Geriatric Nursing最新文献

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Maintaining daily living activities in older adults: The impact of a functional exercise program in long-term nursing homes. A single-group pre-post intervention 保持老年人的日常生活活动:长期疗养院功能锻炼计划的影响。单组前后干预
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-14 DOI: 10.1016/j.gerinurse.2024.09.003
{"title":"Maintaining daily living activities in older adults: The impact of a functional exercise program in long-term nursing homes. A single-group pre-post intervention","authors":"","doi":"10.1016/j.gerinurse.2024.09.003","DOIUrl":"10.1016/j.gerinurse.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the impact of a function-focused multicomponent exercise program on long-term nursing home (LTNH) residents’ ability to maintain activities of daily living (ADL), physical performance, cognitive function, quality of life, and frailty.</p></div><div><h3>Methods</h3><p>This multicenter single-group pre-post quasi-experimental study involved 148 participants from 16 LTNHs in Gipuzkoa, Spain. Participants underwent a twice-weekly, 6-month function-focused multicomponent exercise program and were assessed both before and after the intervention.</p></div><div><h3>Results</h3><p>Following the intervention, participants significantly maintained ADL ability, improved physical performance and quality of life, and reduced frailty (all p &lt; 0.05). Cognitive function showed a positive trend. Subgroup analysis showed consistent improvements across demographics and health variables.</p></div><div><h3>Conclusions</h3><p>The exercise program effectively maintained or improved ability to perform ADL, cognitive function, physical performance, and quality of life while reducing frailty in LTNH residents, irrespective of individual characteristics. This highlights the importance of exercise interventions to preserve overall function and wellbeing in this population.</p></div><div><h3>Trial registration</h3><p><span><span>NCT04221724</span><svg><path></path></svg></span></p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0197457224002891/pdfft?md5=8bbdae2625335253188b59b8cb5c1304&pid=1-s2.0-S0197457224002891-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232098","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
Preparedness for caregiving among informal caregivers of people with dementia: A scoping review 痴呆症患者非正规照护者的照护准备:范围界定审查
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-12 DOI: 10.1016/j.gerinurse.2024.08.031
{"title":"Preparedness for caregiving among informal caregivers of people with dementia: A scoping review","authors":"","doi":"10.1016/j.gerinurse.2024.08.031","DOIUrl":"10.1016/j.gerinurse.2024.08.031","url":null,"abstract":"<div><h3>Introduction</h3><p>Dementia is a global health concern, and informal caregivers often provide care for those affected. Caregiver preparedness is crucial for optimizing quality of life. However, knowledge about the determinants of caregiver preparedness is limited.</p></div><div><h3>Purpose</h3><p>The aim of this scoping review was to identify the factors associated with preparedness for caregiving among informal caregivers of people with dementia.</p></div><div><h3>Methodology</h3><p>The review adhered to the methods from the Joanna Briggs Institute. Studies exploring the preparedness of informal caregivers of people with dementia were included in this review. Data were extracted from studies found in five major databases: PubMed, PsycINFO, Scopus, CINAHL, and Embase.</p></div><div><h3>Results</h3><p>The final review included twenty-three studies. Self-efficacy and confidence, resilience and self-conduct, knowledge, education and training, mutuality, mental health, less caregiving conflict, and mindfulness were associated with caregiver preparedness.</p></div><div><h3>Conclusion</h3><p>This review identified a significant research gap in preparedness among caregivers of people with dementia. More research is essential to understand the factors associated with caregivers' preparedness. Recognizing these elements can inform tailored interventions, assisting informal caregivers in their caregiving transition and journey.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167854","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
Chinese version of the Death Anxiety Beliefs and Behaviours Scale: Psychometric properties based on CTT and IRT 死亡焦虑信念与行为量表中文版:基于 CTT 和 IRT 的心理计量特性
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-12 DOI: 10.1016/j.gerinurse.2024.09.005
{"title":"Chinese version of the Death Anxiety Beliefs and Behaviours Scale: Psychometric properties based on CTT and IRT","authors":"","doi":"10.1016/j.gerinurse.2024.09.005","DOIUrl":"10.1016/j.gerinurse.2024.09.005","url":null,"abstract":"<div><h3>Objectives</h3><p>The Death Anxiety Beliefs and Behaviour Scale (DABBS) is a unique tool designed to assess the detrimental beliefs and avoidant behaviors linked to death anxiety. This study aimed to adapt the DABBS into Chinese and verify its psychometric characteristics within a community-dwelling older adult population.</p></div><div><h3>Methods</h3><p>This study used a cross-sectional design and translated the DABBS into Chinese. The psychometric properties of 437 community-dwelling older persons were assessed using the Classical Test Theory (CTT) and Item Response Theory (IRT).</p></div><div><h3>Results</h3><p>The DABBS consisted of affect, beliefs, and behaviours, with 18 entries in 3 dimensions. The I-CVI of the DABBS ranged from 0.857 to 1.000, and the S-CVI was 0.968; Cronbach's alpha of 0.905. Rasch analysis results showed that the 3 dimensions of the scale possessed good unidimensionality, and the entries were well-fitted to the dimensions in which they were located; each entry Infit MNSQ and Outfit MNSQ were in the range of 0.50 to 1.50; the analysis of the functional differences of items in different characteristic subgroups (gender) showed that the absolute value of DIF Contrast was &lt;0.50. The results of the Wright map showed that the ability of the participants was normally distributed, and the difficulty of the scale's entries was adapted to the average ability level of older adults.</p></div><div><h3>Conclusions</h3><p>The present data indicate that the revised DABBS is a valid and reliable tool for assessing affect, beliefs, and behaviors associated with death anxiety in community-dwelling older individuals.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173625","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 advanced practice registered nurse gerontological specialist proficiency three, case study. 高级执业注册护士老年专科能力三,案例研究。
