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The Journal of Applied Gerontology最新文献

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Positive Psychosocial Functioning in Later Life: Use of Meaning-Based Coping Strategies by Nursing Home Residents 积极的社会心理功能在晚年生活:疗养院居民使用基于意义的应对策略
The Journal of Applied Gerontology Pub Date : 2005-08-01 DOI: 10.1177/0733464805277754
S. Danhauer, C. Carlson, M. Andrykowski
{"title":"Positive Psychosocial Functioning in Later Life: Use of Meaning-Based Coping Strategies by Nursing Home Residents","authors":"S. Danhauer, C. Carlson, M. Andrykowski","doi":"10.1177/0733464805277754","DOIUrl":"https://doi.org/10.1177/0733464805277754","url":null,"abstract":"This study examined factors associated with positive psychosocial functioning in 94 cognitively intact nursing home residents reporting poor physical health. It was hypothesized that greater use of meaning-based coping strategies would be associated with higher levels of positive psychosocial functioning. Participants completed an interview containing measures of coping, affect, psychological well-being, depression, and activities of daily living. Findings suggest that meaning-based coping variables (positive reappraisal, perceived uplifts) accounted for significant variance in positive psychosocial variables but not distress variables. In contrast, physical health variables accounted for significant variance in distress but not positive psychosocial variables. Results support the view that the absence of distress does not necessarily imply optimal mental health. Thus, a comprehensive assessment of mental health in older adults requires inclusion of indices of both positive and negative psychological and social functioning.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124296114","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: 50
Determinants of Neuroleptic Drug Use in Long-Term Facilities for Elderly Persons 老年人长期设施中抗精神病药物使用的决定因素
The Journal of Applied Gerontology Pub Date : 2005-06-01 DOI: 10.1177/0733464804271544
P. Voyer, R. Verreault, P. Mengue, D. Laurin, L. Rochette, L. Martin, L. Baillargeon
{"title":"Determinants of Neuroleptic Drug Use in Long-Term Facilities for Elderly Persons","authors":"P. Voyer, R. Verreault, P. Mengue, D. Laurin, L. Rochette, L. Martin, L. Baillargeon","doi":"10.1177/0733464804271544","DOIUrl":"https://doi.org/10.1177/0733464804271544","url":null,"abstract":"Neuroleptics, also called antipsychotic drugs (e.g., haloperidol, risperidone) are the cornerstone drug therapy for psychiatric disorders. Despite the fact that they are widely used in nursing homes, little is known about their clinical determinants. The goal of this cross-sectional study was to determine the prevalence rate of neuroleptic administration and to identify their determinants among 2,332 elderly residents in nursing homes. Among the residents, 649 (27.8%) had taken at least one neuroleptic drug. According to the logistic regression, the factors associated with neuroleptic drug consumption were younger age, few hours of family visits, severe cognitive impairment, insomnia, physical restraint, and disruptive behavior. In conclusion, neuroleptic drugs are administered to more than a quarter of residents in nursing homes. Alternative solutions to sleep problems and disruptive behaviors of the elderly living in long-term-care facilities should be implemented in order to reduce unnecessary use of neuroleptics.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"251 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122534501","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: 11
Decision Making at the End of Life in Dementia: How Family Caregivers Perceive Their Interactions With Health Care Providers in Long-Term-Care Settings 痴呆患者临终时的决策:在长期护理环境中，家庭护理者如何看待他们与卫生保健提供者的互动
The Journal of Applied Gerontology Pub Date : 2005-06-01 DOI: 10.1177/0733464805275766
Chantal D. Caron, J. Griffith, M. Arcand
{"title":"Decision Making at the End of Life in Dementia: How Family Caregivers Perceive Their Interactions With Health Care Providers in Long-Term-Care Settings","authors":"Chantal D. Caron, J. Griffith, M. Arcand","doi":"10.1177/0733464805275766","DOIUrl":"https://doi.org/10.1177/0733464805275766","url":null,"abstract":"Makingend-of-lifecare decisions in the context of dementiais complex. As people with advanced dementia are in capable of deciding about their own care, family caregivers often become involved with health care providers in the decision-making process to ensure the best care for their loved one. Using a grounded theory approach, the experience of family caregivers in making such end-of-life care decisions was explored. Twenty-four caregivers were interviewed. The results show that caregivers evoke five dimensions when considering these decisions. One dimension, the relationship with health care providers, emerged as vital to their experience. Four elements of this relationship are presented in this article: quality of the relationship, frequency of contact, congruence of their values and beliefs with those of health care providers, and the level of trust. In an era that promotes partnership with families in long-term-care settings, care standards are needed in order to guarantee family participation in achieving quality dementia care.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126689321","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: 121
University-Community Relationships in the Development of a Geriatric Interdisciplinary Team Training Certificate 大学-社区关系发展的老年跨学科团队培训证书
The Journal of Applied Gerontology Pub Date : 2005-06-01 DOI: 10.1177/0733464805275048
E. A. Welleford, I. A. Parham, C. Coogle, F. E. Netting, Leigh Peyton Burke, P. Boling
