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Building design for couple relationship maintenance in congregate dementia care 老年痴呆症护理中夫妻关系维护的建筑设计
Pub Date : 2022-11-01 DOI: 10.1097/NR9.0000000000000008
T. Ren, M. Strickfaden
Abstract Objectives: The main objectives of this article are to consider the relationships among couples, individuals, facility caregivers, and architectural design through 2 case studies that may influence maintaining couple relationships and the respective individuals’ quality of life. Methods: A phenomenological approach is taken through the case studies where the lived experiences of 2 couples—where each couple has one individual with and another without dementia—live in 2 different buildings. Multiple data collection methods included in-depth analysis of the building and grounds, interviews with residents and family members as well as facility caregivers and participant observations. Results: Both building designs featured suites with multiple rooms, independent living suites, and dementia care units to maintain couple-based routines as well as individuals’ needs. Having one suite located far away from the unit’s entrance hindered the spouse without dementia from maintaining connections outside the unit. Conclusions: The article highlights how building design can support as well as hinder the couple’s relationship maintenance and the individuals’ quality of life. We recommend considering building design opportunities for residents to maintain couple-based daily routines and for spousal residents to connect with the world outside the dementia care unit.
摘要目的:本文的主要目的是通过两个案例研究来考虑夫妻、个人、设施护理人员和建筑设计之间的关系,这些关系可能会影响维持夫妻关系和各自个人的生活质量。方法:采用现象学方法进行案例研究,其中两对夫妇的生活经历-每对夫妇中有一个患有痴呆症,另一个没有痴呆症-住在两栋不同的建筑物中。多种数据收集方法包括对建筑物和场地的深入分析,对居民和家庭成员的访谈以及设施护理人员和参与者的观察。结果:两个建筑设计都以多房间套房、独立生活套房和痴呆症护理单位为特色,以维持夫妻日常生活和个人需求。有一间套房位于远离单元入口的地方,阻碍了没有痴呆症的配偶与单元外的联系。结论:文章强调了建筑设计如何支持和阻碍夫妻关系的维持和个人的生活质量。我们建议考虑建筑设计机会,让居民保持以夫妻为基础的日常生活,并让配偶居民与痴呆症护理单位外的世界联系起来。
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引用次数: 0
Interdisciplinarity for life sciences 生命科学的跨学科
Pub Date : 2022-11-01 DOI: 10.1097/nr9.0000000000000005
Jie Qiao
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引用次数: 0
Interdisciplinarity catalyzes sustained development of nursing discipline 跨学科促进护理学科的持续发展
Pub Date : 2022-11-01 DOI: 10.1097/nr9.0000000000000009
Shaomei Shang, Dan Li, Luoya Hou, Mingming Yu, Zhiwen Wang
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引用次数: 0
Effects of light on sleep in older adults: a scoping review 光照对老年人睡眠的影响:一项范围综述
Pub Date : 2022-11-01 DOI: 10.1097/NR9.0000000000000001
Leying Jiang, Baibing Zhou, Han Han
Abstract In light of the increase of aging populations, there is a need to focus on how older adults experience sleep disorders. This scoping review aimed to synthesize the features of the light and its effects on sleep in older adults. A total of 25 articles focusing on the effects of light on sleep among older adults were included. We synthesized light intensity, treatment duration, and the spectrum of light therapy as well as features of natural and artificial light that were used to improve sleep outcomes. Literature has shown evidence for the positive effects of light therapy on sleep in older adults. Older adults are, therefore, encouraged to receive frequent sunlight exposure and artificial lighting that accords with the cycle of their circadian rhythms.
鉴于人口老龄化的增加,有必要关注老年人如何经历睡眠障碍。这篇综述旨在综合光的特征及其对老年人睡眠的影响。共收录了25篇关于光照对老年人睡眠影响的文章。我们综合了光强度、治疗持续时间、光疗光谱以及用于改善睡眠结果的自然光和人造光的特征。文献已经证明了光疗对老年人睡眠的积极影响。因此,鼓励老年人经常接受阳光照射和符合昼夜节律周期的人工照明。
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引用次数: 0
Sex-specific gut microbiome profiles among preterm infants during the neonatal intensive care hospitalization. 新生儿重症监护住院期间早产儿性别特异性肠道微生物组概况
Pub Date : 2022-11-01 DOI: 10.1097/NR9.0000000000000004
Jie Chen, Hongfei Li, Kendra Maas, Angela Starkweather, Minghui Chen, Xiaomei Cong

