Australasian Journal on Ageing最新文献

{"title":"Factors affecting progression to frailty in community-dwelling older adults during all COVID-19 waves","authors":"Ebru Çakir,&nbsp;Hatice Tuğba Yazir,&nbsp;Mustafa Çetin,&nbsp;Zehra Sarikaya Demirbaş,&nbsp;Mehmet Ilkin Naharci","doi":"10.1111/ajag.70050","DOIUrl":"https://doi.org/10.1111/ajag.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty, defined as a reduced capacity to manage stress due to multisystem dysfunction, has a significant impact on quality of life, morbidity and mortality. This study aimed to identify the factors influencing the progression to frailty in community-dwelling older adults during the coronavirus disease 2019 (COVID-19) pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective observational study included non-frail individuals aged 65 years or older admitted to a geriatric outpatient clinic. Evaluation was conducted before (T0) and after (T1) the pandemic. Logistic regression analysis was performed to examine factors associated with progression to frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample comprised 139 participants (mean age 74.8 ± 6.2 years, 60% female). The median follow-up time was 53 months (range, 27–60). Thirty-one participants (22%) developed frailty after the pandemic. In the clinical follow-up (T1), a decrease in the Mini Nutritional Assessment-Short Form score was associated with an increased risk of frailty. In the multivariate logistic regression analysis, four or more doses of the COVID-19 vaccine, sufficient physical activity and a Mini-Mental State Examination score ≥27 points were associated with a lower risk of transition to frailty, while polypharmacy and age ≥75 years were associated with an increased risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the importance of full vaccination, along with promoting physical activity, mitigating polypharmacy and enhancing cognitive health to prevent the onset of frailty during a viral pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190859","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}

{"title":"The impact of outdoor physical activity on psychological resilience in older adults: The role of perceived health in active ageing","authors":"Mehmet Doğan,&nbsp;Bülent Gürbüz","doi":"10.1111/ajag.70051","DOIUrl":"https://doi.org/10.1111/ajag.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Given the rising physical and cognitive risks associated with ageing, consistent engagement in physical activity is essential for alleviating these risks and fostering active ageing. This study investigated the mediating role of perceived health in the relationship between leisure-based outdoor physical activity involvement and psychological resilience among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study, conducted in 2023–2024, utilised a convenience sampling method to collect data from older adults in Türkiye who engage in outdoor physical activities. Data were collected using the Leisure Involvement Scale (LIS), Perceived Health Outcomes in Recreation Scale (PHORS) and Brief Resilience Scale (BRS). In line with the objective of the study, a mediation analysis was conducted using the PROCESS macro for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analyses revealed positive associations between outdoor physical activity involvement, perceived health and psychological resilience. Specifically, outdoor physical activity involvement was to positively influence perceived health and psychological resilience. Moreover, health perception was identified as a mediator in the relationship between outdoor physical activity involvement and psychological resilience. The findings suggest that participation in outdoor physical activities not only enhances health perception and psychological resilience but also highlights the crucial role of health perception as a bridge between them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It has been observed that outdoor physical activities positively influence the resilience of older adults through the mediating effect of health perception. Therefore, it is imperative to promote outdoor physical activities that foster active ageing, as they play a crucial role in enhancing the overall health-care framework for older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190857","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}

