Research in Nursing & Health最新文献

{"title":"Effects of a Behavior Intervention Based on the Recurrence Risk Perception and Behavioral Decision Model for Ischemic Stroke Patients: A Randomized Controlled Trial.","authors":"Jie Zhang, Zhenxiang Zhang, Beilei Lin, Hu Jiang, Yongxia Mei, Xin Li, Ling Ma","doi":"10.1002/nur.22445","DOIUrl":"10.1002/nur.22445","url":null,"abstract":"<p><p>Behavioral management is essential to preventing recurrence after stroke, but its adherence is limited worldwide. We aimed to assess the impact of the behavior intervention based on the Recurrence risk perception and Behavioral decision Model for ischemic stroke patients' health behavior. This study was a single-blind, randomized, controlled trial with a 3-month follow-up. The outcome measures were the perception of the risk of stroke recurrence, behavioral decision, and health behavior. A total of seventy participants were randomized to the intervention group (n = 35) or control group (n = 35). The former received a twelve-week theory-based intervention in addition to the routine education, while the control group received only the routine education. The generalized estimating equations results indicated that the intervention group had significantly greater improvements in perception of the risk of stroke recurrence compared to the control group at all T1 (B = 0.13, 95% CI: 0.03 to 0.23), T2 (B = 0.18, 95% CI: 0.07 to 0.28), and T3 (B = 0.16, 95% CI: 0.07 to 0.25) after adjusting for stroke frequency. Statistically significant improvements were found in behavioral decision for the intervention group compared with the control group at T2 (B = 0.25, 95% CI: 0.09 to 0.41) and T3 (B = 0.26, 95% CI: 0.10 to 0.43). Results also showed a significantly higher increase in health behavior at T1 (B = 0.29, 95% CI: 0.09 to 0.48) and T2 (B = 0.22, 95% CI: 0.04 to 0.40). The intervention can improve the perception of the risk of stroke recurrence, behavioral decision, and health behavior in ischemic stroke patients. IMPLICATIONS: This study provides a reference point for promoting healthy behaviors in patients with ischemic stroke. A recurrence risk perception and behavioral decision model-based intervention was deemed to be feasible and useful in practice. PATIENT OR PUBLIC CONTRIBUTION: Patients and their caregivers agreed to participate in the study and shared their experiences of participating in research with us.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"246-256"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016630","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":"Nurse Practitioner Care Environments and Provider Shortages Among Patients With Multiple Chronic Conditions.","authors":"Amy McMenamin, Eleanor Turi, Jianfang Liu, Grant Martsolf, Lusine Poghosyan","doi":"10.1002/nur.22446","DOIUrl":"10.1002/nur.22446","url":null,"abstract":"<p><p>In health professional shortage areas (HPSAs), primary care providers face challenges due to high workloads and limited resources, impacting their ability to provide comprehensive care to patients with multiple chronic conditions (MCCs). In addition, patients in HPSA compared to non-HPSA settings experience poorer outcomes. Nurse practitioners (NPs) play a crucial role in meeting MCC patients' needs, but some work in unfavorable care environments (e.g., lacking teamwork, support, and autonomy) that hinder their capacity to manage complex chronic diseases. This study examines the effect of NP care environments on the relationship between HPSA status and hospitalizations or emergency department (ED) visits among patients with MCCs. We conducted a secondary analysis of merged Medicare claims, NP survey data, and Health Resources and Services Administration data. Our sample included 779 practices with 394,424 Medicare beneficiaries aged 65+ who had at least two of 15 chronic conditions. We used logistic regression to evaluate the impact of HPSA status and the NP care environment on ED visits or hospitalizations. NP care environments moderate the association between HPSA status and hospitalization (AOR 1.165, 95% CI [1.037-1.309], p = 0.010) but not ED use. Improved care environments are associated with lower odds of hospitalization in non-HPSAs (β = -0.148, 95% CI [-0.225, -0.072], p = 0.0001), while in HPSAs, improved care environments have no effect on hospitalization odds (β = 0.0047, 95% CI [-0.086, 0.096], p = 0.920). Addressing provider shortages in HPSAs may allow an improved NP care environment to produce maximal benefits for patients.