empty nest
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Author(s):  
Xueyan Cheng ◽  
Liang Zhang

This study aimed to explore the health service needs of empty nest families from a household perspective. A multistage random sampling strategy was conducted to select 1606 individuals in 803 empty nest households in this study. A questionnaire was used to ask each individual about their health service needs in each household. The consistency rate was calculated based on their consistent answers to the questionnaire. We used a collective household model to analyze individuals’ public health service needs on the family level. According to the results, individuals’ consistency rates of health service needs in empty nest households, such as diagnosis and treatment service (H1), chronic disease management service (H2), telemedicine care (H3), physical examination service (H4), health education service (H5), mental healthcare (H6), and traditional Chinese medicine service (H7) were 40.30%, 89.13%, 98.85%, 58.93%, 57.95%, 72.84%, and 63.40%, respectively. Therefore, family-level health service needs could be studied from a family level. Health service needs of H1, H3, H4, H5, and H7 for individuals in empty nest households have significant correlations with each other (r = 0.404, 0.177, 0.286, 0.265, 0.220, p < 0.001). This will be helpful for health management in primary care in rural China; the concordance will alleviate the pressure of primary care and increase the effectiveness of doctor–patient communication. Health service needs in empty nest households who took individuals’ public needs as household needs (n = 746) included the H4 (43.3%) and H5 (24.9%) and were always with a male householder (94.0%) or at least one had chronic diseases (82.4%). Health service needs in empty nest households that considered one member’s needs as household needs (n = 46) included the H1 (56.5%), H4 (65.2%), H5 (63.0%), and H7 (45.7%), and the member would be the householder of the family (90.5%) or had a disease within two weeks (100.0%). In conclusion, family members’ roles and health status play an important role in health service needs in empty nest households. Additionally, physical examination and health education services are the two health services that are most needed by empty nest households, and are suitable for delivering within a household unit.


Author(s):  
Ana Carolina Gonçalves de Abreu ◽  
Mayara Souza Alves ◽  
Lea Tami Suzuki Zuchelo ◽  
Sueli Vitorino dos Santos ◽  
Priscilla Rayanne e Silva Noll ◽  
...  
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2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaoyan Lv ◽  
Doris S. F. Yu ◽  
Yingjuan Cao ◽  
Jinghua Xia

BackgroundThe number of type 2 diabetes mellitus (T2DM) cases among empty-nest elderly increases with increasing aging in China. Self-care plays an important role in preventing and reducing adverse outcomes of diabetes; however, few studies focus on self-care experiences of empty-nest elderly with T2DM.ObjectiveTo explore self-care experiences for a chronic disease among empty-nest elderly patients with T2DM in mainland China.MethodsA descriptive phenomenological design was used in this study. Semi-structured interviews were conducted for 15 empty-nesters with T2DM. Interviews were implemented in department of endocrinology at a tertiary teaching hospital located in Shandong province, east of China.ResultsThe participants were poorly adept with monitoring their blood glucose and lacked the ability to deal with abnormal blood glucose levels. Most participants had a good relationship with medication and physical activity. Living without children was perceived as a benefit that improved dietary management and is a disadvantage in terms of economic and emotional support and access to medical resources. Elderly empty-nesters also lacked knowledge about diabetes and paid little attention to potential complications.ConclusionEmpty-nest elderly patients with T2DM value medication compliance and lifestyle modification more than blood glucose monitoring, complication prevention, and coping with negative emotions. Friends and spouses play indispensable roles in patients’ self-care motivation and maintenance. Diabetes education on self-care, access to medical resources, and social support is needed for better diabetes management.


2021 ◽  
pp. 605
Author(s):  
Anastasia Dina Renata ◽  
Clarissa Febiola Pangestu ◽  
Etheldreda Videntes Stellam Hermawan ◽  
Kelsent Jusan ◽  
Vanissa Thalia ◽  
...  

