Neuroarchitecture Analysis in the Mis Abuelitos Nursing Home in Cochachinche, Huanuco, Peru - A Secondary Publication

Neuroarchitecture is a set of characteristics grouped into principles that seek to generate a certain behavior when applied.These principles will vary according to the type of user for whom the design is intended.In this research,these neuroarchitectural principles are identified in the nursing home Mis Abuelitos in Cochachinche,Huánuco.The home was designed and built with notions of nature and the Andean while emphasizing the occupants are the elderly.With this purpose,qualitative research was carried out using two sequential criteria,the first was to identify what these principles are and the second was to recognize the principles within the area.The principles that are assertively used for the elderly occupants were selected.The study observation was performed with observation and photographic sheets and was analyzed with ATLAS.ti processing software.It was obtained that the three neuroarchitectural principles are present in the nursing home which are 67%of the recommended characteristics for the elderly.

A randomized controlled trial of group mindfulness therapy on sleep quality of the elderly in nursing homes

Background:Poor sleep quality of the elderly in nursing homes will reduce the quality of life,which needs to be treated properly.The purpose of the study is to investigate the effect of group mindfulness therapy on sleep quality of the elderly in nursing homes.Methods:A parallel randomized controlled trial was used in this study.The semi-structure interview and the mindfulness therapy intervention was used as the intervention.The Pittsburgh sleep quality index scale and Glaizzi phenoenological data for a 7-step was used to analyze the results.Results:After 8 weeks of intervention,the sleep quality of elderly people was improved to a certain extent(P<0.05).Our investigation showed that some elderly people think that through this kind of training they had reduced the frequency of taking sleeping pills.Conclusion:Group mindfulness therapy could improve sleep quality to some extent.

Study of the Possible Use of a Home-Visit Nursing Interventional Lymphedema Care Program for Secondary Lymphedema in the Elderly at Home

Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.

The impact of mindfulness therapy on life happiness of the elderly in nursing homes

Background:Nursing homes have been developed as an important way to solve the old-age care problem.While,nursing homes in China pay attention to the life care of the elderly,but lack of promoting the life happiness of the elderly.Mindfulness therapy is an emerging approach to improve the individual's ability to regulate emotions and maintain the stability of emotions.Purpose:To explore the effect of mindfulness therapy on improving life happiness of elderly in nursing homes.Methods:The study was performed in 2019 in Tianjin,in China.Seventy-six participants eventually were included in the study to receive either daily life care or daily life care and mindfulness therapy.The treatment lasted for eight weeks.The Campbell Index of Well-being and Satisfaction With Life Scale were mainly adopted.The paired sample t-test was conducted for comparing between two groups,using SPSS 17.0.Results:Subjective well-being was shown to be a significant correlation with life satisfaction.Compared with before treatment,the well-being(9.57±3.00 vs 11.69±2.32)and life satisfaction scores(20.43±8.08 vs 26.70±5.61)were increased significantly in mindfulness therapy group(P<0.05).The means of the subjective well-being and life satisfaction scores in mindfulness therapy group were 11.69±2.32 and 26.70±5.61 after the intervention,respectively,whereas the means of the subjective well-being and life satisfaction scores in the control group were 10.27±2.16 and 23.03±5.59,respectively.A significant change was found between two groups(t=2.141,P<0.05;t=2.395,P<0.05).Conclusion:Mindfulness therapy may be an effective therapy to improve life happiness of elderly in nursing homes.

Research progress on frailty of the elderly and its influencing factors in Pension Institutions of China

Frailty is a kind of geriatric syndrome.In recent years,as a key research content in the field of gerontology,it has attracted extensive attention from researchers at home and abroad.With the increasingly severe situation of the aging of China's population,the problem of the frailty of the elderly in pension institution is becoming more and more prominent.This paper summarizes the present situation and influencing factors of the frailty of the elderly in institutions for the elderly in China,and puts forward intervention measures.It provides scientific basis for the prevention and treatment of the frailty of the elderly in pension institutions of China.

