Geriatric Nursing最新文献

{"title":"Corrigendum to “Development and effectiveness of an educational program to foster psychological safety: A randomized controlled trial focusing on care workers in geriatric care facilities” [Geriatric Nursing 61 (2025) 162-168]","authors":"Maki Tei-Tominaga , Miharu Nakanishi , Masae Tanaka","doi":"10.1016/j.gerinurse.2025.03.001","DOIUrl":"10.1016/j.gerinurse.2025.03.001","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Page 15"},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609244","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":"NHANES-based machine learning for cognitive impairment classification and blood and hearing threshold characterization in age-related hearing loss","authors":"Zhanhang Zheng (Bachelor,Master's Candidate) ,&nbsp;Shuimei Li (Bachelor) ,&nbsp;Ruilin Li (Doctor) ,&nbsp;Shuhong Qin (Bachelor,Master's Candidate) ,&nbsp;Wenjuan Wang (Bachelor,Master's Candidate) ,&nbsp;Chenxingzi Wu (Bachelor,Master's Candidate)","doi":"10.1016/j.gerinurse.2025.02.011","DOIUrl":"10.1016/j.gerinurse.2025.02.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop a machine learning-based classification model for cognitive impairment (CI) in elderly deaf patients and analyze the contributions of blood indices and hearing characteristics in identifying CI.</div></div><div><h3>Methods</h3><div>Blood and audiometric data from 833 elderly deaf patients across three NHANES cycles were used to build a classification model with five algorithms: Logistic Regression, Random Forest (RF), XGBoost, Artificial Neural Networks (ANN), and Support Vector Machine (SVM). The optimal model was selected to rank feature importance.</div></div><div><h3>Results</h3><div>The RF model, with an AUC of 0.834, performed best. Key predictors of CI included gender, systolic blood pressure, PTA+3kHz, neutrophil percentage, calcium, 6kHz hearing threshold, glycated hemoglobin, lymphocyte count,etc.</div></div><div><h3>Conclusion</h3><div>Hematological markers and hearing thresholds, especially the 3kHz threshold, are significant in identifying CI in ARHL, suggesting the need for further clinical exploration.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 8-14"},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609173","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":"Prevalence and factors of fear of hypoglycemia among Chinese older adults with type 2 diabetes mellitus: A cross-sectional study","authors":"Qi Tang RN ,&nbsp;Jialin Wang MSN, RN ,&nbsp;Sihui Su MSN,RN ,&nbsp;Ying Xia RN ,&nbsp;Shiya Yu RN ,&nbsp;Qianqian Ren RN ,&nbsp;Meng Yu RN ,&nbsp;Shuangshuang Feng RN","doi":"10.1016/j.gerinurse.2025.02.015","DOIUrl":"10.1016/j.gerinurse.2025.02.015","url":null,"abstract":"<div><div>The fear of hypoglycemia (FOH) in older adults with type 2 diabetes mellitus (T2DM) has seriously affected their glycemic control and quality of life. This was a cross-sectional study to identify the disease-related characteristics, psychological and social factors of FOH in older persons with T2DM, and to explore the relationship between these factors. A total of 332 older Chinese adults diagnosed with T2DM completed the survey. Results: The mean FOH score was 33.14 ± 11.273, which was associated with age, education, frequency of hypoglycemic episodes and types of hypoglycemia. Social support and psychological resilience were negatively correlated with FOH, and the association between social support and FOH in the participants was partially mediated by psychological resilience. Conclusions: Our study highlight that medical staff should pay more attention to the mental health status of older adults with T2DM, improving mental resilience and strengthening social support can help reduce their FOH level, and thereby help them control blood glucose scientifically and improve their quality of life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 1-7"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609172","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 nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in hospitalized Japanese older adults","authors":"Issei Konya PhD, RN ,&nbsp;Rika Yano PhD, RN ,&nbsp;Yoichi M. Ito PhD ,&nbsp;Hiroaki Iwata PhD, MD ,&nbsp;Mayumi Yoshida RN ,&nbsp;Chiaki Watanabe RN ,&nbsp;Akemi Morita RN","doi":"10.1016/j.gerinurse.2024.10.031","DOIUrl":"10.1016/j.gerinurse.2024.10.031","url":null,"abstract":"<div><div>Mechanical irritation during skincare poses a risk of causing skin barrier dysfunction in older patients. Adequate skin assessment is thus required before skincare; however, no validated assessment method exists. This study developed a nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in Japanese older patients using a subset of a randomized controlled trial dataset. The volar forearms of 149 older patients (≥65 years) underwent a mechanical irritation test. Skin barrier dysfunction was defined based on transepidermal water loss before and after the test. Candidate variables were obtained from medical records and skin assessments. We found that 26.2 % of older patients experienced skin barrier dysfunction. The nomogram, comprising chronic kidney disease, purpura, dry skin, activities of daily living, and body mass index, demonstrated satisfactory discrimination, calibration, and clinical utility. This tool serves as an innovative and validated method for skin assessment, offering the potential to prevent skin disorders and deliver tailored, high-quality skincare.