Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related b...Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.展开更多
Objectives:To examine the relationship between cardiovascular disease risk factors and frailty in a sample of older Chinese adults.Methods:A total of 458 community-dwelling older adults(>65 years)in Lanzhou,Gansu P...Objectives:To examine the relationship between cardiovascular disease risk factors and frailty in a sample of older Chinese adults.Methods:A total of 458 community-dwelling older adults(>65 years)in Lanzhou,Gansu Province of China participated in a cross-sectional survey.Their status was evaluated in terms of frailty phenotype(unintentional weight loss,exhaustion,low activity levels,slowness and weakness).Participants were categorized as not frail,prefrail or frail.Cardiovascular disease risk factors that were assessed included:blood pressure,body mass index,waist circumference,blood glucose,total cholesterol,triglycerides,lowdensity lipoproteins and high-density lipoproteins.Results:Individuals with obesity had an increased risk of prefrailty(OR:2.26;95%CI:1.05,4.84).Hypertension was inversely associated with frailtyamong the participants(OR:0.31;95%CI:0.11,0.87)after adjusting for covariates.Conclusions:The findings suggest that much more attention should be paid to weight control of the elderly in the community for preventing them from transition to prefrailty or frailty.Active prevention and control of cardiovascular diseases among the community-dwelling elder are still of great importance.展开更多
Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative conte...Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative content analysis study using data from the focus group,individual in-depth interview,and observation.The study population was domiciled in Pakpoon Village,Mung Dis-trict,Nakhon Si Thammarat Province,a tight-knit settlement typical of most retirement communities.Data were collected through two focus group discussions,direct observation,and in-depth interviews with 19 participants.Respondents represented key community groups:local nurses and public health officers,elderly residents,family caregivers(family members),and village health volunteers.Results:The participants shared similar perspectives about the social determinants of health influencing obesity in the aged,which spanned three themes.These were:1)neighborhood food environment(easy access to unhealthy food,no choice to recruit healthy food);2)social networks influencing obesity(family affects food choices and prohibitions on exercise;belief,and socially imposed body image per-ceptions contributing to obesity in the aged);and 3)knowledge,attitudes,and beliefs behind lifestyle choices that cause obesity in the elderly(lack of awareness,personal attitudes,job and familial duties as barriers to engaging in physical activities;over-consumption behaviors lead to obesity in older people).Conclusion:These three themes were the root causes of obesity in the elderly in Pakpoon’s retirement community.This finding suggests that policymakers and nurses can create healthy environments,both to treat and prevent obesity,by raising awareness in younger generations,providing aging the provision of healthy food choices for older adults,encouraging health care professionals to share knowledge,and by modifying the attitudes and beliefs of both caregivers and older adults.展开更多
The Family Stipend Program (Bolsa Famflia--BF) has been implemented since 2003 as the main strategy to face poverty in Brazil. Its benefit is the transfer of income to poor and extremely poor families as well as to ...The Family Stipend Program (Bolsa Famflia--BF) has been implemented since 2003 as the main strategy to face poverty in Brazil. Its benefit is the transfer of income to poor and extremely poor families as well as to articulate the monetary income transfer with some structural policies, mainly education, health, and work. The BF has already reached almost 14 million of families and is implemented in all the 5,545 Brazilian municipalities, i.e. about ~ of the Brazilian population. The program requires the fulfillment of some conditionalities in the field of education and health, such as: enrollment and attendance of the children and adolescents in school; children must get basic health care; and pregnant women must receive prenatal care. The BF is considered in Brazil, according to Eduardo Suplicy's Law Bill 266/2001 sanctioned by President Lula on ]anuary 8 of 2004, as the first step towards creating a Citizenship Basic Income. The goal of this proposal is to present and to problematize the recent political and economic post Lula and Dilma Administrations situation in order to demonstrate the climate of regression in the social protection programs and the dismantling of the same social rights already conquered by the worker class and the poor population. Among the programs to be mentioned is the BF. The intention is to highlight the economic situation of a long recession and rise in unemployment rates besides the decrease of the workers' income and the repression of social movements, in order to develop an analysis of the BF in this context.展开更多
China's ageing, the service for elderly pension is become a serious problem, and the traditional way of pension is not enough to meet the needs of existing. In this case, the community endowment to its unique advanta...China's ageing, the service for elderly pension is become a serious problem, and the traditional way of pension is not enough to meet the needs of existing. In this case, the community endowment to its unique advantages to be the new choice to solve the problem of China's pension. Taiyuan city, Shanxi Province in China based on as the breakthrough point, to study the community endowment service of Taiyuan city. For multiple community in Taiyuan city by using the method of field survey and some residents to investigate analyze the present situation of Taiyuan city community endowment. Through the research that Taiyuan city community endowment exists does not reach the designated position on propaganda, unbalanced development, lack of funds, community service and social participation is not high, and even the poor community health care can't satisfy the elderly need to all sorts of problems. Put forward the corresponding suggestion, according to the issues can be solved through policy support, strengthen the propaganda, broaden the sources of funding, training and service team, strengthening community health service and diversified development, community service projects, so that the community endowment in China better development.展开更多