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-11 DOI: 10.1016/j.gerinurse.2024.08.047
Tamatha Arms, Sara McCumber, George Byron Peraza-Smith, Midge Bowers
{"title":"The advanced practice registered nurse gerontological specialist proficiency three, case study.","authors":"Tamatha Arms, Sara McCumber, George Byron Peraza-Smith, Midge Bowers","doi":"10.1016/j.gerinurse.2024.08.047","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.08.047","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301822","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
Attitudes and preferences about retention: A survey study of nursing home employees 对留用的态度和偏好:养老院员工调查研究
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-11 DOI: 10.1016/j.gerinurse.2024.08.044
{"title":"Attitudes and preferences about retention: A survey study of nursing home employees","authors":"","doi":"10.1016/j.gerinurse.2024.08.044","DOIUrl":"10.1016/j.gerinurse.2024.08.044","url":null,"abstract":"<div><h3>Objective</h3><p>There is an anticipated surge in demand for nursing home staff associated with the doubling of Americans aged 65 and older by 2060. Nursing homes face alarming turnover rates, exacerbated by the COVID-19 pandemic. This study explores the attitudes and preferences of nursing home staff toward non-monetary perks to better understand perks’ impact on employee retention.</p></div><div><h3>Methods</h3><p>This cross-sectional survey study, conducted in a 115-bed nursing home in Pittsburgh area, assessed employee preferences toward non-monetary workplace incentives. Descriptive statistics were used to analyze multiple choice questions and thematic analysis was used to assess open-ended questions.</p></div><div><h3>Results</h3><p>A total of 59 employees completed the survey. Participants indicated preferences for perks with monetary benefit, such as extra PTO for good work, gift cards, and classes. Thematic analysis revealed preferences for incentives such as equitable treatment.</p></div><div><h3>Discussion</h3><p>These preliminary findings offer insights on increasing nursing home employee retention using non-monetary incentives.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167221","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
Current situation and influencing fctors of oral frailty for community-dwelling older adults in the northeastern border areas of China: A cross-sectional study 中国东北边境地区社区老年人口腔虚弱的现状及影响因素:横断面研究
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-10 DOI: 10.1016/j.gerinurse.2024.08.029
{"title":"Current situation and influencing fctors of oral frailty for community-dwelling older adults in the northeastern border areas of China: A cross-sectional study","authors":"","doi":"10.1016/j.gerinurse.2024.08.029","DOIUrl":"10.1016/j.gerinurse.2024.08.029","url":null,"abstract":"<div><h3>Objectives</h3><p>Unique lifestyle and cultural factors in China may lead to distinct patterns of risk factors for oral frailty among older adults, especially in regions inhabited by northeastern border minority groups.</p></div><div><h3>Methods</h3><p>From July to November 2023, a convenience sampling method was employed to select older adults from three communities in Yanji City as the subjects. Data were collected by a set of questionnaires.</p></div><div><h3>Results</h3><p>A total of 478 older adults were included, revealing a prevalence rate of 71.6 % for oral frailty. Factors influencing were found to include age, ethnicity, gender, income, number of chronic diseases, body mass index, drinking, physical frailty, sleep disorders, and attitudes towards aging (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>There is a higher prevalence of oral frailty. It is crucial to prioritize the oral health issues of older adults with high-risk factors and implement targeted intervention measures to reduce and control the occurrence and progression of oral frailty.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0197457224002817/pdfft?md5=e698928e6d9ab348faf962fe78bbf43d&pid=1-s2.0-S0197457224002817-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161497","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
Shared decision-making in long-term care: A systematic review of assessment instruments 长期护理中的共同决策:评估工具的系统性审查
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-09 DOI: 10.1016/j.gerinurse.2024.08.020
{"title":"Shared decision-making in long-term care: A systematic review of assessment instruments","authors":"","doi":"10.1016/j.gerinurse.2024.08.020","DOIUrl":"10.1016/j.gerinurse.2024.08.020","url":null,"abstract":"<div><p>This systematic review explored the instruments used to measure Shared Decision Making (SDM) within long-term care (LTC) settings. Relevant publications from the period between January 2000 and October 2022 were searched across five databases. Thirty-six SDM assessment instruments were identified, which encompassed those measuring SDM for LTC recipients/family caregivers and/or healthcare providers. These instruments were either specifically tailored for LTC settings or more broadly applicable across healthcare contexts, including LTC. In terms of psychometric properties of the instruments, internal consistency reliability, content validity, structural validity, and hypothesis testing were commonly tested. The findings of this research can aid health researchers, managers, and scholars in choosing suitable instruments for assessing SDM in specific LTC scenarios, considering factors such as measurement scope, assessment methods, and instrument reliability. Additionally, these findings offer valuable insights for the future development of high-quality SDM assessment instruments in LTC field.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161633","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
