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.

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.

A Study on the Quality of Life of Elderly Nurses in Two Selected Elderly Care Institutions in Shandong Province

Objective: To comprehensively understand the impact of the quality of life of elderly nurses in two selected elderly care institutions in Zibo city, Shandong province, and to provide a scientific basis for improving the professional quality of life of elderly nurses. Methods: The convenient sampling method was used to investigate the professional quality of life (proQOL) questionnaire Version 5 and the self-designed demographic data of 82 elderly nurses working in two elderly care institutions. Result: From this score, it can be seen that the occupational burnout problem of elderly nursing staff in the two nursing homes is the most significant, with empathy and secondary trauma emergency at a moderate level. After controlling the demographic variables, the working hours and monthly income level had a significant impact on nurses’ job burnout. Conclusion: Due to the particularity and high intensity of elderly nurses’ work, their physical and mental health faces many challenges, which affect their quality of life. At present, efforts will be made to reduce work pressure, increase wages and benefits, and thereby improve the quality of life.

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.

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.

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.

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.

Norwegian Nursing Home——A Care Facility or a Home?

This article focuses on the function of Norwegian nursing homes. A brief history of institutionalisation of older people in Norway is presented. An expressed task for Norwegian nursing homes is active treatment, and even though the “Guarantee of dignity” was implemented from January 2011, there are proofs that the rights of the residents are constantly violated. Another task for Norwegian nursing homes is to be home for the residents. This double function of the nursing home, being both a care facility and a home is discussed, and whether the nursing homes succeed in fulfilling these tasks or not is questioned. It is also questioned if Goffman’s descriptions of total institutions are applicable on nursing homes of today.

Nutritional Screening Tools in Institutionalized People: A Case Study of Using Nutritional Risk Screening (NRS 2002) and Mini Nutritional Assessment (MNA)

Nutritional status expresses the physiological and nutritional needs to maintain the composition and adequate functioning of the organism. NRS 2002 and MNA protocols were applied to short-term institutionalized patients in Rio Verde (Brazil). Older adults and people with special needs of all ages, both sexes, regardless of possible pathology they may have, except if it causes contagion, were included, patients duly authorized by the person responsible for the institution and who were able to undergo evaluation. Thirty-eight patients from the institution were evaluated, of which ten were excluded from the research according to pre-established criteria. More than 50% of participants were male, with an overall average age of 63.43 years. The characteristics related to nutritional status by NRS 2002 and MNA showed that the risk of malnutrition and its absence are associated with a wide age range. The MNA presents a more nuanced nutritional risk classification, showing that even 61% of the 96% of participants who would be out of nutrition risk, according to the NRS 2002, are “at risk of malnutrition”. Applying the MNA can demonstrate more conservative results than the NRS 2002.

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.

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。

国外养老机构慢性病管理方式及启示

随着我国老龄化进程的不断加速,老年照护服务的需求不断增加,越来越多老年人选择机构养老作为养老方式。慢性病是老年人的最主要健康危险,近年来的政策鼓励有条件的养老机构开展基础医疗服务,加强慢性病的管理。国外养老机构慢性病管理的具体干预与管理方法主要分为多学科协作护理、循证护理、患者自我管理、临床信息系统、生活习惯干预五大类,我国养老机构慢性病管理可以在借鉴国外模式的同时,结合本土的环境和实际情况,进行适应本土老年人需求的设计和探索。

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.

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。

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。

老年人正式入住医养结合养老机构前服务沟通方式的改进

目的探讨老年人入住医养结合养老机构前服务沟通方式的改进策略。方法将115例预约试住医养结合养老机构的老年人随机分为观察组58例和对照组57例。对照组采用传统方法,于老年人试住当天讲解《试住期合同》内容后,为老年人提供2周的试住期服务。观察组以团队服务模式行分阶段服务与沟通为老年人提供试住期照护。结果试住期满后,观察组对试住期满意度、对《试住期合同》主要内容知晓程度、正式入住率显著优于对照组(P<0.05,P<0.01)。结论对有入住医养结合养老机构意愿的老年人,采取团队式分阶段服务沟通的方式,有利于提高老年人试住期满意度和正式入住率。

养老机构护理员抑郁现状及相关因素分析

目的了解养老机构护理员的抑郁现状及其相关因素,从而为采取有针对性的干预措施提供依据,以改善养老机构护理员的抑郁症状。方法采用抑郁倾向自评表(self-rating depression scale,SDS)、领悟社会支持量表(perceived social supportscale,PSSS)、健康商数量表(health quotient,HQ)对上海市杨浦区某福利院的43名护理员进行自评问卷调查,并对其血压、心率、体重指数、身体脂肪率、内脏脂肪指数、基础代谢率等进行检查。结果护理员的SDS自评总分为(44.53±12.05)分,虽不高于国内常模的(41.88±10.57)分,但30名护理员中有10名(33.33%)存在抑郁,其抑郁发生比率较高。对抑郁发生有影响作用的因素包括:领悟社会支持水平,精神与心理状态,主要生活与工作环境。PSSS及HQ得分分别为(63.43±7.77)分和(6.10±0.77)分。结论 养老机构护理员发生抑郁的比例较高,提示要重视福利院护理员的心理状态,尤其抑郁症状的防治,为护理员提供良好的社会支持,提高他们的健康商数,从根本上改善护理员的心理健康状况,提高护理员的生活和工作质量。

养老机构护理员照顾失能老人获益体验的质性研究

目的 深入了解养老机构护理员照顾失能老人的获益体验,为养老机构管理者采取措施维持护理员队伍稳定性提供借鉴。方法 采用现象学研究法,以目的抽样法选取某养老机构照顾失能老人的14名护理员为研究对象,并对其进行半结构式访谈,以Colaizzi 7步分析法分析访谈资料。结果 获取5个获益体验主题,分别是物质获益、能力获益、情感获益、精神获益、成长获益。结论 养老机构护理员能从失能老人的照顾工作中获得丰富的获益体验,管理人员可利用其获益体验,增加护理员正向职业感知,稳定养老护理服务队伍。

云南省社区老年人居家护理需求现状调查研究

目的调查分析云南省社区老年人居家护理的需求现状,为开展社区老年人居家护理服务和制定内容规划提供依据.方法编制社区老年人居家护理需求问卷调查表,通过调查人员对105名老年人的健康功能状况、生活状况、居家护理服务需求进行走访调查.结果 76.20%的社区老年人有居家护理服务需求,其中社区老年人对于日常医疗护理需求最高.结论开展社区老年人居家护理服务能够有效加强老年人自我保健意识,提高老年人生存质量,对实现老年人健康养老有着重要的意义.