Geriatrics (Basel, Switzerland)最新文献

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Effects of Modified-Otago Exercise Program on Four Components of Actual Balance and Perceived Balance in Healthy Older Adults. 改良奥塔哥运动方案对健康老年人实际平衡和感知平衡四个组成部分的影响。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-30 DOI: 10.3390/geriatrics7050088
Nichapa Khumpaneid, Theerapat Phoka, Surasa Khongprasert
{"title":"Effects of Modified-Otago Exercise Program on Four Components of Actual Balance and Perceived Balance in Healthy Older Adults.","authors":"Nichapa Khumpaneid,&nbsp;Theerapat Phoka,&nbsp;Surasa Khongprasert","doi":"10.3390/geriatrics7050088","DOIUrl":"https://doi.org/10.3390/geriatrics7050088","url":null,"abstract":"<p><p>Falls are a serious problem for older adults, leading to adverse injuries and decreased quality of life. Balance impairment is a key factor in falls. The Otago Exercise Program (OEP) is a promising intervention for preventing falls, thereby improving balance and gait. Previous studies reported improved effects on balance using the OEP conducted in a group setting, and recommended additional walking. Walking is a feasible exercise that benefits both fall-related physical and physiological functions. This study aims to investigate the effects of a modified-Otago Exercise Program (modified-OEP) on four components of actual balance (static, dynamic, proactive, and reactive balance) and perceived balance in healthy older adults, by conducting the modified-OEP in a groupsetting, and including additional walking in one session to gain better efficacy. Participants aged 60-85 years old were randomly assigned to the modified-OEP group or the control group (CT). The modified-OEP consisted of 60 min sessions made up of 30 min of OEP and 30 min of walking, three times a week for 12 weeks, while no intervention was assigned to the control group. The modified-OEP group showed significant improvement in the four components of actual balance and in perceived balance. Furthermore, the modified-OEP group outperformed the control group in all parameters except for dynamic balance, after 12 weeks. The present study highlights the beneficial effects of a modified-OEP on all balance components. Additionally, this study is the first to demonstrate the measurement of all actual balance components as well as perceived balance.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Informal Caregivers' Perceptions of Self-Efficacy and Subjective Well-Being When Using Telecare in the Home Environment: A Qualitative Study. 非正式照顾者在家庭环境中使用远程医疗时的自我效能感和主观幸福感:一项定性研究。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-23 DOI: 10.3390/geriatrics7050086
Simona Hvalič-Touzery, Kaja Smole-Orehek, Vesna Dolničar
{"title":"Informal Caregivers' Perceptions of Self-Efficacy and Subjective Well-Being When Using Telecare in the Home Environment: A Qualitative Study.","authors":"Simona Hvalič-Touzery,&nbsp;Kaja Smole-Orehek,&nbsp;Vesna Dolničar","doi":"10.3390/geriatrics7050086","DOIUrl":"https://doi.org/10.3390/geriatrics7050086","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy (SE) can be used to explain informal caregivers' ability to cope with the challenges of caregiving. Although SE impacts informal caregivers' subjective well-being, its effects have not yet been studied from the perspective of telecare use. This study aimed to explore informal caregivers' perceptions of and associations between SE and subjective well-being when using different telecare functionalities.</p><p><strong>Methods: </strong>A four-month intervention study using a qualitative research design was conducted. In-depth interviews were conducted with 22 informal caregivers of older people who tested one of two telecare devices in their homes.</p><p><strong>Results: </strong>Five task-specific dimensions of caregiver SE were identified that were shaped by telecare use: controlling upsetting thoughts about the care recipient, managing protective vigilance, obtaining support in emergency situations, managing caregiving, work, family life, and responding in a timely manner to changes in the care recipient's daily routine. These SE dimensions were associated with caregivers' subjective well-being.</p><p><strong>Conclusions: </strong>Telecare use may contribute to greater caregiver SE and higher subjective well-being. Therefore, future studies should pay more attention to these potential benefits of telecare. Additional dimensions of caregiver SE should be included in existing caregiver SE scales when examining caregiver SE related to telecare use.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33470840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Frailty and Associated Factors among the Elderly in Vietnam: A Cross-Sectional Study. 越南老年人的衰弱及其相关因素:一项横断面研究。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-20 DOI: 10.3390/geriatrics7040085
