Geriatric Nursing最新文献

{"title":"Utilizing fall tailoring interventions for patient safety (TIPS) toolkit in fall prevention: Scoping review","authors":"Liany Kimberly ,&nbsp;Azizah Khoiriyati","doi":"10.1016/j.gerinurse.2025.03.049","DOIUrl":"10.1016/j.gerinurse.2025.03.049","url":null,"abstract":"<div><div>Adult falls constitute a serious and preventable health risk. A recent approach that assists nurses in involving patients and their families in fall prevention is the Fall Tailoring Interventions for Patient Safety (TIPS) toolkit. This scoping review aims to map existing research on this topic, identify gaps, and explore the tool kit's impact. Four databases were used for the research: Pubmed, Proquest, Science Direct, and Google Scholar. Two reviewers evaluated study eligibility and criteria, identifying nine papers with three themes: Fall TIPS toolkit impact, effectiveness, and barriers. The study highlights the effectiveness of the Fall TIPS toolkit in fall prevention strategies, emphasizing the need for further research to enhance its accessibility and effectiveness.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 457-463"},"PeriodicalIF":2.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850134","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":"Construction and clinical application of a staging assessment index scheme for home hospice care","authors":"Linan Zuo ,&nbsp;Ying Ding ,&nbsp;Sujuan Liu ,&nbsp;Jian Fan ,&nbsp;Zhiyan Yu","doi":"10.1016/j.gerinurse.2025.03.021","DOIUrl":"10.1016/j.gerinurse.2025.03.021","url":null,"abstract":"<div><div>This study aimed to develop a comprehensive staging assessment framework for home hospice care in China and establishing evidence-based workflow standards. Through systematic literature review, Delphi technique, and Analytic Hierarchy Process, we identified staging parameters for four terminal disease categories. A detailed stage-specific care protocol was developed and rigorously clinically validated. Two-round expert consultation demonstrated high response rates (95.2 % and 100 %) with authoritative coefficients of 0.928 (SD=0.02) and 0.930 (SD=0.03). Kendall's coefficient of concordance for the primary and secondary indicators were 0.557 and 0.191 -0.288, respectively. The final staging assessment index scheme comprises 4 primary indicators and 31 secondary indicators, thereby establishing robust standards for assessment and nursing care plans. Utilizing Delphi method in constructing the staging assessment index scheme for home hospice care underscores its methodological rigor, reliability, and scientific robustness. Clinical validation has confirmed that the targeted care plan based on the care protocol derived can help rationally and effectively plan the frequency of visits and care preparation at different stages. This approach not only ensures the provision of psychological support and humanistic care but also enables the implementation of targeted nursing interventions. Consequently, it significantly improved the rationality and efficiency of work arrangement, as well as the satisfaction of patients and their families.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 450-456"},"PeriodicalIF":2.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847906","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":"Central symptoms of depression and their associations with health-related quality of life among migrant older with children: A network analysis","authors":"Xinuo Yao MSc ,&nbsp;Yuhan Yang MSc ,&nbsp;Danyan Lu MSc ,&nbsp;Shengguang Chen MSc ,&nbsp;Tongtong Liu MSc ,&nbsp;Lingxia Qi MSc ,&nbsp;Siyi Shang MSc ,&nbsp;Yingting Gan MSc ,&nbsp;Yu Wang MSc ,&nbsp;Xuemei Bao MSc ,&nbsp;Xiaoyu Chen MSc ,&nbsp;Qinghua Zhang PhD","doi":"10.1016/j.gerinurse.2025.03.039","DOIUrl":"10.1016/j.gerinurse.2025.03.039","url":null,"abstract":"<div><h3>Background</h3><div>Depression has emerged as a significant concern in migrant older with children (MOC).</div></div><div><h3>Objective</h3><div>This study aimed to identify the central symptoms of depression among MOC and explore the relationship between depressive symptoms and health-related quality of life (HRQOL).</div></div><div><h3>Methods</h3><div>A total of 3016 MOC were included in this study. Depressive symptoms were measured using the Geriatric Depression Scale-15. HRQOL was assessed using the Short Form 12 Health Survey. Network analyses were performed using the bootnet R-package to identify central symptoms of depression.</div></div><div><h3>Results</h3><div>“Unhappy,” “Bored,” “Worthless,” and “Lack of Energy” were central symptoms of depression in this study. We also found “Lack of Energy,” “Afraid” and “Unhappy” were most negatively associated with HRQOL among the MOC.