{"title":"University-Community Relationships in the Development of a Geriatric Interdisciplinary Team Training Certificate","authors":"E. A. Welleford, I. A. Parham, C. Coogle, F. E. Netting, Leigh Peyton Burke, P. Boling","doi":"10.1177/0733464805275048","DOIUrl":"https://doi.org/10.1177/0733464805275048","url":null,"abstract":"In this article, the authors take a systematic look at transaction costs and barriers to a university-community partnership during the design and implementation of a Geriatric Interdisciplinary Team Training Certificate. The development of the authors’ university-community partnership was fueled by a funding source that enabled the Virginia Geriatric Education Center to work with three large health care systems. The purpose of the grant was to develop a geriatric interdisciplinary team curriculum for community-based health care professionals. The interdisciplinary planning committee, consisting of both university-based educators and community-based practitioners, designed a 50-hour curriculum that covered diverse clinical topics with an interactive format. In the process, the authors identified within-site, across-site, and between-partner barriers that need to be addressed for successful implementation.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123885965","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: 2
Preferences for Mental Health Care: A Comparison of Older African Americans and Older Caucasians 心理健康护理的偏好:老年非裔美国人和老年白种人的比较
The Journal of Applied Gerontology Pub Date : 2005-06-01 DOI: 10.1177/0733464804272100
L. Dupree, M. A. Watson, Myra G. Schneider
{"title":"Preferences for Mental Health Care: A Comparison of Older African Americans and Older Caucasians","authors":"L. Dupree, M. A. Watson, Myra G. Schneider","doi":"10.1177/0733464804272100","DOIUrl":"https://doi.org/10.1177/0733464804272100","url":null,"abstract":"Research on mental health service utilization patterns has shown that older adults underutilize outpatient services, particularly in minority populations. Greater reliance on inpatient services may result when a mental health problem can no longer be ignored. The goal of this study was to compare the attitudes and beliefs of African American and Caucasian older adults about mental health care and preferred providers. A 47-item survey was administered to a convenience sample of 1,598 primarily African Americans, recruited at 40 sites, including the study sample of 726 people older than age 50. Results showed that respondents of both races preferred advice from their family doctor, clergy, or a family member. African Americans preferred services in their doctor’s or clergy’s office, whereas Caucasians preferred a professional service provider’s office. Findings suggest that providers and policy makers consider the impact of age, culture, and ethnicity on mental health services provision.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130387911","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: 38
A Professional Development Program in Geriatric Interdisciplinary Teamwork: Implications for Managed Care and Quality of Care 老年跨学科团队合作的专业发展计划:对管理式护理和护理质量的影响
The Journal of Applied Gerontology Pub Date : 2005-04-01 DOI: 10.1177/0733464804271551
C. Coogle, I. A. Parham, J. Cotter, E. A. Welleford, F. E. Netting
{"title":"A Professional Development Program in Geriatric Interdisciplinary Teamwork: Implications for Managed Care and Quality of Care","authors":"C. Coogle, I. A. Parham, J. Cotter, E. A. Welleford, F. E. Netting","doi":"10.1177/0733464804271551","DOIUrl":"https://doi.org/10.1177/0733464804271551","url":null,"abstract":"This study investigated the effectiveness of a multiyear geriatric interdisciplinary team training (ITT) program conducted by a geriatric education center in cooperation with three large health care systems. Approximately 40 half-day training sessions were planned and implemented by the university-community partnership. The training sessions included core content on team processes and substantive clinical material on geriatric concerns and disease states (dementia, diabetes, etc.). Statistical analyses revealed that a critical amount of training is necessary to induce positive changes in team skills and attitudes about geriatric health care teams. Results also indicated that maturity, practical experience, and some previous formal training in geriatrics or gerontology are predisposing factors contributing to the effectiveness of geriatric ITT. Because resources to implement these kinds of comprehensive training programs are often limited, more focused educational interventions are advisable.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130073600","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: 17
Personal Care Aide Turnover in Residential Care Settings: An Assessment of Ownership, Economic, and Environmental Factors 个人护理助理在住宅护理机构的更替:所有权，经济和环境因素的评估
The Journal of Applied Gerontology Pub Date : 2005-04-01 DOI: 10.1177/0733464804270854
R. T. Konetzka, Sally C. Stearns, T. Robert Konrad, J. Magaziner, S. Zimmerman