Trung Quoc Hieu Huynh, Thi Lan Anh Pham, Van Tam Vo, Ha Ngoc The Than, Tan Van Nguyen
{"title":"Frailty and Associated Factors among the Elderly in Vietnam: A Cross-Sectional Study.","authors":"Trung Quoc Hieu Huynh,&nbsp;Thi Lan Anh Pham,&nbsp;Van Tam Vo,&nbsp;Ha Ngoc The Than,&nbsp;Tan Van Nguyen","doi":"10.3390/geriatrics7040085","DOIUrl":"https://doi.org/10.3390/geriatrics7040085","url":null,"abstract":"<p><strong>Background: </strong>Frailty syndrome is common among older people and can lead to various adverse consequences such as falls, cognitive decline, disability, dependent living, increased mortality, excessive drug use, and prolonged hospital stays.</p><p><strong>Objectives: </strong>This research determined the prevalence of frailty and associated factors among older adults in Vietnam.</p><p><strong>Methods: </strong>A cross-sectional study was conducted on 584 older adults across five Ho Chi Minh City wards from November 2020 to January 2021. Based on the modified Fried frailty scale, the participants were divided into three categories: robust, pre-frail, and frail. A chi-square test (or Fisher's test) examined the relationship between frailty categories and other variables. Multivariable logistic regression used variates with a cut-off of <i>p</i> ≤ 0.05 in the univariate analysis.</p><p><strong>Results: </strong>The prevalence rates of frailty and pre-frailty were 19% and 64%, respectively. The most common frailty component was weak grip strength (63.9%), followed by slowness (36.1%), weight loss (21.6%), low physical activity (19.5%), and exhaustion (18.5%). In addition, the prevalence of frailty was significantly associated with age, BMI levels, living alone, and sarcopenia.</p><p><strong>Conclusion: </strong>The community's prevalence of frailty among older adults is high. Frailty can lead to many adverse consequences for the elderly. As there were some modifiable factors associated with frailty, it should be assessed in older people through community-based healthcare programs for early diagnosis and management.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Comparative Outcomes and Surgical Timing for Operative Fragility Hip Fracture Patients during the COVID-19 Pandemic: A Retrospective Cohort Study. COVID-19大流行期间手术脆性髋部骨折患者的比较结果和手术时机:一项回顾性队列研究
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-13 DOI: 10.3390/geriatrics7040084
Katherine A Rowe, Kiryung Kim, Nathan H Varady, Marilyn Heng, Arvind G von Keudell, Michael J Weaver, Ayesha Abdeen, Edward K Rodriguez, Antonia F Chen
{"title":"Comparative Outcomes and Surgical Timing for Operative Fragility Hip Fracture Patients during the COVID-19 Pandemic: A Retrospective Cohort Study.","authors":"Katherine A Rowe,&nbsp;Kiryung Kim,&nbsp;Nathan H Varady,&nbsp;Marilyn Heng,&nbsp;Arvind G von Keudell,&nbsp;Michael J Weaver,&nbsp;Ayesha Abdeen,&nbsp;Edward K Rodriguez,&nbsp;Antonia F Chen","doi":"10.3390/geriatrics7040084","DOIUrl":"https://doi.org/10.3390/geriatrics7040084","url":null,"abstract":"<p><p>The COVID-19 pandemic had wide-reaching effects on healthcare delivery, including care for hip fractures, a common injury among older adults. This study characterized factors related to surgical timing and outcomes, length-of-stay, and discharge disposition among patients treated for operative hip fractures during the first wave of the COVID-19 pandemic, compared to historical controls. A retrospective, observational cohort study was conducted from 16 March-20 May 2020 with a consecutive series of 64 operative fragility hip fracture patients at three tertiary academic medical centers. Historical controls were matched based on sex, surgical procedure, age, and comorbidities. Primary outcomes included 30-day mortality and time-to-surgery. Secondary outcomes included 30-day postoperative complications, length-of-stay, discharge disposition, and time to obtain a COVID-19 test result. There was no difference in 30-day mortality, complication rates, length-of-stay, anesthesia type, or time-to-surgery, despite a mean time to obtain a final preoperative COVID-19 test result of 17.6 h in the study group. Notably, 23.8% of patients were discharged to home during the COVID-19 pandemic, compared to 4.8% among controls (<i>p</i> = 0.003). On average, patients received surgical care within 48 h of arrival during the COVID-19 pandemic. More patients were discharged to home rather than a facility with no change in complications, suggesting an opportunity for increased discharge to home.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutritional Intervention Effectiveness on Slowing Time to Dialysis in Elderly Patients with Chronic Kidney Disease-A Retrospective Cohort Study. 营养干预延缓老年慢性肾病患者透析时间的有效性——一项回顾性队列研究
