Geriatric Nursing最新文献_第10页

Factors associated with communicable diseases-related health behavior in older adults: A structural equation model 老年人传染病相关健康行为的相关因素：结构方程模型

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-15 DOI: 10.1016/j.gerinurse.2025.01.048

Xuemei Bao MSc , Jinyu Yin MSc , Qinghua Zhang PhD , Siyi Shang MSc , Yuhan Yang MSc

{"title":"Factors associated with communicable diseases-related health behavior in older adults: A structural equation model","authors":"Xuemei Bao MSc , Jinyu Yin MSc , Qinghua Zhang PhD , Siyi Shang MSc , Yuhan Yang MSc","doi":"10.1016/j.gerinurse.2025.01.048","DOIUrl":"10.1016/j.gerinurse.2025.01.048","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess communicable disease-related health behavior (CDRHB) and the relationship between communicable disease-specific health literacy (CDSHL) and CDRHB in older adults.</div></div><div><h3>Background</h3><div>Factors associated with CDRHB in older adults is unclear.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 380 Chinese older adults was conducted. A structural equation model (SEM) identified factors associated with CDRHB and their effect magnitude.</div></div><div><h3>Results</h3><div>Mean CDRHB score was 41.92 (± 7.44). Residence type, education, CDSHL, self-efficacy, social support, and internal health locus of control (HLC) were independently associated with CDRHB (<em>p</em> < 0.05). SEM showed CDSHL had the strongest association with CDRHB, followed by education, residence type, social support, internal HLC, and self-efficacy.</div></div><div><h3>Conclusions</h3><div>Future tailored-intervention research on CDRHB should focus on CDSHL promotion and social support expansion, focused on older adults in rural areas and those with lower education levels.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 222-229"},"PeriodicalIF":2.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419105","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}

引用次数: 0

Healthcare's empathy in elderly care: How anxiety, depression, and professional quality of life influence empathic abilities 医疗保健在老年护理中的共情：焦虑、抑郁和职业生活质量如何影响共情能力

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-13 DOI: 10.1016/j.gerinurse.2025.01.033

Sergio Serrada-Tejeda , Fernando Martínez-Cuervo , Marta Pérez-de-Heredia-Torres , Rebeca Montes-Montes , Paula Obeso-Benítez , Domingo Palacios-Ceña , y Rosa M Martínez-Piédrola

{"title":"Healthcare's empathy in elderly care: How anxiety, depression, and professional quality of life influence empathic abilities","authors":"Sergio Serrada-Tejeda , Fernando Martínez-Cuervo , Marta Pérez-de-Heredia-Torres , Rebeca Montes-Montes , Paula Obeso-Benítez , Domingo Palacios-Ceña , y Rosa M Martínez-Piédrola","doi":"10.1016/j.gerinurse.2025.01.033","DOIUrl":"10.1016/j.gerinurse.2025.01.033","url":null,"abstract":"<div><div>The objective of this descriptive cross-sectional study was to determine the relationship between empathy, anxiety, depression, compassion satisfaction, and fatigue in healthcare professionals working in elderly care centers. A sample of 104 healthcare professionals from nursing homes in Spain completed questionnaires assessing empathic skills, anxiety, depression, and quality of life. The results showed high levels of empathy and compassion satisfaction among participants and significant relationships between empathic skills, anxiety, depression, and quality of life measures. The regression analysis identified interpersonal reactivity, depression, compassion satisfaction, fatigue, and years of experience as significant predictors of empathy in the clinical context. Empathy is of paramount importance in the field of geriatric care, with enhanced empathic abilities exerting a beneficial influence on professional practice. However, the presence of depressive symptoms may hinder empathic abilities and affect the quality of care. Compassion satisfaction emerged as a significant predictor of empathy, highlighting the importance of emotional support and communication skills training in healthcare settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 188-193"},"PeriodicalIF":2.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395756","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}

引用次数: 0

Path analysis to identify factors associated with health behavior in patients with stroke: Evidence from a cross-sectional and correlational survey 路径分析确定与卒中患者健康行为相关的因素：来自横断面和相关调查的证据

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-12 DOI: 10.1016/j.gerinurse.2025.01.023

Yi Zhang BSc , Xi Pan MSc , Lei Chen BSc, Lin Yao BSc, Weiying Zhong BSc, Jiaxuan Li BSc, Lan Xu BSc

