Geriatric Nursing最新文献

{"title":"The multiple mediating effects of social support and depressive symptoms on the relationship between frailty and cognitive function in older patients with heart failure: A cross-sectional study","authors":"Jian Liu PhD ,&nbsp;Simeng Zhang MSN ,&nbsp;Zongke Long MSN ,&nbsp;Zhiwei Wang PhD ,&nbsp;Jiurui Wang MSN ,&nbsp;Xiaorong Luan Ph.D., RN","doi":"10.1016/j.gerinurse.2025.03.015","DOIUrl":"10.1016/j.gerinurse.2025.03.015","url":null,"abstract":"<div><h3>Aims</h3><div>The aim of this study was to test the multiple mediating effects of social support and depression symptoms on the relationship between frailty and cognitive function in older patients with heart failure.</div></div><div><h3>Methods and results</h3><div>We used a convenience sampling method to recruit 444 older patients with heart failure who met the inclusion criteria from a university-affiliated general hospital.</div><div>Multiple mediation analyses revealed that the relationship between frailty and cognitive function was influenced by social support (effect: -0.383, 95% CI [-0.774, -0.072]) and depressive symptoms (effect: -0.349, 95% CI [-0.710, -0.134]) both individually and in tandem (effect: -0.276, 95% CI [-0.591, - 0.106]).</div></div><div><h3>Conclusion</h3><div>Social support and depressive symptoms are multiple mediators of the relationship between frailty and cognitive function. Healthcare providers should implement interventions that focus on maximizing social return and minimizing depressive symptoms to mitigate the decline in cognitive function.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 131-137"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759632","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":"Screening and assessment of frailty in geriatric inpatients: A pilot project on evidence-based practice","authors":"Yiming Qiu ,&nbsp;Lisheng Wang ,&nbsp;Guichen Li ,&nbsp;Xinxin Wang ,&nbsp;Wei Liu ,&nbsp;Xin Li ,&nbsp;Yali Yang ,&nbsp;Li Chen","doi":"10.1016/j.gerinurse.2025.03.010","DOIUrl":"10.1016/j.gerinurse.2025.03.010","url":null,"abstract":"<div><div><strong>Objective:</strong> The aim of this project was to establish an evidence-based practice program, and examine the effect on nurses’ knowledge levels, nurses’ compliance and patient satisfaction.</div><div><strong>Methods:</strong> We systematically searched six databases and five websites to summarize the best evidence. Next, we held stakeholder, EBP group and expert meetings to build the program. Finally, a noncontemporaneous controlled trial was applied.</div><div><strong>Results:</strong> After the implementation of the program, the knowledge scores of nurses improved significantly. The compliance with the nine audit criteria was over 80%, and the difference was statistically significant. The satisfaction of patients in the implementation group was significantly higher than that in the comparison group.</div><div><strong>Conclusions:</strong> This was the first project of frailty screening and assessment in a clinical setting in China. The results showed that the implementation of the program could improve the knowledge level of nurses, regulate nursing behavior, and improve the satisfaction of patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 113-122"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758952","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":"Knowledge, attitudes, and practices survey on postoperative pain management in gastrointestinal surgery patients: A cross-sectional study","authors":"Min Liu BS ,&nbsp;Wei Cao BS ,&nbsp;Guangqi Xu MS ,&nbsp;Yanxia He BS ,&nbsp;Zhongjun Du MS ,&nbsp;Tingting Yuan MS","doi":"10.1016/j.gerinurse.2025.03.022","DOIUrl":"10.1016/j.gerinurse.2025.03.022","url":null,"abstract":"<div><div>In a cross-sectional study conducted between August 15, 2023, and January 26, 2024, the research focused on exploring the knowledge, attitudes, and practices (KAP) related to postoperative pain management among gastrointestinal surgery patients. Spearman's correlation analysis, logistic regression, explorative factor analysis, and structural equation modeling (SEM) were used to elucidate KAP interrelationships and influential factors. A total of 528 valid questionnaires were collected from five medical institutions. While positive correlations were noted between KAP scores, gastrointestinal surgery patients exhibited poor knowledge, positive attitudes, and moderate practices regarding postoperative pain management. Educational interventions are recommended, particularly targeting individuals with lower educational levels and unmarried statuses, to improve postoperative pain management practices in this patient population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 