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"271-280"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Chinese Version of Aberdeen Varicose Veins Questionnaire (AVVQ) in Patients With Varicose Veins of Lower Extremity: A Cross-Sectional Study.","authors":"Chen Wang, Wenjing Yang, Xiaojun Shen, Jing Xu, Xia Wang, Chao Ji, Siwen Hu","doi":"10.1002/nur.22431","DOIUrl":"10.1002/nur.22431","url":null,"abstract":"<p><p>Varicose veins in the lower extremities significantly impairs patients' quality of life, highlighting the importance of targeted quality of life assessments for specific diseases. The Aberdeen Varicose Vein Questionnaire (AVVQ) was specifically designed to assess the impact of lower extremity varicose veins on quality of life. This study comprised two phases: in the first phase, the AVVQ was translated and culturally adapted, and the second phase was an evaluation of the psychometric characteristics of the Chinese version of AVVQ in 328 patients with varicose veins of lower extremities. Confirmatory factor analysis revealed that the Chinese AVVQ comprises 13 items distributed across four dimensions, accounting for a total variance of 61.74%, with a Cronbach's α of 0.745 and a content validity index of 0.908. Furthermore, there was a negative correlation between the AVVQ scores and the SF-36. In addition, the difference in AVVQ scores by CEAP classification was statistically significant. These findings affirmed the Chinese version of the AVVQ as both reliable and valid, making it a valid tool for evaluating the quality of life in Chinese patients with varicose veins and applicable across various international contexts and diverse patient populations.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"100-109"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781654","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":"Validity and Reliability of Patient Activation Measure (PAM13-I) Italian Version Among Patient Undergoing Elective Surgery.","authors":"Maria Provenzano, Nicola Cillara, Mauro Podda, Cesar Ivan Aviles Gonzalez, Enrico Cicalò, Pietro Fransvea, Gaetano Poillucci, Antonello Deserra, Luigi Ricciardelli, Maria Jiménez-Herrera","doi":"10.1002/nur.22447","DOIUrl":"10.1002/nur.22447","url":null,"abstract":"<p><p>The patient activation measure (PAM), a recognized measure of how active patients are in their care, is one of the most extensively used, widely translated, and tested instruments worldwide in measuring patient activation. This study aimed to assess the psychometric properties and construct validity of the Italian version of the 13-item Patient Activation Measure (PAM13-I) among patients undergoing elective laparoscopic cholecystectomy. A multicenter study was conducted across 111 surgical units in Italy. This study involved the preoperative administration of the PAM questionnaire to 4532 patients. The psychometric properties of the PAM were evaluated using Rasch analysis. The PAM13-I demonstrated good internal consistency (Cronbach's α = 0.95) and reliability indices. While fit statistics were acceptable, ceiling effects were observed. No significant differential item functioning was found. However, issues with targeting and local response dependency were identified. The Italian PAM-13 showed promising psychometric properties among surgical patients, indicating its potential utility in assessing patient activation. However, concerns regarding ceiling effects and targeting suggest the need for further refinement and validation in surgical populations.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"281-293"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054163","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":"Chinese Translation and Measurement of the Heart Failure Needs Assessment Questionnaire in Mainland China.","authors":"Qian Mei, Xiaoli Yang, Jingwen Zhang, Xiancheng Xiang, Xinyang Liu, Li Cheng","doi":"10.1002/nur.22436","DOIUrl":"10.1002/nur.22436","url":null,"abstract":"<p><p>The management of heart failure in patients presents a significant challenge to global public health, marked by an increase in unaddressed needs due to the extended deterioration of health. It is crucial to conduct comprehensive assessments of patients with heart failure, thereby providing personalized care. The purpose of this study was to translate, adapt, and validate the Needs Assessment Questionnaire for people with heart failure in Mainland China and to evaluate its reliability and validity within a population of people with heart failure. A cohort of 246 individuals diagnosed with heart failure was recruited from two medical facilities in China during the period from January 2023 to June 2023. The scale was translated into Chinese using the forward post-translation technique, followed by an evaluation of its reliability and validity. Descriptive statistics, content validity assessment, and Confirmatory Factor Analysis were utilized for validation. Internal consistency, split-half reliability, and test-retest reliability assessments were conducted to assess overall reliability. The Chinese version of the Heart Failure Needs Assessment Questionnaire consists of 4 dimensions and 30 items. The Cronbach α coefficient of the overall scale was 0.90. In the validation factor analysis, the model fit results were χ²/df = 2.259, CFI = 0.933, IFI = 0.933, TLI = 0.927, RMSEA = 0.072, all of which fell within acceptable ranges. The HFNAQ demonstrates strong reliability and validity in assessing the unmet needs of patients with heart failure.