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RN Staffing Shortages in Nursing Homes: Nursing Is Part of the Solution. 养老院护士人手短缺:护理是解决方案的一部分。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-01-01 DOI: 10.3928/19404921-20231121-01
Ann Kolanowski, Barbara Bowers, Christine Mueller, Charlene Harrington
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引用次数: 0
Impact of Hospitalization of People With Dementia or Cognitive Impairment on Family Caregivers. 痴呆或认知障碍患者住院治疗对家庭照顾者的影响
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 Epub Date: 2023-08-25 DOI: 10.3928/19404921-20230817-01
Claudia Casafont, Maria Josefa González-García, Irache Casadamon-Munarriz, Mercè Piazuelo, Jose Luis Cobo-Sánchez, María Bravo, Cindy E Frías, Adelaida Zabalegui

People with dementia (PWD) have a higher risk of hospitalization than people without dementia. Hospitalizations are stressful events for PWD and their caregivers, representing a considerable change to their routines. The current descriptive longitudinal study aimed to identify the positive and negative reactions, experiences related to health and social integrated care, resource use, and work status of family caregivers of PWD or cognitive impairment admitted to the hospital with a proximal femur fracture undergoing surgery. Findings indicated that family caregivers (N = 174) are fully committed to providing assistance in activities of daily living and supervision, showing positive attitudes on self-esteem and negative attitudes toward lack of family support and impact on finances, schedule, and health. Overall caregiver experiences with integrated health and social care improved after hospitalization but decreased after discharge. One month after hospitalization, family caregivers maintained the same work hours but used fewer health care resources. Hospitalization represents a good opportunity to approach family caregivers and determine their needs to provide them with interventions to minimize their burden and improve their well-being. [Research in Gerontological Nursing, 16(6), 283-290.].

患有痴呆症的人比没有痴呆症的人有更高的住院风险。住院治疗对残疾人及其护理人员来说是一个压力事件,代表着他们日常生活的重大变化。目前的描述性纵向研究旨在确定住院的PWD或认知障碍患者接受股骨近端骨折手术的家庭照顾者的积极和消极反应、与健康和社会综合护理相关的经历、资源利用和工作状态。研究结果显示,174名家庭照顾者在日常生活和监督活动中提供了充分的帮助,在自尊方面表现出积极的态度,而在缺乏家庭支持和对财务、时间和健康的影响方面表现出消极的态度。综合健康和社会护理的总体护理经验在住院后改善,但在出院后下降。住院一个月后,家庭照顾者保持相同的工作时间,但使用较少的保健资源。住院是一个很好的机会,可以接触家庭照顾者,确定他们的需要,向他们提供干预措施,以尽量减少他们的负担,改善他们的福祉。老年护理研究,16(6),283-290。
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引用次数: 0
"I Didn't Know I Needed to Be Still": Experiences of Black Dementia Caregivers Attending Tailored Online Worship Services. “我不知道我需要安静”:黑人痴呆症护理人员参加量身定制的在线敬拜服务的经历。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 Epub Date: 2023-07-14 DOI: 10.3928/19404921-20230706-03
Mayra Sainz, Taylor James, Unshante Strader, Janelle Gore, Fayron Epps

The current study aimed to determine the feasibility and preliminary efficacy of culturally appropriate online worship services for Black dementia caregivers. Researchers met online with families six times over 8 weeks. Each meeting consisted of families viewing a short, uniquely tailored worship service. Preand post-surveys were conducted, and caregivers participated in in-depth, semi-structured interviews to discuss their experiences with the online worship services. All caregivers (N = 24) identified as Christian and African American. There was no significant mean difference between pre- and post-survey results, but there was a trend toward improving perception of caregiver role, caregiver burden, and dyadic relationship. Observations and interviews revealed two themes, Experiences and Feasibility of Engaging With Culturally Appropriate Online Worship Services. Although the preliminary efficacy of the online worship services remains to be investigated, our results suggest resources developed for caregivers of people living with dementia should be carefully tailored to ensure they are culturally appropriate and responsive. [Research in Gerontological Nursing, 16(6), 273-282.].