105-112"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758982","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":"Effects of physical exercise on physical and mental health in older adults with gait disorders: A systematic review","authors":"Fan Xu PhD ,&nbsp;Kim Geok Soh PhD ,&nbsp;Yoke Mun Chan PhD ,&nbsp;Kim Lam Soh PhD ,&nbsp;Xiao Rong Bai PhD ,&nbsp;Nuan Nuan Deng PhD ,&nbsp;Huan Ge Liu PhD","doi":"10.1016/j.gerinurse.2025.03.028","DOIUrl":"10.1016/j.gerinurse.2025.03.028","url":null,"abstract":"<div><div>The benefits of physical exercise are well-known, but there is limited research on its effects on the physical and mental health of elderly individuals with gait disorders. This review aims to evaluate the impact of physical exercise on these outcomes. A literature search was conducted, retrieving studies published from inception to November 2024 in databases such as PubMed, Scopus, Web of Science, ProQuest, and SPORTDiscus. Fifteen randomized controlled trials (RCTs) were included in the review. The results indicate that physical exercise improves both physical health (gait, balance, mobility, reduce fall rate) and mental health (Qality of life [QoL] cognitive function, anxiety levels, and Activities-Specific Balance Confidence [ABC]) in older adults with gait disorders. Of the 15 studies, 10 reported positive effects on both physical and mental outcomes, while the remaining five studies showed either no effect or a lack of positive results. The interventions evaluated included Tai Chi (TC), Tango, aerobic training (AT), resistance training (RT), combined training (CT), virtual reality (VR), resistance training plus standard pharmacological treatment (RTG + pharmacological treatment), high-speed treadmill training, brisk walking, and multimodal exercise program (MEP). Notably, there are six items of TC intervention. Most interventions lasted for 12 weeks with sessions conducted twice a week, each lasting between 30 and 60 minutes. Additionally, limited studies (one per indicator) assessed strength, functional gait assessment (FGA), and center of pressure (COP), indicating a need for more research in these areas. This review concludes that physical exercise is effective in improving physical and mental health outcomes in older adults with gait disorders, with TC emerging as the most commonly used and beneficial intervention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 123-130"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759631","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":"A predictive model for depression in elderly people with arthritis based on the TRIPOD guidelines","authors":"Hongyan Shang Master's degree in Public Health ,&nbsp;Yijian Ji Master's degree in Public Health ,&nbsp;Wenjun Cao PhD in Public Health and Preventive Medicine ,&nbsp;Jing Yi Master's degree in Nursing","doi":"10.1016/j.gerinurse.2025.03.029","DOIUrl":"10.1016/j.gerinurse.2025.03.029","url":null,"abstract":"<div><h3>Objective</h3><div>Through machine learning algorithms, a prediction model for depression in arthritis patients was established to provide a basis for related interventions.</div></div><div><h3>Methods</h3><div>Data from 4240 patients with arthritis were collected from the National Health and Nutrition Examination Survey database and divided into a training set (70 %) and a test set (30 %). LASSO Regression was employed for feature variable selection, and predictive models were constructed using five machine learning algorithms: Random Forest (RF), Logistic Regression (LR), Extreme Gradient Boosting (XGBoost), Gaussian Naive Bayes (GNB), and Gradient Boosting Decision Tree (GBDT). Model performance was evaluated through various metrics, including the Area Under the Receiver Operating Characteristic Curve (AUC), accuracy, sensitivity, cutoff, recall, Kappa, Positive Predictive Value(PPV) and Negative Predictive Value(NPV). Additionally, Shapley Additive Explanations (SHAP) analysis was conducted for personalized risk assessment.</div></div><div><h3>Result</h3><div>The predictive performance of the random forest model was the highest,with an area under curve (AUC) of 0.811 (SD:0.000) for the training set and 0.780 (SD:0.001) for the test set. The model identified eight significant variables associated with the occurrence of arthritis depression, including health status, difficulty standing for extended periods, difficulty getting in and out of bed, difficulty sitting for prolonged durations, education, gender, difficulty managing finances, and race. DCA demonstrated that the nomogram was clinically beneficial.</div></div><div><h3>Conclusion</h3><div>The predictive model developed for identifying depression in patients with arthritis exhibits high predictive ability, and good clinical applicability. This model can aid healthcare providers in the early detection of depression, thereby enabling timely interventions that can enhance patient prognosis and promote healthy aging. Future research should incorporate real-time biomarker monitoring to refine dynamic risk assessment.