The status and predictors of self‐care among older adults with hypertension in China using the Chinese version of Self‐Care of Hypertension Inventory – A cross‐sectional study

Abstract Background Family doctor policy is an important part of deepening healthcare reform in China. The study aimed to explore the association between cardiovascular-metabolic multimorbidity and the status of signing a contract for family doctor services among the older people in rural Shandong, China. Methods A cross-sectional study was conducted in 3 cities of Shandong province, China. A total of 1395 rural residents over 60 years of age were included in this study using a multistage stratified random sampling method. Covariates included demographic and socioeconomic characteristics, health-related characteristics, health service utilization, and awareness of family doctor contract services. The univariate and multivariate regression logistic analysis was used to analyze the data. Results There were 28.2% of the rural older people contracted for the family doctor contract services. The contract rate of seniors with cardiovascular-metabolic multimorbidity was statistically higher than those without cardiovascular-metabolic multimorbidity (OR = 1.67, 95%CI, 1.21-2.32) after controlling for confounding factors. In addition, occupation, physical activities, self-rated health status, distance from the village clinic, the awareness of family doctor contract services were found to be associated with the signing behavior among the rural older adults. Conclusion This study demonstrated that the rural older people with cardiovascular-metabolic multimorbidity had a higher family doctor contract rate than those without cardiovascular-metabolic multimorbidity, and there was a gap between the current signing rate and the policy goal. To increase the rate of signing for family doctor contract services, the government should take joint efforts to expand the publicity and coverage, and give priority to meeting the healthcare demands of rural older adults with cardiovascular-metabolic multimorbidity.

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Self-care difficulties and reliance on support among vulnerable middle-aged and older adults with chronic conditions: A cross-sectional study

Maturitas ◽

10.1016/j.maturitas.2017.06.030 ◽

2017 ◽

Vol 104 ◽

pp. 1-10 ◽

Cited By ~ 4

Author(s):

Matthew Lee Smith ◽

Caroline D. Bergeron ◽

Seth D. Riggle ◽

Lu Meng ◽

Samuel D. Towne ◽

...

Keyword(s):

Older Adults ◽

Chronic Conditions ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Middle Aged ◽

Cross Sectional

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Factors Affecting Self-Care Among Hypertensive Older Adults Dwelling in the Community: A Cross-Sectional Study

10.21203/rs.3.rs-453101/v1 ◽

2021 ◽

Author(s):

Soo Youn Jung ◽

Kyoung Ja Moon

Keyword(s):

Older Adults ◽

Cognitive Function ◽

Health Behavior ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

Diet Behavior ◽

Behavior Scale

Abstract Background: Hypertension is a prevalent health problem in older adults, with better outcomes expected through proper self-care. However, little is known about the effects of cognitive function level on self-care in older adults living in the community. Methods: This cross-sectional study, conducted from October 2019 to January 2020, analyzed the effect of cognitive function on self-care in elderly individuals aged > 65 years with hypertension who visited a local general hospital for the treatment of hypertension. The Korean versions of the Mini-Mental State Examination (K-MMSE) and Montreal Cognitive Assessment (MoCA-K) were used to assess cognitive function. The Hypertension Self-Care Behavior Scale (HBP-SC Behavior Scale) was used to analyze the subjects’ self-care, which was divided into diet behavior and health behavior (except diet). The general characteristics and degrees of self-care of the subjects were analyzed using descriptive statistics, and multiple regression analysis was used to analyze the factors affecting self-care. Results: Factors influencing HBP-SC diet behavior scores were religion (β =.27, SE = 0.69, p =.007) and MoCA-K scores (β =.31, SE = 0.08, p = .002). HBP-SC health behavior (except diet) scores were associated with comorbidities (β = −.20, SE = 0.60, p = .032), and the power of the model was 20%. However, there were no variables that significantly affected the total HBP-SC score, which included the diet behavior and health behavior (except diet) scores. Conclusions: Although there was no significant factor influencing the total HBP-SC score, religion, MoCA-K scores, and comorbidities were factors influencing diet behavior and health behavior (except diet). Therefore, tailored education takes into account religion, MoCA-K domains, and comorbidities is necessary to promote self-care in hypertensive older adults.

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Usability of a tablet computer designed for older adults: a qualitative approach based on an intra-hospital living-lab for healthcare (Preprint)

10.2196/preprints.25186 ◽

2020 ◽

Author(s):

Guillaume Sacco ◽

Pauline Carliez ◽

Frédéric Noublanche ◽

Romain Simon ◽

Anne Renaudin ◽

...

