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2025年10月20日 星期一

期刊文章:Elderly patients’ involvement in medical decision-making and its influencing factors: A cross-sectional study


資料來源:https://www.sciencedirect.com/science/article/abs/pii/S019745722500521X

Elderly patients’ involvement in medical decision-making and its influencing factors: A cross-sectional study

Author links open overlay panelZijie Xu MPH, BNurs, RN a, Yujia Zhou MPH, BNurs, RN a, Daniel Yee Tak Fong PhD b, Naomi Takemura PhD, BNurs, RN c

Geriatric Nursing
Volume 66, Part C, November–December 2025, 103678

Cite
https://doi.org/10.1016/j.gerinurse.2025.103678Get rights and content


Highlight
•Elderly patients frequently face significant challenges and are often insufficiently involved in the medical decision-making process, highlighting the critical need to identify and understand the factors that influence their level of involvement.
•The study revealed that gender, caregiver relationships, and employment status after retirement significantly influence elderly patients' involvement in medical decision-making, with females, those with spousal or relative caregivers, and retirees showing higher involvement levels.
•It is crucial for healthcare professionals to identify and support elderly individuals with lower involvement levels, aiming to dismantle barriers and enhance patient autonomy and quality of life in medical decision-making processes.

2025年2月27日 星期四

期刊資源:The association between exercise, activities, and frailty in older Chinese adults: a cross-sectional study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) data


資料來源:https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-025-05802-2

Published: 26 February 2025
The association between exercise, activities, and frailty in older Chinese adults: a cross-sectional study based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) data


BMC Geriatrics volume 25, Article number: 131 (2025)

Abstract

Objectives
The purpose of this study was to evaluate the association between exercise/activities and frailty in older Chinese adults using the Chinese Longitudinal Healthy Longevity Survey (CLHLS).

Methods
This cross-sectional study included 6862 participants aged 65 years or older from the CLHLS 2018. Frailty was assessed using a 38-variable frailty index (FI). Activities included Tai chi, square dance, garden work, raising animals/pets, playing cards/mah-jongg, social activity and housework. Multivariate logistic regression was used to assess the association between exercise/activities and frailty, adjusting for covariates such as gender, age, BMI, chronic diseases, residence, education, co-residence, economic status, smoking, drinking, physical labor history, and nutritional supplements.

Results
The mean age of this study was 81.5 (SD = 10.3)years, with 3567 (52%) females. Frailty prevalence was 32.3%. The prevalence of exercise and daily activities was 31% and 78.6%, respectively. Multivariate logistic regression analysis showed that the likelihood of frailty increased with decreased exercise (OR = 1.85, 95% CI: 1.57, 2.18, P < 0.001) and activities (OR = 4.43, 95% CI: 3.74, 5.25, P < 0.001).

Conclusions
Participation in exercise/activities is associated with a lower likelihood of frailty. Regular housework may also contribute to reducing frailty risk.

2024年8月21日 星期三

期刊文章:Exploring factors affecting the acceptance of fall detection technology among older adults and their families: a content analysis

資料來源:https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-024-05262-0

Exploring factors affecting the acceptance of fall detection technology among older adults and their families: a content analysis
Hsin-Hsiung Huang,Ming-Hao Chang,Peng-Ting Chen,Chih-Lung Lin,Pi-Shan Sung,Chien-Hsu Chen &Sheng-Yu Fan

BMC Geriatrics volume 24, Article number: 694 (2024)

Abstract

Background

This study conducted in-depth interviews to explore the factors that influence the adoption of fall detection technology among older adults and their families, providing a valuable evaluation framework for healthcare providers in the field of fall detection, with the ultimate goal of assisting older adults immediately and effectively when falls occur.
Methods

The method employed a qualitative approach, utilizing semi-structured interviews with 30 older adults and 29 families, focusing on their perspectives and expectations of fall detection technology. Purposive sampling ensured representation from older adults with conditions such as Parkinson's, dementia, and stroke.
Results

The results reveal key considerations influencing the adoption of fall-detection devices, including health factors, reliance on human care, personal comfort, awareness of market alternatives, attitude towards technology, financial concerns, and expectations for fall detection technology.
Conclusions

This study identifies seven key factors influencing the adoption of fall detection technology among older adults and their families. The conclusion highlights the need to address these factors to encourage adoption, advocating for user-centered, safe, and affordable technology. This research provides valuable insights for the development of fall detection technology, aiming to enhance the safety of older adults and reduce the caregiving burden.

