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3.
Brasília, D.F.; OPAS; 2021-04-30. (OPAS-W/BRA/PHE/COVID-19/21-0016).
No convencional en Portugués | PAHO-IRIS | ID: phr2-53848

RESUMEN

Este documento é uma atualização das orientações publicadas em 21 de março de 2020 e contém novas evidências e orientações, incluindo: Resultados atualizados de estudos publicados sobre: epidemiologia e alcance da infecção pelo SARS-CoV-2 entre residentes e funcionários de instituições de longa permanência; eficácia das precauções de prevenção e controle de infecção (PCI) para prevenir a transmissão do SARS- CoV-2 em instituições de longa permanência; impacto das precauções de PCI na saúde mental e física e no bem-estar dos idosos e, principalmente, de pessoas com demência ou outras doenças mentais ou neurológicas; orientações atualizadas sobre precauções de PCI para prevenir a propagação do SARS- CoV-2 e para proteger os trabalhadores da saúde e os cuidadores dos pacientes com suspeita ou confirmação de COVID-19 em instituições de longa permanência. Orientações sobre detecção precoce do SARS- CoV-2 entre residentes e funcionários de instituições de longa permanência. Orientações sobre políticas para visitantes em instituições de longa permanência e considerações adicionais sobre como minimizar o impacto sobre a saúde mental e física das restrições e medidas de PCI implementadas no contexto da COVID-19.


Asunto(s)
Infecciones por Coronavirus , Infecciones por Coronavirus , Betacoronavirus , Virus del SRAS , Epidemias , Pandemias , Hogares para Ancianos
6.
JAMA Netw Open ; 4(3): e216315, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33787905

RESUMEN

Importance: Nursing home residents account for approximately 40% of deaths from SARS-CoV-2. Objective: To identify risk factors for SARS-CoV-2 incidence, hospitalization, and mortality among nursing home residents in the US. Design, Setting, and Participants: This retrospective longitudinal cohort study was conducted in long-stay residents aged 65 years or older with fee-for-service Medicare residing in 15 038 US nursing homes from April 1, 2020, to September 30, 2020. Data were analyzed from November 22, 2020, to February 10, 2021. Main Outcomes and Measures: The main outcome was risk of diagnosis with SARS-CoV-2 (per International Statistical Classification of Diseases, Tenth Revision, Clinical Modification [ICD-10-CM] codes) by September 30 and hospitalization or death within 30 days after diagnosis. Three-level (resident, facility, and county) logistic regression models and competing risk models conditioned on nursing home facility were used to determine association of patient characteristics with outcomes. Results: Among 482 323 long-stay residents included, the mean (SD) age was 82.7 (9.2) years, with 326 861 (67.8%) women, and 383 838 residents (79.6%) identifying as White. Among 137 119 residents (28.4%) diagnosed with SARS-CoV-2 during follow up, 29 204 residents (21.3%) were hospitalized, and 26 384 residents (19.2%) died within 30 days. Nursing homes explained 37.2% of the variation in risk of infection, while county explained 23.4%. Risk of infection increased with increasing body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) (eg, BMI>45 vs BMI 18.5-25: adjusted hazard ratio [aHR], 1.19; 95% CI, 1.15-1.24) but varied little by other resident characteristics. Risk of hospitalization after SARS-CoV-2 increased with increasing BMI (eg, BMI>45 vs BMI 18.5-25: aHR, 1.40; 95% CI, 1.28-1.52); male sex (aHR, 1.32; 95% CI, 1.29-1.35); Black (aHR, 1.28; 95% CI, 1.24-1.32), Hispanic (aHR, 1.20; 95% CI, 1.15-1.26), or Asian (aHR, 1.46; 95% CI, 1.36-1.57) race/ethnicity; impaired functional status (eg, severely impaired vs not impaired: aHR, 1.15; 95% CI, 1.10-1.22); and increasing comorbidities, such as renal disease (aHR, 1.21; 95% CI, 1.18-1.24) and diabetes (aHR, 1.16; 95% CI, 1.13-1.18). Risk of mortality increased with age (eg, age >90 years vs 65-70 years: aHR, 2.55; 95% CI, 2.44-2.67), impaired cognition (eg, severely impaired vs not impaired: aHR, 1.79; 95% CI, 1.71-1.86), and functional impairment (eg, severely impaired vs not impaired: aHR, 1.94; 1.83-2.05). Conclusions and Relevance: These findings suggest that among long-stay nursing home residents, risk of SARS-CoV-2 infection was associated with county and facility of residence, while risk of hospitalization and death after SARS-CoV-2 infection was associated with facility and individual resident characteristics. For many resident characteristics, there were substantial differences in risk of hospitalization vs mortality. This may represent resident preferences, triaging decisions, or inadequate recognition of risk of death.


