Geriatric Nursing最新文献_第3页

Pattern of sedentary behaviors among older Adults in Chinese residential care homes: A latent profile analysis 中国养老院老年人的久坐行为模式：潜在剖面分析

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.034

Sihan Dong BSN , Junqiang Zhao PhD , Xiangning Hu Candidate for BSN , Zhaodong Chen Candidate for BSN , Peiyao Li Candidate for BSN , Bin Ji MS , Yunxia Jiang MSN , Min Wang PhD , Suhwan Kim PhD , Ting Liu PhD , Xueying Liu BSN , Mengjiao Xu BSN , Qi Li PhD , Yuting Song PhD

{"title":"Pattern of sedentary behaviors among older Adults in Chinese residential care homes: A latent profile analysis","authors":"Sihan Dong BSN , Junqiang Zhao PhD , Xiangning Hu Candidate for BSN , Zhaodong Chen Candidate for BSN , Peiyao Li Candidate for BSN , Bin Ji MS , Yunxia Jiang MSN , Min Wang PhD , Suhwan Kim PhD , Ting Liu PhD , Xueying Liu BSN , Mengjiao Xu BSN , Qi Li PhD , Yuting Song PhD","doi":"10.1016/j.gerinurse.2025.04.034","DOIUrl":"10.1016/j.gerinurse.2025.04.034","url":null,"abstract":"<div><div>We aimed to identify patterns of sedentary behaviors among older adults in residential care homes in China and characterize older adults in each identified pattern. We used data from 283 older adults who lived in 11 care homes in northeastern China. Patterns of sedentary behaviors were identified using latent profile analysis. We further verified the clinical relevance of the identified patterns by associating them with depressive symptoms using a regression model. The LPA results showed that the four-profile model was the most appropriate based on the fitting metrics of AIC, BIC, ABIC, LMR, BLRT, and Entropy, which we named the <em>sedentism</em> group, the <em>balanced</em> group, the <em>mentally-active</em> group, and the <em>mentally-passive</em> group. Compared to residents in the <em>mentally-active</em> group, those in the <em>sedentism</em> group (coefficient = 3.98, 95% CI = 2.18 – 5.78, p < 0.001) and <em>mentally-passive</em> group (coefficient = 1.96, 95% CI = 0.13 – 3.78, p = 0.036) had higher levels of depressive symptoms, supporting the clinical relevance of the identified patterns. Our findings suggest targeted interventions for residents with different sedentary patterns.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 652-660"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941513","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

A 3-month integrated exercise intervention improves diagnostic parameters of sarcopenia in ambulatory community-dwelling older adults with Dementia: A two-group pre-test/post-test design 为期3个月的综合运动干预改善了流动社区老年痴呆患者肌肉减少症的诊断参数：两组测试前/测试后设计

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.026

Yu-Nu Wang PhD RN , An-Yi Hsu MD , Shang-Chien Huang MD , Hui-Chu Chuang MS RN , Wen-Chuin Hsu MD

{"title":"A 3-month integrated exercise intervention improves diagnostic parameters of sarcopenia in ambulatory community-dwelling older adults with Dementia: A two-group pre-test/post-test design","authors":"Yu-Nu Wang PhD RN , An-Yi Hsu MD , Shang-Chien Huang MD , Hui-Chu Chuang MS RN , Wen-Chuin Hsu MD","doi":"10.1016/j.gerinurse.2025.04.026","DOIUrl":"10.1016/j.gerinurse.2025.04.026","url":null,"abstract":"<div><div>This quasi-experimental study aimed to evaluate the effects of a 3-month exercise intervention program on diagnostic parameters of sarcopenia in community-dwelling older adults with dementia. Eighty participants were recruited: the intervention group (<em>n</em> = 40) engaged in integrated exercise sessions three times per week; the control group (<em>n</em> = 40) received usual care. Pre-test, only the physical performance parameter differed between groups, which was better for the intervention group (<em>p</em> < .05). Compared with controls, the intervention group had significantly better post-test parameters of muscle strength, and physical performance; fewer participants were categorized as having sarcopenia (<em>p</em> = .012). However, sarcopenia distribution pre-test vs. post-test within the intervention group was not significant. These findings suggest that a 3-month exercise intervention can effectively improve diagnostic parameters of sarcopenia in community-dwelling older adults with dementia. This intervention positively affected diagnostic parameters of sarcopenia however further modifications will be required to reduce sarcopenia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 590-596"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928001","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

Effectiveness of an intervention combining motor–cognitive training and arch support insoles in improving the physical performance of older adults with mild cognitive impairment: A randomized controlled trial 运动认知训练和足弓支撑鞋垫联合干预对改善轻度认知障碍老年人身体表现的有效性：一项随机对照试验

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.008

Chen-Yi Song PhD , Wei Yuan MD, PhD

{"title":"Effectiveness of an intervention combining motor–cognitive training and arch support insoles in improving the physical performance of older adults with mild cognitive impairment: A randomized controlled trial","authors":"Chen-Yi Song PhD , Wei Yuan MD, PhD","doi":"10.1016/j.gerinurse.2025.04.008","DOIUrl":"10.1016/j.gerinurse.2025.04.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the efficacy of an intervention combining motor–cognitive training with arch support insoles for older adults with mild cognitive impairment (MCI).</div></div><div><h3>Methods</h3><div>Twenty-nine participants were randomly assigned to an experimental or a control group. The experimental group underwent a 12-week intervention programme comprising three 1-hour motor–cognitive training sessions weekly and wore arch support insoles every day. The control group received motor–cognitive training alone. The functional reach, timed-up-and-go (TUG), 10-m hurdle walking test, Short Physical Performance Battery (SPPB), and Montreal Cognitive Assessment (MoCA) were administered before and after the interventions.</div></div><div><h3>Results</h3><div>The experimental group exhibited significant improvement across all assessments (<em>p</em> < .05), whereas the control group demonstrated significant improvement only in the TUG test, the 5× chair stand subtest of the SPPB, and MoCA scores (<em>p</em> < .05).</div></div><div><h3>Conclusions</h3><div>The proposed intervention is recommended for improving cognitive and physical performance in older adults with MCI.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 597-603"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928002","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

Experiences of older adult patients with cancer on nursing care: A qualitative study 老年癌症患者的护理经验：质性研究

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.025

Akerke Mussayeva BSN , Joseph Almazan Ph.D , Jonas Preposi Cruz Ph.D , Ejercito Mangawa Balay-odao Ph.D

引用次数: 0

Reevaluating the role of biological aging in dementia: A retrospective cross-sectional global analysis incorporating confounding factors 重新评估生物衰老在痴呆中的作用：一项包含混杂因素的回顾性横断面全球分析

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.023

Wenpeng You , Fung Kuen Koo , Yanfei Ge , Jacob Sevastidis , Rita (Hui Chen) Chang

{"title":"Reevaluating the role of biological aging in dementia: A retrospective cross-sectional global analysis incorporating confounding factors","authors":"Wenpeng You , Fung Kuen Koo , Yanfei Ge , Jacob Sevastidis , Rita (Hui Chen) Chang","doi":"10.1016/j.gerinurse.2025.04.023","DOIUrl":"10.1016/j.gerinurse.2025.04.023","url":null,"abstract":"<div><h3>Background</h3><div>Biological aging is a key dementia risk factor, but its precise role is debated. This study explores the impact of life expectancy at birth (LEB) on global dementia incidence rates (DIR).</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional analysis was conducted using population-level data from the World Bank and the Institute for Health Metrics and Evaluation (IHME). Pearson’s r and nonparametric correlations assessed associations, while partial correlation analysis and multiple regression models were employed to adjust for confounders, including economic affluence, genetic predisposition (Ibs), total fertility rate, and urbanization.</div></div><div><h3>Results</h3><div>LEB showed a strong initial correlation with DIR, explaining 58.05 % of the variance. However, after adjusting for confounders, the independent contribution of LEB to DIR was reduced to 5.95 %. Total fertility rate emerged as the most significant predictor, with LEB being the second strongest. Economic affluence, Ibs, and urbanization were not statistically significant.</div></div><div><h3>Conclusions</h3><div>This study challenges the view that dementia is solely due to biological aging. While age remains crucial, biological aging accounts for less than 6 % of dementia incidence variance, highlighting the multifaceted nature of dementia risk factors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 643-651"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932096","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

Cross-cultural adaptation and validation of the Chinese version of the Malnutrition Awareness Scale among community-dwelling older adults 社区老年人营养不良意识量表中文版的跨文化适应与验证

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.04.003

Jianke Lei M.M. , Xingyun Chen M.M. , Yanfei Liu M.D. , Xincan Zhou M.M. , Zhiyue Li M.M. , Luxin Wang M.M. , Weihong Zhang M.D.