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-13 DOI: 10.3390/geriatrics7040083
Simone Perna, Fatima Faisal, Daniele Spadaccini, Tariq A Alalwan, Zahra Ilyas, Clara Gasparri, Mariangela Rondanelli
{"title":"Nutritional Intervention Effectiveness on Slowing Time to Dialysis in Elderly Patients with Chronic Kidney Disease-A Retrospective Cohort Study.","authors":"Simone Perna,&nbsp;Fatima Faisal,&nbsp;Daniele Spadaccini,&nbsp;Tariq A Alalwan,&nbsp;Zahra Ilyas,&nbsp;Clara Gasparri,&nbsp;Mariangela Rondanelli","doi":"10.3390/geriatrics7040083","DOIUrl":"https://doi.org/10.3390/geriatrics7040083","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) is a global health issue. Evidence of the effectiveness of nutritional intervention on slowing time to dialysis is limited in Arab countries. Therefore, this study aims to contribute to current research by providing new insights on the efficacy of personalized nutritional intervention in pre-dialysis patients in the Kingdom of Bahrain.</p><p><strong>Methods: </strong>This retrospective cohort study included 265 CKD patients (163 males and 108 females) who were admitted to the nephrology outpatient clinic at Salmaniya Medical Complex in Bahrain. The nutritional intervention group (NIG) receiving dietary advice by an expert renal dietitian consisted of 121 patients, while the non-nutritional intervention control group (non-NIG) that did not receive any nutritional support consisted of 150 patients. Patients were evaluated at baseline and follow-up.</p><p><strong>Results: </strong>The NIG had a significant increase in the estimated glomerular filtration rate (eGFR) compared to the non-NIG that had a significant decrease (5.16 vs. -2.85 mL/min/1.73 m<sup>2</sup> (<i>p</i> = 0.000), respectively). When adjusted for age and gender, the mean difference was greater (8.0 mL/min/1.73 m<sup>2</sup>, <i>p</i> = 0.000). Additionally, there was a significant reduction in blood urea nitrogen and serum creatinine (-2.19 mmol/L and -25.31 µmol/L; <i>p</i> = 0.000, respectively). Moreover, the intervention had a positive impact on weight loss and body mass index (-1.84 kg and-0.69 kg/m<sup>2</sup>, respectively; <i>p</i> = 0.000) and lipid profile, with a significant reduction in total cholesterol and triglyceride levels (-0.17 mmol/L, <i>p</i> = 0.006 and -0.15 mmol/L, <i>p</i> = 0.026, respectively). Additional significant results from the NIG included reduced uric acid (-28.35 µmol/L, <i>p</i> = 0.006), serum phosphorus (-0.05 mol/L, <i>p</i> = 0.025), fasting blood glucose (-0.70 mmol/L, <i>p</i> = 0.016) and glycated hemoglobin (1.10 mmol/mol, <i>p</i> = 0.419).</p><p><strong>Conclusions: </strong>This study suggests that, in patients of CKD, nutritional intervention counselling plays a significant role in reducing the time needed for dialysis and improves nutritional-related biomarkers compared to patients not receiving this intervention.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Home-Dwelling Older Adults' Day-to-Day Community Interactions: A Qualitative Study. 居家长者日常社区互动:一项质性研究。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-12 DOI: 10.3390/geriatrics7040082
Elodie Perruchoud, Armin von Gunten, Tiago Ferreira, Alcina Matos Queirós, Henk Verloo
{"title":"Home-Dwelling Older Adults' Day-to-Day Community Interactions: A Qualitative Study.","authors":"Elodie Perruchoud,&nbsp;Armin von Gunten,&nbsp;Tiago Ferreira,&nbsp;Alcina Matos Queirós,&nbsp;Henk Verloo","doi":"10.3390/geriatrics7040082","DOIUrl":"https://doi.org/10.3390/geriatrics7040082","url":null,"abstract":"<p><strong>Background: </strong>Many home-dwelling older adults present abnormal behaviours related to dementia or to non-dementia cognitive impairment (e.g., agitation, anxiety, apathy, etc.). Because many older adults live at home alone or are able to hide any signs of abnormal behaviours from others, the non-healthcare workers who interact with older adults on a daily basis are key actors in detecting those behaviours and orienting older adults towards appropriate support services. To the best of our knowledge, no studies to date have explored the daily interactions experienced between older adults and the various non-healthcare workers whom they regularly encounter in the community. This work aimed to identify the non-healthcare workers who are regularly in direct contact with older adults during their day-to-day activities and then develop specific training for these workers on the subject of abnormal behaviours among the elderly.