Journal of gerontological nursing最新文献

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Preliminary Analysis of Fall Concern Among Family Caregivers of Older Adults Discharged From the Hospital: A Psychometric Evaluation of the Carers' Fall Concern Instrument 出院老人的家庭照顾者对跌倒担忧的初步分析:照护者对跌倒问题的关注程度工具的心理计量学评估
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-03
Seng Giap Marcus Ang, PhD, RN, Rosemary Saunders, PhD, RN, Chiew Jiat Rosalind Siah, PhD, RN, Yan Hui Celestine Wee, MSc, RN, Christopher Etherton-Beer, PhD, MBBS, Charlotte Foskett, MCSP, Grad.Dip.Phys, Karen Gullick, MSc, RN, Sue Haydon, BA, Amanda Wilson, PhD, RN
{"title":"Preliminary Analysis of Fall Concern Among Family Caregivers of Older Adults Discharged From the Hospital: A Psychometric Evaluation of the Carers' Fall Concern Instrument","authors":"Seng Giap Marcus Ang, PhD, RN, Rosemary Saunders, PhD, RN, Chiew Jiat Rosalind Siah, PhD, RN, Yan Hui Celestine Wee, MSc, RN, Christopher Etherton-Beer, PhD, MBBS, Charlotte Foskett, MCSP, Grad.Dip.Phys, Karen Gullick, MSc, RN, Sue Haydon, BA, Amanda Wilson, PhD, RN","doi":"10.3928/00989134-20240416-03","DOIUrl":"https://doi.org/10.3928/00989134-20240416-03","url":null,"abstract":"<section><h3>Purpose:</h3><p>To provide a preliminary descriptive analysis of the change in fall concern among family caregiver–care recipient dyads during hospitalization and after discharge as part of a prospective study exploring the psychometric properties of the Carers' Fall Concern Instrument.</p></section><section><h3>Method:</h3><p>Using a prospective cohort design, an interviewer-administered survey was completed by dyads at 48 hours before discharge and 1 week and 30 days after discharge.</p></section><section><h3>Results:</h3><p>Of family caregivers, 76.9% thought their care recipient was at risk of falling and 61.5% were afraid of them falling. However, only 34.6% of older adults thought that they were at risk of falling and only 42.3% were afraid of falling. Family caregivers reported significantly less concern about falls after their care recipients were discharged.</p></section><section><h3>Conclusion:</h3><p>This study provided greater insight into caregiver–care recipient dyads' fall concern during their transition from hospital to home that may guide post-discharge fall prevention education on falls. [<i>Journal of Gerontological Nursing, 50</i>(5), 14–18.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Care Needs of Older Adults With Urinary Incontinence: A Cross-Sectional Study. 尿失禁老年人的护理需求:横断面研究
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-07
Su Ying Xiang, Hao Chong He, Ye Liu, Bi Jun Yu, Shu Yuan Mai, Meng Yuan Li, Xiao Ying Yan, Xiao Hong Huang
{"title":"Care Needs of Older Adults With Urinary Incontinence: A Cross-Sectional Study.","authors":"Su Ying Xiang, Hao Chong He, Ye Liu, Bi Jun Yu, Shu Yuan Mai, Meng Yuan Li, Xiao Ying Yan, Xiao Hong Huang","doi":"10.3928/00989134-20240416-07","DOIUrl":"https://doi.org/10.3928/00989134-20240416-07","url":null,"abstract":"<p><strong>Purpose: </strong>To explore care requirements of older adults with urinary incontinence (UI) and contributing factors.</p><p><strong>Method: </strong>This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance, <i>t</i> tests, correlation analyses, and linear regression models, were conducted to assess factors influencing participants' care needs.</p><p><strong>Results: </strong>A total of 530 older adults with UI participated in the survey and mean standardized score for overall care needs was 78.65 (<i>SD</i> = 5.01), with mean scores for each dimension ranging from 70.88 (<i>SD</i> = 10.55) for social participation needs to 82.45 (<i>SD</i> = 7.11) for health education needs. Factors that were found to influence incontinence care needs in older adults included age, literacy level, number of leaks, and type of disease (F = 37.07, adjusted R<sup>2</sup> = 0.290, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Comprehensive care for older adults with UI, encompassing physiological, psychological, and social aspects, is crucial. It is essential to tailor care to individual needs and characteristics, taking into account factors, such as age and education, to ensure effective care. [<i>Journal of Gerontological Nursing, 50</i>(5), 43-49.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study 养老院居民的偏好和生活质量:混合方法研究
