Geriatric Nursing最新文献

{"title":"Interventions to improve mood and/or social interaction in residents of long-term care facilities with dementia: A systematic review","authors":"Aniqa Shahid MBBS, FRACP ,&nbsp;Cilla J Haywood MBBS(Hons) FRACP PhD GChPOM(ANZCA) ,&nbsp;Paul Yates MBBS FRACP PhD ,&nbsp;Mizhgan Fatima MBBS FRACP ,&nbsp;Rohan Wee MBBS GDipHlth&MedLaw FRACP GChPOM (ANZCA) ,&nbsp;Yi May Cheah MBBS (Hons)","doi":"10.1016/j.gerinurse.2025.03.006","DOIUrl":"10.1016/j.gerinurse.2025.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>To review the available evidence on non-pharmacological interventions to improve mood, quality-of-life (QoL)or social interactions in residents of long-term care facilities with dementia.</div></div><div><h3>Methods</h3><div>We searched Medline, Emcare, and PsycINFO using keywords: dementia, long-term care, mood, QoL, and social interaction. The search included long-term care residents clinically diagnosed with dementia and the methodological strength was evaluated using predefined criteria and tools.</div></div><div><h3>Results</h3><div>The final synthesis included 50 published studies with significant heterogeneity. There was more evidence for green therapy, small-scale living, Snoezelen, Storytelling, group exercise, reminiscence and Montessori activities.</div><div>However, there was minimal evidence for dementia café, music, recreation time, art activities, staff wearing street-clothes, play activities, humour, traditional food, emotion oriented, simulated presence, computer, wellbeing-enhancing occupation, MultiTANDEM Plus, multisensory, person-centred, animal assisted and Staff Training interventions.</div></div><div><h3>Conclusion</h3><div>Multiple non-pharmacological interventions showed promise in enhancing mood, QoL, and social interaction. Future research could explore long-term effects of therapy, increase sample size of patients, and improve generalizability of therapy.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 528-549"},"PeriodicalIF":2.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the role of basic psychological needs and agency in the mental well-being of rheumatoid arthritis patients: An exploratory research","authors":"Fanni Balikó ,&nbsp;Dr. Orsolya Vincze ,&nbsp;Dr. Krisztina Csókási ,&nbsp;Dr. Melinda Pohárnok","doi":"10.1016/j.gerinurse.2025.03.007","DOIUrl":"10.1016/j.gerinurse.2025.03.007","url":null,"abstract":"<div><div>Rheumatoid arthritis (RA) is a chronic autoimmune disease, accompanied by disability and chronic pain, therefore psychological problems and impaired health-related quality of life are common among patients. Maintaining mental health and well-being strongly depends on retaining previous meaningful, autonomous activities and accepting reliance on others. The Self-Determination Theory (SDT) provides considerable evidence that the fulfilled needs of competence, relatedness, and autonomy universally foster psychological well-being. This paper identifies the themes of basic psychological needs and the narrative categorical content analysis of key life story episodes involving 34 RA patients. Our findings contribute to understanding how people living with RA interpret their living conditions in terms of SDT-related needs and motivational factors. Further consciousness of the role of basic psychological needs during adaptation to illness and the clinical implications of the conclusion promote better patient-centered care in practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 505-511"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stratified support pattern-based internet-assisted self-management therapy for DM-MCI: A randomized controlled trial","authors":"Yun-Xian Wang PhD ,&nbsp;Rong Lin PhD ,&nbsp;Yue-Qi Chao MM ,&nbsp;Yi-Fei Xu MM ,&nbsp;Chen-Shan Huang PhD ,&nbsp;Ji-Xing Liang MM ,&nbsp;Ming-Feng Chen MBBS ,&nbsp;Na-Fang Wang MM ,&nbsp;Yuan-Jiao Yan PhD ,&nbsp;Hong Li PhD","doi":"10.1016/j.gerinurse.2025.03.055","DOIUrl":"10.1016/j.gerinurse.2025.03.055","url":null,"abstract":"<div><h3>Background</h3><div>Improving self-management ability can not only improve blood glucose control but also improve cognitive function. The current research on self-management only focuses on individual diseases, and the degree of personalization is insufficient.</div></div><div><h3>Methods</h3><div>A total of 68 participants were recruited and randomly assigned to a 12 week Stratified Support Pattern-based Internet-assisted Self-management Therapy (SISMT ) intervention group or control group.