Geriatric Nursing最新文献

{"title":"Can smart home devices promote older adults' subjective markers of successful aging? A cohort study exploring potential mechanisms","authors":"Shi Jiaming ,&nbsp;Zhang Denghao ,&nbsp;Jiang Chaoxin ,&nbsp;Wu Yuhan ,&nbsp;Che Runping","doi":"10.1016/j.gerinurse.2025.103517","DOIUrl":"10.1016/j.gerinurse.2025.103517","url":null,"abstract":"<div><h3>Background</h3><div>As a form of gerontechnological innovation within the household environment, smart home devices are believed to have the potential to enhance older adults' wellbeing. However, few empirical studies have utilized nationwide cohort data to explore their associations with wellbeing, particularly in relation to successful aging. Furthermore, the underlying mechanisms driving these associations are not yet fully understood.</div></div><div><h3>Objective</h3><div>Drawing on the International Classification of Functioning, Disability, and Health (ICF), this study considered smart home devices as a form of positive living environment at the household level and explored their relationships with older adults' subjective markers of successful aging (life satisfaction and subjective age).</div></div><div><h3>Design</h3><div>A cohort sample of 8216 Chinese older adults (mean age = 71.26, SD = 6.51) was obtained from the 2020 wave of the China Longitudinal Aging Social Survey. Structural equation modeling was employed to test the proposed model.</div></div><div><h3>Results</h3><div>The results showed that smart home devices were significantly positively associated with higher levels of life satisfaction and a younger subjective age among older adults. Additionally, emotional, cognitive, and social functions mediated the relationships between smart home devices and both life satisfaction and subjective age.</div></div><div><h3>Conclusions</h3><div>These findings demonstrated that the ICF framework effectively elucidates the associations and mechanisms between smart home devices and subjective successful aging. Furthermore, this study offered practical implications for policymakers, product designers, and older adults in the development, design, and utilization of smart home devices to promote subjective successful aging.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103517"},"PeriodicalIF":2.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571410","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":"Pressure injury prevention and management training challenges and needs of nursing assistants in Chinese nursing homes: A qualitative study","authors":"Yanxia Guo ,&nbsp;Plernpit Boonyamalik ,&nbsp;Arpaporn Powwattana ,&nbsp;Wen Zhu ,&nbsp;Shengnan Yang ,&nbsp;Yuhong Zhang","doi":"10.1016/j.gerinurse.2025.103469","DOIUrl":"10.1016/j.gerinurse.2025.103469","url":null,"abstract":"<div><div>To explore the training challenges and needs of pressure injury prevention and management among nursing assistants in Chinese nursing homes, we employed a qualitative study through focus group and in-depth interviews in July 2024. Data were analyzed using qualitative content analysis guided by Social Learning Theory. Findings revealed five themes and 13 categories representing training challenges, characterized by incomplete and outdated knowledge, inappropriate training schedules, rigid training methods, unscientific training evaluation, and insufficient policy support. Four themes and 11 categories emerged that encapsulate the training needs, emphasizing the necessity for comprehensive training objectives, evidence-based training content, innovative and flexible training methods, and objective and ongoing training evaluation. These findings indicate a significant gap between the current training practices and the actual needs of nursing assistants, suggesting that training programs are not adequately preparing nursing assistants to manage pressure injuries effectively. In the future, the development of a more comprehensive, effective, and scientific training program should be crafted based on the training needs identified in the study, leading to competency advancement, better care outcomes, decreased healthcare system burden, and improved quality of life for the residents in long-term care facilities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103469"},"PeriodicalIF":2.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571415","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 social activity and social support on life satisfaction in older adults: Mediating role of social exclusion and moderating role of working status","authors":"Orhan Koçak ,&nbsp;Orhan Çevik ,&nbsp;Murat Yıldırım","doi":"10.1016/j.gerinurse.2025.103492","DOIUrl":"10.1016/j.gerinurse.2025.103492","url":null,"abstract":"<div><div>This study examined how perceived social support and social activities affect life satisfaction, with a focus on the mediating role of social exclusion. Participants included 509 adults (55.8 % female) aged 55 and above. Participants completed the online versions of the Active Aging Scale, the Multidimensional Scale of Perceived Social Support, the Social Exclusion Scale, and the Satisfaction with Life Scale. The findings indicated that perceived social support from family and significant others, along with engagement in social activities, were positively related to life satisfaction and negatively associated with social exclusion. Social exclusion also mediated the relationships between perceived social support, social activities, and life satisfaction, even when accounting for sociodemographic, economic variables, and health perceptions. Additionally, the results showed that employment status moderated these associations. The study suggests that social support and social activities help alleviate deficits in informal social support, environmental exclusion, and material deprivation, thereby enhancing life satisfaction.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103492"},"PeriodicalIF":2.