远程运动想象疗法结合Barthel评分层级居家护理对脑卒中病人的影响

目的:探究基于远程运动想象疗法联合Barthel评分分层级居家康复护理策略对脑卒中病人的影响。方法:选取在医院进行脑卒中治疗的120例病人,采用随机数字表法,将其分为常规组及研究组,对常规组病人行常规居家护理,对研究组病人在常规居家护理基础上实施基于远程运动想象疗法联合Barthel评分分层级居家康复护理,比较两组病人干预前后日常生活能力、神经功能及生活质量。结果:出院3个月研究组病人日常生活能力评分及生活质量评分分别为(65.28±5.74)分及(64.41±4.13)分,均显著高于常规组(P<0.001),且其神经功能评分为(5.69±1.06)分,显著低于常规组(P<0.001);出院3个月,研究组焦虑、抑郁及焦虑抑郁测试量表(HAD)总分显著低于对照组,差异存在统计学意义(P<0.001)。结论:在脑卒中病人出院后对其实施基于远程运动想象疗法居家康复护理,能够显著提高病人日常生活能力及生活质量,同时能够促进病人神经功能的改善。

Predictors of Falls Efficacy Scale responses among nursing home residents in China

Objectives:The objective of this study was to examine the falls efficacy of older adults in nursing homes and the related predictors of falling.Methods:A sample of 317 older adults was recruited from 18 nursing homes in the Fujian province of China.The Modified Falls Efficacy Scale(MFES)and Kessler Psychological Distress Scale(K10)were employed to collect data.Results:The falls efficacy of older adults was moderate(7.80±1.17).The falls efficacy questionnaire item“Get dressed and undressed”scored the highest(9.12±1.440),while“Crossing roads”scored the lowest(5.77±3.371).Multiple regression analysis demonstrated that mental health status,degree of self-care,age and gender were each predictors of the falls efficacy of older adults.Conclusions:Falls efficacy enhancing programs for nursing home residents should take mental health status,degree of self-care,age and gender into account.

When Home Hospice Patients Discharge to Nursing Home: A Mixed Method

Background: Hospice care is to provide necessary medical care and support for patients and the families at the end of life (EOL). Hospice care patients typically withdraw from aggressive treatment. Even though home hospice has been shown to improve the quality of care, home hospice patients still revoke the services for various reasons. A little is known about where home hospice patients are being transferred. This study aims to address this gap and explore common reasons for home hospice discharge and placements, where patients being transferred other than home. Methods: Data were retrieved from the 2007 National Home and Hospice Care Survey (NHHCS). NHHCS is one in a series of nationally representative sample surveys of U.S. home health and hospice agencies. Results: Within identified home hospice patients, approximately 82.1% were deceased at discharge, and 846 (18.2%) were discharged for other reasons, including patients being stabilized or improved (30.2%), aggressive treatment (31.8%), moved (e.g., geographically, 13.5%) and others. Patients lived with a spouse were less likely to utilize external resources, like volunteers, thereby more likely to discharge patients to long-term facilities. Discussion: The current study suggest that it is difficult for the family to give all remaining care for their loved ones despite the support and resources for those home hospice patients. The characteristics of those who transferred to nursing facilities from home hospice will be discussed throughout.

Elderly Persons Aged 80 Years and Older and Their Nutritional Status

A challenge for health care providers is that there will be a distinct rise globally in the number of elderly people aged 80 years and over. Malnutrition is a well-known problem among elderly people;few studies have focused on the nutritional status of those aged over 80, irrespective of whether they live in nursing homes (NHs) or in ordinary housing. The aim of the study was to examine the nutritional status of elderly people aged 80 or older. The study was cross-sectional with 64 elderly persons (80 - 100 years old) living in NHs (n = 35) or in ordinary housing (n = 29). Their nutritional status was assessed with the Mini Nutritional Assessment. Among the elderly people living in NHs, half were at risk and one fourth were suffering from malnutrition. Ten percent of the elderly persons in ordinary housing were found to be at risk;none were malnourished. Thirty-one percent had BMI values <23. The majority of the participants ate 2 - 3 meals per day and were prescribed more than three medications daily. Although not statistically significant, well-nourished participants were more likely to be married, and to rate their psychological and physical health very good/good compared to participants who were at risk of becoming malnourished or were malnourished. In conclusion, the results indicate that special attention regarding nutritional intake is required for those aged 80 years and older irrespective of type of accommodation. The RNs have a responsibility to identify the problems and needs and to implement and evaluate nutritional care in this age group. There is a further need for knowledge regarding the effects of both nutritional interventions and of their optimum timing.

