Japanese Journal of Geriatrics最新文献_第7页

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.492

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[Distress in the end of life of people with dementia and assessment of distress]. [痴呆症患者生命末期的痛苦和痛苦评估]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.409

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[Evaluation of sacral pressure ulcers of older long-term hospital patients for five or fewer years]. [长期住院5年及以下的老年患者骶骨压疮的评价]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.463

Mototaka Niwano, Hayao Nakatani

{"title":"[Evaluation of sacral pressure ulcers of older long-term hospital patients for five or fewer years].","authors":"Mototaka Niwano, Hayao Nakatani","doi":"10.3143/geriatrics.61.463","DOIUrl":"https://doi.org/10.3143/geriatrics.61.463","url":null,"abstract":"Aim: This study aimed to examine the statuses of sacral pressure ulcer and treatment strategies for 135 elderly patients who were long-term hospital patients.Methods: Patients with sacral pressure ulcers were divided into two groups, the cured or non-cured, and the discharged or deceased.The mean age, length of hospital stay, diagnosis, bedridden degree, nutritional status pre and post ulcer development, nutritional administration method, presence on admission or development, depth on National Pressure Ulcer Advisory Panel and treatment duration were examined.The serum albumin levels, lymphocyte counts and hemoglobin levels were calculated, and malnutrition levels were categorized into normal, mild, moderate or severe according to the Controlling Nutritional Status variant scores.Results: The mean age of men (n=62) and women (n=73) was 80.8±4.9 and 86.2±1.2 years, and the mean length of hospital-stay was 25.1±9.6 and 27.3±4.9 months, respectively, indicating a significant difference.The diagnoses did not vary significantly between the cured (n=43) or non-cured (n=92) patients, or in those discharged (n=53) or deceased (n=82) patients.Comparison of the groups revealed that pressure ulcers were difficult to heal in patients with advanced age, those brought to hospital, bedridden degree C2 (unable to turn over), depth level III, moderate to severe malnutrition and those whose Gr did not improve.The effectiveness of gastrostomy management and the ineffectiveness of central venous nutrition were determined.Conclusions: Bedridden degree C2, depth level III, presence on admission, malnutrition on admission and no improvement were the factors for interruption of the healing.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 4","pages":"463-471"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796291","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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[Table of Contents]. [目录]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.Contents4

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[Strength training for older adults]. [老年人的力量训练］

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.271

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[Current status of blood-based biomarkers for dementia]. [基于血液的痴呆症生物标志物的现状]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.22

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[Association between indoor temperature during winter and falls at home in the past year among community-dwelling older adults: A cross-sectional analysis of the nationwide Smart Wellness Housing survey in Japan]. [冬季室内温度与社区老年人过去一年在家跌倒之间的关系：日本全国智能健康住宅调查的横断面分析]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.218

Maki Ito, Toshiharu Ikaga, Yuko Oguma, Yoshinobu Saito, Yoshihisa Fujino, Shintaro Ando, Shuzo Murakami