</p><p><strong>Methods: </strong>This qualitative and ethnographic study asked 21 home-dwelling older adults aged 65 years old or more to answer open-ended questions. Sixteen had no self-reported cognitive impairments, and five had a probable or diagnosed slight cognitive impairment or mild-to-moderate dementia. A thematic analysis of the data was carried out.</p><p><strong>Results: </strong>The non-healthcare workers who spent the most time with older adults with and without reported cognitive impairments were those working in cafés or tea rooms and leisure or activity centres.</p><p><strong>Conclusions: </strong>In view of the significant amounts of contact between home-dwelling older adults and non-healthcare workers, it seems necessary and sensible to increase non-healthcare workers' knowledge about abnormal behaviours, especially by offering them training. The proactive detection and identification of older adults' abnormal behaviours by non-healthcare workers will ensure earlier care and reduce avoidable hospitalisations, institutionalisations and costs linked to geriatric healthcare.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare-Associated Adverse Events in Alternate Level of Care Patients Awaiting Long-Term Care in Hospital. 在医院等待长期护理的交替护理级别患者的医疗保健相关不良事件
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-08 DOI: 10.3390/geriatrics7040081
Guillaume J Lim Fat, Aquila Gopaul, A Demetri Pananos, Mary-Margaret Taabazuing
{"title":"Healthcare-Associated Adverse Events in Alternate Level of Care Patients Awaiting Long-Term Care in Hospital.","authors":"Guillaume J Lim Fat,&nbsp;Aquila Gopaul,&nbsp;A Demetri Pananos,&nbsp;Mary-Margaret Taabazuing","doi":"10.3390/geriatrics7040081","DOIUrl":"https://doi.org/10.3390/geriatrics7040081","url":null,"abstract":"<p><strong>Introduction: </strong>A growing number of Canadian older adults are designated alternate level of care (ALC) and await placement into long-term care (LTC) while admitted to hospital. This creates infrastructural challenges by using resources allocated for acute care during disproportionately long hospital stays. For ALC patients, hospital environments maladapted to their needs impart risk of healthcare-associated adverse events.</p><p><strong>Methods: </strong>In this retrospective descriptive study, we examined healthcare-associated adverse events in 156 ALC patients, 65 years old and older, awaiting long-term care while admitted to two hospitals in London, Ontario in 2015-2018. We recorded incidence of infections and antimicrobial days prescribed. We recorded incidence of non-infectious adverse events including delirium, falls, venothrombotic events, and pressure ulcers. We used a restricted cubic spline model to characterize adverse events as a function of length of stay.</p><p><strong>Results: </strong>Patients waited an average of 56 ALC days (ranging from 6 to 333 days) before LTC placement, with seven deaths occurring prior to placement. We recorded 362 total adverse events accrued over 8668 ALC days: 94 infections and 268 non-infectious adverse events. The most common hospital-acquired infections were urinary-tract infections and respiratory infections. The most common non-infectious adverse events were delirium and falls. A total of 620 antimicrobial days were prescribed for infections.</p><p><strong>Conclusions: </strong>ALC patients incur a meaningful and predictable number of adverse events during their stay in acute care. The incidence of these adverse events should be used to educate stakeholders on risks of ALC stay and to advocate for strategies to minimize ALC days.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
New Trends in Cognitive Aging and Mild Cognitive Impairment. 认知老化与轻度认知障碍的新趋势。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-08-01 DOI: 10.3390/geriatrics7040080
David Facal, Carlos Spuch, Sonia Valladares-Rodriguez
{"title":"New Trends in Cognitive Aging and Mild Cognitive Impairment.","authors":"David Facal,&nbsp;Carlos Spuch,&nbsp;Sonia Valladares-Rodriguez","doi":"10.3390/geriatrics7040080","DOIUrl":"https://doi.org/10.3390/geriatrics7040080","url":null,"abstract":"<p><p>In this editorial, we aim to highlight some lessons learned in our field and to discuss some open questions regarding the continuum between healthy cognitive aging and dementia [...].</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Weighted Blankets' Effect on the Health of Older People Living in Nursing Homes. 加权毛毯对养老院老年人健康的影响。
