Geriatric Nursing最新文献

{"title":"Cognitive function in older adults with stroke: A latent profile analysis.","authors":"Yuxia Ma, Xiang He, Tingting Yang, Jiangxia Qin, Jinhan Nan, Xuedan Wang, Jianxun Cao, Chenxia Wang, Lin Han","doi":"10.1016/j.gerinurse.2024.10.053","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.053","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke cognitive impairment (PSCI) is one of the major complications after a stroke. Therefore, it is necessary to identify different categories of cognitive function in older adults with stroke and to explore factors associated with different levels of cognitive function in older adults after stroke.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using convenience sampling to collect data from 1076 older adults with stroke from 5 hospitals in Lanzhou City, Gansu Province, China, from June 2022 to August 2023. Latent Profile Analysis (LPA) was used to identify cognitive function subgroups among older adults with stroke, and multinomial logistic regression was used to analyze the related factors.</p><p><strong>Results: </strong>1076 older adults with stroke were identified and classified as class-1: cognitive impairment, class-2: mild cognitive impairment, class-3: normal cognitive function. Age, gender, education level, hemorrhagic stroke, cerebrovascular disease are associated with different levels of cognitive function in older adults after stroke.</p><p><strong>Conclusions: </strong>These findings highlight the heterogeneity of cognitive function in older adults with stroke. Our research could assist healthcare professionals in China to identify older adults with a high risk of cognitive impairment and to develop individualized interventions based on their characteristics.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633638","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 nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in hospitalized Japanese older adults.","authors":"Issei Konya, Rika Yano, Yoichi M Ito, Hiroaki Iwata, Mayumi Yoshida, Chiaki Watanabe, Akemi Morita","doi":"10.1016/j.gerinurse.2024.10.031","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.031","url":null,"abstract":"<p><p>Mechanical irritation during skincare poses a risk of causing skin barrier dysfunction in older patients. Adequate skin assessment is thus required before skincare; however, no validated assessment method exists. This study developed a nomogram to predict skin barrier dysfunction induced by mechanical irritation during skincare in Japanese older patients using a subset of a randomized controlled trial dataset. The volar forearms of 149 older patients (≥65 years) underwent a mechanical irritation test. Skin barrier dysfunction was defined based on transepidermal water loss before and after the test. Candidate variables were obtained from medical records and skin assessments. We found that 26.2 % of older patients experienced skin barrier dysfunction. The nomogram, comprising chronic kidney disease, purpura, dry skin, activities of daily living, and body mass index, demonstrated satisfactory discrimination, calibration, and clinical utility. This tool serves as an innovative and validated method for skin assessment, offering the potential to prevent skin disorders and deliver tailored, high-quality skincare.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633632","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":"Attitude toward physical activity among Asian American family caregivers of persons living with dementia.","authors":"JiWon Choi, Van Park, Andrew Jung, Janice Tsoh","doi":"10.1016/j.gerinurse.2024.10.062","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.062","url":null,"abstract":"<p><p>This qualitative study aimed to explore attitudes toward physical activity behaviors in the context of dementia caregiving among Asian Indian, Chinese, Korean, and Vietnamese American family caregivers of persons living with dementia. We used qualitative data from verbatim transcripts of current caregivers (N = 21) from focus groups and individual interviews. Ethnically or linguistically matched moderators facilitated focus groups and interviews in four languages. Finalized themes included: (1) Physical activity and exercise are different.; (2) Exercise has many benefits.; (3) Health issues and stress from caregiving demotivate engaging in regular exercise.; (4) Prioritizing and planning exercises are necessary; and (5) Social support is essential to engage in physical activity. Caregiving limits the type of exercise some can do, depending on care recipients' conditions. Efforts to help caregivers prioritize exercise and seek social support from others, including healthcare professionals, would be greatly needed to promote physical activity among this population.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633636","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":"Basic activities of daily living symptoms as central and bridging symptoms in the networks of functional and psychological disorders among older adults with different chronic disease patterns.","authors":"Yaqi Wang, Xueying Xu, Jingwen Liu, Qingyun Lv, Hairong Chang, Yuan He, Yue Zhao, Xiaonan Zhang, Xiaoying Zang","doi":"10.1016/j.gerinurse.2024.10.048","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.048","url":null,"abstract":"<p><strong>Objective: </strong>To examine chronic disease patterns and analyze the interrelations among Basic Activities of Daily Living, Instrumental Activities of Daily Living, anxiety, and depression in older adults.</p><p><strong>Methods: </strong>A total of 3,454 participants diagnosed with at least one chronic disease were included. Latent class analysis and network analysis were employed to analyze the data.