{"title":"[Association between indoor temperature during winter and falls at home in the past year among community-dwelling older adults: A cross-sectional analysis of the nationwide Smart Wellness Housing survey in Japan].","authors":"Maki Ito, Toshiharu Ikaga, Yuko Oguma, Yoshinobu Saito, Yoshihisa Fujino, Shintaro Ando, Shuzo Murakami","doi":"10.3143/geriatrics.61.218","DOIUrl":"https://doi.org/10.3143/geriatrics.61.218","url":null,"abstract":"Aim: Some studies have reported a higher incidence of falls during winter with similar proportions of indoor and outdoor falls. We investigated the relationship between indoor temperature during winter and falls at home in the past year among community-dwelling older adults.Methods: This cross-sectional study enrolled 964 individuals of ≥65 years of age in Japan. Participants answered questions about falls (including trips) at home within the past year, and the living room temperature was measured for 2 weeks during winter. Participants were divided into those living in cold (mean temperature near the floor <12°C), slightly cold (12-17.9°C), and warm (≥18°C) houses. The association between indoor temperature (cold vs. slightly cold vs. warm houses) and falls at home in the past year was examined using a logistic regression analysis adjusted for potential confounding factors.Results: Valid data were obtained from 907 participants (mean age: 72.0±6.3 years), of whom 265,553, and 89 lived in cold, slightly cold, and warm houses, respectively. In the past year, falls occurred once in 325 (35.8%) participants and multiple times in 148 (16.3%) participants. In warm houses, the odds ratio of falling once and multiple times in the past year was 0.49 (p=0.032) and 0.34 (p=0.035), respectively, in comparison to cold houses.Conclusions: Living in cold houses may be associated with an increased risk of falling at home among older adults. Maintaining an appropriate indoor thermal environment during winter may reduce the risk of falling among individuals who spend most of their time at home.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 2","pages":"218-227"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262748","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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[Vegetable-first eating habits are associated with a reduced risk of mild cognitive impairment in elderly diabetic patients]. [蔬菜优先的饮食习惯与老年糖尿病患者轻度认知障碍风险降低有关]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.186

Satoshi Ida, Kanako Imataka, Kentaro Azuma, Kaoru Okubo, Masaki Morii, Kazuya Murata

{"title":"[Vegetable-first eating habits are associated with a reduced risk of mild cognitive impairment in elderly diabetic patients].","authors":"Satoshi Ida, Kanako Imataka, Kentaro Azuma, Kaoru Okubo, Masaki Morii, Kazuya Murata","doi":"10.3143/geriatrics.61.186","DOIUrl":"https://doi.org/10.3143/geriatrics.61.186","url":null,"abstract":"Objective: To examine the relationship between vegetable-first eating habits and the cognitive function in elderly patients with diabetes.Methods: The subjects were outpatients with diabetes ≥60 years old at Ise Red Cross Hospital. A self-administered dementia checklist was used to assess mild cognitive impairment and dementia. The participants were asked to fill out a questionnaire on their vegetable-first eating habits and were classified into 4 groups: 0, 1, 2, and 3 times a day. The dependent variables were mild cognitive impairment and dementia, and the explanatory variable was vegetable-first eating habits (0 as a reference).Results: In total, 358 patients were included in the analysis. The number of vegetable-first meals was 0 in 153 (42.7%), 1 in 48 (13.4%), 2 in 46 (12.8%), and 3 in 111 (31.1%) patients. The adjusted odds ratios for 1, 2, and 3 times of mild cognitive impairment were 0.83 (95% confidence interval [CI], 0.35-1.94; P=0.680), 0.81 (95% CI, 0.32-2.00; P=0.653), and 0.37 (95% CI, 0.17-0.81; P=0.014), respectively. However, there was no significant association between vegetable-first eating habits and dementia.Conclusion: In elderly patients with diabetes, a vegetable-first eating habit at each meal was associated with a decreased risk of mild cognitive impairment.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 2","pages":"186-193"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262756","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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[Difficulty experienced by family in supporting elderly diabetic patients is associated with a decline in patients' higher-level functions]. [家庭在支持老年糖尿病患者方面遇到的困难与患者高级功能的下降有关]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.145

