Search results for "hoito"
showing 10 items of 1041 documents
Physical activity history and end-of-life hospital and long-term care
2009
Background: Little is known about the early predictors of need for care in late life. The purpose of this study was to investigate whether physical activity from midlife onward was associated with hospital and long-term care in the last year of life. Methods: We studied a decedent population of 846 persons aged 66–98 years at death, who, on average 5.8 years prior to death, had participated in an interview about their current and earlier physical activity. Data on the use of care in the last year of life are register-based data and complete. Results: Men needed on average 96 days (SD 7.0) and women 138 days (SD 6.2) of inpatient care in the last year of life. Among men, the risk for all-cau…
Job strain in the public sector and hospital in-patient care use in old age : a 28-year prospective follow-up
2014
Background: high job strain increases the risk of health decline, but little is known about the specific consequences and long-term effects of job strain on old age health. Objectives: purpose was to investigate whether physical and mental job strain in midlife was associated with hospital care use in old age. Methods: study population included 5,625 Finnish public sector employees aged 44–58 years who worked in blue- and white-collar professions in 1981. The number of in-patient hospital care days was collected from the Finnish Hospital Discharge Register for the 28-year follow-up period. Results: rates of hospital care days per 1,000 person-years for men were 7.78 (95% confidence interval…
Mobility limitations and cognitive deficits as predictors of institutionalization among community-dwelling older people.
2006
<i>Purpose:</i> Mobility limitations and cognitive disorders have often been observed as risks for institutionalization. However, their combined effects on risk of institutionalization among initially community-dwelling older people have been less well reported. <i>Design:</i> A prospective cohort study with 10-year surveillance on institutionalization. <i>Subjects:</i> Study population (n = 476) consisted of 75- and 80-year-old people who were community-dwelling, had not been diagnosed with dementia, and participated in tests on walking speed and cognitive capacity at a research centre. <i>Measures:</i> Cognitive capacity was measured with th…
Investigation of antihypertensive class, dementia, and cognitive decline: a meta-analysis
2020
ObjectiveHigh blood pressure is one of the main modifiable risk factors for dementia. However, there is conflicting evidence regarding the best antihypertensive class for optimizing cognition. Our objective was to determine whether any particular antihypertensive class was associated with a reduced risk of cognitive decline or dementia using comprehensive meta-analysis including reanalysis of original participant data.MethodsTo identify suitable studies, MEDLINE, Embase, and PsycINFO and preexisting study consortia were searched from inception to December 2017. Authors of prospective longitudinal human studies or trials of antihypertensives were contacted for data sharing and collaboration.…
Perceived Burden among Spouse, Adult Child and Parent Caregivers
2018
Aims To identify what factors are associated with the caregiver burden of spouse caregivers, adult child caregivers, and parent caregivers. Background Caregivers often feel stressed and perceive caregiving as a burden. The caregiver burden has been little studied from the perspective of the personal relationship between caregiver and care recipient. Design Cross-sectional study. Methods A random sample of 4,000 caregivers in Finland was drawn in 2014 and those who remained either spouse, adult child, or parent caregivers at data collection were included in the analysis (N = 1,062). Data collection included recipients' characteristics. Caregivers' perceived burden was measured using the Care…
The gap between behavioral risk status and willingness to change behavior among healthcare professionals
2018
Aims: This study explored behavioral health risk factors among healthcare professionals and investigated the at-risk persons’ satisfaction with their health habits and ongoing change attempts. Methods: The study was based on a cross-sectional web-based survey directed at the nurses and physicians ( N = 1233) in Finnish healthcare. Obesity, low physical activity, smoking, and risky alcohol drinking were used as behavioral health risk factors. Results: In all, 70% of the participants had at least one behavioral risk factor, and a significant number of at-risk persons were satisfied with their health habits and had no ongoing change process. Good self-rated health and good self-rated work abil…
Jotain uutta, jotain vanhaa, jotain lainattua : ikääntyneiden perhehoito Suomessa
2017
Tässä artikkelissa tarkastellaan ikääntyneiden perhehoitoa, jolla tarkoitetaan ikääntyneen henkilön lyhyt-, osa-aikais- tai pitkäaikaishoitoa ja asumista perhehoitajan kodissa. Artikkelin tarkoituksena on tunnistaa tekijöitä, jotka ovat perhehoidon taustalla ja joiden varassa perhehoitoa kehitetään ikääntyneiden hoivan yhdeksi vaihtoehdoksi. Lisäksi artikkelissa tarkastellaan perhehoitoa hoivapoliittisena ratkaisuna julkisen ja yksityisen rajalla semiformaaliuden ja (de)domestikaation käsitteiden kautta. Aineistona käytetään eduskunnan täysistuntojen pöytäkirjoja sekä perhehoito- ja perhehoitajalakeja ja näiden lakien hallituksen esityksiä, joita analysoidaan Carol Bacchin WPR-metodin avull…
Disparities in Accessing Sexual and Reproductive Health Services at the Intersection of Disability and Female Adolescence in Tanzania
2021
Despite at times having greater needs for sexual and reproductive health (SRH) services, adolescents with disabilities often face challenges when trying to access them. This inaccessibility is further exacerbated during female adolescence. The qualitative study examines how SRH services respond to the characteristics of Tanzanian adolescent females with disabilities. We used the method of empathy-based stories to investigate the perceptions of 136 adolescent females with disabilities of their access to SRH services in Tanzania. The study used thematic content analysis and the Levesque model of health care access was applied as an analytical framework. The results demonstrate that discrimina…
Models of long-term care use among older people with disabilities in Taiwan: institutional care, community care, live-in migrant care and family care
2014
The four main models of long-term care (LTC) for older people in Taiwan are institutional care, community & home-based care, live-in migrant care, and family care. This study aims to examine the factors associated with the four above-mentioned LTC models, using the Andersen model as its framework for analysis. Data were from the 2005 National Taiwanese Health Interview Survey (n=30,680) and in this study 592 over-65-year-old persons who require personal care in daily life were included. The findings showed that the majority of older people with care needs lived with family and were cared only by their family. The second largest group were those older people who were cared by migrant care wo…
Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a prim…
2020
Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the i…