Zeitschrift Fur Gerontologie Und Geriatrie最新文献

[Use of digital information and support services by informal caregivers from the perspective of medical assessors : Results from a focus group study]. [从医疗评估人员的角度看非正规护理人员使用数字信息和支持服务：焦点小组研究的结果]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-02 DOI: 10.1007/s00391-025-02503-8

Annika Hudelmayer, Marie-Christin Redlich, Johanna Schütz, Florian Fischer

{"title":"[Use of digital information and support services by informal caregivers from the perspective of medical assessors : Results from a focus group study].","authors":"Annika Hudelmayer, Marie-Christin Redlich, Johanna Schütz, Florian Fischer","doi":"10.1007/s00391-025-02503-8","DOIUrl":"https://doi.org/10.1007/s00391-025-02503-8","url":null,"abstract":"Background: People in need of care and their relatives have a high need for information, especially at the beginning of a need for care. The aim of this qualitative study was to explore the use of digital information and support services by informal caregivers from the perspective of medical assessors at the Bavarian Medical Service (MD Bayern), who conduct numerous home visits.Method: From June to July 2024, four guided online-based focus group interviews were conducted with 29 medical assessors from MD Bayern. The data were transcribed, pseudonymized, and evaluated using qualitative content analysis.Results: The medical assessors' experience show that digital care-related services are only used to a limited extent by people in need of care, despite the existing need. Use is more widespread among relatives, especially the so-called \"care degree calculator\". The experts believe that the main reasons for the low use are older age, lack of digital skills, and limited infrastructure in rural areas. Experts assessed an information flyer as a suitable means of informing caregiving households specifically about digital services.Conclusion: In order to increase the use of digital services in the context of home care, targeted information campaigns and measures to promote digital literacy are essential. In addition, these services need to be more closely aligned with the heterogeneous needs of the target group.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208087","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

[Person-centered wound care : Legitimation and theoretical concept]. [以人为本的伤口护理：正当性与理论概念]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-07-28 DOI: 10.1007/s00391-025-02466-w

Eva-Maria Panfil, Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Veronika Gerber, Christian Hafner, Peter Kurz, Martin Motzkus, Robert Strohal, Jürg Traber, Sebastian Probst

{"title":"[Person-centered wound care : Legitimation and theoretical concept].","authors":"Eva-Maria Panfil, Joachim Dissemond, Julian-Dario Rembe, Bernd Assenheimer, Veronika Gerber, Christian Hafner, Peter Kurz, Martin Motzkus, Robert Strohal, Jürg Traber, Sebastian Probst","doi":"10.1007/s00391-025-02466-w","DOIUrl":"10.1007/s00391-025-02466-w","url":null,"abstract":"Background: International associations advocate the care model of person-centered care (PCC) that focuses on people with chronic illnesses rather than on disease patterns.Objective: To present the concept and its legitimacy concerning the care of people with chronic wounds.Material and method: A narrative review, identification and analysis of review articles as well as conceptual foundations, practical examples and discussion of implementation.Results: The PCC is based on the health needs, expectations, values and commitments of persons and not on diseases, symptoms and clinical data. Key components include providing the affected individuals with the support and education needed to make decisions and participate in their own care. Evaluations of PCC implementation primarily measure components, such as communication or shared decision making and use patient-reported outcome measures (PROM) and patient-reported experience measures (PREM). The largest barriers to implementing the concept are a healthcare system focused on acute care, a lack of patient involvement in decision making, inadequate communication skills and disease-oriented attitudes. A successful implementation requires cultural, structural and organizational measures.Conclusion: Implementing PCC into the clinical practice requires commitment and perseverance. Organizations must be willing to engage in this approach. The German-Austrian-Swiss Wound Healing Organization (WundD.A.CH) has identified the promotion of its implementation as a key priority.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"511-516"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transitioning into informal care and occupational self-efficacy : A difference-in-differences propensity score matching analysis using representative German employee data. 过渡到非正式关怀和职业自我效能感：使用具有代表性的德国员工数据的差异倾向得分匹配分析。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-08-28 DOI: 10.1007/s00391-025-02481-x