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 280-288"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633632","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 systematic review of fall prevention interventions in frail older adults","authors":"Dayeon Lee PhD, RN ,&nbsp;Sunghee H Tak PhD, MPH, RN ,&nbsp;Hyein Choi PhD, RN","doi":"10.1016/j.gerinurse.2025.02.018","DOIUrl":"10.1016/j.gerinurse.2025.02.018","url":null,"abstract":"<div><div>Frail older adults are vulnerable to falls. This review aimed to identify the characteristics of fall prevention interventions and assess their effects on fall-related outcomes in the population. Six databases were searched using keywords such as frailty, older adults, fall prevention or management, and education. Twelve studies met the eligibility criteria for inclusion. The quality of the studies was assessed using the Scottish Intercollegiate Guidelines Network checklist. Most of the included studies had physical exercise as the primary component of fall prevention interventions for frail older adults. Meta-analysis revealed that these interventions significantly reduced the fear of falling and improved physical performance. Additionally, significant improvements were observed in frailty scores, 30-Chair Stand test, hand grip strength, knee extension strength, and depression. These findings show that fall prevention interventions are effective in improving both the physical and psychological status of frail older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 236-244"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143547902","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":"Risk factors for falls in older people with pre-frailty: A systematic review and meta-analysis","authors":"Haiyan Jing ,&nbsp;Yulan Chen ,&nbsp;Bijuan Liang ,&nbsp;Zhihe Tian ,&nbsp;Feng Song ,&nbsp;Mingzhi Chen ,&nbsp;Wenxuan Kong ,&nbsp;Yihan Duan","doi":"10.1016/j.gerinurse.2024.10.030","DOIUrl":"10.1016/j.gerinurse.2024.10.030","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Frailty is considered highly prevalent among the elderly, and falls are a severe adverse event that occurs at a significantly higher rate in frail elderly patients, leading to serious consequences. The pre-frailty stage represents a reversible transitional state between health and frailty, and targeted interventions for pre-frail older adults can effectively reduce the incidence of falls in this population. Existing studies have not definitely identified the risk factors for falls in pre-frail older adults. This paper explores the relevant risk factors for falls in pre-frail older adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;PubMed, Embase, Web of Science, Cochrane Library, CBM, CNKI, Wan fang, and VIP databases were searched for studies published from inception to 2023, without language restrictions. Observational studies were included in this systematic review that analyzed risk factors for accidental falls in pre-frail older adults. The NOS scale was used to evaluate the quality of cohort studies and case-control studies, while the AHRQ scale was used to evaluate the quality of the cross-sectional study. We utilized odds ratios (OR) and their corresponding 95 % confidence intervals (CI) to describe the statistical indicators. OR and 95 % CI values were directly extracted and organized in Excel. In cases where OR and CI values were not directly available, we extracted β and p values, calculated Exp using functions, and subsequently derived OR and 95 % CI using formulas. Finally, data pertaining to each risk factor were incorporated into RevMan 5.4 software for statistical analysis and effect size synthesis. We performed tests for heterogeneity and evaluated publication bias.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 14,370 studies were initially identified, and 26 studies were included in the systematic review. Among these studies, 14 were of high quality, while the remaining 12 were of moderate quality. A total of 16 risk factors were identified as potential risk factors for falls in pre-frail older adults. Significant risk factors were peripheral neuropathy(OR = 3.18, 95 %CI:3.02–3.35), decreased gait speed(OR = 1.90, 95 %CI:1.60–2.27), decreased ability to perform activities of daily living(OR = 1.57, 95 % CI:1.42–1.75), grip strength decreases(OR = 1.53, 95 % CI:1.17–2.00), gender (female)(OR = 1.51, 95 % CI:1.39–1.64), pain(OR = 1.47, 95 %CI:1.41–1.54), history of falls(OR = 1.20, 95 %CI:1.13–1.28) and age(OR = 1.10, 95 %CI:1.07–1.14).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The occurrence of falls in pre-frail older adults is associated with multiple risk factors. These risk factors can provide clinical nursing staff with specific focal points for monitoring this population and devising targeted fall prevention measures, with the aim of reducing the incidence of falls in pre-frail older adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The systematic review was registered on the International Prospectiv","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 272-279"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632308","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":"Physical function, functional capacity, cognition, and brain structure and function in older adults with chronic kidney disease (CKD)","authors":"Mary F. Hannan PhD ,&nbsp;Olu Ajilore MD, PhD ,&nbsp;Xiaohong Joe Zhou PhD ,&nbsp;James P. Lash MD ,&nbsp;Qingfei Luo PhD ,&nbsp;Ulf G. Bronas PhD","doi":"10.1016/j.gerinurse.2024.12.035","DOIUrl":"10.1016/j.gerinurse.2024.12.035","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate associations between brain structure/function with physical function and functional capacity in older adults with CKD and cognitive complaints.</div></div><div><h3>Methods</h3><div>We evaluated associations between neuroimaging and cognitive function with functional capacity and physical function in older adults (60–80years) with CKD and cognitive complaints (<em>n</em> = 39; age 67.6 years).