Tijdschrift voor gerontologie en geriatrie最新文献_第2页

[Clinical ethics support with CURA. Acceptability and feasibility among medical practitioners in geriatric and palliative medicine]. [临床伦理支持与CURA。老年医学和姑息医学从业人员的可接受性和可行性[j]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-12-17 DOI: 10.54195/tgg19019

Lieke M Swart, Malene V van Schaik, Charlotte C S Garstman, Eefje M Sizoo, Suzanne Metselaar

{"title":"[Clinical ethics support with CURA. Acceptability and feasibility among medical practitioners in geriatric and palliative medicine].","authors":"Lieke M Swart, Malene V van Schaik, Charlotte C S Garstman, Eefje M Sizoo, Suzanne Metselaar","doi":"10.54195/tgg19019","DOIUrl":"https://doi.org/10.54195/tgg19019","url":null,"abstract":"Introduction: Moral conflicts are common within geriatric and palliative care and can lead to moral distress. Clinical ethics support helps healthcare providers in managing moral conflicts and moral distress. CURA is a low-threshold clinical ethics support instrument. The feasibility for nurses and nurse-assistants in palliative care has already been investigated. However, the acceptability and feasibility of CURA within medical practitioners is unclear.Methods: Prospective cohort study, using mixed methods. Participants are medical practitioners working in geriatric or palliative care, who attended a workshop on CURA. They received a baseline questionnaire (n=41) after the workshop regarding acceptability and a follow-up questionnaire (n=22) after three months regarding feasibility. Additionally, in-depth interviews (n=7) were conducted.Results: 68% of participants expressed intention to use CURA at baseline; 32% were uncertain. 14% has actually used CURA after three months. Feasibility is dependent of several factors: (1) recognizing a moral situation; (2) familiarity with the methodology; (3) scheduling a CURA moment; (4) the role of colleagues and the healthcare organization.Conclusion: Whereas CURA is an acceptable tool for medical practitioners, feasibility is found to be low if practitioners do not receive additional training and support.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 3","pages":"2-16"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Health beliefs regarding osteoporosis among older adults: validation of the Dutch version of the Osteoporosis Health Belief Scale]. [老年人骨质疏松的健康信念：荷兰版骨质疏松健康信念量表的验证]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-12-17 DOI: 10.54195/tgg19758

Lynn Longueville, Michel Schellemans, Staney Perkisas, Sophie Bastijns, Femke Ariën, Anne-Marie De Cock

{"title":"[Health beliefs regarding osteoporosis among older adults: validation of the Dutch version of the Osteoporosis Health Belief Scale].","authors":"Lynn Longueville, Michel Schellemans, Staney Perkisas, Sophie Bastijns, Femke Ariën, Anne-Marie De Cock","doi":"10.54195/tgg19758","DOIUrl":"https://doi.org/10.54195/tgg19758","url":null,"abstract":"Objective: The Osteoporosis Health Belief Scale (OHBS) was developed to assess health beliefs about osteoporosis. This questionnaire consists of 42 items divided into seven subscales including seriousness, susceptibility, health motivation, calcium intake, and exercise. The aim of this study was to validate the OHBS in Dutch.Methods: Dutch-speaking individuals aged over 65 years, without cognitive problems, were included in the study. Translation of the OHBS into Dutch was conducted based on international guidelines for translating a validated questionnaire into another language. A subgroup of individuals repeated the questionnaire after a period of at least seven days.Results: During the translation process, no significant issues were encountered. All translation discrepancies were discussed and resolved through consensus. The results demonstrate strong test-retest reliability (Spearman's rho 0.772, p‹0.001) and internal consistency (Cronbach's alpha 0.828). The mean duration to complete the questionnaire ranges between five and ten minutes.Conclusions: The Dutch version of the OHBS is a reliable and valid instrument for measuring health beliefs regarding osteoporosis. More knowledge about these health beliefs is crucial for improving communication regarding osteoporosis and fracture prevention. Moreover, the instrument can be used to identify individuals who would benefit from educational interventions.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 4","pages":"17-28"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Trends in the sufficiency of long-term care as perceived by older care recipients between 2012 and 2022 in the Netherlands]. [2012年至2022年荷兰老年护理接受者认为的长期护理充足性趋势]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-09-25 DOI: 10.54195/tgg18816

Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Marjolein I Broese van Groenou

{"title":"[Trends in the sufficiency of long-term care as perceived by older care recipients between 2012 and 2022 in the Netherlands].","authors":"Maura K M Gardeniers, Martijn Huisman, Erik Jan Meijboom, Marjolein I Broese van Groenou","doi":"10.54195/tgg18816","DOIUrl":"https://doi.org/10.54195/tgg18816","url":null,"abstract":"Due to population ageing and rising healthcare costs, Dutch long-term care was reformed in 2015/16. Important measures were stricter admission requirements for nursing homes and decentralization of homecare to municipalities. The consequences of these changes for the perceived quality of care are still unknown. We examined to which extent the sufficiency of care as experienced by older people has changed during this period. We also examined the relationship with individual characteristics, such as care needs, care use, and wishes regarding care. Data from older care recipients at four observations from the Longitudinal Aging Study Amsterdam (LASA) between 2012 and 2022 (N=1316) were used. Multilevel logistic regression analysis were performed. Perceived care sufficiency decreased a little after the healthcare reform in 2015/16 and 2018/19, but recovered in 2022. There appeared no difference based on living region, but care sufficiency was higher in less urban areas (OR=0,89). In addition, functional limitations (OR=0,94), chronic diseases (OR=0,80), use of public care (OR=0,67), and higher education level (OR=1,53) were strongly associated with care sufficiency. However, use of publicly paid care appeared to be the type of care that contributed least to care sufficiency; a lack of perceived control over care may be an explanatory factor.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 3","pages":"20-37"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Brain and blisters: a special bond]. [大脑和水泡：一种特殊的联系]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-09-25 DOI: 10.54195/tgg18940

Floor Lijten, Amée Wolters, Rianne Esselink, Satish Lubeek

{"title":"[Brain and blisters: a special bond].","authors":"Floor Lijten, Amée Wolters, Rianne Esselink, Satish Lubeek","doi":"10.54195/tgg18940","DOIUrl":"10.54195/tgg18940","url":null,"abstract":"Bullous pemphigoid (BP) is a dermatological autoimmune disease characterized by itch and blisters. Sometimes the blisters are preceded by years of itching and eczematous patches, which can cause a delay in recognition of BP. The disease is caused by production of autoantibodies against the hemidesmosomal proteins BP180 and BP230 at the dermal-epidermal junction. An association between BP and neurodegenerative disorders, such as Parkinson's disease, is known. However, this association is not commonly known amongst health care professionals, but is of clinical significance. Neurodegenerative disorders (including Parkinson's disease) are thought to disrupt the blood brain barrier, resulting in exposure of neuronally located BP180 and BP230 to the immune system. In most studies that have examined the association between BP and Parkinson's disease (and other neurodegenerative disease), BP develops several years after the diagnosis of Parkinson's. We present a case of a patient with proven bullous pemphigoid who developed clinical features of Parkinson's disease during follow-up at the dermatology outpatient clinic. After neurological analysis, the patient most likely suffered from long-standing Parkinson's disease.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 3","pages":"38-44"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Caring together: exploring the collaboration with relatives and volunteers from the perspective of care professionals]. 【共同关怀：从护理专业人员的角度探讨与亲属和志愿者的合作】。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-09-25 DOI: 10.54195/tgg19094

