High coping self-efficacy associated with lower odds of pre-frailty/frailty in older adults with chronic disease

Hladek, Melissa; Gill, Jessica; Bandeen‐Roche, Karen; Walston, Jeremy D.; Allen, Jerilyn K.; Hinkle, Janice L.; Lorig, Kate; Szanton, Sarah L.

doi:10.1080/13607863.2019.1639136

Cited by 37 publications

(28 citation statements)

References 44 publications

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“…From a personenvironment-fit perspective [28], older individuals who are able to cope with HE challenges can protect themselves from the negative effects of these shortcomings on their health by adapting their behavior and routines. Hladek et al [15] found that a high level of coping self-efficacy can protect older people against prefrailty, independent of the individual health deficits. Thus, our results might indicate that VOA in NRW had sufficient coping capacities to enable them to adjust to these HE barriers.…”

Section: Discussionmentioning

confidence: 99%

Home environment and frailty in very old adults

2021

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Background Since older adults spend much time in their home environment (HE), frailty may occur as a consequence of a maladaptation to the HE. The aim of this study was to describe the prevalence of frailty in the very old population of North Rhine-Westphalia, and to examine the association between the HE and the frailty levels of these individuals. Methods Data from a cross-sectional representative study were used, including data on 1577 community-dwelling individuals and nursing home residents aged ≥ 80 years. Objective and subjective HE aspects were included. Frailty was defined according to four criteria: exhaustion, unintentional weight loss, weakness, and low physical activity. Adjusted multinomial regression modelling was used to analyze the link between the HE and frailty levels. Results Of the very old individuals, 24.3% were robust, 57.0% were prefrail, and 18.7% were frail. Adjusting for relevant sociodemographic and health characteristics, being not closely attached to the HE was linked with an increased probability of being prefrail and frail. An improvement of the residential area was associated with a decrease in odds of being frail. Living in communities with less than 50,000 and with 100,000–499,999 inhabitants decreased the odds of being frail. Discussion Frailty prevalence is shown to be higher in the very old population than in the younger age groups in Germany. Early identification of frailty and tailored interventions focused on improving objective and subjective attributes of the HE are needed to reduce the risk of frailty.

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Section: Discussionmentioning

confidence: 99%

Home environment and frailty in very old adults

2021

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“…Developed from Albert Bandura's Social Cognitive Theory (SCT), SE construct goes beyond the objective sense of individual performance to the perception of performance capacity (37) . As an essential factor in motivating change and maintaining healthy behaviors, SE is responsible for reducing by 92% the difficulty in facing pre-frailty/frailty conditions (38) , favoring adherence to health promotion behaviors and healthy aging in general (39) .…”

Section: Discussionmentioning

confidence: 99%

Construction and validation of an educational gerontotechnology on frailty in elderly people

et al. 2020

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Objective: to construct and validate an educational gerontechnology on frailty in elderly people. Method: a methodological study developed in three stages: educational video construction, validation by expert judges and elderly people. Validation was carried out by 22 judges and 22 elderly people. Educational Content Validation Instrument was used for judges and questions adapted from the Suitability Assessment of Materials questionnaire for elderly people. For validation, agreement criterion greater than 80% was considered, verified using Content Validation Index and binomial test. Results: the video addresses recommendations for elderly people at risk of frailty and health-promoting habits, using cordel literature. An agreement greater than 80% was verified in all items assessed by judges and the target audience. Conclusion: the video proved to be valid in terms of content and appearance by judges and elderly people, with the potential to mediate health-promoting educational practices in healthy aging.

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“…São Paulo (SP), Brasil. 1 https://orcid.org/0000-0003-0613-6569 2 https://orcid.org/0000-0001-8865-8031 3 https://orcid.org/0000-0002-3588-653X 4 https://orcid.org/0000-0003-4022-2612 5 https://orcid.org/0000-0003-3387-513X 6 https://orcid.org/0000-0001-7455-1727…”

Section: Introductionmentioning

confidence: 99%

“…Deve-se o plano assistencial centrar-se no paciente e na família, considerando as demandas biológicas relacionadas ao diagnóstico e plano terapêutico, o manejo efetivo de sinais e sintomas, bem como outras necessidades de cuidados psicológicos, sociais e espirituais durante todo o tratamento até o desfecho de sobrevida livre de doença ou final de vida. 6 Incorporou-se, na atualidade, o conceito de autogerenciamento ao planejamento assistencial de pessoas com doenças crônicas com a intencionalidade de construção de habilidades para a tomada de decisão. Implica-se, pela assistência alicerçada no autogerenciamento, a parceria entre profissionais da saúde e paciente, bem como sua família, para a melhor gestão do cuidado, nas perspectivas terapêutica, emocional e funcional.…”

Section: Introductionunclassified

Cuidados De Enfermagem E Paliativo De Um Jovem Com Rabdomiossarcoma

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Teixeira

et al. 2021

Rev enferm UFPE on line.

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Objetivo: relatar o caso de um paciente jovem diagnosticado com rabdomiossarcoma alveolar avançado; descrever o planejamento da assistência de enfermagem prestada ao paciente e sua família. Método: trata-se de estudo de caso instrumental, após aprovação do Comitê de Ética, em um hospital geral de grande porte do município de São Paulo, São Paulo, Brasil. Para o planejamento do cuidado utilizou-se se as etapas do processo de enfermagem e técnicas e modelos conceituais: comunicação de más notícias, construção de habilidades para o autogerenciamento e os princípios do cuidado humanizado (acolhimento e clínica ampliada). Resultados: paciente masculino, 19 anos, que evoluiu para óbito. Paciente e sua família foram os focos das intervenções a partir da detecção de doze diagnósticos de enfermagem: proteção ineficaz, risco de quedas, risco de confusão aguda, integridade da membrana mucosa oral prejudicada, dor crônica, ansiedade relacionada à morte, disposição para religiosidade melhorada, sofrimento espiritual, enfrentamento defensivo, sobrecarga de estresse, risco de sentimento de impotência e tensão do papel de cuidador. Conclusão: casos complexos exigem o uso adequado e sistemático de teorias e modelos conceituais que subsidiem o cuidado, bem como o uso de técnica para a comunicação de más notícias.

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High coping self-efficacy associated with lower odds of pre-frailty/frailty in older adults with chronic disease

Cited by 37 publications

References 44 publications

Home environment and frailty in very old adults

Home environment and frailty in very old adults

Construction and validation of an educational gerontotechnology on frailty in elderly people

Cuidados De Enfermagem E Paliativo De Um Jovem Com Rabdomiossarcoma

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