Geriatric Nursing最新文献

{"title":"Visit rates and risk factors of healthcare-seeking behavior for urinary incontinence, fecal incontinence, and pelvic organ prolapse among women: A systematic review and meta-analysis","authors":"Jiawen Hou , Yanan Zhao , Simin Zhuang , Ximei Ma , Yijing Hou , Xiuling Li , Yanhong Wang PhD","doi":"10.1016/j.gerinurse.2025.03.060","DOIUrl":"10.1016/j.gerinurse.2025.03.060","url":null,"abstract":"<div><h3>Introduction</h3><div>Female pelvic floor dysfunction(FPFD), including urinary incontinence, fecal incontinence, and pelvic organ prolapse, is an expanding global health problem among women, declining their quality of life. Healthcare-seeking behavior of FPFD patients plays a vital role in preventing symptom deterioration and reducing future burdens. Poor healthcare-seeking behavior has resulted in lower visit rates than prevalence. This study aimed to investigate the visit rate and risk factors of healthcare-seeking behavior in patients with FPFD and to provide a basis for developing prevention strategies against risk factors.</div></div><div><h3>Methods</h3><div>An exhaustive systematic literature search was undertaken using the following databases: PubMed, Web of Science, Embase, The Cochrane Library, and CINAHL, published from inception to June 2022. Two investigators independently extracted data and assessed the quality of the studies using the Health Care Quality and Research (AHRQ) or Newcastle-Ottawa Scale (NOS). A meta-analysis was performed by using Review Manager 5.3.</div></div><div><h3>Results</h3><div>Eighty studies were selected, including 83,996 participants. Data were extracted from 71 studies for urinary incontinence, 5 for pelvic organ prolapse, and 4 for fecal incontinence. Meta-analysis results indicated that the visit rates of urinary incontinence, pelvic organ prolapse, and fecal incontinence were lower, at 29%(95%CI:27% to 32%, <em>I<sup>2</sup></em>=99%, <em>P</em><0.00001), 42%(95%CI:18% to 65%, <em>I<sup>2</sup></em>=99%, <em>p</em>=0.0005), and 35%(95%CI:16% to 54%, <em>I<sup>2</sup></em>=99%, <em>p</em>=0.0004), respectively. The study shows that there are a variety of factors affecting the healthcare-seeking behavior of FPFD women, including sociodemographic factors(treatment and diagnosis costs are high, lack of time, type of UI, duration of UI, symptom severity, and impact of UI), psychological factors(shame, fear of medical treatment side effects, fear of examination, and fear of surgery), cognitive factors(considering it as the normal status of aging, the perception that symptoms are not treatable, believing that symptoms could recover naturally, lack of knowledge of available treatment, believing they should cope with the problem themselves, do not think it is serious enough), healthcare service factors(the physician said it was not necessary, other health problems taking priority). Age, fear of hospitals/doctors, and fear of diagnosis do not affect healthcare-seeking behavior.</div></div><div><h3>Conclusion</h3><div>Patients with urinary incontinence, pelvic organ prolapse, and fecal incontinence have a low visit rate. Many risk factors affect the healthcare-seeking behavior of female pelvic floor dysfunction diseases, mainly sociodemographic, psychological, cognitive, and healthcare service factors. However, due to a lack of data, high-quality studies are still required to confirm. In the future, a","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 307-319"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828433","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 mediating role of expectations regarding aging between diabetes distress and self-management behaviors in older adults with type 2 diabetes mellitus","authors":"Ting Yao MNS ,&nbsp;Jing Sun PhD ,&nbsp;Qiuxia Jiang BS ,&nbsp;Han Wang MNS ,&nbsp;Jing Zhang MNS ,&nbsp;Feng Zhang PhD ,&nbsp;Hong Cao PhD ,&nbsp;Dan Li PhD ,&nbsp;Jiai Yan PhD ,&nbsp;Ju Yang PhD ,&nbsp;Yingyu Wang PhD ,&nbsp;Ruijuan Zhuang MM","doi":"10.1016/j.gerinurse.2025.03.033","DOIUrl":"10.1016/j.gerinurse.2025.03.033","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the relationships among diabetes stress, expectations regarding aging, and self-management behaviors in older adults with type 2 diabetes mellitus.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, we surveyed 257 older patients aged ≥60 years with type 2 diabetes mellitus using the Diabetes Distress Scale, the 21-item Expectations Regarding Aging Scale, and the Diabetes Self-Care Behavior Scale. We conducted correlation and mediation analyses using SPSS 26.0 and PROCESS software.</div></div><div><h3>Results</h3><div>Diabetes distress was negatively associated with diabetes self-management and expectations regarding aging. Expectations regarding aging were positively associated with diabetes self-management. Expectations regarding aging partially mediated the relationship between diabetes distress and self-management.