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Guo C, Lv J, Deng M, Song H, Yu M. Factors associated with self-neglect from a salutogenic perspective among community-dwelling older adults: A cross-sectional correlational study. Geriatr Nurs 2024; 59:86-93. [PMID: 38991299 DOI: 10.1016/j.gerinurse.2024.06.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 06/20/2024] [Accepted: 06/27/2024] [Indexed: 07/13/2024]
Abstract
OBJECTIVES To identify the associated factors of self-neglect in older adults from a salutogenic perspective. METHODS A cross-sectional correlational study was conducted in two communities in Beijing with 486 older adults recruited from April to December 2022. Data were collected by a set of questionnaires. RESULTS Sense of coherence (β=-0.138), socio-demographic generalized resistance resources (GRRs) (smoking: β=0.156), social GRRs (living alone: β=0.093), psychological GRRs (self-esteem: β=-0.126), and motivational GRRs (powerful others locus of control: β=-0.199, chance locus of control: β=0.119) were all associated with self-neglect among older adults (p<0.05). CONCLUSIONS Sense of coherence and GRRs are vital to improve self-neglect in older adults. It is suggested to increase the level of self-esteem and the tendency of the health locus of control to largely facilitate self-neglect management in older adults.
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Affiliation(s)
- Chenming Guo
- School of Nursing, Peking University, Beijing, PR China
| | - Jinghong Lv
- School of Nursing, Peking University, Beijing, PR China
| | - Mengying Deng
- School of Nursing, Peking University, Beijing, PR China
| | - Hongdan Song
- School of Nursing, Peking University, Beijing, PR China
| | - Mingming Yu
- School of Nursing, Peking University, Beijing, PR China.
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Alimohammadi-Gusheh F, Mohammadi-Shahboulaghi F, Tabrizi KN, Fallahi-Khoshknab M, Rassouli M. Concept analysis of self-neglect in the elderly: a hybrid model. Int J Nurs Knowl 2024. [PMID: 38644560 DOI: 10.1111/2047-3095.12466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 03/19/2024] [Indexed: 04/23/2024]
Abstract
PURPOSE Clarifying the concept of elder self-neglect. METHODS Researchers investigated the concept of elder self-neglect using a hybrid approach, including theoretical, fieldwork, and final analysis phases. After an extensive review of related literature to define the concept of self-neglect and describe its characteristics, the fieldwork phase was carried out to illustrate its empirical features. Accordingly, it led to the extraction of the elder self-neglect attributes from the first two phases. FINDINGS Elder self-neglect includes "subjective and objective high-risk behaviors pertinent to physical and spiritual health as well as restricted social interactions, disregarding the living environment, and a lack of compliance to personal hygiene routines that the elderly demonstrate deliberately or unintentionally. Various factors can contribute to such behaviors, including individual features, poor physical performance, elderly-oriented psychological disorders, financial challenges, detrimental stressors, unsuccessful social interactions, inaccessible supportive resources, inadequate educational resources, and inappropriate cultural norms. Consequently, such behaviors result in impaired physical and psychological health status, higher risk of misbehavior, poor quality of life, extra caregiving-treatment burden, and affected mental security in society." CONCLUSION Given that elder self-neglect is considered a relatively unknown concept in Iran, the study findings can pave the way for future extensive research in the Iranian context by clarifying the concept. It can play a significant role in developing related tools to design more efficient interventions and improve the quality of nursing care services. IMPLICATIONS FOR NURSING PRACTICE The elder self-neglect concept can lead to numerous health-related disorders among the elderly in society. Nurses cannot deal with an unknown phenomenon without exploring and identifying its exact meaning. It is, therefore, imperative to illustrate the different dimensions of this concept to help create a deep understanding among the nurses and perform timely diagnosis and interventional procedures.
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Affiliation(s)
| | | | - Kian Nourozi Tabrizi
- Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Maryam Rassouli
- School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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3
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Norton M, Kellett S, Huddy V, Simmonds-Buckley M. Household factors and prevalence of squalor: meta-analysis and meta-regression. BMC Public Health 2024; 24:479. [PMID: 38360612 PMCID: PMC10870488 DOI: 10.1186/s12889-024-17983-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 02/04/2024] [Indexed: 02/17/2024] Open
Abstract
BACKGROUND Severe domestic squalor occurs when a person lives in a dwelling that is significantly unclean, disorganised and unhygienic. The limited previous research has primarily focused on the characteristics of those who live in squalor and the associated risk factors. Robust and reliable studies of squalor prevalence have not been conducted. This study sought to produce a reliable estimate of the point prevalence of squalor. METHODS Using data from 13-years of the English Housing Survey, N = 85,681 households were included in a prevalence meta-analysis. Squalor prevalence over time, subgroup analysis and logistic regression investigated the role played by household and community characteristics. RESULTS The point prevalence of squalor was estimated to be 0.85% and squalor was seen to decrease significantly over time. More significant community deprivation, a rented dwelling, lower income and high numbers of people in the home was associated with a greater risk of squalor. CONCLUSIONS Squalor prevalence was higher than previous estimates and supports community care services in associated service planning. The results regarding household characteristics help to inform which households and individuals may be at a higher risk of living in squalid conditions.
