黑龙江省617例城乡老年人社会支持状况调查

目的：通过对哈尔滨市和绥化市老年人社会支持状况调查、分析,了解老年人社会支持现状,为制订相关政策提供科学依据。方法：应用社会支持评定量表（SSRS）,采取入户方式调查老年人社会支持状况。结果：把居住环境、年龄、文化程度因素分组,分析老年人社会支持的差异,结果显示个别组间的社会支持总分、客观支持得分、主观支持得分及支持利用度得分有差异。结论：完善社会福利和医疗保障体制、提供实际的物质支持、建立完善的社会化养老服务、提供日常照料以及不同方式的情感慰籍,可改善老年人的社会支持状况,增强老年人晚年生活的幸福感。     

Investigation on the sleep quality of military retired cadres

ObjectiveTo investigate the insomnia incidence and treatment status of military retired cadres and offer an instruction for their health care.MethodsWe designed a questionnaires composed of general information, health-related factors, diseases, etc. Insomnia manifestations included regular sleep time, shorten sleep time and extent, time of falling asleep, sleep quality, difficultly returning to sleep after awakening at mid-night, insomnia time, etc.ResultsA total of 4759 questionnaires (94.2%) were reclaimed. Dyssomnia was found in 1843 persons (38.7%), including 1006 cases of transient insomnia (44.0%) and 837 cases of acute insomnia (36.6%).ConclusionAbout one third of the examined military retired cadres have sleep problems, so they should enhance the health care consciousness and receive proper nurse and treatment.     

Sex differences in denture satisfaction

OBJECTIVES: Males and females differ in their responses to many health conditions and treatments. The aim of this randomized clinical trial was to determine whether there are differences in the way that male and female edentulous elders rate their satisfaction with new mandibular implant overdentures (IODs) and conventional dentures (CDs), at 6 and 12 months following delivery. METHODS: Edentulous elders (n=256) were randomly assigned to receive maxillary conventional dentures and either mandibular overdentures supported by two implants with ball attachments or conventional dentures. Participants rated their general satisfaction, as well as other features of their dentures (comfort, stability, ability to chew, aesthetics, etc.) prior to treatment and 6 and 12 months after delivery. RESULTS: Ratings of satisfaction with IODs were significantly higher than with CDs. Six months after delivery, females in the CD group rated their general satisfaction and satisfaction with ability to chew and aesthetics significantly lower than did the males. The sex differences in the CD group remained at 12 months after delivery. However, males and females in the IOD group rated their general satisfaction and all six subcategories equally. CONCLUSIONS: Elderly females are less satisfied with conventional dentures than elderly males with regards to aesthetics and ability to chew, but equally satisfied with implant overdentures. At 6 and 12 months after delivery, elderly edentulous males and females wearing mandibular implant overdentures were significantly more satisfied than those wearing conventional dentures.     

手法复位治疗老年人良性阵发性位置性眩晕的疗效分析

探讨老年人良性阵发性位置性眩晕（BPPV）的发病特点及手法治疗疗效.收集我院2011年1月至2012年6月接诊的47例BPPV老年患者,其中后半规管型BPPV 35例,采用Epley耳石复位;外半规管型BPPV 12例,采用Lempert翻滚复位法.患者在治疗1周及3个月后进行疗效评估.利用手法复位治疗后,首次治愈率91.5％ （43/47）,有效率8.5％ （4/47）,1周后对有效患者二次手法复位,均成功,3个月复查复发9例（19.1％）,均一次治愈.手法复位是治疗BPPV一种安全、有效的方法.     

Effectiveness of a community-based program for suicide prevention among elders with early-stage dementia: A controlled observational study

The purpose of this study was to develop a small-group-focused suicide prevention program for elders with early-stage dementia and to assess its effects. This was a quasi-experimental study with a control group pretest–posttest design. A total of 62 elders diagnosed with early-stage dementia who were receiving care services at nine daycare centers in J City Korea participated in this study. The experimental group participated in the suicide prevention program twice a week for 5 weeks with a pretest and two posttests The developed suicide prevention program had a significant effect on the perceived health status, social support, depression, and suicidal ideation of elders with early-stage dementia. Nurses should integrate risk factors such as depression and protective factors such as health status and social support into a suicide prevention program. This community-based program in geriatric nursing practice can be effective in preventing suicide among elders with early-stage dementia.     

Clinical outcomes of endoscopic submucosal dissection for large colorectal laterally spreading tumors in older adults

Background and Aims

The colorectal endoscopic submucosal dissection (ESD) remains technically challenging, especially for older patients who frequently encounter complex chronic diseases and have a loose colon. However, only limited number of studies are available for the safety of ESD in older patients with especially large laterally spreading tumors. Therefore, in this retrospective study, we compared the outcomes of ESD for laterally spreading tumors (LST) ≥ 3 cm(cm) in older patients to that in younger patients.

Cognition and brain function in elderly Tai Chi practitioners: A case-control study

Objective

To compare cognition and brain function in elderly Tai Chi and Water Aerobics practitioners.

均等化目标下我国农村老年人对基本公共卫生服务的利用及满意度调查

目的:分析农村老年人利用基本公共卫生服务的现状及满意度,为促进基本公共卫生服务均等化提供依据。方法:采用多阶段抽样法,针对调查对象设计问卷,对东、中、西及西北部4省农村老年人利用基本公共卫生服务的情况进行调查,将数据进行分类及量化处理后进行卡方检验。结果:4类地区调查对象的服务利用存在差异(2=56.576,<0.001),其中一类地区老年人服务利用情况最好(92.25%),其次是二类地区(78.60%),三类(69.29%)及四类(69.04%)地区老年人服务利用情况较差。不同性别(2=9.794,=0.002)、文化程度(2=11.278,=0.004)、经济收入(2=11.521,=0.003)、居住状况(2=21.621,<0.001)及健康知识知晓程度(2=23.330,<0.001)的老年人,对服务的利用存在差异。结论:公共卫生服务机构应加强基本公共卫生服务政策宣传,开展老年人健康知识教育工作;应针对老年人的自身特点,为老年人提供真正满意的服务。