Aging Medicine and Healthcare最新文献

{"title":"Workplace Spirituality in Nursing: A Systematic Review","authors":"Ching-Wen Wei, Yi-Chen Wu, Szu-Ying Lee, H. Tung","doi":"10.33879/amh.113.2020.01001","DOIUrl":"https://doi.org/10.33879/amh.113.2020.01001","url":null,"abstract":"Background/Purpose: Although we understand that the nurse’s workplace is a source of intense pressure, the relationship of nurses’ spirituality to other relevant workplace variables is not well understood. The purpose of this review was to synthesize the recent evidence on work performance and workplace spirituality in nurses. Methods: A comprehensive literature search of the electronic bibliographic databases CEPS, Medline/PubMed, Embase, Cochrane Library, and Google Scholar was performed using key words and the subject headings “ spirituality ”, “ workplace spirituality ”, “ work environment ”, and “ nurse ”, according to PRISMA guidelines. This yielded seven studies, with a total of 1,855 participants for review. Results: Seven quantitative studies were included. The findings suggested that nurses’ workplace spirituality was strongly related to work performance and psychological variables, such as turnover intention, withdrawal behavior, emotional exhaustion, organizational citizenship behavior, helping/Ihsan behavior, occupational ethics, job satisfaction, and job stress. A strategy based on enhancing well-being, positive mood, and organizational commitment can enhance positive behaviors in nurses. Conclusion: This review showed that workplace spirituality can enhance nurses’ positive behaviors in an organization, which has a profound impact on quality of performance. Further research should focus on the external factors associated with spirituality as well as examine the long-term impact of spirituality through a longitudinal study. Understanding the impact of workplace spirituality on nurses’ physical and psychological status and professional performance can increase awareness of the importance of workplace spirituality. Designing a spiritual intervention based on nurses’ needs as a means to promote good quality of work is key to retaining nurses.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42812928","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}

{"title":"Metabolic Syndrome and Its Components Are Associated with Frailty: A Nationwide Population-Based Study in Taiwan","authors":"Wei‐Ju Lee, L. Peng, Liang‐Kung Chen","doi":"10.33879/amh.2020.063-1907.017","DOIUrl":"https://doi.org/10.33879/amh.2020.063-1907.017","url":null,"abstract":"Methods: The cross-sectional study comprised of 1,006 communityliving middle and old-age Taiwanese. Metabolic syndrome defined by using National Cholesterol Education Programme Adult Treatment Panel III guidelines. A frailty index of 35 items derived basing on the standard principles of frailty index development. As opposed to the usual method, frailty index (FI) ≤0.08 denoted non-frail; FI ≥0.25 indicated frail; the rest were pre-frail. Multivariable logistic regression analysis was employed to investigate associations between frailty and metabolic syndrome.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47015747","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}

{"title":"Frailty in a Community Hospital in Singapore: Prevalence and Contributing Factors","authors":"Jeffrey Jiang, A. Han, Xin Tan, J. Goh, B. Tan","doi":"10.33879/amh.2020.062-1907.015","DOIUrl":"https://doi.org/10.33879/amh.2020.062-1907.015","url":null,"abstract":"Methods: This was a cross-sectional study. The FRAIL scale was utilised to screen older adult patients aged 65 and above who were admitted as inpatients from 1 July 2017 to 30 April 2018, or seen as outpatients from 1 August to 31 December 2017. A total of 647 inpatients and 616 outpatients were screened. Data was analysed for both groups to determine the prevalence and contributing factors of frailty and compared with baseline demographic data.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44844835","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}

{"title":"Health Status of Elderly Population in the Buea Health District, Cameroon","authors":"Agbor Nathan Emeh, Fongang Landis Che, Tambetakaw Njang Gilbert, Atongno Humphrey Ashu","doi":"10.33879/amh.2020.033-1904.010","DOIUrl":"https://doi.org/10.33879/amh.2020.033-1904.010","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44296059","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}

{"title":"Dementia Care in Developing Countries","authors":"Liang‐Kung Chen","doi":"10.33879/amh.2019.121-1912.022","DOIUrl":"https://doi.org/10.33879/amh.2019.121-1912.022","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42166523","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}

{"title":"The Safety of Treatment with Cefepime in Elderly Patients","authors":"Joyce M. Cabradilla, P. Ong, E. Villaverde, Eloisa Marasigan, Nathalie Declarador, K. Tan, H. N. Tan, Y. Ding","doi":"10.33879/amh.2019.125-1805.010","DOIUrl":"https://doi.org/10.33879/amh.2019.125-1805.010","url":null,"abstract":"Background/Purpose: Cefepime-induced neurotoxicity has been reported worldwide sporadically. Most patients affected are elderly and have renal impairment. Few cases were identified in our institution and prompted this review to formulate measures to prevent its occurrence. Methods: This is a quality improvement study done in the Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore. We retrieved case records of patients who received cefepime between March 2014 and September 2015. Demographic data, comorbidities, indication, duration and doses of cefepime were recorded. Case records of patients which developed neurologic symptoms were independently reviewed. Patients were determined to have cefepime-induced neurotoxicity based on set criteria. Results: Total of 279 records were reviewed. Cefepime was administered for a mean duration of 3.2 days. Urinary tract infection was the most common indication for prescribing cefepime. Majority of patients were cognitively impaired (n=174, 62%) and had chronic kidney disease (CKD) (n=157, 56%). Six cases (2.2%) were identified to have cefepime-induced neurotoxicity. The mean daily dose of cefepime administered for this group was lower compared to the rest of the cohort, but the duration of treatment was longer. Mean latency period was 3 days and mean recovery period was 4 days. Predominant symptoms were confusion (n=6) and drowsiness (n=5). Other symptoms were myoclonus (n=2) and agitation (n=2). Eighteen patients received higher dose of cefepime based on creatinine clearance, but none of them developed neurologic symptoms. Conclusion: Since this special group is vulnerable, there should be increased awareness for this condition, diligent adjustment of cefepime dosages according to renal function and timely de-escalation of antibiotics.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48392568","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}

