Journal of gerontological nursing最新文献

{"title":"COVID-19 Pandemic and Posttraumatic Growth in Residents of a Continuing Care Retirement Community: A Mixed Methods Study.","authors":"Lenny Chiang-Hanisko, Elizabeth Force, Patricia Liehr","doi":"10.3928/00989134-20240503-01","DOIUrl":"https://doi.org/10.3928/00989134-20240503-01","url":null,"abstract":"<p><strong>Purpose: </strong>The coronavirus disease 2019 (COVID-19) pandemic impacted life for older adults living in residential settings, affecting their psychosocial well-being. Risk for COVID-19 is associated with increasing age and pre-existing health conditions. The current study aimed to describe the challenges of COVID-19 and post-traumatic growth (PTG) for residents of a continuing care retirement community (CCRC) in South Florida.</p><p><strong>Method: </strong>A parallel mixed methods approach was used to explore the experience of older adults with PTG. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using content analysis to identify emergent themes.</p><p><strong>Results: </strong>Ninety-eight older adults living in a single CCRC completed a survey. Age ranged from 67 to 99 years (mean age = 86 years), with >90% identifying as non-Hispanic White and female (78%). Using the PTG theoretical framework, experiences were categorized into five dimensions: new possibilities, relating to others, personal strength, spiritual growth, and appreciation for life.</p><p><strong>Conclusion: </strong>The current study focused on the challenges and growth experienced by older adults, as framed by PTG theory. Findings shed light on the capacity of this demographic, with an average age of 86 years, to overcome obstacles and achieve PTG. [<i>Journal of Gerontological Nursing, 50</i>(6), 25-33.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"25-33"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Capital as a Framework to Address Organizational Climate Change Policy.","authors":"Julie Becker, Ruth McDermott-Levy, Caroline Moore, Mary Louise Mitsdarffer","doi":"10.3928/00989134-20240502-02","DOIUrl":"https://doi.org/10.3928/00989134-20240502-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine state Area Agencies on Aging (AAAs) in Pennsylvania for services they provide to older adults regarding extreme events and how readiness can be captured through social networks and policies at the local, state, and federal levels.</p><p><strong>Method: </strong>Using an online survey, 79% of AAA directors answered questions describing perceptions and actions related to social capital and its influence on policy.</p><p><strong>Results: </strong>AAAs acknowledged weather/temperature changes impact the need to prepare for common scenarios of extreme weather, temperature, and flooding. AAAs reported major social connections with county government and one state agency, with limited connections with federal agencies.</p><p><strong>Conclusion: </strong>Multiple opportunities exist for AAAs to consider climate change in expansion efforts, specifically regarding health care. Geriatric nurses can play a key role in expansion, advocacy, and policy development for AAAs that serve older adults in the context of climate change. [<i>Journal of Gerontological Nursing, 50</i>(6), 11-15.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"11-15"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Toward Caring for the Oldest-Old and Associated Factors.","authors":"Na-Rang Choi, Kisook Kim","doi":"10.3928/00989134-20240503-02","DOIUrl":"https://doi.org/10.3928/00989134-20240503-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the knowledge, stress levels, and attitudes of clinical nurses regarding care for individuals considered the oldest-old (i.e., aged ≥80 years) and to identify related factors.</p><p><strong>Method: </strong>In this descriptive cross-sectional study, data were collected via an online structured questionnaire survey administered to 128 clinical nurses.</p><p><strong>Results: </strong>Participants had low levels of knowledge about the oldest-old with hearing impairments or mental health problems (e.g., depression, anxiety, delirium), and high levels of stress. Factors influencing attitudes toward the oldest-old were graduate or higher educational level (<i>p</i> = 0.002), ≥10 years of work experience (<i>p</i> = 0.049), and lower stress (<i>p</i> = 0.033). The explanatory power of the regression model was 18.1%.</p><p><strong>Conclusion: </strong>Further research and development programs should aim to promote positive attitudes toward care for older adults among nurses and develop methods to reduce and better manage stress when caring for these individuals. [<i>Journal of Gerontological Nursing, 50</i>(6), 35-43.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"35-43"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AGS Policy Update","authors":"Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN","doi":"10.3928/00989134-20240416-08","DOIUrl":"https://doi.org/10.3928/00989134-20240416-08","url":null,"abstract":"&lt;h2&gt;Introduction&lt;/h2&gt;&lt;p&gt;I am #AGSProud of the advocacy work that the American Geriatrics Society (AGS) does on behalf of older adults and the geriatrics health professionals who serve them. One reason why our advocacy is so impactful is that AGS is able to draw on the expertise of its members to inform our comment letters. AGS remains steadfast in its commitment to advocating for the rights and well-being of older adults, emphasizing equal protection and treatment for all. In this column, I have summarized several of our AGS comment letters with the goal of providing a glimpse into our ongoing efforts to shape public policy with the goal of improving the lives of all older adults. From addressing staffing standards in long-term care facilities to recommending the reconsideration of using revised criteria for the diagnosis and staging of Alzheimer's disease to inform clinical care, each letter reflects our commitment to advocating for policies that support all of us as we age.&lt;/p&gt;&lt;h2&gt;Comment Letter on Minimum Staffing Standards for Long-Term Care Facilities&lt;/h2&gt;&lt;p&gt;In November 2023, AGS submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to its proposal to revise minimum staffing standards for long-term care facilities (AGS, 2023c). In our letter, we noted our appreciation for CMS' proposal to set minimum staffing standards, which we believe are an important, incremental first step to ensure safe, reliable, and quality nursing home care. Our letter offers comments and recommendations on several CMS proposals, including proposed minimum nursing staffing standards, hardship exemptions, RN onsite requirement, facility assessment requirements, and implementation deadlines.&lt;/p&gt;&lt;h2&gt;Comment Letter on Ways and Means Committee Request Around Rural Health Care&lt;/h2&gt;&lt;p&gt;In October 2023, AGS submitted recommendations in response to a request from the House Committee on Ways and Means on a legislative framework for improving access to health care in rural and underserved areas (Smith, 2023). In our letter (AGS, 2023b), AGS offered support and feedback as the Committee looks to identify solutions to reshape our nation's health care system and improve our nation's health for future generations. We asked the Committee to consider several potential solutions to increasing access to primary care clinicians, including geriatricians. These solutions include restoration of the primary care bonus payment that was included in the Affordable Care Act, opportunities for loan repayment and forgiveness for those entering geriatrics, support for legislation focused on enhancing the health care workforce, and other improvements, such as access to telehealth services and Medicare payment system reform.&lt;/p&gt;&lt;h2&gt;Comments on the 2024 Medicare Physician Fee Schedule&lt;/h2&gt;&lt;p&gt;In September 2023, AGS submitted extensive comments in response to the CMS Calendar Year 2024 proposed rule updating the Medicare Physician Fee Schedule (PFS) and Quality Payment P","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"33 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary Analysis of Fall Concern Among Family Caregivers of Older Adults Discharged From the Hospital: A Psychometric Evaluation of the Carers' Fall Concern Instrument","authors":"Seng Giap Marcus Ang, PhD, RN, Rosemary Saunders, PhD, RN, Chiew Jiat Rosalind Siah, PhD, RN, Yan Hui Celestine Wee, MSc, RN, Christopher Etherton-Beer, PhD, MBBS, Charlotte Foskett, MCSP, Grad.Dip.Phys, Karen Gullick, MSc, RN, Sue Haydon, BA, Amanda Wilson, PhD, RN","doi":"10.3928/00989134-20240416-03","DOIUrl":"https://doi.org/10.3928/00989134-20240416-03","url":null,"abstract":"<section><h3>Purpose:</h3><p>To provide a preliminary descriptive analysis of the change in fall concern among family caregiver–care recipient dyads during hospitalization and after discharge as part of a prospective study exploring the psychometric properties of the Carers' Fall Concern Instrument.</p></section><section><h3>Method:</h3><p>Using a prospective cohort design, an interviewer-administered survey was completed by dyads at 48 hours before discharge and 1 week and 30 days after discharge.</p></section><section><h3>Results:</h3><p>Of family caregivers, 76.9% thought their care recipient was at risk of falling and 61.5% were afraid of them falling. However, only 34.6% of older adults thought that they were at risk of falling and only 42.3% were afraid of falling. Family caregivers reported significantly less concern about falls after their care recipients were discharged.</p></section><section><h3>Conclusion:</h3><p>This study provided greater insight into caregiver–care recipient dyads' fall concern during their transition from hospital to home that may guide post-discharge fall prevention education on falls. [<i>Journal of Gerontological Nursing, 50</i>(5), 14–18.