Knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter

Objectives:The objectives of this study were to assess the knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter.Materials and Methods:This cross-sectional study was conducted from June 1,2021,to September 11,2021,in a tertiary hospital in north India.Purposive sampling was used to select 50 participants.Three instruments were employed for data collection after fulfilling sample criteria;for baseline information demographic tool,knowledge questionnaires,and a practice checklist.Data were analyzed using descriptive and inferential statistics.Results:On assessment of 50 participants,the majority of parents aged above 30 years(74%).Most of the participants were male(82%),graduated(38%),and working in the private sector(58%).Similarly,two-thirds of participants were residing in a nuclear family(64%)with a single child 32(64%)and family income<5000 rupees per month(60%).The mean score of knowledge was 1.94±0.81 and that of practice skills was 1.98±0.85 on home-based care.Regression analysis showed that knowledge of parents was significantly associated with qualification(β:1.821,P=0.002).Similarly,association of practice skills of parents with gender(β:1.235,P=0.050)and qualification(β:1.889,P=0.00)was significant.Conclusion:The general findings of our study showed that parents’education and occupation played a significant role in a child’s care.Parental education and catheter care skills positively affect the child and reduce readmission rates.

Analysis of Distribution of Public Toilets within Walking Range around Communities of the Elderly under the Model of Community Home-based Care for the Elderly: A Case Study of Changxindian, Fengtai District, Beijing

In recent years,under the influence of multiple factors such as traditional ideas and living economic conditions,the aging population in China continues to increase.Most of the elderly are more inclined to aged at home,and the first places for elderly activities are communities and the surrounding environment,which greatly affects the convenience of life and happiness of the elderly.In this paper,Changxindian area in Fengtai District of Beijing was as the research object,and detailed calculation and analysis were carried out by using POI data and arcGIS software.The relative location of residential areas and surrounding public toilets was explored,and the best location of public toilets in the daily walking area under the model of community home-based care for the elderly was further studied.

A Review of Device-Free Indoor Positioning for Home-Based Care of the Aged:Techniques and Technologies

With the development of urbanization,the problem of neurological diseases brought about by population aging has gradually become a social problem of worldwide concern.Aging leads to gradual degeneration of the central nervous system,shrinkage of brain tissue,and decline in physical function in many elderlies,making them susceptible to neurological diseases such as Alzheimer’s disease(AD),stroke,Parkinson’s and major depressive disorder(MDD).Due to the influence of these neurological diseases,the elderly have troubles such as memory loss,inability to move,falling,and getting lost,which seriously affect their quality of life.Tracking and positioning of elderly with neurological diseases and keeping track of their location in real-time are necessary and crucial in order to detect and treat dangerous and unexpected situations in time.Considering that the elderly with neurological diseases forget to wear a positioning device or have mobility problems due to carrying a positioning device,device-free positioning as a passive positioning technology that detects device-free individuals is more suitable than traditional active positioning for the home-based care of the elderly with neurological diseases.This paper provides an extensive and in-depth survey of device-free indoor positioning technology for home-based care and an in-depth analysis of the main features of current positioning systems,as well as the techniques,technologies andmethods they employ,fromthe perspective of the needs of the elderly with neurological conditions.Moreover,evaluation criteria and possible solutions of positioning techniques for the home-based care of the elderly with neurological conditions are proposed.Finally,the opportunities and challenges for the development of indoor positioning technology in 6G mobile networks for home-based care of the elderly with neurological diseases are discussed.This review has provided comprehensive and effective tracking and positioning techniques,technologies and methods for the elderly,by which we can obtain the location information of the elderly in real-time and make home-based care more comfortable and safer for the elderly with neurological diseases.

Research Progress on the Home-based Healthcare Plan for the Elderly with Chronic Diseases

Objective:To develop a home-based care plan for the elderly person with chronic diseases based on the status of their home-based care needs and relevant literature.Methods:The clinical data consisted of 132 patients who were 60-year-old or older with chronic diseases from June 2019 to May 2020 were selected and categorized into control and treatment groups of 66 patients each.For the experimental group,a care team for chronically ill elderly receiving regular post-treatment bome-based care.Meanwhile,a general clinical care team for chronically ill elderly receiving regular treatment for the control group.The effectiveness of these two healthcare models was evaluated and analyzed.Results:Results showed that satisfaction and effectiveness of home-based care among the elderly with chronic diseases were statistically better(P<0.05)than those in the usual care group.Conclusion:Providing home-based care services to elderly patients with chronic illnesses helps them to improve their chronic disease condition,patients are more receptive to home care,and patients have higher rates of recovery and treatment satisfaction.