Patterns of Medication Use among Romanian Nursing Home Residents

Background: the elderly are frequently exposed to drug-related problems and their consequences. Information relating to the appropriateness of the medication used by Romanian elderly is scarce. Objective: to identify the main potential inappropriate prescribing (PIP) instances in a sample of Romanian elderly nursing-home residents, concerning prevalence and subtypes. Methodology: the residents’ medical data were reviewed by a clinical pharmacist considering published geriatric pharmacotherapy recommendations, including four published PIP evaluation tools (the Beers criteria, STOPP-START tools, the PRISCUS list). Results: 91 residents were evaluated;mean age (mean ± SD) was 80.77 ± 6.82 (years), 28 (31%) were ≥85 years old and 58 (64%) had dementia. The median number of diagnoses was 6 (range 2 - 11) and the mean number (±SD) of daily medications was 8.26 (±3.52). An estimated mean (±SD) of 2 (±1.41) PIP per resident was identified, with 117 misuse-PIP (46.24%), 60 underuse-PIP (23.72%), 41 lack of monitoring-PIP (16.21%) and 35 overuse-PIP (13.83%). The most frequent PIP subtypes were the use of nonsteroidal anti-inflammatory drugs as chronic analgesic treatment in osteoarthritis (29.67%), underuse of fall prevention (100%) and analgesic therapies (23.08%), overuse of nootropic medications (26.98%) and lack of annual creatinine assessment (30.77%). Conclusion: a more geriatric-oriented care seemed to be necessary, but larger studies are needed to confirm these findings.

“互联网+居家护理”在志愿护理服务中的应用效果

目的探讨"互联网+居家护理"在志愿护理服务中的应用效果。方法选取2020年12月至2021年12月"党群服务365平台"82例需要服务人群作为研究对象,采用随机数字表法将其分为对照组(41例)和观察组(41例)。对照组实施常规医疗服务,观察组实施"互联网+居家护理"服务,两组均持续护理12个月。比较两组的医院看病次数、医疗花费情况、日常生活能力、精神状态、照护者照护技能水平以及生活满意度。结果观察组医院看病次数、医疗花费情况均少于对照组,差异有统计学意义(P<0.05);观察组护理后日常生活活动能力量表(ADL)评分低于对照组,简易精神状态检查量表(MMSE)评分、照护技能水平评分均高于对照组,差异有统计学意义(P<0.05);观察组护理后生活满意度调查表(LSR)各项评分均高于对照组,差异有统计学意义(P<0.05)。结论通过互联网平台,护理志愿者对服务人群进行居家护理,能够改善服务人群的精神状态,促使其保持身心健康,提高生活自理能力,还能提高照护者的护理技能,一定程度上减少看病次数和医疗花费,从而提升服务人员满意度。

Measuring the spatial quality of bedrooms in nursing homes with visual environmental performance

The elderly's perception of their environment largely depends on acquired visual information.This study provides a quantitative analytical method for designing bedrooms in nursing homes by developing a computational model that uses viewing distance,viewing angle,and viewing field as variables.The model is utilized to measure a range of visual environmental properties,including privacy,accessibility,permeability,and visibility,which reflect the quality of bedrooms in nursing homes.The suitability levels of bedroom planes for the elderly and their main living functions as well as the fitting degree of the functional layout are calculated based on these data.After validating the computational moders feasibility,this study optimizes the typical schemes of single and double rooms in nursing homes.Results reveal certain advantages of the arrangement where bathroom doors are set toward the inside of the bedroom and double rooms have a large width.The computational model can be used in measuring the spatial quality of bedrooms in nursing homes and as a mathematical model for related algorithm design and software programming to assist in the design and optimization of bedrooms for the elderly.