Objective:This study explored the approaches for community-based flood disaster management for older adults in Southern Thailand.It sought to understand community culture for supporting older adults and promoting comm...Objective:This study explored the approaches for community-based flood disaster management for older adults in Southern Thailand.It sought to understand community culture for supporting older adults and promoting community strength in case of flood disaster.Method:This was a qualitative content analysis study using data from observation,in-depth interviews,secondary data,and focus group discussion.One hundred and twenty-seven people in total were selected specifically for the study,including Local Administration Organization(LAO),community leaders,public sector officers,civil groups,and older adult groups and family caregivers.Results:The results of this study were two main themes,focusing on 1)approaches to community-based flood disaster management for older adults as follows:eight approaches in the phase of prevention and preparedness in flood disaster management for older adults,eight approaches in the phase of response in flood disaster management for older adults,and six approaches in the phase of recovery and rehabilitation in flood disaster management for older adults;and 2)factors contributing to success in flood disaster management for older adults has four factors,including the human factor,the work factor,the data factor,and the resource factor.Conclusion:The findings showed significant roles in improving the potential and strength in communitybased flood disaster management for older adults and providing suggestions for community nurses and health practice personnel involving in flood disaster management to mitigate the potential influence on older adults in the community.展开更多
The wisdom of the aged has become a direction that can't be ignored in the development of the old-age industry. It can be combined with traditional home care, institutional pension and community pension, and can impr...The wisdom of the aged has become a direction that can't be ignored in the development of the old-age industry. It can be combined with traditional home care, institutional pension and community pension, and can improve the efficiency of these old-age models, and can also connect the transformation of old-age service and medical service to the combination of medical support, and there are many advantages. This article will analyze the realization basis of intelligent endowment, the advantages and disadvantages of intelligent endowment, and explore how to effectively promote the development of intelligent pension industry.展开更多
Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social wor...Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social workers)of an alert system in assisted living communities.Methods:Qualitative methods were employed by way of five user interviews and focus groups with six system developers.Modeling instruments were applied for data collection to analyze the different clinical workflows versus the expectations of the system development team.Results:Results indicate that the clinical workflow changed over time,which led to a mismatch of nurse care coordination,social practices,and technology use.The results show different mental models of the socio-technical practice.Applying the coordination theory,the following recommendations could be developed to overcome the mismatch.First,it is recommended that nursing staff set goals together.Second,a communication rhythmwith the nursing staff and developer teams should be established,with guided questions to facilitate the conversation,to shed light on the different workflows and the difference in social practices when using sensor technologies or alert systems.Third,a checklist for new employees should be created so they know how and on which devices to use the alert system.Fourth,the user experience with the alert system should be improved(e.g.,an improved user interface).Conclusions:This work indicates recommendations to close the mental model gap to overcome the mismatch between optimal use of the alert system and how the nursing staff is actually using it.展开更多
Since 1995,the authors have employed acupuncture at Jingming(UB 1)with the warmingneedles to treat epiphora due to insufficiency of lacrimal passages.Of the 68 treated eyesin 42 patients,28 eyes were cured,35 improved...Since 1995,the authors have employed acupuncture at Jingming(UB 1)with the warmingneedles to treat epiphora due to insufficiency of lacrimal passages.Of the 68 treated eyesin 42 patients,28 eyes were cured,35 improved,and 5 ineffective with a total effective rateof 92.65%;and 12 eyes were cured and 34 improved by only one course of treatment.展开更多
The anxiety syndrome is routinely treated with tranquilizing agents and psychological therapy. Although certain clinical effects can be obtained, some patients may experience an ever increasing listlessness and fatigu...The anxiety syndrome is routinely treated with tranquilizing agents and psychological therapy. Although certain clinical effects can be obtained, some patients may experience an ever increasing listlessness and fatigue owing to the long-term dependence on the drugs, seriously interfering with their studies, work or daily life. In展开更多
基金funded with the Hunan Key Laboratory Platform for Nursing(2017TP1004)。
文摘Objectives:To investigate health literacy profiles using a multidimensional tool in the elderly,analyze the factors related to health literacy,and explore the relationships between health literacy and health-related behaviors.Methods:A cross-sectional survey including 440 participants was conducted at a community health center and a village health center in Changsha,Hunan Province,between June 2020 and August 2020.We used the Health Literacy Questionnaire(HLQ)to assess the elderly’s health literacy.Sociodemographic data and health-related behaviors of them were surveyed with a self-designed questionnaire.Latent profile analysis,Pearson’s chi-squared and ordinal logistic regression were used to analyze the data.Results:The median age of the 440 respondents was 68 years.The participants had the lowest scores in the“appraisal of health information”subscale(2.22±0.52),followed by“navigating the healthcare system”subscale(2.89±0.81)of HLQ.Based on the analysis of three profiles,respondents who were 60 e74 years(OR=2.06,95%CI:1.23e3.42,P=0.006),living in urban areas(OR=3.28,95%CI:2.17e4.94,P<0.001),with secondary education or above(OR=2.86,95%CI:1.92e4.27,P<0.001),and having health insurance(OR=1.89,95%CI:1.02e3.51,P=0.042)were significantly associated with health literacy.Statistically significant associations were found between health literacy level and health-related behaviors,including medical service-seeking behavior(χ^(2)=25.14,P<0.001),exercising regularly(χ^(2)=34.08,P<0.001),and taking a medical examination in the past 12 months(χ^(2)=24.76,P<0.001).Conclusion:The multidimensional health literacy survey has identified the low health literacy level among the elderly in community settings.It revealed the relationships of sociodemographic character-istics,including age,education level and residence,with health literacy.These findings emphasized the importance of health literacy in promoting health behaviors,guiding a profound understanding of the Chinese elderly’s health needs and health literacy to develop community-based health promotion interventions.
