Geriatric Nursing最新文献

{"title":"Advanced age, tobacco use, insufficient physical activity, and high sedentary behavior associated with lower limb muscle weakness in older adults: A cross-sectional study","authors":"Júlia Perfeito Andrade UG ,&nbsp;Maria Clara Alves de Oliveira UG ,&nbsp;Ana Carolina Souza Porto UG ,&nbsp;Gizelly Maria Torres Martins UG ,&nbsp;Nurielly Monteiro Campos UG ,&nbsp;Paulo da Fonseca Valença Neto MSc ,&nbsp;Claudio Bispo de Almeida PhD ,&nbsp;Saulo Sacramento Meira PhD ,&nbsp;Débora Jesus da Silva BS ,&nbsp;Cezar Augusto Casotti PhD ,&nbsp;Lucas dos Santos PhD","doi":"10.1016/j.gerinurse.2025.103508","DOIUrl":"10.1016/j.gerinurse.2025.103508","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the factors associated with lower limb (LL) muscle weakness in older adults residing in a small municipality in Northeastern Brazil. <em>Methods:</em> This population-based, cross-sectional epidemiological study included 194 older adults. Independent variables included socioeconomic, behavioral, and health-related factors. The outcome was defined by poor performance on the 30-second chair stand test. Poisson regression with robust variance was used to estimate Prevalence Ratios (PR) and corresponding 95 % Confidence Intervals (CI). <em>Results:</em> The prevalence of LL muscle weakness was 30.40 %. A higher probability of LL muscle weakness was observed among individuals of advanced age (PR: 1.05; 95 % CI: 1.021.07), those who reported smoking (PR: 2.31; 95 % CI: 1.23–4.42), were insufficiently active (PR: 1.98; 95 % CI: 1.13–3.46), or exhibited high sedentary behavior (PR: 1.72; 95 % CI: 1.08–2.72). <em>Conclusion:</em> Advanced age, insufficient physical activity, high sedentary behavior, and tobacco use were positively associated with LL muscle weakness in the study population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103508"},"PeriodicalIF":2.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723957","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":"Effects of neuromodulation interventions combined with robot-assisted gait training on lower extremity motor function in stroke patients: A network meta-analysis","authors":"Haiping Huang ,&nbsp;Beisi Zheng ,&nbsp;Xinyi Su ,&nbsp;Shishi Chen ,&nbsp;Jianer Chen","doi":"10.1016/j.gerinurse.2025.103535","DOIUrl":"10.1016/j.gerinurse.2025.103535","url":null,"abstract":"<div><h3>Background</h3><div>The combination of neuromodulation interventions with robot-assisted gait training (RAGT)</div><div>for enhancing lower limb motor function recovery in stroke patients remains contentious.</div></div><div><h3>Objective</h3><div>This study aims to investigate the effects of neuromodulation combined with RAGT on patients with lower limb motor dysfunction following a stroke and to analyze the optimal combined treatment strategies.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across PubMed, Web of Science, Cochrane Library, Embase, CNKI, VIP, Wanfang, and SinoMed databases. Two independent researchers performed literature screening, data extraction, and bias assessment. After data integration, the Cochrane risk of bias tool and PEDro scale were used to evaluate study quality. Data were analyzed using RevMan 5.4.1 and Stata 18.0 software, and the GRADE system was employed to assess evidence quality. Results are expressed as mean differences (MD) with 95 % confidence intervals (CI).</div></div><div><h3>Results</h3><div>Eleven studies involving 445 stroke patients were included. Meta-analysis indicated that neuromodulation (acupuncture, tDCS, rTMS) combined with RAGT significantly improved FMA-LE scores ,BBS scores ,and 6MWT distances compared to RAGT alone, with no significant difference in FAC scores .In the order of FMA-LE , FAC , and BBS ,SUCRA results show: rTMS+RAGT (98.6 %) &gt; acupuncture+RAGT (67.5 %) &gt; RAGT (23.0 %) &gt; DCS+RAGT (10.9 %); acupuncture+RAGT (89.1 %) &gt; rTMS+RAGT (72.0 %) &gt; tDCS+RAGT (34.3 %) &gt; RAGT (4.6 %); acupuncture+RAGT (83.4 %) &gt; rTMS+RAGT (83.2 %) &gt; RAGT (26.0 %) &gt; tDCS+RAGT (7.4 %).</div></div><div><h3>Conclusion</h3><div>Neuromodulation interventions (rTMS, tDCS, acupuncture) combined with RAGT can significantly enhance lower limb motor function in stroke patients. Acupuncture or rTMS combined with RAGT may represent the optimal strategy.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103535"},"PeriodicalIF":2.