Elderly Nursing Research Articles

Necessity of Considering Local Culture in Elderly Nursing:

Necessity of Considering Local Culture in Elderly Nursing:

Long-term care Employment Intention of Elderly Nursing College Students

Long-term care Employment Intention of Elderly Nursing College Students

The Effect of Laughter Yoga on the Quality of Life of Elderly Nursing Home Residents

Background: Old age is associated with the physical and psychological problems that affect the Quality of Life (QoL). Objectives: This study aimed to investigate the effect of Laughter Therapy (LT) on the QoL of elderly people in nursing homes. Materials & Methods: This was a quasi-experimental study with‌ pre-test and post-test with the control and experimental group and one-month follow-up conducted in 2017. The statistical population consisted of 44 elderly people in the Mehr Aein nursing home in Astaneh-ye Ashrafiyeh City, Iran. Based on the inclusion criteria, 32 old people were selected and randomly assigned to experimental ‌(n=16) and control (n=16) groups. The experimental group received an interventional program consisting of Madan Kataria Laughter Therapy, showing comic films, and reading comic books for one month, over 12 sessions of 100 minutes. After the end of laughter intervention, the elderly of both groups responded to the elderly quality of life questionnaire (LIPAD). The obtained data were analyzed using covariance analysis of repeated measures. Results: There was a significant difference between the two groups with regard to their QoL‌ (P<0.01).‌ That is, the adjusted mean of the experimental group in the QoL was significantly higher than the mean of the control group‌ (P<0.01). Also, in the experimental group, the mean follow-up score was higher than the mean score of the pre-test, which indicates the stability of the intervention effects after one month‌ (P<0.01). Conclusion: Laughter Therapy intervention has a positive effect on improving the QoL of the elderly. Therefore, it is necessary that authorities consider this program at nursing home centers as a complementary method besides the existing treatments for reducing the mental health problems and improving the QoL of the elderly.

Perlakuan Pengabaian Pada Lansia Selama Menjalani Kehidupan Masa Tua di Panti Sosial Tresna Werdha (PSTW)

Elderly people are vulnerable to violent behavior, forms of violence experienced by elderly people who living in the old age homes, one of which is the neglect. Behavior neglect of the elderly were found in the nursing home, suggests that there is a failure to provide elderly services needed by the caretaker. The purpose of this study to gain an overview of the behavior of the neglect of the elderly for living a life in old people’s homes. This study used a qualitative method with descriptive phenomenology approach. Participants in this study consisted of six elderly people who live in institutions. Data were collected through interviews in accordance with the purpose of research, and analysis of data from interviews using the analysis stage by Collaizi. The findings of this research, there are three themes, namely a decrease in self-reliance as a risk factor for neglect treatment, the unmet need by operators as a form of neglect in nursing, repression and suppression is an adaptive response to the neglect. The treatment of the neglect will affect the psychological condition of the elderly, which will ultimately affect th e health of the elderly. For that carers are expected to provide better services, provide a full treatment of attention and affection so that quality of life of the elderly in nursing can be achieved. Recommendations from this study, the nurses, especially nurses psychiatric specialist can pay attention, to detect as early as possible behavioral changes experienced by the elderly and implement appropriate therapy spsesialis nurses with nursing diagnoses were found.
 
 Keywords: Elderly, Nursing home, Neglect.

Case Analysis and Usability Evaluation for Space Regeneration of the Elderly Nursing Home in Response to Population Change

Case Analysis and Usability Evaluation for Space Regeneration of the Elderly Nursing Home in Response to Population Change

The Effects of an Advanced Movable Restraint Design on the Elderly Residents at Long-Term Care Facilities in Taiwan