</p><p><strong>Results: </strong>Four chronic disease patterns were identified: \"Cardiopulmonary Health with Few Comorbidities,\" \"Cardiovascular with Few Comorbidities,\" \"Cardiovascular with Multiple Comorbidities,\" and \"Respiratory with Few Comorbidities\". \"Indoor transferring\" was identified as a central symptom, while \"bathing\" as a bridging one across the four chronic disease pattern networks.</p><p><strong>Conclusion: </strong>Basic Activities of Daily Living symptoms emerged as central and bridging symptoms within the networks of functional and psychological disorders across diverse chronic disease patterns. Future research should further investigate interventions targeting these symptoms to assess their potential for enhancing overall network health among older adults.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633637","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":"Exploring the essence of a creative dance programme for older adults: Programme overview and research insights.","authors":"Andrea Schärli, Clare Guss-West","doi":"10.1016/j.gerinurse.2024.10.026","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.026","url":null,"abstract":"<p><strong>Introduction: </strong>Dance is recognised as a safe, effective, and enjoyable means to boost physical, mental, and cognitive health in older adults. Detailed content of dance programmes for this age group is sparsely described.</p><p><strong>Aims: </strong>This study provides a comprehensive description and evaluation of a Creative Dance Programme for older adults.</p><p><strong>Method: </strong>The dance programme, described in detail in our study, was analysed with three quantitative (i.e., gait, balance and executive function tests) and one qualitative (i.e., interviews) pilot studies to gain insights into health effects of the programme.</p><p><strong>Results: </strong>Creative dance increased participants walking speed in both the single (t(13) = 6.65, p < 0.001) and dual-task conditions (t(13) = 5.51, p < 0.001) and reduced participants' dual-task costs of walking (t(13) = -2.24, p = 0.043). Moreover, participants reported that they felt energised after the sessions and more confident in daily activities.</p><p><strong>Conclusion: </strong>Our research highlights that creative dance programmes can have a positive effect on the dual task costs of walking and movement adaptability in daily life of older adults.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630935","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":"Risk factors for falls in older people with pre-frailty: A systematic review and meta-analysis.","authors":"Haiyan Jing, Yulan Chen, Bijuan Liang, Zhihe Tian, Feng Song, Mingzhi Chen, Wenxuan Kong, Yihan Duan","doi":"10.1016/j.gerinurse.2024.10.030","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.030","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Frailty is considered highly prevalent among the elderly, and falls are a severe adverse event that occurs at a significantly higher rate in frail elderly patients, leading to serious consequences. The pre-frailty stage represents a reversible transitional state between health and frailty, and targeted interventions for pre-frail older adults can effectively reduce the incidence of falls in this population. Existing studies have not definitely identified the risk factors for falls in pre-frail older adults. This paper explores the relevant risk factors for falls in pre-frail older adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;PubMed, Embase, Web of Science, Cochrane Library, CBM, CNKI, Wan fang, and VIP databases were searched for studies published from inception to 2023, without language restrictions. Observational studies were included in this systematic review that analyzed risk factors for accidental falls in pre-frail older adults. The NOS scale was used to evaluate the quality of cohort studies and case-control studies, while the AHRQ scale was used to evaluate the quality of the cross-sectional study. We utilized odds ratios (OR) and their corresponding 95 % confidence intervals (CI) to describe the statistical indicators. OR and 95 % CI values were directly extracted and organized in Excel. In cases where OR and CI values were not directly available, we extracted β and p values, calculated Exp using functions, and subsequently derived OR and 95 % CI using formulas. Finally, data pertaining to each risk factor were incorporated into RevMan 5.4 software for statistical analysis and effect size synthesis. We performed tests for heterogeneity and evaluated publication bias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 14,370 studies were initially identified, and 26 studies were included in the systematic review. Among these studies, 14 were of high quality, while the remaining 12 were of moderate quality. A total of 16 risk factors were identified as potential risk factors for falls in pre-frail older adults. Significant risk factors were peripheral neuropathy(OR = 3.18, 95 %CI:3.02-3.35), decreased gait speed(OR = 1.90, 95 %CI:1.60-2.27), decreased ability to perform activities of daily living(OR = 1.57, 95 % CI:1.42-1.75), grip strength decreases(OR = 1.53, 95 % CI:1.17-2.00), gender (female)(OR = 1.51, 95 % CI:1.39-1.64), pain(OR = 1.47, 95 %CI:1.41-1.54), history of falls(OR = 1.20, 95 %CI:1.13-1.28) and age(OR = 1.10, 95 %CI:1.07-1.14).