</div></div><div><h3>Conclusions</h3><div>In the future, it will be necessary to develop interdisciplinary cross-departmental collaborations to formulate mental care programs tailored to the MOC to relieve depressive symptoms.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 415-421"},"PeriodicalIF":2.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847934","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":"Association between physical activity and sleep in community-dwelling older adults and the mediation of pain","authors":"Sofia Liu MSN ,&nbsp;Mengchi Li PhD ,&nbsp;Qiwei Li PhD ,&nbsp;Russell Calderon BA ,&nbsp;Nada Lukkahatai PhD ,&nbsp;Junxin Li PhD","doi":"10.1016/j.gerinurse.2025.03.051","DOIUrl":"10.1016/j.gerinurse.2025.03.051","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the associations between physical activity (PA) and sleep in sedentary community-dwelling older adults with poor sleep quality, and to explore the mediating roles of pain intensity, interference, and behavior.</div></div><div><h3>Design</h3><div>Data from 122 participants (mean age = 70.45±6.18 years) were analyzed using multiple linear regression and structural equation modeling. PA and sleep were measured objectively using ActiGraph Link and Actiwatch 2, and subjectively with the Physical Activity Scale for the Elderly and the Pittsburgh Sleep Quality Index. Pain was measured using the Patient-Reported Outcomes Measurement Information System® pain instruments.<span><span>¹</span></span></div></div><div><h3>Results</h3><div>Higher PA levels were associated with better sleep quantity and quality. Pain measures significantly mediated these relationships, with pain interference showing the most substantial effect.</div></div><div><h3>Conclusion</h3><div>The study suggests incorporating pain management strategies into PA programs may optimize sleep health in older adults. Future longitudinal studies are needed to confirm the associations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 434-441"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845040","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 pathway analysis of the role of factors influencing oral frailty in community-dwelling older adults: structural equation modeling","authors":"Kaili Lv Postgraduate Student ,&nbsp;Ping Yu Master's Degree ,&nbsp;Yan Xue Postgraduate Student ,&nbsp;Jianhua Su Doctor's Degree ,&nbsp;Yujiao Ren Bachelor's Degree ,&nbsp;Jie Tang Postgraduate Student","doi":"10.1016/j.gerinurse.2025.03.036","DOIUrl":"10.1016/j.gerinurse.2025.03.036","url":null,"abstract":"<div><div>The aim of this study was to construct a structural equation model to explore the pathways of oral health knowledge, beliefs, and behaviors on oral frailty. This study collected data from February 01 to May 31, 2024, using the general information questionnaire, oral health knowledge, belief and behavior scale, revised oral assessment guide, and oral frailty index-8 scale. The results of the study reveal that the prevalence of oral frailty was 59%, oral frailty was negatively associated with oral health knowledge, beliefs, and behaviors, and positively associated with the number of teeth lost and oral health status score. Oral health knowledge and beliefs can influence oral frailty through oral health behaviors, as well as the number of teeth lost and oral health status and thus oral frailty through oral health behaviors. Together, the variables explained 74% of the total variance in oral frailty. Oral health behavior is a key factor in the pathway of this study, and improving oral health knowledge and beliefs in older adults can help change their oral health behaviors and reduce the risk of oral frailty.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 428-433"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845041","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":"Effectiveness of an endurance exercise programme preceded by ischaemic preconditioning in older people","authors":"Elena Muñoz-Gómez PhD ,&nbsp;Sara Mollà-Casanova ,&nbsp;Núria Sempere-Rubio PhD ,&nbsp;Pilar Serra-Añó PhD ,&nbsp;Marta Aguilar-Rodríguez PhD ,&nbsp;Noemí Moreno-Segura PhD ,&nbsp;Iván Chulvi-Medrano PhD ,&nbsp;Marta Inglés PhD","doi":"10.1016/j.gerinurse.2025.03.043","DOIUrl":"10.1016/j.gerinurse.2025.03.043","url":null,"abstract":"<div><h3>Aim</h3><div>The objective of the present study was to determine the effectiveness of an endurance exercise programme preceded by ischaemic preconditioning (IPC) for improving functional capacity and quality of life in sedentary older adults.</div></div><div><h3>Methods</h3><div>A randomised controlled trial was carried out on 31 sedentary older adults. The subjects were allocated to IPC group (<em>n</em> = 15) that performed a six-week programme based on IPC prior to walking, or sham IPC group (<em>n</em> = 16). Measurements of functionality, quality of life and patients’ improvement perception were assessed before (T0) and after (T1) the intervention.</div></div><div><h3>Results</h3><div>IPC group significantly improved endurance performance, general physical condition, tibialis anterior strength, health-related quality of life and perceived improvement compared to the sham IPC group. No significant changes in self-perceived exertion, heart rate or oxygen saturation in either of the two groups.</div></div><div><h3>Conclusions</h3><div>The implementation of an endurance exercise programme preceded by IPC improved functional capacity and quality of life in sedentary older adults.</div><div>Clinical Trials gov identifier (NCT05144815).</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 442-449"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847935","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":"Reliability of the Wolf Motor Function Test for Parkinson's disease","authors":"Vera Lúcia Santos de Britto PhD ,&nbsp;Tatiana Vasconcelos da Silva SPT ,&nbsp;Cynthia do Carmo Gomes de Andrade SPT ,&nbsp;Larissa de Freitas Domingos SPT ,&nbsp;Renan Vicente da Silva SPT ,&nbsp;Ana Elisa Lemos Silva MSc ,&nbsp;Luiz Felipe Vasconcellos PhD ,&nbsp;Ana Paula Fontana PhD ,&nbsp;Clynton Lourenço Correa PhD","doi":"10.1016/j.gerinurse.2025.03.056","DOIUrl":"10.1016/j.gerinurse.2025.03.056","url":null,"abstract":"<div><h3>Background</h3><div>Assessment of upper limbs in Parkinson's disease (PD) is mandatory to be considered in clinical practice and research. However, few clinical assessments for upper limbs in PD are available. The objective was to evaluate some measurement properties of the Wolf Motor Function Test (WMFT) in individuals with PD.</div></div><div><h3>Methods</h3><div>Cross-sectional. Intrarater, interrater and test-retest reliabilities were established by analyzing the results from video assessments of the WMFT in patients with PD (<em>n</em> = 50).</div></div><div><h3>Results and discussion</h3><div>Excellent intrarater reliability for execution time (intraclass correlation coefficient - ICC&gt; 0.75) and substantial intrarater reliability (weighted Kappa - <em>K</em> = 0.61-0.80) for Functional Ability Scale (FAS) for most WMFT tasks were observed. Test-retest was moderate for execution time (ICC ≤ 0.75). Both tasks 7 and 14 had excellent test-retest reliability (ICC = 0.99). The interrater reliability was considerable for performance, for most WMFT tasks, for FAS (<em>K</em> = 0.21-0.40).</div></div><div><h3>Conclusions</h3><div>WMFT showed intrarater and interrater reliabilities to assess the UL in patients with PD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 422-427"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845104","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":"Laughing in the face of death: The association among humor styles, religious fatalism, and thanatophobia in hospitalized geriatric patients","authors":"Mona Metwally El-Sayed PhD ,&nbsp;Mahmoud Abdelwahab Khedr PhD ,&nbsp;Eman Mahmoud Mohammed Shoukr PhD ,&nbsp;Asmaa Mahmoud Ali lbrahim PhD ,&nbsp;Eman Abdeen Ali PhD ,&nbsp;Heba Abdel-Hamid Hammad PhD ,&nbsp;Manal Mohammed Hawash PhD","doi":"10.1016/j.gerinurse.2025.03.053","DOIUrl":"10.1016/j.gerinurse.2025.03.053","url":null,"abstract":"<div><h3>Background</h3><div>Aging often accompanies various cognitive, physical, and psychological changes, including confronting mortality. As individuals approach the end of their lives, they may experience death anxiety or thanatophobia, an intense fear of dying. This fear of death can have a significant impact on the psychological well-being of older adults. This study investigated the relationship among humor styles, religious fatalism, and thanatophobia in hospitalized geriatric patients.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted on 270 older adults using non-probability convenience sampling. Four tools were employed to collect the data: the Sociodemographic and Clinical Data Sheet, the Arabic Scale of Death Anxiety, the Religious Health Fatalism Questionnaire, and the Humor Styles Questionnaire.</div></div><div><h3>Results</h3><div>The study found a relatively high level of death anxiety among hospitalized geriatric patients, with a mean death anxiety score of 75.23 (8.86). The participants’ dominant humor styles were self-enhancing (mean = 33.53, SD = 5.11) and affiliative (mean = 27.50, SD = 4.85). Correlation analysis showed significant negative relationships between sense of humor styles and death anxiety (r = -0.553, p &lt; 0.001). This included self-enhancing humor, which helps cope with adversity; affiliative humor, which builds social bonds; aggressive humor, which belittles others; and self-defeating humor, which seeks approval at the cost of self-esteem. Conversely, religious health fatalism and its subscales positively correlated with death anxiety (r = 0.45, p &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>The findings showed that religious health fatalism—beliefs in divine providence, predetermined fate, and helplessness—predicts increased death anxiety. In contrast, self-enhancing, affiliative, aggressive, and self-defeating humor styles are negatively linked to thanatophobia, suggesting they may serve as psychological buffers. These humor styles could aid coping by reducing death anxiety. The study also found a negative correlation between religious health fatalism and humor, indicating that deeply held beliefs in divine control might limit humor's use as a coping mechanism. These results highlight the potential of humor-based interventions to alleviate death anxiety in geriatric patients while considering the complex role of religious fatalism in coping strategies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 407-414"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845103","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":"Self-reported quality of life of older adults receiving home care: The feasibility and reliability of new items","authors":"Sameh Eltaybani ,&nbsp;Chia-Chien Li ,&nbsp;Chie Fukui ,&nbsp;Ayumi Igarashi ,&nbsp;Mariko Sakka ,&nbsp;Maiko Noguchi-Watanabe ,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1016/j.gerinurse.2025.03.058","DOIUrl":"10.1016/j.gerinurse.2025.03.058","url":null,"abstract":"<div><div>Proxy rated quality of life (QoL) might mislead the interpretation of QoL of older people. This cross-sectional survey evaluated the reliability and feasibility of using newly developed self-reported QoL items for older adults (≥75 years) receiving home care services. Of the distributed questionnaires, 60.34 % (875/1450) were returned with valid responses in at least one of the QoL items. The largest number of missing data was five cases per question, and the intraclass correlation ranged from 0.47 to 0.77. Furthermore, 66.0 % of those aged 85–94 years, 76.4 % of those with heart failure, and 50 % of those with a terminal medical condition responded to the QoL items. The newly developed items capture the essential aspects of older people's lives and were found to be reliable and feasible for use by older people, including those with terminal conditions, dementia, and a high degree of dependency.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 388-394"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845102","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 effects of methyl nutrients on cognition and one carbon metabolism in older adults with mild cognitive impairment, A systematic review and meta-analysis","authors":"Yan Zhao ,&nbsp;Yingling Ge ,&nbsp;Zixuan Zhang ,&nbsp;Chang Tan ,&nbsp;Yingjing Lu ,&nbsp;Xiaojing Guo ,&nbsp;Yajie Tian ,&nbsp;Xiaobei Feng ,&nbsp;Yulin Wu ,&nbsp;Sha Li ,&nbsp;Huixian Cui","doi":"10.1016/j.gerinurse.2025.03.038","DOIUrl":"10.1016/j.gerinurse.2025.03.038","url":null,"abstract":"<div><h3>Background</h3><div>Methyl nutrients can influence the one-carbon metabolic cycle and are important for cognitive function in older adults. We aimed to evaluate the effects of methyl nutrient supplementation, including the combination of folate and vitamin B12, and folate or vitamin B12 alone, on cognitive function and one-carbon metabolism in older adults with mild cognitive impairment.</div></div><div><h3>Methods</h3><div>Data were retrieved and collected from six electronic databases. Two authors independently appraised the methodological quality of included studies. Network meta-analysis was performed using the Bayesian method, R software.</div></div><div><h3>Results</h3><div>The combined intervention of folate and vitamin B12 is an effective type of nutrient intervention to slow cognitive decline in the elderly with MCI, reduce serum homocysteine concentration, and elevate serum folate and vitamin B12 concentrations.</div></div><div><h3>Conclusion</h3><div>Combining vitamin B12 plus folate supplementation is the best option for improving cognitive function in older adults with MCI.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 395-406"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845105","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}