{"title":"Cross-cultural adaptation and validation of the Chinese version of the Malnutrition Awareness Scale among community-dwelling older adults","authors":"Jianke Lei M.M. , Xingyun Chen M.M. , Yanfei Liu M.D. , Xincan Zhou M.M. , Zhiyue Li M.M. , Luxin Wang M.M. , Weihong Zhang M.D.","doi":"10.1016/j.gerinurse.2025.04.003","DOIUrl":"10.1016/j.gerinurse.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>To translate, cross-culturally adapt, and validate the Malnutrition Awareness Scale (MAS) among Chinese community-dwelling older adults.</div></div><div><h3>Methods</h3><div>This study consists of two parts. First, we developed the Chinese version of the MAS (C-MAS) through direct translation, back translation, cross-cultural adaptation, and pilot testing. Then, we selected 380 community-dwelling older adults from two community healthcare centers in Zhengzhou from May to July 2024 for a questionnaire survey to assess the scale's reliability and validity, including internal reliability, test-retest reliability, split-half reliability, content validity, and construct validity.</div></div><div><h3>Results</h3><div>The C-MAS included 4 dimensions and 23 items. At the scale level, the content validity index (S-CVI) was 0.91; at the item level, the content validity ranged from 0.86 to 1.00. The exploratory factor analysis (EFA) extracted four common factors with factor loads of 0.646 to 0.893 for each item, and the cumulative variance contribution rate was 71.418%. The confirmatory factor analysis (CFA) indicated a satisfactory fit for each indicator. The Cronbach's alpha coefficient for this scale was 0.908, with test-retest reliability of 0.952 and split-half reliability of 0.738.</div></div><div><h3>Conclusion</h3><div>The reliability and validity of C-MAS are up to standard and can be used to assess malnutrition awareness among Chinese community-dwelling older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 550-558"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899931","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 moderating effect of educational and clinical geriatric knowledge levels on nurses’ perception of interprofessional collaboration with physicians 老年医学教育和临床知识水平对护士与医生跨专业合作感知的调节作用

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-05-01 DOI: 10.1016/j.gerinurse.2025.03.057

Paule-Sarah Fraiman MA, RN , Nosaiba Rayan-Gharra MHA, PhD , Anna Zisberg PhD, RN, FAAN

{"title":"The moderating effect of educational and clinical geriatric knowledge levels on nurses’ perception of interprofessional collaboration with physicians","authors":"Paule-Sarah Fraiman MA, RN , Nosaiba Rayan-Gharra MHA, PhD , Anna Zisberg PhD, RN, FAAN","doi":"10.1016/j.gerinurse.2025.03.057","DOIUrl":"10.1016/j.gerinurse.2025.03.057","url":null,"abstract":"<div><div>Effective nurse-physician interprofessional collaboration (IPC) can improve geriatric healthcare. While many barriers and facilitators have been identified, the literature lacks consensus. We hypothesize that nurses’ educational and knowledge levels may affect their perceptions of IPC.</div><div>This cross-sectional study included 117 acute-care hospital Registered Nurses. A questionnaire examined nurses’ knowledge level, perceptions of IPC, demographic and educational characteristics. Data were analyzed using multivariate regression.</div><div>An interaction effect was found whereby nurses’ education level modified the relationship between knowledge and IPC. Among less educated nurses increased knowledge was associated with higher IPC, but among the most-educated nurses, higher knowledge was associated with lower IPC scores.</div><div>The findings suggest that relationships between nurses’ education level, knowledge, and perceived IPC may be more complex than anticipated. Higher education may alter IPC expectations, particularly in more hierarchal or complex patient care environments. Understanding this relationship may facilitate improvements to IPC leading to improved geriatric care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 559-566"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899932","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

Frailty as a lens to produce optimal outcomes: Geriatric nursing's role in integration into systems of care. 虚弱作为产生最佳结果的透镜：老年护理在融入护理系统中的作用。

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-04-29 DOI: 10.1016/j.gerinurse.2025.04.001

