Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第9页

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-05-01 DOI: 10.1007/s00391-025-02438-0

引用次数: 0

Polypharmacy and anticholinergic burden as risk factors for postoperative delirium in surgical medicine. 多种药物和抗胆碱能负荷是外科医学中术后谵妄的危险因素。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-05-01 Epub Date: 2025-01-06 DOI: 10.1007/s00391-024-02388-z

Henriette Louise Moellmann, Soufian Boulghoudan, Julian Kuhlmann, Louisa Rahm, Helmut Frohnhofen

{"title":"Polypharmacy and anticholinergic burden as risk factors for postoperative delirium in surgical medicine.","authors":"Henriette Louise Moellmann, Soufian Boulghoudan, Julian Kuhlmann, Louisa Rahm, Helmut Frohnhofen","doi":"10.1007/s00391-024-02388-z","DOIUrl":"10.1007/s00391-024-02388-z","url":null,"abstract":"Purpose: Polypharmacy is a widespread phenomenon in older patients. In particular, the anticholinergic burden of medication is an important risk factor for delirium due to age-related changes in the cholinergic system.Methods: Preoperative medication, including the calculation of the anticholinergic burden (ACB), was recorded in a prospective study (421 patients) to identify potential risks associated with medication intake. Postoperative delirium screening was carried out daily.Results: The study included 199 women (47.3%) and 222 men (52.7%) aged 80.8 ± 6.7 years and 78.8 ± 6.2 years, respectively. Antidepressants odds ratio (OR) 3.16 (95% confidence interval. CI, 1.51-6.64), antidiabetic drugs OR 2.53 (95% CI 1.27-5.03), neuroleptics OR 3.52 (95% CI 1.70-7.28) and Parkinson medication OR 5.88 (95% CI 1.95-17.7) showed a significantly higher risk for delirium. The ACB score revealed an anticholinergic burden in 43 patients (10.4%). The delirium rate was 25.6% (n = 11) and 11.0% (n = 40) had no anticholinergic burden. A significant correlation can be demonstrated with χ2(1) = 7.52, p = 0.006, Cramer's V = 0.136. There was a 2.79-fold higher risk of delirium (OR 2.79, 95% CI 1.31-5.97).Conclusion: The standardized recording of medication is essential, especially when identifying patients at risk of suffering from delirium. The use of the ACB score to assess the anticholinergic burden is a simple and reliable screening tool and should be part of a preoperative geriatric assessment.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"203-208"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933243","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

[Orthogeriatric ward rounds]. [骨科查房]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-05-01 Epub Date: 2025-04-08 DOI: 10.1007/s00391-025-02431-7

Markus Gosch

引用次数: 0

[Aging and health-related needs, positions, strategies of older persons and first sex-differentiated considerations : Possible implications for education-related approaches]. [老龄化和与健康有关的需要、地位、老年人的战略和第一性别差别考虑：对与教育有关的办法的可能影响]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI: 10.1007/s00391-025-02427-3

Renate Schramek, Marleen Schmeiss

{"title":"[Aging and health-related needs, positions, strategies of older persons and first sex-differentiated considerations : Possible implications for education-related approaches].","authors":"Renate Schramek, Marleen Schmeiss","doi":"10.1007/s00391-025-02427-3","DOIUrl":"10.1007/s00391-025-02427-3","url":null,"abstract":"Background: Health in old age is becoming increasingly more important. Epidemiological data on the health of older people are regularly collected. The subjective view of older people, e.g., on health, understanding, strategies, health literacy and concerns, is just as relevant for the design of programs.Objective: The subjective view of older people, their understanding of health and stressors, strategies and topics which are relevant to them were collated in order to derive conclusions for the practice.Material and methods: The study was conducted with the participation of students in the 6th semester of a B.A. program in the field of Applied Health Science and included qualitative guided interviews with 86 women and 53 men aged 50 years and over, most of whom were socially well integrated and financially secure. The data were analyzed using qualitative content analysis.Results: There was a great openness in thinking about the topic of health and old age. Health-related infrastructure, financial opportunities, stress and offers were named as important influencing factors. Sex-specific differences were recognized, which need to be investigated further.Conclusion: Older people actively influence their health through actions and everyday practices and the sexes focus on different approaches. Further analyses are needed to substantiate and differentiate the differences and to rule out stereotypes. The use of health education programs is not a matter of course but the availability of such programs is decisive in determining whether they can be seen as a resource. From a qualitative and quantitative perspective there is a lack of target group-specific health education and insufficient attention is paid to sex-related aspects in health education.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"180-185"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665188","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