基金supported by the National Natural Science Foundation of China[grant number 71804064].
文摘Objectives:To examine the relationship between cardiovascular disease risk factors and frailty in a sample of older Chinese adults.Methods:A total of 458 community-dwelling older adults(>65 years)in Lanzhou,Gansu Province of China participated in a cross-sectional survey.Their status was evaluated in terms of frailty phenotype(unintentional weight loss,exhaustion,low activity levels,slowness and weakness).Participants were categorized as not frail,prefrail or frail.Cardiovascular disease risk factors that were assessed included:blood pressure,body mass index,waist circumference,blood glucose,total cholesterol,triglycerides,lowdensity lipoproteins and high-density lipoproteins.Results:Individuals with obesity had an increased risk of prefrailty(OR:2.26;95%CI:1.05,4.84).Hypertension was inversely associated with frailtyamong the participants(OR:0.31;95%CI:0.11,0.87)after adjusting for covariates.Conclusions:The findings suggest that much more attention should be paid to weight control of the elderly in the community for preventing them from transition to prefrailty or frailty.Active prevention and control of cardiovascular diseases among the community-dwelling elder are still of great importance.
文摘Objective:This study aimed to describe the social determinants of health influencing obesity for the aged in a community context and based on the perspectives of various stakeholders.Methods:This was qualitative content analysis study using data from the focus group,individual in-depth interview,and observation.The study population was domiciled in Pakpoon Village,Mung Dis-trict,Nakhon Si Thammarat Province,a tight-knit settlement typical of most retirement communities.Data were collected through two focus group discussions,direct observation,and in-depth interviews with 19 participants.Respondents represented key community groups:local nurses and public health officers,elderly residents,family caregivers(family members),and village health volunteers.Results:The participants shared similar perspectives about the social determinants of health influencing obesity in the aged,which spanned three themes.These were:1)neighborhood food environment(easy access to unhealthy food,no choice to recruit healthy food);2)social networks influencing obesity(family affects food choices and prohibitions on exercise;belief,and socially imposed body image per-ceptions contributing to obesity in the aged);and 3)knowledge,attitudes,and beliefs behind lifestyle choices that cause obesity in the elderly(lack of awareness,personal attitudes,job and familial duties as barriers to engaging in physical activities;over-consumption behaviors lead to obesity in older people).Conclusion:These three themes were the root causes of obesity in the elderly in Pakpoon’s retirement community.This finding suggests that policymakers and nurses can create healthy environments,both to treat and prevent obesity,by raising awareness in younger generations,providing aging the provision of healthy food choices for older adults,encouraging health care professionals to share knowledge,and by modifying the attitudes and beliefs of both caregivers and older adults.
文摘The Family Stipend Program (Bolsa Famflia--BF) has been implemented since 2003 as the main strategy to face poverty in Brazil. Its benefit is the transfer of income to poor and extremely poor families as well as to articulate the monetary income transfer with some structural policies, mainly education, health, and work. The BF has already reached almost 14 million of families and is implemented in all the 5,545 Brazilian municipalities, i.e. about ~ of the Brazilian population. The program requires the fulfillment of some conditionalities in the field of education and health, such as: enrollment and attendance of the children and adolescents in school; children must get basic health care; and pregnant women must receive prenatal care. The BF is considered in Brazil, according to Eduardo Suplicy's Law Bill 266/2001 sanctioned by President Lula on ]anuary 8 of 2004, as the first step towards creating a Citizenship Basic Income. The goal of this proposal is to present and to problematize the recent political and economic post Lula and Dilma Administrations situation in order to demonstrate the climate of regression in the social protection programs and the dismantling of the same social rights already conquered by the worker class and the poor population. Among the programs to be mentioned is the BF. The intention is to highlight the economic situation of a long recession and rise in unemployment rates besides the decrease of the workers' income and the repression of social movements, in order to develop an analysis of the BF in this context.
