Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第10页

[Rehabilitative subacute inpatient care-Optimizing posthospital care for geriatric patients with rehabilitation needs: results of the REKUP study]. [康复亚急性住院护理--优化有康复需求的老年病人的院后护理：REKUP 研究结果]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-09-28 DOI: 10.1007/s00391-024-02367-4

Anne Keilhauer, Christian Werner, Sandra Diekmann, Pauline Zur Nieden, Kathrin Pahmeier, Anja Neumann, Anke Walendzik, Theresa Hüer, Pascal Raszke, Jürgen Wasem, Julia Frankenhauser-Mannuß, Norbert Specht-Leible, Jürgen M Bauer

{"title":"[Rehabilitative subacute inpatient care-Optimizing posthospital care for geriatric patients with rehabilitation needs: results of the REKUP study].","authors":"Anne Keilhauer, Christian Werner, Sandra Diekmann, Pauline Zur Nieden, Kathrin Pahmeier, Anja Neumann, Anke Walendzik, Theresa Hüer, Pascal Raszke, Jürgen Wasem, Julia Frankenhauser-Mannuß, Norbert Specht-Leible, Jürgen M Bauer","doi":"10.1007/s00391-024-02367-4","DOIUrl":"https://doi.org/10.1007/s00391-024-02367-4","url":null,"abstract":"Background: Geriatric patients in subacute inpatient care (SC) with rehabilitation needs after hospitalization seldom utilize rehabilitative services and are often transitioned to long-term care (LTC), suggesting that their care in SC can be optimized.Objective: To evaluate the effectiveness of rehabilitative subacute inpatient care (REKUP) in improving the care of geriatric patients in SC with rehabilitation needs after hospitalization.Methods: The study was conducted as a nonrandomized intervention trial with an historical control group (CG). The intervention group (IG: n = 49) received REKUP (activating therapeutic care, functional rehabilitative therapy, psychosocial services, medical care), while the CG (n = 57) received usual care during SC. Primary outcomes were transition to inpatient rehabilitation, home, and LTC, deteriorated care setting, care level, and mortality within 3 months after SC. Secondary outcomes were functional, motor and psychological variables.Results: The transition rate to inpatient rehabilitation (82% vs. 37%) and home (86% vs. 65%) was higher (p < 0.05) in the IG than in the CG. The proportion of persons utilizing LTC (12% vs. 35%) and with deteriorated care setting (35% vs. 60%) was lower (p < 0.01) in the IG than in the CG. The Barthel Index, visual analogue scale of the EQ-5D, and numerical pain scale improved (p < 0.05) during the SC stay in the IG but not in the CG.Discussion: REKUP as a new care model for SC promotes the transition to inpatient rehabilitation, reduces the utilization of LTC and improves the chances of returning home and achieving greater independence in geriatric patients with rehabilitation needs after hospitalization.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330916","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

Erratum zu: Risiken für ein gutes Leben im Alter – die Bedeutung ausgewählter Lebenslagedimensionen. 勘误：老年美好生活的风险--选定生活状况维度的意义。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-09-17 DOI: 10.1007/s00391-024-02369-2

Katrin Falk, Josefine Heusinger, Kerstin Kammerer, Birgit Wolter

引用次数: 0

Erratum zu: Prävention des kognitiven Abbaus im Alter. 勘误：预防老年认知能力衰退。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-09-10 DOI: 10.1007/s00391-024-02364-7

Carolin Steinmetz, Marlena Schnieder, Stephanie Heinemann, Anne Linke, Christine A F von Arnim

引用次数: 0

[Bed confinement in old people-A literature review]. [老年人卧床不起--文献综述]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-09-04 DOI: 10.1007/s00391-024-02350-z

Bianca Berger, Fabian Graeb, Manfred Baumann, Sven Reuther

{"title":"[Bed confinement in old people-A literature review].","authors":"Bianca Berger, Fabian Graeb, Manfred Baumann, Sven Reuther","doi":"10.1007/s00391-024-02350-z","DOIUrl":"https://doi.org/10.1007/s00391-024-02350-z","url":null,"abstract":"Background: Particularly older people are affected by mobility restrictions and can go through the process of gradually becoming bedridden. This can potentially lead to extensive consequences for the individuals involved, which must be considered in their care.Aims: To bundle nursing implications related to the phenomenon of being bedridden in the field of long-term care and to provide impulses for research in nursing science.Methods: Research in relevant specialist databases (2003-2023) based on the criteria of a scoping review.Results: In Germany there is a standard for maintaining and promoting mobility that addresses bed and local confinements but German language studies on these phenomena are rare. In the international context, these issues are researched more intensively, focussing on risk factors for the development of immobility and the negative consequences for those affected. The publications focus on the reduction of these factors, while less attention is paid to the organization of life in bed and the participation and involvement of those affected.Discussion: The complexity of the phenomenon is not fully illustrated in current research. In order to develop a nursing perspective research projects that also include aspects of life in bed are a central aspect in order to take greater account of the reality of bedridden people's lives and their potential for participation and involvement.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127148","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

Abstracts des gemeinsamen Jahreskongresses der Deutschen Gesellschaft für Gerontologie und Geriatrie (DGGG) und der Deutschen Gesellschaft für Geriatrie (DGG) : „Altern ohne Grenzen“. 德国老年学和老年医学学会（DGGG）与德国老年医学学会（DGG）联合年会摘要："老龄化无国界"。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-09-01 DOI: 10.1007/s00391-024-02338-9