Purpose: The purpose of this study was to evaluate the effects, both initially and after 6 months, of an “advanced movable restraint” with openended palm sleeve restraint bands for the elderly residents at long-term care facilities in northern Taiwan. Background. Elderly residents in long-term care facilities are often forced to remain bed-ridden by traditional bed restraint bands due to their irritable, confused conditions and the associated risks of self-extubating their nasogastric (NG) tubes, urinary catheters, etc. However, the traditional bed restraint bands can themselves lead to further physical and mental complications such as skin damage, depression, hostility, and even rhabdomyolysis, increasing the risk of death. Design. Quasiexperimental design. Methods: This parallel-design study was conducted with elderly residents at eight long-term care facilities. The newly designed advanced movable restraint featuring movable open-ended palm sleeve restraint bands was applied to the elderly residents in the experimental group, allowing them greater freedom of movement such that they were not required to remain bed-ridden. In contrast, the elderly residents in the control group were restrained with traditional bed restraints requiring that they remain bedridden. The following four instruments and indicators were then used to compare the effects of the two types of restraints: (1) an activities of daily living (ADL) survey based on the Barthel Index, (2) a muscle power test, (3) an exercise frequency and duration survey, and (4) self-extubation rates. The effects of the interventions were tested by using the t test or chi-square test to compare pre-test results for the ADL survey, muscle power test, exercise frequency and duration survey, and self-extubation rates to those at a 6-month follow-up. Results: A total of 80 elderly residents were included in the experimental group, while 80 elderly residents were included in the control group. At the 6-month follow-up, the residents restrained with the advanced movable restraint had a significantly increased mean muscle power score (χ2 =17.212, P < 0.001), significantly decreased self-extubation rate (χ2 =40.733, P < .001), and significantly increased exercise frequency and duration per week (χ2=27.095 P < 0.001; 26.241 P < 0.001). Conclusions: This study showed that the advanced movable restraint can improve muscle power scores, self-extubation rates, and exercise frequencies and durations by allowing residents greater freedom of movement without the need to remain bed-ridden. It is thus crucial to use such advanced movable restraints and develop standardized technology systems to support the elderly residents and nurses in long-term care facilities.

The Influence of Self-efficacy and Activities of Daily Living on Depression among Elderly Nursing Home Residents

Purpose: This purpose of this study was to examine the effects of self-efficacy and activities of daily living on the level of depression among elderly nursing home residents. Methods: A descriptive study was conducted using a self-reported questionnaires completed by 163 elderly. Data were analyzed using t-test, one-way ANOVA, Scheff? test, Pearson correlation coefficients, and multiple regression analysis using SPSS 20.0. Results: The mean score for depression was 9.24, for self-efficacy 3.19, and for activities of daily living 1.85. Stepwise multiple regression analyses were used to examine the influences of research variables. Activities of daily living and self-efficacy were significant predictors of depression. The model explained 24.0% of the variables. Conclusion: As a result of this study, the activities of daily living and self-efficacy were defined as an important influential on depression. Therefore, the development nursing intervention programs is needed to reduce depression levels in the elderly to enhance daily living activities and self-efficacy.

Effects of homogeneity management in elderly chronic pain nursing

Objective To explore the effects of homogeneity management in elderly chronic pain nursing. Methods In Mindong Hospital, Affiliated to Fujian Medical University, we selected 84 elderly patients with chronic pain by convenience sampling as observation group from June 2016 to May 2017 carrying out chronic pain nursing homogeneity management. And we selected 84 patients as control group from January 2015 to May 2016 implementing conventional nursing. The Visual Analogue Scale (VAS) , satisfaction questionnaire and Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) were used to compare the pain, satisfaction with nursing and life quality of patients between two groups. Results The score of VAS of patients in observation group and control group was (2.09±0.55) and (3.47±0.53) respectively 30 days after intervention with a significant difference (t=16.559, P<0.01) . The satisfaction with nursing of observation group and control group was 92.86% and 67.86% respectively with a significant difference (χ2=16.630, P<0.01) . The dimensions scores of SF-36 of patients in observation group were significantly higher than those in control group three months after intervention (P<0.05) . Conclusions Application of homogeneity management has an ideal effect in elderly chronic pain nursing. It can effectively ease patients' pain and improve patients' satisfaction with nursing as well as life quality. Key words: Aged; Quality of life; Chronic pain; Homogeneity management

Mini Nutritional Assessment and its Correlation With Elderly Nursing Home Residents in Khorramabad, Iran

Mini Nutritional Assessment and its Correlation With Elderly Nursing Home Residents in Khorramabad, Iran

日本最初の盲人専用老人ホーム「慈母園」の設立過程

日本最初の盲人専用老人ホーム「慈母園」の設立過程

The Prevalence of Sarcopenia in Chinese Elderly Nursing Home Residents: A Comparison of 4 Diagnostic Criteria