Self-positioning in the context of double duty caregiving-Secondary analysis of a scoping review. 双重责任照护情境下的自我定位——范围回顾的二次分析。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-04-30 DOI: 10.1007/s00391-025-02441-5

Nicole Ruppert, Martina Roes

{"title":"Self-positioning in the context of double duty caregiving-Secondary analysis of a scoping review.","authors":"Nicole Ruppert, Martina Roes","doi":"10.1007/s00391-025-02441-5","DOIUrl":"https://doi.org/10.1007/s00391-025-02441-5","url":null,"abstract":"Background: The needs and support requirements of double duty caregivers (DDC) by healthcare professionals differ depending on whether they identify themselves as a professional nurse or family caregiver in private care arrangements. Questions of identity are usually not addressed by the DDCs. Resulting misunderstandings have the potential for conflict, which places additional strain on DDCs.Aim: The aim of this article is to present the essential characteristics of DDCs based on a model corresponding to their identity either as a professional nurse or family caregiver in a private care arrangement.Methods: A secondary analysis of 32 articles identified after a systematic literature search for a scoping review on the topic was carried out. A total of 18 articles were included in the qualitative content analysis according to Kuckartz and Rädiker.Results: A model of Continuum of Self-Positioning of Double Duty Caregivers was developed. It describes the characteristics DDCs show in four contexts: caregiving context, family context, healthcare system context, own workplace. Depending on the understanding of their own role in the different care settings, they are able to develop a better understanding of their identity either as a professional nurse or family caregiver, whereby the transitions are fluid.Conclusion: There are characteristics that can be assigned to the respective presumed identity of the DDCs. Knowing this enables healthcare professionals and family members to interact appropriately with DDCs and thus minimize the potential for conflict.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037093","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

[How age-friendly are cities and communities? German version of the Age-Friendly Cities and Communities Questionnaire (AFCCQ)]. [城市和社区对老年人有多友好？]德文版本的“长者友善城市及社区问卷”[。]

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-04-30 DOI: 10.1007/s00391-025-02440-6

Adele Grenz, Michael Weinhardt, Moritz Hess, Joost van Hoof, Jeroen Dikken, Kathrin Boerner

{"title":"[How age-friendly are cities and communities? German version of the Age-Friendly Cities and Communities Questionnaire (AFCCQ)].","authors":"Adele Grenz, Michael Weinhardt, Moritz Hess, Joost van Hoof, Jeroen Dikken, Kathrin Boerner","doi":"10.1007/s00391-025-02440-6","DOIUrl":"https://doi.org/10.1007/s00391-025-02440-6","url":null,"abstract":"Background and objective: Urbanisation and demographic change present social challenges that are often insufficiently addressed in urban and care planning. This study introduces a German-language version of the Age-Friendly Cities and Communities Questionnaire (AFCCQ) as a tool for measuring age-friendliness. The aim is to assess age-friendliness from the perspective of older adults and to identify varying needs within cities. In addition, findings for the city of Oldenburg are presented.Method: The validation study was conducted with a representative sample of older people in Oldenburg (n = 905). The participants completed the AFCCQ-DE questionnaire, consisting of 23 items, and rated their experiences in the city using a 5-point Likert scale (strongly disagree - strongly agree). A factor analysis and a cluster analysis were then carried out.Results: The psychometric validity and reliability of the AFCCQ-DE were confirmed. The questionnaire, which was translated into German for the first time, proved to be a robust instrument that can now be used in German-speaking countries. Using cluster-analytical methods, four groups of older people were identified, differing systematically in terms of their personal characteristics and needs.Discussion: The results highlight the importance of a standardised instrument such as the AFCCQ for planning and evaluating the age-friendliness of cities and municipalities. The collected data provide a basis for the development of targeted urban planning measures that specifically address the needs of older adults and support ageing well in urban environments.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056186","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

[Between experiencing meaning and self-realization: a qualitative study on utilization of help from the perspective of family caregivers]. [在体验意义和自我实现之间：从家庭照顾者的角度对利用帮助的定性研究]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-04-08 DOI: 10.1007/s00391-025-02437-1

