Category Archives: Int J Nurs Stud

The role of frailty in the association between depression and somatic comorbidity: results from baseline data of an ongoing prospective cohort study.

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The role of frailty in the association between depression and somatic comorbidity: results from baseline data of an ongoing prospective cohort study.

Int J Nurs Stud. 2015 Jan;52(1):188-96

Authors: Collard RM, Arts M, Comijs HC, Naarding P, Verhaak PF, de Waal MW, Oude Voshaar RC

Abstract
BACKGROUND: Depression and physical frailty in older persons are both associated with somatic diseases, but are hardly examined in concert.
OBJECTIVES: To examine whether depression and physical frailty act independently and/or synergistically in their association with somatic diseases.
DESIGN: Baseline data of an ongoing observational cohort study including depressed cases and non-depressed comparison subjects.
SETTINGS: Netherlands Study of Depression in Older persons (NESDO).
PARTICIPANTS: 378 depressed older persons confirmed by the Composite International Diagnostic Interview (CIDI), version 2.1, and 132 non-depressed comparison subjects.
METHODS: Multiple linear regression analyses adjusted for socio-demographic and life-style characteristics were conducted with the number of somatic diseases as the dependent variable and depression and physical frailty as independent variables. Physical frailty was defined as ≥3 of the following characteristics, slowness, low physical activity, weight loss, exhaustion, and weakness.
RESULTS: Depression and physical frailty did not interact in explaining variance in the number of somatic diseases (p=.57). Physical frailty, however, partly mediated the association between depression and somatic diseases, as the strength of this association decreased by over 10% when frailty was added to the model (B=0.47, p=.003, versus B=0.41, p=.01). The mediation effect was primarily driven by the frailty criterion exhaustion. Of the remaining frailty components, only slowness was associated with the number of somatic diseases; but this association was fully independent of depression.
CONCLUSIONS: Our results suggest that depression and physical frailty have common pathways towards somatic diseases, as well as unique pathways. As no high-risk group was identified (no significant interaction), mental health nurses should regularly monitor for physical frailty within their caseload of depressed patients.

PMID: 25443303 [PubMed – indexed for MEDLINE]

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Screening for hearing, visual and dual sensory impairment in older adults using behavioural cues: A validation study.

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Screening for hearing, visual and dual sensory impairment in older adults using behavioural cues: A validation study.

Int J Nurs Stud. 2014 Feb 20;

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A nurse-led interdisciplinary primary care approach to prevent disability among community-dwelling frail older people: a large-scale process evaluation.

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A nurse-led interdisciplinary primary care approach to prevent disability among community-dwelling frail older people: a large-scale process evaluation.

Int J Nurs…

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Oral health care in older people in long term care facilities: a systematic review of implementation strategies.

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Oral health care in older people in long term care facilities: a systematic review of implementation strategies.

Int J Nurs Stud. 2013 Apr;50(4):569-82

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Low job satisfaction does not identify nurses at risk of future sickness absence: results from a Norwegian cohort study.

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Low job satisfaction does not identify nurses at risk of future sickness absence: results from a Norwegian cohort study.

Int J Nurs Stud. 2013 Mar;50(3):366-73

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Self-rated coping styles and registered sickness absence among nurses working in hospital care: a prospective 1-year cohort study.

Self-rated coping styles and registered sickness absence among nurses working in hospital care: a prospective 1-year cohort study.

Int J Nurs Stud. 2011 Jul;48(7):838-46

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Self-reported adverse drug events and the role of illness perception and medication beliefs in ambulatory heart failure patients: A cross-sectional survey.

Self-reported adverse drug events and the role of illness perception and medication beliefs in ambulatory heart failure patients: A cross-sectional survey.
Int J Nurs Stud. 2011 Jul 18;
Authors: De Smedt RH, Denig P, van der M… Continue reading

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