Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-05-14 Cooperative journals: 《中国全科医学》
Abstract： Day care service is an important component of the community care service system for elderly people with dementia. However，the concept of dementia day care has not been unified，and its connotation and implementation framework have not been clarified，which greatly affects the continuous construction and high-quality service supply of dementia day care service. The Walker classic concept analysis method was used and five attributes of the concept was introduced including（1） daytime intensive，non-residential care；（2）professional coordination and integrated care focused on families with dementia； （3）public respite care support for families with dementia；（4）a crucial complement to high-quality care for dementia；（5） a driving force in promoting a dementia-friendly community. The preconditions of dementia day care include high care needs， weakened family functions and the dominant role of public care，and the consequences involve dementia，family caregivers and social welfare. The implementation factors identification，implementation strategy design，implementation and effect evaluation were carried out respectively using the consolidated framework for implementation research，the replicating effective programs implementation framework and the RE-AIM evaluation framework in the field of implementation science. The specialization， high quality，integrated care，and the philosophy of the friendly community should be highlighted in the future development of dementia day care. The service content，facilities and implementation process need to be improved to promote the quality of dementia day care service.
Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-06-16 Cooperative journals: 《中国全科医学》
Abstract： Background Previous studies have shown that self-rated health would be used as a simple assessment indicator for frailty，and individuals with poor self-rated health status are at higher risk of frailty. However，the association between self-rated health and frailty may be different and the effectiveness of self-rated health in frailty assessment may vary in apathetic older adults. Objective To explore the moderating role of apathy in the association between self-rated health and frailty among community-dwelling older adults，so as to provide theoretical guidance for the application of the self-rated health in the assessment of frailty in apathetic older adults. Methods From November 2021 to March 2022，a total of 384 community dwelling older adults were selected as respondents by convenience sampling method，including 179 cases in Nanjing communities and 205 cases in Donghai Communities. Questionnaire surveys were conducted using the General Information Questionnaire，Fried Frailty Phenotyp（FFP），Geriatric Depression Scale（GDS-3），and the self-reported health（SRH）. Generalized linear model was used to analyze the association between self-rated health and frailty of community-dwelling older adults. The model 1 of the SPSS macro program process compiled by Hayes was used to analyze the moderating role of apathy on the association between the self-rated health and frailty，with simple slope analyze performed and simple slope graphs plotted. Results The median FFP and SRH item scores of 384 community-dwelling older adults were 1.00（2.00）and 4.00（1.00），respectively， with the detection rate of apathy of 55.5%（213/384）. The results of the generalized linear model showed that the relationship between the self-rated health and frailty of community-dwelling older adults was significant（b=0.310，P<0.001）. The results of the moderating effect test showed that apathy played a moderating role in the relationship between self-rated health status and frailty in community-dwelling older adults（b=0.355，t=3.074，P=0.002），and the results of simple slope analysis showed that the simple slope of the non-apathy group and apathy group was 0.100（t=1.209，P=0.228）and 0.455（t=5.206，P<0.001），respectively. Conclusion There is an association between self-rated health and frailty in community-dwelling older adults，and the application of the self-rated health can help community health workers assess frailty in older adults. Apathy plays a moderating role in the relationship between self-rated health and frailty. Compared with the non-apathetic older adults，the association between self-rated health and frailty was significant in apathetic older adults. Strengthening the self-rated health assessment of older adults is beneficial to the identification of their frailty.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-03 Cooperative journals: 《中国全科医学》
Abstract：
Background Self-rated health is negatively related to frailty. The better the self-rated health (SRH) is, the lower the degree of frailty is. The relationship between the two conditions may be different in people suffering from apathy. Objective To explore the moderating effect of the apathy on the relationship between SRH and frailty among community-dwelling older adults. Methods A convenience sampling method was adopted. Fried Frailty Phenotype (FFP), Geriatric Depression Scale (GDS-3), Self-Rated Health (SRH), and demographic information were used to investigate the research question with 384 community-dwelling older adults. Results The strength of the relationship between SRH and frailty was moderated by apathy (B= -0.355，t= -3.074，P< 0.002), such that, apathy strengthened the predictive effect of SRH on frailty. Conclusion SRH is negatively related to frailty. Apathy plays an important positive role in strengthening the negative relationship between SRH and frailty among Chinese community-dwelling older adults.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-12-20 Cooperative journals: 《中国全科医学》
Abstract：
With the increasing aging population in China, older adults’ falls and fall-related injuries have gained increased attention, and preventive guidelines have also been developed and regularly updated. In 2022, The World Falls Guidelines Task Force assembled 96 experts from 39 countries issued the World Guidelines for Falls Prevention and Management for Older Adults. The guideline uses a person-centered approach by taking full account of the needs of older adults on the management of falls and the perceptions and experiences of caregivers and other stakeholders on preventing falls of older adults, as well as the utility of the guideline in various care settings and locations with limited resources. The guideline also incorporates the latest evidence on the use of e-health for fall prevention to provide new clinical recommendations on the screening, assessment, and management of risk for falls among community-dwelling older adults. It also promotes physical activity and falls prevention for all older adults. The current work offers an in-depth interpretation of guidelines and provides practical guidance to Chinese clinicians and community workers for prevention and management of falls in older adults.
Hits
Hits
Downloads
Comment