ObjectivesTo investigate the prevalence and associated factors of sarcopenia defined by different criteria in nursing home residents. DesignA cross-sectional study. SettingFour nursing homes in Chengdu, China. ParticipantsElderly adults aged 65 years or older. MeasurementsWe applied 4 diagnostic criteria [European Working Group on Sarcopenia in Older People (EWGSOP), Asia Working Group for Sarcopenia (AWGS), International Working Group on Sarcopenia (IWGS), and Foundation for the National Institutes of Health (FNIH)] to define sarcopenia. Muscle mass, strength, and function were measured based on bioimpedance analysis, handgrip strength, and walking speed, respectively. Nutrition status, activities of daily living, calf circumference (CC), and other covariates were evaluated. ResultsWe included 277 participants. The prevalence of sarcopenia was 32.5%, 34.3%, 38.3%, and 31.4% according to the EWGSOP, AWGS, IWGS, and FNIH criteria, respectively. Fifty-eight participants (20.9%) were sarcopenic by all the 4 criteria. Regardless of the diagnostic criteria of sarcopenia, malnutrition was independently associated with sarcopenia [EWGSOP: odds ratio (OR) 4.02, 95% confidence interval (CI) 1.05-15.39; IWGS: OR 2.46, 95% CI 1.23-4.90; AWGS: OR 3.29, 95% CI 1.49-7.28; FNIH: OR 4.52, 95% CI 1.28-16.00], whereas CC was negatively associated with sarcopenia [EWGSOP: OR per standard deviation (SD) 0.32, 95% CI 0.20-0.52; IWGS: OR per SD 0.26, 95% CI 0.15-0.43; AWGS: OR per SD 0.32, 95% CI 0.19-0.52; FNIH: OR per SD 0.39, 95% CI 0.25-0.60]. Furthermore, falls ≥1 time in the past year were associated with AWGS-defined sarcopenia (OR 2.92, 95% CI 1.04-8.22). Conclusion/ImplicationsSarcopenia is highly prevalent in elderly Chinese nursing home residents regardless of the diagnostic criteria. Malnutrition and CC are associated with sarcopenia defined by different criteria. Therefore, it is important to assess sarcopenia and malnutrition in the management of nursing home residents. Prospective studies addressing the outcomes of sarcopenia in nursing home residents are warranted.

Relationship between occlusal force and falls among community-dwelling elderly in Japan: a cross-sectional correlative study

BackgroundFalls may cause serious health conditions among older population. Fall-related physical factors are thought to be associated with occlusal conditions. However, few studies examined the relationship between occlusal force and falls. To identify the association between occlusal force and falls among community-dwelling elderly individuals in Japan, public health nurses conducted a cross-sectional descriptive study.MethodsWe performed extensive physical assessments of five items: maximum occlusal force, handgrip strength, maximal knee extensor strength, one-leg standing time with eyes open and body sway. We also conducted a questionnaire survey concerning the participants’ demographic characteristics, health status and fall experience during the past year. Mean scores and standard deviations were calculated for age and the total points of the index of activities of daily living. Associations were examined using Mann-Whitney tests and logistic regression.ResultsWe examined 159 community-dwelling people aged ≥65 years, who were independent and active, including 38 participants (24.5%) with experience of falls in the past year. Maximum occlusal force had significant correlation with handgrip strength, maximal knee extensor strength, and one-leg standing time and body sway (P < .05, respectively). We found weak associations between participants with and without a history of falls in terms of the five physical measurements. Logistic regression analysis showed that fall experience was significantly associated with maximum occlusal force (P = 0.004).ConclusionsThis is the first study, led by public health nursing researchers, to examine the associations between maximum occlusal force and falls among community-dwelling elderly in Japan. The results showed that maximum occlusal force was significantly related to the other four extensive physical assessments, and might also suggest that maximum occlusal force assessment by public health nurses could contribute to more sophisticated and precise prediction of fall risks among the community-dwelling elderly. The latest occlusal force measurement device is non-invasive and easy to use. Public health nurses can introduce it at periodical community health checkup assembly events, which might contribute to raising awareness among community-dwelling elderly individuals and public health nurses about fall prevention and prediction.

HU2 - Cognitive Decline with Anticholinergic Medication Use Among Elderly Nursing Home Residents with Depression

HU2 - Cognitive Decline with Anticholinergic Medication Use Among Elderly Nursing Home Residents with Depression

Outpatient Emergency Care for Nursing Home Residents: A Status Quo From a Nursing Perspective