{"title":"Personal Care Aide Turnover in Residential Care Settings: An Assessment of Ownership, Economic, and Environmental Factors","authors":"R. T. Konetzka, Sally C. Stearns, T. Robert Konrad, J. Magaziner, S. Zimmerman","doi":"10.1177/0733464804270854","DOIUrl":"https://doi.org/10.1177/0733464804270854","url":null,"abstract":"Turnover among personal care aides is a chronic problem facing long-term-care industries. High turnover leads to high recruitment and training costs and to the potential for substandard care. Studies in nursing homes have found environmental factors to be more important than economic factors in predicting turnover rates, but no studies have been done in an assisted living setting or have considered the effects of the physical environment and location of the facility. This study assesses the importance of a variety of factors on turnover among personal care aides, using a two-part model. The results show that certain ownership and environmental factors (facility type, chain ownership, and attractiveness of the neighborhood)are important predictors of turnover. Although adequate economic compensation is undoubtedly important in attracting and retaining qualified staff, the results identify facility characteristics that may indicate a greater level of turnover as well as greater potential for improvement through interventions to reduce turnover.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"330 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121899211","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: 23
Family Caregiver Involvement and Satisfaction With Institutional Care During the 1st Year After Admission 入院后第一年家庭照顾者对机构照顾的参与和满意度
The Journal of Applied Gerontology Pub Date : 2005-04-01 DOI: 10.1177/0733464804272102
L. Levy‐Storms, D. Miller‐Martinez
{"title":"Family Caregiver Involvement and Satisfaction With Institutional Care During the 1st Year After Admission","authors":"L. Levy‐Storms, D. Miller‐Martinez","doi":"10.1177/0733464804272102","DOIUrl":"https://doi.org/10.1177/0733464804272102","url":null,"abstract":"The purpose of this research is to examine the relationship between caregivers’ involvement and their satisfaction with institutional care during the 1st year. This panel study includes 145 care-givers. A summary indicator of satisfaction was analyzed (a) near admission and (b) for change 1 year after admission. Caregivers were least satisfied with physicians and the number of staff at both time points. Satisfaction at admission and change in satisfaction from admission to 1 year later were regressed on caregivers’ involvement after controlling for caregivers’ depression, family tension, and perceived behavioral problems of their relatives. Multivariate results indicated that more involved caregivers at admission were less satisfied with institutional care at admission and became less satisfied during the year after admission. More involved caregivers may be less satisfied because they see firsthand problems with nursing home care and because a meaningful caregiving role after institutionalization is not facilitated by nursing homes.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124198886","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: 31
Correlates of Change in Perceptions of Nursing Facilities Among Volunteers 志愿者对护理设施认知变化的相关因素
The Journal of Applied Gerontology Pub Date : 2005-04-01 DOI: 10.1177/0733464804271546
P. Keith
{"title":"Correlates of Change in Perceptions of Nursing Facilities Among Volunteers","authors":"P. Keith","doi":"10.1177/0733464804271546","DOIUrl":"https://doi.org/10.1177/0733464804271546","url":null,"abstract":"The image of nursing facilities by the public is largely negative. Change in perceptions of nursing facilities is not often studied. The author investigated whether individuals would change their views of nursing facilities in response to volunteer activities in an ombudsman program and identified factors associated with transitions in perceptions as well as qualitative types of change. More than 60% of 778 men and women attributed their altered views of nursing facilities to volunteering. Factors associated with changes in perceptions were markedly different for men and women. Identification of correlates of change may assist administrators of volunteer programs in addressing experiences that may encourage more positive perceptions of settings in which volunteers work.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122050259","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: 4
Chronic Care Initiatives for the Elderly: Can They Bridge the Gerontology-Medicine Gap? 老年人慢性护理倡议:他们能弥合老年医学差距吗?
The Journal of Applied Gerontology Pub Date : 2005-04-01 DOI: 10.1177/0733464804271455
M. Lynch, C. Estes, Mauro Hernandez
{"title":"Chronic Care Initiatives for the Elderly: Can They Bridge the Gerontology-Medicine Gap?","authors":"M. Lynch, C. Estes, Mauro Hernandez","doi":"10.1177/0733464804271455","DOIUrl":"https://doi.org/10.1177/0733464804271455","url":null,"abstract":"The authors describe initiatives designed to meet the chronic health needs of the elderly. These programs include demonstration programs such as Program of All-Inclusive Care for Elderly, Social Health Maintenance Organization, and state programs for Medicare-Medicaid-eligible elders that focus on integrating medical care with home and community-based services, disease- or disability-focused care management/coordination initiatives, and recent population-based disease management programs focused on improving adherence to evidence-based protocols, self-care management, and the use of innovative practices such as group visits to improve health outcomes. These initiatives have the potential to improve outcomes and reduce costs, but also highlight tensions between medical model disease management and functionally oriented home and community service programs. The authors suggest that optimal chronic care for elders would require the integration of advances in medically oriented disease management with the best of home and community-based service programs. Medicare policy should promote such integration.","PeriodicalId":220319,"journal":{"name":"The Journal of Applied Gerontology","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129794179","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: 17
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