Carolin Kunz

{"title":"Transitioning into informal care and occupational self-efficacy : A difference-in-differences propensity score matching analysis using representative German employee data.","authors":"Carolin Kunz","doi":"10.1007/s00391-025-02481-x","DOIUrl":"10.1007/s00391-025-02481-x","url":null,"abstract":"Background: Due to demographic ageing, the number of care receivers has been rising, while the number of caregivers is decreasing in many countries. Informal caregiving often begins while still in active employment often leading to role conflicts. The dual burden can negatively affect job performance and lead to changes in occupational self-efficacy.Objective: Despite being of high relevance for individuals, organizations and society, there is a research gap concerning occupational self-efficacy, which may serve as a mechanism for reduced working hours or exit from the labor market after taking on care responsibilities. Thus, this article analyzes the impact of transitioning into informal caregiving on occupational self-efficacy longitudinally.Material and methods: This study included the 2017, 2019 and 2021 waves of the Federal Institute for Occupational Safety and Health (BAuA) Working Time Survey, which is a representative panel study of employees in Germany. For each respondent, two waves were used (n ≥ 3052). Difference-in-differences (DiD) models with the transition into informal care with distinctions of different care frequencies as the treatment variables were calculated. To control for selection bias, propensity score matching (PSM) was applied.Results: Based on the DID models, transitioning into at least occasionally caregiving had a negative effect on occupational self-efficacy, leading to a significant deterioration in composure in the face of occupational difficulties, ideas for solving problems at work and the ability to cope with most occupational demands. The results based on PSM supported these findings.Conclusion: With respect to, e.g., skilled labor shortages and challenges for welfare systems, sustaining employees' working ability including occupational self-efficacy is of utmost relevance in ageing societies.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"471-476"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976442","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

[Rehabilitation needs of geriatric patients in subacute inpatient care after acute inpatient hospitalization-a neglected claim]. [急性病住院后接受亚急性住院治疗的老年病人的康复需求--一个被忽视的诉求]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2024-06-26 DOI: 10.1007/s00391-024-02321-4

A Keilhauer, C Werner, B Abel, A-D Trumpfheller, S Grund, J Frankenhauser-Mannuß, N Specht-Leible, J M Bauer

{"title":"[Rehabilitation needs of geriatric patients in subacute inpatient care after acute inpatient hospitalization-a neglected claim].","authors":"A Keilhauer, C Werner, B Abel, A-D Trumpfheller, S Grund, J Frankenhauser-Mannuß, N Specht-Leible, J M Bauer","doi":"10.1007/s00391-024-02321-4","DOIUrl":"10.1007/s00391-024-02321-4","url":null,"abstract":"Background: Geriatric patients after hospitalization often utilize subacute inpatient care (SC); however, little is known about their care and further health status.Objective: To identify persons in SC with rehabilitation needs and improvement potential after hospitalization and to describe the care, relevant parameters of the health status as well as use of medical/nursing services in and after SC.Methods: After positive screening for previous hospitalization and need of rehabilitation with improvement potential in 13 nursing homes, the length of stay, therapeutic treatments and physician contacts in SC as well as functional parameters, pain, quality of life and the utilization of services according to the Social Security Code V (SGB V) and SGB XI were assessed at baseline, at the end and 3 months after SC.Results: A total of 108 (44%) out of 243 screened persons with previous hospitalization had a need of rehabilitation with improvement potential, of whom 57 participated in the study. In SC (median = 26 days) 35% received no therapeutic treatments and 28% had no physician contact. After SC 40% were transferred to rehabilitation. Participants with rehabilitation transition more frequently received therapeutic treatments in SC (p = 0.021) and were less frequently in long-term care 3 months after SC (p = 0.015).Conclusion: This study suggests that a high proportion of persons in SC after hospitalization are in need of rehabilitation with improvement potential, which is not sufficiently treated. Regular therapeutic treatments in SC could improve the transition rate to rehabilitation and subsequent home environment.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"497-503"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460228","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

Parental education and older workers' income : A comparison of social democratic and conservative welfare regimes. 父母教育与老年工人收入：社会民主与保守福利制度的比较。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-07-29 DOI: 10.1007/s00391-025-02475-9

Alina Schmitz

{"title":"Parental education and older workers' income : A comparison of social democratic and conservative welfare regimes.","authors":"Alina Schmitz","doi":"10.1007/s00391-025-02475-9","DOIUrl":"10.1007/s00391-025-02475-9","url":null,"abstract":"Background: This study examines whether parental education is related to income among older workers and whether this association varies across welfare regimes. While education is often viewed as a social equalizer, family background may still influence economic outcomes in later life. The study explores how societal contexts moderate inequalities related to family origins.Objective: (1) Is parental education related to income among older workers, after accounting for job and sociodemographic characteristics? (2) Does this relationship differ between social democratic and conservative welfare regimes?Methods: Using wave 9 (2021/2022) of the Survey of Health, Ageing and Retirement in Europe (SHARE), the analysis focuses on individuals aged 50-65 years from 8 countries, grouped into social democratic (Sweden, Denmark, Finland) and conservative (Austria, Germany, France, Belgium, Luxembourg) regimes. The outcome is annual earnings from (self-)employment and the key predictor is parental education. Ordinary least squares (OLS) regressions were run separately by regime, controlling for job characteristics and sociodemographic covariates.Results: Parental education was unrelated to income in social democratic regimes but middle and high parental education (compared to low parental education) was positively associated with income in conservative regimes.Conclusion: Inequalities in financial well-being in later life cannot be fully understood without considering intergenerational dynamics and the broader institutional context in which they unfold. Income in later life is shaped by family origin at least in conservative welfare regimes.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"458-465"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734856","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