</div></div><div><h3>Results</h3><div>In multivariable analysis, each standard deviation (SD) increase in 6-minute walk test (6MWT) distance (functional capacity) was associated with better attention/information processing (Trails Making Test-A (TMT-A) (ß -10.86, 95% Confidence Interval (CI) -16.67, -5.06); digit symbol test (ß 5.24, 95% CI 1.02, 9.46)), and each SD increase in short physical performance battery (SPPB)(physical function) was associated with better attention/information processing (TMT-A) (ß -10.99, 95% CI -16.59, -5.39). 6MWT distance and SPPB were associated with some indicators of brain structure/diffusivity.</div></div><div><h3>Conclusion</h3><div>In older adults with CKD and cognitive complaints, functional capacity and physical function may be associated with cognition and brain structure/function.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 283-290"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017065","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":"Associations between nutritional literacy and dietary diversity in elderly Chinese individuals with chronic diseases: A cross-sectional study","authors":"Chuyun Xu Postgraduate Student (Student) ,&nbsp;Jiaying Yu Postgraduate Student (Student) ,&nbsp;Peiwen Chen Undergraduate Student (Student) ,&nbsp;Lusha Meng Undergraduate Student (Student) ,&nbsp;Yining Gao Undergraduate Student (Student) ,&nbsp;Guoling Chen Master (Professor of Nursing) ,&nbsp;Lili Yang PhD (Associate Professor)","doi":"10.1016/j.gerinurse.2024.10.044","DOIUrl":"10.1016/j.gerinurse.2024.10.044","url":null,"abstract":"<div><h3>Background</h3><div>Dietary diversity is influenced by nutritional literacy. This study sought to investigate associations between nutritional literacy and dietary diversity among elderly Chinese individuals with chronic diseases and clarify how nutritional literacy affects dietary diversity.</div></div><div><h3>Methods</h3><div>Three communities in Hangzhou, Zhejiang Province were chosen at random to assess nutritional literacy and diet status, which included 301 individuals over the age of 60 with chronic diseases.</div></div><div><h3>Results</h3><div>The elderly had a middle and lower level of nutritional literacy (n = 301,20.16±5.45). Dietary diversity scores (DDSs) and nutrition literacy showed a positive correlation (r = 0.366, P &lt; 0.001). Higher DDSs were seen in those with greater education levels (OR = 2.15,95 %CI = 1.57∼2.94) and those with better awareness of diet and health (OR = 1.29,95 % CI = 1.02∼1.55).</div></div><div><h3>Conclusions</h3><div>The elderly face significant challenges in maintaining a reasonable nutritional intake over time and their nutritional literacy warrants attention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 253-258"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633634","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":"Predicting intentions to receive a COVID-19 booster vaccination among older adults using the Theory of Planned Behavior","authors":"Yen- Yu Hsiao (Undergraduate Student) ,&nbsp;Hsiang-Ru Lai PhD ,&nbsp;Tien- Shan Chu MSN, RN ,&nbsp;Shyh-Huey Jenn MSN, RN ,&nbsp;Henny Dwi Susanti RN, MSN, PhD ,&nbsp;Pi-Hsia Lee EdD, RN","doi":"10.1016/j.gerinurse.2024.10.035","DOIUrl":"10.1016/j.gerinurse.2024.10.035","url":null,"abstract":"<div><div>The purpose of this study was to use the Theory of Planned Behavior to predict older adults' intentions and related factors of getting COVID-19 booster vaccinations and compare gender differences. A cross-sectional study was conducted, and 147 adults aged 65 years or older were recruited by convenience sampling in Taiwan. Results revealed that 57.1 % of participants had positive intentions of getting a COVID-19 booster vaccination. Attitudes, subjective norms, and perceived behavioral control explained 86.0 % of the behavioral intentions of getting a COVID-19 booster vaccination. Perceived behavioral control was the most important factor, followed by attitudes. Differences in intentions of getting the COVID-19 booster vaccination between males and females were not significant. The Theory of Planned Behavior and its main constructs can be appropriately applied to predict intentions to receive COVID-19 booster vaccinations among older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 297-301"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632275","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":"Keeping assisted living communities secure a comprehensive approach from the perimeter to the interior","authors":"Steve Wilder","doi":"10.1016/j.gerinurse.2025.02.019","DOIUrl":"10.1016/j.gerinurse.2025.02.019","url":null,"abstract":"<div><div>Security in assisted living communities (ALFs) is essential to ensuring the safety and well-being of residents, staff, and visitors while maintaining regulatory compliance. A comprehensive security strategy involves multiple layers, from securing the perimeter with fencing, controlled entry points, surveillance, and lighting to implementing advanced interior security measures such as access control systems, emergency alerts, and cybersecurity protocols. The P2T2® system–People, Programs, Training, and Technology–serves as the foundation for an effective security management program, ensuring that vulnerabilities are minimized. Staff training, resident education, and collaboration with local law enforcement further strengthen the security framework. This article outlines best practices, including physical security measures, technology-driven solutions, and emergency preparedness, which can be transformed into a practical checklist for quality assurance. Investing in security is not merely a cost but a critical safeguard against potential risks, ensuring a safe and comfortable environment for all members of the assisted living community.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 294-296"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587749","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}