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722465","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 relationship between physical activity and subjective well-being among Chinese older adults: The mediating role of psychological resilience and the moderating role of gender","authors":"WeiHao Fu PhD student,&nbsp;Ming Wu PhD,&nbsp;ZhiHui Liu,&nbsp;Xin Li PhD","doi":"10.1016/j.gerinurse.2025.103539","DOIUrl":"10.1016/j.gerinurse.2025.103539","url":null,"abstract":"<div><div>This study investigated the mediating role of psychological resilience in the relationship between physical activity and subjective well-being among older adults, considering gender as a moderating factor. Results showed significant gender differences, with males reporting higher physical activity and resilience but lower subjective well-being than females (<em>p</em> &lt; 0.05). Physical activity and psychological resilience were positively correlated with subjective well-being (<em>p</em> &lt; 0.01). Psychological resilience mediated the relationship between physical activity and subjective well-being, comprising 48.41 % of the total effect. Gender moderated the effect of physical activity on psychological resilience, with a stronger impact in females. These findings suggest that physical activity enhances subjective well-being in older adults directly and indirectly through psychological resilience.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103539"},"PeriodicalIF":2.5,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710973","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 phenomenon of bedriddenness in older adults in hospitals: A scoping review of current research and nursing implications","authors":"Bianca Berger MScN ,&nbsp;Fabian Graeb PhD ,&nbsp;Manfred Baumann PhD ,&nbsp;Reinhold Wolke PhD","doi":"10.1016/j.gerinurse.2025.103534","DOIUrl":"10.1016/j.gerinurse.2025.103534","url":null,"abstract":"<div><div>Due to demographic changes, the increasing number of bedridden individuals presents challenges for hospitals in developing care concepts. This scoping review examines research on bedriddenness among older adults in hospitals, focusing on the process and prevention of bedriddenness, its consequences, the organisation of life in bed, and implications for nursing. A systematic search across four databases (MEDLINE, CINAHL, LIVIO, Scopus) for studies published 2003–2023 includes 55 articles.</div><div>Most studies address the adverse effects of bedriddenness and their treatment, while fewer studies focus on prevention and care of bedridden patients, underlining the need for care strategies. The review emphasizes the importance of preventing and delaying mobility impairments. This can be achieved by promoting awareness among caregivers and patients of the consequences of even brief immobility and encouraging mobilisation during hospitalisation. Additionally, developing multimodal-exercise programmes to improve independent performance in daily living skills and promoting participation of bedridden people are essential.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103534"},"PeriodicalIF":2.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704004","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":"Development and validation of the malnutrition risk perception scale for community-dwelling older adults","authors":"Lanzhi Wei PhD.,&nbsp;Mei-Chan Chong PhD.,&nbsp;Nadeeka Shayamalie Gunarathne PhD.","doi":"10.1016/j.gerinurse.2025.103541","DOIUrl":"10.1016/j.gerinurse.2025.103541","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and validate a malnutrition risk perception scale specifically tailored for community-dwelling older adults.</div></div><div><h3>Methods</h3><div>The initial item pool was developed through literature review, qualitative research, and team discussions. A pilot scale was refined via a Delphi consultation and preliminary survey. Data were collected in two phases using convenience sampling from community-dwelling older adults in China. In Phase 1 (<em>n</em> = 599), item response theory, classical test theory, and exploratory factor analysis were used for scale development. In Phase 2 (<em>n</em> = 507), confirmatory factor analysis and reliability and validity assessments were conducted.</div></div><div><h3>Results</h3><div>The finalized scale included four dimensions and 35 items with appropriate difficulty, strong discrimination, and good characteristic curves. The overall Cronbach’s alpha coefficient of the scale was 0.979, indicating high reliability. Exploratory factor analysis explained 71.949 % of variance, and confirmatory factor analysis confirmed good model fit.