本研究旨在确定文化上合适的在线敬拜服务对黑人痴呆症护理者的可行性和初步效果。研究人员在8周内与这些家庭进行了6次网上会面。每次聚会都是由家庭观看一个简短的,独特的敬拜仪式。进行了前后调查,护理人员参与了深入的半结构化访谈,以讨论他们在在线敬拜服务中的经历。所有护理人员(N = 24)均为基督徒和非裔美国人。调查前后结果无显著差异,但对照顾者角色、照顾者负担和二元关系的认知有改善的趋势。观察和访谈揭示了两个主题,参与文化上合适的在线敬拜服务的经验和可行性。尽管在线敬拜服务的初步效果仍有待调查,但我们的研究结果表明,为痴呆症患者护理人员开发的资源应该精心定制,以确保它们在文化上是合适的,并能做出反应。老年护理研究,16(6),273-282。
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引用次数: 0
Association Between Social Frailty and Life Satisfaction Among Older Adults: The Role of Functional Limitations and Depressive Symptoms. 老年人社会脆弱与生活满意度的关系:功能限制和抑郁症状的作用
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 Epub Date: 2023-08-25 DOI: 10.3928/19404921-20230817-02
Ha Na Jeong, Sun Ju Chang

The current study aimed to identify life satisfaction depending on the degree of social frailty and explore the mediating role of functional limitations and depressive symptoms between social frailty and life satisfaction. A secondary analysis of a cross-sectional survey was used. Data of 6,479 older adults were selected from the 2020 National Survey of Older Koreans. Of all participants, 2,595 (40.1%) and 1,605 (24.8%) had social prefrailty and frailty, respectively. Life satisfaction of participants with social frailty was significantly worse than those without social frailty. Social frailty negatively influenced life satisfaction. Functional limitations and depressive symptoms serially mediated the association between social frailty and life satisfaction. This mediation model provided evidence of the associations among social frailty, functional limitations, depressive symptoms, and life satisfaction in older adults. In community care settings, nurses should recognize the assessment of social frailty to enhance the subjective well-being of older adults. [Research in Gerontological Nursing, 16(6), 291-300.].

本研究旨在识别社会脆弱程度对生活满意度的影响,并探讨功能限制和抑郁症状在社会脆弱程度与生活满意度之间的中介作用。采用了横断面调查的二次分析。从2020年全国老年人调查中选取了6479名老年人的数据。在所有参与者中,分别有2595人(40.1%)和1605人(24.8%)有社会倾向和脆弱。社会脆弱者的生活满意度显著低于无社会脆弱者。社会脆弱负向影响生活满意度。功能限制和抑郁症状依次介导社会脆弱和生活满意度之间的关联。该中介模型为老年人社会脆弱、功能限制、抑郁症状和生活满意度之间的关联提供了证据。在社区护理环境中,护士应该认识到社会脆弱性的评估,以提高老年人的主观幸福感。老年护理研究,16(6),291-300。
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引用次数: 0
Factors Affecting COVID-19 Incidences and Deaths of Geriatric Hospital Patients in Korea. 影响韩国老年医院患者COVID-19发病率和死亡的因素
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 Epub Date: 2023-08-25 DOI: 10.3928/19404921-20230817-04
Juh Hyun Shin, Sunok Jung, Jung Eun Kim

The current retrospective study aimed to investigate the association between organizational factors and nursing staff in geriatric hospitals and coronavirus disease 2019 (COVID-19) incidences and deaths using secondary data from governments nationwide in Korea. We used data on the number of COVID-19-confirmed cases and deaths among older adults in geriatric hospitals and nursing staff levels in those hospitals. We found that when the RN level was higher than the sample mean, the number of COVID-19-confirmed cases by geriatric hospital was significantly lower (4.3%; p = 0.05) and the number of deaths by geriatric hospital was marginally significantly lower (1.4%; p = 0.05). This study presented the national description of geriatric hospitals during the COVID-19 pandemic in terms of organizational and nursing staff factors. Findings highlight the impact of nursing staff skill mix and number of geriatric hospitals during the COVID-19 pandemic in Korea. It is necessary to allocate a realistic designation of infection control staff and establish a clear standard so infection control activities in geriatric hospitals can proceed systematically. [Research in Gerontological Nursing, 16(6), 302-311.].