文摘China's ageing, the service for elderly pension is become a serious problem, and the traditional way of pension is not enough to meet the needs of existing. In this case, the community endowment to its unique advantages to be the new choice to solve the problem of China's pension. Taiyuan city, Shanxi Province in China based on as the breakthrough point, to study the community endowment service of Taiyuan city. For multiple community in Taiyuan city by using the method of field survey and some residents to investigate analyze the present situation of Taiyuan city community endowment. Through the research that Taiyuan city community endowment exists does not reach the designated position on propaganda, unbalanced development, lack of funds, community service and social participation is not high, and even the poor community health care can't satisfy the elderly need to all sorts of problems. Put forward the corresponding suggestion, according to the issues can be solved through policy support, strengthen the propaganda, broaden the sources of funding, training and service team, strengthening community health service and diversified development, community service projects, so that the community endowment in China better development.
文摘Objective:This study explored the approaches for community-based flood disaster management for older adults in Southern Thailand.It sought to understand community culture for supporting older adults and promoting community strength in case of flood disaster.Method:This was a qualitative content analysis study using data from observation,in-depth interviews,secondary data,and focus group discussion.One hundred and twenty-seven people in total were selected specifically for the study,including Local Administration Organization(LAO),community leaders,public sector officers,civil groups,and older adult groups and family caregivers.Results:The results of this study were two main themes,focusing on 1)approaches to community-based flood disaster management for older adults as follows:eight approaches in the phase of prevention and preparedness in flood disaster management for older adults,eight approaches in the phase of response in flood disaster management for older adults,and six approaches in the phase of recovery and rehabilitation in flood disaster management for older adults;and 2)factors contributing to success in flood disaster management for older adults has four factors,including the human factor,the work factor,the data factor,and the resource factor.Conclusion:The findings showed significant roles in improving the potential and strength in communitybased flood disaster management for older adults and providing suggestions for community nurses and health practice personnel involving in flood disaster management to mitigate the potential influence on older adults in the community.
文摘The wisdom of the aged has become a direction that can't be ignored in the development of the old-age industry. It can be combined with traditional home care, institutional pension and community pension, and can improve the efficiency of these old-age models, and can also connect the transformation of old-age service and medical service to the combination of medical support, and there are many advantages. This article will analyze the realization basis of intelligent endowment, the advantages and disadvantages of intelligent endowment, and explore how to effectively promote the development of intelligent pension industry.
基金This work was supported by the National Library of Medicine grant #1R01LM01222.
文摘Objectives:From the view of everyday practices and the socio-technical coordination lens,this study aimed to analyz the gap between creators’intention and the users’implementation(mainly nursing staff and social workers)of an alert system in assisted living communities.Methods:Qualitative methods were employed by way of five user interviews and focus groups with six system developers.Modeling instruments were applied for data collection to analyze the different clinical workflows versus the expectations of the system development team.Results:Results indicate that the clinical workflow changed over time,which led to a mismatch of nurse care coordination,social practices,and technology use.The results show different mental models of the socio-technical practice.Applying the coordination theory,the following recommendations could be developed to overcome the mismatch.First,it is recommended that nursing staff set goals together.Second,a communication rhythmwith the nursing staff and developer teams should be established,with guided questions to facilitate the conversation,to shed light on the different workflows and the difference in social practices when using sensor technologies or alert systems.Third,a checklist for new employees should be created so they know how and on which devices to use the alert system.Fourth,the user experience with the alert system should be improved(e.g.,an improved user interface).Conclusions:This work indicates recommendations to close the mental model gap to overcome the mismatch between optimal use of the alert system and how the nursing staff is actually using it.
文摘Since 1995,the authors have employed acupuncture at Jingming(UB 1)with the warmingneedles to treat epiphora due to insufficiency of lacrimal passages.Of the 68 treated eyesin 42 patients,28 eyes were cured,35 improved,and 5 ineffective with a total effective rateof 92.65%;and 12 eyes were cured and 34 improved by only one course of treatment.
文摘The anxiety syndrome is routinely treated with tranquilizing agents and psychological therapy. Although certain clinical effects can be obtained, some patients may experience an ever increasing listlessness and fatigue owing to the long-term dependence on the drugs, seriously interfering with their studies, work or daily life. In