Depressive Signs and Daily Life of Residents When Relocating from a Regular to an Innovative Nursing Home

IF 4.2 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2024-10-10 DOI:10.1016/j.jamda.2024.105298

Mara Brouwers MSc , Bram de Boer PhD , Wim G. Groen PhD , Andrea Gabrio PhD , Hilde Verbeek PhD

{"title":"Depressive Signs and Daily Life of Residents When Relocating from a Regular to an Innovative Nursing Home","authors":"Mara Brouwers MSc , Bram de Boer PhD , Wim G. Groen PhD , Andrea Gabrio PhD , Hilde Verbeek PhD","doi":"10.1016/j.jamda.2024.105298","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>In this study, we examine how residents are affected by moving from a regular nursing home into an innovative living arrangement. In the past decade, a culture change has taken place, leading to rapid developments of innovative living arrangements that aim to change the physical, social, and organizational environment to better suit the needs of older adults needing 24-hour care. This has inevitably led to more group relocations in long-term care. Insight into the change in residents when relocating is lacking.</div></div><div><h3>Design</h3><div>An observational longitudinal study.</div></div><div><h3>Setting and Participants</h3><div>Four Dutch care organizations in which 5 relocations took place from a regular to an innovative living arrangement. Residents (N = 97) requiring 24-hour care who were relocated from a regular nursing home to an innovative living arrangement were included.</div></div><div><h3>Methods</h3><div>Data were collected 1 month before, 2 weeks after, and 6 months after relocating. Depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living were measured using questionnaires. Furthermore, the daily lives of the residents were assessed using ecological momentary assessments.</div></div><div><h3>Results</h3><div>Overall, no long-term change in depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living was found when relocating. Furthermore, the daily life of residents was not different 6 months after moving. Relocating was accompanied by a significant short-term increase in depressive signs and symptoms in 2 out of 4 locations (<em>P</em> < .001).</div></div><div><h3>Conclusions and Implications</h3><div>This study shows that relocating to an innovative living arrangement does not lead to long-term changes in residents. There are indications that there might be a short-term change in depressive signs and symptoms that could be prevented by considering the approach and context. More research is needed into the changes in the physical, social, and organizational environment that are necessary for a positive impact on the daily lives of residents.</div></div>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"25 12","pages":"Article 105298"},"PeriodicalIF":4.2000,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Medical Directors Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1525861024007205","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

In this study, we examine how residents are affected by moving from a regular nursing home into an innovative living arrangement. In the past decade, a culture change has taken place, leading to rapid developments of innovative living arrangements that aim to change the physical, social, and organizational environment to better suit the needs of older adults needing 24-hour care. This has inevitably led to more group relocations in long-term care. Insight into the change in residents when relocating is lacking.

Design

An observational longitudinal study.

Setting and Participants

Four Dutch care organizations in which 5 relocations took place from a regular to an innovative living arrangement. Residents (N = 97) requiring 24-hour care who were relocated from a regular nursing home to an innovative living arrangement were included.

Methods

Data were collected 1 month before, 2 weeks after, and 6 months after relocating. Depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living were measured using questionnaires. Furthermore, the daily lives of the residents were assessed using ecological momentary assessments.

Results

Overall, no long-term change in depressive signs and symptoms, cognitive functioning, and dependence in activities of daily living was found when relocating. Furthermore, the daily life of residents was not different 6 months after moving. Relocating was accompanied by a significant short-term increase in depressive signs and symptoms in 2 out of 4 locations (P < .001).

Conclusions and Implications

This study shows that relocating to an innovative living arrangement does not lead to long-term changes in residents. There are indications that there might be a short-term change in depressive signs and symptoms that could be prevented by considering the approach and context. More research is needed into the changes in the physical, social, and organizational environment that are necessary for a positive impact on the daily lives of residents.

查看原文本刊更多论文

从普通养老院搬迁到创新型养老院时，院友的抑郁症状和日常生活。

研究目的在本研究中，我们将探讨从普通疗养院转入创新型生活安排后，入住者会受到哪些影响。在过去的十年中，养老院文化发生了变化，创新型养老院迅速发展，旨在改变物理、社会和组织环境，以更好地满足需要 24 小时护理的老年人的需求。这不可避免地导致了更多长期护理机构的集体搬迁。目前还缺乏对搬迁时住院者变化的深入了解：设计：观察性纵向研究：环境和参与者：荷兰四家护理机构，其中有五次从常规生活安排搬迁到创新生活安排。研究对象包括从普通疗养院搬迁到创新生活安排的需要 24 小时护理的住院者（97 人）：方法：分别在搬迁前 1 个月、搬迁后 2 周和搬迁后 6 个月收集数据。方法：在搬迁前 1 个月和搬迁后 2 周以及搬迁后 6 个月收集数据，使用问卷调查法测量抑郁症状、认知功能和日常生活依赖性。此外，还使用生态学瞬间评估对居民的日常生活进行了评估：总体而言，搬迁后抑郁症状、认知功能和日常生活依赖性没有发生长期变化。此外，搬迁 6 个月后，居民的日常生活也没有发生变化。在搬迁的同时，4 个地点中有 2 个地点的抑郁症状和体征会在短期内显著增加（P < .001）：本研究表明，搬迁到创新型疗养院并不会导致入住者发生长期变化。有迹象表明，抑郁症状可能会发生短期变化，而这种变化是可以通过考虑方法和环境来预防的。要想对居民的日常生活产生积极影响，还需要对物理、社会和组织环境的变化进行更多研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality