Publications by authors named "Nengliang Yao"
Background: An aging population has contributed to an increasing prevalence of functional limitations among older adults. Family support plays a crucial role in toileting and bathing assistance. Yet, the relationship between availability of family care resources and such actual assistance remains insufficiently explored.
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- This study explored how resilience influences the relationship between care stressors and caregiving stress in family caregivers for older adults with disabilities in China.
- It involved 234 older adults and their caregivers, analyzing various factors like health status, care intensity, and financial challenges to assess their impact on perceived stress.
- Findings indicate that resilience partially mediates the effects of disability and chronic illness on caregiving stress, highlighting the importance of training to boost resilience among caregivers.
Article Synopsis
- This study explores how frailty levels in older cancer survivors relate to financial hardships, aiming to understand this connection better.
- Out of 3,919 older cancer survivors, 40.3% were classified as robust, 35.9% as pre-frail, and 23.8% as frail, with frail individuals facing significantly more financial challenges across various domains.
- The findings stress the importance of recognizing frailty in cancer survivors to better address their financial needs and improve their overall well-being.
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- The study focused on developing and validating a patient-reported outcome measure (PROM) to assess financial hardship among older cancer survivors in China, addressing a gap in research on this topic.* -
- The researchers created and refined the measure through qualitative interviews, expert consultations, and statistical methods, leading to a final version that consists of 10 relevant items.* -
- The final PROM, named HARDS, demonstrated strong reliability and validity, with a recommended cutoff score of 18.5 for predicting poor quality of life among participants.*
Article Synopsis
- - The study assessed the relationship between frailty and the risk of developing cardiovascular disease (CVD) and type 2 diabetes (T2DM) in 13,388 long-term cancer survivors, using two frailty indicators: frailty phenotype (FP_Frailty) and frailty index (FI_Frailty).
- - Results indicated that both pre-frail and frail participants had a significantly higher risk of CVD, with early stages of frailty also associated with CVD and T2DM, though the frailty index showed a stronger correlation with T2DM than the frailty phenotype.
- - These findings emphasize the importance of managing frailty in long-term cancer survivors, as even mild levels of frailty
The Mediating Effect of Functional Health on the Relationship between Social Capital and Cognition among Chinese Older Adults.
Int J Environ Res Public Health
December 2022
This study evaluated the association between cognition and social capital among Chinese older adults and analyzed the mediating role of functional health in that interaction. The baseline and follow-up data were acquired from the 2011 and 2015 China Health and Retirement Longitudinal Study (CHARLS). The sample included 6291 adults aged 55 years and above in 2011.
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- The study analyzed the levels of aerobic activity and strength training in older cancer survivors, focusing on their impact on psychological distress and sleep problems.
- Only 35.2% of participants met aerobic activity guidelines, with 12% engaging in strength training twice per week; many reported significant psychological distress and sleep issues.
- Higher levels of inactivity and insufficient activity were linked to worse mental health and sleep difficulties, while active survivors who strength trained frequently experienced more trouble staying asleep.
Background: Chinese clinical nurses are increasingly confronting patient death, as the proportion of hospital deaths is growing. Witnessing patient suffering and death is stressful, and failure to cope with this challenge may result in decreased well-being of nurses and impediment of the provision of "good death" care for patients and their families. To our knowledge, few studies have specifically explored clinical nurses' experiences coping with patient death in mainland China.
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- This study looked at the stress family caregivers feel when taking care of older Chinese adults with disabilities.
- It found that caregivers who spend more than nine hours a day caring for someone feel more stressed, especially if they struggle with money or time.
- The study suggests that creating support groups and improving insurance for long-term care can help relieve some of this stress for caregivers.
Background: There is limited information about the population characteristics and adverse health outcomes of older cancer patients in China. This study aimed to describe the prevalence of frailty and examine the association between frailty and health-related quality of life (HRQoL) among older cancer patients.
Methods: This was a cross-sectional study involving older patients diagnosed with cancer in two tertiary hospitals in Shandong Province, China.
Objective: Despite oncology providers' significant roles in patient care, few studies have been conducted to investigate oncology providers' understanding of financial toxicity. This study aimed to explore oncology providers' perceptions and practices relating to the financial toxicity of older cancer survivors in China.
Methods: A qualitative study was conducted.
Exercise and Reduced Nicotine Content Cigarettes in Adult Female Smokers: A Pilot Trial.
Int J Environ Res Public Health
May 2022
Background: Although Reduced Nicotine Cigarettes (RNC) are suggested to improve smoking cessation and cardiometabolic health in relation to cancer risk, the effectiveness of exercise training with RNC on smoking cessation and cardiometabolic health is unknown. Methods: Female smokers (N = 27) were randomized to: (1) usual nicotine cigarettes (i.e.