Asunto(s)
Hogares para Ancianos , Hospitalización , Casas de Salud , Pandemias , Índice de Severidad de la Enfermedad , Anciano , Anciano de 80 o más Años , Índice de Masa Corporal , Comorbilidad , Grupos de Población Continentales , Grupos Étnicos , Femenino , Humanos , Estudios Longitudinales , Masculino , Rendimiento Físico Funcional , Características de la Residencia , Estudios Retrospectivos , Factores de Riesgo , Factores Sexuales , Estados Unidos
7.
Medicine (Baltimore) ; 100(8): e24577, 2021 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-33663066

RESUMEN

BACKGROUND: Dementia is becoming a major public health problem worldwide with the aging of the world's population. Behavioral and psychological symptoms of dementia (BPSD), associated symptoms of dementia, not only predicts the poor prognosis of patients with dementia, but is also a major factor causing the care burden on caregivers, especially informal caregivers. For BPSD management, an alternative to existing psychotropic drugs is needed, given the benefit-harm ratio. Therefore, in this systematic review, we will evaluate the effectiveness and safety of herbal medicine for BPSD. METHODS AND ANALYSIS: Thirteen electronic databases will be comprehensively searched. Clinical studies reporting the efficacy (or effectiveness) and safety of herbal medicines in BSPD management published from their inception to December 2020 will be included. The primary outcome will be BPSD symptoms assessed by the validated tool. Moreover, total effective rate, daily living activities and quality of life of patients, burden and quality of life of caregiver, placement in a long-term care facility from home, and safety data will be regarded as the secondary outcome. Two independent researchers will perform the study selection, data extraction, and quality assessment process. To assess the methodological quality of the included studies, validated tools according to its design, such as the Cochrane Collaboration's risk of bias tool will be used. To perform meta-analysis, RevMan version 5.3 will be used, with mean differences for continuous outcomes and risk ratio for binary outcomes, and 95% confidence intervals. According to the heterogeneity and number of included studies, a fixed- or random-effects model will be used. REGISTRATION NUMBER: OSF (URL: https://osf.io/3u8ch), PROSPERO (CRD42020211000) (URL: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020211000).


Asunto(s)
Demencia/tratamiento farmacológico , Medicina de Hierbas/métodos , Actividades Cotidianas , Cuidadores/psicología , Ensayos Clínicos como Asunto , Hogares para Ancianos/estadística & datos numéricos , Humanos , Casas de Salud/estadística & datos numéricos , Calidad de Vida , Proyectos de Investigación , Índice de Severidad de la Enfermedad
8.
Medicine (Baltimore) ; 100(8): e24885, 2021 Feb 26.
Artículo en Inglés | MEDLINE | ID: mdl-33663118

RESUMEN

ABSTRACT: The prevalence and factors that influence prehypertension and hypertension in workers at elderly welfare facilities remain unknown. This study investigated prehypertension and hypertension as well as the relevant factors affecting the development of these conditions in workers at elderly welfare facilities.A cross-sectional survey was conducted among 242 workers at 3 elderly welfare facilities in northern Taiwan. A structured questionnaire survey comprising demographic characteristics, job characteristics, burnout inventory, and health information was employed for data collection. Chi-Squared tests and multinomial logistic regression were adopted to analyze the correlation between research variables and blood pressures as well as relevant factors influencing prehypertension and hypertension.The results indicated that sex, age, education level, type of work shift, work-related burnout, and body mass index of the research participants were significantly correlated with prehypertension and hypertension. The results of multinominal logistic regression demonstrated that being male, being older, being a nonnurse assistant, being obese, working in shifts, and having moderate or severe work-related burnout were associated with higher risks of prehypertension and hypertension. The interaction between age and being a nonnurse assistant was statistically significant. Compared with nonnurse assistants, nurse assistants aged ≥55 years had a relatively low risk of prehypertension and hypertension.Age, job characteristics, work-related burnout, and obesity of workers in elderly welfare facilities were the major risk factors for prehypertension and hypertension.