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Affiliation(s)
| | - Stephen Kellett
- Rotherham Doncaster and South Humber NHS Trust, Rotherham, UK
- Department of Psychology, University of Sheffield, Sheffield, UK
| | - Vyv Huddy
- Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK
| | - Melanie Simmonds-Buckley
- Rotherham Doncaster and South Humber NHS Trust, Rotherham, UK
- Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, UK
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4
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Xu Q, Xu L, Tao J, Chen X, Zhang Y, Jiang S, Dong C. Adaptation and validation of the Abrams geriatric self-neglect assessment scale among older Chinese people admitted to the hospital. Int J Older People Nurs 2023; 18:e12569. [PMID: 37574788 DOI: 10.1111/opn.12569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 06/07/2023] [Accepted: 08/03/2023] [Indexed: 08/15/2023]
Abstract
OBJECTIVES Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital. METHODS Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test-retest reliability were also conducted to assess the psychometric properties of the scale. RESULTS EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach α = 0.740), and the test-retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (r = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity. CONCLUSION The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale. IMPLICATIONS FOR PRACTICE The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.
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Affiliation(s)
- Qiongying Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Liuqing Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, China
- Ningbo Medical Center Lihuili Hospital, Ningbo, China
| | - Jingrui Tao
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Xuewei Chen
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Yao Zhang
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Sisi Jiang
- School of Nursing, Wenzhou Medical University, Wenzhou, China
| | - Chaoqun Dong
- School of Nursing, Wenzhou Medical University, Wenzhou, China
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Qu D, Wen X, Liu B, Zhang X, He Y, Chen D, Duan X, Yu J, Liu D, Zhang X, Ou J, Zhou J, Cui Z, An J, Wang Y, Zhou X, Yuan T, Tang J, Yue W, Chen R. Non-suicidal self-injury in Chinese population: a scoping review of prevalence, method, risk factors and preventive interventions. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2023; 37:100794. [PMID: 37693882 PMCID: PMC10485683 DOI: 10.1016/j.lanwpc.2023.100794] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 04/06/2023] [Accepted: 05/04/2023] [Indexed: 09/12/2023]
Abstract
Non-suicidal self-injury behavior (NSSI) is a serious public health concern that requires immediate attention. Despite the high prevalence of NSSI among the Chinese population, there is a significant gap in research on the comprehensive picture of this field. Therefore, a scoping review was conducted to investigate the prevalence, methods, risk factors, and preventive intervention programs related to NSSI in China. The review found that the estimated lifetime prevalence of NSSI among Chinese youth population is alarmingly high at 24.7% (N = 1,088,433). Common methods of NSSI include scratching, hitting, and biting. Additionally, the review synthesized 249 risk factors based on the biopsychosocial-ecological framework, highlighting the urgent need for intervention. However, only 12 empirical studies focus on NSSI prevention or intervention programs were included. These findings underscore the necessity for more clinical practices and larger studies to identify effective interventions and ultimately alleviate the burden of NSSI on the Chinese population. Funding This review was supported by Humanity and Social Science Youth foundation of Ministry of Education (22YJCZH018), Science and Technology Innovation 2030 (STI2030-Major Projects:2021ZD0200702), National Natural Science Foundation of China (81825009), and Shuimu Tsinghua Scholar. No funding agencies were involved in the data collection, data analysis, and writing of this paper.
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Affiliation(s)
- Diyang Qu
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
| | - Xue Wen
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
| | - Bowen Liu
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
| | - Xuan Zhang
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Yuhao He
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Dongyang Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
| | - Xueer Duan
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Jiaao Yu
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Dongyu Liu
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
| | - Xiaoqian Zhang
- Department of Psychiatry, Tsinghua University Yuquan Hospital, Beijing, China
| | - Jianjun Ou
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
| | - Jiansong Zhou
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, 410011, Hunan, China
| | - Zaixu Cui
- Chinese Institute for Brain Research, Beijing, 102206, China
| | - Jing An
- Beijing Huilongguan Hospital, Beijing, China
- Peking University Huilongguan Clinical Medical School, Beijing, China
- WHO Collaborating Center for Research and Training in Suicide Prevention, Beijing, China
| | - Yuanyuan Wang
- Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
| | - Xinyu Zhou
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Tifei Yuan
- Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Jie Tang
- Department of Preventive, School of Public Health, Guangzhou Medical University, China
| | - Weihua Yue
- Chinese Institute for Brain Research, Beijing, 102206, China
- Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing 100191, China
- NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
- PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, 100871, China
| | - Runsen Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China
- Institute for Healthy China, Tsinghua University, Beijing, China
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Yu M, Qian M, Guo C, Wang Q. The role of frailty, social networks, and depression in self-neglect in an older Chinese population: A cross-sectional descriptive study. Geriatr Nurs 2023; 51:394-399. [PMID: 37127016 DOI: 10.1016/j.gerinurse.2023.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 04/11/2023] [Accepted: 04/11/2023] [Indexed: 05/03/2023]
Abstract
OBJECTIVES To identify the role of frailty, social networks, and depression in self-neglect in an older Chinese population. METHODS The study was conducted in 521 older adults recruited from four community healthcare centers in a district in Beijing, China. Participants were investigated by a set of questionnaires. RESULTS Frailty (β=0.150, p=0.759) was not associated with self-neglect of older adults. Social isolation (β=1.980, p<0.001) and depression (β=3.606, p<0.001) were both factors associated with self-neglect in older adults. CONCLUSION Management of depression and improvement of social networks of older adults should be incorporated into interventional strategies to effectively control self-neglect. Understanding self-neglect and its associated factors will ultimately contribute to the intervention development and well-being of older adults.
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Affiliation(s)
- Mingming Yu
- School of Nursing, Peking University, Beijing, China.
| | - Min Qian
- Department of Nursing, Beijing Ji Shui Tan Hospital, Beijing, China
| | - Chenming Guo
- School of Nursing, Peking University, Beijing, China
| | - Qun Wang
- School of Nursing, Shenzhen University, R405, A1 Building, Lihu Campus No.1066 Xueyuan Road, Nanshan District, Shenzhen, China.
