Influences of Horticultural Therapy and Functional Recovery Training at a Day-Care Center for the Elderly and Text Mining of Care Records by AI

Background: In Japan, due to the COVID-19 pandemic, various behavioral restrictions were implemented from March 2020, resulting in an increased number of elderly people with reduced participation in care and rehabilitation. As a result, the decline in motor and cognitive functions became more pronounced. Purpose: The study examined how activities combining passive horticultural therapy, which is always introduced, with active functional recovery training, which is used in the functional recovery training of patients with hemiplegia, influence the behavior of elder people using the facility. Methods: 36 elder people with care need 1 or 2 who regularly used the day-care facilities after the pandemic ended and who agreed to participate in the study was included. The assessment data were every three months from December 2021 to December 2023 after the COVID-19 pandemic, the MMSE and Moca-J, TMIG-Index, and GDS15. AI-based text mining was used to compare changes in visit reports before and after the introduction of the Posture Chart and Red Code, and the relationship between the language used. Results: The results of MMSE and Moca-J were both significantly higher in Group B and C than in Group A. TIMG assessment, was significantly higher in Group B and C than in Group A, and Group C was significantly higher than Group B. The GDS, an assessment of depression in old age, tended to be significantly higher in Group A than in Groups B and C. In the “Co-Occurrence Network Analysis” shown after the introduction of the latest functional recovery training equipment such as the Red Cord, its results showed a high association between the words Bathing and CARE and words such as POSTURE, Red-Code, and AI, App, which are used in functional training and rehabilitation, and their analysis. Conclusion: At day-care facilities specializing in functional recovery training and rehabilitation, a combination of horticultural therapy and the latest functional training equipment found to help maintain the physical and mental health of elderly people certified as requiring nursing care. Since this is a short-term study following behavioral restrictions, long-term research should continue to study the effects of adding functional training, handled by rehabilitation professionals, to horticultural therapy.

社区居家养老服务的城乡差异和优化分析——以温州市社区居家养老服务照料中心为例

社区居家养老服务照料中心是开展社区居家养老服务的主要载体,在实际运行中存在明显的城乡差异。基于温州市社区居家养老服务照料中心的实践对比,从社区居家养老服务供需契合度、管理专业化程度和资金供给能力等方面对比剖析社区居家养老服务的城乡差异。据此提出,优化社区居家养老服务应从宏观上准确定位相关主体的职责,进一步明确社区居家养老服务的区域层级定位以实现精准化供给,保障社区居家养老服务的专业运营管理以实现专业化供给,推进社区居家养老服务的资金长效供给以实现可持续供给。

面向积极老龄化的社区互助式养老服务模型——韩国敬老堂的经验与启示

韩国独特的敬老堂制度是当今世界上为数不多的由政府主导,通过设置高密度的社区型养老服务设施来主动干预社区“社会资本”建设并藉由这种预防性健康战略积极应对老龄化的成功案例,受到了许多国家的关注,但在我国的认知度还较低。文章介绍了“敬老堂”的发展沿革、运营模式特点、目前的使用情况以及针对现状问题的振兴计划,并探讨了对我国的启示,为我国从积极老龄化角度出发探索新型的、尤其是适合乡村地区的社区养老服务政策和设施模型提供参考。

城镇社区老年活动中心及适老家具使用需求分析

社区老年活动中心是社区养老的重要场所,为了解人群对老年活动中心的认知和期望,营造舒适的养老环境,通过线上发放问卷及线下访谈方式,探寻现有老年活动中心的活动种类、活动设施、家具设施等现状,分析现有社区老年活动中心及适老家具在社会群体及老年群体中的使用现状满意度及期望。现存养老体系尚不完善,老年活动中心在活动设置、功能分区、家具设置等方面仍存在不足,结合实际调研结果总结可改进点,提出老年活动中心活动类型、分区方式、室内环境、家具功能需求等方面的建设建议。

智慧职教平台在1+X老年照护等级证书中级课程中的应用

选择高职护理专业二年级的一个教学班,采用学生考试成绩、自主学习能力量表得分、老年照护等级证书通过率和课堂评价问卷进行效果评价。结果发现,学生在线学习时长1.32~79.82h,课堂满意度为92.38%,老年照护中级证书通过率为87.65%。学生的自主学习能力总分及自我管理能力、学习合作能力维度得分高于教学前(P <0.05)。研究表明:智慧职教平台有助于提升学生的自主学习能力,方便学生课后复习,有效提高了证书考试通过率。

人口老龄化背景下社区日间照料中心的发展困境与对策

伴随人口老龄化程度加深、家庭小型化特征增强的人口发展趋势,我国逐步探索出适合国情现状的“居家为基础、社区为依托、机构为补充”的多层次养老服务体系。社区日间照料中心是一种全新的养老服务模式,也是实现居家养老和社区养老相结合的重要实践尝试。我国社区日间照料中心起步较晚,在发展过程中仍存在监督考核和政策规范不健全、发展资金短缺、养老服务人才队伍建设滞后、养老服务供需失衡、智慧化程度不足等问题,未来应从加强顶层设计、优化养老保险制度与养老财富储备体系、拓宽资金筹集渠道、建立高水平养老服务人才队伍、强化科技赋能等方面协同发力,推动社区日间照料中心高质量发展。

养老机构老年人群日常生活活动能力与认知功能的相关性调查研究

目的探究养老机构老年人群日常生活活动能力和认知功能的相关性。方法采用目的抽样法,对长沙市4所养老机构的319名60~100岁的老年人进行一般资料、日常生活能力量表(activity of daily living scale,ADL)和简易精神状态量表(mini mental status examination,MMSE)调查。采用相关分析探讨老年人日常生活活动能力与认知功能的相关关系。结果养老机构老年人群ADL得分为(28.66±7.56)分,MMSE得分为(20.66±5.15)分;99.37%(317/319)的老年人存在不同程度的身体活动障碍;90.60%(289/319)的老年人存在不同程度的认知障碍。养老机构老年人的认知功能MMSE得分与ADL得分呈负相关,相关系数为-0.355(P<0.05)。结论养老机构老年人群的日常生活活动能力和认知功能都处于较低水平,并且日常活动能力与认知能力存在正相关关系,为制定有利于养老机构老年人的身体活动和认知训练方案提供依据。

高年资护士在创新医疗联合体模式中新的定位与问题分析

在创新城市医疗联合体模式的背景下,率先以安徽为试点推行高年资护士下沉到社区医院,开设社区专科护理门诊,以更好地实施分级诊疗制度和满足居民一体化健康服务需求。文中从新一轮医疗改革大背景中,分析高年资护士在创新医疗联合体模式中的全新职业定位、并且在下沉社区探索阶段出现的问题进行介绍分析,并结合实际情况,提出建议。