我国不同场所老年人失能状况的差异化分析:基于23922例老年人的调查研究

背景随着失能老年人数逐年增多,亟须了解不同场所老年人失能状况,完善从专业机构到社区、家庭的失能长期照护服务模式。目的调查我国不同场所(医院、养老机构、社区)老年人的失能现状,并对比分析不同场所老年人失能状况的差异。方法本研究采用多阶段抽样的方法,于2022年1月—2023年1月在我国华东、华南、华中、华北、西南地区分别便利选取1~2个省市,每个省市分别便利选取3所三级医院、2所二级医院、2个社区卫生服务中心和1个养老机构作为研究场所。最终纳入9个省市(北京市、湖南省、江苏省、广东省、福建省、新疆维吾尔自治区、贵州省、海南省、四川省)的27所三级医院、18所二级医院、18个社区卫生服务中心和9个养老机构的老年人作为研究对象。采用巴氏指数(BI)量表评价基础性日常生活活动能力(BADL)、Lawton-Brody工具性日常生活活动能力量表评定工具性日常生活活动能力(IADL)。采用Logistic回归分析探讨来源场所与BADL失能程度、IADL失能程度以及不同方面功能失能发生状况的关系。结果本研究共回收问卷27344份,有效问卷23922份,有效回收率为87.5%。10318例(43.1%)老年人存在BADL失能,排在前三位的失能功能分别为床椅转移、上下楼梯与平地行走。各个场所BADL失能发生率为社区29.0%、养老机构74.9%、二级医院54.0%、三级医院44.6%。19200例(80.3%)存在IADL失能,排在前三位的失能功能分别为交通工具、家务维持、上街购物。各个场所IADL失能发生率分别为:社区74.6%、养老机构96.4%、二级医院83.6%、三级医院81.1%。不同场所是老年人失能程度和各类功能失能的影响因素(P<0.05)。结论养老机构老年人失能状况最不容乐观,建议鼓励更多养老机构开展专业失能护理服务,提升从业人员服务能力。

家庭护理干预在髋关节置换术后康复中的应用

目的 分析髋关节置换术后应用家庭护理干预对患者康复效果的影响。方法 方便选取2021年9月—2022年12月滨州市中心医院骨关节外科收治的78例患者作为研究对象,均行髋关节置换术治疗,按随机数表法分为对照组和观察组,各39例。对照组在术后应用常规护理干预;观察组在术后应用家庭护理干预。比较两组髋关节功能评分、日常生活能力评分、下肢运动功能评分、髋关节功能优良率。结果 髋关节功能评分对照结果显示,观察组干预后关节功能评分、关节疼痛评分、关节活动评分、关节畸形评分结果均高于对照组,差异有统计学意义(P<0.05);观察组干预后日常生活能力评分、下肢运动功能评分均高于对照组,差异有统计学意义(P<0.05);观察组髋关节功能优良率94.87%高于对照组79.49%,差异有统计学意义(χ^(2)=4.129,P=0.042)。结论 通过开展家庭护理干预,有助于将髋关节置换术后患者的康复效果显著提升,该方法可以使其髋关节功能评分更高,同时患者日常生活能力更强,下肢运动功能更好,其具有更高的髋关节功能优良率。

移动互联网背景下养老院健康管理服务设计研究

通过调研对养老院所存在的健康管理服务存在的问题进行分析,探讨如何能够提供更好的健康管理服务。采用服务设计的方法,分析养老院健康管理的痛点和设计切入点。结合老人对健康管理服务改善的预期,提出了基于移动互联网背景下养老院健康管理服务系统的优化整合设计,旨在进一步提高以用户为中心的健康管理服务的满意度,从而解决了我国老龄化和养老院健康管理问题。

