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[PMID]: 28467209 [Au] Autor: Mager DR; Iannino-Renz R [Ad] Endereço: a Egan School of Nursing , Fairfield University , Fairfield , Connecticut. [Ti] Título: Use of Sedative-Hypnotic Drugs Among Older Adults. [So] Source: J Community Health Nurs;34(2):63-68, 2017 Apr-Jun. [Is] ISSN: 1532-7655 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The purpose of this study was to reduce numbers of concurrently ordered sedative-hypnotic drugs for older adults in long-term (N = 220) and home-care (N = 357) settings. All active records were reviewed and numbers of sedative-hypnotics per patient were documented. Upon record review completion, educational sessions focused on dangers posed by use of multiple sedative-hypnotics were presented to nurses. One month posteducation, researchers reviewed the same records to evaluate changes. Matched pair t-tests suggested significant decreases in sedative-hypnotic use in long term, but not in the home care setting. Education in this area is critical within and across community settings. [Mh] Termos MeSH primário: Serviços de Assistência Domiciliar/estatística & dados numéricos Hipnóticos e Sedativos/uso terapêutico Assistência de Longa Duração/estatística & dados numéricos [Mh] Termos MeSH secundário: Idoso Instituição de Longa Permanência para Idosos/estatística & dados numéricos Seres Humanos Hipnóticos e Sedativos/efeitos adversos Enfermeiras de Saúde Comunitária/educação Enfermeiras de Saúde Comunitária/estatística & dados numéricos Casas de Saúde/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Hypnotics and Sedatives) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180309 [Lr] Data última revisão: 180309 [Sb] Subgrupo de revista: IM; N [Da] Data de entrada para processamento: 170504 [St] Status: MEDLINE [do] DOI: 10.1080/07370016.2017.1304144

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[PMID]: 28459908 [Au] Autor: Meddings J; Saint S; Krein SL; Gaies E; Reichert H; Hickner A; McNamara S; Mann JD; Mody L [Ad] Endereço: Department of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; Department of Pediatrics and Communicable Diseases, Division of General Pediatrics, University of Michigan Medical School, Ann Arbor, MI; VA Ann Arbor Healthcare System, Ann Arbor, MI [Ti] Título: Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents. [So] Source: J Hosp Med;12(5):356-368, 2017 May. [Is] ISSN: 1553-5606 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE: Systematic literature review of strategies to reduce UTIs in nursing home residents. DATA SOURCES: Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION: Interventional studies with a comparison group reporting at least 1 outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use. DATA EXTRACTION: Two authors abstracted study design, participant and intervention details, outcomes, and quality measures. DATA SYNTHESIS: Of 5794 records retrieved, 20 records describing 19 interventions were included: 8 randomized controlled trials, 10 pre-post nonrandomized interventions, and 1 nonrandomized intervention with concurrent controls. Quality (range, 8-25; median, 15) and outcome definitions varied greatly. Thirteen studies employed strategies to reduce catheter use or improve catheter care; 9 studies employed general infection prevention strategies (eg, improving hand hygiene, surveillance, contact precautions, reducing antibiotics). The 19 studies reported 12 UTI outcomes, 9 CAUTI outcomes, 4 bacteriuria outcomes, and 5 catheter use outcomes. Five studies showed CAUTI reduction (1 significantly); 9 studies showed UTI reduction (none significantly); 2 studies showed bacteriuria reduction (none significantly). Four studies showed reduced catheter use (1 significantly). LIMITATIONS: Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes. CONCLUSIONS: Several practices, often implemented in bundles, such as improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters, and enhanced barrier precautions, appear to reduce UTI or CAUTI in nursing home residents. Journal of Hospital Medicine 2017;12:356-368. [Mh] Termos MeSH primário: Infecções Relacionadas a Cateter/prevenção & controle Instituição de Longa Permanência para Idosos Controle de Infecções/métodos Casas de Saúde Cateterismo Urinário/efeitos adversos Infecções Urinárias/prevenção & controle [Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico Infecções Relacionadas a Cateter/diagnóstico Infecções Relacionadas a Cateter/epidemiologia Cateteres de Demora/efeitos adversos Cateteres de Demora/microbiologia Instituição de Longa Permanência para Idosos/normas Seres Humanos Controle de Infecções/normas Casas de Saúde/normas Ensaios Clínicos Controlados Aleatórios como Assunto/métodos Cateterismo Urinário/normas Infecções Urinárias/diagnóstico Infecções Urinárias/epidemiologia [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Nm] Nome de substância: 0 (Anti-Bacterial Agents) [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170502 [St] Status: MEDLINE [do] DOI: 10.12788/jhm.2724