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7
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Wang Q, Tao A, Zhang Y, Li X, Lin Q, Liu F, Li H, Qiu X. Psychometric properties of the simplified Chinese version of Kihon Checklist in the Chinese older people. Int J Older People Nurs 2023; 18:e12524. [PMID: 36594641 DOI: 10.1111/opn.12524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 11/17/2022] [Accepted: 12/03/2022] [Indexed: 01/04/2023]
Abstract
BACKGROUND The 25-item Kihon Checklist (KCL) is a comprehensive screening tool for identifying frail older people who are at risk of becoming dependent. It has been widely used in different countries and revealed good validity and reliability. OBJECTIVES The KCL was translated into Simplified Chinese (KCL-SC) in 2019. The study aims to evaluate the psychometric properties of the KCL-SC. METHODS The study employed a cross-sectional study design and recruited 258 community-dwelling older people in Shenzhen, China. The reliability of internal consistency, split-half reliability and 2-week test-retest reliability were evaluated. An expert panel examined the content validity. Concurrent validity of KCL-SC was evaluated by its correlation with the other measure of frailty (FRAIL Scale, FS), activities of daily living (ADL, Katz index of independence in ADL) and depressive mood (5-item Geriatric Depression Scale, GDS-5). Construct validity was examined by exploratory factor analysis. Criteria validity in discriminating different frailty status (with FS as criteria) were evaluated with the receiver-operating characteristic curves (ROC). RESULTS The Cronbach's α was 0.827; split-half reliability coefficient was 0.737; and test-retest reliability was 0.974. The content validity index was 0.960. The KCL-SC and dimensions were significantly correlated with the scores of FS, Katz ADL and GDS-5 (p < 0.05). Seven factors were recognised in the exploratory factor analysis and explained 56.36% of the total variances. The areas under the ROC in discriminating frail/nonfrail, frail/prefrail and prefrail/robust were 0.925, 0.880 and 0.758, respectively. The cut-off values for identifying prefrailty and frailty were 11 and 5, respectively. CONCLUSIONS The KCL-SC revealed satisfactory psychometric properties in identifying frailty among the Chinese community-dwelling older people.
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Affiliation(s)
- Qun Wang
- School of Nursing, Shenzhen University, Shenzhen, China
| | - An Tao
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China
| | - Yao Zhang
- School of Nursing, Shenzhen University, Shenzhen, China
| | - Xilin Li
- School of Nursing, Shenzhen University, Shenzhen, China
| | - Qiuru Lin
- School of Nursing, Shenzhen University, Shenzhen, China
| | - Fang Liu
- Haifu Community Center, Shenzhen Baoan People's Hospital, Shenzhen, China
| | - Hong Li
- Dalang Community Center, Shenzhen Longhua District People's Hospital, Shenzhen, China
| | - Xichenhui Qiu
- School of Nursing, Shenzhen University, Shenzhen, China
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8
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Xu W, Gao C, Chen M, Zhang Y, Zhang M, Lu Z, Yang Y. Prevalence and predictors in self-neglect: A cross-sectional study of domestic migrant older adults in China. Geriatr Nurs 2023; 50:158-164. [PMID: 36780713 DOI: 10.1016/j.gerinurse.2023.01.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 01/10/2023] [Accepted: 01/11/2023] [Indexed: 02/15/2023]
Abstract
Insufficient information is available on the prevalence and predictors of self-neglect among Chinese domestic migrant older adults resulting from rapid aging and mass population migration. This cross-sectional study was conducted on 597 older adults in four districts of Wenzhou from May to November 2020. A self-neglect scale was used to assess the prevalence of self-neglect among such adults. Sixteen potential predictors were considered in the domains of sociodemographic, health condition, socioeconomic, social isolation, intergenerational relationship, and filial piety. The prevalence of self-neglect within this population was 72.7%. Social isolation (OR = 0.823; 95%CI 0.684-0.990), physical health (OR = 0.966; 95%CI 0.941-0.992), intergenerational ambivalence (OR = 1.240; 95%CI 1.013-1.519), and affective-cognitive solidarity (OR = 0.796; 95%CI 0.719-0.880) were found to be independent predictors of self-neglect in this population. We suggest that community health service organizations should prioritize migrant older adults with a poor health status and those with intergenerational ambivalence to reduce self-neglect in migrant older adults. Such older adults should also be encouraged to participate in community activities for more social integration.
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Affiliation(s)
- Wenxian Xu
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China
| | - Chenchen Gao
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China
| | - Mengjiao Chen
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China
| | - Yongjie Zhang
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China
| | - Mengqi Zhang
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China
| | - Zhongqiu Lu
- Department of Emergency, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.
| | - Yeqin Yang
- School of nursing, Wenzhou Medical University, Wenzhou 325035, China; Faculty of Nursing, Burapha University, Muang Chonburi, Chonburi 20131, Thailand.
