Abstract:Social support appeared to play an important role in moderating the effects of pain, functional limitation, and depression on these subjects' quality of life. Nurses who work with older adults are in a unique position to help them adjust to living with osteoarthritis by providing them the support needed to help them manage their disease.
“…In contrast, other studies have shown that social network/support may be weaker, especially among the oldest old, with increasing age 31,32 and hence the potential moderating influence on pain from the social network/support is not there anymore. 30,33,34 People in the social network can not only be supportive and help to manage daily life, but could also be helpful in identifying problems (e.g., pain) and in obtaining help. The oldest old (85ϩ) in pain, in this study, were more often found to live in sheltered housing.…”
“…In contrast, other studies have shown that social network/support may be weaker, especially among the oldest old, with increasing age 31,32 and hence the potential moderating influence on pain from the social network/support is not there anymore. 30,33,34 People in the social network can not only be supportive and help to manage daily life, but could also be helpful in identifying problems (e.g., pain) and in obtaining help. The oldest old (85ϩ) in pain, in this study, were more often found to live in sheltered housing.…”
“…Pain was shown, through gait compensation studies of patients with osteoarthritis, to be correlated to decreased walking speeds, step rates and single limb stance, whilst also causing the individual to alter their gait pattern (Hurwitz et al, 1997). It is therefore an imperative that pain is managed appropriately for this patient group (Bliven and Kippes, 1999).…”
“…Research investigating the psychometric properties of the QOLS indicates good test-retest reliability, internal consistency, and convergent and divergent validity (Burckhardt, Clark, & Bennett, 1993;Blixen & Kippes, 1999).…”
Sleep problems are pervasive among the United States population with insomnia being the most common sleep complaint among adults and older adults. Between 20 and 40 percent of older adults have symptoms of insomnia, which impacts quality of life, inflates healthcare costs, and is associated with a greater risk of chronic disease, comorbid mood disorders, and premature mortality. While pharmacotherapy offers immediate relief from insomnia, it is associated with adverse side effects and risks.Behavioral interventions, such as cognitive-behavioral therapy for insomnia (CBT-I), have longer-term benefits and fewer side effects. However, the full CBT-I protocol is resource intensive and can be difficult to access. The present study examined the ability of a brief Internet-based sleep intervention, stimulus control therapy (SCT; N = 26), to effectively reduce symptoms of insomnia and improve mood in a sample of 46 adults aged 60 years and older compared to a sleep hygiene psychoeducation-only group (N = 20). Participants were recruited from community sources and completed telephone screens. Eligible participants watched a 20-minute video (SCT or sleep hygiene) online and completed three surveys across a one-month period (baseline, 1-week, and 1-month) about mood and sleep. Results revealed no significant group differences but rather decreases in both groups on sleepiness, fatigue, anxiety, depression, and sleep locus of control over time, as well as a group-time interaction for anxiety and stress. Findings imply that both sleep hygiene and SCT have equivalent efficacy and that minimal insomnia treatments may effectively treat comorbid insomnia and anxiety and depression.
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