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"10 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Needs of Older Adults With Urinary Incontinence: A Cross-Sectional Study.","authors":"Su Ying Xiang, Hao Chong He, Ye Liu, Bi Jun Yu, Shu Yuan Mai, Meng Yuan Li, Xiao Ying Yan, Xiao Hong Huang","doi":"10.3928/00989134-20240416-07","DOIUrl":"https://doi.org/10.3928/00989134-20240416-07","url":null,"abstract":"<p><strong>Purpose: </strong>To explore care requirements of older adults with urinary incontinence (UI) and contributing factors.</p><p><strong>Method: </strong>This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance, <i>t</i> tests, correlation analyses, and linear regression models, were conducted to assess factors influencing participants' care needs.</p><p><strong>Results: </strong>A total of 530 older adults with UI participated in the survey and mean standardized score for overall care needs was 78.65 (<i>SD</i> = 5.01), with mean scores for each dimension ranging from 70.88 (<i>SD</i> = 10.55) for social participation needs to 82.45 (<i>SD</i> = 7.11) for health education needs. Factors that were found to influence incontinence care needs in older adults included age, literacy level, number of leaks, and type of disease (F = 37.07, adjusted R² = 0.290, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Comprehensive care for older adults with UI, encompassing physiological, psychological, and social aspects, is crucial. It is essential to tailor care to individual needs and characteristics, taking into account factors, such as age and education, to ensure effective care. [<i>Journal of Gerontological Nursing, 50</i>(5), 43-49.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 5","pages":"43-49"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study","authors":"Tonya Roberts, PhD, RN, Laura Block, BS, BSN, RN, Caroline Madrigal, PhD, RN","doi":"10.3928/00989134-20240416-02","DOIUrl":"https://doi.org/10.3928/00989134-20240416-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined the association between preferences and QOL among NH residents.</p></section><section><h3>Method:</h3><p>A mixed methods study incorporating surveys was conducted among 144 residents, with semi-structured follow-up interviews with 11 residents.</p></section><section><h3>Results:</h3><p>Findings confirm a variable relationship between resident preferences and QOL. Higher order preferences not captured within the preference assessment may influence QOL. High numbers of unimportant and <i>can't do</i>/<i>no</i> choice preferences were linked to resident acclimatization to the NH. QOL was at risk if care was not consistent with preferences.</p></section><section><h3>Conclusion:</h3><p>In-depth assessments and robust measures of preferences and QOL should be integrated into care delivery and future research. [<i>Journal of Gerontological Nursing, 50</i>(5), 7–13.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"40 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Certified Nursing Assistants to Screen for Delirium: If Not Now, When?","authors":"Shih-Yin Lin, PhD, MPH, MM, Donna M. Fick, PhD, RN, GCNS-BC, AGSF, FGSA, FAAN","doi":"10.3928/00989134-20240416-01","DOIUrl":"https://doi.org/10.3928/00989134-20240416-01","url":null,"abstract":"&lt;h2&gt;Introduction&lt;/h2&gt;&lt;p&gt;&lt;i&gt;Mrs. Frank was an 84-year-old nursing home resident who was diagnosed with dementia 2 years before entering the facility. She was active in the nursing home, participating in recreational therapy activities, and had a good rapport with staff. One morning the certified nursing assistant (CNA) noticed she had developed a cough, was sleeping more, and not eating as much. She also did not want to go to her usual exercise class. The CNA let the RN know that Mrs. Frank was not herself and that she was worried she might be developing delirium from an acute illness. The nursing home did not have a process in place for delirium assessment and 2 days later Mrs. Frank had a fall in the nursing home and was admitted to the hospital for pneumonia.&lt;/i&gt;&lt;/p&gt;&lt;p&gt;How age-friendly care can optimize delirium management for older adults, including those living with dementia, has been discussed previously (Fick &amp; Shrestha, 2022; Kwak et al., 2024). We seek to expand on this important dialogue and discuss the empowerment of CNAs as nursing homes integrate age-friendly delirium care.&lt;/p&gt;&lt;h2&gt;Age-Friendly Delirium Care&lt;/h2&gt;&lt;p&gt;Age-Friendly Health Systems (AFHS; https://www.ihi.org/initiatives/age-friendly-health-systems) is a national initiative that aims to ensure all older adults in all care settings consistently receive equitable, person-centered, and evidence-based care. The four pillars of AFHS are What Matters, Medication, Mentation (dementia, depression, delirium), and Mobility, collectively known as the 4Ms Framework. Although most nursing homes are already addressing one or more of the 4Ms, the key to truly becoming age-friendly is the reliable application and integration of all 4Ms as a set during every encounter with every older adult in every setting.