</div></div><div><h3>Conclusion</h3><div>The scale demonstrates strong psychometric properties and is suitable for assessing malnutrition risk perception in community-dwelling older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103541"},"PeriodicalIF":2.5,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704003","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":"Sustaining and Growing Our Scientific Impact in Turbulent Times.","authors":"Heather M Young, Sarah H Kagan, Donna M Fick, Deb Bakerjian","doi":"10.1016/j.gerinurse.2025.103531","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.103531","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103531"},"PeriodicalIF":2.5,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719222","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 mediating effects of resilience and the symptoms of depression and anxiety on social frailty and quality of life in older heart failure patients","authors":"Junting Huang ,&nbsp;Fiona Timmins ,&nbsp;Xiaobo Liu ,&nbsp;Duolao Wang ,&nbsp;Xiaorong Luan ,&nbsp;Wanxiao Yao ,&nbsp;Shaobo Hu","doi":"10.1016/j.gerinurse.2025.103532","DOIUrl":"10.1016/j.gerinurse.2025.103532","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the relationship between social frailty (SF) and quality of life (QoL) in older heart failure individuals and to verify the mediating effect of resilience and the symptoms of depression and anxiety (DA) on this relationship.</div></div><div><h3>Methods</h3><div>A cross-sectional study was implemented to collect data from 443 old HF patients from three tertiary hospitals based on convenient sampling. The measurement tools included a general information questionnaire, the Social Frailty Scale, the 10-item Connor-Davidson Resilience Scale, the Hospital Anxiety and Depression Scale, and the Minnesota Living with Heart Failure Questionnaire. The SPSS PROCESS Marco Plug-in was used to conduct mediation analysis.</div></div><div><h3>Results</h3><div>The regression analysis showed that place of residence, the number of hospitalizations, and New York Heart Association (NYHA) classes were influencing factors of the QoL in older HF patients. The mediation analysis indicated that resilience and the symptoms of DA mediated the relationship between SF and QoL in older HF individuals, with mediating effect sizes of 45.95 % and 64.94 %, respectively.</div></div><div><h3>Conclusion</h3><div>SF was significantly associated with QoL in older HF patients, and resilience and the symptoms of DA mediated the relationship. Interventions paying attention to reducing SF and the symptoms of DA or enhancing resilience are beneficial for improving the QoL in older HF individuals.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103532"},"PeriodicalIF":2.5,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694542","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":"Navigating hospital to home transitions: A qualitative study exploring older adult and informal caregiver experiences, challenges and opportunities","authors":"Opeyemi Rashidat Kolade MPH ,&nbsp;Joshua Porat-Dahlerbruch Ph.D. ,&nbsp;Theo van Achterberg Ph.D. ,&nbsp;Moriah Esther Ellen Ph.D.","doi":"10.1016/j.gerinurse.2025.103538","DOIUrl":"10.1016/j.gerinurse.2025.103538","url":null,"abstract":"<div><div>The transition from the structured environment of the hospital to the more independent home setting presents various challenges and opportunities that significantly impact the post-discharge journey. This qualitative descriptive study, conducted within the European TRANS-SENIOR consortium, explores the experiences of older adults and informal caregivers in Israel during hospital-to-home care transitions while identifying challenges and opportunities for optimizing care transitions. One-to-one interviews were conducted with seven older adults and nine informal caregivers who experienced hospital-to-home transitions within the past 12 months. Thematic analysis showed negative and positive experiences; challenges included fragmented healthcare management and a lack of person-centered care; opportunities for improvement in the care transition system included promoting individual autonomy, involvement in decision-making, and enhancing collaboration between hospitals and communities. Our findings can support research and clinical efforts and encourage policymakers to explore new ways of improving hospital-to-home transition experiences, leading to better patient outcomes and experiences.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103538"},"PeriodicalIF":2.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670514","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":"Characteristics of early-onset depression in first-episode stroke patients: A latent profile analysis","authors":"Xiao-Xu Han,&nbsp;Yu-Ping Zhang,&nbsp;Jing-Fen Jin,&nbsp;Mei-Qi Yao","doi":"10.1016/j.gerinurse.2025.103533","DOIUrl":"10.1016/j.gerinurse.2025.103533","url":null,"abstract":"<div><h3>Background</h3><div>Early-onset post-stroke depression (PSD)—symptoms arising within two weeks of stroke—is a frequent but under-characterised complication that worsens functional recovery.