老年非小细胞肺癌治疗策略

非小细胞肺癌被认为是老年疾病。迄今为止尚无专门针对治疗老年NSCLC的指导原则。作者就当今对老年NSCLC的治疗策略进行论述,并指出年龄不是影响NSCLC患者实施手术治疗、放射治疗以及化学治疗的单一因素。     

ENHANCING THE SOCIAL ENVIRONMENTS OF ELDERLY NURSING HOME RESIDENTS: ARE HIGH RATES OF INTERACTION ENOUGH?

We investigated the social validity of a common intervention (i.e., serving food during a social hour) that has been reported to facilitate social interaction among nursing home residents. Using a group reversal design, rates of interaction were measured. In addition, the vocal content of the interactions was recorded and coded by raters blind to condition. Rates of interaction more than doubled during the treatment phases, but ineffective vocal behavior accounted for the bulk of the increase. Results suggest the need to examine the utility of such programs in nursing homes.     

Extreme Social Isolation, Use of Community-Based Senior Support Services, and Mortality Among African American Elderly Women

The effect of extreme social isolation and use of community-based senior services on longevity was examined in a national sample of African American elderly women (ages 55–96). Consistent with previous research on the social integration/mortality link, African American elderly women who were extremely socially isolated were hypothesized to have a higher 5-year mortality rate. It was also hypothesized that use of community senior services would be negatively associated with 5-year mortality. Results of logistic regression analysis controlling for age, education, income, and health status found that extremely socially isolated African American elderly women were three times more likely than the nonisolated women to die within the 5-year period from the initial survey. Use of community senior services did not have a relationship on mortality. Results are discussed in terms of directions for future research and intervention.     

Relationship between perceptions of ageing and frailty in English older adults

Older adults’ negative beliefs about ageing are related to their health and functioning, but little is known about how perceptions of ageing (POA) relate to frailty status. This study aimed to explore the relationship between POA and frailty. Secondary analysis of data used were from the English Longitudinal Study of Ageing Waves 2 and 5. A POA score was based on participants’ responses to 12 statements using a five-point Likert scale at baseline, and a Frailty Index (FI) score was calculated for each participant for both waves. Multiple linear regression models were conducted to assess the relationship between POA and frailty cross-sectionally and longitudinally in models controlled for age, gender, depression symptoms, and socioeconomic status. Older adults with more negative POA had greater frailty (β = .12, p < .001). Negative POA predicted greater frailty 6 years later (β = .03, p < .05). Future work regarding the mechanisms of this relationship is needed to identify ways of intervening to improve health.     

高龄患者心脏手术围术期处理要点

随着高龄心脏病患者日益增多,不断总结高龄患者心脏手术围术期处理经验,是我国心脏外科的一个重要课题。虽然,高龄患者心脏手术非致命性并发症发生率、住院时间长、手术死亡率高,但手术后将近2／3的患者生存超过5个年头,完全摆脱了心脏疾病的症状,没有了心脏疾患的束缚和限制,享受着手术后的独立的舒适生活。高龄患者进行心脏手术是可行...     

The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings

Clinical features of older primary care patients with GAD (PC-GAD; n = 22) were examined relative to older patients with GAD recruited for two academic clinical trials (M. A. Stanley, J. G. Beck, et al., 2003; J. L. Wetherell, M. Gatz, & M. G, Craske, 2003) and to a sample of older primary care patients without psychiatric diagnoses (No Dx; n = 10). Comparisons revealed similar levels of worry, anxiety, depressive symptoms, quality of life, and functional status between the PC-GAD subsample and patients recruited for academic trials, although primary care patients were older, less well educated, and more ethnically diverse. The PC-GAD subgroup, however, reported greater symptom severity, reduced quality of life, and poorer perceived general health, mental health, and vitality than the No Dx subgroup (² = .23–.43). Service utilization was not different between PC-GAD and No Dx subgroups, with the exception of psychotropic medication use. The Penn State Worry Questionnaire (PSWQ) and an abbreviated version of this measure may be useful for identifying late-life GAD in primary care. Cutoff scores of 50 and 22 on the full and abbreviated versions of the PSWQ, respectively, demonstrated excellent specificity, sensitivity, and positive predictive value. Negative predictive value was less impressive, probably as a result of high base rates for GAD in this sample.     

老年人特殊生活事件的应对意向与情境性应对

该研究旨在对老年人合法权益受侵此类特殊生活事件的应对意向（ＣＩ）和情境性应对（ＳＣ）进行比较分析,多元因素分析结果鉴别出应对意向的五种方式及其三种基本类型,以及六种情境性应对方式和四种应对类型。研究也发现今老年人采用不同方式的ＣＩ和ＳＣ的旨弱程度存在的异同点。同时,多元回归分析结果表明,年龄、文化程度、经济状况和法规了解程度是影响ＣＩ和ＳＣ的显著因素,此外健康状况和性别也分别对ＣＩ和ＳＣ产生影响。     

MULTICOMPONENT INTERVENTION FOR AGITATED BEHAVIOR IN A PERSON WITH ALZHEIMER'S DISEASE

We evaluated a multicomponent intervention for agitated behavior in a man with probable Alzheimer's disease. Hypotheses about variables controlling his agitated behavior guided intervention design. Based on staff interviews, direct observations, and brief experimental probes, intervention components were chosen to increase rate of reinforcement and decrease aversive aspects of his job. Intervention reduced agitated behavior without disrupting his work rate.     

老年人的元刻板印象及其对社会互动的影响

本研究考察了老年人的元刻板印象及其对老年人社会互动的影响。预研究以35名老年人为被试,通过访谈和开放式问卷,获得老年人积极与消极元刻板印象形容词。正式研究以140名老年人为被试,通过问卷调查,首先确定老年人元刻板印象的内容与结构;然后分析发现,当老年人作为社会互动的接受方时：（1）积极元刻板印象正向预测其接受外群体帮助的意愿（包括自主定向帮助和依赖定向帮助）,并且接受帮助可引发积极受助体验;（2）消极元刻板印象只正向预测老年人接受外群体自主定向帮助的意愿,且持消极元刻板印象的老年人受助体验消极。当老年人作为社会互动的发出方时;（3）积极元刻板印象正向预测老年人社会参与的频率和他们对外群体的施助意愿;（4）消极元刻板印象对施助意愿和社会参与的预测作用均不显著。综上,老年人的积极元刻板印象能促进他们的社会互动,并使他们获得良好的互动体验。     

Social Networks as a Factor in Volunteering Among Elderly Japanese with Lower Socioeconomic Status

We investigated the effect of social networks on volunteering, which is known to be beneficial for people and society, among elderly Japanese of lower socioeconomic status. Western studies have demonstrated that social networks boost volunteering among wealthy people because of the norm that they should help the less fortunate. However, wealthy East Asians do not share this norm. Therefore, socioeconomic variables and volunteering tend not to be significantly related in Japan. We hypothesized that social networks would be more important to volunteering among the Japanese elderly, especially among people of a lower socioeconomic status. A total of 768 respondents (319 men, 432 women, 17 sex unspecified; M_age = 73.99 years, SD = 7.40 years) completed the survey. The results indicated that social networks were positively related to volunteering only among people with lower financial status. This result suggests that social networks can increase opportunities and help less advantaged elderly people to reap the benefits of volunteering.