Satoshi Ida, Kanako Imataka, Masaki Morii, Keitaro Katsuki, Kazuya Murata

{"title":"[Difficulty experienced by family in supporting elderly diabetic patients is associated with a decline in patients' higher-level functions].","authors":"Satoshi Ida, Kanako Imataka, Masaki Morii, Keitaro Katsuki, Kazuya Murata","doi":"10.3143/geriatrics.61.145","DOIUrl":"https://doi.org/10.3143/geriatrics.61.145","url":null,"abstract":"Objective: To examine the relationship between difficulties experienced by family in supporting elderly patients with diabetes and these patients' higher-level functions.Methods: The subjects were outpatients with diabetes ≥65 years old at Ise Red Cross Hospital and their family members. The Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) was used to assess patients' higher-level functions. The Japanese version of the Diabetes Caregiver Activity and Support Scale (D-CASS-J) was used to measure difficulties experienced by family in supporting elderly patients with diabetes. Using a multiple regression analysis with TMIG-IC scores (instrumental ADL, intellectual activity, and social participation) as the dependent variable and D-CASS-J scores (based on the highest scoring Q1 group among the three quartiles of D-CASS-J scores) as the explanatory variables, standardized regression coefficients (β) for higher-level functions on the family's perceived support difficulties were calculated.Results: In total, 429 patients (254 male patients and 175 female patients) were included in the analysis. For male patients, the adjusted beta values for TMIG-IC scores in Q2 and Q3 were -0.039 (P=0.649) and -0.352 (P<0.001), respectively, and the adjusted beta values for the instrumental ADL scores were -0.064 (P=0.455), -0.192 (P=0.047), -0.090 (P=0.375), and -0.360 (P=0.002) for the Intellectually Active scores, respectively, and the adjusted beta for social role scores were 0.054 (P=0.581) and -0.261 (P=0.019), respectively. However, there was no association between the patients' higher-level functions and family support difficulties among female patients.Conclusions: Difficulty experienced by the family in supporting elderly male patients with diabetes is associated with reduced higher-level functioning.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 2","pages":"145-154"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262775","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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[Decreased family caregiver satisfaction with diabetes treatment of elderly patients is associated with patient depressive symptoms]. [家庭护理者对老年糖尿病患者治疗满意度的降低与患者抑郁症状有关]。

Japanese Journal of Geriatrics Pub Date : 2024-01-01 DOI: 10.3143/geriatrics.61.45

Satoshi Ida, Kanako Imataka, Kentaro Azuma, Kaoru Okubo, Masaki Morii, Kazuya Murata

{"title":"[Decreased family caregiver satisfaction with diabetes treatment of elderly patients is associated with patient depressive symptoms].","authors":"Satoshi Ida, Kanako Imataka, Kentaro Azuma, Kaoru Okubo, Masaki Morii, Kazuya Murata","doi":"10.3143/geriatrics.61.45","DOIUrl":"https://doi.org/10.3143/geriatrics.61.45","url":null,"abstract":"Objective: To examine the relationship between the dissatisfaction of family caregivers with diabetes treatment and depressive symptoms among the elderly.Methods: The subjects were diabetic patients of 65 years of age or older and their family caregivers, who were outpatients at Ise Red Cross Hospital. The Japanese version of the Patient Health Questionnaire 9, which consists of nine items, was used to measure depressive symptoms. The Japanese version of the Treatment Satisfaction Scale for Caregivers of Dependent Diabetic Patients (STCD2-J) was used to measure the satisfaction of family caregivers with diabetes treatment. A logistic regression analysis was performed using depressive symptoms as dependent variable, satisfaction of the family caregiver with diabetes treatment as an explanatory variable, and adjustment variables.Results: In total, 272 patients were included in the analysis. Taking the quintiles of STCD2-J scores, the adjusted odds ratios for patient depressive symptoms in Q2 (27-29), Q3 (24-26), Q4 (22-23) and Q5 (14-21) based on Q1 (30-36) (the group with the highest STCD2-J scores) were 2.44 (95% confidence interval (CI), 0.69-8.61; P=0.163), 3.08 (95% CI, 0.93-10.12; P=0.063), 2.69 (95% CI, 0.68-10.65; P=0.156), and 4.54 (95% CI, 1.44-14.32; P=0.010), respectively.Conclusion: We found that family caregivers' decreased satisfaction with diabetes treatment was associated with depressive symptoms. It is important to alert primary care physicians about depressive symptoms when they see family caregivers who show decreased satisfaction with diabetes treatment.","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"61 1","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872102","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