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Dong L, Sun L. Self-neglect among older adults with disabilities in Liaoning Province during the COVID-19 outbreak: A cross-sectional study. Front Psychol 2022; 13:1072110. [PMID: 36619127 PMCID: PMC9817287 DOI: 10.3389/fpsyg.2022.1072110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022] Open
Abstract
Background Self-neglect among older adults is a well-recognized public health issue. During the novel coronavirus disease 2019 (COVID-19), older adults with disabilities may be at increased risk for self-neglect. This study aimed to assess the prevalence of self-neglect and associated factors among older adults with disabilities in Liaoning Province during the COVID-19 outbreak. Methods A cross-sectional study was conducted from January 2021 to April 2021. A convenience sample of 230 older adults with disabilities filled out questionnaires that collected data on socioeconomic and demographic characteristics alongside data using the Barthel Index (BI), the Elder Self-Neglect Assessment (ESNA), the Geriatric Depression Scale-Short Form (GDS-SF), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Mini-Mental State Examination (MMSE). Results The overall self-neglect rate was 86%. The study revealed that self-neglect correlates positively with the degree of disability (p < 0.001) and depressive symptoms (p < 0.001). In contrast, monthly income (p = 0.002) and perceived social support (p = 0.001) were negatively associated with self-neglect. Conclusion During the COVID-19 outbreak, self-neglect has been a serious public health problem among older adults with disabilities. Lower monthly income, decreased physical function, depressive symptoms, and perceptions of poor social support contributed to self-neglect among older adults with disabilities.
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Affiliation(s)
- Li Dong
- Department of Nursing, The Second People's Hospital of Yibin, Yibin, China
| | - Longfeng Sun
- Department of Geriatrics, The First Hospital of China Medical University, Shenyang, China,*Correspondence: Longfeng Sun ✉
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10
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Yu M, Wang W, Gu L, Ramachandran HJ. Perspectives and experiences of living with self‐neglect among older adults: A systematic review and meta‐synthesis. J Nurs Scholarsh 2022. [DOI: 10.1111/jnu.12854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 09/28/2022] [Accepted: 11/14/2022] [Indexed: 12/14/2022]
Affiliation(s)
- Mingming Yu
- School of Nursing Peking University Beijing P.R. China
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore
| | - Libin Gu
- School of Nursing Nanjing University of Chinese Medicine Nanjing P.R. China
| | - Hadassah Joann Ramachandran
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine National University of Singapore Singapore
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11
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Santos-Rodrigues RCD, Brandão BMLDS, Araújo-Monteiro GKND, Marcolino EDC, Moraes RMD, Souto RQ. Assessment tools for elder abuse: scoping review. Rev Esc Enferm USP 2022; 56:e20220115. [PMID: 36490228 PMCID: PMC10081593 DOI: 10.1590/1980-220x-reeusp-2022-0115en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 10/17/2022] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE to map assessment tools for elder abuse and determine the psychometric properties of each one. METHOD scoping review developed according to recommendations of the JBI Institute Reviewer's Manual in databases and gray literature. RESULTS seventeen tools were identified for measuring situations of elder abuse. They were categorized into 1) Tools for assessment of risk for abuse, and 2) Tools for identification of abuse. According to risk for abuse, Vulnerability to Abuse Screening Scale was the most prevalent in the literature, with factorial analysis acceptable through four domains, and good internal reliability (0,74). Therefore, Assessment Tool for Domestic Elder Abuse comprises the assessment of six types of elder abuse; however, the study shows psychometric limitation since the internal structure was not evaluated by validity evidences. CONCLUSION seventeen tools to determine the occurrence or risk for elder abuse were identified with different psychometric properties. We recommend the use of more than one of the tools identified for an appropriate measurement of elder abuse situations given the complexity of the phenomenon and the lack of a single instrument that contemplates all its consequences and forms of expression.
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Affiliation(s)
| | | | | | | | - Ronei Marcos de Moraes
- Universidade Federal da Paraíba, Centro de Ciências Exatas e da Natureza, Departamento de Estatística. João Pessoa, PB, Brazil
| | - Rafaella Queiroga Souto
- Universidade Federal da Paraíba, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem, João Pessoa, PB, Brazil
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12
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Yu M, Qian M. The Chinese version of the Abrams geriatric Self-neglect scale:Translation, validity, and reliability. Geriatr Nurs 2022; 47:55-60. [PMID: 35850032 DOI: 10.1016/j.gerinurse.2022.06.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/21/2022] [Accepted: 06/22/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVES To translate, cross-culturally adapt, and validate the Abrams Geriatric Self-neglect Scale (AGSS) for the older population in China. METHODS The performance of the Chinese version of AGSS (C-AGSS) was evaluated among 334 older adults recruited from three community healthcare centers in Beijing, China. RESULTS The Cronbach's α was 0.601 and the content validity index was 0.96 for the C-AGSS. The unidimensional model of the scale was supported by the confirmatory factor analysis with an excellent model fit. The concurrent validity was demonstrated by the significant correlation (r=0.614, p<0.001) between the C-AGSS and the Scale of the Elderly Self-neglect (Rural). The hypothesized validity and the discriminative validity of the C-AGSS were also approved. CONCLUSIONS The C-AGSS has acceptable validity and reliability on self-neglect assessment in the Chinese older population. It can be used to classify and quantify the self-neglect of older adults in China.
