Japanese Journal of Geriatrics最新文献_第3页

[Advance Care Planning for Older Adults with Cancer and Multimorbidity - Restoring the Initiative to Live One's Own Life]. [老年癌症及多重疾病患者的预先护理计划-恢复自己生活的主动性]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.120

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[Preface to the special issue on "Efforts for better advance care planning for older adults - Current situation and challenges in Japan"]. [关于“为更好地提前制定老年人护理计划的努力-日本的现状和挑战”特刊的序言]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.97

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Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.73

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[Well-being among the oldest-old: Reconsidering associated factors and their meanings]. [老年人的幸福：重新考虑相关因素及其意义]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.27

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[The challenge of the unspecified 'catalyst': Born from a sense of systemic incongruity in hospital collaboration -Wellbeing that falls through the cracks of the coordination system and the emergence of 'community as an outcome']. [未指明的“催化剂”的挑战：源于医院合作中的系统性不协调感-通过协调系统的裂缝和“社区作为结果”的出现而产生的福祉]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.16

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[Association of the geriatric nutritional risk index and medical or social factors in elderly patients with regular home-visit medical care: A cross-sectional study]. [定期家访医疗的老年患者营养风险指数与医疗或社会因素的关系：一项横断面研究]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.211

Yoshiharu Matsumoto, Kazuya Ito, Kenji Watanabe, Nobuhiro Miyazaki

{"title":"[Association of the geriatric nutritional risk index and medical or social factors in elderly patients with regular home-visit medical care: A cross-sectional study].","authors":"Yoshiharu Matsumoto, Kazuya Ito, Kenji Watanabe, Nobuhiro Miyazaki","doi":"10.3143/geriatrics.63.211","DOIUrl":"10.3143/geriatrics.63.211","url":null,"abstract":"Aim: We explored the association among the Geriatric Nutritional Risk Index (GNRI) and medical, physical, and cognitive factors in elderly patients who regularly receive home-visit medical care.Methods: Patients ≥65 years of age who received regular home-visit medical care at our clinic were included in this cross-sectional study. The physical and cognitive function were evaluated based on the doctor's opinion for long-term care insurance. The GNRI was used to assess nutritional status as follows: normal nutrition (GNRI ≥98), mild malnutrition (GNRI 92 to <98), moderate malnutrition (GNRI >82 to <92) and severe malnutrition (GNRI <82). We used an ordinal logistic regression analysis to estimate odds ratios and 95% confidence intervals.Results: We enrolled 265 patients in this study. The median age was 87 (82-92) years, there were 190 (71.7%) women, and the median GNRI was 89.8 (84.0-96.7). Multivariate logistic regression analyses indicated that the GNRI was associated with wheelchair mobility (odds ratios [OR]: 2.03; 95% confidence intervals [CI]: 1.16-3.58; P=0.012), living in a nursing home living (OR: 1.88; 95%CI: 1.17-3.04; P=0.010), consumption of a blended diet (OR: 3.21; 95%CI: 1.44-7.58; P=0.004), tube feeding (OR: 4.09; 95%CI: 1.12-15.88; P=0.045), hypertension (OR: 0.58; 95%CI: 0.35-0.95; P=0.033), dyslipidemia (OR: 0.54; 95%CI: 0.32-0.91; P=0.023).Conclusion: Hypertension and dyslipidemia were positively associated with the GNRI. Nursing home living and wheelchair mobility were negatively associated with the GNRI.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"211-218"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983963","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}

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[An elderly patient with type 2 diabetes who developed a hyperglycemic emergency and showed a marked decline in insulin secretion, but she was able to be weaned off insulin by alleviating glucose toxicity and adjusting her medication: A case report]. [1例老年2型糖尿病患者出现高血糖急症，胰岛素分泌明显下降，但通过减轻葡萄糖毒性和调整用药，成功戒断胰岛素：病例报告]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.237