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 85-93"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734584","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":"Implementation of intervention programs specifically tailored for patients with cognitive impairment as comorbidity in early rehabilitation during acute hospitalization: An umbrella and scoping review","authors":"Phoebe Ullrich PhD ,&nbsp;Ilona Dutzi PhD ,&nbsp;Theresa Buchner MSc ,&nbsp;Christian Werner PhD ,&nbsp;Martin Bongartz PhD ,&nbsp;Jürgen M. Bauer MD ,&nbsp;Klaus Hauer PhD","doi":"10.1016/j.gerinurse.2025.03.009","DOIUrl":"10.1016/j.gerinurse.2025.03.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Cognitive impairment (CI) is common among older hospitalized patients, posing risks for adverse events. However, the extent to which early rehabilitation interventions address CI needs is unclear. This umbrella and scoping review evaluates CI consideration in such interventions during acute hospitalization.</div></div><div><h3>Material and Methods</h3><div>Systematic reviews on early rehabilitation interventions for older patients were screened. Inclusion criteria encompassed CI mention in titles/objectives, patient assessment/description, inclusion of CI patients, (sub-) analyses by cognitive status, and tailored interventions.</div></div><div><h3>Results</h3><div>Of 199 studies, only 3% addressed CI in titles/objectives, 68% assessed cognitive status, and 42% lacked CI patient information. Only 4% targeted CI patients, 55% included mixed populations. In 12% of studies, CI patient results were reported, 8% adjusted analyses for CI. Only 5% tailored interventions for CI.</div></div><div><h3>Discussion</h3><div>Despite high prevalence, CI patients are largely overlooked in early rehabilitation. Future studies should consider CI in assessment, description, analysis, and intervention design.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 94-104"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724324","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 between physical activity, glucose variability, and cognitive function in older adults with type 2 diabetes","authors":"Jeeyeon Kim PhD, RN ,&nbsp;Heather Cuevas PhD, APRN, ACNS-BC, FCNS, FAAN","doi":"10.1016/j.gerinurse.2025.03.018","DOIUrl":"10.1016/j.gerinurse.2025.03.018","url":null,"abstract":"<div><div>Higher glucose variability is linked to cognitive impairment in older adults with type 2 diabetes. While physical activity can reduce glucose variability and improve cognitive function, these relationships remain unexplored using continuous glucose monitoring. This study examined associations between physical activity, glucose variability, and cognitive function through secondary data analysis of 87 older adults with type 2 diabetes using self-reported questionnaires, computerized cognitive assessments, and continuous glucose monitoring data. Subgroup analysis showed that physical activity was associated with better cognitive function in individuals with lower cognitive function but not in those with higher cognitive function. This suggests that the effects of physical activity may vary depending on cognitive status. Future research should incorporate objective physical activity measures and longer-duration continuous glucose monitoring to explore how activity intensity, type, and timing influence glucose variability and cognitive outcomes, informing targeted interventions for this population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 45-50"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724317","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":"Nurse-perceived barriers and facilitators influencing optimal delirium care in acute care patients: Findings from the INVOLVE_RN study on barriers and facilitators","authors":"Tanya Mailhot RN PhD ,&nbsp;Laura Crump RN BSc ,&nbsp;Christina Clausen RN PhD ,&nbsp;Tania Valentine-Joannette RN BSc ,&nbsp;Zineb Bouaouina RN BSc ,&nbsp;Marie-Eve Leblanc RN MSc ,&nbsp;Vasiliki Bitzas RN PhD ,&nbsp;Imène Khetir RN MSc ,&nbsp;Patrick Lavoie RN PhD","doi":"10.1016/j.gerinurse.2025.03.023","DOIUrl":"10.1016/j.gerinurse.2025.03.023","url":null,"abstract":"<div><h3>Aim</h3><div>To describe nurses' practices and highlight perceived barriers and facilitators influencing optimal delirium care in acute care patients.</div></div><div><h3>Methods</h3><div>A two phase, multi method design was used. The quantitative phase utilized a self-reported survey to assess nurses' knowledge, practice, confidence, and collaboration regarding delirium care. The qualitative phase employed focus groups. Recruitment took place on nine acute surgical and medical units across two university-affiliated hospitals in Canada.