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[PMID]: 27777243 [Au] Autor: Fleming A; Barry L; Byrne S; Prentice M [Ad] Endereço: School of Pharmacy, University College Cork, Cork, Ireland. [Ti] Título: Antimicrobial susceptibility of long term care facility and general practice urine samples in patients 65 years and older: an observational study. [So] Source: Eur J Public Health;27(2):307-312, 2017 04 01. [Is] ISSN: 1464-360X [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: Background: Antimicrobial resistance in long-term care facilities (LTCFs) poses a risk to elderly residents. The aim of this observational study was to investigate recent patterns of antimicrobial susceptibility in urine samples submitted to the Microbiology Laboratory at Cork University Hospital (CUH) from LTCFs in the greater Cork region. The antimicrobial susceptibilities of LTCF and General Practitioner (GP) urine samples sent to CUH, for patients aged over 65 years of age, were compared. Methods: A retrospective analysis of the antimicrobial susceptibilities of urine samples submitted to the microbiology laboratory at CUH in quarter one of 2011-2014 was conducted. LTCF and GP urine sample susceptibilities, for patients over 65 years of age, were compared using Chi square statistics. Results: Overall, the LTCF urine samples were less susceptible than GP urine samples to the antimicrobials recommended in the national urinary tract infection guidelines; trimethoprim, nitrofurantoin, cephalexin, co-amoxiclav, ciprofloxacin and amoxicillin ( P < 0.001). Important trends in antimicrobial susceptibility over the time period were noted. A significant reduction in susceptibility to co-amoxiclav was found between Q1 2011 and Q1 2014 in both settings (GP P = 0.013, LTCF P = 0.005). This study provides important information which will contribute to the revision of antimicrobial prescribing guidelines in the future. Conclusion: This study highlights the need for continuous surveillance of antimicrobial susceptibility trends in LTCFs. Antimicrobial stewardship strategies are urgently required to address antimicrobial resistance and appropriate antimicrobial prescribing in the LTCF setting. [Mh] Termos MeSH primário: Antibacterianos/urina Farmacorresistência Bacteriana Medicina Geral/estatística & dados numéricos Instituição de Longa Permanência para Idosos/estatística & dados numéricos Casas de Saúde/estatística & dados numéricos Infecções Urinárias/urina [Mh] Termos MeSH secundário: Idoso Antibacterianos/uso terapêutico Feminino Seres Humanos Irlanda Assistência de Longa Duração Masculino Estudos Retrospectivos Infecções Urinárias/tratamento farmacológico [Pt] Tipo de publicação: JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T [Nm] Nome de substância: 0 (Anti-Bacterial Agents) [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 180308 [Lr] Data última revisão: 180308 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 161026 [St] Status: MEDLINE [do] DOI: 10.1093/eurpub/ckw138

