International Journal of Nursing Sciences最新文献

{"title":"Nursing leadership: Key element of professional development","authors":"Xiaoying Jiang","doi":"10.1016/j.ijnss.2023.12.015","DOIUrl":"10.1016/j.ijnss.2023.12.015","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 1-2"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001576/pdfft?md5=68803de8aa119f7fef144072824c01e2&pid=1-s2.0-S2352013223001576-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review","authors":"Beibei Xiong ,&nbsp;Daniel X. Bailey ,&nbsp;Paul Prudon ,&nbsp;Elaine M. Pascoe ,&nbsp;Leonard C. Gray ,&nbsp;Frederick Graham ,&nbsp;Amanda Henderson ,&nbsp;Melinda Martin-Khan","doi":"10.1016/j.ijnss.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.11.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Recognition of the cognitive status of patients is important so that care can be tailored accordingly. The objective of this integrative review was to report on the current practices that acute care hospitals use to identify people with cognitive impairment and how information about cognition is managed within the healthcare record as well as the approaches required and recommended by policies.</p></div><div><h3>Methods</h3><p>Following Whittemore &amp; Knafl’s five-step method, we systematically searched Medline, CINAHL, and Scopus databases and various grey literature sources. Articles relevant to the programs that have been implemented in acute care hospitals regarding the identification of cognitive impairment and management of cognition information were included. The Mixed Methods Appraisal Tool and AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) Checklist were used to evaluate the quality of the studies. Thematic analysis was used to present and synthesise results. This review was pre-registered on PROSPERO ( CRD42022343577).</p></div><div><h3>Results</h3><p>Twenty-two primary studies and ten government/industry publications were included in the analysis. Findings included gaps between practice and policy. Although identification of cognitive impairment, transparency of cognition information, and interaction with patients, families, and carers (if appropriate) about this condition were highly valued at a policy level, sometimes in practice, cognitive assessments were informal, patient cognition information was not recorded, and interactions with patients, families, and carers were lacking.</p></div><div><h3>Discussion</h3><p>By incorporating cognitive assessment, developing an integrated information management system using information technology, establishing relevant laws and regulations, providing education and training, and adopting a national approach, significant improvements can be made in the care provided to individuals with cognitive impairment.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 120-132"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001412/pdfft?md5=dd886be80b9e871f80cab1865b018e62&pid=1-s2.0-S2352013223001412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptoms and symptom clusters in patients with hepatocellular carcinoma and commonly used instruments: An integrated review","authors":"Thitiporn Pathomjaruwat ,&nbsp;Yaowarat Matchim ,&nbsp;Jane M. Armer","doi":"10.1016/j.ijnss.2023.09.009","DOIUrl":"10.1016/j.ijnss.2023.09.009","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to synthesize the available knowledge of identifying hepatocellular carcinoma (HCC) symptoms and symptom clusters in patients with HCC and instruments used for these assessments to maximize symptom management.</p></div><div><h3>Methods</h3><p>Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in five databases (PubMed, ScienceDirect, Scopus, CINAHL, and ThaiJO). The retrieved articles were limited to those which were peer-reviewed, published between 2005 and 2022, and had English abstracts. All of identified studies were screened, extracted, and analyzed independently by two researchers.</p></div><div><h3>Result</h3><p>Fourteen articles were included in this review. They were grouped into three themes: symptoms, symptom assessment, and symptom clusters of HCC patients. Fatigue, lack of energy, stomach or abdominal pain/distension, loss of appetite, change in taste, sleep disturbance, distress, and sadness are the most prevalent symptoms reported in HCC patients. The different concurrent symptoms are related to the stage and treatment. Five types of symptom assessment instruments were commonly used (symptoms-specific HCC, general cancer symptom, measuring non-symptom constructs, measuring specific symptoms, such as fatigue, sleep disturbance, anxiety, and depression, and symptom assessment with clinical examination). Furthermore, the symptom clusters in HCC patients were classified into five categories: 1) pain-related symptoms, 2) gastrointestinal symptoms, 3) neuropsychological symptom clusters and sensory symptoms, 4) liver dysfunction-related symptom clusters, and 5) others (including sickness symptom clusters, fatigue clusters, location pain symptoms, and asymptomatic or symptomatic).</p></div><div><h3>Conclusion</h3><p>The findings of this review add to the body of knowledge on symptoms, symptom assessment, and symptom clusters in patients with HCC. Despite a variety of instruments being available, none covers all symptoms experienced by HCC patients. It is recommended that future studies should include larger and more homogenous samples to evaluate assessment instruments more precisely, avoid ambiguity in classifying symptoms into symptom clusters, and increase the effectiveness of symptom management.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 66-75"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001023/pdfft?md5=d4e037082a45e11279a0ba5bc37f6c7f&pid=1-s2.0-S2352013223001023-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence and factors associated with sarcopenia in Thai older adults: A systematic review and meta-analysis","authors":"Phatcharaphon Whaikid,&nbsp;Noppawan Piaseu","doi":"10.1016/j.ijnss.2023.11.002","DOIUrl":"10.1016/j.ijnss.2023.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review and meta-analysis aimed to assess the prevalence and identify factors associated with sarcopenia in older Thais.</p></div><div><h3>Methods</h3><p>Research studies were searched in online databases, including PubMed, Embase, Scopus, and Thai-Journal Citation Index. The articles included in this review were limited to being published between January 1, 2013 and January 31, 2023 and observational study designs. The research quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies. A meta-analysis was performed using the JBI SUMARI software. The review protocol has been registered on PROSPERO with the assigned ID CRD42023420514.</p></div><div><h3>Results</h3><p>A total of 265 research articles were initially identified, out of which 17 articles were included in this study, including a total of 4,668 participants aged 60 years and over, consisting of 1,380 (29.6%) men and 3,288 (70.4%) women. The overall prevalence of sarcopenia in Thai older adults was 20.7% (95% CI 14.4%–27.8%). Subgroup analysis of the sarcopenia prevalence based on the study areas revealed that the prevalence was 33.4% (95% CI 28.7%–38.3%) in hospitalized individuals, 23.2% (95% CI 12.5%–35.9%) in outpatient clinic settings, and 17.3% (95% CI 9.4%–26.8%) in community-living older adults. Advanced age (<em>OR</em> = 4.60, 95% CI 3.07–6.91), being male (<em>OR</em> = 2.30, 95% CI 1.37–3.85), low body mass index (BMI) (<em>OR</em> = 8.95, 95% CI 6.05–13.25), and malnutrition (<em>OR</em> = 2.78, 95% CI 2.09–3.70) are strong predictors of sarcopenia in older adults in Thailand.</p></div><div><h3>Conclusions</h3><p>This systematic review represents the first assessment of the overall prevalence and factors associated with sarcopenia in Thai older adults, indicating its significant concern within this population. These findings are of importance for public health management aimed at preventing and managing sarcopenia in the country.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 31-45"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001424/pdfft?md5=ec1c4f2195df8aa65216ed51e10a9220&pid=1-s2.0-S2352013223001424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of intelligent management interventions in intensive care units to reduce false alarms: An integrative review","authors":"Bingyu Li ,&nbsp;Liqing Yue ,&nbsp;Huiyu Nie ,&nbsp;Ziwei Cao ,&nbsp;Xiaoya Chai ,&nbsp;Bin Peng ,&nbsp;Tiange Zhang ,&nbsp;Weihong Huang","doi":"10.1016/j.ijnss.2023.12.008","DOIUrl":"10.1016/j.ijnss.2023.12.008","url":null,"abstract":"<div><h3>Objective</h3><p>In intensive care units (ICU), frequent false alarms from medical equipment can cause alarm fatigue among nurses, which might lead to delayed or missed responses and increased risk of adverse patient events. This review was conducted to evaluate the effectiveness of intelligent management interventions to reduce false alarms in ICU.</p></div><div><h3>Method</h3><p>Following the framework of Whitmore and Knafl, the reviewers systematically searched six databases: PubMed, EMBASE, CINAHL, OVID, Cochrane Library, and Scopus, and studies included intelligent management of clinical alarms published in the English or Chinese language from the inception of each database to December 2022 were retrieved. The researchers used the PICOS framework to formulate the search strategy, developed keywords, screened literature, and assessed the studies’ quality using the Joanna Briggs Institute-Meta-Analysis of Statistics, Assessment, and Review Instrument (JBI-MAStARI). The review was preregistered on PROSPERO (CRD42023411552).</p></div><div><h3>Results</h3><p>Seven studies met the inclusion criteria. The results showed that different interventions for intelligent management of alarms were beneficial in reducing the number of false alarms, the duration of alarms, the response time to important alarms for nurses, and the alarm fatigue levels among nurses. Positive results were found in practice after the application of the novel alarm management approaches.</p></div><div><h3>Conclusion</h3><p>Intelligent management intervention may be an effective way to reduce false alarms. The application of systems or tools for the intelligent management of clinical alarms is urgent in hospitals. To ensure more effective patient monitoring and less distress for nurses, more alarm management approaches combined with artificial intelligence will be needed in the future to enable accurate identification of critical alarms, ensure nurses are responding accurately to alarms, and make a real difference to alarm-ridden healthcare environments.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 133-142"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001503/pdfft?md5=b7f8f52b93e47bd9e723231a0d12061a&pid=1-s2.0-S2352013223001503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Air quality self-management in asthmatic patients with COPD: An integrative review for developing nursing interventions to prevent exacerbations","authors":"Bruna F. Sebastião ,&nbsp;Raquel M. Hortelão ,&nbsp;Sara S. Granadas ,&nbsp;José M. Faria ,&nbsp;Joana R. Pinto ,&nbsp;Helga Rafael Henriques","doi":"10.1016/j.ijnss.2023.12.003","DOIUrl":"10.1016/j.ijnss.2023.12.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Asthma-chronic obstructive pulmonary disease (COPD) overlap (ACO) patients experience a lower quality of life, frequent exacerbations, and worse pulmonary function. Environmental management is essential in a complex chronic condition, as pollutant exposure can worsen symptoms and increase morbidity and mortality. We aimed to identify evidence that informs nursing interventions in promoting self-management of air quality in asthmatic people with COPD.</p></div><div><h3>Methods</h3><p>We conducted an integrative review in March of 2023. We searched the databases CINAHL, MEDLINE, Academic Search Complete, Cochrane Database of Systematic Reviews (CDSR), Scopus, Web of Science, Joanna Briggs Institute (JBI) Evidence-Based Practice Database, and Google Scholar. We included articles whose participants were adults with asthma, COPD, or both; the intervention was air quality management and the outcome of any exacerbations. We excluded editorials, letters, commentaries, opinion papers, position papers, study protocols, conference abstracts, and reviews. Data extraction and synthesis were performed, categorizing interventions according to nursing actions. Methodological quality assessment was conducted using the JBI Critical Appraisal Checklist tools. The review protocol was registered at Open Science Framework (<span>https://doi.org/10.17605/OSF.IO/5Y4KW</span><svg><path></path></svg>).</p></div><div><h3>Results</h3><p>We included five articles from different countries. The interventions promoting air quality self-management for individuals with asthma and COPD included vigilance interventions (health professional regular visits, assessment of symptoms), monitoring interventions (measurement of indoor and outdoor trigger factors), and educational interventions (air quality alerts, allergen avoidance). Policy interventions such as smoke-free policies and comprehensive strategies to improve air quality were also identified. These areas of focus represent critical components of nurses’ interventions and can integrate the fundamental patterns of knowing in nursing. Although the studies reveal heterogeneous interventions and the methodological quality is variable, these interventions showed potential for preventing exacerbations, reducing emergency department visits, and minimizing hospitalizations.</p></div><div><h3>Conclusions</h3><p>The study emphasizes the need for a comprehensive approach involving nurses in multidisciplinary teams to air quality self-management. They can use these results to inform their interventions and ways of knowing, benefiting individuals with asthma and COPD. Further research is needed to expand the evidence base and refine these interventions.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 46-56"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322300145X/pdfft?md5=34079c9046a4ee5629c3d95c2d15be4a&pid=1-s2.0-S235201322300145X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes of the public and medical professionals toward nurse prescribing: A text-mining study based on social medias","authors":"Qi Zhou ,&nbsp;Yiqing Xu ,&nbsp;Lili Yang ,&nbsp;Rashid Menhas","doi":"10.1016/j.ijnss.2023.12.005","DOIUrl":"10.1016/j.ijnss.2023.12.005","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to explore the public and medical professionals’ concerns and attitudes toward nurse prescribing using text-mining method to analyze social media data.</p></div><div><h3>Methods</h3><p>Python was used to automatically mine data related to the keywords “nurse prescribing” and “prescription” that were posted on four Chinese internet platforms between January 1, 2017, and November 1, 2022. The four Chinese internet platforms included social media sites such as Zhihu and Weibo, as well as medical forums like Aiaiyi Medical Hotspot and Dingxiangyuan Medicine. We conducted personnel, topic, and sentiment analysis techniques using SnowNLP, Bayesian Latent Dirichlet Allocation (LDA), and BosonNLP. Finally, we conducted content analysis using Nvivo 11 based on the results of the topic and sentiment analysis to obtain comprehensive and insightful results.</p></div><div><h3>Results</h3><p>We acquired 2,823 comments totaling 92,859 words on the four Internet platforms to conduct analysis. The analyze result showed that many public and medical professionals held a negative attitude toward nurse prescribing, and few had a prudent positive attitude. The public is concerned about the impact of nurse prescribing on medical professionals and the competency requirements for nurses. Medical professionals are concerned about the current and future status of nurse prescribing in China and the difficulties in implementing nurse prescribing.</p></div><div><h3>Conclusion</h3><p>Nurses should gradually gain recognition for their expertise and win the acceptance of the public and medical professionals on their ability of nursing prescribing by striving to enhance their professional capacity and self-authorization capabilities. Nurse administrators and educators need to recognize the advantages of nurse prescribing and address the challenges and issues in its implementation through promoting legislation, education, and heightening public awareness of its benefits.