</div></div><div><h3>Result</h3><div>The Montreal Cognitive Assessment (MoCa) and Fasting Blood Sugar (FBS) with mild cognitive impairment associated with diabetes-mellitus (DM-MCI) was statistically significant. For the Auditory Verbal Learning Test (AVLT) were statistically significant. The Symbol Digit Modalities Test (SDMT) that reflected attention of DM-MCI was also statistically significant. For the psychological outcomes, Self-Assessment Scale for Anxiety (SAS), General Self-Efficacy Scale (GSES) , Self-Efficacy Scale (SES) , Memorial University of Newfoundland Scale of Happiness (MUNSH) were statistically significant. The effect of SISMT on the Quality of Life Alzheimer's Disease (QoL-AD) , Diabetes Self-care Scale (DSCS) , Health Literacy Scale (HLS) were statistically significant. The effect of intervention on the Glycated Hemoglobin (HbA1C) , Postprandial Plasma Glucose (PPG) with DM-MCI were not statistically significant.</div></div><div><h3>Conclusion</h3><div>The SISMT can improve fasting blood glucose, cognitive function, anxiety, quality of life, subjective well-being, and other indicators in patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 512-520"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of animal assisted rehabilitation practices on symptoms of Alzheimer's patients: systematic review and meta-analysis","authors":"Sevda Tüzün Özdemir PhD, RN ,&nbsp;Serap Özer PhD, RN","doi":"10.1016/j.gerinurse.2025.03.045","DOIUrl":"10.1016/j.gerinurse.2025.03.045","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the impact of animal-assisted rehabilitation interventions on symptom management in Alzheimer's disease patients.</div></div><div><h3>Methods</h3><div>This study is a systematic review and meta-analysis based on PRISMA 2022 guidelines, which adhered to the Cochrane 2021 guidelines. Databases including PubMed, Web of Science, and Cochrane Library were searched between February 1, 2023, and November 28, 2023. Two authors independently assessed the risk of bias using the Cochrane Collaboration tool. Review Manager 5.4.1 software was utilized for the meta-analysis.</div></div><div><h3>Results</h3><div>Six randomized controlled trials were included. This meta-analysis demonstrated that animal-assisted rehabilitation interventions significantly impacted physical outcomes, such as improving physical competence and independence in basic daily living activities, as well as psychological outcomes, including reducing depression and enhancing mini-mental state examination scores in Alzheimer's patients.</div></div><div><h3>Conclusion</h3><div>This meta-analysis revealed that animal-assisted rehabilitation interventions effectively reduce cognitive decline and depression symptoms in Alzheimer's patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 521-527"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise interventions for older patients with frailty and heart failure: A scoping review","authors":"Si Liu MSN ,&nbsp;Mei-jun Zhang (Master Candidate) ,&nbsp;Xiao-yun Xiong RN, BS ,&nbsp;Lu Chen (Master Candidate) ,&nbsp;Rui Wu (Master Candidate)","doi":"10.1016/j.gerinurse.2025.03.050","DOIUrl":"10.1016/j.gerinurse.2025.03.050","url":null,"abstract":"<div><h3>Background</h3><div>To provide a structured analysis of exercise interventions and outcome measures in older patients with frailty and heart failure (HF).</div></div><div><h3>Methods</h3><div>8 databases were searched up to May 22, 2024 to identify relevant studies. Two independent reviewers assessed and collected data according to the TIDieR checklist, CONTENT scale and COMET outcome taxonomy.</div></div><div><h3>Results</h3><div>We screened 1,253 articles, resulting in 8 articles being included in the scoping review. Aerobic exercise and resistance training were fundamental elements of exercise rehabilitation, with balance training also being essential. Most exercise interventions are individualized, with the type and intensity of exercise being set and adjusted according to the patient's actual condition. However, the tailoring process of resistance training, including exercise load, sets, and repetitions, needs to be more detailed in most studies. The exercise interventions were provided by qualified therapists in most studies, and various methods were taken to ensure fidelity. None of the studies mentioned their theoretical basis. Only two exercise interventions were considered therapeutically valid. The two most commonly reported outcomes were physical function and quality of life.