{"title":"Path analysis to identify factors associated with health behavior in patients with stroke: Evidence from a cross-sectional and correlational survey","authors":"Yi Zhang BSc , Xi Pan MSc , Lei Chen BSc, Lin Yao BSc, Weiying Zhong BSc, Jiaxuan Li BSc, Lan Xu BSc","doi":"10.1016/j.gerinurse.2025.01.023","DOIUrl":"10.1016/j.gerinurse.2025.01.023","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the relationship between environmental and personal factors and health behavior in patients with stroke through pathway analysis.</div></div><div><h3>Methods</h3><div>A path analysis was performed to consider the relationships between social support, healthcare payment, residence, self-regulatory fatigue (SRF), and health literacy (HL) and health behavior.</div></div><div><h3>Results</h3><div>Social support and residence were directly and indirectly associated with health behavior through the SRF and/or HL. Healthcare payment was associated with health behavior through HL. Compared to patients with stroke under 65, those aged 65 and above demonstrated a more significant decline in HL with increasing SRF, and the relationship between healthcare payment and HL was also more notable within this older population.</div></div><div><h3>Conclusion</h3><div>The associations between environmental and personal factors in patients with stroke and health behavior were complicated, with age group serving as an important moderator. These findings would inform the design and implementation of health behavioral interventions among patients with stroke, particularly encouraging attention to the SRF and medical insurance status of elderly patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 214-221"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395361","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}

引用次数: 0

How does social support mediate the relationship between functional status and mental health among older adults in China? An exploration of the role of children's visits 社会支持如何中介中国老年人功能状态与心理健康的关系？探讨儿童探访的作用

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-12 DOI: 10.1016/j.gerinurse.2025.02.009

Qinan Shen, Dijuan Meng, Chang Sun, Meng Jin

{"title":"How does social support mediate the relationship between functional status and mental health among older adults in China? An exploration of the role of children's visits","authors":"Qinan Shen, Dijuan Meng, Chang Sun, Meng Jin","doi":"10.1016/j.gerinurse.2025.02.009","DOIUrl":"10.1016/j.gerinurse.2025.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the mediating role of social support, as outlined in the Convoy Model of Social Relations, in the association between functional status and mental health, with a focus on those with disabilities.</div></div><div><h3>Methods</h3><div>The study included 15,498 participants aged 65 to 105 years old from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Spearman analysis and mediation analysis were performed.</div></div><div><h3>Results</h3><div>Social support was significantly positively correlated with mental health (<em>p</em> < 0.001), except for financial aid. Social support partially mediated the effect of functional status on mental health. Among those with disabilities, the frequency of children's visits mediated this relationship (effect = -0.009, 95 % CI:0.016 to -0.004).</div></div><div><h3>Conclusions</h3><div>Social support mediated the relationship between functional status and mental health, with children's visits emerging as a more potent mediating factor compared to other types of support, particularly for those with disabilities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 207-213"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388420","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}

引用次数: 0

Multi-level factors of Chinese American family caregivers of individuals with dementia during COVID-19 COVID-19期间美籍华人痴呆症患者家庭照顾者的多层次因素分析

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.gerinurse.2025.01.041

Erh-Chi Hsu MPH, BSN , Jenny Hsin-Chun Tsai PhD, ARNP, PMHCNS-BC , Kannie Chim MD , Clarence Spigner DrPH

{"title":"Multi-level factors of Chinese American family caregivers of individuals with dementia during COVID-19","authors":"Erh-Chi Hsu MPH, BSN , Jenny Hsin-Chun Tsai PhD, ARNP, PMHCNS-BC , Kannie Chim MD , Clarence Spigner DrPH","doi":"10.1016/j.gerinurse.2025.01.041","DOIUrl":"10.1016/j.gerinurse.2025.01.041","url":null,"abstract":"<div><div>Chinese American caregivers face unique hurdles for family members with dementia. This study identified individual and contextual factors influencing family caregiving and ways in which caregivers managed pandemic-related challenges. A cross-sectional qualitative study was conducted in the Northwest region of the United States. Eligible Chinese American caregivers from a community-based organization were recruited. Semi-structured interviews were in participants’ preferred languages. Thematic analysis and deductive coding were used. The analysis (N = 16) showed that individual factors contained family caregivers’ perceptions, coping skills, knowledge, and empathy. Interpersonal factors included the dynamic of family support and dementia symptoms of care recipients, adversely affected by the pandemic. Community factors explored the resources provided by the partnering organization and adaptations to pandemic-related challenges. Societal factors encompassed participants' reliance on spiritual support groups, the influence of filial respect, perceived Asian xenophobia during the pandemic, and the impact of immigration history and policy on caregiving experiences.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 200-206"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388419","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}

引用次数: 0

Application and use of herbal medicines by healthcare professionals in long-term care: A scoping review 医疗保健专业人员在长期护理中的草药应用和使用：范围综述

