Geriatric Nursing最新文献

{"title":"The current status and influencing factors of oral frailty in elderly populations: A scoping review","authors":"Chenli Liang ,&nbsp;Yuxin Wang ,&nbsp;Qi Jiang ,&nbsp;Jiani Luo ,&nbsp;Jiaqi Shi ,&nbsp;Zhenyu Quan ,&nbsp;Shanyu Wu","doi":"10.1016/j.gerinurse.2025.03.003","DOIUrl":"10.1016/j.gerinurse.2025.03.003","url":null,"abstract":"<div><h3>Aim</h3><div>In order to serve as a reference for future studies on oral frailty interventions, this scoping review aims to provide an analysis of the factors influencing oral frailty in elderly group.</div></div><div><h3>Design</h3><div>A scoping review based on the principles of participants, concept and context (PCC) and a theoretical framework of the Health Ecology Model (HEM).</div></div><div><h3>Review methods</h3><div>Based on the principle of PCC<strong>,</strong> this study reviews the prevalence and influencing factors of oral frailty.</div></div><div><h3>Data sources</h3><div>A systematic search was conducted across eight Chinese and English databases with time ranged from their foundation to March 10, 2024, using a combination of subject terms and free words. For the English database Web of Science, the search formula was: #1: TI = (aged OR elder OR elderly people), #2: TI = (Oral frail* OR Oral frailty OR oral weakness), #3: #1 AND #2. And manual searches were conducted using literature tracing methods for retrospective queries.</div></div><div><h3>Results</h3><div>A total of 25 papers were included, reporting a prevalence of oral frailty ranging from 9.5% to 59.2%. These papers identified 34 influencing factors categorized into four levels: individual characteristics level (such as age, gender, number of teeth, number of dentures, masticatory ability, swallowing ability, oral health, tongue pressure, dry mouth, periodontitis, medications, cognitive ability, physical frailty, nutrition, type of chronic diseases, cardiovascular disease, diabetes, cancer history, hemoglobin, albumin, BMI, Cystatin C), psycho-behavioral and lifestyle level (including depression, sleep quality, dietary habits, physical activity, smoking, alcohol, and oral health-related self-efficacy), interpersonal network level (social support, social isolation), and work and living level (income status, educational level, and type of residence).</div></div><div><h3>Conclusions</h3><div>The high prevalence of oral frailty in the elderly group worldwide is influenced by 34 factors, highlighting the importance of considering the synergistic effects of multiple influences. Meanwhile, the OFI-6 and OFI-8 are commonly used assessment tools for oral frailty research in the elderly, and each plays an important role. OFI-8 is a self-reported and subjective assessment scale that does not require specialized oral examination tool compared to OFI-6. As a result, it is better suited for rapid screening in community and outpatient settings than the OFI-6.</div></div><div><h3>Impact</h3><div>Generalizing the influencing factors of oral frailty facilitates a deeper understanding of its pathogenesis, enables the identification of high-risk groups, and provides a theoretical foundation for developing interventions aimed at preventing and mitigating oral frailty among the elderly.</div></div><div><h3>Patient or public contribution</h3><div>Not applicable.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 61-68"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724319","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":"Group reminiscence therapy interventions in non-clinical older adults: A systematic review","authors":"Ali Eryılmaz PhD ,&nbsp;Emre Yıldırım MA ,&nbsp;Hacer Yıldırım Kurtulus PhD ,&nbsp;Murat Yıldırım PhD","doi":"10.1016/j.gerinurse.2025.03.004","DOIUrl":"10.1016/j.gerinurse.2025.03.004","url":null,"abstract":"<div><div>Reminiscence therapy has gained significant attention in the last decade, supporte1d by increasing evidence of its efficacy in enhancing psychosocial functioning in different populations. However, questions remain regarding this therapy, particularly about the feasibility of developing successful therapeutic interventions for non-clinical older adults. This systematic review aimed to provide evidence on the intervention contents of experimental studies using group reminiscence therapy in elderly individuals. A descriptive systematic review design was applied using the Web of Science database. Out of the 127 studies reviewed, only 26 examined reminiscence therapy interventions with non-clinical older adults. These studies revealed evidence regarding the positive impacts of reminiscence therapy on mental health and well-being outcomes, including depression, anxiety, stress, life satisfaction, happiness, and general health. Overall, the existing literature on the efficacy of reminiscence therapy in older adults is limited and much more research is required to understand the therapeutic interventions in this population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 35-44"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706277","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":"Validation of the brief scale on ageism in university students (BSAUS)","authors":"Esther Bahillo-Ruiz ,&nbsp;Fernando Urcola-Pardo ,&nbsp;Marta Llorente-Alonso ,&nbsp;Carlos Navas-Ferrer ,&nbsp;Fátima María Laborda-Higes ,&nbsp;Isabel Blázquez-Ornat ,&nbsp;Lourdes Jiménez-Navascués","doi":"10.1016/j.gerinurse.2025.03.002","DOIUrl":"10.1016/j.gerinurse.2025.03.002","url":null,"abstract":"<div><div>This study validates the Brief Scale on Ageism in University Students (BSAUS) to support educational objectives for reducing negative biases towards older adults. Using a quantitative methodology with inferential analysis and second-generation techniques, the study verified the factorial structure and psychometric properties of the BSAUS. Cross-sectional surveys were conducted with 1,347 students from the Universities of Valladolid, Lleida, and Zaragoza between 2018/19 and 2022/23. Confirmatory factor analysis revealed Cronbach's alpha values of 0.76 and 0.74 for the Ageism construct, while Wellbeing, Behavioural, and Personality dimensions scored 0.70–0.66, 0.55, and 0.58–0.60, respectively. Composite reliability exceeded the 0.7 criterion across measures. The BSAUS, comprising three dimensions, is validated as a reliable tool for assessing discrimination, prejudices, and stereotypes towards older adults in university contexts. This scale has potential for ageism reduction initiatives and can inform strategies to prevent discriminatory behaviour towards older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 26-34"},"PeriodicalIF":2.5,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686134","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}

{"title":"Stroke survivors’ patient activation and self-management: The serial mediating role of social support and resilience","authors":"Ning Jiang ,&nbsp;Ling Feng ,&nbsp;Na Song ,&nbsp;Yansheng Ye ,&nbsp;Baojian Wei ,&nbsp;Tian Tian ,&nbsp;Ningsu Chen ,&nbsp;Yuchen Li ,&nbsp;Xiaolian Jiang","doi":"10.1016/j.gerinurse.2025.02.013","DOIUrl":"10.1016/j.gerinurse.2025.02.013","url":null,"abstract":"<div><div>Stroke is the leading cause of death and disability in Chinese adults. Self-management is closely related to stroke prognosis. This study was to investigate the relationship between patient activation and stroke survivors’ self-management and the serial mediating role of social support and resilience. This cross-sectional study recruited 611 stroke survivors from tertiary public hospitals in four provinces in China. The serial mediating effect of social support and resilience was estimated by the SPSS Process 4.0 plug-in macro Model 6. Patient activation indirectly influenced self-management via social support (b = 0.109); resilience alone moderated the relationship between patient activation and self-management (b = 0.094); and both social support and resilience serially mediated the associations between patient activation and self-management (b=0.031). The results suggest that health care providers could encourage patient activation, enhance resilience, and cultivate a positive environment of social support to improve self-management among stroke survivors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 16-25"},"PeriodicalIF":2.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686176","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":"Corrigendum to “Development and effectiveness of an educational program to foster psychological safety: A randomized controlled trial focusing on care workers in geriatric care facilities” [Geriatric Nursing 61 (2025) 162-168]","authors":"Maki Tei-Tominaga ,&nbsp;Miharu Nakanishi ,&nbsp;Masae Tanaka","doi":"10.1016/j.gerinurse.2025.03.001","DOIUrl":"10.1016/j.gerinurse.2025.03.001","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Page 15"},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609244","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}

{"title":"NHANES-based machine learning for cognitive impairment classification and blood and hearing threshold characterization in age-related hearing loss","authors":"Zhanhang Zheng (Bachelor,Master's Candidate) ,&nbsp;Shuimei Li (Bachelor) ,&nbsp;Ruilin Li (Doctor) ,&nbsp;Shuhong Qin (Bachelor,Master's Candidate) ,&nbsp;Wenjuan Wang (Bachelor,Master's Candidate) ,&nbsp;Chenxingzi Wu (Bachelor,Master's Candidate)","doi":"10.1016/j.gerinurse.2025.02.011","DOIUrl":"10.1016/j.gerinurse.2025.02.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop a machine learning-based classification model for cognitive impairment (CI) in elderly deaf patients and analyze the contributions of blood indices and hearing characteristics in identifying CI.</div></div><div><h3>Methods</h3><div>Blood and audiometric data from 833 elderly deaf patients across three NHANES cycles were used to build a classification model with five algorithms: Logistic Regression, Random Forest (RF), XGBoost, Artificial Neural Networks (ANN), and Support Vector Machine (SVM). The optimal model was selected to rank feature importance.</div></div><div><h3>Results</h3><div>The RF model, with an AUC of 0.834, performed best. Key predictors of CI included gender, systolic blood pressure, PTA+3kHz, neutrophil percentage, calcium, 6kHz hearing threshold, glycated hemoglobin, lymphocyte count,etc.</div></div><div><h3>Conclusion</h3><div>Hematological markers and hearing thresholds, especially the 3kHz threshold, are significant in identifying CI in ARHL, suggesting the need for further clinical exploration.