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[PMID]: 29315323 [Au] Autor: Yu P; Qian S [Ad] Endereço: Centre for IT-enabled Transformation, School of Computing and Information Technology, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, New South Wales, Australia. [Ti] Título: Developing a theoretical model and questionnaire survey instrument to measure the success of electronic health records in residential aged care. [So] Source: PLoS One;13(1):e0190749, 2018. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Electronic health records (EHR) are introduced into healthcare organizations worldwide to improve patient safety, healthcare quality and efficiency. A rigorous evaluation of this technology is important to reduce potential negative effects on patient and staff, to provide decision makers with accurate information for system improvement and to ensure return on investment. Therefore, this study develops a theoretical model and questionnaire survey instrument to assess the success of organizational EHR in routine use from the viewpoint of nursing staff in residential aged care homes. The proposed research model incorporates six variables in the reformulated DeLone and McLean information systems success model: system quality, information quality, service quality, use, user satisfaction and net benefits. Two variables training and self-efficacy were also incorporated into the model. A questionnaire survey instrument was designed to measure the eight variables in the model. After a pilot test, the measurement scale was used to collect data from 243 nursing staff members in 10 residential aged care homes belonging to three management groups in Australia. Partial least squares path modeling was conducted to validate the model. The validated EHR systems success model predicts the impact of the four antecedent variables-training, self-efficacy, system quality and information quality-on the net benefits, the indicator of EHR systems success, through the intermittent variables use and user satisfaction. A 24-item measurement scale was developed to quantitatively evaluate the performance of an EHR system. The parsimonious EHR systems success model and the measurement scale can be used to benchmark EHR systems success across organizations and units and over time. [Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/normas Instituição de Longa Permanência para Idosos/organização & administração Modelos Teóricos Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180221 [Lr] Data última revisão: 180221 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180110 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0190749

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[PMID]: 28744111 [Au] Autor: Park YH; Moon SH; Ha JY; Lee MH [Ad] Endereço: College of Nursing, Seoul National University. [Ti] Título: The long-term effects of the health coaching self-management program for nursing-home residents. [So] Source: Clin Interv Aging;12:1079-1088, 2017. [Is] ISSN: 1178-1998 [Cp] País de publicação: New Zealand [La] Idioma: eng [Ab] Resumo: BACKGROUND AND AIMS: Little is known about whether a self-management program for nursing-home residents (NHR) with cognitive impairment is likely to have an impact on the care of this growing population. This study aimed to evaluate the effects of the health-coaching self-management program for NHR (HCSMP-NHR) on 1) self-efficacy and goal attainment scaling (GAS), 2) health status and quality of life (QoL) among older people, including those with cognitive impairment, in Korean nursing homes. METHODS: This was a cluster-randomized controlled trial. Participants in the intervention group (n=43, mean age =80.91±7.65 years) received the HCSMP-NHR intervention, composed of group health education and individual coaching, for 8 weeks. Conventional care was provided to the conventional group (n=47, mean age =80.19±7.53 years) during the same period. The effects of the HCSMP-NHR were measured three times: at baseline, week 9, and week 20. RESULTS: The intervention group showed better results for self-efficacy ( =0.007), health distress ( =0.007), depression ( <0.001), and QoL ( =0.04) at week 9. Mean GAS score of the intervention group gradually increased from -0.38 to 0.74. The time × group interaction showed that the intervention group had significant improvements in QoL ( =0.047), and significant reductions in health distress ( =0.016) and depression ( <0.001), while showing no deterioration in shortness of breath ( <0.001). CONCLUSION: Our study findings indicate that the HCSMP-NHR improved self-efficacy and GAS and enhanced the health status and QoL of NHR with chronic conditions who also had mild-to-moderate cognitive impairment. Moreover, these effects were successfully maintained over the 5 months of the trial. Further research is needed to establish the optimum intervention period and to assess the possibility of nationwide implementation of the HCSMP-NHR. [Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos/organização & administração Tutoria/organização & administração Casas de Saúde/organização & administração Qualidade de Vida Autogestão/educação [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Doença Crônica Disfunção Cognitiva/terapia Feminino Promoção da Saúde/organização & administração Nível de Saúde Seres Humanos Masculino República da Coreia Autoeficácia [Pt] Tipo de publicação: JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170727 [St] Status: MEDLINE [do] DOI: 10.2147/CIA.S137821