目前的回顾性研究旨在利用韩国全国政府的二手数据,调查老年医院的组织因素和护理人员与2019年冠状病毒病(COVID-19)发病率和死亡之间的关系。我们使用了老年医院老年人中covid -19确诊病例和死亡人数以及这些医院护理人员水平的数据。我们发现,当RN水平高于样本平均值时,老年医院的新冠肺炎确诊病例数显著降低(4.3%;P = 0.05),老年医院死亡人数略低于对照组(1.4%;P = 0.05)。本研究从组织和护理人员因素两方面介绍了COVID-19大流行期间全国老年医院的描述。调查结果强调了韩国2019冠状病毒病大流行期间护理人员技能组合和老年医院数量的影响。有必要分配实际的感染控制人员,并建立明确的标准,以便老年医院的感染控制活动能够系统地进行。老年护理研究,16(6),302-311。
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引用次数: 0
Effectiveness of Combined Exercise and Nutrition Interventions in Preventing and Improving Sarcopenia in Frail or Healthy Older Adults: A Systematic Review. 运动和营养联合干预在预防和改善虚弱或健康老年人肌肉减少症中的有效性:一项系统综述。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 Epub Date: 2023-08-25 DOI: 10.3928/19404921-20230817-03
Seong-Hi Park, Heashoon Lee

The current systematic review compared whether combined exercise and nutrition interventions are effective in preventing or improving sarcopenia in frail older adults and healthy older adults. Medline, Embase, Cochrane Library, and CINAHL were searched for randomized controlled trials. Of the 1,596 citations, 22 trials (N = 1,767) were included in the final sample. In frail older adults, significant improvement after combined exercise and nutrition interventions was observed in seven indicators: skeletal muscle index, 0.16 kg/m2; handgrip, 1.41 kg; knee extension strength, 0.24 Nm; five-repetition chair-stand test, -1.89 sec; gait speed, 0.06 m/s; Short Physical Performance Battery, 0.43; and Timed Up and Go test, -0.56 sec. In healthy older adults, two indicators improved and showed statistically significant differences: handgrip, 2.15 kg; and 6-Minute Walking Test, 9.71 m. Combined exercise and nutritional interventions can improve skeletal muscle quality, strength, and physical performance in frail and healthy older adults. [Research in Gerontological Nursing, 16(6), 312-320.].

目前的系统综述比较了运动和营养联合干预是否能有效预防或改善体弱老年人和健康老年人的肌肉减少症。检索Medline、Embase、Cochrane Library和CINAHL的随机对照试验。在1596个引用中,22个试验(N = 1767)被纳入最终样本。在身体虚弱的老年人中,运动和营养联合干预后,7项指标显著改善:骨骼肌指数,0.16 kg/m2;握力:1.41公斤;膝关节伸展强度,0.24 Nm;五次椅架测试,-1.89秒;步态速度:0.06 m/s;短物理性能电池,0.43;健康老年人握力2.15 kg,两项指标改善,差异有统计学意义;6分钟步行测试,9.71米。结合运动和营养干预可以改善体弱多病和健康老年人的骨骼肌质量、力量和身体表现。老年护理研究,16(6),312-320。
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引用次数: 0
Extreme Weather: Implications for Older Adults. 极端天气:对老年人的影响。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-11-01 DOI: 10.3928/19404921-20231018-01
Heather M Young, Donna M Fick
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引用次数: 0
Effect of Music Interventions on Cognitive Function in Older Adults With Mild Cognitive Impairment: A Systematic Review. 音乐干预对轻度认知障碍老年人认知功能的影响:一项系统综述。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.3928/19404921-20230609-01
Jeeyeon Kim, Heather Cuevas, Shenell Tiara Wood

The purpose of the current systematic review was to examine the effects of music interventions on cognitive function in older adults with mild cognitive impairment (MCI). A systematic search of CINAHL, PubMed, PsycINFO, and Web of Science databases was performed. Studies examining the effects of music interventions on cognitive function in older adults with MCI were included. Narrative synthesis for cognitive outcomes postintervention was performed. A total of 11 articles met inclusion criteria. Music interventions significantly improved global cognitive function, verbal fluency, executive function, and spatial function in older adults with MCI. Included studies were heterogeneous in terms of the type of intervention, cognitive assessment tool, and intervention duration. Six studies were at risk of bias due to missing data and confounding factors. Our findings suggest that music interventions can be an effective strategy to improve cognitive function for older adults with MCI. However, findings should be interpreted with caution. More rigorous studies with various types of music interventions investigating cognitive domain-specific effects are needed. [Research in Gerontological Nursing, 16(5), 259-268.].

