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Loneliness and Unmet Needs of Older Adults Living in Publicly Supported Housing. 居住在公共支持住房中的老年人的孤独感和未满足的需求。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.3928/19404921-20230606-02
Kathryn Sabo, John Wong, Ruth Palan Lopez
{"title":"Loneliness and Unmet Needs of Older Adults Living in Publicly Supported Housing.","authors":"Kathryn Sabo, John Wong, Ruth Palan Lopez","doi":"10.3928/19404921-20230606-02","DOIUrl":"10.3928/19404921-20230606-02","url":null,"abstract":"<p><p>Guided by the RE-AIM framework, the current study sought to examine the relationship between perceived needs of older adults living in publicly supported housing and loneliness. Participants were males and females aged 70 to 83 years who identified as White or Chinese. Using the Camberwell Assessment of Need Short Appraisal Schedule and UCLA Loneliness Scale, the relationship between residents' needs and loneliness was assessed to guide the development of interventions. Results revealed residents self-reported 54% of their needs were met and rated their loneliness at a score of 36.5 (moderate level). Furthermore, there was a medium positive correlation between unmet needs and loneliness whereby high unmet needs were associated with higher loneliness scores. Findings suggest that these older adults living in publicly supported housing are vulnerable to the negative consequences of loneliness. Implementing equitable and inclusive interventions to address the impact of loneliness in the context of social determinants of health is warranted. [<i>Research in Gerontological Nursing, 16</i>(5), 217-223.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 5","pages":"217-223"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646903","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
Assessing Racial and Ethnic Differences in Cardiovascular Disease in U.S. Family Caregivers of Persons With Dementia: Analysis of Data from the 2015-2020 Behavioral Risk Factor Surveillance System. 评估美国痴呆症患者家庭护理人员心血管疾病的种族和民族差异：2015-2020年行为危险因素监测系统数据分析。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-09-01 Epub Date: 2023-07-14 DOI: 10.3928/19404921-20230706-01
Dawon Baik, Sophia Centi, Bryan McNair
{"title":"Assessing Racial and Ethnic Differences in Cardiovascular Disease in U.S. Family Caregivers of Persons With Dementia: Analysis of Data from the 2015-2020 Behavioral Risk Factor Surveillance System.","authors":"Dawon Baik, Sophia Centi, Bryan McNair","doi":"10.3928/19404921-20230706-01","DOIUrl":"10.3928/19404921-20230706-01","url":null,"abstract":"<p><p>The current study examined racial and ethnic differences in psychological, behavioral, and metabolic risk factors for cardiovascular disease (CVD) and CVD conditions among family caregivers (FCGs) of persons with dementia. We used the 2015-2020 Behavioral Risk Factor Surveillance System data. The sample included a total of 6,132 FCGs of persons with dementia. Compared to non-Hispanic White FCGs, non-Hispanic Black and non-Hispanic Asian FCGs were less likely to have depression. The Other racial/ethnic FCG group was more likely to currently smoke. Non-Hispanic Black FCGs were less likely to have exercised, more likely to be obese, and more likely to have been diagnosed with diabetes. No differences in CVD conditions (e.g., angina/coronary heart disease, stroke, myocardial infarction) were detected between racial/ethnic minority FCGs and non-Hispanic White FCGs. Future studies should investigate relationships between racial/ethnic minority-specific caregiving and CVD by including a larger, racially and ethnically diverse population of FCGs. [<i>Research in Gerontological Nursing, 16</i>(5), 241-249.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 5","pages":"241-249"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10990473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10292770","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
Comprehensive Geriatric Assessment, Multidisciplinary Treatment, and Nurse-Guided Transitional Care in Hospitalized Older Adults: A Randomized Controlled Trial. 住院老年人的综合老年评估、多学科治疗和护士指导的过渡期护理：一项随机对照试验。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.3928/19404921-20230606-03
Xueshuang Liu, Li Song, Shuqin Xiao, Yu Wang