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Affiliation(s)
- Mingming Yu
- School of Nursing, Peking University, 38 Xueyuan Rd., Haidian District, Beijing, China.
| | - Min Qian
- School of Nursing, Peking University, 38 Xueyuan Rd., Haidian District, Beijing, China
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Xu L, Sun H, Xu H, Chen X, Xu Q, Jiang H, Ren L, Wang Y, Dong C. Self-neglect among older adults admitted to a Chinese comprehensive hospital in the COVID-19 pandemic era: a cross-sectional study. J Elder Abuse Negl 2022; 34:241-258. [PMID: 35765770 DOI: 10.1080/08946566.2022.2095319] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study aims to explore the prevalence of self-neglect and associated factors among older adults admitted to the hospital in the COVID-19 pandemic context. The cross-sectional study conducted at a Chinese comprehensive hospital between January and April 2021, 452 older adults were recruited to complete the Abrams Geriatric Self-Neglect Scale, Social Support Rate Scale, FRAIL scale, Barthel index, Patient Health Questionnaire-9, and 10-item Connor-Davidson Resilience Scale. Multivariate logistic regression was used to explore the factors associated with elder self-neglect. The results showed that the prevalence of self-neglect among our sample was 30.3%. Factors that were associated with the risk of elder self-neglect included male, having multiple children (≥4), receiving infrequent visits from children, frailty, and depression. There is a need to screen for self-neglect among older adults admitted to the hospital in the COVID-19 pandemic context. Tailored interventions are warranted to improve the quality of life of older adults.
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Affiliation(s)
- Liuqing Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.,Geriatric Department, Ningbo Medical Center Lihuili Hospital, Ningbo, Zhejiang, China
| | - Hongyu Sun
- School of Nursing, Peking University, Beijing, Beijing, China
| | - Huan Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Xiufang Chen
- Geriatric Department, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Qiongying Xu
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Hao Jiang
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Liya Ren
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yuxin Wang
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Chaoqun Dong
- School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China
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14
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Zhao B, Wang H, Xie C, Huang X, Cao M. Mediating Role of Psychological Capital in the Relationship Between Social Support and Self-Neglect Among Chinese Community-Dwelling Older Adults. Front Psychol 2022; 13:903625. [PMID: 35814097 PMCID: PMC9257434 DOI: 10.3389/fpsyg.2022.903625] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 05/31/2022] [Indexed: 11/30/2022] Open
Abstract
Objectives Self-neglect in older adults has become an important public health issue and is associated with negative health outcomes and increased morbidity and mortality. Social support has been recognized as a prominent predictor of self-neglect, but the underlying mechanism is unclear. This study aims to investigate and illustrate the associations among social support, psychological capital, and self-neglect. Methods This study used a cross-sectional convenience sampling design. A total of 511 older adults were recruited in Chinese communities. Spearman’s correlation coefficient and hierarchical multiple regression analysis were performed to assess the influencing factors of self-neglect. A structural equation model was applied to test the hypothesized mediation model. Results Social support and psychological capital were found to be negatively related to self-neglect. Social support and psychological capital explained 5.1 and 11.9% of the incremental variances of older adults’ self-neglect, respectively. Psychological capital acts as a mediator between social support and self-neglect. Conclusion Self-neglect among older adults is a rising problem in China. Social support and higher psychological capital could decrease the risk of self-neglect in older adults. It is crucial to improve social networks and facilitate psychological interventions to reduce such self-neglect.
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Affiliation(s)
- Binyu Zhao
- School of Nursing, Hangzhou Normal University, Hangzhou, China
| | - Hangsai Wang
- School of Nursing, Hangzhou Normal University, Hangzhou, China
- School of Medicine, Jinhua Polytechnic, Jinhua, China
| | - Chunqi Xie
- School of Nursing, Hangzhou Normal University, Hangzhou, China
| | - Xianhong Huang
- Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou, China
| | - Meijuan Cao
- School of Nursing, Hangzhou Normal University, Hangzhou, China
- *Correspondence: Meijuan Cao,
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15
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Dark Side or Bright Side: The Impact of Alcohol Drinking on the Trust of Chinese Rural Residents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105924. [PMID: 35627461 PMCID: PMC9141662 DOI: 10.3390/ijerph19105924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/06/2022] [Accepted: 04/09/2022] [Indexed: 11/17/2022]
Abstract
Existing studies have explored the causal effect of social capital on harmful drinking, while the effect of drinking habits on trust is scant. In China, drinking rituals and drinking culture are considered important ways of promoting social interaction and trust, especially in rural areas where traditional culture is stronger. Based on a field survey in rural China in 2019, this paper explores the relationship between drinking habits and trust. First, we found a negative relationship between drinking habits and trust, indicating that those people who drink alcohol are more likely to have a lower trust. Second, we found significant heterogeneity in the effect of alcohol consumption on social trust across various groups. Specifically, the negative effects of alcohol consumption on trust were stronger for the females than for males; drinking alcohol did not reduce the level of trust among the Chinese Communist Party (CCP) in rural China; compared with the Han nationality, we found that the effect of drinking on trust was not significant for the ethnic minority. Third, we observed that the negative effects of alcohol consumption on trust had thresholds across age and income. Among people under 51, the risk of trust from drinking was greater than for those over 51; the negative effect of drinking on residents’ trust was more obvious in low-income families, but not significant in the group with an annual household income of more than CNY 40,000. Our empirical study provides a deeper understanding of drinking culture in rural China from a dialectical perspective.
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Zhang M, Liu Y, Zhang WY, Yang JG, Yang WM, Zhou J, Mao ZM. Exploring perceived challenges of self-management in low-income older people with hypertension: A qualitative study. Int J Nurs Pract 2022; 28:e13059. [PMID: 35437909 DOI: 10.1111/ijn.13059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 03/19/2022] [Accepted: 03/22/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hypertension is a public health problem globally. Understanding the perceived challenges of low-income older people populations with chronic disease is an obstacle the world is facing today. AIM To explore perceived challenges of self-management in low-income older people with hypertension. METHODS Data were collected in three communities from September 2019 to October 2019 by semi-structured interviews. Interviews were audio-taped by digital voice recorder and analysed according to Colaizzi's seven steps. RESULTS Participants demonstrated perceived challenges concerning hypertension self-management. Six themes were identified: hypertension belief bias, family dysfunction, deep-rooted habit, elder self-neglect, medical informatization and supportive health policy. Each theme was identified with several subthemes. CONCLUSIONS Findings implied that most of the low-income older people lacked self-management behaviours. Future research is needed to address perceived challenges related to self-management behaviour for patients with hypertension worldwide.
