Geriatric Nursing最新文献

{"title":"Associations between physical activity, glucose variability, and cognitive function in older adults with type 2 diabetes","authors":"Jeeyeon Kim PhD, RN ,&nbsp;Heather Cuevas PhD, APRN, ACNS-BC, FCNS, FAAN","doi":"10.1016/j.gerinurse.2025.03.018","DOIUrl":"10.1016/j.gerinurse.2025.03.018","url":null,"abstract":"<div><div>Higher glucose variability is linked to cognitive impairment in older adults with type 2 diabetes. While physical activity can reduce glucose variability and improve cognitive function, these relationships remain unexplored using continuous glucose monitoring. This study examined associations between physical activity, glucose variability, and cognitive function through secondary data analysis of 87 older adults with type 2 diabetes using self-reported questionnaires, computerized cognitive assessments, and continuous glucose monitoring data. Subgroup analysis showed that physical activity was associated with better cognitive function in individuals with lower cognitive function but not in those with higher cognitive function. This suggests that the effects of physical activity may vary depending on cognitive status. Future research should incorporate objective physical activity measures and longer-duration continuous glucose monitoring to explore how activity intensity, type, and timing influence glucose variability and cognitive outcomes, informing targeted interventions for this population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 45-50"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724317","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":"Nurse-perceived barriers and facilitators influencing optimal delirium care in acute care patients: Findings from the INVOLVE_RN study on barriers and facilitators","authors":"Tanya Mailhot RN PhD ,&nbsp;Laura Crump RN BSc ,&nbsp;Christina Clausen RN PhD ,&nbsp;Tania Valentine-Joannette RN BSc ,&nbsp;Zineb Bouaouina RN BSc ,&nbsp;Marie-Eve Leblanc RN MSc ,&nbsp;Vasiliki Bitzas RN PhD ,&nbsp;Imène Khetir RN MSc ,&nbsp;Patrick Lavoie RN PhD","doi":"10.1016/j.gerinurse.2025.03.023","DOIUrl":"10.1016/j.gerinurse.2025.03.023","url":null,"abstract":"<div><h3>Aim</h3><div>To describe nurses' practices and highlight perceived barriers and facilitators influencing optimal delirium care in acute care patients.</div></div><div><h3>Methods</h3><div>A two phase, multi method design was used. The quantitative phase utilized a self-reported survey to assess nurses' knowledge, practice, confidence, and collaboration regarding delirium care. The qualitative phase employed focus groups. Recruitment took place on nine acute surgical and medical units across two university-affiliated hospitals in Canada.</div></div><div><h3>Results</h3><div>231 nurses exhibited solid knowledge of delirium symptoms and outcomes, yet 23 % did not identify the hypoactive form's prevalence. While 81 % reported receiving information on delirium screening, challenges included time constraints and excessive tool use. Qualitative analysis highlighted themes such as communication's vital role and challenges posed by delirium presentations.</div></div><div><h3>Conclusions</h3><div>The findings align with existing literature, emphasizing the multifaceted nature of delirium care and the need for tailored approaches, education, and collaborative strategies to improve overall care quality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 76-84"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724323","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":"Adherence and satisfaction with interventions and neuropsychological changes in older people: A randomized clinical trial","authors":"Graziele Norberto Pereira,&nbsp;Karina Gramani-Say,&nbsp;Mariana Ignácio Sossai,&nbsp;Mel Silva de Sá,&nbsp;Letícia Teodoro Maciel,&nbsp;Ana Beatriz Simões Pereira,&nbsp;Juliana Hotta Ansai","doi":"10.1016/j.gerinurse.2025.03.026","DOIUrl":"10.1016/j.gerinurse.2025.03.026","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the impacts of adherence and satisfaction with interventions on changes in neuropsychological risk factors for falls in older adults with a history of falls.</div></div><div><h3>Methods</h3><div>This controlled, randomized, single-center clinical trial was conducted with Brazilian community-dwelling older adults with a history of at least 2 falls in the past 12 months. Participants were divided into two groups: the Intervention Group (IG) and the Control Group (CG), with assessments at baseline and after 16 weeks. The IG participated in a case management program, including a multidimensional assessment, an explanation of fall risk factors, an individualized intervention plan, and monitoring. The CG received monthly health-related guidance. Evaluations included clinical and sociodemographic data, neuropsychological measures (cognition, depressive and anxiety symptoms, fear of falling), adherence to intervention and satisfaction with interventions.</div></div><div><h3>Results</h3><div>The final sample consisted of 26 volunteers from the CG and 29 volunteers from the IG. The mean frequency in the IG (adherence) was 80.27 %. There was good satisfaction in both groups, especially in the IG. Both groups showed a non-significant increase in global cognitive functions, especially the IG. Adherence to the case management-based intervention and satisfaction with remote interventions did not positively influence neuropsychological changes over 16 weeks.</div></div><div><h3>Conclusion</h3><div>Despite individuals' adherence and satisfaction with the interventions being positive, these factors did not influence changes in neuropsychological risk factors for falls in older people with a history of recurrent falls in the past 12 months.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 69-75"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724320","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 application of a questionnaire on the smart care needs of older adults living in long-term care communities","authors":"Hui Pang ,&nbsp;Wenjun Wang ,&nbsp;Shuhong Gao ,&nbsp;Xiao Zheng","doi":"10.1016/j.gerinurse.2025.03.020","DOIUrl":"10.1016/j.gerinurse.2025.03.020","url":null,"abstract":"<div><div>Considering the current global aging of society, the demand for promoting smart care—a technology based care and knowledge system—among older adults living in long-term care (LTC) communities highlights the urgent need to assess the smart care needs of older adults. This study developed a questionnaire applicable to this context, tested it, and initially applied its reliability. We assessed the questionnaire's discriminant validity, content validity, consistency reliability, folding half reliability, and test–retest reliability, using a cross-sectional survey (260 older adults). Using a different cross-sectional participant group (418 older adults), we validated the factor analysis of the finalized questionnaire and its preliminary application. The results showed that the total mean score of the smart care needs of older adults in LTC communities was 67.55±13.81 (a medium level). We ultimately assessed the questionnaire to be a reliable tool for assessing the smart care needs of older adults in LTC communities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 51-60"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724318","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 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}