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 8-14"},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609173","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":"Prevalence and factors of fear of hypoglycemia among Chinese older adults with type 2 diabetes mellitus: A cross-sectional study","authors":"Qi Tang RN ,&nbsp;Jialin Wang MSN, RN ,&nbsp;Sihui Su MSN,RN ,&nbsp;Ying Xia RN ,&nbsp;Shiya Yu RN ,&nbsp;Qianqian Ren RN ,&nbsp;Meng Yu RN ,&nbsp;Shuangshuang Feng RN","doi":"10.1016/j.gerinurse.2025.02.015","DOIUrl":"10.1016/j.gerinurse.2025.02.015","url":null,"abstract":"<div><div>The fear of hypoglycemia (FOH) in older adults with type 2 diabetes mellitus (T2DM) has seriously affected their glycemic control and quality of life. This was a cross-sectional study to identify the disease-related characteristics, psychological and social factors of FOH in older persons with T2DM, and to explore the relationship between these factors. A total of 332 older Chinese adults diagnosed with T2DM completed the survey. Results: The mean FOH score was 33.14 ± 11.273, which was associated with age, education, frequency of hypoglycemic episodes and types of hypoglycemia. Social support and psychological resilience were negatively correlated with FOH, and the association between social support and FOH in the participants was partially mediated by psychological resilience. Conclusions: Our study highlight that medical staff should pay more attention to the mental health status of older adults with T2DM, improving mental resilience and strengthening social support can help reduce their FOH level, and thereby help them control blood glucose scientifically and improve their quality of life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 1-7"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609172","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":"Keeping assisted living communities secure a comprehensive approach from the perimeter to the interior.","authors":"Steve Wilder","doi":"10.1016/j.gerinurse.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.02.019","url":null,"abstract":"<p><p>Security in assisted living communities (ALFs) is essential to ensuring the safety and well-being of residents, staff, and visitors while maintaining regulatory compliance. A comprehensive security strategy involves multiple layers, from securing the perimeter with fencing, controlled entry points, surveillance, and lighting to implementing advanced interior security measures such as access control systems, emergency alerts, and cybersecurity protocols. The P2T2® system-People, Programs, Training, and Technology-serves as the foundation for an effective security management program, ensuring that vulnerabilities are minimized. Staff training, resident education, and collaboration with local law enforcement further strengthen the security framework. This article outlines best practices, including physical security measures, technology-driven solutions, and emergency preparedness, which can be transformed into a practical checklist for quality assurance. Investing in security is not merely a cost but a critical safeguard against potential risks, ensuring a safe and comfortable environment for all members of the assisted living community.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587749","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":"Is your hospital ready for the CMS 2025 Age Friendly Hospital Measure? How AGS CoCare®: HELP can help!: AGS Column for Geriatric Nursing.","authors":"Rebecca L Trotta, Mark A Supiano","doi":"10.1016/j.gerinurse.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2025.02.010","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558919","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 systematic review of fall prevention interventions in frail older adults","authors":"Dayeon Lee PhD, RN ,&nbsp;Sunghee H Tak PhD, MPH, RN ,&nbsp;Hyein Choi PhD, RN","doi":"10.1016/j.gerinurse.2025.02.018","DOIUrl":"10.1016/j.gerinurse.2025.02.018","url":null,"abstract":"<div><div>Frail older adults are vulnerable to falls. This review aimed to identify the characteristics of fall prevention interventions and assess their effects on fall-related outcomes in the population. Six databases were searched using keywords such as frailty, older adults, fall prevention or management, and education. Twelve studies met the eligibility criteria for inclusion. The quality of the studies was assessed using the Scottish Intercollegiate Guidelines Network checklist. Most of the included studies had physical exercise as the primary component of fall prevention interventions for frail older adults. Meta-analysis revealed that these interventions significantly reduced the fear of falling and improved physical performance. Additionally, significant improvements were observed in frailty scores, 30-Chair Stand test, hand grip strength, knee extension strength, and depression. These findings show that fall prevention interventions are effective in improving both the physical and psychological status of frail older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 236-244"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143547902","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}