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563239","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":"Comparison of motor imagery and action observation on lower limb function in older adults: a systematic review and meta-analysis","authors":"Mufan Zhang,&nbsp;Tingran Zhang,&nbsp;Yi He,&nbsp;Jiong Luo","doi":"10.1016/j.gerinurse.2025.103468","DOIUrl":"10.1016/j.gerinurse.2025.103468","url":null,"abstract":"<div><h3>Objective</h3><div>Lower limb functional decline is one of the main factors threatening the physical health of older adults. This study aims to compare the effects of motor imagery (MI) and action observation (AO) on lower limb function in older adults through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A computer search was conducted in the PubMed, Web of Science, and Cochrane Library databases. Two researchers independently screened the literature according to inclusion criteria, conducted risk assessments, and performed data analysis using Revman 5.4 software after the systematic review.</div></div><div><h3>Results</h3><div>Fourteen randomized controlled trials involving 475 older adults were included. The meta-analysis results showed that, in the Timed Up and Go test, MI intervention did not significantly improve walking time (WMD = -1.93, 95 % CI= -4.47, 0.61, <em>P</em> = 0.14), and there was heterogeneity. In contrast, AO intervention significantly reduced walking time (WMD = -0.76, 95 % CI= -1.45, -0.07, <em>P</em> = 0.03) with low heterogeneity. Additionally, neither MI nor AO interventions significantly improved the Berg Balance Scale or 10-meter walking test scores. MI intervention also did not improve the Falls Efficacy Scale scores, and due to the small number of studies, AO intervention was analyzed descriptively.</div></div><div><h3>Conclusion</h3><div>Overall, both MI and AO interventions have a positive effect on improving lower limb function in older adults, but compared to MI, AO appears to be more effective in enhancing lower limb motor function in this population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103468"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562779","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 illness uncertainty on self-efficacy, personal control, and negative emotions in elderly persons with colon cancer","authors":"Huiqian Wang,&nbsp;Hongbo Zhang","doi":"10.1016/j.gerinurse.2025.103480","DOIUrl":"10.1016/j.gerinurse.2025.103480","url":null,"abstract":"<div><h3>Background</h3><div>Colon cancer is a significant health concern among the elderly, compounded by the psychological burden of illness uncertainty. This uncertainty can adversely affect self-efficacy, personal control, and emotional well-being. Despite its significance, the influence of illness uncertainty on elderly persons with colon cancer has been inadequately explored.</div></div><div><h3>Methods</h3><div>This retrospective cohort study analyzes 286 elderly persons with colon cancer treated between October 2021 and October 2023. Patients were categorized into high and low uncertainty groups based on scores from the Mishel Illness uncertainty Scale. We evaluated self-efficacy using the Strategies Used by People to Promote Health scale, personal control via the Personal Mastery Scale, and negative emotions using the Self-Perceived Burden Scale for Cancer Patients. In addition, a multivariate logistic regression analysis was performed to explore the factors related to disease uncertainty.</div></div><div><h3>Results</h3><div>Patients in the high uncertainty group (<em>n</em> = 172) demonstrated significantly lower self-efficacy, characterized by diminished stress reduction and positive attitude (<em>P</em> &lt; 0.01). This group also exhibited reduced personal control (<em>P</em> = 0.002) and heightened negative emotional states, such as anxiety (<em>P</em> = 0.008). High uncertainty was associated with increased perceived burdens, including economic and treatment-related burdens (<em>P</em> &lt; 0.05). Multivariate logistic regression analysis revealed that educational level, self-rated economic burden caused by the disease, self-stress reduction, positive attitude, total score of self-efficacy, and treatment burden were significantly associated with disease uncertainty.</div></div><div><h3>Conclusion</h3><div>Illness uncertainty profoundly impacts the psychosocial well-being of elderly persons with colon cancer, decreasing self-efficacy and personal control while increasing negative emotions and perceived burdens.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103480"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563241","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":"Latent profile analysis of demoralization syndrome in elderly stroke patients with disability","authors":"Yanan Wang,&nbsp;Chen Zheng,&nbsp;Ying Zhao,&nbsp;Linghui Kong,&nbsp;Tingting Lu,&nbsp;Mei Jiang,&nbsp;Huijun Zhang","doi":"10.1016/j.gerinurse.2025.103447","DOIUrl":"10.1016/j.gerinurse.2025.103447","url":null,"abstract":"<div><div>This study investigated the potential profiles of demoralization syndrome and its influencing factors in elderly stroke patients with disability. 656 patients who met the inclusion criteria participated in this study. Mplus 8.3 was used to establish a latent profile model for the demoralization syndrome in elderly stroke patients with disability. SPSS 25.0 was used for statistical analyses to explore the factors influencing it. The results show that the level of demoralization in elderly stroke patients with disability was divided into three categories. Multiple logistic regression showed that age, residential status, monthly income, smoking history, history of other chronic diseases, social support, and self-efficacy were the factors influencing the latent profile of demoralization syndrome in elderly stroke patients with disability (<em>P</em> &lt; 0.05). Relevant healthcare professionals can implement primary prevention management measures in a targeted manner according to different profile characteristics.