As parents reach the age of middle adults, they enter the empty nest phase when their children start moving out and living independently. During this phase, parents who show maladaptive responses towards the situation suffer from empty nest syndrome.  Additionally, their physical and mental state can deteriorate, so it is important to take precautions. With the support of intimate family members, parents could take preventive measures to avert empty nest syndrome. Hence, this study program uses a nine-minute psychoeducation video posted on Youtube to educate families about empty nest syndrome so they can learn to take the correct action to cope. The data were acquired from two sets of surveys given to 45-65 years old parents and 18-25 years old emerging adults. Our initial survey was filled by 67 emerging adults and 75 middle adults. Then, our evaluation survey was filled by 51 emerging adults and 39 middle adults. We chose the descriptive research method to analyze our data from the surveys. During the project, we compared participants’ knowledge before and after they watched the psychoeducation video we provided. Our findings showed 100% emerging adults and 95% adults realize the urgency to be prepared in coping with empty nest syndrome. Other than that, another 90% of our total participants were able to define and identify symptoms of the syndrome. Not only that, they are also knowledgeable about the correct coping methods and understand the roles children could fill in order to help their parents. Therefore, we concluded that the video is an effective medium to increase participants’ awareness towards empty nest syndrome. Furthermore, research participants also successfully learn ways to treat and prevent the syndrome.Pada usia dewasa madya, orang tua memasuki fase sarang kosong yang terjadi ketika anak-anak meninggalkan rumah dan hidup mandiri secara permanen. Pada fase ini, orang tua dapat menunjukkan respon maladaptif yang disebut sindrom sarang kosong. Sindrom tersebut dapat berdampak buruk bagi kesehatan fisik dan psikologis orang tua sehingga perlu dicegah. Langkah pencegahan yang dilakukan orang tua sebaiknya diikuti dengan dukungan anak atau anggota keluarga yang lain. Maka dari itu, program  ini bertujuan untuk meningkatkan kesadaran orang tua dan remaja mengenai berbagai aspek sindrom sarang kosong. Kami memberikan video berdurasi sembilan menit melalui media Youtube yang disebarkan lewat sosial media. Kami melakukan pengambilan data dengan survei awal dan akhir yang diberikan pada orang tua dewasa madya berusia 45-65 tahun dan remaja yang berusia 18-25 tahun. Survei awal kami diisi oleh 67 remaja dan 75 dewasa madya sedangkan survei akhir diisi oleh 51 remaja dan 39 dewasa madya. Metode analisis yang kami gunakan adalah statistik deskriptif. Kami membandingkan pengetahuan sindrom sarang kosong 40 responden yang mengikuti seluruh rangkaian survei sebelum dan sesudah mereka menonton video psikoedukasi kami. Setelah menonton video psikoedukasi kami, kami menemukan bahwa 100% remaja dan 95% dewasa madya menyadari kebutuhan persiapan diri untuk menghadapi fase ini dan dampaknya bagi keluarga. Selain itu, 90% responden dapat memahami definisi, ciri gejala, cara penanganan, dan peran remaja terkait sindrom sarang kosong. Kami menyimpulkan bahwa video psikoedukasi dapat meningkatkan kesadaran orang tua dan remaja mengenai berbagai aspek sindrom sarang kosong.


2021 ◽  
Vol 12 ◽  
Author(s):  
ZhongJun Su ◽  
JieXiu Zhao

Objective: To compare the effects of Tai Chi and Square dance on immune function, physical health, and life satisfaction in urban, empty-nest older adults.Methods: This cross-sectional study included 249 older adults (60–69 years) who were categorized into Tai Chi (n = 81), Square dance (n = 90), and control groups (n = 78). We evaluated immunoglobulin G (IgG) and interleukin-2 (IL-2) levels by enzyme-linked immunosorbent assay (ELISA), natural killer (NK) cell cytotoxicity by MTT assay, physical health indices by physical fitness levels, and life satisfaction by Life Satisfaction Index A (LSIA) scores.Results: Immune function, physical health, and life satisfaction in older adults in the Tai Chi and Square dance groups were significantly better than those in the control group (P &lt; 0.05). Regarding immune function and physical health, the Tai Chi group exhibited significantly higher levels of IgG (15.41 ± 0.26 g/L vs. 11.99 ± 0.35 g/L, P &lt; 0.05), IL-2 (4.60 ± 0.20 ng/mL vs. 4.45 ± 0.21 ng/mL, P &lt; 0.05), and NK cell cytotoxicity (0.28 ± 0.02 vs. 0.22 ± 0.02, P &lt; 0.05) than the square dance group, significantly lower waist-to-hip ratio (0.87 ± 0.02 vs. 0.89 ± 0.02, P &lt; 0.05), resting pulse (78.4 ± 4.6 beats/min vs. 81.0 ± 3.1 beats/min, P &lt; 0.05), systolic blood pressure (132.0 ± 5.2 mmHg vs. 136.2 ± 3.2 mmHg, P &lt; 0.05), diastolic blood pressure (80.0 ± 2.6 mmHg vs. 83.0 ± 2.7 mmHg, P &lt; 0.05), and significantly higher vital capacity (2978.0 ± 263.0 mL vs. 2628.3 ± 262.8 mL, P &lt; 0.05) and duration of one-leg standing with eyes closed (16.2 ± 1.9 s vs. 12.0 ± 1.7 s). However, there was no significant difference in LSIA scores between the Tai Chi and Square dance groups (12.05 ± 1.96 vs. 13.07 ± 1.51, P &gt; 0.05). Further, there was a significant correlation between LSIA scores and immune function (r = 0.50, P = 0.00) and physical health (r = 0.64, P = 0.00).Conclusion: (1) Both Tai Chi and square dance practitioners had better health outcomes, compared with sedentary individuals; (2) Tai Chi practitioners had better physical health and immune function than Square dance practitioners. (3) Tai Chi and Square dance exercises had similar effects on life satisfaction among urban empty-nest older adults.Suggestions: For urban empty-nest older adults who want to have better physical health and immune function, long-term Tai Chi exercise may be a better choice; however, those who are concerned about life satisfaction can choose either Tai Chi or Square dance exercise.