Predicting mortality of elderly patients undergoing open heart surgery with delirium using sequential organ failure assessment (SOFA), multi-organ dysfunction (MODS), and logistic organ dysfunction system (LODS) scores 使用序贯器官功能衰竭评估(SOFA)、多器官功能障碍(MODS)和逻辑器官功能障碍系统(LODS)评分预测接受开胸手术并伴有谵妄的老年患者的死亡率
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-07 DOI: 10.1016/j.gerinurse.2024.08.023
{"title":"Predicting mortality of elderly patients undergoing open heart surgery with delirium using sequential organ failure assessment (SOFA), multi-organ dysfunction (MODS), and logistic organ dysfunction system (LODS) scores","authors":"","doi":"10.1016/j.gerinurse.2024.08.023","DOIUrl":"10.1016/j.gerinurse.2024.08.023","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to assess the predictive accuracy of SOFA, MODS, and LODS scores in determining the mortality of elderly undergoing open heart surgery with delirium.</p></div><div><h3>Methods</h3><p>A prospective study involved 111 elderly patients who met the inclusion criteria. Data were collected using scoring systems: SOFA, MODS, and LODS.</p></div><div><h3>Results</h3><p>Upon final follow-up, 86.5 % of the patients had recovered, 13.5 % had died. Sensitivity, specificity, negative, and positive predictive values for predicting mortality in elderly patients were calculated for the SOFA score as 99 %, 73 %, 98 %, and 76 %, respectively. For the MODS score, these values were 95 %, 60 %, 95 %, and 67 %; for the LODS score, they were 92 %, 73 %, 92 %, and 75 %, respectively. The overall accuracy of the three scores—SOFA, MODS, and LODS—was 84 %, 76 %, and 82 %, respectively.</p></div><div><h3>Conclusion</h3><p>The results indicated that the SOFA score exhibited the highest sensitivity and specificity in predicting mortality among elderly individuals</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151287","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
Sleep disturbances and intrinsic capacity trajectories among Chinese older adults: The Rugao Longevity and Ageing Study 中国老年人的睡眠障碍与内在能力轨迹:如皋长寿与老龄化研究
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-07 DOI: 10.1016/j.gerinurse.2024.08.043
{"title":"Sleep disturbances and intrinsic capacity trajectories among Chinese older adults: The Rugao Longevity and Ageing Study","authors":"","doi":"10.1016/j.gerinurse.2024.08.043","DOIUrl":"10.1016/j.gerinurse.2024.08.043","url":null,"abstract":"<div><p>Age related decline of intrinsic capacity (IC) is the core of the functional ability and risk factor of adverse outcomes such as disability, hospitalization, and mortality. However, the relationship between sleep disturbance and IC decline are largely unknown. We conducted a longitudinal study and used data of 1514 community elders from the aging arm of the Rugao Longevity and Ageing Study. We found that poor sleep quality is cross-sectional associated with an increased risk of lower IC. In longitudinal analysis, sleep disturbances were inversely associated with composite IC score changes after adjusting for confounders (PSQI&gt;5 vs. PSQI≤5: mean difference [-0.23], <em>P</em> = 0.0005), suggesting that poor sleep quality was associated with a decline in IC during the follow-up period. In conclusion, sleep disturbances were associated with worse IC changes. The results suggest that improving sleep health may help prevent IC decline and hence decreasing the burden of geriatric nursing practice.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151288","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 the eHealth literacy of older adults: A scoping review 提高老年人的电子健康素养:范围审查
IF 2.5 3区 医学
Geriatric Nursing Pub Date : 2024-09-07 DOI: 10.1016/j.gerinurse.2024.07.028
{"title":"Improving the eHealth literacy of older adults: A scoping review","authors":"","doi":"10.1016/j.gerinurse.2024.07.028","DOIUrl":"10.1016/j.gerinurse.2024.07.028","url":null,"abstract":"<div><p>The World Health Organization stresses eHealth literacy's importance for effective health management, particularly among older adults, whose eHealth literacy is globally low and unequal. This scoping review aims to identify strategies to enhance their eHealth literacy. A literature search was performed in eight electronic databases until February 20, 2024, found 1629 records, with 24 meeting inclusion criteria. Most studies (8 of 17, 47.1 %) employed health behavior and learning theories. Interventions materials commonly utilized existing or self-designed websites or applications, with some U.S. studies incorporating standardized training materials. Outcome measures included information, psychological motivation, and behavioral change. The eHealth literacy scale was frequently used to assess eHealth literacy. Coach education combined with classroom exercises proved effective, and online health education was pivotal during the COVID-19 pandemic. Future research should focus on enhancing study design, utilizing comprehensive but concise assessment tools, tailoring interventions to theoretical frameworks, and prioritizing privacy and security.</p></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142151285","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
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