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Australasian Journal on Ageing最新文献

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Value co-creation to improve ageing-in-place programs in China 价值共创,改善中国的居家养老项目。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-27 DOI: 10.1111/ajag.13343
Shiufai Wong
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引用次数: 0
What is social frailty? 什么是社会脆弱性?
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-27 DOI: 10.1111/ajag.13347
Jed Montayre
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引用次数: 0
Who is the frail consumer and how do we reach them? Engaging consumers in frailty research 谁是体弱的消费者,我们如何接触他们?让消费者参与体弱研究。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-27 DOI: 10.1111/ajag.13342
Adrienne Young, Anja Christoffersen, Kenneth Rockwood
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引用次数: 0
My parents are ageing, what the heck do I do?—Understanding Australia's aged care system to support older loved ones at home By C. Wilkinson, See Me Aged Care Consulting Pty Ltd. 2022. $26.91. Kindle edition $13.99. ISBN-13: 9781922764263 我的父母日渐衰老,我该怎么办?--了解澳大利亚的养老护理系统,为家中年长的亲人提供支持 作者:C. Wilkinson,See Me Aged Care Consulting Pty Ltd。 2022.$26.91.Kindle 版 $13.99。ISBN-13: 9781922764263
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-27 DOI: 10.1111/ajag.13328
Gillian Stockwell-Smith
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引用次数: 0
The quality of residential aged care in the context of the Australian aged care reforms: A scoping review 澳大利亚养老改革背景下的养老院质量:范围审查。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-24 DOI: 10.1111/ajag.13349
Cathy Monro, Lynette Mackenzie, Sanetta duToit

Objective

Australia has been undergoing a major aged care reform process since 2012 focused on consumer-oriented home and community-supported care, but little is known about the impact of these reforms on residential aged care delivery. This study aimed to review research about the quality of residential aged care service delivery during the implementation period of these reforms.

Methods

The review followed a five-stage scoping review framework and searched five databases for articles published between 2012 and February 2022 (the 10-year implementation period of the reforms). Initial searches identified 495 articles. Articles were imported to Covidence™ for title, abstract and full-text screening.

Results

Twenty-two articles were included in the review. Articles were framed using the micro (residents and families)/meso (staff)/macro (governance, government) continuum in the operation of residential aged care facilities. Most articles focused on workforce perspectives.

Conclusions

Attention was paid to workforce issues and a limited focus was on consumer experience and expectations. There is a need for an evaluation of the reforms as a vehicle for promoting consumer empowerment. Many contributing factors to quality of care were identified, and there were some quality issues that were contrary to the intended objectives of the reforms. These warrant closer attention.

目的:自 2012 年以来,澳大利亚一直在进行重大的养老护理改革,重点是以消费者为导向的家庭和社区支持护理,但人们对这些改革对住宿养老护理服务的影响知之甚少。本研究旨在回顾在这些改革实施期间有关养老院服务质量的研究:本研究采用了五阶段范围界定研究框架,并在五个数据库中检索了 2012 年至 2022 年 2 月(改革的 10 年实施期)期间发表的文章。初步检索确定了 495 篇文章。文章被导入 Covidence™ 进行标题、摘要和全文筛选:22篇文章被纳入审查范围。文章采用微观(居民和家庭)/宏观(员工)/宏观(管理、政府)的连续统一体来构建安老院设施的运营。大多数文章侧重于劳动力的视角:讨论:关注劳动力问题,对消费者的体验和期望关注有限。有必要对改革进行评估,将其作为促进消费者赋权的工具。已发现许多影响医疗质量的因素,有些质量问题与改革的预期目标背道而驰。这些问题值得密切关注。
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引用次数: 0
Seeking residents' views regarding Australian residential aged care: A scoping review 征求居民对澳大利亚养老院的意见:范围审查。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-17 DOI: 10.1111/ajag.13344
Anne-Maree Caine, Louise Gustafsson, Matthew Molineux, Tammy Aplin

Objective

This scoping review aimed to explore topics on which the views of residents of Australian residential aged care facilities (RACFs) have been sought.

Methods

Scoping review methodology as outlined by Arksey and O'Malley was used to identify, explore and report on the range of literature regarding views of RACF residents. Seven electronic databases were searched using broad search terms relevant to the RACF context. Descriptive numerical analysis was completed for publication year, journal name and target profession, research methods and participant types. Thematic analysis then focussed on the aims of the included studies.