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-07-29 DOI: 10.3390/geriatrics7040079
Eva Hjort Telhede, Susann Arvidsson, Staffan Karlsson, Andreas Ivarsson
{"title":"Weighted Blankets' Effect on the Health of Older People Living in Nursing Homes.","authors":"Eva Hjort Telhede,&nbsp;Susann Arvidsson,&nbsp;Staffan Karlsson,&nbsp;Andreas Ivarsson","doi":"10.3390/geriatrics7040079","DOIUrl":"https://doi.org/10.3390/geriatrics7040079","url":null,"abstract":"<p><strong>Background: </strong>An increasingly aging population is a global phenomenon. While considered a positive step forward, vulnerability to age-related health problems increases along with the ageing population. The aim of the study was to investigate weighted blankets' effect on health regarding quality of life (QoL), sleep, nutrition, cognition, activities of daily living ADL and medication in older people living in nursing homes.</p><p><strong>Methods: </strong>In total, 110 older people were involved in an intervention with weighted blankets, and 68 older people completed the intervention. Measures before and after were performed regarding quality of life; QoL-AD, EQ-VAS, sleep; MISS, nutrition; MNA, cognition; S -MMSE (ADL) and medication. Comparative statistical analyses were applied.</p><p><strong>Results: </strong>After intervention with weighted blankets, health in general, such as QoL, improved. Sleep also improved significantly, especially with respect to waking up during the night. Nutrition was enhanced, health as a cognitive ability improved, and medication in the psychoanaleptic group decreased. The effect size varied between small and large.</p><p><strong>Conclusions: </strong>A weighted blanket seems to be an effective and safe intervention for older people in nursing homes, as several improvements were made regarding the health of older people.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40426074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home. 某养老院SARS-CoV-2诊断检测效果分析
IF 2.3
Geriatrics (Basel, Switzerland) Pub Date : 2022-07-26 DOI: 10.3390/geriatrics7040078
Sergio Salmerón, Alonso López-Escribano, Inmaculada García-Nogueras, Joaquina Lorenzo, Juan Manuel Romero, Antonio Hernández-Martínez, Francisco García-Alcaraz
{"title":"Efficiency of Diagnostic Test for SARS-CoV-2 in a Nursing Home.","authors":"Sergio Salmerón,&nbsp;Alonso López-Escribano,&nbsp;Inmaculada García-Nogueras,&nbsp;Joaquina Lorenzo,&nbsp;Juan Manuel Romero,&nbsp;Antonio Hernández-Martínez,&nbsp;Francisco García-Alcaraz","doi":"10.3390/geriatrics7040078","DOIUrl":"https://doi.org/10.3390/geriatrics7040078","url":null,"abstract":"<p><strong>Background: </strong>there is no consensus on how to optimally use diagnostic tests in each stage of COVID-19 pandemic. The objective of this research is to determine the efficiency of sorting positive antibody test quarterly.</p><p><strong>Methods: </strong>this research uses a retrospective, observational study. COVID-19 diagnostic tests performed and avoided refer to a Spanish nursing home.</p><p><strong>Population: </strong>261 employees and 107 residents. A quarterly antibody test was performed on subjects who had tested positive during the first wave of coronavirus, and a antibody rapid test on the remaining subjects.</p><p><strong>Results: </strong>during the first wave, 24.0% of the employees and 51.4% of the residents had a positive antibody test. Seronegativization was observed in 7.6% of employees and 1.6% of residents. An employee was infected with COVID-19 in September 2020, followed by a nursing home outbreak in October: 118 Polymerase Chain Reactions tests were avoided in residents and 18 in employees, which in turn prevented 15 workers from going on sick leave and the quarantine of 59 residents. This represents savings of about $15,000.</p><p><strong>Conclusions: </strong>our study supports the need to know and apply the strategies for early detection, surveillance and control of COVID-19 for future outbreaks. We conclude that surveillance for positive COVID-19 serology among long-term care staff and residents may be a cost-effective strategy during a pandemic.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9330623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40635906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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