引用次数: 0

[Medication supply and polypharmacy in long-term care : An overview of possible interventions and the question of a functioning concept]. [长期护理中的药物供应和多重用药：可能的干预措施概述和功能概念问题]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-08-13 DOI: 10.1007/s00391-024-02340-1

Fabian Graeb, Bianca Berger, Frank Alf, Petra Reiber, Gundula Essig, Reinhold Wolke

{"title":"[Medication supply and polypharmacy in long-term care : An overview of possible interventions and the question of a functioning concept].","authors":"Fabian Graeb, Bianca Berger, Frank Alf, Petra Reiber, Gundula Essig, Reinhold Wolke","doi":"10.1007/s00391-024-02340-1","DOIUrl":"https://doi.org/10.1007/s00391-024-02340-1","url":null,"abstract":"Background: Polypharmacy and the resulting problems lead to considerable consequences for those affected. There are also considerable problems with the medication management.Objective: Which interventions and programs for optimizing the supply of medication are available for nursing homes and which implementation problems can be expected?Material and method: A literature search was carried out for interventional studies in nursing homes in Germany, with a focus on improving medication safety.Results: A total of six programs were identified for which evaluation results are available. Despite a mostly multimodal approach with several pillars of intervention (e.g., medication reviews, further education and training, development of aids), the results are largely disappointing. The effects on the number of prescriptions in general, specific medication groups or outcome parameters such as hospital admissions could only be shown in one study, whereby, selection bias could also be at least partly responsible for this. Interdisciplinary collaboration and the implementation of medication recommendations formulated in reviews by the responsible physicians are the main problem areas. At the same time, too little attention is paid to the central role of nurses in the entire process and they are not actively promoted enough. This could be one of the reasons for the difficulties in implementation in practice.Conclusion: There are nearly no significant changes as a result of the interventions implemented in the studies reviewed. In particular, interprofessional cooperation, especially the skills of nurses and the reluctance on the part of physicians, should probably be given more attention.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972180","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

Psychosocial and biological pathways to aging : The role(s) of the behavioral and social sciences in geroscience. 衰老的社会心理和生物学途径：行为科学和社会科学在地球科学中的作用。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-08-01 Epub Date: 2024-07-10 DOI: 10.1007/s00391-024-02324-1

Paul Gellert, Enrique Alonso-Perez

引用次数: 0

[Prevention of ischemic stroke in old age]. [预防老年缺血性中风]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-08-01 Epub Date: 2024-08-06 DOI: 10.1007/s00391-024-02336-x

Bernhard Iglseder, J Sebastian Mutzenbach

引用次数: 0

[Geroscience: possibilities and challenges for the healthcare system and the society of the future]. [老年科学：医疗保健系统和未来社会的可能性与挑战]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-08-01 Epub Date: 2024-08-09 DOI: 10.1007/s00391-024-02335-y

M Cristina Polidori, Andreas Simm

引用次数: 0

[Sarcopenia, physical activity and sedentary behavior among nursing home residents in Germany]. [德国养老院居民的肌肉疏松症、体力活动和久坐行为]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-08-01 Epub Date: 2024-01-26 DOI: 10.1007/s00391-023-02275-z

Daniel Haigis, Silas Wagner, Rebekka Pomiersky, Leon Matting, Lea-Sofie Hahn, Gerhard W Eschweiler, Ansgar Thiel, Annika Frahsa, Gorden Sudeck, Andreas M Nieß

{"title":"[Sarcopenia, physical activity and sedentary behavior among nursing home residents in Germany].","authors":"Daniel Haigis, Silas Wagner, Rebekka Pomiersky, Leon Matting, Lea-Sofie Hahn, Gerhard W Eschweiler, Ansgar Thiel, Annika Frahsa, Gorden Sudeck, Andreas M Nieß","doi":"10.1007/s00391-023-02275-z","DOIUrl":"10.1007/s00391-023-02275-z","url":null,"abstract":"Background: Residents in nursing homes show a high prevalence of the musculoskeletal syndrome sarcopenia and tend not to achieve current physical activity recommendations.Objective: The aim of this study is to identify differences in physical activity and sedentary behavior of sarcopenic residents compared with nonsarcopenic and presarcopenic residents.Methods: Sarcopenia assessment was performed among 63 nursing home residents in Baden-Wuerttemberg (D) using the European Working Group on Sarcopenia in Older People 2 specifications. Structured activity sessions (per week), accelerometer-based physical activity (steps/day), and sedentary behavior (percentual/day) were examined. The group comparisons were determined with Kruskal-Wallis tests and Dunn-Bonferroni post hoc tests.Results: Significant differences were found for number of steps (p = 0.005) and percentual sedentary behavior (p = 0.019). Moreover, steps per day presented significant results in group comparison for no sarcopenia (2824.4 [423-14275]) with probable sarcopenia (1703.9 [118-5663]) and confirmed/severe sarcopenia (1571.2 [240-2392]) (both p = 0.022; |r| = 0.34). Sedentary behavior demonstrated significant differences in groups with no sarcopenia (87.9% [69.1-94.3]) and with probable sarcopenia (91.7% [80.4-9835]) (p = 0.018; |r| = 0.35).Conclusion: Nonsarcopenic residents demonstrated a higher number of steps and lower sedentary behavior compared with presarcopenic and sarcopenic residents. Increasing steps, reducing sedentary behavior and promoting activities of daily living can contribute to the prevention and treatment of sarcopenia in the nursing home setting.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"395-401"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565179","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