Maturitas ◽  
2021 ◽  
Vol 152 ◽  
pp. 80
Author(s):  
Parvin Abedi ◽  
Poorandokht Afshari ◽  
Masumeh Yaralizadeh ◽  
Maryam Dastoorpoor

2021 ◽  
pp. 009579842110379
Author(s):  
Tchilissila Alicerces Simões ◽  
Isabel Marques Alberto

The aim of the present study was to explore and to understand how 36 urban Southern Angolan couples perceived their family’s development across the lifetime. The study sought to compare those results with three systemic approaches of family development, two Western and another indigenous. Through semi-structured interviews, the existence of two trajectories of family life, with similar life events, were identified. The life events of these two trajectories were organized in a different chronological order, based on the religious commitment of the individuals. The results showed discrepancies with the Western models on the composition of the household (i.e., big backyard families and families with a third element) as well as the type of events considered to be important milestones within the family trajectory (e.g., the inexistence of the empty nest). This study provides support for the indigenous framework proposed by Simões and Alberto (2015) and contributes to a better comprehension of the family functioning of the urban Southern Angolan families.


2021 ◽  
Author(s):  
Xueyan Cheng ◽  
Liang Zhang

Abstract Objective: Household is a fundamental unit in many fields. This study was to analyse consistency degree and people’s health service needs from the perspective of household.Methods: A multi-stage random sampling was conducted. A total of 7293 individuals in 2715 households were interviewed, and 1606 individuals in 803 empty-nest households were enrolled in this study. A questionnaire was used to ask each individual about their health service needs in empty nest households. The consistency degree was calculated based on their consistent answers to the questionnaire, and a correlation analyse was used to study the relationship of individuals’ health service needs in the same empty nest households. A family collective model was used to analyse household-based health service needs.Results: Individual’s needs consistency rates in empty nest households, such as diagnosis and treatment service(H1), follow-up service for chronic disease(H2), telemedicine care(H3), physical examination service(H4), health education service(H5), mental healthcare(H6), and Chinese traditional medicine service(H7) were 40.30%, 89.13%, 98.85%, 58.93%, 57.95%, 72.84%, and 63.40%, respectively. Service needs of H1, H3, H4, H5, H7 for individuals in the same empty nest households had significant correlations with each other (r=0.404, 0.177, 0.286, 0.265, 0.220, P<0.001). Health service needs from a perspective of household in rural China mainly included H1 (12.4%), H4 (44.2%), H5 (26.9%) and H7(18.9%). Conclusions: Individuals in the same household are highly consistent with each other in health service needs. Individuals could affect other members’ health service needs in their households, when one of them get illness, their spouse would likely to have same health service needs to avoid getting disease or to keep health. In this study, health service needs in empty nest households are mainly concerned with health promotion and maintenance services, which could be an indicator for primary care to improve the effectiveness of service delivery, such as family doctor and family-based health insurance system. Also, more focus should be paid on households that need great help on different health services.


2021 ◽  
Author(s):  
Hong Su ◽  
Yuqiu Zhou ◽  
Yunjiang Cai ◽  
Yun Wang

Abstract Background:Latent profile analysis was used to identify the profiles of empty-nest elderly’s mental health. Associations of the profiles with quality of life were then examined. Methods: Three hundred and fifty empty-nest elderly adults in China were investigated with Elderly Mental Health Questionnaire and the Chinese version of the SF-36. Latent profile analysis was used to analyze the data. Results: A three-profile mental health model provided the best fit to the data. The resulting profiles were low mental health, moderate mental health, and high mental health. There were significant differences in quality of life among different profiles of mental health.Conclusion: The results provide a new and expanded view of empty nesters’ mental health, which may be used to improve empty-nest elderly’s quality of life.


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