Results

Four thousand two hundred and ninety studies were screened, and 104 publications met the inclusion criteria. A broad range of topics were explored by researchers, with the largest number of papers focused on residents' views of systems within RACFs (n = 24) and new programs and interventions (n = 21). Smaller topic areas included health conditions and health-care services (n = 13), socialisation (n = 13), physical activity (n = 3), self-care (n = 4), leisure (n = 4), general everyday life (n = 20) and aspects of the residential aged care environment (n = 15). There was limited exploration of meaningful activity (n = 13). The inclusion of residents with cognitive impairment was inconsistent, and the voices of other stakeholders were often privileged.

Conclusions

Voices of residents must be heard in order to prioritise the health and well-being of this population. More research which focuses on what is important to residents is needed and must include residents with cognitive impairment more effectively. Identification of optimal research methods with this population would make an important contribution in this area.

目的本范围界定综述旨在探讨澳大利亚养老院(RACF)居民意见征询的主题:采用Arksey和O'Malley概述的范围界定综述方法来识别、探索和报告有关养老院居民意见的各种文献。我们使用与康复中心相关的广泛搜索条件搜索了七个电子数据库。对发表年份、期刊名称和目标专业、研究方法和参与者类型进行了描述性数字分析。然后对纳入研究的目的进行了专题分析:共筛选出 4290 项研究,其中 104 项符合纳入标准。研究人员探讨了广泛的主题,其中数量最多的论文集中在居民对区域护理中心内系统的看法(n = 24)以及新项目和干预措施(n = 21)。较小的主题领域包括健康状况和医疗保健服务(n = 13)、社交(n = 13)、体育活动(n = 3)、自我护理(n = 4)、休闲(n = 4)、一般日常生活(n = 20)和养老院环境的各个方面(n = 15)。对有意义活动的探讨有限(n = 13)。对有认知障碍的住户的纳入并不一致,其他利益相关者的声音往往被优先考虑:结论:必须倾听住户的声音,优先考虑他们的健康和福祉。需要开展更多的研究,重点关注什么对居民最重要,并且必须更有效地纳入有认知障碍的居民。确定针对这一群体的最佳研究方法将在这一领域做出重要贡献。
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引用次数: 0
First-day mobilisation after hip fracture surgery: Incentivising the multidisciplinary team to achieve recommended patient care 髋部骨折术后第一天的活动能力:激励多学科团队实现推荐的患者护理。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-09 DOI: 10.1111/ajag.13346
Elizabeth Armstrong
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引用次数: 0
Integrating cultural sensitivity into occupational therapy for dementia care: Insights from Taiwan 将文化敏感性融入痴呆症护理的职业疗法:来自台湾的启示。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-06-05 DOI: 10.1111/ajag.13332
Lien-Chung Wei, Hsien-Jane Chiu
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引用次数: 0
Understanding the important characteristics of neighbourhoods to facilitate ageing in place and longevity 了解街区的重要特征,以促进居家养老和长寿。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-28 DOI: 10.1111/ajag.13318
Danielle Taylor, Graeme Tucker, David Wilson, Maria Inacio, Renuka Visvanathan

Objectives

This study investigates which local area characteristics, included in the Healthy Ageing/Vulnerable ENvironment (HAVEN) Index, are the strongest factors predicting transition into permanent residential aged care (PRAC) and mortality, and the geographic distribution of these factors.

Methods

A retrospective cohort study of older individuals living in the community in Adelaide who received their first eligibility assessment for age care services between 2013 and 2015 (n = 16,939) was conducted. The study cohort, from the Registry of Senior Australians (ROSA), was linked by postcode to HAVEN Index items, selected following item response theory (IRT) analysis to determine the strongest local area factors associated with PRAC and mortality. Geospatial mapping of the factors determined the geographic distribution of these significant factors.

Results

Fourteen HAVEN Index items were associated with entry into PRAC and mortality. Three area-level items, lower educational attainment, financial housing stress and low levels of volunteering by older people, were risk factors for entry into PRAC and mortality while the remainder of the items identified were different for each outcome. The mapped local area risk factors for each outcome highlighted similar geographical areas of vulnerability.

Conclusions

Local area characteristics are associated with entering PRAC and mortality. Our findings can inform area-level responses to make neighbourhoods more age-friendly, potentially allowing more people to age longer in place. Similar analyses, conducted for other areas, could provide evidence to support the widespread development of age-friendly neighbourhoods reducing area-level inequalities in ageing.