Aukelien Scheffelaar, Loreen Loman, Chantal Hillebregt

{"title":"[Caring together: exploring the collaboration with relatives and volunteers from the perspective of care professionals].","authors":"Aukelien Scheffelaar, Loreen Loman, Chantal Hillebregt","doi":"10.54195/tgg19094","DOIUrl":"https://doi.org/10.54195/tgg19094","url":null,"abstract":"Introduction: Collaboration with relatives and volunteers is important to maintain the quality of life of clients in times of growing care demands and rising staff shortages. The aim of this study was to explore the facilitating and hindering factors in taking care together with relatives and volunteers from the perspectives of care professionals, managers and coaches.Methods: Semi-structured online interviews were conducted with 17 respondents in nursing home care, including 6 care professionals, 4 managers and 7 coaches. The transcripts were then thematically analysed in MAXQDA in three phases: open -, axial -and selective coding.Results: Ten themes were identified and categorized on micro-, meso- and macro level. Themes of micro level concern the roles and alignment of care professionals, relatives and volunteers. Mesos level comprise themes on team-, department level and organisational level: recruitment of volunteers, work pressure of care professionals, the role of management, and realisation of policy. Themes on macro level transcend individual care organisations: connection to the neighbourhood and culture change.Discussion: The findings emphasize the relevance of the collaboration between care professionals, relatives and volunteers. Also, the need for support and agreements on policy level was underlined.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 3","pages":"2-19"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[An atypical course of disease at the memory clinic: A man with rapidly progressive cognitive impairment]. [记忆诊所的一个非典型病程：一名患有快速进行性认知障碍的男子]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-06-05 DOI: 10.54195/tgg19025

Marjolein Diekhuis, Liesbeth Hempenius, Arjan Minneboo, Niek Verwey

引用次数: 0

[Which characteristics of vulnerable older adults are associated with the discharge destination after hospitalization? A retrospective study]. 老年人的哪些特征与住院后的出院目的地相关？回顾性研究]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-06-05 DOI: 10.54195/tgg18688

Manon van Leeuwen, Marieke van Dam, Carla Agasi-Idenburg, Frederique de Croock, Frederiek van den Bos, Thea Vliet Vlieland

{"title":"[Which characteristics of vulnerable older adults are associated with the discharge destination after hospitalization? A retrospective study].","authors":"Manon van Leeuwen, Marieke van Dam, Carla Agasi-Idenburg, Frederique de Croock, Frederiek van den Bos, Thea Vliet Vlieland","doi":"10.54195/tgg18688","DOIUrl":"https://doi.org/10.54195/tgg18688","url":null,"abstract":"Introduction: This study aimed to determine the association between the physical, social, and cognitive characteristics of acutely admitted older individuals and their discharge destination.Method: Retrospective study including consecutive individuals aged 65 or older who were acutely admitted to an academic hospital. From these, patients who had been living independently and were clinically judged to have an increased risk of falling or physical limitations upon admission were selected. In addition to sociodemographic and medical characteristics, the following measurements of physical and cognitive functioning were conducted at admission or shortly thereafter: the Katz-ADL, handgrip strength, Timed-Up-and-Go test, 4-Meter-Walk Test, and the Six-item Cognitive Impairment Test (6-CIT). Univariate analysis and multivariable logistic regression analysis were used to compare the characteristics of patients discharged home or not.Results: Among the 49 patients who were included (mean age 81 (standard deviation ± 7,8) years, 24 (49% ) female), 20 (41%) were not discharged home. In the univariate comparisons, patients not discharged home were statistically significantly older, less often admitted for infection, and had worse scores on all measures of physical and cognitive functioning. In the multivariate analysis adjusted for age, only a worse Katz-ADL score was associated with not being discharged home.Conclusion: In older, independently living vulnerable patients who were acutely admitted to a hospital physical functioning as measured by the Katz-ADL at admission was most strongly associated with the discharge destination.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 2","pages":"16-32"},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Anticholinergic burden in older adults in a residential care center: a pilot study]. [住院护理中心老年人抗胆碱能负荷：一项初步研究]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-06-05 DOI: 10.54195/tgg18488

