Health Care for the Older Person

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    老年痴呆患者家庭照护者负担及其应对策略
    (Zhongguo Laonian Xuehui, 2014) Wang (RN), Jing ; Xiao, Lily Dongxia ; He, Guo-Ping
    【摘要】:正老年痴呆主要包括阿尔茨海默病和血管性痴呆,患者表现为认知功能损害和精神行为症状,最终生活无法自理,不仅严重影响患者的生活质量,也给家庭和社会带来沉重的负担〔1〕。由于照护的性质,如照护者需要24 h不间断地看护痴呆症老人以及在应对痴呆症老人精神和行为症状过程中的困难,照护居家痴呆症老人被公认为是一项极具挑战性的工作〔2,3〕。各种并发症如尿失禁、压力性溃疡、跌倒及营养不良所致的髋关节骨折等进一步加重了痴呆老人的照护需求。据文献报道,高达.
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    教育干预对护士预防老年住院患者跌倒知识和态度及行为的影响研究
    (China Academic Journal Electronic Publishing House, 2013) He, HY ; Liu, H ; Shen, Jun ; Xiao, Lily Dongxia
    目的 对临床护士实施预防老年住院患者跌倒教育干预,评价干预措施对护士预防老年住院患者跌倒知识、态度、行为的影响.方法 采用方便抽样法,选取参加我市2012年老年护理继续教育培训大会的74名护士为研究对象,通过一系列教育干预,对比干预前后护士在预防老年住院患者跌倒知识、态度、行为等方面的改变,评估干预措施的效果.结果 74名护士均对培训满意;培训前护士预防老年人跌倒知识的中位得分18分,培训后中位得分26分,培训前后得分间差异有统计学意义(Z=-7.270,P=0.000).干预前后护士对老年人的总体态度和消极态度得分间差异均有统计学意义(P<0.05),但积极态度间差异无统计学意义(P>0.05).179份(95%)问卷明确表示护士在工作中运用了培训所学的知识.结论 对临床护士进行有组织、有计划的教育干预能改善护士对待老年人的态度,提高护士预防与处理老年住院患者跌倒的知识水平,并能对护士预防和处理老年住院患者跌倒的行为产生积极影响. English Abstract: The purpose of the clinical nurses fall prevention educational intervention in elderly hospitalized patients, evaluation of interventions for prevention nurse falls in elderly inpatients impact of knowledge, attitude and behavior. Methods convenience sampling method, choose to participate in the city in 2012 aged care continuing education and training of the General Assembly 74 nurses for the study, through a series of educational intervention, nurses change in the prevention of falls in elderly hospitalized patients with the knowledge, attitude, behavior, and to assess the effect of interventions before and after the intervention results 74 nurses were satisfied with the training; former training Prevention of falls among the elderly nurse median knowledge score 18 points, the median score after 26 minutes of training, before and after the training had a significant difference between scores (Z = -7.270, P = 0.000). The overall attitude of nurses before and after the intervention of the elderly and negative attitude scores were statistically significant differences between (P <0.05), but the difference between a positive attitude no significant (P> 0.05) .179 parts (95%) used the questionnaire made it clear that nurses have learned on the job training knowledge. Conclusion clinical nurses organized and planned educational intervention can improve the nurse's attitude towards the elderly, to improve the prevention and treatment of nurses falls in elderly inpatients level of knowledge, and is able to nurse the prevention and treatment of falls in elderly inpatients behaviors have a positive impact.
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    影响一年级本科护生从事老年护理工作的因素
    (Zhongguo Laonian Xuehui, 2013) Shen, Jun ; Xiao, Lily Dongxia ; Wu
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    发展性案例讨论法在中国老年护理继续教育中的应用
    (Zhongguo Laonian Xuehui, 2012) Xiao, Lily Dongxia ; Shen, Jun ; Liu, H
    【摘要】 <正>20世纪90年代,老年护理学才陆续被我国多所护理高等院校列为必修课程。这就造成大多数护士缺乏系统的老年护理知识〔1〕,因此,举办各种类型的老年护理继续教育,提高护士老年护理知识和技能尤为重要。国家卫生部于1997年颁发了《继续护理教育暂行规定》和《继续护理学教育学历授予试行办法》,对继续护理学教育的对象、时间、内容和形式都作了详 English Abstract : in the 1990s, before being gerontological nursing is a compulsory course of more than nursing colleges. This has resulted in the majority of aged care nurses lack of systematic knowledge [1], therefore, held various aged care continuing education, to improve the knowledge and skills of nurses aged care is especially important. Ministry of Health issued the "Interim Provisions continuing nursing education" and "continuing nursing education qualifications awarded pilot scheme", for the object of continuing nursing education, time, content and form have been detailed in 1997
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    以人为中心照护服务测评量表的研究进展
    (China Academic Journal Electronic Publishing House, 2013) Wang, Yan-Jiang ; Xiao, Lily Dongxia ; Wang (RN), Jing ; De Bellis, Anita Marie ; He, Guo-Ping
    【摘要】目前以人为中心的照护服务被广泛应用于医疗护理领域,国内外常用的以人为中心照护服务的测评量 表主要有两大类: 针对老年痴呆症患者的评定量表和用于老年护理的普适性量表。本文就以人为中心照护服务的测评 工具在老年护理和痴呆症照护中的应用及研究进展进行综述。应加强以人为中心照护服务测评量表的研究,发展并制 定出适合我国国情的量表,才能更好地评价照护服务的质量,同时为制定干预策略提供依据。 Abstract: Person - centered care is used widely in the field of medical care at present. There are mainly two categories of person - centered care assessment tools. One category is for the Alzheimer's disease,and the other is for the elderly care. In this paper we review the application of the person - centered care assessment tools in the elderly care and care for the patients with Alzheimer's disease,and the progress in research of the tools. It is necessary to enhance the research on person - centered care assessment tools so as to develop the tools that are suitable for our national conditions in order to assess the quality of care better and provide basis for the intervention.
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    Prevalence of faecal incontinence in community-dwelling older people in Bali, Indonesia
    (John Wiley & Sons, 2014-04-14) Suyasa, I Gede Putu Darma ; Xiao, Lily Dongxia ; Lynn, Penelope Ann ; Skuza, Pawel Piotr ; Paterson, Janice Betty
    Aim To explore the prevalence rate of faecal incontinence in community-dwelling older people, associated factors, impact on quality of life and practices in managing faecal incontinence. Method Using a cross-sectional design, 600 older people aged 60+ were randomly selected from a population of 2916 in Bali, Indonesia using a simple random sampling technique. Three hundred and three participants were interviewed (response rate 51%). Results The prevalence of faecal incontinence was 22.4% (95% confidence interval (CI) 18.0–26.8). Self-reported constipation (odds ratio (OR) 3.68, 95% CI 1.87–7.24) and loose stools (OR 2.66, 95% CI 1.47–4.78) were significantly associated with faecal incontinence. There was a strong positive correlation between total bowel control score and total quality-of-life score (P < 0.001, rs = 0.61) indicating significant alterations in quality of life. The current management practices varied from changing diet, visiting health-care professionals, and using modern and traditional medicines. Conclusion Faecal incontinence is common among community-dwelling older people in Bali.