{"title":"Factors associated with length of stay in patients from residential aged care facilities admitted for behavioural and psychological symptoms of dementia","authors":"Adeloisa Pajaro,&nbsp;Timothy To,&nbsp;Craig Whitehead","doi":"10.1111/ajag.70044","DOIUrl":"https://doi.org/10.1111/ajag.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine factors affecting the length of stay (LOS) in patients from residential aged care facilities (RACFs) admitted for behavioural and psychological symptoms of dementia (BPSD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medical records for RACF patients admitted to Flinders Medical Centre between January and December 2018 were reviewed. For patients admitted with BPSD, demographics, clinical characteristics, admission characteristics and outcomes were extracted. Key outcomes were LOS and admission to a subacute unit (psychogeriatric or geriatric) for ongoing care. Factors influencing LOS and subacute admission were explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average LOS was 21.7 days and median LOS 10.5 days. Younger age, prior Dementia Behaviour Management Advisory Service review, psychogeriatrician assessment, inpatient treatment order and increased number of Code Blacks (hospital code for violent behaviour) were associated with a longer LOS and subacute admission. Being women and being bed-bound were associated with shorter admission and direct discharge. Opioid use was associated with shorter admission. Use of benzodiazepine and higher dose, higher antipsychotic dose, use of antidepressant or mood stabilisers were associated with subacute admission. The presence of reversible causes was associated with direct discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Certain clinical characteristics may be associated with LOS in patients with BPSD from RACFs. This information may help in the development of strategies to prevent acute presentation to hospital, minimise LOS and create pathways for improved management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135846","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}

{"title":"An everyone story: Finding our way back to compassion, hope and humanity By Duncan McKellar, SA: Wakefield Press. 2024. ISBN: 9781923042179 (soft cover); $34.95 Booktopia","authors":"Colleen Cartwright","doi":"10.1111/ajag.70027","DOIUrl":"https://doi.org/10.1111/ajag.70027","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117949","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}

{"title":"The Specialist Dementia Care Program in Australia: Evidence to date on a home-like model of care for people with very severe behaviours and psychological symptoms of dementia","authors":"Mustafa Atee,&nbsp;Srivalli Vilapakkam Nagarajan,&nbsp;Rebecca Lloyd,&nbsp;Stephen Macfarlane,&nbsp;Angela Raguz,&nbsp;Thomas Morris","doi":"10.1111/ajag.70046","DOIUrl":"https://doi.org/10.1111/ajag.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Behaviours and psychological symptoms of dementia (BPSD) have a serious impact on care and health outcomes, such as inappropriate pharmacotherapy and impaired quality of life. These symptoms are common across care settings but are more prevalent in residential aged care homes (RACHs). BPSD such as aggression and psychosis may pose a high risk of harm to residents, co-residents, caregivers and families, and the severe forms of these BPSD are linked to RACH premature admission. When people with very severe BPSD in Australia cannot be cared for in mainstream RACHs, the Specialist Dementia Care Program (SDCP) is offered. This article describes the SDCP model of care and examines the available evidence on SDCP outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The SDCP model of care delivers person-centred care via multidisciplinary staff in small, ‘cottage-like’, domestic units with a familiar, dementia-friendly care environment for an anticipated duration of 12  months. SDCP units are designed to stabilise or reduce BPSD, facilitate transition to mainstream RACHs, prevent unnecessary hospitalisations and minimise health-care costs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Preliminary evidence suggests that SDCP units may enhance resident outcomes, decrease the severity of BPSD and improve quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This article highlights the importance of prioritising the type of care this program provides to people with very severe BPSD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144118182","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}

{"title":"Validation of a dementia diagnosis attitude scale in simplified Chinese with Mandarin-speaking adults in Australia","authors":"Xuan Mai Tran,&nbsp;Sonia Chan,&nbsp;Genevieve Z. Steiner-Lim,&nbsp;Lyn Phillipson,&nbsp;Kim-Huong Nguyen,&nbsp;Déborah Oliveira,&nbsp;Tiet-Hanh Dao-Tran,&nbsp;Joyce Siette,&nbsp;Diana Karamacoska","doi":"10.1111/ajag.70049","DOIUrl":"https://doi.org/10.1111/ajag.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Validated scales assessing dementia attitudes in Chinese populations are needed to understand the extent and nature of stigma in communities, design appropriate sociocultural interventions and assess their impact. This study was aimed at translating and validating an Australian version of the 12-item dementia diagnosis attitude scale in simplified Chinese.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following a forward and backward translation process, including pretesting with community members, the final version was administered to Mandarin speaking adults aged 18 years or older in Australia (<i>n</i> = 325). We conducted exploratory and confirmatory factor analyses, and internal consistency reliability testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final version had 10 items covering a two-factor structure of five items each (‘fear of labelling’ and ‘fear of losing face’) with high reliability (<i>α</i> = .90).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The simplified Chinese dementia diagnosis attitude scale (SC-DDAS) is robust for use with Chinese populations in Australia. Future studies can extend on this work to determine further psychometric properties of the 10-item scale and assess its utility in informing and evaluating community interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117948","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}