Karen M Mack

引用次数: 0

Interventions to improve mood and/or social interaction in residents of long-term care facilities with dementia: A systematic review 干预措施改善长期护理机构痴呆患者的情绪和/或社会互动：系统回顾

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-04-26 DOI: 10.1016/j.gerinurse.2025.03.006

Aniqa Shahid MBBS, FRACP , Cilla J Haywood MBBS(Hons) FRACP PhD GChPOM(ANZCA) , Paul Yates MBBS FRACP PhD , Mizhgan Fatima MBBS FRACP , Rohan Wee MBBS GDipHlth&MedLaw FRACP GChPOM (ANZCA) , Yi May Cheah MBBS (Hons)

{"title":"Interventions to improve mood and/or social interaction in residents of long-term care facilities with dementia: A systematic review","authors":"Aniqa Shahid MBBS, FRACP , Cilla J Haywood MBBS(Hons) FRACP PhD GChPOM(ANZCA) , Paul Yates MBBS FRACP PhD , Mizhgan Fatima MBBS FRACP , Rohan Wee MBBS GDipHlth&MedLaw FRACP GChPOM (ANZCA) , Yi May Cheah MBBS (Hons)","doi":"10.1016/j.gerinurse.2025.03.006","DOIUrl":"10.1016/j.gerinurse.2025.03.006","url":null,"abstract":"<div><h3>Objective</h3><div>To review the available evidence on non-pharmacological interventions to improve mood, quality-of-life (QoL)or social interactions in residents of long-term care facilities with dementia.</div></div><div><h3>Methods</h3><div>We searched Medline, Emcare, and PsycINFO using keywords: dementia, long-term care, mood, QoL, and social interaction. The search included long-term care residents clinically diagnosed with dementia and the methodological strength was evaluated using predefined criteria and tools.</div></div><div><h3>Results</h3><div>The final synthesis included 50 published studies with significant heterogeneity. There was more evidence for green therapy, small-scale living, Snoezelen, Storytelling, group exercise, reminiscence and Montessori activities.</div><div>However, there was minimal evidence for dementia café, music, recreation time, art activities, staff wearing street-clothes, play activities, humour, traditional food, emotion oriented, simulated presence, computer, wellbeing-enhancing occupation, MultiTANDEM Plus, multisensory, person-centred, animal assisted and Staff Training interventions.</div></div><div><h3>Conclusion</h3><div>Multiple non-pharmacological interventions showed promise in enhancing mood, QoL, and social interaction. Future research could explore long-term effects of therapy, increase sample size of patients, and improve generalizability of therapy.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 528-549"},"PeriodicalIF":2.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143877390","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

Understanding the role of basic psychological needs and agency in the mental well-being of rheumatoid arthritis patients: An exploratory research 了解基本心理需求和代理在类风湿关节炎患者心理健康中的作用：一项探索性研究

IF 2.5 3区医学

Geriatric Nursing Pub Date : 2025-04-24 DOI: 10.1016/j.gerinurse.2025.03.007

Fanni Balikó , Dr. Orsolya Vincze , Dr. Krisztina Csókási , Dr. Melinda Pohárnok

{"title":"Understanding the role of basic psychological needs and agency in the mental well-being of rheumatoid arthritis patients: An exploratory research","authors":"Fanni Balikó , Dr. Orsolya Vincze , Dr. Krisztina Csókási , Dr. Melinda Pohárnok","doi":"10.1016/j.gerinurse.2025.03.007","DOIUrl":"10.1016/j.gerinurse.2025.03.007","url":null,"abstract":"<div><div>Rheumatoid arthritis (RA) is a chronic autoimmune disease, accompanied by disability and chronic pain, therefore psychological problems and impaired health-related quality of life are common among patients. Maintaining mental health and well-being strongly depends on retaining previous meaningful, autonomous activities and accepting reliance on others. The Self-Determination Theory (SDT) provides considerable evidence that the fulfilled needs of competence, relatedness, and autonomy universally foster psychological well-being. This paper identifies the themes of basic psychological needs and the narrative categorical content analysis of key life story episodes involving 34 RA patients. Our findings contribute to understanding how people living with RA interpret their living conditions in terms of SDT-related needs and motivational factors. Further consciousness of the role of basic psychological needs during adaptation to illness and the clinical implications of the conclusion promote better patient-centered care in practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 505-511"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143870169","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