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"159-167"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933644","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":"Workplace Violence and Health Status of Female Nurses: A Cross-Sectional Study.","authors":"Eman Alhalal","doi":"10.1002/nur.22434","DOIUrl":"10.1002/nur.22434","url":null,"abstract":"&lt;p&gt;&lt;p&gt;As a female-dominant profession, nurses are at risk of workplace violence. However, the health outcomes of workplace violence among female nurses have been mostly studied in isolation from their history of lifetime violence experiences. Although social and organizational factors shape workplace violence, our understanding of its effects on female nurses' health is limited in different cultural contexts. This study examined how workplace violence affects the physical and mental health and the frequency of medication intake and sick leave of nurses employed in the Saudi healthcare system while controlling for the effect of lifetime violence experiences. A cross-sectional study was conducted with 340 female nurses working in tertiary hospitals in Saudi Arabia. Among the female nurses, 67.6% had experienced at least one act of workplace violence during the last 12 months. The highest level of workplace violence was recorded in nurses employed in psychiatric units. After controlling for the effect of child abuse and partner violence, workplace violence is associated with female nurses' physical health ( &lt;math&gt; &lt;semantics&gt; &lt;mrow&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/mrow&gt; &lt;annotation&gt;&lt;math altimg=\"urn:x-wiley:01606891:media:nur22434:nur22434-math-0001\" wiley:location=\"equation/nur22434-math-0001.png\" display=\"inline\" xmlns=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mrow&gt;&lt;mrow&gt;&lt;mi mathvariant=\"normal\"&gt;unicode{x003B2}&lt;/mi&gt;&lt;/mrow&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/annotation&gt;&lt;/semantics&gt; &lt;/math&gt;  = 0.335, t(336) = 6.73, p &lt; 0.001), mental health ( &lt;math&gt; &lt;semantics&gt; &lt;mrow&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/mrow&gt; &lt;annotation&gt;&lt;math altimg=\"urn:x-wiley:01606891:media:nur22434:nur22434-math-0002\" wiley:location=\"equation/nur22434-math-0002.png\" display=\"inline\" xmlns=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mrow&gt;&lt;mrow&gt;&lt;mi mathvariant=\"normal\"&gt;unicode{x003B2}&lt;/mi&gt;&lt;/mrow&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/annotation&gt;&lt;/semantics&gt; &lt;/math&gt;  = 0.224, t(336) = 4.09, p &lt; 0.001), medication intake ( &lt;math&gt; &lt;semantics&gt; &lt;mrow&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/mrow&gt; &lt;annotation&gt;&lt;math altimg=\"urn:x-wiley:01606891:media:nur22434:nur22434-math-0003\" wiley:location=\"equation/nur22434-math-0003.png\" display=\"inline\" xmlns=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mrow&gt;&lt;mrow&gt;&lt;mi mathvariant=\"normal\"&gt;unicode{x003B2}&lt;/mi&gt;&lt;/mrow&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/annotation&gt;&lt;/semantics&gt; &lt;/math&gt;  = 0.240, t(336) = 4.45, p &lt; 0.001), and frequency of sick leave days ( &lt;math&gt; &lt;semantics&gt; &lt;mrow&gt;&lt;mrow&gt;&lt;mi&gt;β&lt;/mi&gt;&lt;/mrow&gt; &lt;/mrow&gt; &lt;annotation&gt;&lt;math altimg=\"urn:x-wiley:01606891:media:nur22434:nur22434-math-0004\" wiley:location=\"equation/nur22434-math-0004.png\" display=\"inline\" xmlns=\"http://www.w3.org/1998/Math/MathML\"&gt;&lt;mrow&gt;&lt;mrow&gt;&lt;mi mathvariant=\"normal\"&gt;unicode{x003B2}&lt;/mi&gt;&lt;/mrow&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/annotation&gt;&lt;/semantics&gt; &lt;/math&gt;  = 0.206, t(336) = 3.82, p &lt; 0.001). The results indicate a need for a zero-tolerance policy against workplace violence and multidimensional strategies to address the issue. Additionally, gender and multi-component health interventions for female nurses wh","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"121-132"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830870","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":"International Workshop on Nursing and Health Care Research WNCR2024.","authors":"","doi":"10.1002/nur.22457","DOIUrl":"https://doi.org/10.1002/nur.22457","url":null,"abstract":"","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":"48 Suppl 1 ","pages":"S3-S44"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677417","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":"Sexual Satisfaction and Associated Factors Among Older Cancer Survivors.","authors":"Haerim Lee, Melinda K Higgins, Mi-Kyung Song","doi":"10.1002/nur.22430","DOIUrl":"10.1002/nur.22430","url":null,"abstract":"<p><p>As little is known about sexual satisfaction among older (≥ 65 years) cancer survivors, this study examined sexual satisfaction defined as physical pleasure and emotional satisfaction in sexual relationships, including associated factors. This secondary analysis of the National Social Life, Health, and Aging Project round 3 data set included 173 partnered older cancer survivors. The data included ratings of physical pleasure, emotional satisfaction, importance of sexual activity, mental and physical health, and scores of sexual function (the presence of problems; if any, the extent of related bother) and social support and strain from partners. The sample's mean age was 74.30 years (SD = 6.36). Most were male (n = 120, 69.36%) and White (n = 139, 80.35%). Older adults reported they were \"very\" satisfied with sexual relationships both physically and emotionally: mean (SD) = 2.88 (1.01) and 3.18 (0.77), respectively. Seventy (40.46%) had problems with sexual function that were bothersome. Adjusted linear regression models showed physical pleasure was associated with perceived physical health (β = 0.22) and social support (β = 0.19); and emotional satisfaction was associated with social support (β = 0.39) and strain from partners (β = -0.23). Sexual function was not associated with sexual satisfaction. In conclusion, perceived health and social factors may be more influential than sexual function in older cancer survivors' sexual satisfaction, but future research is warranted to confirm these relationships. A focus on relational aspects of sexual health may provide a broader array of options to improve older cancer survivors' sexual satisfaction.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"85-94"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781774","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":"PhD-DNP Collaboration: An Integrative Review of Scholarly Partnerships in Nursing.","authors":"Theresa J Garcia, Jinbing Bai, Natalie Shen, Lenora Smith, Rebecca S Koszalinski","doi":"10.1002/nur.22423","DOIUrl":"10.1002/nur.22423","url":null,"abstract":"<p><p>Nurses holding terminal degrees, Doctor of Philosophy (PhD), Doctor of Nursing Science (DNS), and Doctor of Nursing Practice (DNP), fulfill different roles in nursing. The continued growth of nursing science and practice is dependent on alliances between these nurses that produce state-of-the-art knowledge and support the translation of evidence to practice. This integrative review described characteristics of scholarly collaborations between nurses holding a research-focused degree, the PhD, and those holding a practice-focused degree, the DNP. Five major nursing, medicine, and education databases were searched for peer-reviewed, original articles addressing or describing the characteristics of PhD-DNP scholarly collaborations, published through March 2023. In total, 15 articles met the inclusion criteria, and an integrative synthesis was conducted using constant comparison and thematic analysis. Findings included one overarching theme, Role Clarification, as well as four subthemes that emerged across the sample, describing key characteristics of collaborative PhD-DNP scholarship: (1) Mutual understanding and appreciation of strengths; (2) Strategic project planning and team building; (3) Clear organizational/administrative directives and guidance; and (4) Shared goals for the nursing profession. Articles describing the collaboration between nurses holding doctoral degrees are limited and provide primarily lower-level research evidence and evidence-based practice outcomes. Despite efforts to foster scholarly collaborations among nurses holding terminal degrees, more research is needed to clarify individual roles, offer tangible strategies for collaboration, and measure outcomes of collaboration benefitting healthcare systems, patient outcomes, and the nursing profession. This integrative review involved only the review of the extant literature.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"41-62"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modifiable Risk Factors for Cognitive Frailty in Older Chinese Patients With Diabetes: A Systematic Review and Meta-Analysis.","authors":"Wenhui Qiu, Yixiong Zhang","doi":"10.1002/nur.22428","DOIUrl":"10.1002/nur.22428","url":null,"abstract":"<p><p>To perform a systematic review and meta-analysis clarifying potential modifiable risk factors for cognitive frailty in older Chinese persons with diabetes. We conducted a comprehensive search across four English and four Chinese databases, spanning from 1980 to May 2024. The aim was to identify studies that investigate potential modifiable risk factors for cognitive frailty in older patients with diabetes. Meta-analysis was performed using Stata16.0. Out of the 237 records identified, 19 studies met the inclusion criteria and were consequently included for analysis. The results of the meta-analysis revealed that the prevalence of cognitive frailty among older patients with diabetes was 22.2% (95% confidence interval [CI]: 0.177-0.270, I² = 93.92%). Depression (OR = 3.18, 95% CI: 2.19-4.62, I² = 79.6%), HbA1c (OR = 2.18, 95% CI: 1.66-2.85, I² = 41.5%) and malnutrition (OR = 4.04, 95% CI: 1.58-10.34, I² = 95.0%) were significantly associated with cognitive frailty in this population. Regular exercise (OR = 0.30, 95% CI: 0.11-0.84, p < 0.01, I² = 87.3%) and higher education (OR = 0.30, 95% CI: 0.16-0.58, p < 0.01, I² = 69.7%) are identified as protective factors against cognitive frailty. This systematic review and meta-analysis demonstrates that interventions targeting depression, HbA1c level, malnutrition, exercise and education can effectively reduce the risk of cognitive frailty in older patients with diabetes.</p>","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"73-84"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752346","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}