{"title":"National audit of the structure and function of Australian residential care medication advisory committees","authors":"Amanda J. Cross,&nbsp;Brooke Blakeley,&nbsp;Helen V. Dowling,&nbsp;Kate Laver,&nbsp;Terry P. Haines,&nbsp;Sarah N. Hilmer,&nbsp;Atish Manek,&nbsp;Alexandra Bennett,&nbsp;Angelita Martini,&nbsp;Lyntara Quirke,&nbsp;Mary Ann Kulh,&nbsp;J. Simon Bell","doi":"10.1111/ajag.70048","DOIUrl":"https://doi.org/10.1111/ajag.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>All Australian residential care facilities are recommended to have access to a medication advisory committee (MAC) to provide governance of medication management. The objective was to explore the structure and function of Australian MACs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A national 43-item survey of MACs was conducted from November 2023 to January 2024. The survey was adapted from the Australian Government Department of Health and Aged Care Audit Tool and Checklist for a Medication Advisory Committee (Audit Tool). All MAC representatives were recruited using a comprehensive and purposive strategy including the Department of Health and Aged Care newsletter, professional organisations, social media and professional contacts. Outcomes included self-reported MAC structure and function across four key roles as per the Audit Tool, including policy development, risk management, education and quality improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses were received from 120 MACs covering 642 residential care facilities (24% of Australian residential care facilities) in all Australian states and mainland territories. The MACs provided oversight to a median (IQR) 116 (61–196) beds/residents and a median (IQR) 1 (1–4) facilities. Over half (58%) of MACs were multidisciplinary (nursing, pharmacist and prescriber representation). More than half of MACs reported performing all functions listed in the Audit Tool relating to policy development (59%) and risk management (53%). Only 41% and 28% of MACs reported they performed all functions in the Audit Tool related to education and quality improvement, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is extensive heterogeneity in the structure and function of MACs with scope for MACs to become more multidisciplinary, identify staff training needs and proactively lead quality improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117950","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}

{"title":"Frailty and prescriptions of secondary prevention medications in older people with diabetes and coronary heart disease—An observational study in Vietnam","authors":"Wei Jin Wong,&nbsp;Tan Van Nguyen,&nbsp;Irum Farooq,&nbsp;Ying Zhang,&nbsp;Christopher Harrison,&nbsp;Kit Mun Tan,&nbsp;Katie Harris,&nbsp;Mark Woodward,&nbsp;Tu Nguyen","doi":"10.1111/ajag.70045","DOIUrl":"https://doi.org/10.1111/ajag.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study sought to quantify the prevalence of frailty among type 2 diabetes (T2D) patients with coronary heart disease (CHD) and examine the relationship between frailty and the prescription of secondary prevention medications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective observational study was conducted at a tertiary hospital in Vietnam from November 2022 to June 2023. Patients aged 60 years or above with T2D and CHD were included for analysis. Multivariable logistic regression was applied to examine the association between frailty and the prescription of secondary prevention medications: antiplatelets, statins, beta-blockers, angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers (ACEIs/ARBs). Frailty was measured using the Clinical Frailty Scale (CFS) version 2.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 274 participants included in this analysis. Participants had a median age of 72.0 years, 28% were female and 59% were frail. The prescription rates of cardiovascular medicines for frail versus non-frail participants were as follows: antiplatelets (66% vs. 94%, <i>p</i> &lt; .001), statins (96% vs. 92%, <i>p</i> = .21), beta-blockers (81% vs. 88%, <i>p</i> = .13), ACEIs/ARBs (75% vs. 81%, <i>p</i> = .22) and for all four types (42% vs. 64%, <i>p</i> &lt; .001). In the multiple adjusted regression models, increased CFS score was associated with reduced prescriptions of beta-blockers, ACEIs/ARBs and all four types of medications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Frailty was common among older Vietnamese patients with CHD and diabetes, and significantly affected the prescription of secondary prevention medicines. Future research should explore the link between frailty and secondary prevention medicines in a larger, more diverse population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144085052","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}