</div></div><div><h3>Conclusions</h3><div>It is necessary to focus on addressing research heterogeneity and report transparency to better implement exercise interventions in older frail adults with HF.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 476-485"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Effectiveness of educational theater on nursing assistants’ empathy in long-term care facility: A mixed methods study” [Geriatric Nursing 62 (2025) 90–96]","authors":"Chien-Lin Kuo ,&nbsp;Yeu-Hui Chuang ,&nbsp;Su-Fen Cheng ,&nbsp;Hsiu-Li Huang","doi":"10.1016/j.gerinurse.2025.04.002","DOIUrl":"10.1016/j.gerinurse.2025.04.002","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Page 486"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning-based prediction models for falls in hospitalized patients: A systematic review and meta-analysis","authors":"Ronggui Xie ,&nbsp;Le Shao ,&nbsp;Jingru Pei ,&nbsp;Yuyan Shi ,&nbsp;Mingming Tang ,&nbsp;Xueqin Sun ,&nbsp;Guiyu Deng ,&nbsp;Hong Zhao","doi":"10.1016/j.gerinurse.2025.03.059","DOIUrl":"10.1016/j.gerinurse.2025.03.059","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically review published machine learning models aimed at predicting the risk of falls among hospitalized patients.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>According to the inclusion and exclusion criteria, we comprehensively searched the database PubMed, EMBASE, Web of Science and The Cochrane library from inception through November 14, 2023. Data extraction followed the CHARMS checklist, and bias risk and applicability were assessed using the PROBAST tool. A meta-analysis was performed utilizing Meta-disc software, with the area under the curve, sensitivity, and specificity serving as the effect measures. Heterogeneity was assessed through the Chi-square test and I² test.</div></div><div><h3>Results</h3><div>A systematic search yielded a total of 2007 studies, 14 of which were selected following screening, and 13 of these studies were subjected to quantitative analyses. The incidence rate of inpatient falls ranged from 0.14 % to 50.69 %, with corresponding area under the curve (AUC) values varying between 0.57 and 0.99. Age, multiple drugs, emerged as the most frequently employed predictive factors. While the overall quality of the studies was considered satisfactory, a high risk of bias was identified, primarily attributed to insufficient reporting in the participant and analysis domains. The combined AUC of the 13 predictive models was 0.82, with a sensitivity of 0.69 (95 % CI [0.68-0.7]) and a specificity of 0.70 (95 % CI [0.70-0.71]), indicating robust discriminative performance.</div></div><div><h3>Conclusion</h3><div>Although machine learning models provide an emerging and promising method for predicting hospital falls, they require broader validation to ensure practical applicability. This review highlights the potential drawbacks of current methods, including high risk of bias and low reproducibility, and provides various recommendations on how to address these challenges.</div></div><div><h3>Clinical relevance</h3><div>Falls are a frequent and significant issue for patients in hospitals, often resulting in severe physical harm and longer hospital stays. This research offers a fresh approach and tool for medical professionals by thoroughly examining how machine learning models can predict falls, aiming to enhance personalized and precise fall risk management.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 487-498"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of dietary pattern and cognitive function in the elderly: A systematic review and meta-analysis","authors":"Haoting Pei ,&nbsp;Sihan Liu ,&nbsp;Longxin Li ,&nbsp;Min Zhou","doi":"10.1016/j.gerinurse.2025.03.048","DOIUrl":"10.1016/j.gerinurse.2025.03.048","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive dysfunction is one of the common geriatric syndromes, which is reported to be the fifth largest contributor to the global burden of disease. Whether specific dietary patterns are effective in improving cognitive function in the elderly remains controversial, therefore, this study will evaluate the relationship between healthy dietary patterns and cognitive function in older adults by means of Meta-analysis.