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.gerinurse.2025.01.034

Carola Walter MScN , Stefanie Berger MScN, BScN , Doris Langegger MScN, BScN , Annemarie Strobl MA , Ass.-Prof. Patrick Kutschar MA, PhD , Stefan Pitzer MA , Prof. Nadja Nestler PhD

{"title":"Application and use of herbal medicines by healthcare professionals in long-term care: A scoping review","authors":"Carola Walter MScN , Stefanie Berger MScN, BScN , Doris Langegger MScN, BScN , Annemarie Strobl MA , Ass.-Prof. Patrick Kutschar MA, PhD , Stefan Pitzer MA , Prof. Nadja Nestler PhD","doi":"10.1016/j.gerinurse.2025.01.034","DOIUrl":"10.1016/j.gerinurse.2025.01.034","url":null,"abstract":"<div><div>Concomitant use of herbal medicine and drugs is usual in older people. Setting-specific information on usage and application by healthcare professionals (HCPs) in long-term care is scarce. This scoping review aimed to identify the use and professional application of herbal medicine by HCPs in older people in long-term care. Guided by the framework from Arksey and O'Malley, a search was undertaken using four databases and Google Scholar. Studies published between 2014 and 2023 were included. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal. Twelve studies were eligible for inclusion. Different herbal medicine products were studied. Disease-specific research on efficacy, effectiveness, and safety in eleven quantitative studies was predominant (cognitive dysfunction, respiratory tract infections, urinary tract infections, and insomnia). HCPs involved were physicians and nurses in different roles, frequently not explicitly differentiated. Further research is required, focusing on medication management, including herbal medicines by care-dependent persons and involved HCPs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 165-174"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378381","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}

引用次数: 0

Housing characteristics of low and moderate income older adults with and without disabilities 低收入和中等收入老年人的住房特征，不论有无残疾

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.gerinurse.2025.01.042

Safiyyah M. Okoye PhD, MSN, RN , Laura J. Samuel PhD, MSN, RN , Chanee D. Fabius PhD, MA , Kasim Ortiz PhD, MS , Craig E. Pollack MD, MHS , Laura N. Gitlin PhD , Sarah L. Szanton PhD, MSN, RN , Jennifer L. Wolff PhD, MHS

{"title":"Housing characteristics of low and moderate income older adults with and without disabilities","authors":"Safiyyah M. Okoye PhD, MSN, RN , Laura J. Samuel PhD, MSN, RN , Chanee D. Fabius PhD, MA , Kasim Ortiz PhD, MS , Craig E. Pollack MD, MHS , Laura N. Gitlin PhD , Sarah L. Szanton PhD, MSN, RN , Jennifer L. Wolff PhD, MHS","doi":"10.1016/j.gerinurse.2025.01.042","DOIUrl":"10.1016/j.gerinurse.2025.01.042","url":null,"abstract":"<div><div>Housing is relevant to quality-of-life for older adults with and without disabilities, particularly those with limited financial resources. Among 4,898 low- and moderate-income community-living National Health and Aging Trends Study respondents, we describe and examine differences in housing characteristics of older adults with (<em>n</em> = 2774) and without disability (<em>n</em> = 2124). Next, among those with disability (self-care, household-activity, or mobility limitations), we examine associations of housing characteristics with adverse consequences due to unmet care needs, including soiling oneself or having to stay inside. In descriptive analyses, those with disability (vs without) more commonly rented, lived in subsidized housing, lived in apartments or mobile homes, and with home disorder, home disrepair, and street disorder. In adjusted logistic regressions among the subgroup with disability, several housing characteristics were statistically significantly associated with adverse consequences. Policy, programmatic, and clinical interventions that account for housing as an important social determinant of older adult quality-of-life should be advanced.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 175-181"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378382","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}

引用次数: 0

Using a standardized assessment tool to identify patients for referral to discuss and understand their goals of care 使用标准化的评估工具来确定转诊的患者，讨论和了解他们的护理目标

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.gerinurse.2025.01.046

Reshna Thapa DNP, APRN, FNP-C, Joy Elwell DNP, APRN, Savitha Chandramohan DNP, APRN, Carol Jin DNP, APRN