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-02
Tonya Roberts, PhD, RN, Laura Block, BS, BSN, RN, Caroline Madrigal, PhD, RN
{"title":"Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study","authors":"Tonya Roberts, PhD, RN, Laura Block, BS, BSN, RN, Caroline Madrigal, PhD, RN","doi":"10.3928/00989134-20240416-02","DOIUrl":"https://doi.org/10.3928/00989134-20240416-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents.</p></section><section><h3>Method:</h3><p>A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents.</p></section><section><h3>Results:</h3><p>Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and <i>can't do</i>/<i>no</i> choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences.</p></section><section><h3>Conclusion:</h3><p>In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [<i>Journal of Gerontological Nursing, 50</i>(5), 7–13.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empowering Certified Nursing Assistants to Screen for Delirium: If Not Now, When? 授权注册护理助理筛查谵妄:此时不做,更待何时?
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-01
Shih-Yin Lin, PhD, MPH, MM, Donna M. Fick, PhD, RN, GCNS-BC, AGSF, FGSA, FAAN
{"title":"Empowering Certified Nursing Assistants to Screen for Delirium: If Not Now, When?","authors":"Shih-Yin Lin, PhD, MPH, MM, Donna M. Fick, PhD, RN, GCNS-BC, AGSF, FGSA, FAAN","doi":"10.3928/00989134-20240416-01","DOIUrl":"https://doi.org/10.3928/00989134-20240416-01","url":null,"abstract":"<h2>Introduction</h2><p><i>Mrs. Frank was an 84-year-old nursing home resident who was diagnosed with dementia 2 years before entering the facility. She was active in the nursing home, participating in recreational therapy activities, and had a good rapport with staff. One morning the certified nursing assistant (CNA) noticed she had developed a cough, was sleeping more, and not eating as much. She also did not want to go to her usual exercise class. The CNA let the RN know that Mrs. Frank was not herself and that she was worried she might be developing delirium from an acute illness. The nursing home did not have a process in place for delirium assessment and 2 days later Mrs. Frank had a fall in the nursing home and was admitted to the hospital for pneumonia.</i></p><p>How age-friendly care can optimize delirium management for older adults, including those living with dementia, has been discussed previously (Fick &amp; Shrestha, 2022; Kwak et al., 2024). We seek to expand on this important dialogue and discuss the empowerment of CNAs as nursing homes integrate age-friendly delirium care.</p><h2>Age-Friendly Delirium Care</h2><p>Age-Friendly Health Systems (AFHS; https://www.ihi.org/initiatives/age-friendly-health-systems) is a national initiative that aims to ensure all older adults in all care settings consistently receive equitable, person-centered, and evidence-based care. The four pillars of AFHS are What Matters, Medication, Mentation (dementia, depression, delirium), and Mobility, collectively known as the 4Ms Framework. Although most nursing homes are already addressing one or more of the 4Ms, the key to truly becoming age-friendly is the reliable application and integration of all 4Ms as a set during every encounter with every older adult in every setting.</p><p>CNAs are responsible for most direct patient care and spend the most time with residents among nursing home staff. CNAs are uniquely positioned to facilitate the implementation of the 4Ms to promote age-friendly delirium care for residents with and without dementia: “What Matters” or goals and preferences of older adults and care partners should be incorporated into all direct care activities, whereas “Mobility” should be encouraged during transferring. Engagement in meaningful activities to keep the mind active and mobility are protective factors for delirium, whereas malnutrition and medication are risk factors. Typical duties of CNAs include assisting residents with bathing, toileting, dressing, turning, repositioning, transferring (What Matters and Mobility); listening to and reporting health concerns of residents to nurses (What Matters); measuring and reporting vital signs (of which mental status should also be included [Fick, 2018]); and serv- ing meals and assistance with eating (What Matters, e.g., food preferences [U.S. Bureau of Labor Statistics, U.S. Department of Labor, 2023]). Regarding Medication, some states allow CNAs to have an expanded role to dispense medicat","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-Term Effect of a Tablet-Based Cognitive Behavioral Group Intervention on Step Count, Fatigue, Self-Efficacy, and Quality of Life in Older Adults With Arthritis: A Pilot Study 基于平板电脑的认知行为小组干预对患有关节炎的老年人的步数、疲劳、自我效能和生活质量的长期影响:试点研究
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-06
Sarah Fiske, PhD, RN, MSN, CNL, Jeungok Choi, PhD, RN, MSN, MPH, Cynthia Jacelon, PhD, RN-BC, CRRN, FAAN, Christopher R. Martell, PhD, ABBP
{"title":"Long-Term Effect of a Tablet-Based Cognitive Behavioral Group Intervention on Step Count, Fatigue, Self-Efficacy, and Quality of Life in Older Adults With Arthritis: A Pilot Study","authors":"Sarah Fiske, PhD, RN, MSN, CNL, Jeungok Choi, PhD, RN, MSN, MPH, Cynthia Jacelon, PhD, RN-BC, CRRN, FAAN, Christopher R. Martell, PhD, ABBP","doi":"10.3928/00989134-20240416-06","DOIUrl":"https://doi.org/10.3928/00989134-20240416-06","url":null,"abstract":"<section><h3>Purpose:</h3><p>To evaluate the long-term effect of a tablet-based, cognitive-behavioral group intervention (Tab-G) to improve daily walking for older adults with arthritis.</p></section><section><h3>Method:</h3><p>Using an experimental pretest/posttest repeated measure design, long-term effects on step count, fatigue, self-efficacy, and quality of life (QOL) were investigated.</p></section><section><h3>Results:</h3><p>Results of repeated measures analysis of variance showed significant improvement in step counts (F[1, 37] = 4.18, <i>p</i> = 0.048), fatigue (F[1, 36] = 9.971, <i>p</i> = 0.003), self-efficacy (F[1,28] = 4.645, <i>p</i> = 0.04), and QOL (F[1, 29] = 6.147, <i>p</i> = 0.019) in the Tab-G group compared to the control group. There were significant time effects across four time points (baseline and Weeks 4, 8, and 10) in fatigue (F[3, 108] = 5.43, <i>p</i> = 0.002), self-efficacy (F[3, 84] = 5.433, <i>p</i> = 0.002), and QOL (F[3, 87] = 3.673, <i>p</i> = 0.015), but not in step counts (F[3, 111] = 0.611, <i>p</i> = 0.609).</p></section><section><h3>Conclusion:</h3><p>Findings demonstrate positive long-term effects on fatigue in older adults with arthritis. [<i>Journal of Gerontological Nursing, 50</i>(5), 35–42.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Resistance Band Use in Conjunction With Tai Chi Among Older Adults With Prefrailty to Improve Functional Fitness, Quality of Life, and Heart Rate Variability. 抗阻力带与太极拳结合使用对改善有虚弱前期症状的老年人的功能性体能、生活质量和心率变异性的效果。
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-04
Shan-Che Woo, Miao-Yen Chen, Liang-Kung Chen, Chieh-Yu Liu
{"title":"Effectiveness of Resistance Band Use in Conjunction With Tai Chi Among Older Adults With Prefrailty to Improve Functional Fitness, Quality of Life, and Heart Rate Variability.","authors":"Shan-Che Woo, Miao-Yen Chen, Liang-Kung Chen, Chieh-Yu Liu","doi":"10.3928/00989134-20240416-04","DOIUrl":"10.3928/00989134-20240416-04","url":null,"abstract":"<p><strong>Purpose: </strong>The current randomized controlled trial aimed to bolster the physical fitness of prefrail older adults, potentially delaying their need for admission to care facilities and enhancing their overall well-being.</p><p><strong>Method: </strong>The experimental group received a physical fitness intervention comprising resistance band use and tai chi three times per week for 12 weeks, whereas the control group received frailty-related health education. Thirty-four male participants completed the study.</p><p><strong>Results: </strong>A total of seven items had statistically significant differences at 12- and 16-week posttest, respectively: frailty index (<i>p</i> = 0.03; <i>p</i> = 0.03); Instrumental Activities of Daily Living Scale (<i>p</i> < 0.001; <i>p</i> < 0.001); and physical fitness, back (<i>p</i> < 0.001; <i>p</i> < 0.001); physical fitness, arm curl (<i>p</i> = 0.02; <i>p</i> < 0.001); physical activity (<i>p</i> < 0.001; <i>p</i> = 0.009); quality of life, physiological (<i>p</i> = 0.04; <i>p</i> < 0.001); and heart rate variability (<i>p</i> < 0.001; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Results revealed substantial improvements in physical fitness, frailty conditions, self-care abilities, and quality of life, but not balance or lower limb flexibility, for the experimental group. Therefore, exercise interventions may effectively improve prefrail older adults' quality of life. [<i>Journal of Gerontological Nursing, 50</i>(5), 19-26.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Older Adults' Metaphorical Perceptions of Aging in Turkey 土耳其老年人对衰老的隐喻性认识
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-05-01 DOI: 10.3928/00989134-20240416-05
Ayşe Gülay Şahan, PhD, Asli Kilavuz, PhD, MD
{"title":"Older Adults' Metaphorical Perceptions of Aging in Turkey","authors":"Ayşe Gülay Şahan, PhD, Asli Kilavuz, PhD, MD","doi":"10.3928/00989134-20240416-05","DOIUrl":"https://doi.org/10.3928/00989134-20240416-05","url":null,"abstract":"<section><h3>Purpose:</h3><p>To determine older adults' metaphorical perceptions of the concept of aging.</p></section><section><h3>Method:</h3><p>Participants in this qualitative study comprised 57 older adults as determined using convenience and criterion sampling methods. Data were obtained using a personal data form and the metaphor form and analyzed with descriptive and content analysis techniques.</p></section><section><h3>Results:</h3><p>Fifty-seven metaphors were identified within three themes: 24 within <i>Mental Aspect</i>, 18 within <i>Physical Aspect</i>, and 15 within <i>Psychosocial Aspect</i>.</p></section><section><h3>Conclusion:</h3><p>The fact that most metaphors appeared within the <i>Mental Aspect</i> theme was interpreted as an indication that participants felt the effects of aging more in the mental dimension. Results of the research show that aging is perceived as experience and accumulation mentally, as inadequacy physically, and as the end or loneliness psychosocially. [<i>Journal of Gerontological Nursing, 50</i>(5), 27–34.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resilience in Aging: An Interdisciplinary Approach From Childhood to Adulthood 衰老中的复原力:从童年到成年的跨学科方法
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-04-01 DOI: 10.3928/00989134-20240319-01
Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN
{"title":"Resilience in Aging: An Interdisciplinary Approach From Childhood to Adulthood","authors":"Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN","doi":"10.3928/00989134-20240319-01","DOIUrl":"https://doi.org/10.3928/00989134-20240319-01","url":null,"abstract":"<h2>Introduction</h2><p><i>One thing I have learned about revision is that sometimes I need to go back in order to move forward. Sometimes I need to return to those earlier versions—one, two, three—to find the spark that drove me to the page in the first place. What can I excavate from those earlier versions? What necessary fire can I restore to the present iteration?</i></p><span><i>(Smith, 2020, p. 10).</i></span><p>As an editor, this quote speaks to me about writing and life, and recently came to my thoughts while attending a conference on resilience. It reminds me that our earlier lives and iterations of who we were and what we experience impact us as we age.</p><p>Are there individualized paths to resilience? What is common about resilience versus other concepts and what is unique? How do childhood risk factors, including victimization and trauma, impact aging? What about those individuals who show extreme resilience to early life adversity? How does that impact resilience as we age? How do we support resilience across the lifespan? How do we address diversity and equity in resilience? How do we integrate genetics into resilience and what is the clinical utility of current tools? Can caregiving be a positive factor for resilience?