2024年5月3日 星期五

期刊資源:高齡生活支援的銀髮商機

資料來源:https://ieknet.iek.org.tw/iekrpt/rpt_more.aspx?actiontype=rpt&indu_idno=0&domain=75&rpt_idno=787286143

高齡生活支援的銀髮商機

2024/04/24
林佳燕(Chia-Yen Lin)
IEK產業情報網

依據WHO數據顯示,若目前趨勢不變,預估2030年全世界六分之一人口將達60歲以上,全球主要國家都將進入超高齡社會之環境,各國國家衛生和經濟體系面臨重要且急迫之挑戰。於此同時,銀髮商機亦可期。高齡生活樣貌為一段累積過程之結果,因此漫長老化的各階段所產生需求不盡相同,此外,潛在客群亦可廣泛向前延伸至中高齡族群,也可平行擴展至所有高齡者生活相關的角色人員,以各角度切入之需求亦多元。本篇將從高齡生活需求之探討出發,藉由三家國內外相關產品或服務廠商,分別為居家安全產品、家務支援服務及高齡社群經營服務的供應商,再以產品定位、營運模式以及經營策略等面向進行探討並總結對於產業之觀察結果與對廠商之建議。

2024年5月1日 星期三

期刊資源:Now or Later? Examining Social and Financial Decision-Making in Middle-to-Older Aged Adults

資料來源:

https://academic.oup.com/psychsocgerontology/advance-article-abstract/doi/10.1093/geronb/gbae070/7659885?redirectedFrom=fulltext

Now or Later? Examining Social and Financial Decision-Making in Middle-to-Older Aged Adults

Amy Halpin, PhD, Morgan Tallman, MA, Angelica Boeve, PhD, Rebecca K MacAulay, PhD
The Journals of Gerontology: Series B, gbae070, https://doi.org/10.1093/geronb/gbae070

Published:
30 April 2024 Article history

Abstract
Objectives
Contextually driven decision-making is multidimensional, as individuals need to contend with prioritizing both competing and complementary demands. However, data is limited as to whether temporal discounting rates vary as a function of framing (gains vs. loss) and domain (monetary vs. social) in middle-to-older aged adults. It is also unclear whether socioaffective characteristics like social isolation and loneliness are associated with temporal discounting.

2023年10月24日 星期二

新聞選輯:高齡飲食科技發展現況與趨勢



資料來源:https://ieknet.iek.org.tw/iekrpt/rpt_more.aspx?actiontype=rpt&indu_idno=0&domain=75&rpt_idno=248037089

高齡飲食科技發展現況與趨勢
2023/10/17
葉怡汝

全球高齡化趨勢,銀髮飲食產業成為新藍海,高齡的問題牽動勞工、就業、消費等結構,如何讓銀髮高齡消費者可以吃得更健康、更安全、有營養、甚至延緩老化都是高齡飲食發展的潛在商機。日本是早期就進入高齡社會國家,已成熟發展適合長者實用的新型態食物(介護食品),台灣早期以預防嗆食引起吸入性肺炎而積極介入鼻胃管飲食,現在逐漸轉換飲食照護新觀念是遠離鼻胃管,並依據長者咀嚼吞嚥能力,提供適合又安全的飲食,並且保持現有功能及延緩退化的新高齡飲食策略,故制定共通的飲食質地標準,可增進醫護端、照護端、餐食製造端、以及周邊相關產業的良好有效溝通,以促進供需對接的高齡飲食產業鏈的需求及市場。

新聞選輯:日本學者20年追蹤研究 揭高齡勞動潛力 翻轉「熟齡」迷思:銀髮族愈工作愈健康!


資料來源:https://www.businesstoday.com.tw/article/category/183029/post/202310180045/

日本學者20年追蹤研究 揭高齡勞動潛力 翻轉「熟齡」迷思:銀髮族愈工作愈健康!