Jenny Kubitza, Verena Steinmaier, Eckhard Frick

{"title":"[Between experiencing meaning and self-realization: a qualitative study on utilization of help from the perspective of family caregivers].","authors":"Jenny Kubitza, Verena Steinmaier, Eckhard Frick","doi":"10.1007/s00391-025-02437-1","DOIUrl":"https://doi.org/10.1007/s00391-025-02437-1","url":null,"abstract":"Background: Family caregivers (FC) rarely utilize formal and informal help, which affects their burden and quality of life. Factors that result in rejection are often psychosocial (shame, guilt, heteronomy and social expectations). Previous studies on psychosocial reasons neglected the spiritual dimension. This study aims to identify the psychosociospiritual reasons for the (non)utílization of help from the perspective of FCs.Methods: This qualitative study conducted semi-structured interviews with 24 FCs between August 2022 and July 2023 and analyzed according to Mayring.Results: The FCs request formal and informal help to find a balance between their needs and those of the persons in need of care and to develop and maintain interpersonal boundaries. Help is rejected due to negative experiences with help offers as well as personal, familiar, and social role expectations. As long as nursing care is seen as the only meaning in life, help from outside can be perceived as a threat.Conclusion: When utilizing help, it is not only about the quality of the offered help but also about its compatibility with one's own values and aims. Psychosociospiritual counselling should be provided before counselling for benefits.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812494","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 der Jahrestagung der Österreichischen Gesellschaft für Geriatrie und Gerontologie : „Innovation trifft Alter(n)“. 奥地利老年病学和老年学学会年会摘要：“创新遇见年龄”。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-04-01 DOI: 10.1007/s00391-025-02434-4

引用次数: 0

[Operationalization of the determination of the Barthel index using Barthel plus]. [使用Barthel plus确定Barthel指数的操作化]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-31 DOI: 10.1007/s00391-025-02436-2

Sonja Krupp, Jennifer Kasper, Christina Gollmer, Friedrich Balck, Meike Kasten, Martin Willkomm

{"title":"[Operationalization of the determination of the Barthel index using Barthel plus].","authors":"Sonja Krupp, Jennifer Kasper, Christina Gollmer, Friedrich Balck, Meike Kasten, Martin Willkomm","doi":"10.1007/s00391-025-02436-2","DOIUrl":"https://doi.org/10.1007/s00391-025-02436-2","url":null,"abstract":"Background: The Barthel Index is the most commonly used instrument for assessing basic self-care ability; however, it only records impairments first at the stage of needing personal support.Objective: Based on the long version of the Hamburg Classification Manual (HEMB-L), the Barthel plus (Bplus) was developed in consultation with specialist nursing personnel as an operationalization that also depicts compensated impairments via point-neutral subscaling. The article presents the instrument and its quality characteristics.Material and methods: For patients in acute geriatric care the Bplus was employed twice at an interval of more than 1 week and audio recordings were made. The Bplus was assessed by telephone 1, 12, 24 and 36 months after discharge. The effect size (Cohen's d) was calculated for the sensitivity to change during the inpatient course. The interrater reliability and agreement with the HEMB‑L were determined taking the evaluation of the audio files by blinded examiners into account.Results: Between 29 April 2019 and 25 June 2021 a total of 124 patients were included in the study. The Barthel Index scores obtained using the Bplus and HEMB‑L did not show a significant difference. The interrater reliability, internal consistency and change sensitivity of the Bplus were high, each at > 0.9. For activities performed independently but with impairment, there was an increased risk of care dependency occurring over the course of the study.Conclusion: While maintaining the same sum score as the HEMB‑L, the Bplus can highlight abilities prone to a high risk for loss of independence and thus facilitate the prevention of progressive care dependency.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755469","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

[Older people in larger cities-A look at the infrastructure provision on a local level]. [大城市的老年人——从地方层面看基础设施的供应]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-27 DOI: 10.1007/s00391-025-02424-6

Judith Kaschowitz, Cornelia Müller, Dorothee Winkler

{"title":"[Older people in larger cities-A look at the infrastructure provision on a local level].","authors":"Judith Kaschowitz, Cornelia Müller, Dorothee Winkler","doi":"10.1007/s00391-025-02424-6","DOIUrl":"https://doi.org/10.1007/s00391-025-02424-6","url":null,"abstract":"Against the background of demographic ageing in cities, it becomes increasingly more important to study the living conditions of old persons. Using municipal statistical data from the Inner City Monitoring System and geodata, the study examined the number of facilities for the provision of services of general interest in the areas of health and the needs of daily living in urban districts of major German cities. The focus is on districts with a high proportion of people aged 65 years and over in order to assess if there is sufficient provision of infrastructure for older people. In addition, survey data are combined with municipal statistical data in order to examine self-assessments of the distances to such facilities. The results show small-scale disparities as there are significant differences between old and young districts (few people aged 65 years and older). There are fewer pharmacies and post offices in older districts. The accessibility of the infrastructure within walking distance is rated worse in old districts than in young districts. This can be particularly problematic for very old and less mobile people whose radius of mobility is limited to the residential area. It can be concluded that small-scale municipal monitoring is crucial to detect gaps in the infrastructure. In further studies, the actual use of infrastructures and the diversity in the group of older people are taken into account.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722309","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