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Affiliation(s)
- Meng Zhang
- Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China
| | - Yu Liu
- Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China
| | - Wen-Yan Zhang
- Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China
| | - Jiang-Guo Yang
- Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China
| | - Wei-Mei Yang
- Tongji Hospital Affiliated to Tongji Medical College, Huzhong University of Science and Technology, Wuhan, China
| | - Jing Zhou
- Hanshui Bridge Street Community Health Center, Qiaokou District, Wuhan, China
| | - Zhong-Min Mao
- Gutian Street Community Health Center, Qiaokou District, Wuhan, China
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17
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Takaesu A, Hanashiro K, Nakamura K. Characteristics of Older People from a Poor Residential Environment in Okinawa, Japan: An Emergency Department-Based Cross-Sectional Study. Gerontology 2022; 68:1111-1120. [PMID: 35008088 DOI: 10.1159/000520809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 10/30/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Evidence for what diseases occur more commonly in older people from a poor residential environment (PRE) is limited. OBJECTIVE We investigated characteristics, especially the underlying reason (disease) for visiting an emergency department (ED), of older people from a PRE in ED settings. METHODS A cross-sectional study was conducted on people aged ≥65 years who presented to the EDs of 2 hospitals in Okinawa, Japan, between 2015 and 2019. PRE cases were identified by searching relevant words, such as a house overflowing with garbage from hoarding or housing squalor (gomi-yashiki in Japanese), in electric medical records. Controls (2 controls per case) were randomly selected from those without a PRE, with both living at home and matching each PRE case for age and sex. Characteristics of interest between cases and controls were compared using a χ2 test. RESULTS PRE cases (n = 67), compared with controls (n = 134), were more often transported by ambulance (79.1% vs. 61.9%; p = 0.01). A family member or relative (43.4%) or professional supporter (20.8%) called an ambulance for most PRE cases. PRE cases were more likely to visit the ED due to injury/fracture (16.4% vs. 8.2%), rhabdomyolysis (11.9% vs. 1.5%), undernutrition/dehydration (10.4% vs. 1.5%), and cancer (9.0% vs. 5.2%) than controls (p < 0.001). PRE cases had a higher prevalence of being underweight (35.4% vs. 14.9%), dementia (41.8% vs. 16.4%), decubitus ulcer (29.9% vs. 8.2%), living alone (73.1% vs. 23.1%), and receiving public welfare assistance (35.8% vs. 9.0%) than controls (all p ≤ 0.001). CONCLUSION In EDs, older people from a PRE exhibited certain diseases and characteristics.
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Affiliation(s)
- Ayako Takaesu
- Department of Public Health and Hygiene, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
| | - Kazuhiko Hanashiro
- Department of Public Health and Hygiene, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan.,Department of Nursing, Faculty of Human Health Sciences, Meio University, Nago, Japan
| | - Koshi Nakamura
- Department of Public Health and Hygiene, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
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18
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Yu M, Shi Y, Gu L, Wang W. "Jolly fat" or "sad fat": a systematic review and meta-analysis of the association between obesity and depression among community-dwelling older adults. Aging Ment Health 2022; 26:13-25. [PMID: 33300393 DOI: 10.1080/13607863.2020.1857687] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To review the evidence and explore the association between obesity and depression in community-dwelling older adults. METHODS We searched 6 electronic databases from inception to November 28, 2019. Observational studies investigating the association between obesity and depression among community-dwelling older adults aged 60 years or older were included. Two reviewers independently screened the studies, extracted the data and assessed the quality of the studies. The eligible studies were meta-analysed using the Comprehensive Meta-analysis Version 3.0. RESULTS Among the 16,059 studies identified from these databases, 19 studies meeting the inclusion criteria were included, of which 14 were meta-analysed. Meta-analyses showed that older adults who were overweight (pooled odds ratio: 0.847, 95% CI:0.789-0.908, p < 0.001) or obesity (pooled odds ratio: 0.795, 95% CI:0.658-0.960, p = 0.017) - assessed using the body mass index - were significantly less likely to be depressed than their counterparts with a normal weight. No significant association between obesity (as measured via waist circumference) and depression was detected (pooled odds ratio: 0.722, 95% CI:0.465-1.119, p = 0.145) in this group population. The subgroup analyses demonstrated that both female and male older adults with overweight/obesity were significantly less likely to have depression. CONCLUSIONS The "jolly fat" hypothesis is deemed to be applicable among community-dwelling older adults. Older adults might, therefore, be encouraged to increase their body weight above the normal level to be mentally healthy. Monitoring intentional weight loss among older adults should be reinforced for public health strategies.