馬揚異
攝影/ 陳睿緯
1400期
2023-10-18 13:20

隨著台灣即將邁入超高齡社會,日本學者秋山弘子呼籲大家重新思考「高齡」定義,為熟齡族群找到一個更健康、更有益社會的人生新起點。

高齡、少子化所衍生的問題很多,從長者的健康照護、年輕人的扶養負擔、勞動市場的缺口填補,乃至於這些問題對國家經濟財政所形成的壓力,都是嚴肅課題。但在日本學者秋山弘子的研究中,化解這些問題的其中一道線索,卻是十分鮮活有趣。她的解答方向,藏在「長者的走路速度中」。

十月十一日,《今周刊》舉辦第七屆「幸福熟齡台日交流論壇」,邀請多位國內外相關領域專家分享觀點與經驗,其中,日本老年學專家、東京大學高齡社會綜合研究機構客座教授秋山弘子,就以「生活在長壽社會」為題,跨海分享她的研究與產官學合作成果。當台灣即將於二○二五年邁入超高齡社會,我們如何從日本的經驗中借鏡學習?

2023年8月9日 星期三

新聞選輯:久坐族注意!髖關節痛但活動就好 恐是退化警訊 「3動作」改善活動不利


資料來源:https://health.tvbs.com.tw/medical/340657

久坐族注意!髖關節痛但活動就好 恐是退化警訊 「3動作」改善活動不利
梁萱琪 整理
2023/07/11 14:42

你是否有因為坐太久導致髖部痠痛,在起來活動後又改善的狀況?這很可能是髖關節退化的警訊。醫師指出,髖關節是因軟骨磨損或發炎造成,若關節不順已影響到日常生活,就需要考慮手術介入,「3動作」有助於髖關節復健。

久坐恐加重髖關節退化

復健科醫師李炎諭表示,「髖關節退化」是指髖關節股骨頭的軟骨磨損以及滑液膜發炎、骨刺增生等現象,常見於中老年人(約9.2%),症狀就是髖關節疼痛、活動不利,甚至有聲響產生。患者通常在早上或是久坐後,症狀會加重,但活動一陣子後反而會改善,其風險因子跟基因、年長、肥胖、工作負重等皆有關。

髖關節退化怎麼治療?

李炎諭指出,目前髖關節退化的保守治療,包括體重管理、輔具使用、物理治療、藥物治療,或是調整生活習慣,例如減少久蹲、不良姿勢、搬重物等,如果效果不理想,包括疼痛、或是關節不順影響到日常生活,就需要考慮手術介入。

繼續閱讀:https://health.tvbs.com.tw/medical/340657

2023年7月12日 星期三

新聞選輯:高齡科技大商機1》2025年進入「超高齡社會」 台灣468萬人的難題...高齡科技催生3000億大商機

資料來源:https://www.wealth.com.tw/articles/756e038d-b787-45f1-a885-693809ccc462

高齡科技大商機1》2025年進入「超高齡社會」 台灣468萬人的難題...高齡科技催生3000億大商機
2023/07/11 16:53
文|劉軒彤

台灣人口快速老化,但這批戰後嬰兒潮的世代,從農業社會奮鬥到AI社會,是台灣重要資產;運用台灣最擅長的科技力,翻轉超高齡社會形態,創造新機會也能帶來大商機。

按照目前的進度,台灣很快又要得一個「世界第一」了!只耗時7年,台灣就會從「高齡社會」,邁入「超高齡社會」;老化速度之快,大概也就韓國可以一拚,就連人口老化最嚴重的日本,當初從高齡進入超高齡社會,也花了11年。

國際上,65歲以上占總人口比率達到7%,稱為「高齡化社會」;達到14%成為「高齡社會」;達到20%則進入「超高齡社會」。而根據國發會的推估,2025年台灣65歲以上人口比率,就會達20.8%;屆時,65歲以上人數將達468萬人,約當每100個青壯年,要扶養30位65歲以上的長者。

這的確是一場災難,因為按照過去的成見,超過65歲就該退休養老,高齡族慢慢朝向臥床族;對比少子化後的年輕人看不見未來,許多人成了躺平族,如果沒有積極作為,這個社會只會愈來愈沒有活力。更糟的是,「我們沒有多少時間因應了!」因為老化速度來得太快,受訪的諸多專家們都有同樣的焦慮。

