><strong>Conclusion: </strong>These findings establish the feasibility of data collection, internal consistency reliability, and construct validity of the selected Section GG items among long-stay nursing home residents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning. [<i>Research in Gerontological Nursing, 17</i>(2), 57-64.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"57-64"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Nurse-Led Algorithm for Diagnosing Urinary Tract Infection in Homebound Older Adults. 以护士为主导的居家老年人尿路感染诊断算法。

IF 1.1 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.3928/19404921-20240206-02

Maria D Mendoza De la Garza, Natalie F Mohammad, Molly J DiTommaso, Angie L Bicknese, Kirsten B Kaffine, Brandon P Verdoorn

Purpose: We designed a nurse-led algorithm to standardize urinary tract infection (UTI) diagnosis for older adults receiving home-based medical care. Aims of this pilot quality improvement study were to reduce the frequency of empiric antibiotic therapy initiated without a urinalysis and urine culture (UA/UC) first being obtained, reduce antibiotic use without a concomitant increase in emergency department (ED) visits or hospital admissions, and ensure stakeholders' satisfaction with algorithm use.

Method: A nurse-led diagnostic algorithm was designed and pilot-tested to address challenges and standardize diagnosis of UTI in a population of homebound older adults.

Results: In pre/post data analysis, algorithm implementation was associated with improved frequency of obtaining UA/UC before empiric antibiotic therapy was initiated, but the overall rate of antibiotic use for UTI did not decrease. No increase in ED or hospital admissions was identified.

Conclusion: Use of a diagnostic algorithm for UTI among homebound older adults was associated with reduced frequency of empiric antibiotic initiation for suspected UTI without a UA/UC first being obtained. More rigorous study is needed to confirm and expand on these findings. [Research in Gerontological Nursing, 17(2), 92-97.].

目的：我们设计了一种由护士主导的算法，以规范接受家庭医疗护理的老年人的尿路感染（UTI）诊断。这项质量改进试点研究的目的是降低未首先进行尿液分析和尿培养（UA/UC）就开始经验性抗生素治疗的频率，减少抗生素的使用，同时不增加急诊科（ED）就诊或入院人数，并确保利益相关者对算法使用的满意度：方法：设计并试点测试了一种由护士主导的诊断算法，以应对挑战并规范居家老年人群的尿毒症诊断：结果：在前后数据分析中，算法的实施提高了在开始经验性抗生素治疗前获取 UA/UC 的频率，但 UTI 抗生素的总体使用率并未降低。没有发现急诊室或医院入院人数增加：结论：在居家老年人中使用UTI诊断算法可减少在未首先获得UA/UC的情况下对疑似UTI使用经验性抗生素的频率。需要进行更严格的研究来证实和扩展这些发现。[老年护理研究，xx（x），xx-xx]。

{"title":"A Nurse-Led Algorithm for Diagnosing Urinary Tract Infection in Homebound Older Adults.","authors":"Maria D Mendoza De la Garza, Natalie F Mohammad, Molly J DiTommaso, Angie L Bicknese, Kirsten B Kaffine, Brandon P Verdoorn","doi":"10.3928/19404921-20240206-02","DOIUrl":"10.3928/19404921-20240206-02","url":null,"abstract":"<p><strong>Purpose: </strong>We designed a nurse-led algorithm to standardize urinary tract infection (UTI) diagnosis for older adults receiving home-based medical care. Aims of this pilot quality improvement study were to reduce the frequency of empiric antibiotic therapy initiated without a urinalysis and urine culture (UA/UC) first being obtained, reduce antibiotic use without a concomitant increase in emergency department (ED) visits or hospital admissions, and ensure stakeholders' satisfaction with algorithm use.</p><p><strong>Method: </strong>A nurse-led diagnostic algorithm was designed and pilot-tested to address challenges and standardize diagnosis of UTI in a population of homebound older adults.</p><p><strong>Results: </strong>In pre/post data analysis, algorithm implementation was associated with improved frequency of obtaining UA/UC before empiric antibiotic therapy was initiated, but the overall rate of antibiotic use for UTI did not decrease. No increase in ED or hospital admissions was identified.</p><p><strong>Conclusion: </strong>Use of a diagnostic algorithm for UTI among homebound older adults was associated with reduced frequency of empiric antibiotic initiation for suspected UTI without a UA/UC first being obtained. More rigorous study is needed to confirm and expand on these findings. [<i>Research in Gerontological Nursing, 17</i>(2), 92-97.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"92-97"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

2023 Reviewers. 2023 评审员。

IF 1.6 4区医学 Q3 NURSING

Research in Gerontological Nursing

Pub Date : 2024-01-01 DOI: 10.3928/19404921-20231204-01

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Research in Gerontological Nursing

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