{"title":"Comprehensive Geriatric Assessment, Multidisciplinary Treatment, and Nurse-Guided Transitional Care in Hospitalized Older Adults: A Randomized Controlled Trial.","authors":"Xueshuang Liu, Li Song, Shuqin Xiao, Yu Wang","doi":"10.3928/19404921-20230606-03","DOIUrl":"10.3928/19404921-20230606-03","url":null,"abstract":"<p><p>The current study evaluated the effect of comprehensive geriatric assessment (CGA) and multidisciplinary treatment followed by a nurse-guided transitional care bridge program in 100 hospitalized older adults. In the intervention group, CGA and multidisciplinary care were performed. The control group was provided with guideline-associated treatment. Study outcomes comprised the 6-month Katz Index of Independence in Activities of Daily Living (ADL) score, Lawton Instrumental ADL (IADL) score, and unplanned hospital readmission rate. There were no differences in mean 6-month Katz ADL scores between intervention and control groups; however, significant differences were found between groups in IADL score and unplanned hospital readmission rate. CGA followed by nurse-guided transitional care stabilized patients' IADL score and improved hospital readmission rate. The current results informed that combining CGA with multidisciplinary continuous nursing is an effective and feasible working pattern; however, more exploratory work is needed. [<i>Research in Gerontological Nursing, 16</i>(5), 224-230.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 5","pages":"224-230"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351469","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
Adaptation Process After Kidney Transplantation in Older Adult Recipients: Applied Grounded Theory. 老年受者肾移植后的适应过程：应用基础理论。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 Epub Date: 2023-05-12 DOI: 10.3928/19404921-20230503-01
Hye Jin Chong, Hyun Kyung Kim
{"title":"Adaptation Process After Kidney Transplantation in Older Adult Recipients: Applied Grounded Theory.","authors":"Hye Jin Chong, Hyun Kyung Kim","doi":"10.3928/19404921-20230503-01","DOIUrl":"10.3928/19404921-20230503-01","url":null,"abstract":"<p><p>Despite the increase in older adults receiving kidney transplantation (KT), little is known about their experience and adaptation process after KT. The current study aimed to explore the process of adaptation after KT in older adult recipients using a qualitative design and grounded theory methodology. Sixteen recipients who had KT at age ≥60 years and received follow-up care were recruited at a university hospital in South Korea. Data were collected from July to December 2017 through in-depth interviews with individual participants. The core theme of the adaptation process after KT in older adult recipients was <i>A Journey of Straining to Save the Last Lifeline</i>. The adaptation process comprised three stages: confusion, depression, and compromise. Tailored interventions based on the in-depth understanding of the adaptation process found in the current study are needed to improve adaptation after KT in older adult recipients. [<i>Research in Gerontological Nursing, 16</i>(4), 183-193.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"183-193"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10274148","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 Adult Caregivers' Perspectives on Wound Care Resources: A Qualitative Study. 老年护理人员对创伤护理资源的看法：一项定性研究。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 Epub Date: 2023-05-12 DOI: 10.3928/19404921-20230503-03
Kristen L Swartzell, Janet S Fulton, Jane R von Gaudecker
{"title":"Older Adult Caregivers' Perspectives on Wound Care Resources: A Qualitative Study.","authors":"Kristen L Swartzell, Janet S Fulton, Jane R von Gaudecker","doi":"10.3928/19404921-20230503-03","DOIUrl":"10.3928/19404921-20230503-03","url":null,"abstract":"<p><p>With an aging population, increasing numbers of older adults are assuming a caregiving role, including performing complex care procedures, such as wound care. Access to and use of resources are associated with better physical and mental health for caregivers. A thematic analysis of qualitative interviews with adult caregivers aged ≥65 years performing wound care identified seven resources supportive of the caregiver role, including: (a) access to expert guidance from health care professionals; (b) written instructions; (c) relationships with health care professionals for obtaining wound care supplies; (d) need for additional medical equipment; (e) financial resources; (f) coverage for caregiver personal time; and (g) select persons for caregiver social and emotional support. Given that older adults are increasingly cast into caregiver roles in the home setting, providing resources to sustain care recipients and their caregivers is critical. [<i>Research in Gerontological Nursing, 16</i>(4), 194-201.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"194-201"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10276706","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