Asunto(s)
Personal de Salud/estadística & datos numéricos , Hipertensión/epidemiología , Prehipertensión/epidemiología , Adulto , Agotamiento Profesional/epidemiología , Estudios Transversales , Femenino , Hogares para Ancianos , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Encuestas y Cuestionarios , Taiwán/epidemiología
9.
J Clin Ethics ; 32(1): 77-82, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33656460

RESUMEN

The level of impairment shown by the 1.3 million residents of nursing homes in the United States varies significantly, and this raises considerable challenges for how to address the sexual and romantic interests and needs of these diverse individuals. Unfortunately, bright-line rules and a one-size-fits-all approach are often taken when addressing these challenges. This article proposes a novel taxonomy for classifying the potential sexual and romantic relationships of cognitively impaired nursing home residents that includes relationships between unmarried residents, relationships between residents and their own spouses, and adulterous relationships. We explore the ethical and logistical challenges distinctive to each category of relationship.


Asunto(s)
Eticistas , Ética Institucional , Hogares para Ancianos/organización & administración , Relaciones Interpersonales , Casas de Salud/organización & administración , Conducta Sexual/ética , Esposos , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Estados Unidos
10.
Eur J Health Law ; 28(1): 81-101, 2021 01 04.
Artículo en Inglés | MEDLINE | ID: mdl-33652383

RESUMEN

This article reflects on COVID-19 restrictions imposed on elders in Ireland through the lens of the right to private and family life (Article 8 ECHR), focusing on stay at home orders and recommendations advising elders to avoid social contact. Furthermore, we examine restrictions on visiting nursing homes given the high death toll in that setting. In our analysis, we zero in on the principles of foreseeability and proportionality, highlighting areas of concern and aspects that we submit should be considered in a proportionality assessment. Ultimately, we argue that it is a mistake to view the COVID-19 pandemic solely as an emergency. In this manner, the solutions suggested through the law - restrictions on movement and visitation bans - are too narrow and fail to address the underlying structures, such as, issues in the healthcare system, the limited home help for elderly and poor conditions in nursing homes.


Asunto(s)
/prevención & control , Brotes de Enfermedades/legislación & jurisprudencia , Familia , Aislamiento de Pacientes/legislación & jurisprudencia , Privacidad , Visitas a Pacientes/legislación & jurisprudencia , Anciano , Hogares para Ancianos/normas , Humanos , Irlanda/epidemiología , Casas de Salud/normas
11.
BMC Med ; 19(1): 71, 2021 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-33663498

RESUMEN

BACKGROUND: To estimate excess mortality for care home residents during the COVID-19 pandemic in England, exploring associations with care home characteristics. METHODS: Daily number of deaths in all residential and nursing homes in England notified to the Care Quality Commission (CQC) from 1 January 2017 to 7 August 2020. Care home-level data linked with CQC care home register to identify home characteristics: client type (over 65s/children and adults), ownership status (for-profit/not-for-profit; branded/independent) and size (small/medium/large). Excess deaths computed as the difference between observed and predicted deaths using local authority fixed-effect Poisson regressions on pre-pandemic data. Fixed-effect logistic regressions were used to model odds of experiencing COVID-19 suspected/confirmed deaths. RESULTS: Up to 7 August 2020, there were 29,542 (95% CI 25,176 to 33,908) excess deaths in all care homes. Excess deaths represented 6.5% (95% CI 5.5 to 7.4%) of all care home beds, higher in nursing (8.4%) than residential (4.6%) homes. 64.7% (95% CI 56.4 to 76.0%) of the excess deaths were confirmed/suspected COVID-19. Almost all excess deaths were recorded in the quarter (27.4%) of homes with any COVID-19 fatalities. The odds of experiencing COVID-19 attributable deaths were higher in homes providing nursing services (OR 1.8, 95% CI 1.6 to 2.0), to older people and/or with dementia (OR 5.5, 95% CI 4.4 to 6.8), amongst larger (vs. small) homes (OR 13.3, 95% CI 11.5 to 15.4) and belonging to a large provider/brand (OR 1.2, 95% CI 1.1 to 1.3). There was no significant association with for-profit status of providers. CONCLUSIONS: To limit excess mortality, policy should be targeted at care homes to minimise the risk of ingress of disease and limit subsequent transmission. Our findings provide specific characteristic targets for further research on mechanisms and policy priority.