At present about 2 million people need care in Germany, about one third of them live in old people's homes or nursing homes. Outpatient emergency care of nursing home residents is ensured by primary care physicians, the medical emergency service and the emergency services. Emergency care has rarely been examined from the perspective of nurses. Therefore, in our study, we investigated how the nurses perceive medical care in medical emergencies and what suggestions for improvements they have. In 2015/16, guided interviews with a total of 13 females and one male elderly care nurses in northern Rhineland-Palatinate were conducted. The interviews were digitally recorded and literally transcribed. Evaluation was performed using the qualitative content analysis Mayring with MAXQDA® 12. In the case of an acute deterioration in the general condition of a resident, the family doctor in charge was first called in. It was difficult for the nursing staff to contact the physician in charge during consultation hours. The quality of the emergency care was dependent on the respective practice structure. Outside the opening hours of the surgery, the emergency medical service took over care of the patients. These doctors did not know the patients, which, from the point of view of the nursing care, was a burden for the residents since they had to face new doctors. Emergency physicians have long access routes, which led to delays, even in emergencies. Some nurses wanted the "old system" back, where the home care physicians were also available over the weekend by telephone. Overall, the request was a better care of residents. GPs are the main contact persons for medical emergencies for the nursing staff. However, most physicians are only available during office hours. From the point of view of care, it would make sense to create incentives for the general practitioners to be available for emergencies even outside their consulting hours.

The present situation and analysis of the countermeasures of endowment caregivers and their professional cognition in China

This paper reviews the present situation and analysis of the countermeasures of endowment caregivers and their professional cognition in China and puts forward the corresponding countermeasure.This paper briefly describes the current endowment nurse team, analyzes the current situation of endowment nurse career cognition, including the lack of professional identity, lack of high-level goals, lack of professional knowledge.This paper suggestted to strengthen the policy support, education training and cultivation of a positive professional identity and right professional values, so as to improve the cognition level of endowment nurse career, improve the old-age care service quality, and to better satisfy the increasing needs of the elderly endowment nursing. Key words: Nursing institutions; Nursing staff; Occupational cognition

The Elderly Nursing Personnel According to Ergonomic Aspects

This study aims to analyze elderly nursing professionals aged 60 or over who are active in the nursing profession and to identify the socio-demographic data and the agents that provide ergonomic risks that are submitted to nursing professionals in performing their activities Within a hospital unit. The number of elderly people has increased significantly in Brazil, so it will be common to find elderly nursing professionals, who continue to work in hospital units. The methodology used was a qualitative-quantitative research, of the descriptive type, exploratory through questionnaires of closed questions. Four nursing assistants and two nursing technicians participated in the study. The results showed that all the interviewees are female, who did not receive educational training on ergonomic risks during all the nursing years.

Attitudes toward Caring for the Elderly and Geriatric Nursing Practice of Nurses in a General Hospital

Attitudes toward Caring for the Elderly and Geriatric Nursing Practice of Nurses in a General Hospital

Development of a Care Management Capability Self-evaluation Form for Nurses Working as Care Managers in Special Elderly Nursing Homes

Development of a Care Management Capability Self-evaluation Form for Nurses Working as Care Managers in Special Elderly Nursing Homes

Study of End-of-Life Care in a Special Elderly Nursing Home

Study of End-of-Life Care in a Special Elderly Nursing Home

Serum Cardiac Troponin T Levels in Asymptomatic Elderly Nursing Home Residents

BackgroundThe definition of myocardial infarction relies on elevated troponin levels. However, elevated levels of high sensitive cardiac troponin (hs-cTnT) assays have been reported in elderly patients without acute myocardial infarction. We sought to determine whether elevated hs-cTnT levels have a prognostic value in stable elderly subjects without any acute illness. MethodsThe study cohort included residents of a nursing home who were asymptomatic without any acute medical problem. Serum hs-cTnT levels were measured, and participants were divided into high and low hs-cTnT groups. We measured hs-cTnT levels of young healthy volunteers as well and compared them with hs-cTnT levels of those nursing home residents. ResultsFifty-seven nursing home residents and 14 young volunteers were included in the study. The average age of nursing home residents was 83 ± 14 years, compared with 37 ± 3 years of the volunteers. Levels of hs-cTnT were significantly higher in the elderly compared with the volunteers (0.02 ± 0.016 ng/mL vs 0.005 ± 0.0003 ng/mL; P < .001); accordingly, we chose a cutoff of 0.02 ng/mL hs-cTnT and divided the 57 patients into 2 subgroups for further evaluation. After adjustment for age, gender, and glomerular filtration rate, the hs-cTnT was still an independent predictor of 1-year mortality (relative risk 2.04 [95% conficence interval, 2.009-29.45], P = .003). ConclusionsMild elevations of hs-cTnT levels are common in elderly patients, and hs-cTnT level is an independent marker of mortality risk in this population. For patients older than 70 years, a different hs-cTnT cutoff is required (eg, higher than 0.014 ng/mL).