Defensive Nursing and Patient Mobility: Balancing Safety and Autonomy. 防御性护理与患者流动性：平衡安全性和自主性。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 DOI: 10.3928/19404921-20230629-01
Anna Zisberg
{"title":"Defensive Nursing and Patient Mobility: Balancing Safety and Autonomy.","authors":"Anna Zisberg","doi":"10.3928/19404921-20230629-01","DOIUrl":"10.3928/19404921-20230629-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"162-164"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10269473","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
Loneliness and Functional Decline in Aging: A Systematic Review. 孤独与衰老的功能衰退：系统综述。
IF 1.1 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 Epub Date: 2023-05-12 DOI: 10.3928/19404921-20230503-02
Chava Pollak, Joe Verghese, Helena Blumen
{"title":"Loneliness and Functional Decline in Aging: A Systematic Review.","authors":"Chava Pollak, Joe Verghese, Helena Blumen","doi":"10.3928/19404921-20230503-02","DOIUrl":"10.3928/19404921-20230503-02","url":null,"abstract":"<p><p>Loneliness is prevalent in adults aged ≥65 years in the United States and is associated with functional decline. The purpose of the current review was to synthesize evidence on the relationship between loneliness and functional decline using Roy's Adaptation Model as a theoretical framework. A comprehensive review of PubMed, Medline, and Embase databases was performed. Inclusion criteria were samples including adults primarily aged >60 years, peer-reviewed, published in the English language, and included a measure for loneliness and function. A total of 47 studies were analyzed. Most studies examined correlates, risk factors, and predictors of loneliness, rather than the relationship between loneliness and function. Evidence suggests there is bidirectionality in the relationship between loneliness and functional decline. Loneliness is associated with functional decline in aging via multiple possible pathways. Further studies are needed to determine causality and biological mechanisms underlying the relationship. [<i>Research in Gerontological Nursing, 16</i>(4), 202-212.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"202-212"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10926714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10276705","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
Nursing Practice Variations in Pain Management in Older Adults With Dementia Admitted to an Acute Geriatrics Unit During the COVID-19 Pandemic. 新冠肺炎大流行期间入住急性老年病房的老年痴呆患者疼痛管理的护理实践变化。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 Epub Date: 2023-04-12 DOI: 10.3928/19404921-20230405-02
Alícia Minaya-Freire, Mireia Subirana-Casacuberta, Gemma Pou-Pujol, Anna Ramon-Aribau
{"title":"Nursing Practice Variations in Pain Management in Older Adults With Dementia Admitted to an Acute Geriatrics Unit During the COVID-19 Pandemic.","authors":"Alícia Minaya-Freire, Mireia Subirana-Casacuberta, Gemma Pou-Pujol, Anna Ramon-Aribau","doi":"10.3928/19404921-20230405-02","DOIUrl":"10.3928/19404921-20230405-02","url":null,"abstract":"<p><p>The current retrospective descriptive study evaluated nursing practice variations on pain management in older adults with dementia admitted to an acute geriatrics unit (AGU) before (2018) and during (2021) the coronavirus disease 2019 (COVID-19) pandemic. Data were gathered from electronic health records. Pain intensity was evaluated a median of 1.9 times per day of stay in the pre-COVID-19 sample, whereas in the COVID-19 sample, the median was 0.7 times per day of stay. Median number of analgesic administrations per day of stay and mean percentage of clinical care records that mentioned pain were higher in patients admitted during the pandemic. Variations in nursing care organization in the AGU due to the COVID-19 pandemic had an impact on the patterns of pain management nursing practice in older adults with dementia. [<i>Research in Gerontological Nursing, 16</i>(4), 173-182.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"173-182"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9907199","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