Asunto(s)
Servicios de Salud para Ancianos , Hogares para Ancianos/estadística & datos numéricos , Casas de Salud/estadística & datos numéricos , Calidad de la Atención de Salud , Instituciones Residenciales/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , /prevención & control , Estudios de Cohortes , Inglaterra/epidemiología , Femenino , Necesidades y Demandas de Servicios de Salud , Servicios de Salud para Ancianos/organización & administración , Servicios de Salud para Ancianos/normas , Humanos , Masculino , Mortalidad
12.
J Alzheimers Dis ; 80(4): 1395-1399, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33646169

RESUMEN

The rapid emergence of COVID-19 has had far-reaching effects across all sectors of health and social care, but none more so than for residential long-term care homes. Mortality rates of older people with dementia in residential long-term care homes have been exponentially higher than the general public. Morbidity rates are also higher in these homes with the effects of government-imposed COVID-19 public health directives (e.g., strict social distancing), which have led most residential long-term care homes to adopt strict 'no visitor' and lockdown policies out of concern for their residents' physical safety. This tragic toll of the COVID-19 pandemic highlights profound stigma-related inequities. Societal assumptions that people living with dementia have no purpose or meaning and perpetuate a deep pernicious fear of, and disregard for, persons with dementia. This has enabled discriminatory practices such as segregation and confinement to residential long-term care settings that are sorely understaffed and lack a supportive, relational, and enriching environment. With a sense of moral urgency to address this crisis, we forged alliances across the globe to form Reimagining Dementia: A Creative Coalition for Justice. We are committed to shifting the culture of dementia care from centralized control, safety, isolation, and punitive interventions to a culture of inclusion, creativity, justice, and respect. Drawing on the emancipatory power of the imagination with the arts (e.g., theatre, improvisation, music), and grounded in authentic partnerships with persons living with dementia, we aim to advance this culture shift through education, advocacy, and innovation at every level of society.


Asunto(s)
/epidemiología , Control de Enfermedades Transmisibles/tendencias , Demencia/epidemiología , Demencia/terapia , Cuidados a Largo Plazo/tendencias , /psicología , Control de Enfermedades Transmisibles/métodos , Demencia/psicología , Hogares para Ancianos/tendencias , Humanos , Cuidados a Largo Plazo/métodos , Casas de Salud/tendencias
13.
Rev Infirm ; 70(269): 33-36, 2021 Mar.
Artículo en Francés | MEDLINE | ID: mdl-33742591

RESUMEN

The Nouvelle-Aquitaine Regional Health Agency is experimenting with a night nurse position shared between several accommodation facilities for dependent elderly.


Asunto(s)
Hogares para Ancianos , Casas de Salud , Personal de Enfermería , Horario de Trabajo por Turnos , Anciano , Francia , Humanos , Personal de Enfermería/organización & administración
14.
J Am Med Dir Assoc ; 22(4): 886-892, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33775548

RESUMEN

Long-term services and supports for older persons in the United States are provided in a complex, racially segregated system, with striking racial disparities in access, process, and outcomes of care for residents, which have been magnified during the Coronavirus Disease 2019 pandemic. These disparities are in large measure the result of longstanding patterns of structural, interpersonal, and cultural racism in US society, which in aggregate represent an underpinning of systemic racism that permeates the long-term care system's organization, administration, regulations, and human services. Mechanisms underlying the role of systemic racism in producing the observed disparities are numerous. Long-term care is fundamentally tied to geography, thereby reflecting disparities associated with residential segregation. Additional foundational drivers include a fragmented payment system that advantages persons with financial resources, and reimbursement policies that systematically undervalue long-term care workers. Eliminating disparities in health outcomes in these settings will therefore require a comprehensive approach to eliminating the role of systemic racism in promoting racial disparities.