{"title":"Using a standardized assessment tool to identify patients for referral to discuss and understand their goals of care","authors":"Reshna Thapa DNP, APRN, FNP-C, Joy Elwell DNP, APRN, Savitha Chandramohan DNP, APRN, Carol Jin DNP, APRN","doi":"10.1016/j.gerinurse.2025.01.046","DOIUrl":"10.1016/j.gerinurse.2025.01.046","url":null,"abstract":"<div><h3>Introduction</h3><div>Dementia, a terminal illness, deteriorates the physical and mental health as it advances. Discussing goals of care (GOC) is important in these patients but there is no standard way to identify these patients.</div></div><div><h3>Purpose</h3><div>Identify patients that can be referred for GOC discussion based on their quality of life (QOL) by utilizing dementia quality of life (DEMQOL) or DEMQOL carer tools.</div></div><div><h3>Methods</h3><div>The study was conducted in a nursing home in long-term care patients diagnosed with dementia. Patients who scored less than 90 in assessment tools were referred for GOC discussion.</div></div><div><h3>Results</h3><div>20 patients and family participated in the study. Unit A had total of 62.5% referral rate, unit B had 66.7%, and unit C had 66.7%. Total referrals showed increased number of patients that were referred for goals of care discussion.</div></div><div><h3>Conclusion</h3><div>Utilization of QOL assessment tools is feasible in nursing home. DEMQOL/DEMQOL carer, an assessment tool helped identify patients for GOC discussion.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 182-187"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386829","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}

引用次数: 0

The mediating effect of social support between self-perceptions of aging and fear of dementia in community-dwelling older adults 社会支持在社区居住老年人衰老自我认知与痴呆恐惧之间的中介作用

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-11 DOI: 10.1016/j.gerinurse.2025.02.003

Huan Wu MA, RN (Lecturer) , Dun-Xiu Liu MD, RN (Chief Nurse) , Qiao-Xue Zhou MA, RN , Yun-Xia Dong BS, RN , Ling-Na Kong PhD, RN (Associate Professor)

{"title":"The mediating effect of social support between self-perceptions of aging and fear of dementia in community-dwelling older adults","authors":"Huan Wu MA, RN (Lecturer) , Dun-Xiu Liu MD, RN (Chief Nurse) , Qiao-Xue Zhou MA, RN , Yun-Xia Dong BS, RN , Ling-Na Kong PhD, RN (Associate Professor)","doi":"10.1016/j.gerinurse.2025.02.003","DOIUrl":"10.1016/j.gerinurse.2025.02.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the mediating effect of social support between self-perceptions of aging and fear of dementia among community-dwelling older adults.</div></div><div><h3>Methods</h3><div>A total of 656 older adults were recruited in this cross-sectional study. The Brief Aging Perceptions Questionnaire, Social Support Rating Scale, and Fear of Dementia Scale were used to collect data. Data were analyzed using SPSS 27.0 and PROCESS macro.</div></div><div><h3>Results</h3><div>Fear of dementia was positively correlated with self-perceptions of aging (β=0.266) and negatively correlated with social support (β=-0.326), and self-perceptions of aging were negatively correlated with social support (β=-0.105). Mediation analysis showed that social support had a partial mediating effect between self-perceptions of aging and fear of dementia, and the mediating effect accounted for 11.33 % of the total effect.</div></div><div><h3>Conclusions</h3><div>These findings highlighted the significant role of improving social support in developing interventions to reduce older adults’ fear of dementia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 194-199"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379393","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}

引用次数: 0

Association of depression and loneliness with risk of disability among community-dwelling older adults 社区老年人抑郁、孤独与残疾风险的关系

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-02-08 DOI: 10.1016/j.gerinurse.2025.02.002

Yuka Misu Ph.D , Kota Tsutsumimoto Ph.D , Yuto Kiuchi Ph.D , Kazuhei Nishimoto MS , Tomoka Ohata B.S , Hiroyuki Shimada Ph.D

{"title":"Association of depression and loneliness with risk of disability among community-dwelling older adults","authors":"Yuka Misu Ph.D , Kota Tsutsumimoto Ph.D , Yuto Kiuchi Ph.D , Kazuhei Nishimoto MS , Tomoka Ohata B.S , Hiroyuki Shimada Ph.D","doi":"10.1016/j.gerinurse.2025.02.002","DOIUrl":"10.1016/j.gerinurse.2025.02.002","url":null,"abstract":"<div><div>This study aimed to examine whether the risk of disabilities was reduced among community-dwelling older adults who experienced either depression or loneliness compared with those who experienced both. This sample included 5,005 older adults. Participants were followed for two years from baseline for incidence of disability. They were classified into four groups based on the presence of loneliness and depressive symptoms. The Cox proportional-hazards model, adjusted for confounders, was used to examine their associations with the incidence of disability. The incidence of disability in the comorbid, depression-only, loneliness-only, and robust groups was 11.6 %, 6.9 %, 5.3 %, and 4.2 %, respectively. The depression-only (HR 0.59, 95 % CI 0.36‒0.96), loneliness-only (HR 0.44, 95 % CI 0.31‒0.62), and robust groups (HR 0.34, 95 % CI 0.25‒0.46) had a significantly lower risk of disability compared with the comorbid group. It was concluded that alleviating depression or loneliness may reduce the risk of future disability.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 144-148"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350405","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}

引用次数: 0