[Diversity and inequality in change: selected findings on the participation of seniors for Germany and Europe]. [变化中的多样性和不平等：关于德国和欧洲老年人参与的部分调查结果]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-09-22 DOI: 10.1007/s00391-025-02490-w

Kirsten Aner, Martina Brandt

引用次数: 0

[Grandparenthood in the context of social inequality]. [社会不平等背景下的祖父母身份]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-08-28 DOI: 10.1007/s00391-025-02483-9

Jonas Zinn, Kirsten Aner

引用次数: 0

Gender-specific improvements in cognitive resources : Impact of a multidimensional exercise program on healthy physically inactive older adults. 认知资源的性别特异性改善：多维锻炼计划对健康无运动的老年人的影响。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-01-31 DOI: 10.1007/s00391-024-02405-1

Marlene Krumpolt, David Rahil, Anneke Schumacher, Lucas Sannemann, Kerstin Witte

{"title":"Gender-specific improvements in cognitive resources : Impact of a multidimensional exercise program on healthy physically inactive older adults.","authors":"Marlene Krumpolt, David Rahil, Anneke Schumacher, Lucas Sannemann, Kerstin Witte","doi":"10.1007/s00391-024-02405-1","DOIUrl":"10.1007/s00391-024-02405-1","url":null,"abstract":"Background: Neuroanatomical parameters deteriorate with age and this process varies among individuals. Gender differences in these parameters have been documented but their effects on cognition remain unclear. Physical activity, continuous learning and social interactions are recognized strategies to prevent cognitive decline.Aim: This study investigated the effects of multidimensional training on selective attention and reaction speed in physically inactive but healthy older adults, exploring gender-specific differences in cognitive abilities.Material and methods: The study employed a pre-post design and included a 24-week exercise program. A total of 60 participants (30 male, 30 female) aged 65-69 years completed the program, which consisted of 90 min of fitness and 90 min of recreational sports each week. Cognitive performance was assessed using the STROOP (a visual test for selective attention) and reaction time (RT) tests administered through the Vienna Test System.Results: Significant gender differences were observed. Women were initially slower than men but significantly improved their reaction speed after the training (p < 0.001, d = 1.144). Conversely, men showed significant improvements in controlled and automated actions (p = 0.021, d = 0.5).Discussion: Multidimensional training enhances cognitive performance in physically inactive older adults. Gender-specific differences in reaction time were confirmed, while differences in other cognitive domains were revealed. The underlying causes of these differences are still unclear, raising the question of whether training programs should be tailored differently for men and women.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"504-510"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Self-esteem differences based on sexual orientation in Germany : Changes over time]. [德国基于性取向的自尊差异：随时间的变化]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-08-25 DOI: 10.1007/s00391-025-02486-6

Robert Heidemann

{"title":"[Self-esteem differences based on sexual orientation in Germany : Changes over time].","authors":"Robert Heidemann","doi":"10.1007/s00391-025-02486-6","DOIUrl":"10.1007/s00391-025-02486-6","url":null,"abstract":"Background: In recent decades social acceptance and legal equality of lesbian, gay and bisexual people (LGB) in Germany have improved. In particular, the debate on the possibility of marriage for same sex couples revealed broad social acceptance; however, health inequalities, such as in self-esteem, continue to exist in relation to heterosexual people. The LGB persons in the second half of life are particularly affected by these disadvantages because they grew up in times of greater discrimination.Objective: This raises the central question: to what extent do improved overall social conditions affect the self-esteem of LGB people?Material and methods: To answer this question 5 waves (2008, 2011, 2014, 2017, 2021) of the German Ageing Study (DEAS) are used to examine how the self-esteem of LGB people has changed over time and in comparison to heterosexual people. In addition to bivariate descriptions, random effects models are applied for the analysis.Results: The self-esteem among LGB and heterosexual people increased until 2017 and then dropped slightly in 2021; however, the increase among LGB people is more pronounced, so that the difference compared to heterosexual people is no longer significant in 2017.Conclusion: The analysis suggests that greater social openness and improved legal conditions for LGB people in the second half of life are positively related to their self-esteem, thus emphasizing the importance of public discourse for the well-being of stigmatized groups.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"483-489"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976393","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

[Journal Club]. (杂志俱乐部)。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-10-01 Epub Date: 2025-09-05 DOI: 10.1007/s00391-025-02487-5

Anna Maria Affeldt

引用次数: 0