Treatment Fidelity of the Family-Centered Function-Focused Care Intervention. 以家庭为中心的功能为中心的护理干预的治疗保真度。
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-07-01 Epub Date: 2023-06-16 DOI: 10.3928/19404921-20230606-01
Barbara Resnick, Ashley Kuzmik, Irene Best, Joanne Roman Jones, Robin M Hermann, Marie Boltz
{"title":"Treatment Fidelity of the Family-Centered Function-Focused Care Intervention.","authors":"Barbara Resnick, Ashley Kuzmik, Irene Best, Joanne Roman Jones, Robin M Hermann, Marie Boltz","doi":"10.3928/19404921-20230606-01","DOIUrl":"10.3928/19404921-20230606-01","url":null,"abstract":"<p><p>The purpose of the current study was to evaluate treatment fidelity (i.e., the extent to which an intervention is provided as intended) in the Family-Centered Function-Focused Care (Fam-FFC) intervention. This was a descriptive study using data collected during intervention activities throughout the course of the Fam-FFC study. Specific measures included Environment and Policy Assessments, Fam-FFC Knowledge Test, Goal Attainment Scale, Function-Focused Care Behavior Checklist, and completion of the FamPath Audit. Delivery was provided as intended. Staff demonstrated intervention skills with only one Fam-FFC research nurse needing retraining. Receipt was based on Fam-FFC Knowledge Test scores >80%, with the majority of participants reporting goal achievement as expected or higher than expected and slight improvement in environments and policies to better support Fam-FFC. Lastly, enactment was based on evidence that in 67% of observations staff provided at least one function-focused care intervention. Findings from this study will be used to adapt the intervention to reach all staff, increase ways to change environments and policies, consider ways to more comprehensively evaluate enactment of function-focused care during real-world interactions, and consider the characteristics of nursing staff and whether a relationship exists between staff characteristics and providing function-focused care. [<i>Research in Gerontological Nursing, 16</i>(4), 165-171.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 4","pages":"165-171"},"PeriodicalIF":1.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9917826","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
Daytime Napping and Metabolic Syndrome: A 4-Year Follow-Up Study of Chinese Middle-Aged and Older Adults. 日间午睡与代谢综合征:中国中老年人4年随访研究
IF 1.6 4区 医学
Research in Gerontological Nursing Pub Date : 2023-05-01 DOI: 10.3928/19404921-20230301-03
Xinyi Zhao, Danyu Li, Nan Yu, Quan Zhang, Jiayuan Du, Mi Zhang
{"title":"Daytime Napping and Metabolic Syndrome: A 4-Year Follow-Up Study of Chinese Middle-Aged and Older Adults.","authors":"Xinyi Zhao,&nbsp;Danyu Li,&nbsp;Nan Yu,&nbsp;Quan Zhang,&nbsp;Jiayuan Du,&nbsp;Mi Zhang","doi":"10.3928/19404921-20230301-03","DOIUrl":"https://doi.org/10.3928/19404921-20230301-03","url":null,"abstract":"<p><p>The current study examined the relationship between napping duration and metabolic syndrome (MetS) among Chinese middle-aged and older adults over 4 years. We included 4,526 individuals aged ≥50 years who completed the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study. General linear models were conducted to analyze the association of napping duration (none, 1 to 29 minutes, 30 to 59 minutes, 60 to 89 minutes, and ≥90 minutes) with MetS. At baseline, a higher prevalence of MetS was observed among participants with longer napping durations (60 to 89 minutes or ≥90 minutes) compared to non-nappers (odds ratio [OR] = 1.27, OR = 1.51, respectively). Among all participants, a napping duration ≥90 minutes at baseline was correlated with an increased risk of MetS 4 years later (OR = 1.58). Among participants without MetS at baseline, excessive napping (≥90 minutes) was predictive of a higher incidence of MetS 4 years later (OR = 1.46). Results revealed that excessive napping was related to an increased prevalence and incidence of MetS among Chinese middle-aged and older adults. [<i>Research in Gerontological Nursing, 16</i>(3), 115-124.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"115-124"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9642037","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
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