2023年6月6日 星期二

期刊資源:Aging in place: Programs, challenges and opportunities for promoting healthy aging for older adults

資料來源:https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.1872

Aging in place: Programs, challenges and opportunities for promoting healthy aging for older adults

Brenda Owusu, Balkys Bivins, Beatrice Remy Marseille, Diana-Lyn Baptiste
First published: 28 May 2023
https://doi.org/10.1002/nop2.1872

The aging population is rapidly growing in the United States, with estimates projecting that by 2030, one in five Americans will be over the age of 65 (U.S. Census Bureau, 2020). The state of Florida has a high proportion of older adults, with 21.3% of its population being 65 or older, second only to Maine (Population Reference Bureau, 2020). Nationally, the older population is expected to grow significantly in the future. It is estimated that by 2040, there will be about 80.8 million older persons, more than twice as many as in 2000. That number is projected to reach 94.7 million in 2060 (Administration for Community Living, 2020). In Florida, which continues to experience a surge in migration of older adults, the 65 and older age group was the fastest growing between 2010 and 2021 with an increase of 40.3% (USAFacts, 2022). Persons 65 years and older are also living longer with an average life expectancy of 19.6 years. More than half (61%) of individuals age 65 and older live with a spouse or partner and about 27% live alone, compared to a relatively small number who live in nursing homes (Administration for Community Living, 2020).



2023年3月29日 星期三

期刊資源:Constraints on theories of cognitive aging

資料來源:https://link.springer.com/article/10.3758/bf03210753

Constraints on theories of cognitive aging
Timothy A. Salthouse

Psychonomic Bulletin & Review volume 3, pages287–299 (1996)
Published: September 1996

Abstract
There is currently little consensus regarding what must be explained by theories of cognitive aging. In the present article, four empirical generalizations that seem to imply certain constraints in theorizing are identified. These generalizations, and their possible implications or constraints, are that (1) age-related differences are found in a wide range of cognitive variables, implying that either a large number of specific factors or a small number of general factors must be contributing to the age-related differences; (2) the age-related influences on different cognitive variables are not independent, and unique age-related influences appear to be few in number and small in magnitude, implying that some fairly general factors need to be postulated to account for the shared age-related influences; (3) only a small proportion of distinct age-related variance occurs late in practice and at long presentation durations, implying that adequate explanations must include factors operating when the individuals are just beginning to perform the task and when the stimuli can first be registered; and (4) measures of how quickly very simple cognitive tasks can be performed share considerable age-related variance with many cognitive variables, implying that factors related to simple processing efficiency need to be incorporated into the explanations.

2023年3月3日 星期五

期刊資源:Educational Gerontology


https://www.tandfonline.com/journals/uedg20

Educational Gerontology
Publishes research in gerontology, adult education and social and behavioral sciences for educational professionals, care providers, trainers and students.

2023年2月15日 星期三

新聞選輯:55歲就不工作,「早退島」台灣比希臘糟!如何活用高年級生力軍?


資料來源:https://www.cw.com.tw/article/5124617


55歲就不工作,「早退島」台灣比希臘糟!如何活用高年級生力軍?

文
鄭閔聲
協助採訪
康陳剛
研究
張毓思
天下雜誌766期
發布時間:2023-02-07

5年前,當總經理要求增加雇用中高齡者來因應缺工,台灣無印良品人資總務部部長林欣韻內心的第一個反應是,「這真的可行嗎?」

因為在那當下,無印良品的1100名員工,只有7人超過45歲,第一線門市人員,幾乎全是20多歲年輕人。

直到去日本母公司走了一遭,林欣韻的疑慮才一掃而空。

因為日本門市的中高齡店員,每個人都神采奕奕、行動幹練。「我後來才知道,這些員工有的只負責招呼顧客、整理服裝等單一工作,有些人一天只上班2到3小時,公司會隨時視個人狀況彈性調整,」林欣韻回憶。

