Predictors of rehospitalization for community‐dwelling older adults with chronic heart failure: A structural equation model

Abstract Background The objectives of the present study were to determine the prevalence of older adults with hemodialysis (HD) abuse by family caregivers and the factors affecting it. Method This is a correlational-causal study, which is conducted in 2018 in Iran. The sample size was 367 in both groups (the older adults and their family caregivers). Data collection was done using an individual-social information questionnaire for the older adults under hemodialysis and their family caregivers, the questionnaire of elder abuse by family caregivers to the older people under hemodialysis, Zarit Burden Interview and the scale of instrumental activities of daily living (IADL). Data were analyzed by the structural equation model (SEM) method. The Fitness of proposed pattern was measured using the following indexes: chi-square/degree of freedom ratio (CMIN/DF), Normed Fit Index (NFI), comparative fit index (CFI), goodness of fit index (GFI), and standardized root mean squared residual (SRMR). The significant level in this study was considered p < 0.05. Results The results of the present study showed that more than 70 % of the older adults suffer from elder abuse by family caregivers on average. The highest median elder abuse was related to emotional misbehavior (21.46 ± 6.09) and financial misbehavior (19.07 ± 5.33), respectively. Moderate care burden was experienced by 63.2 % of caregivers. The percentage of older women and men, who needed help with daily activities was 81.4 and 80.5 %, respectively. The results showed that the caregivers’ level of education and care burden with standard beta coefficient of -0.251 and 0.200 and the educational level of older adults and IADL with the best beta coefficient of -0.299 and − 0.234, had the highest regression effect on elder abuse respectively. According to the results, the model-fit indices of the hypothesized model was meet the criteria, with the NFI = 0.951, GFI = 0.970, CFI = 0.967, and SRMR = 0.041. The outcome was suitable for the recommended level, so the hypothetical model appeared to fit the data. Conclusions The results of the present study showed that the prevalence of elder abuse by family caregivers among the older adults under hemodialysis is high. Providing psychological counseling can reduce the consequences of elder abuse.

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Multiple Linear Regression-Structural Equation Modeling Based Development of the Integrated Model of Perceived Neighborhood Environment and Quality of Life of Community-Dwelling Older Adults: A Cross-Sectional Study in Nanjing, China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16244933 ◽

2019 ◽

Vol 16 (24) ◽

pp. 4933 ◽

Cited By ~ 1

Author(s):

Fan Zhang ◽

Dezhi Li

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Structural Equation ◽

Daily Life ◽

Community Dwelling ◽

Neighborhood Environment ◽

Equation Modeling ◽

Community Dwelling Older Adults ◽

Perceived Neighborhood Environment

Due to the poor functioning in daily living activities, community-dwelling older adults spend more time in their neighborhood environment. The perceived neighborhood environment is crucial to their quality of life (QoL). To explore the complex influences of perceived neighborhood environment on QoL, a questionnaire was designed to measure their perception of each factor of neighborhood environment and each domain of QoL. Based on collected data, the reliability test was applied to revise the questionnaire. Multiple linear regression (MLR) and structural equation modeling (SEM) were adopted to hypothesize and test the integrated model for community-dwelling older adults. The results show that community-dwelling older adults’ perceptions of neighbor support, facilities related to physical exercise and recreation, and accessibility to facilities impact their overall QoL with diverse coefficients of 0.437, 0.312, and 0.295, respectively; neighbor support (0.207) on physical health; sidewalk condition (0.134), natural environment (0.260), and facilities related to daily life (0.165) on psychological health; and neighbor support (0.298), facilities related to daily life (0.206), and design-related safety (0.225) on social relationship. This revealed that perceptions of neighborhood environment have diverse impacts on their QoL. This study can provide targeted retrofit strategies for communities to enhance QoL of community-dwelling older adults efficiently.