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[PMID]: 28742925 [Au] Autor: Thurman W; Harrison TC; Blozis SA; Dionne-Vahalik M; Mead S [Ti] Título: A Capabilities Approach to Environmental Impact on Nursing Home Resident Quality of Life. [So] Source: Res Gerontol Nurs;10(4):162-170, 2017 07 01. [Is] ISSN: 1938-2464 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Nursing homes are the major provider of intermediate and long-term care outside of the hospital setting to individuals whose capacity for self-care is limited due to physical or cognitive impairments. Yet, despite their need for assistance, residents of nursing homes want to control their lives, set their routines, and do enjoyable things. The extent to which residents can maintain autonomy and dignity is important. The current study suggests an environmental gerontological framework, rooted in a capabilities approach, that can be used to consider environmental impact on quality of life in nursing homes. Using a cross-sectional survey of nursing home residents in Texas, environmental factors that might predict residents' quality of life as well as possible interactions of environmental factors and residents' characteristics that might predict well-being were examined. Environmental orientation and perception of social activities were important predictors of residents' quality of life, but geographic location and facility size were not important predictors. [Res Gerontol Nurs. 2017; 10(4):162-170.]. [Mh] Termos MeSH primário: Atividades Cotidianas/psicologia Pessoas com Deficiência/estatística & dados numéricos Casas de Saúde/organização & administração Autonomia Pessoal Qualidade de Vida/psicologia [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Estudos Transversais Feminino Ambiente de Instituições de Saúde Instituição de Longa Permanência para Idosos Seres Humanos Masculino Texas [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 180217 [Lr] Data última revisão: 180217 [Sb] Subgrupo de revista: IM; N [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE [do] DOI: 10.3928/19404921-20170621-03

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[PMID]: 29314800 [Au] Autor: Stancic I; Petrovic M; Popovac A; Vasovic M; Despotovic N [Ti] Título: Caregivers' attitudes, knowledge and practices of oral care at nursing homes in Serbia. [So] Source: Vojnosanit Pregl;73(7):668-73, 2016 Jul. [Is] ISSN: 0042-8450 [Cp] País de publicação: Serbia [La] Idioma: eng [Ab] Resumo: Background/Aim: Within the elderly population, residents in nursing homes, there is a greather risk of caries, periodontal disease and teeth loss. Assistance of caregivers in maintaininig good oral hygiene besides improving oral health can improve of residents general health and the qulity of their lives. The aim of this study was to examine the attitudes of caregivers and knowledge about oral health, as well as the practice regarding oral care they apply at nursing homes in Serbia. Methods: The survey was conducted at the Gerontology Center Belgrade, consisting of four nursing homes located in the urban area. The study included 58 caregivers. They were contacted on working days, in all work shifts, during January, February and March of 2013. They were asked to fill in a self-administered questionnaire consisting of 26 closed-type questions. Results: The caregivers mostly considered that it was very important to take care of oral health of the residents, but 69% responded that the level of their oral health was low or very low. As the main barriers to oral hygiene maintenance, the caregivers indicated lack of time. The caregivers had more knowledge about periodontal disease than about the main cause of caries and its prevention. Formal medical education had the influence on the knowledge about oral diseases. Oral hygiene procedures carried out by the mayority of caregivers were denture cleaning and tooth brushing. Conclusion: The caregivers were aware of the limitations in everyday oral care of nursing homes residents in Serbia, although solving these problems requires the involvement of the entire public health service. [Mh] Termos MeSH primário: Atitude do Pessoal de Saúde Cuidadores/psicologia Conhecimentos, Atitudes e Prática em Saúde Instituição de Longa Permanência para Idosos Casas de Saúde Higiene Bucal [Mh] Termos MeSH secundário: Idoso Seres Humanos Sérvia Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180213 [Lr] Data última revisão: 180213 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180110 [St] Status: MEDLINE [do] DOI: 10.2298/VSP141001065S

