Geriatric Nursing最新文献_第10页

A case management strategy to reduce falls in older people with a history of falls: A randomized controlled trial 减少有跌倒史的老年人跌倒的个案管理策略：随机对照试验。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-03 DOI: 10.1016/j.gerinurse.2024.07.007

{"title":"A case management strategy to reduce falls in older people with a history of falls: A randomized controlled trial","authors":"","doi":"10.1016/j.gerinurse.2024.07.007","DOIUrl":"10.1016/j.gerinurse.2024.07.007","url":null,"abstract":"<div><p>The present study aimed to determine whether a remotely delivered intervention, based on an individual case management, can reduce falls and their consequences in community-dwelling older people with a history of multiple falls. In this randomized controlled trial, 32 participants were randomized to the intervention group, which comprised a 16-week case management program involving a multidimensional assessment, targeted interventions according to the identified fall risk factors, and development of individualized care plans. The intervention was performed by trained gerontologists, under weekly supervision of professionals with experience in falls. The control group (<em>n</em> = 30) received usual care. Falls were monitored over 12 months with monthly falls calendars and telephone calls. Remotely delivered case management presented an 82 % uptake of recommendations. There was a trend toward a reduced fall incidence in the intervention vs control group, with lower fall, fall injury and fracture rates in the intervention group compared with the control group at both the 16-week and 12-month time-points, with the difference statistically significant for injurious fall rates at 12 months - IRR=0.18 (95 % CI = 0.04 to 0.74).</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891147","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 relationship between pain, quality of life and physical activity in older community living Australians 居住在社区的澳大利亚老年人的疼痛、生活质量和体育活动之间的关系。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-03 DOI: 10.1016/j.gerinurse.2024.07.021

引用次数: 0

Exploring the gender-sensitive feelings of nurses towards residents with intimate and sexual needs in dementia nursing care 探索在痴呆症护理中护士对有亲密接触和性需求的住院者的性别敏感感受。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-03 DOI: 10.1016/j.gerinurse.2024.07.025

{"title":"Exploring the gender-sensitive feelings of nurses towards residents with intimate and sexual needs in dementia nursing care","authors":"","doi":"10.1016/j.gerinurse.2024.07.025","DOIUrl":"10.1016/j.gerinurse.2024.07.025","url":null,"abstract":"<div><h3>Introduction</h3><p>Person-centered care emphasizes close care relations regardless of gender. However, when residents with dementia express intimate or sexual needs, nurses may struggle with their own emotions and need to include personal boundaries.</p></div><div><h3>Methods</h3><p>277 (vocational) nurses from 25 Dutch nursing homes completed a survey, including the Feeling Word Checklist for a resident with perceived sexual needs and another for a resident with perceived intimate needs.</p></div><div><h3>Results</h3><p>Positive-nurturing sentiments towards residents prevail, yet residents expressing intimate needs elicit higher levels of positive-nurturing and lower levels of negative emotions than those with sexual needs. Male residents, who expressed more pronounced sexual needs, received less affection and interest from female nurses who felt especially close to female residents with intimate needs.</p></div><div><h3>Conclusion</h3><p>Close care relations established through nurses' personal emotions inadvertently introduce gender-sensitive and differing emotions towards residents. Nurses' capability to include personal boundaries benefits the relationship and well-being of both parties.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0197457224002180/pdfft?md5=10e121c8aa512c2804af93d1dbaaba08&pid=1-s2.0-S0197457224002180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891148","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

Sex differences in the association of physical functions with hospitalization and mortality events among community-dwelling older adults with disabilities 居住在社区的残疾老年人身体功能与住院和死亡事件之间的性别差异。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-02 DOI: 10.1016/j.gerinurse.2024.07.018

引用次数: 0

Systematic review following COSMIN guidelines: Short forms of Zarit Burden Interview 根据 COSMIN 指南进行系统审查：Zarit 负担访谈简表。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-01 DOI: 10.1016/j.gerinurse.2024.07.002

引用次数: 0

Feasibility of aging in place clinics in low income senior housing 在低收入老年公寓开设居家养老诊所的可行性。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-08-01 DOI: 10.1016/j.gerinurse.2024.07.026

引用次数: 0

Effect of the use of potentially inappropriate medications on the mortality of Brazilian older adults: SABE cohort study 使用可能不适当的药物对巴西老年人死亡率的影响：SABE队列研究。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-07-31 DOI: 10.1016/j.gerinurse.2024.07.004