View Article and Find Full Text PDFObjective: This study aimed to examine the urban-rural disparities and associated factors of health care utilization among cancer patients in China.
Methods: This study used the data collected from a cross-sectional survey conducted in China. A total of 1,570 cancer survivors from three urban districts and five rural counties were selected by using a multistage stratified random sampling method.
Background: Hospital facilities in China are experiencing increased strain on existing systems and medical resources, necessitating the use of home-based hospice and palliative care (HBHPC). HBHPC primarily relies on community nurses and related medical personnel. Understanding the challenges that community nurses face when providing this form of care is urgently needed to optimize the design and delivery of HBHPC.
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- * Results indicated that homebound seniors generally had poorer mental health than their non-homebound counterparts, and loneliness exacerbated these negative effects.
- * Additionally, being semi-homebound had a more significant impact on mental health for older men compared to women, highlighting the need for targeted social programs and interventions to support this vulnerable population.
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- The study looked at how older cancer survivors in China deal with money problems after being diagnosed with cancer.
- Researchers interviewed 21 survivors and 20 family caregivers to understand their experiences.
- Key findings showed that these survivors often struggle with costs, rely on help from their children, and face stress that affects the whole family.
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- - The study investigates the social experiences and perspectives of homebound older adults in the U.S., focusing on their feelings and coping strategies.
- - Researchers conducted interviews with 18 homebound individuals in Central Virginia and found that many experienced physical and mental health challenges, leading to feelings of dependency, loneliness, and social isolation.
- - Recommendations include improving support for these individuals through better communication with family and healthcare providers, offering educational opportunities, and addressing issues of isolation and loneliness.
It is unclear that whether Urban and Rural Resident Basic Medical Insurance (URRBMI) is associated with depressive symptoms among middle-aged and older adults. To fulfill this research gap, this study aimed to investigate the association between URRBMI and depressive symptoms among the middle-aged and older adults in China. This data of this study was sourced from the 2018 wave of China Health and Retirement Longitudinal Study (CHARLS).
View Article and Find Full Text PDFBackground: Comprehensive medication review is a patient-centered approach to optimize medication use and improve patient outcomes. This study outlines a pilot model of care in which a remote corporate-based clinical pharmacist implemented comprehensive medication reviews for a cohort of medically complex home-based primary care (HBPC) patients.
Method: Ninety-six medically complex patients were assessed for medication-related problems.
Article Synopsis
- * A qualitative study conducted through interviews with 17 homebound adults (mean age 76) revealed that while HHC brought convenience and better interactions with care providers, there were limitations concerning the breadth of services and the skill levels of healthcare workers.
- * The study concludes that while HHC is beneficial for older adults in terms of convenience and cost, there is a need for expanded services and improved training for providers, prompting policymakers to consider additional resources for HHC development in China.
Little is known about the characteristics of the workforce providing home-based medical care for traditional (fee-for-service) Medicare beneficiaries. We found that the number of participating home care providers in traditional Medicare increased from about 14,100 in 2012 to around 16,600 in 2016. Approximately 4,000 providers joined or reentered that workforce annually, and 3,000 stopped or paused participation.
View Article and Find Full Text PDFIntroduction: Dental care is mostly excluded from healthcare coverage in China. This study examines disparities in dental care and in the costs of such care, according to insurance type and socio-economic status, among Chinese older adults.
Methods: The data were obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS).
Employment changes among Chinese family caregivers of long-term cancer survivors.
BMC Public Health
November 2020
Article Synopsis
- Family caregivers (FCGs) are important for taking care of long-term cancer survivors, but there aren't many studies on how this affects their jobs.
- In this study with 1,155 cancer survivors, researchers looked at how caregiving changed the work hours of FCGs during and after cancer treatment.
- They found that many FCGs reduced their work hours or stopped working, especially if the cancer survivors had serious health issues or were getting chemotherapy.
Aim: To determine the effects of glycine powder air-polishing (GPAP) as an adjunct to full-mouth scaling and root planing (SRP) on clinical, inflammatory and microbiological outcomes in patients with untreated periodontitis.
Materials And Methods: Forty-one patients were randomly assigned to the control group A (SRP) and test groups B1 (subgingival GPAP right after SRP) and B2 (subgingival GPAP right before SRP). Clinical examinations and sample collections (saliva, subgingival plaque, serum and gingival crevicular fluid) were performed at assessment visits and before therapies at clinical visits of baseline, 6-week and 3-month.