面向介助老人的养老院居住空间设计研究

21世纪以来,随着我国人口老龄化程度的加快,进入养老院养老的老年人比例也在不断上升,但当前养老院居住空间仍存在着许多问题,如不同护理级别卧室套型缺乏多样性等。文章基于介助老人的心理、生理和日常活动尺度来分析他们的需求,并以此来研究适合于介助老人的居住空间,以期为他们创造一个安全化、休闲化和兴趣化的养老院室内居住环境。

养老机构中居住者间虐待研究进展

综述居住者间虐待的分类、发生率、触发事件及影响因素,总结其干预措施并给出建议,以期为我国今后居住者间虐待相关研究的开展提供参考。

虚拟情景互动训练对养老院阿尔茨海默病患者精神行为症状、日常生活能力及生命质量的影响

目的探讨虚拟情景互动训练对养老院阿尔茨海默病(AD)患者精神行为症状、日常生活能力及生命质量的影响。方法选择2021年9月—2022年8月南京江宁沐春园护理院AD患者54例,按随机数字表法将其分为观察组(n=27)和对照组(n=27)。对照组接受AD常规药物治疗、养老院常规养老护理服务及健康宣教,观察组在对照组基础上采用虚拟情景互动训练,每周训练3次,每次45 min,共训练6个月。观察两组干预前后精神行为症状[采用AD病理行为评定量表(BEHAVE-AD)评估]、日常生活能力[采用Barthel指数评估量表(BI)评估]及生命质量[采用AD生命质量量表(QOL-AD)评估]。结果干预后,观察组BEHAVE-AD评分、BI评分和QOL-AD评分均较干预前改善(P均<0.05),且均优于对照组干预后(P均<0.05);而对照组上述各量表评分干预前后相比差异均无统计学意义。结论虚拟情景互动训练能有效改善养老院AD患者的精神行为症状和日常生活能力,提高其生命质量,值得在养老机构内推广使用。

家庭护理路径管理法干预对断指再植患者的影响

目的探讨断指再植患者采用家庭护理路径管理法干预对手功能、日常生活能力及家庭照顾者家庭护理技能的影响。方法选取2020年4月至2022年8月新里程安钢总医院接受治疗的120例断指再植患者,根据随机数表法分为干预组(n=60,给予家庭护理路径管理法干预)与对照组(n=60,给予常规家庭护理管理),对两组手功能、日常生活能力及家庭照顾者家庭护理技能进行比较。结果干预组出院3个月后手功能评分高于对照组;出院3个月后,两组患者日常生活Barthel指数评估量表(BI)评分高于出院前,且干预组评分高于对照组;出院3个月后,两组家庭照顾者家庭护理技能评分高于出院时,且干预组评分高于对照组,差异有统计学意义(P<0.05)。结论断指再植患者给予家庭护理路径管理法干预,能够促进手功能恢复,改善日常生活能力,提升家庭照顾者家庭护理技能。

641名上海市老年人机构养老意愿及其影响因素

目的·了解上海市老年人的机构养老意愿情况,探讨影响其意愿的因素。方法·采用方便抽样法抽取641名在上海市6个社区卫生服务中心就诊的60周岁及以上的老年人,对其社会人口学因素、机构养老意愿、感知障碍和感知利益进行问卷调查。结果·调查问卷的结构效度(KMO统计量为0.862,Bartlett’s球性检验P=0.000)和内在信度(Cronbach’sα系数取值范围为0.739~0.824)良好。46%的受访者表示将来愿意入住养老机构;在人口学因素中,仅不同年龄层次之间入住意愿差异有统计学意义(P=0.045)。校正年龄后的多因素Logistic回归分析结果表明羞耻感(OR=0.76,95%CI=0.62~0.94)、适应性(OR=0.61,95%CI=0.50~0.74)以及感知利益(OR=1.63,95%CI=1.32~2.03)与老年人机构养老意愿显著相关(均P<0.05)。结论·上海老年人整体对机构养老的接受度已有所提高,其中60~69岁老年人接受度最高;羞耻感、适应性,以及养老机构所能提供的服务质量和种类是影响老年人机构养老意愿的主要影响因素。