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[PMID]: 28740371 [Au] Autor: Buckinx F; Reginster JY; Morelle A; Paquot N; Labeye N; Locquet M; Adam S; Bruyère O [Ad] Endereço: Department of Public Health, Epidemiology and Health Economics, University of Liège. [Ti] Título: Influence of environmental factors on food intake among nursing home residents: a survey combined with a video approach. [So] Source: Clin Interv Aging;12:1055-1064, 2017. [Is] ISSN: 1178-1998 [Cp] País de publicação: New Zealand [La] Idioma: eng [Ab] Resumo: BACKGROUND: In addition to the well-known physiological factors, dietary behavior that affects health seems to be influenced by a wide variety of environmental factors. The aim of this study was to assess, by means of an original video approach, the influence of the environment on food intake in nursing homes. METHODS: The perception of the environment during meals in nursing homes was evaluated by residents and by two groups of volunteers who either work in the field of geriatrics, or who do not work in the field of geriatrics. First, a random sample of residents answered a self-administered questionnaire related to different indicators (ie, noise, space, comfort, light, odors, perceived satisfaction of meals, taste of meals, presentation of meals, service and setting). Second, two separate panels, one including the people who work in the field of geriatrics (ie, experts) and one including the people who have no particular interest in geriatrics (ie, nonexperts), were asked to answer a questionnaire on their perception of the environment after having watched a video of the lunch in each nursing home. Then, the food intake of the residents was measured by a precise food-weighing method. RESULTS: A total of 88 residents from nine different nursing homes, 18 experts and 45 nonexperts answered the questionnaires. This study highlighted that, on the one hand, after adjustment on confounding variables, the perception of the quantity of food served by the residents is the only single factor associated with food consumption ( =0.003). On the other hand, experts and nonexperts did not perceive any environmental factor that seems to be significantly associated with residents' food intake. CONCLUSION: Our results highlighted that, in a nursing home setting, environmental factors have limited influence on the food intake of the residents, with the exception of their own perception of the quantity served. The relevance of this factor deserves further investigation. [Mh] Termos MeSH primário: Ingestão de Alimentos Meio Ambiente Instituição de Longa Permanência para Idosos/organização & administração Refeições/psicologia Casas de Saúde/organização & administração [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Feminino Seres Humanos Masculino Inquéritos e Questionários [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180212 [Lr] Data última revisão: 180212 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE [do] DOI: 10.2147/CIA.S135937

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[PMID]: 29241381 [Au] Autor: Barrois B; Colin D; Allaert FA [Ad] Endereço: a Département Qualité , Centre Hospitalier de Gonesse , Gonesse , France. [Ti] Título: Prevalence, characteristics and risk factors of pressure ulcers in public and private hospitals care units and nursing homes in France. [So] Source: Hosp Pract (1995);46(1):30-36, 2018 Feb. [Is] ISSN: 2154-8331 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: OBJECTIVE: The aim of this study conducted in 2014 was to describe the prevalence of pressure ulcers in different types of French hospital unit at the national level to compare them with data from the 1994 and 2004 study. METHODS: This cross-sectional study was conducted over a single day. All care units were invited to participate by drawing lots stratified by region in successive waves until 1,200 agreements were obtained. Lots were drawn for towns with more than 10,000 inhabitants. All public- and private-sector hospital facilities in each town drawn by lot were invited to participate in the survey. RESULTS: 776 hospital services throughout France took part and accommodated 21,538 patients: 12,752 women (59.2%) and 8,786 men (40.8%). Of these patients, 1,753 (8.1%; IC95% = 7.7; 8.5) had pressure ulcers. The pressure-ulcer rate was 7.8% (IC95% = [7.3; 8.3] (n = 997)) for hospitalized women and 8.6% (IC95% = [8.0; 9.2] (n = 756)) for men (p = 0.0381). The 8.1% level reported in 2014 therefore points to a reduction in pressure-ulcer prevalence; 8.6% in 1994 and 8.9% in 2004. CONCLUSIONS: The actions performed daily by healthcare professionals to prevent pressure ulcers, supported by research and training programs, including those by PERSE, are having a real impact over time. [Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos/estatística & dados numéricos Hospitais Privados/estatística & dados numéricos Hospitais Públicos/estatística & dados numéricos Casas de Saúde/estatística & dados numéricos Lesão por Pressão/epidemiologia Lesão por Pressão/prevenção & controle [Mh] Termos MeSH secundário: Distribuição por Idade Idoso Idoso de 80 Anos ou mais Estudos Transversais Feminino França Seres Humanos Masculino Desnutrição/epidemiologia Meia-Idade Limitação da Mobilidade Prevalência Medição de Risco Fatores de Risco Índice de Gravidade de Doença Distribuição por Sexo [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180205 [Lr] Data última revisão: 180205 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171216 [St] Status: MEDLINE [do] DOI: 10.1080/21548331.2018.1418139