{"title":"The Effectiveness of a Timely Discharge Plan in Older Adults: A Prospective Hospital-Based Cohort Study in Southern Taiwan","authors":"Yu-Chun Wang, Yinghui Lu, Jinhang Wang, C. Liang, M. Chou, Yu-Te Lin, F. Chen, Miao-Ling Lin, Su-Hua Lee, Joh‐Jong Huang","doi":"10.33879/amh.2019.1902","DOIUrl":"https://doi.org/10.33879/amh.2019.1902","url":null,"abstract":"Background/Purpose: The aim of this study was to explore the effect of a timely discharge plan for community-based long-term care (LTC) in older adults (age 65+ years) admitted to a tertiary teaching hospital. Methods: Older patients in geriatric wards who needed communitybased LTC were enrolled between October 2016 and June 2017. Patients living in Kaohsiung City needing community-based LTC received timely discharge, with LTC assessed and arranged prior to discharge. Patients with the same needs but living in a different administrative area served as the control group and received traditional discharge, with LTC arranged after discharge home. All were assessed by the discharge planning team of nurses, geriatricians, and physical therapists. Rates of 3-day Emergency Department (ED) revisit and 14-day, 30-day, and 180-day readmission after hospitalization were assessed, as was length of hospital stay (LOS) and the time until LTC service delivery. Results: Of the 84 participants (mean=80.5 years, standard deviation=9.3 years, 33.3% female) recruited, 42 received timely discharge. Compared to the control group, the timely discharge group waited significantly less for LCT service post discharge (3.4±7.1 days versus 36.4±20.7 days, p <0.001), had shorter LOS (21.1±13.0 days versus 24.2±25.9 days, p=0.531), and lower rates of ED revisit (2.4% versus 4.8%), readmission within 14 days (4.8% versus 9.5%), 30 days (11.9% versus 23.8%), and 180 days (35.7% versus 47.6%). Conclusion: Timely discharge can significantly shorten the wait for community-based LTC for hospitalized older adults. Further studies should seek to reduce LOS, readmissions and ED revisits. 2663-8851/Copyright © 2019, Asian Association for Frailty and Sarcopenia and Taiwan Association for Integrated Care. Published by Full Universe Integrated Marketing Limited. *Correspondence Dr. Ming-Yueh Chou Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan E-mail: pitychou@gmail.com Dr. Joh-Jong Huang Bureau of Social Affairs, Tainan City Government, Tainan, Taiwan Email: jjhua@seed.net.tw Received 1 February 2019 Accepted 12 February 2019","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46684016","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}

{"title":"Assessment of Cognitive Impairment in Geriatrics Outpatient Clinics–Achieving Standards of Care","authors":"L. V. Onn, S. Teo","doi":"10.33879/amh.2019.1834","DOIUrl":"https://doi.org/10.33879/amh.2019.1834","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45955896","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}

{"title":"Development of Integrated Care Certification Program in Taiwan","authors":"H. Tung, Szu-Ying Lee, Sophia H Hu, Huitian. Lin, S. Tseng, Liang‐Kung Chen","doi":"10.33879/amh.2019.1905","DOIUrl":"https://doi.org/10.33879/amh.2019.1905","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43108668","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}

{"title":"Relationship Between Advanced Glycation End Products, Coronary Risk Factors, Abdominal Aortic Diameter and Carotid Intimal Thickness in Elderly Diabetics","authors":"Walaa W Aly, M. M. Monier, Dalia Hussein Helmy El-Sheikh, M. S. Amer, O. Omar, Ramy M Mahmoud","doi":"10.33879/amh.2019.1904","DOIUrl":"https://doi.org/10.33879/amh.2019.1904","url":null,"abstract":"Background/Purpose: Aortic aneurysm early detection is crucial in cases having elevated clinical risk due to its life-threatening sequelae. This study aims to understand the relationship between advanced glycation end products (AGEs), coronary risk factors, abdominal aortic diameter (AAD) and carotid blood flow in elderly diabetes mellitus (DM). Methods: A case control study conducted on 90 elderly patients, 60 years and above, recruited from the Ain Shams University Hospital. Elderly subjects were divided into 3 groups. Group I (controls): 30 patients without DM; Group II (cases): 30 diabetic cases without co-morbidities; and Group III (cases): 30 diabetic cases with co-morbidities. All groups have undergone assessment of blood sugar, serum lipids, and AGEs, in addition to measurement of carotid intima-medial thickness (CIMT) by carotid duplex scan. Results: Coronary risk is significantly high in Group III (19.300±9.542) followed by Group II (18.200±11.704) then the control group (7.562±5.241). CIMT is significantly higher in Group III (1.377±0.220) followed by Group II (1.193±0.276) then the control group (0.993±0.246). AGEs are significantly high in Group I followed by Group II then Group III. CIMT is statistically significantly correlated with AGEs in Group I. No statistically significant correlation between AAD and AGEs in study groups. There is highly significant correlation between coronary risk and AGEs in Group II. Conclusion: Mean carotid intimal thickness is considered as an early marker of atherosclerotic disease. 2663-8851/Copyright © 2019, Asian Association for Frailty and Sarcopenia and Taiwan Association for Integrated Care. Published by Full Universe Integrated Marketing Limited. *Correspondence Dr. Walaa W Aly Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University, Egypt E-mail: walaawessam@yahoo.com Received 16 February 2019 Accepted 20 June 2019","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49346014","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}