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Affiliation(s)
- Mingming Yu
- School of Nursing, Peking University, Beijing, P.R. China
| | - Yuexian Shi
- School of Nursing, Peking University, Beijing, P.R. China
| | - Libin Gu
- School of Nursing, Nanjing University of Chinese Medicine, Nanjing, P.R. China
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Yu M, Gu L, Shi Y, Wang W. A systematic review of self-neglect and its risk factors among community-dwelling older adults. Aging Ment Health 2021; 25:2179-2190. [PMID: 32954788 DOI: 10.1080/13607863.2020.1821168] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To systematically review published evidence on self-neglect (SN) and its risk factors among community-dwelling older adults. METHOD A comprehensive literature search was conducted in PubMed, Embase, CINAHL Plus, PsycINFO, and Scopus for studies that were published in English from inception to 8 April 2020. Grey database was also included to ensure a thorough search. The study quality was assessed by two reviewers independently using the Newcastle-Ottawa Scale or the checklist suggested by the Agency for Healthcare Research and Quality. RESULTS A total of 19 studies was included in this review. Various tools were used to assess SN among the available studies. The prevalence rates of SN among community-dwelling older adults ranged from 18.4% to 29.1%. The risk factors of SN identified by these studies involved sociodemographic characteristics (male gender, older age, low economic status, ethnicity, lower educational level, marital status, and lower number of children), health-related characteristics (cognitive impairment, lower level of physical function, nutritional status, higher number of medical comorbidities, and pain), psychological characteristics (depression), and social context characteristics (living alone, lower social networks and social engagement, lower neighborhood cohesion, and neighborhood disorder). CONCLUSION SN is a common and under-recognized phenomenon among community-dwelling older adults. Our review provides healthcare professionals with an insight into SN and its risk factors. More studies are required to test the potency of each independent risk factor to deepen our understanding of this particular phenomenon.
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Affiliation(s)
- Mingming Yu
- School of Nursing, Peking University, Beijing, P.R. China
| | - Libin Gu
- School of Nursing, Nanjing University of Chinese Medicine, Nanjing, P.R. China
| | - Yuexian Shi
- School of Nursing, Peking University, Beijing, P.R. China
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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20
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Yu M, Ramachandran HJ, Qian M, Shi Y, Gu L, Wang W. Understanding professionals' perspectives and experiences of elder self-neglect: A systematic review and meta-synthesis of qualitative studies. J Nurs Scholarsh 2021; 54:24-30. [PMID: 34791792 DOI: 10.1111/jnu.12710] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 07/18/2021] [Accepted: 07/23/2021] [Indexed: 12/01/2022]
Abstract
PURPOSE To systematically review and synthesize the findings on various professionals' perspectives of elder self-neglect (ESN) and/or their experiences with ESN. DESIGN A systematic qualitative review was used. METHODS Primary qualitative studies published either in English or Chinese until August 2020 were systematically searched in the following databases: PubMed, Web of Science, Embase, CINAHL Plus, PsycINFO, Wanfang Data, and China National Knowledge Infrastructure (CNKI). FINDINGS Eleven studies were included. Five subthemes including retaining a sense of normalcy/identity, service refusal, isolation, contributing factors in ESN, and manifestations and consequences of ESN were included in the overarching theme of ESN features. Another two subthemes, emotional and ethical dilemmas in caring for self-neglecters and management strategies, were included under the second overarching theme of complicated experiences managing cases of ESN. CONCLUSIONS This qualitative synthesis provides a deep and comprehensive insight into professionals' perspectives and experiences of self-neglect in older adults. Understanding professionals' perspectives of ESN can help with the knowledge and theory development pertinent to this particular phenomenon. CLINICAL RELEVANCE Findings are valuable in informing the provision of funds and structural, informational, and emotional support systems development for professionals managing ESN cases. Establishing a strong link between ESN case management and improved outcomes in older self-neglecters is essential to establish a definite need for the provision of support, resource, and stardardized guidelines for these professionals.
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Affiliation(s)
- Mingming Yu
- School of Nursing, Peking University, Beijing, P.R. China
| | - Hadassah Joann Ramachandran
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Min Qian
- School of Nursing, Peking University, Beijing, P.R. China
| | - Yuexian Shi
- School of Nursing, Peking University, Beijing, P.R. China
| | - Libin Gu
- School of Nursing, Nanjing University of Chinese Medicine, Nanjing, P.R. China
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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21
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Qian M, Shi Y, Lv J, Yu M. Instruments to assess self-neglect among older adults: A systematic review of measurement properties. Int J Nurs Stud 2021; 123:104070. [PMID: 34520885 DOI: 10.1016/j.ijnurstu.2021.104070] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 08/18/2021] [Accepted: 08/18/2021] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To critically appraise, compare, and summarize the measurement properties of existing instruments that assess self-neglect among older adults. METHODS Eight electronic databases (PubMed, Scopus, Embase, CINAHL Plus with Full Text, Web of Science, PsycINFO, China National Knowledge Infrastructure, and WanFang Data) were searched from their inception to September 6, 2020. The methodological qualities of the included studies on measurement properties were assessed by using the COnsensus-based Standards for selection of health Measurement INstruments (COSMIN) methodology for systematic reviews of Patient-Reported Outcome Measures (PROMs). RESULTS Among the 1184 studies identified, 47 full-text studies were assessed further for their eligibilities. A total of 8 studies were eventually included. The methodological quality of content validity for relevance, comprehensiveness, and comprehensibility of all instruments in this review was doubtful or inadequate. The methodological quality of structural validities in the majority of the studies were very good, while the quality of hypothesis testing for construct validity was doubtful. The internal consistency was assessed by calculating Cronbach's alpha coefficient in all studies. Some measurement properties (e.g., cross-cultural validity/measurement invariance, measurement error, and responsiveness) were not assessed in the reviewed studies. CONCLUSIONS This systematic review provides a comprehensive overview of the measurement properties of elder self-neglect instruments. Among the eight instruments identified, none of them demonstrate better properties than any other. Future studies are suggested to use COSMIN methodology as guideline to examine the measurement properties of the developed instruments. Instruments with rigid measurement properties are urgently needed to assess self-neglect among older adults to provide the necessary and valuable information on this particular phenomenon.