引用次数: 0

Systematic review and meta-analysis of transcranial direct current stimulation (tDCS) for global cognition in mild cognitive impairment and Alzheimer's disease 经颅直流电刺激（tDCS）对轻度认知障碍和阿尔茨海默病总体认知的系统回顾和荟萃分析。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-07-31 DOI: 10.1016/j.gerinurse.2024.07.013

{"title":"Systematic review and meta-analysis of transcranial direct current stimulation (tDCS) for global cognition in mild cognitive impairment and Alzheimer's disease","authors":"","doi":"10.1016/j.gerinurse.2024.07.013","DOIUrl":"10.1016/j.gerinurse.2024.07.013","url":null,"abstract":"<div><h3>Objective</h3><p>To systematically assess the effectiveness of transcranial direct current stimulation (tDCS) on global cognition in patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD).</p></div><div><h3>Data sources</h3><p>Ten databases were retrieved for pertinent Chinese and English studies published up until February 2023.</p></div><div><h3>Data Extraction</h3><p>Two researchers independently selected the literature, extracted the data, evaluated using the Cochrane Collaboration's quality criteria, and then cross-checked. Meta-analysis was performed using RevMan 5.4.</p></div><div><h3>Results</h3><p>22 studies involving 1074 patients were included. Compared with the control group received the interventions such as pharmacotherapy, cognitive stimulation, et al., with/without sham-tDCS, while the experiment group received tDCS added to the interventions of the control group. The meta-analysis found that tDCS increased MMSE, MoCA, MODA scores and reduced the P300 latency scores (all <em>P</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>The tDCS can ameliorate the global cognition of patients with MCI and AD, and it has a better rehabilitation effect than non-tDCS or sham-tDCS.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876840","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

Improving nursing home safety through Adoption of a practical Resilient Health Care approach. 通过采用实用的弹性医疗保健方法，改善疗养院安全。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-07-27 DOI: 10.1016/j.gerinurse.2024.06.014

Christine W Hartmann, Valerie Clark, Princess Nash, Sharon Sloup, Rhonda Toms, A Lynn Snow

引用次数: 0

The relationship of body composition with bone mineral density and 10-year probability of hip fracture in postmenopausal women 绝经后妇女的身体成分与骨矿物质密度和 10 年髋部骨折概率的关系。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2024-07-26 DOI: 10.1016/j.gerinurse.2024.07.001

{"title":"The relationship of body composition with bone mineral density and 10-year probability of hip fracture in postmenopausal women","authors":"","doi":"10.1016/j.gerinurse.2024.07.001","DOIUrl":"10.1016/j.gerinurse.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Postmenopausal osteoporosis and fractures are widely prevalent. However, the relationship of body composition with bone health in this population remains unclear. The aim of this study was to investigate the association of body composition with bone mineral density (BMD) and 10-year probability of hip fracture in postmenopausal women.</p></div><div><h3>Materials and Methods</h3><p>This is a cross-sectional study. A total of 1285 subjects were included in our study. Body composition and BMD were assessed using dual-energy X-ray densitometry. The 10-year probability of hip fracture of participants was calculated. All participants were categorized into four groups: sarcopenic-obese (SO) group, sarcopenic-nonobese (S) group, nonsarcopenic-obese (O) group, or nonsarcopenic-nonobese control (C) group. Multivariate analyses and binary logistic regression were conducted to explore the relationship of body composition with BMD and 10-year probability of hip fracture.</p></div><div><h3>Results</h3><p>Participants in S group were 2.8, 4.7 and 4.8 times more likely to develop osteoporosis in the lumbar spine, the total hip and femoral neck sites, respectively. Lean mass was positively correlated with BMD, wherein lumbar spine BMD was significantly affected by appendicular lean mass, while total hip BMD and femoral neck BMD were mainly influenced by trunk lean mass. Total fat mass was positively associated with total hip and femoral neck BMD, but not with lumbar spine BMD. A significant correlation was observed between lean mass and 10-year probability of hip fracture.</p></div><div><h3>Conclusion</h3><p>Changes in body composition in postmenopausal women could affect bone health. A decrease in regional lean mass may be associated with an increased risk of osteoporosis and fractures.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790081","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