</p><p>These are just a few of the questions that were pondered at the recent Bench-to-Bedside Conference Series: Stress Tests and Biomarkers of Resilience held on March 3–5, 2024, supported by the National Institute on Aging and the American Geriatrics Society (AGS). I was honored to attend as part of my role as AGS President and as a National Institutes of Health–funded nurse scientist investigating delirium and delirium in persons with dementia. My own work in persons with delirium and dementia focuses on knowing the person to understand the disease and wellness and emphasizes looking for resilience and observing and documenting the strengths of older adults and persons with disabilities (Fick, 2022).</p><p>This was the second conference in a series of three led by resilience researchers across disciplines from pediatrics to geriatrics, psychology, genetics, sociology, epidemiology, neurology, nursing, and others. The first conference in 2022 explored commonalities and differences among the frameworks of resilience most commonly used in aging research in the three domains of resilience: physical, cognitive, and psychosocial. A meeting summary was published in the August issue of the <i>Journal of the American Geriatrics Society</i> (Abadir et al., 2023). Themes of the first conference included underlying contributors to resilience, the dynamic nature of resilience throughout the life span, and the role of resilience in health equity. Although participants did not agree on a single definition of “resilience(s),” they identified common and unique features of resilience to add to a definition. The first conference led to multiple recommendations, including new longitudinal studies of the impact of exposures to stres","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prescribing Benzodiazepines and Opioids and Clinical Characteristics Associated With 30-Day Hospital Return in Patients Aged ≥75 Years: Secondary Data Analysis 年龄≥75 岁患者的苯二氮卓类药物和阿片类药物处方以及与 30 天住院返院相关的临床特征:二次数据分析
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-04-01 DOI: 10.3928/00989134-20240312-02
Juyoung Park, PhD, MSW, Gabriella Engstrom, PhD, RN, Joseph G. Ouslander, MD
{"title":"Prescribing Benzodiazepines and Opioids and Clinical Characteristics Associated With 30-Day Hospital Return in Patients Aged ≥75 Years: Secondary Data Analysis","authors":"Juyoung Park, PhD, MSW, Gabriella Engstrom, PhD, RN, Joseph G. Ouslander, MD","doi":"10.3928/00989134-20240312-02","DOIUrl":"https://doi.org/10.3928/00989134-20240312-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current study compared prevalence of opioid or benzodiazepine (BZD) prescription and co-prescription of opioids and BZD at discharge and return to a community hospital within 30 days, as well as identified clinical characteristics associated with hospital return in patients aged ≥75 years.</p></section><section><h3>Method:</h3><p>A secondary analysis of a database created during implementation of the Safe Transitions for At Risk Patients program at a 400-bed community teaching hospital in south Florida was conducted. Multivariable logistic regression analyses were performed to identify significant demographic and clinical characteristics associated with return to the hospital within 30 days of discharge.</p></section><section><h3>Results:</h3><p>A total of 24,262 participants (52.6% women) with a mean age of 85.3 (<i>SD</i> = 6.42) years were included. More than 20% in each central nervous system prescription group (i.e., opioids only, BZD only, opioids and BZD) returned to the hospital within 30 days of discharge. Demographic and chronic conditions (e.g., congestive heart failure, chronic obstructive pulmonary disease, diabetes) and poly-pharmacy were significant factors of a 30-day return to the hospital.</p></section><section><h3>Conclusion:</h3><p>Findings highlight the importance of hospital nurses' role in identifying high-risk patients, educating patients and caregivers, monitoring them closely, communicating with primary care physicians and specialists, and conducting intensive follow up via telephone to avoid 30-day rehospitalization. [<i>Journal of Gerontological Nursing, 50</i>(4), 25–33.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses' Perceptions of Telemonitoring Devices to Reduce Falls Among Hospitalized Patients: A Literature Review 护士对减少住院病人跌倒的远程监控设备的看法:文献综述
IF 1.3 4区 医学
Journal of gerontological nursing Pub Date : 2024-04-01 DOI: 10.3928/00989134-20240311-01
Britt McNamara, MSN, RN
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