Asunto(s)
Disparidades en Atención de Salud , Hogares para Ancianos/organización & administración , Casas de Salud/organización & administración , Racismo , Anciano , Anciano de 80 o más Años , Humanos , Estados Unidos
15.
Artículo en Inglés | MEDLINE | ID: mdl-33668733

RESUMEN

This study aimed to evaluate the association between trypsin-like activity in the oral cavity and the onset of fever in independent older residents of nursing homes. Independent older residents aged ≥ 65 years in 10 nursing homes were included in this study, which was conducted in Kitakyushu, Japan. For 8 months, follow-up dates on which the body temperatures of participants were more than 37.2 °C were noted. Trypsin-like activity in the oral cavity was detected by ADCHECK® with five-grade evaluation at baseline. Data from 53 independent participants with median age 89.0 (67­102) years were available for analysis. ADCHECK® scores were associated with fever days (r = 0.312, p = 0.029). The average periods until the onset of fever in participants with ADCHECK® Scores 1 and 2, Score 3, and Scores 4 and 5 were 6.6 ± 0.5, 5.0 ± 0.7, and 4.1 ± 1.0 months, respectively. ADCHECK® Scores 4 and 5 signified a higher risk of fever compared to ADCHECK® Scores 1 and 2 (hazards ratio 5.9, 95% confidence interval 1.4­23.9, p = 0.013), adjusted for possible confounders. We concluded that trypsin-like activity in the oral cavity was associated with the risk of fever in independent older residents of nursing homes.


Asunto(s)
Hogares para Ancianos , Casas de Salud , Anciano , Anciano de 80 o más Años , Humanos , Japón/epidemiología , Boca , Proyectos Piloto , Estudios Prospectivos , Tripsina
16.
Int J Qual Health Care ; 33(1)2021 Mar 16.
Artículo en Inglés | MEDLINE | ID: mdl-33677490

RESUMEN

BACKGROUND: COVID-19 pandemic has had a major impact globally, with older people living in aged care homes suffering high death rates. OBJECTIVES: We aimed to compare the impact of initial government policies on this vulnerable older population between the UK and Australia during the first wave of attack. METHODS: We searched websites of governments in the UK and Australia and media outlets. We examined the key policies including the national lockdown dates and the distribution of some important resources (personal protective equipment and testing) and the effects of these initial policies on the mortality rates in the aged care homes during the first wave of attack of COVID-19. RESULTS: We found that both countries had prioritized resources to hospitals over aged care homes during the first wave of attack. Both countries had lower priority for aged care residents in hospitals (e.g. discharging without testing for COVID-19 or discouraging admissions). However, deaths in aged care homes were 270 times higher in the UK than in Australia as on 7 May 2020 (despite UK having a population only 2.5 times larger than Australia). The lower fatality rate in Australia may have been due to the earlier lockdown strategy when the total daily cases were low in Australia (118) compared to the UK (over 1000), as well as the better community viral testing regime in Australia. CONCLUSION: In conclusion, the public health policy in Australia aimed towards earlier intervention with earlier national lockdown and more viral testing to prevent new cases. This primary prevention could have resulted in more lives being saved. In contrast, the initial policy in the UK focussed mainly on protecting resources for hospitals, and there was a delay in national lockdown intervention and lower viral testing rate, resulting in more lives lost in the aged care sector.


Asunto(s)
/prevención & control , Política de Salud , Hogares para Ancianos/organización & administración , Australia/epidemiología , Inglaterra/epidemiología , Hospitalización/estadística & datos numéricos , Humanos , Asignación de Recursos/métodos , Asignación de Recursos/organización & administración , Reino Unido/epidemiología
17.
BMJ ; 372: n562, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33649159
18.
Br J Nurs ; 30(5): 320-321, 2021 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-33733855

RESUMEN

Richard Griffith, Senior Lecturer in Health Law at Swansea University, considers two recent cases in the Court of Protection that determined if the COVID-19 vaccine was in the best interests of a person who lacked the mental capacity to decide on immunisation after relatives objected its administration.


Asunto(s)
/administración & dosificación , Legislación de Enfermería , Competencia Mental/legislación & jurisprudencia , Anciano , /enfermería , Hogares para Ancianos , Humanos , Casas de Salud , Reino Unido/epidemiología , Poblaciones Vulnerables
19.
Int. j. med. surg. sci. (Print) ; 8(1): 1-12, mar. 2021. tab
Artículo en Español | LILACS | ID: biblio-1151620