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103447"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562776","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":"Technology-based music interventions in older adults: Feasibility, benefits, and future directions – a scoping review","authors":"Jeeyeon Kim PhD, RN ,&nbsp;Jayeong Kim MSN, RN ,&nbsp;Carolyn Phillips PhD, RN, ACNP, AOCNP","doi":"10.1016/j.gerinurse.2025.103494","DOIUrl":"10.1016/j.gerinurse.2025.103494","url":null,"abstract":"<div><div>Music interventions have been used to improve various health outcomes in older adults. However, traditional music interventions face barriers that limit accessibility and adherence for this population. Technology-based music interventions offer a promising alternative to overcome these challenges. This scoping review synthesized existing evidence on the use of technology in delivering music interventions for older adults to improve their health outcomes. A systematic search of CINAHL, PubMed, Web of Science, Embase, and IEEE Xplore identified 12 studies that met the inclusion criteria. The findings indicate that technology-based music interventions are both feasible and potentially effective in improving physical, psychological, and social well-being among older adults. However, several challenges such as poor internet connection were also identified, highlighting areas for improvement. This review also points to critical gaps in the literature and provides recommendations for future research.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103494"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562778","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 simulation-based learning on nurses' attitudes towards older adults, individualized care perceptions and nursing care quality indicators","authors":"Rabia Eren PhD, RN ,&nbsp;Merdiye Şendir PhD, RN","doi":"10.1016/j.gerinurse.2025.103483","DOIUrl":"10.1016/j.gerinurse.2025.103483","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to determine the effect of simulation-based learning on nurses' attitudes toward older adults, individualized care perceptions, and nursing care quality indicators.</div></div><div><h3>Method</h3><div>This study involved conducting a single-group pretest and posttest study on nurses. The nurses were followed up in the first (follow-up 1) and third months (follow-up 2) after the posttest. Fifty nurses participated in simulation-based learning as part of the Older Adults Program. Nurses' knowledge of older adults’ care, attitudes toward older adults, individualized care perceptions, and nursing care quality indicators were assessed.</div></div><div><h3>Results</h3><div>Nurses' positive attitudes toward older adults, individualized care perceptions, and care quality indicators were significantly higher in all follow-ups after simulation-based learning (<em>p</em> &lt; 0.05). There was no significant difference scores related to negative attitudes (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Simulation-based learning for the care of older adults positively increased nurses' attitudes toward older adults, individualized care perceptions, and nursing care quality indicators.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103483"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562777","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":"Factors influencing hospital services utilization among widowed older adults: Using anderson’s behavioral model","authors":"Yi-Qi Wangliu ,&nbsp;Zhe-Yuan Mai ,&nbsp;Xu-Hong Li","doi":"10.1016/j.gerinurse.2025.103518","DOIUrl":"10.1016/j.gerinurse.2025.103518","url":null,"abstract":"<div><h3>Objective</h3><div>This study sought to explore the utilization of hospital services by widowed older adults and the influential factors in the Chinese context.</div></div><div><h3>Methods</h3><div>The data utilized in this study was sourced from the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS 2020), which included 1986 widowed older adults. A Zero-inflated Poisson (ZIP) regression model was employed to examine the factors influencing the utilization of health services.</div></div><div><h3>Results</h3><div>The results showed that self-rated health, along with the number of chronic illnesses and depressive symptoms plays an important role in use of both inpatient and outpatient healthcare services. Furthermore, widowed older men and those who had experienced the loss of their spouse for a shorter period were more inclined to seek inpatient services.</div></div><div><h3>Conclusions</h3><div>The significant results provide insights for practitioners and policymakers to provide intervention to older adults with of spousal bereavement experience.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103518"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563240","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":"Institutional factors affecting patient safety culture and resident safety activities in long-term care facilities","authors":"Deulle Min","doi":"10.1016/j.gerinurse.2025.103520","DOIUrl":"10.1016/j.gerinurse.2025.103520","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the level of patient safety culture (PSC) and resident safety activities (RSAs) in long-term care facilities (LTCFs) and the institutional factors that influence these activities can help improve the quality of services provided to LTCF residents.</div></div><div><h3>Purpose</h3><div>This study aimed to identify the PSC and RSA levels in LTCFs and to explore the institutional factors that influence these activities.</div></div><div><h3>Methods</h3><div>In this descriptive cross-sectional study, convenience sampling was employed to select LCTFs and their staff. A two-level multilevel analysis was conducted to determine the effects of institutional factors.</div></div><div><h3>Results</h3><div>The study comprised 12 LTCFs and 265 staff members. The number of registered nurses (RNs) and care workers, along with the LTCF ownership model, were important factors in PSC and RSAs.</div></div><div><h3>Discussion</h3><div>The study findings can be used to inform policy makers concerning the provision of targeted policies to improve privately owned LTCFs and secure a stable supply of RNs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103520"},"PeriodicalIF":2.5,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563242","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}