{"title":"The intervention effect of comprehensive precision nursing in elderly patients with type 2 diabetes","authors":"Hongmei Gao,&nbsp;Yan Han,&nbsp;Dan Deng,&nbsp;Liqiong Liu","doi":"10.1111/ajag.70047","DOIUrl":"https://doi.org/10.1111/ajag.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study evaluated the impact of precision nursing on blood sugar levels, psychological health and quality of life in ageing type 2 diabetes patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective cohort study involving 100 older patients was carried out at a tertiary hospital located in Sichuan Province, China. The patients were categorised into two groups: a control group that received standard nursing care and an observation group that received tailored nursing interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The outcomes for the observation group were considerably more favourable, featuring decreased levels of fasting blood glucose (FPG), 2-h postprandial blood glucose (2hPG) and glycosylated haemoglobin (HbA1c). Additionally, this group reported lower levels of anxiety and depression, along with a better quality of life relative to the control group. Furthermore, the occurrence of hypoglycaemia was notably less in the observation group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Precision nursing significantly improves glucose management, mental health and overall quality of life, while also lowering the risk of hypoglycaemia in older patients with type 2 diabetes. This research highlighted the efficacy of precision nursing in the care of ageing adults, promoting its integration as a common approach for managing chronic illnesses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949957","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}

{"title":"Understanding the psychosocial well-being of people older than 65 years during emergency department admissions: A qualitative analysis of patients' accounts of their experiences","authors":"Neve Davison,&nbsp;Karin Hammarberg,&nbsp;Thach Tran,&nbsp;Taya A. Collyer,&nbsp;Judy Lowthian,&nbsp;Maggie Kirkman,&nbsp;Jane Fisher,&nbsp;Rosamond Dwyer,&nbsp;Natasha Layton","doi":"10.1111/ajag.70033","DOIUrl":"https://doi.org/10.1111/ajag.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Little is known about the psychosocial care of older people presenting to the emergency department (ED), or whether their psychosocial well-being during and after an ED admission can be enhanced. People over the age of 65 years experiencing psychosocial distress and mental health concerns have higher rates of ED admission than those without. As part of a larger mixed-methods study investigating the relationships between older people's psychosocial well-being and emergency care, this study aimed to explore the experiences of older people in ED and their influence on patient psychosocial well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants aged 65 years or older receiving care in a large Australian public hospital ED were invited to participate in a telephone interview soon after discharge. Interviews were audio recorded and transcribed. Transcripts were analysed thematically.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven people (five women) aged 68–87 years participated in semi-structured interviews. Analyses revealed three overarching themes: ‘interpersonal interactions’, ‘quality of care’ and ‘physical environment’. The theme ‘interpersonal interactions’ had two subthemes: ‘communication’ and ‘human contact’. The three subthemes of ‘quality of care’ were ‘appropriate care’, ‘psychological care’ and ‘unmet needs’. Physical environment referred to participant impressions of the ED setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We found that staff sensitivity in their interactions with patients and their efforts to promote patients' physical comfort and protect their privacy influenced the psychosocial well-being of older adults in the ED. Based on the findings, we present a set of recommendations for enhancing the psychosocial care of older adults during ED admission.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949956","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}