研究目的本研究调查了健康老龄化/脆弱环境指数(HAVEN)中包含的哪些地区特征是预测过渡到永久性养老院(PRAC)和死亡率的最有力因素,以及这些因素的地理分布情况:我们对居住在阿德莱德社区的老年人进行了一项回顾性队列研究,这些老年人在 2013 年至 2015 年间接受了首次老年护理服务资格评估(n = 16939)。研究队列来自澳大利亚老年人登记处 (ROSA),通过邮政编码与 HAVEN 指数项目进行了链接,并根据项目反应理论 (IRT) 分析选出了与 PRAC 和死亡率相关的最强地区因素。这些因素的地理空间分布图确定了这些重要因素的地理分布:结果:14 个 HAVEN 指数项目与进入 PRAC 和死亡率相关。教育程度较低、经济住房压力和老年人志愿服务水平较低这三个地区级项目是进入 PRAC 和死亡率的风险因素,而其余已确定的项目对每种结果的影响都不同。针对每项结果绘制的地区风险因素图突出显示了类似的地理脆弱性区域:结论:地区特征与进入 PRAC 和死亡率相关。我们的研究结果可以为地区层面的应对措施提供参考,使社区对老年人更加友好,从而使更多人能够居家养老。对其他地区进行类似的分析,可以为广泛发展老年友好型社区提供证据,从而减少地区层面的老龄化不平等现象。
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引用次数: 0
Frailty evidence-practice gaps in acute care hospitals 急症护理医院的虚弱证据--实践差距。
IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-05-26 DOI: 10.1111/ajag.13330
Heather Block, Rosanna Tran, Keri Lockwood, Kisani Manuel, Kate Laver, Maria Crotty, Ian D. Cameron, Susan E. Kurrle

Objectives

Frailty is common in hospitalised older people. Clinical practice guidelines for the management of frailty provide recommendations for identification and management; however, adoption into practice in hospitals is limited. This study identified and quantified the evidence-practice gap between frailty guidelines and clinical practice in two hospitals using an audit tool.

Methods

A cross-sectional audit of medical records of frail older patients admitted to two hospitals was conducted. Data were collected using an audit tool based on the Asia Pacific Clinical Practice Guidelines for frailty management. Data were analysed using descriptive statistics and inter-rater reliability of the tool was assessed.

Results

Auditing of n = 70 electronic medical records showed that assessment of frailty in the acute setting did not regularly occur (17%). Few participants received guideline-recommended interventions. Physiotherapy treatment was limited, with 23% of participants receiving progressive resistance strength training. Gaps exist in provision of nutritional supplementation (26%) with limited recordings of weight during the admission for 10% of participants. Pharmacy review of medications was consistently documented on admission (84%) and discharge (93%). Vitamin D was prescribed for 57% of participants. Inter-rater reliability showed a high level of agreement using the audit tool.

Conclusions

An audit tool was feasible to assess frailty evidence-practice gaps in the hospital setting. Further understanding of the contextual barriers is needed to inform implementation strategies (dedicated staffing, education and training and ongoing audit of practice cycles) for the uptake of frailty guidelines in hospital settings.

目的:虚弱是住院老年人的常见病。虚弱管理的临床实践指南为识别和管理提供了建议;然而,医院在实践中采用的指南却很有限。本研究利用审计工具确定并量化了两家医院中虚弱指南与临床实践之间的证据与实践差距:方法:对两家医院收治的体弱老年患者的病历进行了横向审计。采用基于亚太地区虚弱管理临床实践指南的审计工具收集数据。采用描述性统计方法对数据进行分析,并对工具的评分者间可靠性进行评估:结果:对 n = 70 份电子病历的审核结果显示,在急性期并没有定期进行虚弱评估(17%)。很少有参与者接受指南推荐的干预措施。物理治疗有限,只有 23% 的参与者接受了渐进式阻力训练。在提供营养补充方面存在差距(26%),10% 的参与者在入院期间的体重记录有限。在入院(84%)和出院(93%)时,药房都会对药物进行复查。为 57% 的参与者开具了维生素 D 处方。使用审核工具的评分者之间的可靠性显示出高度的一致性:审计工具可用于评估医院环境中虚弱证据与实践之间的差距。需要进一步了解相关障碍,以便为在医院环境中采用虚弱指南的实施策略(专门的人员配备、教育和培训以及对实践周期的持续审核)提供依据。
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Australasian Journal on Ageing
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