原來,中高齡員工已成為「日式服務」的隱形支柱,繼續吸引全球觀光客。

不只日本,多數已開發國家早已覺醒、改變心態,創造「適當」職場,延後退休,讓中高齡者繼續扮演職場生力軍,以因應少子高齡化的21世紀難題。

2022年12月15日 星期四

期刊資源:Annual Review of Gerontology and Geriatrics

資料來源:https://connect.springerpub.com/content/sgrargg

Annual Review of Gerontology and Geriatrics
Edited by:
Roland J. Thorpe, Jr., PhD
Jessica A. Kelley, PhD Editorial board
ISSN (print):
0198-8794
ISSN (online):
1944-4036

This landmark annual review has provided over three decades of knowledge, insight, and research on topics critical to gerontologists everywhere. The purpose of this annual review is to critically examine the full gamut of literature on key topics in gerontology and geriatrics, including social and cultural issues, medicine, psychology, economics, and end-of-life issues. ARGG continues its long tradition of professionalism under the editorship of a leading expert in the field of gerontology, Toni C. Antonucci. Over the past 35 years, ARGG has brought together internationally recognized experts in the fields of gerontology and geriatrics, and continues to deliver the highest standards of content and authoritative reviews of research for students, researchers, and clinicians.

期刊資源:Pandemic’s Many Effects on Older Women Documented in Journal

資料來源:https://www.geron.org/press-room/press-releases/2022-press-releases/1481-pandemic-s-many-effects-on-older-women-documented-in-journal


Pandemic’s Many Effects on Older Women Documented in Journal

December 14, 2022
Contact: Todd Kluss
tkluss@geron.org
(202) 587-2839

A new supplemental issue to The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, titled “The Impact, Experience, and Challenges of COVID-19: The Women’s Health Initiative (WHI),” explores key areas on how older women initially responded to the threat of COVID-19, their concerns about the pandemic, and aspects of their prior health and well-being that may have influenced the impact of COVID-19 on their lives.

The WHI represents one of the largest and most diverse longitudinal studies conducted in postmenopausal women. Three decades after its 1992 launch, 52,543 women continue to be actively engaged in the core of this landmark study, with a mean age of 86.6 (ranging from 73 to 106 years of age). The WHI is funded by the National Heart, Lung, and Blood Institute; the journal supplement was made possible by support from Wake Forest University Health Sciences.

2022年12月8日 星期四

期刊資源:Daytime Napping and Cognitive Health in Older Adults: A Systematic Review


資料來源:https://pubmed.ncbi.nlm.nih.gov/36472580/

Daytime Napping and Cognitive Health in Older Adults: A Systematic Review
Junxin Li 1, Miranda V McPhillips 2, Zhongyue Deng 3, Fangfang Fan 4, Adam Spira 3
Affiliations expandPMID: 36472580
DOI: 10.1093/gerona/glac239

Abstract
Background: Daytime napping may improve cognitive function in older adults. However, the association can be complicated by specific features of napping and the older adult's health. This systematic review aims to synthesize the current literature on napping and cognition in older adults and provide recommendations for future research and daytime sleep practice in older adults.

2022年11月30日 星期三

期刊資源:Educational Gerontology


https://www.tandfonline.com/journals/uedg20

Educational Gerontology

Publishes research in gerontology, adult education and social and behavioral sciences for educational professionals, care providers, trainers and students.

Aims and scope
This well-respected journal offers up-to-date original research in the fields of gerontology, adult education, and the social and behavioral sciences. Researchers from around the world will benefit from the exchange of ideas for both the study and practice of educational gerontology. Papers published in the journal will also serve as authoritative contributions to the growing literature in this burgeoning field. Educational Gerontology is the only international journal of its kind to publish twelve issues per volume year.

Articles featuring outcome-based practical educational resources in gerontology for the educational professional, care provider, trainer, and student in such areas as: art, music, drama and recreational therapies; mental health, communication arts, social programs and policies; and, social work, nursing, physical and occupational therapies, financial planners, architecture and interior design, family relations and therapy, and religion and spirituality.

Print ISSN: 0360-1277 Online ISSN: 1521-0472

Journal metrics
Citation metrics 1.389 (2021) Impact Factor
1.516 (2021) 5 year IF
1.9 (2021) CiteScore (Scopus)
Q2 (2021) CiteScore Best Quartile
0.665 (2021) SNIP
0.366 (2021) SJR