</div></div><div><h3>Purpose</h3><div>To identify latent symptom profiles of early-onset PSD in first-ever stroke survivors and to determine demographic, clinical and social-support factors associated with membership in more severe profiles.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 276 adults hospitalised for first-episode stroke (January–December 2021) completed the Self-Rating Depression Scale 14 ± 2 days post-stroke. Item-level responses were analysed with latent profile analysis. Social support (Social Support Rating Scale) and patient characteristics were compared across classes; predictors of profile membership were examined with multinomial logistic regression.</div></div><div><h3>Results</h3><div>A threeclass model showed optimal fit (entropy = 0.94): (1) mild depression–weak somatization (48.6 %); (2) moderate depression–moderate somatization (35.6 %); (3) severe depression–strong somatization (15.9 %). Compared with class 1, odds of belonging to classes 2–3 were higher in unmarried patients (OR = 3.7, 95 % <em>CI</em> 1.6–8.5), those lethargic at admission (OR = 22.2, 95 % CI 7.0–70.3), and those with affected-limb muscle strength ≤ grade 2 (OR = 7.4, 95 % CI 2.6–21.0; all <em>p</em> &lt; 0.01). Perceived social-support scores declined step-wise across classes (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Early-onset PSD is heterogeneous, clustering into three distinct symptom profiles that align with decrements in social support. Absence of a spouse, reduced alertness and profound limb weakness markedly increase the likelihood of moderate-to-severe profiles. Routine mood screening combined with muscle-strength and social-support assessments can help nurses triage high-risk patients for targeted psycho-social interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103533"},"PeriodicalIF":2.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670513","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":"Caregivers' support among India’s elderly: Findings from the longitudinal ageing study in India","authors":"Atul Kumar Pandey ,&nbsp;Alok Ranjan ,&nbsp;Isha Sharma","doi":"10.1016/j.gerinurse.2025.103529","DOIUrl":"10.1016/j.gerinurse.2025.103529","url":null,"abstract":"<div><h3>Objectives</h3><div>The ageing phenomenon is accompanied by several challenges, among which decreased mobility and increased dependency remain prominent. This makes both caregiving and caregivers a crucial factor in ensuring the elderly population has a healthy and dignified life. This study emphasises the necessity of caregivers and the amount of time they dedicate to providing care for the elderly (60 years and above) in India.</div></div><div><h3>Method</h3><div>This research used the national representative data, Longitudinal Ageing Study of India (LASI) Wave 1, 2017–18. The research encompasses the 31,336 elderly population from the LASI wave 1. Bivariate analysis and the logit regression method have been applied to analyse the caregiver support, number of caregivers, and caring time for the elderly with mobility restrictions in India.</div></div><div><h3>Results</h3><div>The total sample size for the study was 31,336 elderly. Out of the total sample, 14,945 (52.04 %) indicated dependence in at least one Basic Activity of Daily Living (BADL) or Instrumental Activity of Daily Living (IADL). Among the aged population who indicated dependence in at least one BADL or IADL, 24.8 % reported receiving support from caregivers. The caregivers' support was determined for elderly people, regardless of their level of dependence on BADL or IADL. The overall caregiver support among India’s elderly population was 12.9 %. Logistic regression analyses show that the odds of caregiver support among the elderly population who reported dependence for at least one BADL or IADL is higher among those aged 75 years and above [OR: 2.17, 95 % CI: 1.99–2.36, <em>p</em> &lt; 0.001].</div></div><div><h3>Conclusions</h3><div>This study examines the assistance provided by caregivers to the elderly in India who expressed dependence on BADL and IADL. As individuals become older, they experience a decrease in functional capacity and a higher dependence on others for BADL and IADL, necessitating further support and care. The results of this study underscore substantial deficiencies in addressing the requirements of caregivers for the ageing population in Indian society.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"65 ","pages":"Article 103529"},"PeriodicalIF":2.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670512","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}