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Affiliation(s)
- Min Qian
- School of Nursing, Peking University, Beijing, P.R. China.
| | - Yuexian Shi
- School of Nursing, Peking University, Beijing, P.R. China
| | - Jinghong Lv
- School of Nursing, Peking University, Beijing, P.R. China.
| | - Mingming Yu
- School of Nursing, Peking University, Beijing, P.R. China.
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22
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Song L, Ge Y, Zhang X. The Relationship Between WeChat Use by Chinese Urban Older Adults Living Alone and Their Subjective Well-Being: The Mediation Role of Intergenerational Support and Social Activity. Psychol Res Behav Manag 2021; 14:1543-1554. [PMID: 34629911 PMCID: PMC8493272 DOI: 10.2147/prbm.s330827] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 09/16/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose WeChat is China’ biggest social media platform. In addition to instant messaging, it has a great many useful functions that can help Chinese citizens adapt to an increasingly digitized society. This study aimed to examine the effect of WeChat use on the subjective well-being (SWB) of Chinese older adults living alone, and how the effect could occur. Participants and Methods A total of 415 Chinese older adults living alone participated in the survey. Participants filled out questionnaires (scales) measuring their SWB, proficiency in WeChat use, social activity levels and self-esteem respectively. Mean scores of SWB were used to determine the difference in SWB between the users and non-users, and correlation test was performed to find out the association between proficiency in WeChat use and SWB among the users. Results The mean score of WeChat users was 34.68 (SD = 7.301), significantly higher than that of the non-users, which was 32.73 (SD = 7.168) (t = 2.741, p = 0.006). Among the users, the more proficient in WeChat use one was, the higher their SWB score (r = 0.458, p < 0.01). The results combined to demonstrate that WeChat use has a positive effect on the SWB of Chinese older adults living alone. The findings also showed that the increase in SWB was obtained through the mediation of intergenerational support and social activities. Conclusion This study suggests that WeChat use by Chinese older adults living alone could increase their intergenerational support and social activities; the increased intergenerational support and social activities then enhance the SWB of Chinese older adults living alone.
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Affiliation(s)
- Li Song
- Institute of Arts and Humanities, Shanghai Jiao Tong University, Shanghai, 200240, People's Republic of China
| | - Yan Ge
- Institute of Psychological and Behavioral Science, Shanghai Jiao Tong University, Shanghai, 200240, People's Republic of China
| | - Xuyang Zhang
- School of Humanities, Shanghai Institute of Technology, Shanghai, 201418, People's Republic of China
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23
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Wu M, Peng C, Chen Y, Yuan M, Zhao M, Wang C, Zeng T. Nurses' Perceptions of Factors Influencing Elder Self-neglect: A Qualitative Study. Asian Nurs Res (Korean Soc Nurs Sci) 2020; 14:137-143. [PMID: 32603691 DOI: 10.1016/j.anr.2020.05.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 05/04/2020] [Accepted: 05/21/2020] [Indexed: 10/24/2022] Open
Abstract
PURPOSE Elder self-neglect is a global public health issue and should be taken seriously at large. Nurses, usually working directly with elderly patients, have a better understanding of what factors may cause elder self-neglect. In this qualitative study, we explored the influencing factors of elder self-neglect from the perception of nurses in the context of Chinese culture. METHODS Face-to-face, in-depth interviews were conducted from November 2018 to December 2018. Purposive sampling was used. Twenty one participants recruited from eight geriatric wards of a general hospital located in Wuhan were interviewed. A content analysis of qualitative nature was performed to analyze the data. RESULTS Our conceptual model illustrated the findings based on the three themes of the conflict between personal recognition and social judgment, the choice between current needs and individual beliefs, as well as the compromise between insufficient abilities and limited resources. CONCLUSION Nurses together with family members and social workers can help older adults improve their awareness of self-neglect to bridge the gap with social judgment, learn to focus on their own needs, as well as seek as much support as possible. Nurses should also respect the autonomy and self-determination of elder self-neglecters because self-neglect is related to older adults' values. Furthermore, larger studies are needed to quantitatively test and refine the model.
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Affiliation(s)
- Meiliyang Wu
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Chaohua Peng
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Ye Chen
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Mengmei Yuan
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Meizhen Zhao
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Chengshuang Wang
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Tieying Zeng
- Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
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24
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Gu L, Yu M, Xu D, Wang Q, Wang W. Depression in Community-Dwelling Older Adults Living Alone in China: Association of Social Support Network and Functional Ability. Res Gerontol Nurs 2020; 13:82-90. [PMID: 31584689 DOI: 10.3928/19404921-20190930-03] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 08/23/2019] [Indexed: 11/20/2022]
Abstract
Older adults who live alone are more likely to experience depressive symptoms compared to those who live with others. The current study aimed to investigate the prevalence of depression and identify its associated factors among community-dwelling older adults living alone in China. A cross-sectional questionnaire survey was conducted with a total of 172 older adults living alone in Nanjing city, Jiangsu province of mainland China. The prevalence of depression among this group of Chinese older adults was 18.6%. The possibility of depression among older adults who had social isolation risk was 2.59 times higher than those who had no such risk. Compared with older adults who had normal functional abilities, the possibility of depression was 3.31 times higher in older adults with mild functional impairments and 4.72 times higher in those with severe functional impairments. The results suggest that health care providers should develop effective interventions to help older adults living alone maintain their mental health by enhancing their functional abilities and increasing their social support networks and social engagement. [Research in Gerontological Nursing, 13(2), 82-90.].
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