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Evid Based Mental Health 8:49 doi:10.1136/ebmh.8.2.49
  • Aetiology

Relocation puts elderly nursing home residents at risk of stress, although the stress is short lived


 
 Q What are the effects of moving elderly people to a new nursing home?

METHODS

GraphicDesign:

Randomised controlled trial.

GraphicSetting:

Long term nursing homes in greater Philadelphia and Horsham, Pennsylvania between June 2001 and spring 2002.

GraphicPopulation:

77 nursing home residents aged 65 and over.

GraphicAssessment:

Participants were divided into two groups: residents moving to a new nursing home, and residents remaining in the Philadelphia nursing home. Baseline measurements were recorded in July and August 2001. Residents were moved during fall 2001, measurements were taken 1 week before moving, and 1 week and 4 weeks after moving.

GraphicOutcomes:

Mini-Mental State Examination scores, Observed Affect Rating Scale scores, salivary cortisol, blood pressure, and pulse.

GraphicFollow up period:

Outcomes were assessed 1 week before the move, and 1 week and 4 weeks after the move.

MAIN RESULTS

1 week before moving: residents moving had a significantly greater increase from baseline in late afternoon cortisol compared with residents remaining …

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