Yumi Ohashi, Jin Kumagai, Chihiro Hiraga, Yoshiro Maezawa

{"title":"[An elderly patient with type 2 diabetes who developed a hyperglycemic emergency and showed a marked decline in insulin secretion, but she was able to be weaned off insulin by alleviating glucose toxicity and adjusting her medication: A case report].","authors":"Yumi Ohashi, Jin Kumagai, Chihiro Hiraga, Yoshiro Maezawa","doi":"10.3143/geriatrics.63.237","DOIUrl":"https://doi.org/10.3143/geriatrics.63.237","url":null,"abstract":"An 82-year-old woman with an impaired consciousness presented to our hospital. She was diagnosed with diabetic ketoacidosis and cellulitis and was admitted to the hospital. Following acute-phase treatment, continuous intravenous insulin infusion was discontinued, and multiple daily injections were initiated on the fourth hospital day (day 4). On day 9, a postprandial test revealed serum C-peptide and blood glucose levels of 0.55 ng/mL and 218 mg/dL, respectively, thus indicating significantly decreased insulin secretion. A subsequent fasting test on day 16 showed serum C-peptide and blood glucose levels of 0.42 ng/mL and 140 mg/dL, respectively, confirming the continued deficiency of insulin secretion. Although discontinuing insulin was anticipated to be difficult based on her low C-peptide levels, a gradual reduction in the insulin dose was planned in preparation for transfer from the hospital to an older adult care facility. After initiating dulaglutide and repaglinide treatment, insulin therapy, which peaked at 23 units/day, was discontinued. The resolution of glucotoxicity and pharmacotherapy, including glucagon-like peptide-1 receptor agonists, may have contributed to the discontinuation of insulin therapy in some patients. The serum C-peptide levels and 24-h urinary C-peptide excretion have been reported to be useful predictors of the need for insulin therapy to achieve optimal glycemic control. Although insulin withdrawal was predicted to be challenging based on previous reports, it was successfully performed in the present case. This case represents a suggestive example that highlights the relevant considerations for evaluating the residual insulin secretory function.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 3","pages":"237-242"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983948","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}

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[Applying the Geriatric 5Ms in clinical practice: Implementation in an acute geriatric ward at a university hospital]. [老年医学5Ms在临床实践中的应用：在某大学医院老年急症病房的实施]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.199

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[Foreword to the special issue: New developments in geriatric care through the integration of CGA and the Geriatric 5Ms]. [特刊前言：通过CGA和老年医学5Ms的整合，老年护理的新发展]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.185

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[Development and evaluation of a dementia and delirium nursing education program using workshops and regular case conferences in acute-care hospitals]. [在急症护理医院采用研讨会和定期病例会议的痴呆和谵妄护理教育计划的发展和评估]。

Japanese Journal of Geriatrics Pub Date : 2026-01-01 DOI: 10.3143/geriatrics.63.48

Hisanobu Moriyama, Mizue Suzuki, Mayumi Makino

{"title":"[Development and evaluation of a dementia and delirium nursing education program using workshops and regular case conferences in acute-care hospitals].","authors":"Hisanobu Moriyama, Mizue Suzuki, Mayumi Makino","doi":"10.3143/geriatrics.63.48","DOIUrl":"10.3143/geriatrics.63.48","url":null,"abstract":"Aim: To develop a dementia and delirium nursing education program for nurses in acute care hospitals with the aim of enhancing their practical competencies. The program, based on person-centered care, included a 60-minute workshop and regular case conferences held two to three times per week. This study aimed to evaluate the effects of the program by examining changes in nurses' knowledge and self-efficacy regarding dementia and delirium nursing, as well as patient outcomes, including falls, self-removal of tubes or catheters, and the use of physical restraints.Methods: The program was conducted over a three-month period from November 2023 to January 2024 in a gastrointestinal surgical ward of an acute care hospital with a 7:1 nurse-to-patient ratio. Twenty-five nurses participated in this study. Questionnaires assessing knowledge and self-efficacy were administered before and after intervention. Patient outcome data, including falls, self-removal of tubes or catheters, and use of physical restraints, were collected from the medical records and compared before and after the intervention.Results: Nurses' knowledge and self-efficacy significantly improved after the intervention. Although the total number of patients with dementia and delirium increased significantly, the incidents of self-removal of tubes or catheters and the use of physical restraints significantly decreased. Falls decreased from two to zero, although this difference was not statistically significant.Conclusions: The program was effective in improving nurses' knowledge and self-efficacy in dementia and delirium care and in reducing self-removal of tubes or catheters, as well as reducing the use of physical restraints.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"63 1","pages":"48-59"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575695","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