</div></div><div><h3>Conclusions</h3><div>The self-management behavior of older patients with type 2 diabetes mellitus can be improved by reducing diabetes-related distress and increasing expectations regarding aging. Therefore, healthcare professionals should emphasize the mental health of older patients with type 2 diabetes mellitus and provide timely education on healthy aging.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 362-369"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828435","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":"Core characteristics, and effectiveness of mobile health interventions on dyspnoea and quality of life in older persons with chronic obstructive pulmonary disease: A systematic review and meta-analysis of randomised controlled trials","authors":"Ziyu Wang ,&nbsp;Lin Yu ,&nbsp;Tingting Yang ,&nbsp;Huiping Cao ,&nbsp;Zhuo Yang ,&nbsp;Yanyan Liu ,&nbsp;Jiao Xie","doi":"10.1016/j.gerinurse.2025.03.041","DOIUrl":"10.1016/j.gerinurse.2025.03.041","url":null,"abstract":"<div><h3>Aim</h3><div>To systematically review the core characteristics, and effectiveness of mobile health interventions (MHIs) on dyspnoea and quality of life (QoL) in older persons with chronic obstructive pulmonary disease (COPD).</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted from inception to 21 February 2023 in Chinese and English databases, with an updated search performed on 30 April 2024. Randomised controlled trials (RCTs) involving MHIs with four core functions — customisation, self-monitoring, alerts, and goal-setting — in older persons with COPD were included. Two reviewers independently identified the core characteristics of MHIs using the Template for Intervention Description and Replication (TIDieR) checklist. The Cochrane risk-of-bias tool and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach were used to assess the methodological quality of RCTs and the overall quality of evidence.</div></div><div><h3>Results</h3><div>28 RCTs were included, with 43% of studies adequately reported core characteristics of MHIs according to the TIDieR checklist. Meta-analysis suggested that MHIs may alleviate dyspnoea and improve disease-specific QoL questionnaires (CRQ and CCQ) and generic-related QoL questionnaires (SF-36 and EQ-5D), but not other disease-specific QoL questionnaires (SGRQ and CAT). Subgroup analyses showed that multi-component MHIs were effective in improving dyspnoea. Dyspnoea showed statistically significant improvement at 3 months, 6 months and 12 months, whereas QoL improved at 4 months (SGRQ), 2 months (CAT) and 6 months (CAT).</div></div><div><h3>Conclusion</h3><div>Reporting on the core characteristics of MHIs is currently incomplete, and it is recommended that healthcare professionals develop and report multi-component MHIs based on the TIDieR checklist to help alleviate dyspnoea and enhance QoL in older persons with COPD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 336-352"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828436","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":"“Bringing them back”: Perspectives of staff and volunteers on dementia care using SAIDO learning©","authors":"Michele Shropshire PhD, RN-BC,&nbsp;Annette M. Hubbell PhD, RN,&nbsp;Denise Hammer DNP, RNC-NIC","doi":"10.1016/j.gerinurse.2025.03.054","DOIUrl":"10.1016/j.gerinurse.2025.03.054","url":null,"abstract":"<div><div>As the number of people with dementia increase, an additional 1.2 million direct care workers will be required for their care by 2030. As innovative approaches to dementia care continue to emerge, it remains essential that caregivers’ thoughts and perspectives are considered. Participants in our study shared their observations of positive changes among residents living with dementia after implementation of SAIDO Learning©. This is the first study to explore staff/volunteer insight on this non-pharmacological, cognitive intervention. A qualitative, descriptive study was conducted to explore staff and volunteer thoughts, feelings, and perceptions as providers of a non-pharmacologic intervention (SAIDO Learning©) for persons living with dementia. Three themes emerged: Changes in residents, culture within the retirement community, and building relationships with residents. Globally, as the population ages, this research is critical within the field of nursing as it will expand our knowledge and delivery of nursing care for clients living with dementia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 320-326"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828524","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":"Effectiveness and recommendation strategies for videoconference-based interventions to alleviate social isolation and loneliness in older adults: A systematic review and meta-analysis","authors":"Eun-Young Noh PhD ,&nbsp;Juna Lee PhD ,&nbsp;Hee Jung Kim PhD","doi":"10.1016/j.gerinurse.2025.03.042","DOIUrl":"10.1016/j.gerinurse.2025.03.042","url":null,"abstract":"<div><h3>Objective</h3><div>To summarize and update the current knowledge regarding the effectiveness of videoconference-based interventions in alleviating loneliness and social isolation among older adults.