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Multidimensional factors affecting medication adherence among community-dwelling older adults: a structural-equation-modeling approach

Journal of Public Health ◽

10.1007/s10389-016-0764-1 ◽

2016 ◽

Vol 25 (1) ◽

pp. 113-122 ◽

Cited By ~ 2

Author(s):

Ying Lau ◽

Tha Pyai Htun ◽

Kin Sun Chan ◽

Piyanee Klainin-Yobas

Keyword(s):

Older Adults ◽

Structural Equation Modeling ◽

Medication Adherence ◽

Structural Equation ◽

Community Dwelling ◽

Equation Modeling ◽

Factors Affecting ◽

Modeling Approach ◽

Community Dwelling Older Adults

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NGAL Is Independently Associated with Cardiovascular Death and All-Cause Mortality in Community-Dwelling Older Adults with Stage A Heart Failure

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2011.06.080 ◽

2011 ◽

Vol 17 (8) ◽

pp. S23-S24

Author(s):

Lori B. Daniels ◽

Paul Clopton ◽

Elizabeth Barrett-Connor ◽

Alan S. Maisel

Keyword(s):

Heart Failure ◽

Older Adults ◽

Cardiovascular Death ◽

Community Dwelling ◽

All Cause Mortality ◽

Community Dwelling Older Adults

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Heart Failure and Disability in Community-Dwelling Older Adults in the United States—1999 to 2018: Data From National Health and Nutrition Examination Survey

Clinical Nursing Research ◽

10.1177/10547738211061620 ◽

2021 ◽

pp. 105477382110616

Author(s):

Yaewon Seo ◽

Jing Wang ◽

Donelle Barnes ◽

Surendra Barshikar

Keyword(s):

Heart Failure ◽

Older Adults ◽

Logistic Regression ◽

National Health ◽

The United States ◽

Community Dwelling ◽

Nutrition Examination Survey ◽

Mediating Effects ◽

Health And Nutrition ◽

Community Dwelling Older Adults

To examine the associations of heart failure (HF) with five domains of disability while controlling for covariates. Subjects with HF and aged ≥ 50 years were selected from the 1999 to 2018 National Health and Nutrition Examination Survey data. Five domains of disability were measured with 19 physical tasks. Logistic regression with adjustment for covariates was conducted. The prevalence of HF in 27,185 adults aged ≥ 50 years was 6.37%. After controlling for demographics and smoking, logistic regression showed that HF was associated with 2.8 to 3.4 times increased odds of all domains of disability compared to adults without HF, but with additional adjustments of covariates, the association was attenuated indicating the mediating effects of covariates. The future study may examine the mediating effects of covariates when intervening difficulties with lower extremity mobility and activities of daily living while considering in community-dwelling older adults with HF.

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Association between the Prognostic Nutritional Index and Dietary Intake in Community-Dwelling Older Adults with Heart Failure: Findings from NHANES III

Nutrients ◽

10.3390/nu11112608 ◽

2019 ◽

Vol 11 (11) ◽

pp. 2608

Author(s):

Elisabeth L. P. Sattler ◽

Yuta Ishikawa ◽

Rupal Trivedi-Kapoor ◽

Donglan Zhang ◽

Arshed A. Quyyumi ◽

...

Keyword(s):

Heart Failure ◽

Older Adults ◽

Nutritional Status ◽

Dietary Intake ◽

Prognostic Nutritional Index ◽

Red Meat ◽

Community Dwelling ◽

Nhanes Iii ◽

Nutritional Index ◽

Community Dwelling Older Adults

The objective of this study was to examine the association between nutritional status and dietary intake in community-dwelling older adults with heart failure (HF). A cross-sectional analysis of NHANES III data was conducted. The analytic sample was comprised of n = 445 individuals aged 50+ years with congestive HF (54.4% male, 22.9% non-Hispanic Black, 43.8% low-income). Nutritional status was measured using the Prognostic Nutritional Index (PNI). Participants were classified by PNI quintiles with lower PNI scores indicating lower nutritional status. Participants in quintile 5 showed significantly greater intakes of energy, protein, vegetables, magnesium, zinc, copper, potassium, red meat, saturated fat, and sodium. In multivariate analyses, increased intake of red meat (β = 0.253, p = 0.040) and vegetables (β = 0.255, p = 0.038) was associated with significantly better nutritional status. In the absence of comprehensive nutritional guidance for HF patients, it appears that small increases in energy, protein (red meat), and vegetable consumption are associated with improved nutritional status.

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