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 99-105"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001473/pdfft?md5=29c5bf8ac9ad3287017a4df86cc7fb21&pid=1-s2.0-S2352013223001473-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review","authors":"Elvia R. López-Panza ,&nbsp;Vanessa C. Pacheco-Roys ,&nbsp;Kelly J. Fernández-Ahumada ,&nbsp;Diana C. Díaz-Mass ,&nbsp;María Y. Expósito-Concepción ,&nbsp;Elizabeth Villarreal-Cantillo ,&nbsp;Cesar I. Aviles Gonzalez","doi":"10.1016/j.ijnss.2023.12.011","DOIUrl":"10.1016/j.ijnss.2023.12.011","url":null,"abstract":"<div><h3>Objective</h3><p>Nurses inevitably encounter patients who require care aimed at limiting therapeutic effort (LTE), even though many of them are not prepared to provide support to individuals with terminal illnesses and their families. One of the contexts in which the LTE is considered is the intensive care unit (ICU). This review is to describe the competencies for the execution of a nursing professional role in the LTE in the ICU.</p></div><div><h3>Method</h3><p>An integrative review of the literature published between the years 2010 and 2023. The search was carried out in five databases: Medline, Wiley Online Library, SciELO, ScienceDirect, and Web of Science. The Critical Appraisal Skills Programme in Spanish was used as the template for study evaluation. The methodology of the Oxford Center for Evidence-Based Medicine (CEBM) was used to assess the level of evidence and the degree of recommendation.</p></div><div><h3>Result</h3><p>A total of 25 articles in a wide range of studies were included. The findings suggest that the competencies for LTE in the ICU are direct patient care, family-centered care, and the role of the nurse within the team. However, more high-quality studies are needed to confirm these conclusions. Three categories were identified: (a) competencies as defender agent between the patient, his family, and the interdisciplinary team; (b) competencies for decision-making in limiting the therapeutic effort; and (c) competencies for nursing therapeutic interventions at the end of life.</p></div><div><h3>Conclusion</h3><p>The competencies of the nursing professionals who work in the adult ICU in the LTE are essential to the patient’s quality of life, dignity of their death, and comprehensive family support for coping with grief.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 143-154"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001539/pdfft?md5=1b7abaa582fae0c5ff6fb5b53de5e988&pid=1-s2.0-S2352013223001539-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thanks to our reviewers in 2023","authors":"","doi":"10.1016/S2352-0132(24)00017-6","DOIUrl":"https://doi.org/10.1016/S2352-0132(24)00017-6","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Page I"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000176/pdfft?md5=e849a226767459435e2b47ae66fe2e10&pid=1-s2.0-S2352013224000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among frailty status, hypertension, and fall risk in community-dwelling older adults","authors":"Liping Teng ,&nbsp;Danhui Wang ,&nbsp;Zhou Zhou ,&nbsp;Jun Sun ,&nbsp;Min Zhu ,&nbsp;Renrong Wang","doi":"10.1016/j.ijnss.2023.12.010","DOIUrl":"10.1016/j.ijnss.2023.12.010","url":null,"abstract":"<div><h3>Objectives</h3><p>Frailty and hypertension often coexist in older adults, which may lead to fall risks. This study aimed to examine the relationship between frailty status, hypertension, and fall risk.</p></div><div><h3>Methods</h3><p>In this cross-sectional study, a total of 401 older adults were conveniently recruited from communities in Wuxi, China, between September 2022 and November 2022. The fall risk self-assessment checklist from the Stopping Elderly Accidents, Deaths &amp; Injuries (STEADI) Toolkit was used to evaluate their fall risks. The FRAIL scale questionnaire was used to assess frailty status. Participants’ demographic information and comorbidities were collected. Multivariate logistic regression, generalized additive model, and smooth curve fitting were used to analyze the association between frailty, hypertension, and fall risk.</p></div><div><h3>Results</h3><p>Frailty had a strong association with increased prevalence of fall risk among the participants (<em>OR</em> 8.52, 95% CI 3.21–22.57; <em>P &lt;</em> 0.001). Hypertension significantly increased the fall risk among older adults (<em>OR</em> 1.87, 95% CI 1.11–3.13; <em>P =</em> 0.019). The group with hypertension and frailty had the highest prevalence of fall risk (<em>OR</em> 12.24, 95% CI 3.51–42.65). Smooth curve fitting showed a nonlinear association between frailty and fall risk in hypertension status. In the progress of pre-frailty to frailty status, a higher tendency to fall was found among older adults with hypertension.</p></div><div><h3>Conclusions</h3><p>Frailty status and hypertension independently and jointly influenced the increased prevalence of fall risk. Enhanced frailty and hypertension management may help decrease fall risk among this population.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 11-17"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001527/pdfft?md5=2ed3bfaaffcef6146c1e08e47401ef7f&pid=1-s2.0-S2352013223001527-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}