</div></div><div><h3>Results</h3><div>231 nurses exhibited solid knowledge of delirium symptoms and outcomes, yet 23 % did not identify the hypoactive form's prevalence. While 81 % reported receiving information on delirium screening, challenges included time constraints and excessive tool use. Qualitative analysis highlighted themes such as communication's vital role and challenges posed by delirium presentations.</div></div><div><h3>Conclusions</h3><div>The findings align with existing literature, emphasizing the multifaceted nature of delirium care and the need for tailored approaches, education, and collaborative strategies to improve overall care quality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 76-84"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724323","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":"Adherence and satisfaction with interventions and neuropsychological changes in older people: A randomized clinical trial","authors":"Graziele Norberto Pereira,&nbsp;Karina Gramani-Say,&nbsp;Mariana Ignácio Sossai,&nbsp;Mel Silva de Sá,&nbsp;Letícia Teodoro Maciel,&nbsp;Ana Beatriz Simões Pereira,&nbsp;Juliana Hotta Ansai","doi":"10.1016/j.gerinurse.2025.03.026","DOIUrl":"10.1016/j.gerinurse.2025.03.026","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the impacts of adherence and satisfaction with interventions on changes in neuropsychological risk factors for falls in older adults with a history of falls.</div></div><div><h3>Methods</h3><div>This controlled, randomized, single-center clinical trial was conducted with Brazilian community-dwelling older adults with a history of at least 2 falls in the past 12 months. Participants were divided into two groups: the Intervention Group (IG) and the Control Group (CG), with assessments at baseline and after 16 weeks. The IG participated in a case management program, including a multidimensional assessment, an explanation of fall risk factors, an individualized intervention plan, and monitoring. The CG received monthly health-related guidance. Evaluations included clinical and sociodemographic data, neuropsychological measures (cognition, depressive and anxiety symptoms, fear of falling), adherence to intervention and satisfaction with interventions.</div></div><div><h3>Results</h3><div>The final sample consisted of 26 volunteers from the CG and 29 volunteers from the IG. The mean frequency in the IG (adherence) was 80.27 %. There was good satisfaction in both groups, especially in the IG. Both groups showed a non-significant increase in global cognitive functions, especially the IG. Adherence to the case management-based intervention and satisfaction with remote interventions did not positively influence neuropsychological changes over 16 weeks.</div></div><div><h3>Conclusion</h3><div>Despite individuals' adherence and satisfaction with the interventions being positive, these factors did not influence changes in neuropsychological risk factors for falls in older people with a history of recurrent falls in the past 12 months.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 69-75"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724320","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":"Development and application of a questionnaire on the smart care needs of older adults living in long-term care communities","authors":"Hui Pang ,&nbsp;Wenjun Wang ,&nbsp;Shuhong Gao ,&nbsp;Xiao Zheng","doi":"10.1016/j.gerinurse.2025.03.020","DOIUrl":"10.1016/j.gerinurse.2025.03.020","url":null,"abstract":"<div><div>Considering the current global aging of society, the demand for promoting smart care—a technology based care and knowledge system—among older adults living in long-term care (LTC) communities highlights the urgent need to assess the smart care needs of older adults. This study developed a questionnaire applicable to this context, tested it, and initially applied its reliability. We assessed the questionnaire's discriminant validity, content validity, consistency reliability, folding half reliability, and test–retest reliability, using a cross-sectional survey (260 older adults). Using a different cross-sectional participant group (418 older adults), we validated the factor analysis of the finalized questionnaire and its preliminary application. The results showed that the total mean score of the smart care needs of older adults in LTC communities was 67.55±13.81 (a medium level). We ultimately assessed the questionnaire to be a reliable tool for assessing the smart care needs of older adults in LTC communities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 51-60"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724318","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}