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The occurrence of falls in pre-frail older adults is associated with multiple risk factors. These risk factors can provide clinical nursing staff with specific focal points for monitoring this population and devising targeted fall prevention measures, with the aim of reducing the incidence of falls in pre-frail older adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Registration: &lt;/strong&gt;The systematic review was registered on the International Prospective Register of Sys","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632308","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":"Predicting intentions to receive a COVID-19 booster vaccination among older adults using the Theory of Planned Behavior.","authors":"Yen- Yu Hsiao, Hsiang-Ru Lai, Tien- Shan Chu, Shyh-Huey Jenn, Henny Dwi Susanti, Pi-Hsia Lee","doi":"10.1016/j.gerinurse.2024.10.035","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.035","url":null,"abstract":"<p><p>The purpose of this study was to use the Theory of Planned Behavior to predict older adults' intentions and related factors of getting COVID-19 booster vaccinations and compare gender differences. A cross-sectional study was conducted, and 147 adults aged 65 years or older were recruited by convenience sampling in Taiwan. Results revealed that 57.1 % of participants had positive intentions of getting a COVID-19 booster vaccination. Attitudes, subjective norms, and perceived behavioral control explained 86.0 % of the behavioral intentions of getting a COVID-19 booster vaccination. Perceived behavioral control was the most important factor, followed by attitudes. Differences in intentions of getting the COVID-19 booster vaccination between males and females were not significant. The Theory of Planned Behavior and its main constructs can be appropriately applied to predict intentions to receive COVID-19 booster vaccinations among older adults.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632275","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":"Predicting frailty in older patients with chronic pain using explainable machine learning: A cross-sectional study.","authors":"Xiaoang Zhang, Yuping Liao, Daying Zhang, Weichen Liu, Zhijian Wang, Yaxin Jin, Shushu Chen, Jianmei Wei","doi":"10.1016/j.gerinurse.2024.10.025","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.025","url":null,"abstract":"<p><p>Frailty is common among older adults with chronic pain, and early identification is crucial in preventing adverse outcomes like falls, disability, and dementia. However, effective tools for identifying frailty in this population remain limited. This study aimed to explore frailty risk factors in older adults with chronic pain and to develop 9 machine learning models for frailty identification. The Shapley Additive Explanations (SHAP) method was used to explain the models. The Random Forest (RF) model performed best with 0.822 accuracy, 0.797 precision, and an AUC of 0.881. The variables in the RF model included: age, BMI, education level, pain duration, number of pain sites, pain level, depression, and Activity of Daily Living (ADL). Pain level, depression, and ADL were the 3 most important variables in the RF model. This model helps healthcare providers to identify frailty early, enabling timely interventions to improve patient outcomes and promote healthy aging.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632267","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":"Factors associated with financial exploitation in older adults: A systematic review.","authors":"Hadis Mosafer, Saeid Soltani, Zeinab Rostami, Sina Sharifi, Mohammad Mohammadi","doi":"10.1016/j.gerinurse.2024.10.028","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.028","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed to identify and analyze factors associated with financial exploitation in older adults.</p><p><strong>Methods: </strong>A comprehensive search strategy was implemented in December 2023, across three major databases (PubMed, Web of Science, and Scopus), along with Google Scholar as a search engine, without restrictions on publication year. Quality assessment was conducted using the Newcastle-Ottawa Scale (NOS) and CONSORT tool.</p><p><strong>Results: </strong>Among the initial 985 articles identified, 26 fulfilled the inclusion criteria. The majority of studies were conducted in the USA and had a cross-sectional design. Key factors identified included cognitive function, depression and emotional health, physical health, social support and interpersonal relationships, living arrangements, race, and personality traits.</p><p><strong>Conclusion: </strong>This review highlights the complex factors linked to financial exploitation in older adults, with cognitive function, depression, and social support as key predictors. However, inconsistencies in age, marital status, and substance use call for further research. Targeted interventions are essential to reduce the risk of exploitation.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631889","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 a nomogram to predict frailty risk in Chinese older adults combined with physical fitness test indicators.","authors":"Yichao Yu, Xiaoxue Wu, Yifan Lu, Yating Li","doi":"10.1016/j.gerinurse.2024.10.064","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.064","url":null,"abstract":"<p><p>This study aimed to develop and validate a nomogram combined with the indicators of the physical fitness test to predict frailty risk in Chinese older adults. We recruited 344 participants from a community in Hebei Province, China. Data were collected on 57 candidate factor variables from sociodemographic factors, lifestyle factors, clinical factors, body composition test, and physical fitness test. Ultimately 6 factor variables were included in this predictive model: age, nutritional risk, hypertension, multimorbidity, depression and 2-Minute step test. The area under the curve (AUC) value in the training set and validation set is 0.866 and 0.854, which indicates that the model has a good ability to discriminate. The results of the H-L test indicate that the model is well calibrated. The calibration curves also indicate a good model fit. The model provides older adults with risk indicators to identify and prevent the onset of frailty as early as possible.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633639","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}