Tom Vermeulen, Anne-Marie Borghs, Annelies Pieters, Steven Dirickx, Jo Sels, Kris Van den Broeck

{"title":"[Anticholinergic burden in older adults in a residential care center: a pilot study].","authors":"Tom Vermeulen, Anne-Marie Borghs, Annelies Pieters, Steven Dirickx, Jo Sels, Kris Van den Broeck","doi":"10.54195/tgg18488","DOIUrl":"https://doi.org/10.54195/tgg18488","url":null,"abstract":"Older adults are more at risk for side effects from medications. Mainly anticholinergic side effects can lead to central and peripheral side effects on somatic and cognitive levels. In this study, we determined the anticholinergic load of the medication regimens of residents of a residential care centre using two validated measurement scales. We also examined to which extent the class(es) of medications influence this anticholinergic load. Finally, we analysed the association of a high anticholinergic load with incidents (urinary tract infections, falls, delirium).In this pilot study, we see a high degree of polymedication and use of psychotropic drugs with an anticholinergic effect. On average, we established a score of 1.67 on the ACB and a score of 0.87 on the DBI. The anticholinergic load in the ACB is mainly determined by antipsychotics (β = 0,647, p ‹ 0.001), in the DBI an influence of all medications with total anticholinergic and sedative load (F = 6.764, p ‹ 0.001). A risk score on the DBI has a statistically significant correlation with experiencing a urinary tract infection (F = 5.877, p = 0.018). This influence remains significant after adjusting for covariates.The anticholinergic load of medication regimens in residents is high. An increased anticholinergic load is also associated with urinary tract infection. Reducing the anticholinergic load within residential care centres therefore represents an important challenge for the future.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":"55 2","pages":"2-15"},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Het gewicht van woorden. 文字的重量。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2024-03-11

Cees Hertogh

引用次数: 0

[Significance of pets in long-term care at home]. [宠物在家庭长期护理中的意义]。

Tijdschrift voor gerontologie en geriatrie Pub Date : 2023-12-11 DOI: 10.54195/tgg.18095

P W A Reniers, R Leontjevas, I J N Declercq, M Molog, M-J Enders-Slegers, D L Gerritsen, K Hediger

{"title":"[Significance of pets in long-term care at home].","authors":"P W A Reniers, R Leontjevas, I J N Declercq, M Molog, M-J Enders-Slegers, D L Gerritsen, K Hediger","doi":"10.54195/tgg.18095","DOIUrl":"10.54195/tgg.18095","url":null,"abstract":"Background: Pets are important in the lives of community-dwelling older adults and of those receiving long-term care at home (LTCH). The objective of this project was to explore the significance of pets for community-dwelling older adults and if this also applies for LTCH-clients. Moreover, we investigated potential pet-related challenges and the impact of pet ownership on caregiving relationships in LTCH.Methods: The project included a systematic qualitative literature review and a Consensual Qualitative Research method (CQR) study and an online survey to confirm the results of the review in LTCH. LTCH-clients, family caregivers, and professional caregivers participated in the CQR study and survey. The survey also included open-questions on potential pet-related challenges and their influence on caregiving relationships in LTCH.Results: The review included fifteen articles describing twenty-eight themes regarding the significance of pets placed in seven categories. Outcomes of the CQR study and survey indicated similar significance of pets for community-dwelling older adults and LTCH-clients. Furthermore, participants reported potential challenges and positive and negative effects of pet ownership on caregiving relationships.Conclusions: Pets have similar significance for both community-dwelling older adults and LTCH-clients. Moreover, LTCH-clients may experience specific pet-related challenges and may positively or negatively influence caregiving relationships. Thus, it is necessary to account for pets in LTCH.","PeriodicalId":101340,"journal":{"name":"Tijdschrift voor gerontologie en geriatrie","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138816136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0