&lt;/p&gt;&lt;p&gt;CNAs are responsible for most direct patient care and spend the most time with residents among nursing home staff. CNAs are uniquely positioned to facilitate the implementation of the 4Ms to promote age-friendly delirium care for residents with and without dementia: “What Matters” or goals and preferences of older adults and care partners should be incorporated into all direct care activities, whereas “Mobility” should be encouraged during transferring. Engagement in meaningful activities to keep the mind active and mobility are protective factors for delirium, whereas malnutrition and medication are risk factors. Typical duties of CNAs include assisting residents with bathing, toileting, dressing, turning, repositioning, transferring (What Matters and Mobility); listening to and reporting health concerns of residents to nurses (What Matters); measuring and reporting vital signs (of which mental status should also be included [Fick, 2018]); and serv- ing meals and assistance with eating (What Matters, e.g., food preferences [U.S. Bureau of Labor Statistics, U.S. Department of Labor, 2023]). Regarding Medication, some states allow CNAs to have an expanded role to dispense medicat","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"2 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Effect of a Tablet-Based Cognitive Behavioral Group Intervention on Step Count, Fatigue, Self-Efficacy, and Quality of Life in Older Adults With Arthritis: A Pilot Study","authors":"Sarah Fiske, PhD, RN, MSN, CNL, Jeungok Choi, PhD, RN, MSN, MPH, Cynthia Jacelon, PhD, RN-BC, CRRN, FAAN, Christopher R. Martell, PhD, ABBP","doi":"10.3928/00989134-20240416-06","DOIUrl":"https://doi.org/10.3928/00989134-20240416-06","url":null,"abstract":"<section><h3>Purpose:</h3><p>To evaluate the long-term effect of a tablet-based, cognitive-behavioral group intervention (Tab-G) to improve daily walking for older adults with arthritis.</p></section><section><h3>Method:</h3><p>Using an experimental pretest/posttest repeated measure design, long-term effects on step count, fatigue, self-efficacy, and quality of life (QOL) were investigated.</p></section><section><h3>Results:</h3><p>Results of repeated measures analysis of variance showed significant improvement in step counts (F[1, 37] = 4.18, <i>p</i> = 0.048), fatigue (F[1, 36] = 9.971, <i>p</i> = 0.003), self-efficacy (F[1,28] = 4.645, <i>p</i> = 0.04), and QOL (F[1, 29] = 6.147, <i>p</i> = 0.019) in the Tab-G group compared to the control group. There were significant time effects across four time points (baseline and Weeks 4, 8, and 10) in fatigue (F[3, 108] = 5.43, <i>p</i> = 0.002), self-efficacy (F[3, 84] = 5.433, <i>p</i> = 0.002), and QOL (F[3, 87] = 3.673, <i>p</i> = 0.015), but not in step counts (F[3, 111] = 0.611, <i>p</i> = 0.609).</p></section><section><h3>Conclusion:</h3><p>Findings demonstrate positive long-term effects on fatigue in older adults with arthritis. [<i>Journal of Gerontological Nursing, 50</i>(5), 35–42.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"98 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Resistance Band Use in Conjunction With Tai Chi Among Older Adults With Prefrailty to Improve Functional Fitness, Quality of Life, and Heart Rate Variability.","authors":"Shan-Che Woo, Miao-Yen Chen, Liang-Kung Chen, Chieh-Yu Liu","doi":"10.3928/00989134-20240416-04","DOIUrl":"10.3928/00989134-20240416-04","url":null,"abstract":"<p><strong>Purpose: </strong>The current randomized controlled trial aimed to bolster the physical fitness of prefrail older adults, potentially delaying their need for admission to care facilities and enhancing their overall well-being.</p><p><strong>Method: </strong>The experimental group received a physical fitness intervention comprising resistance band use and tai chi three times per week for 12 weeks, whereas the control group received frailty-related health education. Thirty-four male participants completed the study.</p><p><strong>Results: </strong>A total of seven items had statistically significant differences at 12- and 16-week posttest, respectively: frailty index (<i>p</i> = 0.03; <i>p</i> = 0.03); Instrumental Activities of Daily Living Scale (<i>p</i> < 0.001; <i>p</i> < 0.001); and physical fitness, back (<i>p</i> < 0.001; <i>p</i> < 0.001); physical fitness, arm curl (<i>p</i> = 0.02; <i>p</i> < 0.001); physical activity (<i>p</i> < 0.001; <i>p</i> = 0.009); quality of life, physiological (<i>p</i> = 0.04; <i>p</i> < 0.001); and heart rate variability (<i>p</i> < 0.001; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Results revealed substantial improvements in physical fitness, frailty conditions, self-care abilities, and quality of life, but not balance or lower limb flexibility, for the experimental group. Therefore, exercise interventions may effectively improve prefrail older adults' quality of life. [<i>Journal of Gerontological Nursing, 50</i>(5), 19-26.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 5","pages":"19-26"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}