RESUMEN

El objetivo de este estudio fue caracterizar la prescripción de los medicamentos ansiolíticos utilizados en población de adultos mayores institucionalizados en el hogar de ancianos de Pinar del Río durante el año 2017.Se realizó un estudio descriptivo transversal, con recogida de datos retrospectiva, sobre prescripción de medicamentos ansiolíticos en la población de adultos mayores institucionalizados en el hogar de ancianos, se analizó la forma de utilización de los medicamentos, su indicación y prescripción con elementos de esquema terapéutico y factores que condicionan los hábitos de prescripción. Se trabajó con el universo (U= 98) de estudio el cual estuvo conformado por el total de pacientes institucionalizados, que estaban consumiendo ansiolíticos. Se revisaron las historias clínicas individuales y se confeccionó un modelo de recolección de datos.El medicamento más consumido por los adultos mayores fue el nitrazepam (41,8 %), siendo este a su vez el más consumido por el sexo masculino, no así para el femenino que resultó ser el clorodiazepóxido (64,6 %), el grupo de edad que más predominó fue el de 60-69 años, asimismo los viudos y el nivel educacional primario, el 79,5 % de los ancianos consume otros medicamentos que poseen interacción farmacocinética. El profesional que más indicó fue el médico de familia, la prescripción e intervalos entre dosis fue adecuada, la prescripción se consideró no racional.La prescripción de ansiolíticos en la población objeto de estudio, disminuye a medida que aumenta la edad, los más consumidores son los del sexo masculino y los institucionalizados por abandono familiar, esto apunta a la necesidad de continuar trabajando desde el nivel primario de atención dado que es de donde proceden estos ancianos.


The objective of this study was to characterize the prescription of anxiolytic medications used in the institutionalized elderly population at the Pinar del Río Nursing Home during 2017.A cross-sectional descriptive study was carried out, with retrospective data collection, on the prescription of anxiolytic medications in the population of institutionalized older adults in the Nursing Home, the form of use of the medications, their indication and prescription with elements of the therapeutic scheme was analyzed and factors that condition prescription habits. We worked with the universe (U = 98) of the study, which was made up of the total number of institutionalized patients who were consuming anxiolytics. Individual medical records were reviewed and a data collection model was created.The drug most consumed by older adults was nitrazepam (41.8%), this in turn being the most consumed by males, not so for females, which turned out to be chlorodiazepoxide (64.6%), the group The most prevalent age group was 60-69 years, likewise widowers and primary educational level, 79.5% of the elderly consume other drugs that have pharmacokinetic interaction. The professional who indicated the most was the family doctor, the prescription and intervals between doses were adequate, the prescription was considered non-rational.The prescription of anxiolytics in the population under study decreases as age increases, the most consumers are those of the male sex and those institutionalized due to family abandonment, this points to the need to continue working from the primary level of care since that is where these elders come from.


Asunto(s)
Anciano , Anciano de 80 o más Años , Prescripciones de Medicamentos , Ansiolíticos/uso terapéutico , Clordiazepóxido/uso terapéutico , Hogares para Ancianos , Nitrazepam/uso terapéutico , Casas de Salud , Epidemiología Descriptiva , Estudios Transversales , Estudios Retrospectivos , Distribución por Sexo , Distribución por Edad
20.
J Gerontol Nurs ; 47(3): 23-28, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33626161

RESUMEN

The current study examines the public's perception on the mitigation of COVID-19 risk and knowledge of disease symptoms among older adults in nursing homes, with the intention to address gaps in knowledge using mobile technologies. An online survey questionnaire was completed by 611 adults residing in Malaysia. The four domains, derived from factor analysis, affirmed the supportive perception among the public (score range = 4.42 to 4.64/5.0). However, among the gaps identified were the perception toward hand sanitizing and susceptibility of older adults to COVID-19. Public knowledge on symptoms of COVID-19 was limited (e.g., 41.4% to 53.4% incorrect responses to anosmia, diarrhea, confusion). Multivariate analysis of variance found that males and participants with less education had significantly lower supportive perceptions (p < 0.05). With >86% of participants having access to internet communication technology, mobile interventions tailored to gender and educational level are recommended to promote long-term pandemic preparedness among stakeholders and the public. [Journal of Gerontological Nursing, 47(3), 23-28.].


Asunto(s)
Actitud Frente a la Salud , /psicología , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/psicología , Percepción , Opinión Pública , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Hogares para Ancianos , Humanos , Malasia/epidemiología , Masculino , Persona de Mediana Edad , Casas de Salud , Factores de Riesgo , Factores Sexuales , Factores Socioeconómicos , Encuestas y Cuestionarios
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