Meta-analysis of the willingness rate of community home-based care in China

Objective:To systematically evaluate the willingness rate of the community to provide for the aged at home and analyze its influencing factors.Methods:By searching the CNKI,VIP,Wanfang,we collected literature on the willingness of the elderly in the community to provide for the aged from 2011 to 2021,extracted the data,and evaluated the quality of the included literature.Then,CMA 2.0 software was used for Meta-analysis.Results:A total of 13 articles were included in this study,and 16,402 people over 60 years old were surveyed,1782 people were willing to provide for the aged at home in the community,with a total willingness rate of 11%(95%CI:9%to 26%).The results of subgroup analysis showed that there was a statistically significant difference in the community home care willingness rate of elderly people with different gender,education levels,marital status,monthly income,living alone,the number of children,and residence(P<0.05).There was not any statistically significant difference in the willingness rate of the elderly with different ages,chronic diseases,self-care ability,and loneliness(P>0.05).Conclusion:The overall willingness rate of the elderly in the community of the elderly is relatively low in China.Gender,education level,marital status,monthly income,living alone,number of children,and residence are factors affecting the prediction of community elderly will.

Home-based nursing for improvement of quality of life and depression in patients with postpartum depression

BACKGROUND Postpartum depression is a common mental illness in puerpera,with an incidence of approximately 3.5%-33.0%abroad,and the incidence of postpartum depression in China is higher than the international level,reaching 10.0%-38.0%.Providing effective nursing care in clinical nursing activities is one of the key points of obstetrical care.However,little research has been designed to investigate the positive role of home-based nursing in the prevention of postpartum depression.AIM To study the effect of home-based nursing for postpartum depression patients on their quality of life and depression.METHODS The clinical data of 92 patients with postpartum depression treated at our hospital were retrospectively analyzed.The patients were grouped according to the nursing methods used;40 patients receiving basic nursing were included in a basic nursing group,and 52 receiving home-based nursing were included in a home-based nursing group.Depression and anxiety were evaluated and compared between the two groups.The estradiol(E2),serotonin(5-hydroxytryptamine,5-HT),and progesterone(PRGE)levels were measured.RESULTS The SAS and SDS scores of the home-based nursing group were significantly lower than those of the basic nursing group(P<0.05).The E2 and 5-HT levels of the home-based nursing group were significantly higher than those of the basic nursing group,but the PRGE level was significantly lower than that of the basic nursing group.The GQOLI-74 scores(material,social,somatic,and psychological)and nursing satisfaction were significantly higher in the home-based nursing group(P<0.05).CONCLUSION Postpartum depression through home-based nursing can effectively alleviate depression and improve the quality of life of patients,help modulate their serum E2,5-HT,and PRGE levels,and improve their satisfaction with nursing care.

Rapidly Progressing Hepatic Angiosarcoma Terminally Cared for at Home: A Case Discussion—Hepatic Angiosarcoma Taken Palliative Care at Home

Background: Hepatic angiosarcoma is a rare disease with a poor prognosis due to its tendency for distant sites. Few opportunities exist for palliative treatment of hepatic angiosarcomas at home. Here, we report a rare case of palliative treatment of hepatic angiosarcoma at home. Case Presentation: An 87-year-old male patient complained of upper abdominal pain and anorexia, persisting for 2 months. Computed tomography revealed multiple tumors in the liver, spleen, left kidney, and bone. Hepatic angiosarcoma was diagnosed based on the liver biopsy results. Due to his advanced age and dementia, the patient and his family decided to receive palliative treatment at home, thereby initiating home medical care at our clinic. During the first visit, oral opioid medication was introduced, and home oxygen therapy (HOT) was initiated because of complaints of cancer pain and respiratory distress. As oral intake became difficult, the patient was switched to a patch opioid, and suppositories were used for ton use. The patient was treated with morphine and HOT;however, the improvement in respiratory distress was below acceptable. The patient died at home on the ninth day after his visit. Conclusion: To the best of our knowledge, this is the first case report on palliative care for hepatic angiosarcoma at home. Owing to the rapid progression of this disease, home physicians must know its characteristics and provide appropriate medical care.

Health care exploration work for the military empty nest old cadres

In recent years, the retired veteran cadres have grown older and older, and their numbers have also increased year by year. In this case, how to maintain the physical and mental health of empty nest veteran cadre, and further improve the quality of their life has been a realistic problem many primary health care doctors have to face and solve.