</div></div><div><h3>Methods</h3><div>As of June 2024, MEDLINE, Scopus, PubMed, Web of Science, and Embase databases were systematically searched. Inclusion criteria include the participants were 60 years and older, the dietary pattern studied was specified in the study, and the clear and valid outcome indicators were provided. Review and conference papers, articles published in languages other than English, repeated publication of literature with the same content, and inability to obtain the full text and valid data will be excluded. OR values and 95% confidence intervals were extracted, and statistical heterogeneity was determined using I² test. Publication bias was analyzed by Egger regression test. Due to high heterogeneity, sensitivity analysis, Meta-regression and Sub-group analysis were performed. The NOS and AHRQ scale were used to assess the quality of the study, and Stata17.0 was used for the Meta-analysis.</div></div><div><h3>Results</h3><div>Fifteen papers were finally included, with a cumulative sample size of 62500 cases. All included literature had a score≥6 after quality assessment. The pooled OR for the 15 studies was 0.60, with 95% confidence intervals ranging from 0.52 to 0.70. We found that a healthy dietary pattern can improve cognitive function in older people (z= 6.34, p&lt;0.05).</div></div><div><h3>Discussion</h3><div>Sub-group analyses in this study did not identify sources of heterogeneity, and there is still a need to include more studies for more comprehensive analyses in the future. Healthy dietary patterns can effectively improve or delay cognitive decline in older adults, which can not only provide a direct guidance for the rational arrangement of daily diet for the elderly, but also provide a reference for clinical staff to provide dietary guidance for elderly patients.</div></div><div><h3>Registration</h3><div>The detailed study protocol can be found on the PROSPERO website.</div><div>(CRD42024559851)</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 470-475"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher prognostic nutritional index is associated with lower incidence of sarcopenia","authors":"Lulu Cheng Ph.D ,&nbsp;Sheng Hu Ph.D ,&nbsp;Qinggang Wu M.D","doi":"10.1016/j.gerinurse.2025.03.046","DOIUrl":"10.1016/j.gerinurse.2025.03.046","url":null,"abstract":"<div><div>Sarcopenia is a syndrome of progressive, generalized decline in skeletal muscle function and muscle mass. As one of the key factors affecting sarcopenia, nutritional status plays an important role in the occurrence and development of sarcopenia. Therefore, this study selected the National Health and Nutrition Examination Survey (NHANES) database to study the effect of prognostic nutritional index (PNI) on sarcopenia. A total of 8058 adults were included in this study. In multiple linear regression analysis, PNI levels were significantly negatively associated with sarcopenia [0.89 (0.85,0.93)]; The risk of sarcopenia was reduced by 52% in the highest quartile of PNI compared with the lowest quartile [0.48 (0.31,0.74)]; This negative association was sustained in stratified subgroups. According to the generalized additive model and the results of smooth curve fitting, PNI was negatively associated with sarcopenia. Higher PNI was associated with a lower incidence of sarcopenia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 499-504"},"PeriodicalIF":2.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of physical functionality and activity level on the self-rated health status of older adults living alone: An analysis of the mediating effect of social engagement","authors":"Dajung Ryu PhD (Assistant Professor)","doi":"10.1016/j.gerinurse.2025.03.035","DOIUrl":"10.1016/j.gerinurse.2025.03.035","url":null,"abstract":"<div><div>This study assessed the influence of depression, chronic diseases, and activities of daily living (ADLs) on the self-rated health (SRH) of older adults living alone, along with the mediating effect of social engagement. Data from 3117 older adult single-person households (aged 65 or older) were analyzed using the 2020 Survey of Living Conditions and Welfare Needs of Korean Older Persons. Data analysis was conducted using SPSS 25.0, with the mediating effect assessed through regression analysis and the Sobel test. Chronic diseases, ADL dependency, and depression negatively impacted SRH, with chronic diseases having the most significant effect. Social engagement positively influenced SRH, and a partial mediating effect was confirmed. Overall, the findings corroborated key factors affecting SRH in older adults living alone and underscored the importance of social engagement. Based on these results, we recommended implementing community-level health support, social engagement programs, and personalized assistance for vulnerable older adult single-person households.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 464-469"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}