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[PMID]: 28454563 [Au] Autor: Douma JG; Volkers KM; Engels G; Sonneveld MH; Goossens RHM; Scherder EJA [Ad] Endereço: Clinical Neuropsychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, the Netherlands. j.g.douma@vu.nl. [Ti] Título: Setting-related influences on physical inactivity of older adults in residential care settings: a review. [So] Source: BMC Geriatr;17(1):97, 2017 04 28. [Is] ISSN: 1471-2318 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Despite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer physical condition; however, there may also be other, setting-related factors that influence the amount of inactivity. The aim of this review was to review setting-related factors (including the social and physical environment) that may contribute to the amount of older adults' physical inactivity in a wide range of residential care settings (e.g., nursing homes, assisted care facilities). METHODS: Five databases were systematically searched for eligible studies, using the key words 'inactivity', 'care facilities', and 'older adults', including their synonyms and MeSH terms. Additional studies were selected from references used in articles included from the search. Based on specific eligibility criteria, a total of 12 studies were included. Quality of the included studies was assessed using the Mixed Methods Appraisal Tool (MMAT). RESULTS: Based on studies using different methodologies (e.g., interviews and observations), and of different quality (assessed quality range: 25-100%), we report several aspects related to the physical environment and caregivers. Factors of the physical environment that may be related to physical inactivity included, among others, the environment's compatibility with the abilities of a resident, the presence of equipment, the accessibility, security, comfort, and aesthetics of the environment/corridors, and possibly the presence of some specific areas. Caregiver-related factors included staffing levels, the available time, and the amount and type of care being provided. CONCLUSIONS: Inactivity levels in residential care settings may be reduced by improving several features of the physical environment and with the help of caregivers. Intervention studies could be performed in order to gain more insight into causal effects of improving setting-related factors on physical inactivity of aged residents. [Mh] Termos MeSH primário: Cuidadores/psicologia Planejamento Ambiental Exercício/psicologia Instituição de Longa Permanência para Idosos Casas de Saúde [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Planejamento Ambiental/tendências Exercício/fisiologia Instituição de Longa Permanência para Idosos/tendências Seres Humanos Casas de Saúde/tendências [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 180127 [Lr] Data última revisão: 180127 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170430 [St] Status: MEDLINE [do] DOI: 10.1186/s12877-017-0487-3

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1			PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
2	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2
3	and or and not		PalavrasDescritor de assuntoDescritor de assunto primárioLimitesAutorPalavras do títuloPalavras do resumoIdiomaPaís de publicaçãoNome de substânciaNome de pessoa como assuntoRevistaAssunto de RevistaISSNTipo de publicaçãoIdentificador únicoMês de entradaAno de publicaçãoTexto completoAtualização por classeCategoria DeCSCategoria DeCS explodidaCategoria CID-10SubSetsPais de AfiliaçãoAfiliaçãoAfiliação 2

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