日本介护保险制度下的老年护理服务介绍

近年来,随着人口老龄化的发展,失去自理能力的老人增多,另一方面,交通事故、自然灾害、药物副作用等使残疾人、认知障碍和精神障碍患者增加,加重了介护的负担,介护对策也成为社会问题。2000年4月日本建立介护保险制度以后,形成了系统的老年照顾体系,减轻了家庭负担。日本老年护理服务对我国建立老年人福利设施体系起到借鉴作用。

基于社会生态理论的浙江省城乡居家养老群体中医药服务需求与利用研究

[目的]分析比较城乡居家养老群体中医药服务需求与利用情况,为优化城乡中医药资源,提升老年人群中医药服务利用提供依据。[方法]采用多阶段分层整群随机抽样方法,抽取浙江省65周岁及以上,当地居住至少6个月的居家养老人群。以面对面问卷的方式收集居家养老人群基本特征、健康行为、中医药服务需求和利用情况等。采用χ^(2)检验、Logistic回归分析城乡居家养老人群中医药服务的利用情况和影响因素。[结果]抽样的浙江省居家养老人群1038人中,中医药服务需求人数537人。中医药服务利用人数305人,占需求人群的56.80%。需求人群中,居住地为城市的老年人群中医药服务利用占比高于农村(P<0.001)。退休前职业为政府或企事业单位工作人员和家庭月平均收入2000~5000元以及≥5000元的城市居家养老人群更倾向利用中医药服务(P<0.05);定期体检以及家庭月平均收入≥5000元的农村居家养老人群更倾向利用中医药服务(P<0.05)。[结论]浙江省居家养老中医药服务需求群体中,城市中医药服务利用水平高于农村。家庭月平均收入是影响城乡中医药服务利用的共同因素。

奥瑞姆Orem自护理论对老年全髋关节置换术后优质护理干预效果的影响

目的 探讨Orem自护理论对老年全髋关节置换术后优质护理干预效果的影响.方法 采用数字表法将126例行老年全髋关节置换术的患者随机分为对照组和观察组,各63例.对照组采取骨科常规护理;观察组在对照组基础上给予Orem自护理论,根据患者的健康需求、病程给予不同优质护理干预.结果 观察组Harris评分、ADL评分显著高于对照组（P＜0.05）;观察组护理满意度为98.41％,显著地高于对照组的76.19％ （P＜0.05）.结论 实施Orem自护理论能够提高行全髋关节置换术后老年患者的优质护理干预措施的效果,可缓解术后患者心理焦虑及抑郁程度,降低并发症发生率,增强患者自理能力,改善髋关节功能,极大提高患者对护理工作的满意度.

多重视角下城市社区养老模式的实践与思考——基于浙江省宁波市南门街道的案例研究

从资源提供、传递和获取视角、结构-功能理论视角、需要层次理论视角透视城市社区养老模式,发现社区居家养老作为一种新型养老模式在转型中的中国社会养老格局中具备一定的优势,但在实际运行中仍然存在诸多难点和问题,为此,需要从完善多元化筹资机制、丰富社区养老服务内容、健全居家养老相关制度、提升养老服务专业化水平等方面进行路径突破。

随迁老人的城市适应问题探析

通过对兰州市20位随迁老人的深度访谈,对随迁老人的城市适应情况进行分析,发现随迁老人在城市适应中存在一些问题。从随迁老人的精神健康出发,探究影响随迁老人城市适应的因素,指出随迁老人能否适应城市生活,与随迁老人的个性特征、子女对随迁老人精神上是否关爱、随迁老人在人际交往中获得的情感支持等因素密切相关;随迁老人自身要积极主动适应城市生活,子女要关注随迁老人的情感需求及精神关爱,社区吸纳社会工作者运用社会工作的理念、方法为随迁老人服务,挖掘社区资源,帮助随迁老人适应并融入城市。

探讨多种传统保健体育项目对中老年人心理情绪及免疫功能的影响

高血压、糖尿病及相关的心脑血管等慢性疾病成为中老年人群的多发性疾病,随着发病频率的增加,逐渐影响中老年人的身体健康和免疫系统,增加心理和情绪上的负担,加重病情。然而,根据相关调查数据显示,以上慢性疾病的发病原因多数因为中老年人饮食的不规律,缺乏运动而造成。因此,中老年人应合理安排自我的饮食和生活作息,并做出合理的运动安排。体育锻炼可有利于调节中老年人的身心健康,促进中老年人注意力、心理、体质以及整体免疫功能的调理和发展,但在开展体育项目时应结合中老年人的个人情况进行科学、合理、健康的安排,避免剧烈运动起到适得其反的作用。本文针对多种传统保健体育项目做出以下个人分析,从而论证了传统保健体育项目对中老年人心理情绪及免疫功能的影响。

老年临终患者安宁疗护的研究进展

据统计[1],截至2016年底,我国65岁以上老年人已达2.3亿,占总人口的16.7%,并将于2025年左右突破3亿人,老年人口比例突破20%。不仅老龄化人口不断增多[2],老年患病率也在不断提高[3]。老年疾病往往不可逆转,然而随着现代医学技术的日新月异以及诊疗水平的极大提高,老年临终患者常接受以延长生命为目的的各种治疗.

