Purpose This study aimed to examine the direct and indirect effects of general characteristics, basic psychological needs, health promoting behaviors, and emotional status on sleep quality of the older adults with low back pain.
Methods: We conducted a cross-sectional correlational study in B and Y cities between August and September 2020. A total of 217 older adults participated in the study and their general characteristics (age, gender, duration of back pain, pain intensity, disability, perceived health status, risk for malnutrition), basic psychological needs (autonomy, competence, relatedness), health promoting behavior (physical activity, self care), emotional status (depression, quality of life), and sleep quality were measured. Data were analyzed through descriptive analysis, independent t-test, ANOVA with Scheffé post-hoc test, hierarchical multiple regression, and path analysis using SPSS/WIN 22.0 and AMOS 22.0.
Results: The mean age of the participants was 70.31±5.39 years, the pain intensity was 6.40±1.09, and the duration of back pain was 6.69±6.46 years. The significant factors influencing sleep quality were depression (β=.45, p=.001), gender (β=-.22, p=.001), disability (β=.21, p=.003), perceived health status (β=-.21, p=.001), duration of back pain (β=-.20, p=.001), self care on back pain (β=-.15, p=.009), basic psychological needs (β=-.15, p=.001), and risk for malnutrition (β=.03, p=.028).
Conclusion: The findings of this study suggest that special attention is required for older women with high levels of depression and disability due to back pain, especially those with pain duration of less than 5 years or greater than 10 years.
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Purpose The purpose of this study was to verify the effects of a repeated hemodialysis diet education program on dietary knowledge, dietary self-care compliance, and physiological indices in older adults on hemodialysis. Methods This study employed a non-equivalent control group pre-post repeated measures design. Based on Ebbinghaus’ forgetting curve, the experimental group received diet education four times. Data were analyzed by the x 2 -test, t-test, and Fisher’s exact test. A repeated measures ANOVA was used for hypothesis testing. Results There were statistically significant between-groups differences in dietary knowledge by time of assessment, within group differences by time of assessment, and interactions between group and time. Regarding dietary self-care compliance, there were significant within-group differences by time of assessment and interactions between group and time. There were significant within-group changes in inter-dialytic weight gain by time of assessment. For the physiological indices, blood sodium and albumin showed significant within-group changes by time of assessment.
Phosphorus and blood urea nitrogen scores showed significant within-group changes. For blood potassium concentration, there was a significant difference in interactions between group and time. Conclusion Owing to the resulting improvements in dietary knowledge and self-care compliance, the repeated education program applied in this study can be used as a preventive measure for complications in older adults on hemodialysis.
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PURPOSE The purpose of this study was to systematically review the effects of cognitive-based interventions on the cognitive function of older adults with mild cognitive impairment and conduct a meta-analysis to present basic data based on objective evidence. METHODS This study analyzed the effects on older adults' cognitive function based on 21 studies using randomized controlled trials of cognitive-based interventions from 2000 to 2017. RESULTS The results demonstrated that the cognitive-based interventions showed statistically significant effects on language, global cognitive function, executive function, memory, visuospatial ability, and attention. All of them showed a medium effect size. CONCLUSION A cognitive-based intervention for older adults with mild cognitive impairment needs to be systematically and continuously applied to improve cognitive function. Such interventions can delay and prevent the progress of dementia, which will help in reducing the socioeconomic burden associated with it. In the future, it is necessary to study further, the various variables involved in continuous cognitive training programs.
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PURPOSE Although there is a high incidence of delirium with increased age, the risk factors have been too various. We investigated the incidence and risk factors in the older inpatient with neurological disorders. METHODS We reviewed the Electronic Medical Records (EMR) of older patients admitted to a neurology unit from August 2016 to January 2017. We analyzed the incidence and risk factors of delirium in 382 patients in a tertiary hospital. Delirium was determined daily using the Nursing Delirium Screening Scale (Nu-DESC). Demographic, disease, and environmental characteristics were obtained by using structured EMR data. RESULTS The incidence rate of delirium was 6.0% (n=23). Delirium was prevalent in patients who were older, had a lower serum hemoglobin, had hypertension or had diabetes mellitus. Delirium was also observed in patients on antibiotics, having a higher number of drugs or catheters, or receiving mechanical monitoring. A longer hospital stay, being admitted to a sub-intensive care unit, and sleep deprivation were significantly associated with delirium. Multiple logistic regression analysis found older age, having sleep deprivation, a higher number of catheters placed, and having diabetes mellitus to be significant predictors of delirium. CONCLUSION This study shows that age, sleep deprivation, number of catheters, and comorbidity of diabetes mellitus were identified as a risk factor for delirium. And it will guide the development of algorithms through its possible applications for the future in hospitalized older adults.
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PURPOSE This study was to explore the predictors of subjective well-being of Korean older adults. METHOD: Data were collected through the structured interview using questionnaire with 199 older adults over 60 years. To identify the most effective predictor of the SWB, a stepwise regression analysis was conducted on each subscale of SWB measure. RESULTS: The results showed that receiving support from family was the effective factor of life satisfaction. Receiving support from family, health, optimism, economy, positive reappraisal, and giving support to family were the effective factors of emotional well-being. CONCLUSION: This study found that family support was the most important predictor on SWB among Korean older adults.
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