本系统综述的目的是研究音乐干预对轻度认知障碍(MCI)老年人认知功能的影响。对CINAHL、PubMed、PsycINFO和Web of Science数据库进行了系统搜索。研究了音乐干预对患有MCI的老年人认知功能的影响。对干预后的认知结果进行叙述性综合。共有11篇文章符合入选标准。音乐干预显著改善了MCI老年人的整体认知功能、语言流利性、执行功能和空间功能。纳入的研究在干预类型、认知评估工具和干预持续时间方面是异质的。由于数据缺失和混杂因素,六项研究存在偏倚风险。我们的研究结果表明,音乐干预可以成为改善老年MCI患者认知功能的有效策略。然而,应谨慎解读调查结果。需要对各种类型的音乐干预进行更严格的研究,以调查认知领域的特定影响。[老年护理研究,16(5),259-268。
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引用次数: 0
Prioritizing Community-Based Care for People With Alzheimer's Disease and Related Dementias in Ethnically Diverse Communities: The Time Is Now. 在种族多样的社区中优先考虑阿尔茨海默病和相关痴呆症患者的社区护理:现在是时候了。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-09-01 DOI: 10.3928/19404921-20230906-01
Komal Patel Murali, Tina R Sadarangani
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引用次数: 0
Accumulated Short Bouts of Walking in Older Adults With Type 2 Diabetes: Effects on Glycosylated Hemoglobin (HbA1c) and Homeostasis Model Assessment of Insulin Resistance (HOMA-IR). 老年2型糖尿病患者的累积短行程步行:对糖化血红蛋白(HbA1c)和胰岛素抵抗稳态模型评估(HOMA-IR)的影响。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-09-01 Epub Date: 2023-05-12 DOI: 10.3928/19404921-20230503-04
Chin Hsing Hsu, Chung Bing Yang, Mei Huang Chen, Te Hung Tsao

The current study examined the effects of accumulated short bouts of walking on glycosylated hemoglobin (HbA1c) and homeostasis model assessment of insulin resistance (HOMA-IR) of older adults with type 2 diabetes. Differences in variables between models of accumulated bouts of walking and 10,000 steps were also investigated. Sedentary participants (N = 38) were randomized into one of three groups: accumulated 10-minute bouts of walking at 100 steps/min (10/100MW), accumulated 10,000 steps (10KS), or control. HbA1c, HOMA-IR, blood lipids, and cardiorespiratory fitness (VO2max) were assessed before and after the intervention. VO2max, HbA1c, and HOMA-IR in the 10/100MW and 10KS groups showed significant and comparable improvements postintervention compared to preintervention (p < 0.05). Furthermore, the change in average daily step count was significantly associated with the change in HbA1c of the two walking groups (r = -0.61 for 10KS and r = -0.63 for 10/100MW; p < 0.05). Accumulated short bouts of walking at 100 steps/min and 10,000 steps daily improved HbA1c and HOMA-IR of older adults with type 2 diabetes. [Research in Gerontological Nursing, 16(5), 250-258.].

目前的研究考察了累积短时间步行对患有2型糖尿病的老年人糖化血红蛋白(HbA1c)和胰岛素抵抗稳态模型评估(HOMA-IR)的影响。还调查了累积步行次数和10000步数模型之间的变量差异。久坐的参与者(N=38)被随机分为三组:以100步/分钟(10/100MW)的速度累计10分钟的步行,累计10000步(10KS),或对照组。在干预前后评估HbA1c、HOMA-IR、血脂和心肺功能(VO2max)。与干预前相比,10/100MW和10KS组的VO2max、HbA1c和HOMA-IR在干预后表现出显著且可比的改善(p<0.05)。此外,两个步行组的平均每日步数变化与HbA1c变化显著相关(10KS组r=-0.61,10/100MW组r=-0.63;p<0.05)。累积100步/分钟和10000步/分钟的短时间步行改善了老年2型糖尿病患者的HbA1c和HOMA-IR。[老年护理研究,16(5),250-258。
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引用次数: 0
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Research in Gerontological Nursing
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