Keyword(s):

Older Adults ◽

Geriatric Patients ◽

Healthcare Professionals ◽

Cross Sectional Study ◽

Satisfaction Score ◽

Tablet Computer ◽

Sectional Study ◽

Cross Sectional ◽

System Usability Scale ◽

Perceived Usability

BACKGROUND Usability is the keystone in the evolution of tablet technology in healthcare. The Ardoiz® tablet has been designed with a simplified interface for older adults. OBJECTIVE To assess the perceived usability and satisfaction of the Ardoiz® tablet. METHODS We conducted a mixed methods with cross-sectional study using System Usability Scale (SUS), satisfaction score and workshops, including geriatric patients, healthcare professional and caregivers. RESULTS Between September 25, 2019 and March 11, 2020, 58 participants were included in a cross-sectional study (including 38 patients, mean ±SD 85±6 years, 66% women), 26 in workshops (including 5 patients, mean ±SD 86.4±2.9, 40% women). The SUS was 74±12/100, the satisfaction score was 2.8±0.9/4, with 59% of satisfied participants with the use of Ardoiz® pads. The intent to acquire remained low with 18% (n=6) of participants who would be interested in acquiring the tablet. This tablet computer seemed to be difficult to use by geriatric patients and healthcare professionals, mainly because of its complex homepage. Nevertheless, former caregivers and healthcare professionals thought that the tablet could be of great interest to hospitals for leisure and medical use. The main feedback in order to improve the tablet is to simplify the home page with fewer and more static icons (without switching). CONCLUSIONS Notwithstanding the usability of the tablet, the intent to acquire of Ardoiz® tablet remained low. The interface should be simplified for older adults in order to improve usability and adherence. CLINICALTRIAL NCT04091152

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Knowledge and attitude of nursing students regarding older adults' sexuality: A cross-sectional study

Nurse Education Today ◽

10.1016/j.nedt.2020.104643 ◽

2021 ◽

Vol 96 ◽

pp. 104643

Author(s):

Vivian F.C. Wilschut ◽

Birgit Pianosi ◽

Harmieke van Os-Medendorp ◽

Henk W. Elzevier ◽

Jan S. Jukema ◽

...

Keyword(s):

Older Adults ◽

Nursing Students ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Knowledge And Attitude

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Psychometric properties of the Chinese version of the Center for Epidemiologic Studies Depression Scale-Revised in patients with cancer: A cross-sectional study

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2019.04.008 ◽

2019 ◽

Vol 97 ◽

pp. 14-20

Author(s):

Jie Li ◽

Fengling Zhao ◽

Huayu Bai ◽

Pingzhen Lin ◽

Di Shao ◽

...

Keyword(s):

Psychometric Properties ◽

Depression Scale ◽

Cross Sectional Study ◽

Epidemiologic Studies ◽

Chinese Version ◽

Sectional Study ◽

Cross Sectional ◽

Patients With Cancer

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Prevalence of disabilities and non-communicable diseases in an elderly population in the Telangana state, India: a population-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-041755 ◽

2021 ◽

Vol 11 (2) ◽

pp. e041755

Author(s):

Srinivas Marmamula ◽

Satya Brahmanandam Modepalli ◽

Thirupathi Reddy Kumbham ◽

Rajesh Challa ◽

Jill E Keeffe

Keyword(s):

Elderly Population ◽

Self Care ◽

The Elderly ◽

Population Based ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Self Report ◽

Sectional Study ◽

Cross Sectional ◽

Non Communicable Diseases

ObjectivesTo assess the prevalence of disabilities (vision, hearing, mobility, cognitive, self-care and communication) and non-communicable diseases (NCDs) among the elderly population in two districts in Telangana, India.DesignPopulation-based cross-sectional study using a cluster random sampling method to select the study clusters.SettingElderly population in Khammam and Warangal districts were recruited. Detailed interviews were conducted by trained community health workers. Personal and demographic information such as age, gender, level of education and a self-report of NCDs was collected. The Washington Disability Questionnaire was administered to assess the presence of disabilities.Participants1821 participants aged ≥60 years, 54.5% were women, and 73.3% had no education.Primary outcome measurePrevalence of disabilities and NCDs.ResultsOverall, the prevalence of at least disability was 20.3% (95% CI 16.3 to 24.9). The prevalence of self- reported disabilities were: seeing (5.9%; 95% CI 4.4 to 7.8), mobility (12.8%; 95% CI 9.7 to 16.8), hearing (3.6%; 95% CI 2.7 to 4.8), cognition (4.8%; 95% CI 3.5 to 6.7), self-care (3.3%; 95% CI 2.3 to 4.7) and communication (1.8%; 95% CI 1.2 to 2.6). Overall, the prevalence of at least one NCD was 34.2% (95% CI 30.9 to 37.7). Hypertension was the most common systemic condition (25.4%; 95% CI 22.4 to 28.7), followed by diabetes (9.0%; 95% CI 7.3 to 11.0), and body pains (muscle-skeletal) (9.9%; 95% CI 8.1 to 12.2).ConclusionEvery fifth elderly person in the districts of Khammam and Warangal in Telangana had at least one self-reported disability. Besides, a third of the elderly had at least one NCD. There is a definite need to develop comprehensive public health strategies to address disabilities and NCDs in Telangana.

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