ICU老年肺癌患者术后谵妄影响因素分析

目的探讨ICU老年肺癌患者术后谵妄的影响因素。方法收集2019年9月至2020年5月上海市胸科医院收治的208例老年肺部肿瘤手术患者术后谵妄发生情况。采用ICU患者意识模糊评估法(CAM-ICU)量表,观察患者术后谵妄发生情况;采用中文版重症监护室患者睡眠质量量表(Richards-Campbell sleep questionaire,RCSQ)量表,观察患者术后睡眠质量;采用术前简易心理状态检查(mini-mental state examination,MMSE)量表观察患者术前认知水平。通过单因素和logistic回归分析明确ICU老年肺癌患者术后谵妄的影响因素。结果共纳入208例患者,32例(15.38%)发生谵妄,176例(84.62%)未发生谵妄。纳入22个变量,包括术前变量11个和术后变量11个,其中低氧(≤60 mmHg)、冠心病史、镇静药物使用史是肺癌术后ICU老年患者谵妄诱发的危险因素。Logistic回归分析显示,RCSQ量表得分高于20分的患者较低于20分的患者,其谵妄发生的风险明显降低(P<0.05)。MMSE量表得分高于27分的患者较低于27分的患者,其谵妄发生的风险明显降低(P<0.05)。结论低氧状态、冠心病史、镇静药物使用史、术前认知障碍以及术后睡眠障碍均是ICU老年肺癌患者术后谵妄的影响因素,针对老年肺癌术后患者可通过有效识别高危因素并进行早期干预,以达到降低临床谵妄发生率、改善患者临床结局的目的。

老年人膳食营养及养老服务业膳食服务标准规范研究

我国老龄化趋势正在加剧,养老机构普遍缺乏营养专业人员的指导和规范化的膳食服务体系。本文在对国内外老年人营养现状、营养不良原因及我国养老机构膳食服务标准及管理现状进行分析的基础上,对养老服务业膳食服务规范进行了研究,提出养老服务业膳食服务规范框架,包括遵循原则、膳食服务内容、服务规范和服务管理办法。

德国RenaFan养老机构失智老人照护经验及对我国的启示

文章从以人为本的照护理念、特色的人力资源管理、全程管理的失智症照护服务、细致的失智老人护理等级评估系统等方面,介绍了德国RenaFan养老机构失智症照护经验,提出倡导以人为本、开展失智老人专业照护的全程管理、培养失智老人专业照护团队、创新失智老人综合评估方式,为建立完善的失智老人照护服务体系,实现积极老龄化的目标提供参考。

北京市某社区老年人对家庭病床需求的调查研究

目的:调查北京市某社区老年人对家庭病床的需求现状,并分析其影响因素。方法:采用问卷调查,对北京市某社区404名60岁以上老年人对于社区居家养老的家庭病床方面的了解程度、需求意愿以及自身和家庭基本情况等进行调查,辅之以个人深入访谈。结果:老年人对家庭病床的需求意愿主要与退休前劳动行业、目前居住方式、家庭收入、医药费自费部分支付能力等因素密切相关(P<0.05)。结论:老年人对家庭病床需求高,但目前仍需要在政策、模式、人力等方面加快建设速度,提供安全、高效、连续、个性化服务,支撑居家养老模式,缓解养老矛盾。

我国养老护理员核心胜任力的研究进展

核心胜任力是针对某个专业内的每一个从业人员都必须具备的个体特征,它体现了这个专业最核心的特点和要求,在一定程度上代表了专业文化和专业面貌。养老护理员的核心胜任力对老年护理的服务品质以及养老服务行业发展的影响越来越大。文章通过解析养老护理员的文化程度、工作地点、婚姻状况、工作经验、受培训情况、社会支持、薪酬和性骚扰等影响养老护理员核心胜任力的因素,总结出针对不同影响因素的对策,包括完善人才培养体系,提高职业认同感,加强人文关怀培训等,对帮助提高养老护理员核心胜任力具有积极意义,同时也为养老护理员实施高质量护理提供参考。