Objectives: The gut microbiota among preterm infants is shaped by sex and feeding types. However, sex-specific weekly patterns of gut microbiome profiles among preterm infants during their neonatal intensive care unit (NICU) hospitalization remain unclear. This study aimed to investigate the effect of sex on the weekly development of preterm neonatal gut microbiota in the first 4 weeks of NICU hospitalization.

Methods: This secondary data analysis included 28 preterm neonates with 261 stool samples collected from January 2014 to February 2015 in the Northeastern United States. The 16S rRNA V4 gene regions of the stool samples were sequenced and aligned against the SILVA 132 database by using Mothur 1.42.3. The sex-specific weekly diversity indexes and relative abundance of bacterial taxonomic composition were generated by Mothur and analyzed by R packages. Sex-specific weekly compositional patterns of the gut microbiome and predicted metabolic functions of gut microbiome profiles were compared, respectively.

Results: In each week of the NICU hospitalization, preterm females and males had significantly distinguished β-diversity indices and compositions of gut microbiota. Both females and males had significantly enriched Bifidobacterium, a protection feature, in stool samples collected in the third week compared with those in the second week. The predicted metabolic pathways were significantly different between females and males in the second, third, and fourth week of the NICU hospitalization. Both females and males had significantly abundant pathways. Males consistently had more abundance of "lipopolysaccharide biosynthesis" than females in the second, third, and fourth week. Males also had a significant abundance of "membrane and intracellular structural molecules" and "glycan biosynthesis and metabolism" in the second and third week.

Conclusions: Sex shaped the weekly patterns of preterm neonatal gut microbiome profiles during the first 4 weeks of the NICU hospitalization. Further clinical interventions should consider the distinct gut microbiota compositions and predicted functional profiles between female and male preterm neonates.

目的:早产儿肠道菌群的形成受性别和喂养方式的影响。然而,在新生儿重症监护病房(NICU)住院期间,早产儿肠道微生物群特征的性别特异性每周模式仍不清楚。本研究旨在探讨性别对新生儿NICU住院前4周内肠道微生物群每周发育的影响。方法:本二级数据分析包括2014年1月至2015年2月在美国东北部收集的28名早产儿261份粪便样本。利用motherur 1.42.3对粪便样本的16S rRNA V4基因区域进行测序,并与SILVA 132数据库比对。不同性别的每周多样性指数和细菌分类组成的相对丰度由motherur生成,并用R软件包进行分析。分别比较了性别特异性肠道微生物组的每周组成模式和肠道微生物组预测的代谢功能。结果:在新生儿重症监护病房住院的每一周,女性和男性早产儿肠道微生物群的β-多样性指数和组成有显著差异。与第二周相比,在第三周收集的粪便样本中,雌性和雄性都有显著丰富的双歧杆菌,这是一种保护特征。在NICU住院的第2、3、4周,预测的代谢途径在女性和男性之间有显著差异。雌性和雄性都有显著丰富的通路。在第二、第三和第四周,雄性的“脂多糖生物合成”始终比雌性丰富。雄性在第2周和第3周“膜和细胞内结构分子”和“聚糖生物合成和代谢”也有显著的丰度。结论:在新生儿重症监护病房住院的前4周,性别塑造了早产儿肠道微生物组的每周模式。进一步的临床干预应考虑不同的肠道菌群组成和预测的功能特征之间的女性和男性早产儿。
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引用次数: 3
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Interdisciplinary nursing research
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