</div></div><div><h3>Methods</h3><div>A systematic search of the PubMed, Cochrane CENTRAL, EMBASE, CINAHL, and PsycINFO databases was performed in February 2024. Two researchers independently conducted literature screening, risk-of-bias assessment, and data extraction.</div></div><div><h3>Results</h3><div>Ten studies with 1034 participants were included. The meta-analysis indicated that interventions had a significantly small-to-medium effect on enhancing social support (SMD=0.40, CI=0.13 to 0.66) and small effect on reducing loneliness (SMD=−0.30, CI=−0.50 to −0.10) and depressive symptoms (SMD=−0.34, CI=−0.57 to −0.11). The subgroup analysis showed that familial interaction was identified as a significant intervention component for loneliness, whereas intervention by trained experts was pivotal for depressive symptoms.</div></div><div><h3>Conclusion</h3><div>This review provides robust evidence from a comprehensive perspective that videoconference-based interventions can be effectively applied as a strategic approach to manage mental health in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 353-361"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828434","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 importance of nature and wishes for nature-based experiences among older adults in assisted living facilities","authors":"Annika Kolster MD ,&nbsp;Laura J. Rautiainen MSc ,&nbsp;Ulla L. Aalto MD, PhD ,&nbsp;Anu Jansson PhD ,&nbsp;Timo Partonen MD, PhD ,&nbsp;Ashby Lavell Sachs PhD ,&nbsp;Jill S Litt PhD ,&nbsp;Montse Masó-Aguado ,&nbsp;Kaisu H. Pitkälä MD, PhD","doi":"10.1016/j.gerinurse.2025.03.061","DOIUrl":"10.1016/j.gerinurse.2025.03.061","url":null,"abstract":"<div><div>Nature-based interventions potentially support physical, mental, and social health. Understanding the needs of the target group is essential when developing such methods as part-of-care.</div><div>This cross-sectional mixed method survey explores the wishes for nature-based experiences among older adults in assisted living facilities, 854 respondents were included. Diagnoses were confirmed from medical records, while functioning, wellbeing and the meaning of nature were inquired.</div><div>Respondents’ average age was 83 years; 73% were women, and 54% had dementia. Only 24% could move about outdoors independently, 55% suffered from loneliness, and 45% felt depressed at least sometimes. In thematic analyses, open-ended answers highlighted the multifaceted meaning of nature. Nature is a valued source of resilience and a place for physical activity. Although 96% considered nature important, only 51% could have nature contact as often as desired. Respondents provided clear, feasible wishes for activities and 83% were interested in participating in nature-based interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 300-306"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828523","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":"Perception of risk of frailty among older adults with colorectal cancer: A descriptive phenomenological study","authors":"Bingzi Shi ,&nbsp;Siqi Li ,&nbsp;Yasi Zhang ,&nbsp;Jing Zhang","doi":"10.1016/j.gerinurse.2025.03.005","DOIUrl":"10.1016/j.gerinurse.2025.03.005","url":null,"abstract":"<div><div>This study, conducted from November 2023 to March 2024 in Harbin, China, explored frailty risk perceptions among 25 elderly colorectal cancer (CRC) patients using qualitative interviews and Colaizzi's method for analysis. Findings reveal that these perceptions change dynamically across different treatment stages, often deviating from medical definitions. Initially optimistic, patients later experienced increased anxiety and confusion about preventive measures. The study highlights the necessity for stage-specific educational interventions to correct misconceptions, enhance program participation, and improve health outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 327-335"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828525","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 of a dementia literacy scale among community-dwelling older adults","authors":"Yoko Aihara","doi":"10.1016/j.gerinurse.2025.03.032","DOIUrl":"10.1016/j.gerinurse.2025.03.032","url":null,"abstract":"<div><div>With global ageing society, the prevalence of dementia continues to increase. Increased dementia literacy may promote the early diagnosis of dementia. This study aimed to develop a dementia literacy measurement scale for community-dwelling older adults and assess its psychometric properties. Three experts generated items on dementia literacy and dementia knowledge based on a literature review. Altogether, data from 102 older adults who completed the questionnaire were analyzed. The instruments were assessed through an exploratory factor analysis. The results showed that 20 items were loaded, indicating three factors for the questionnaire, which explained 45 % of the variance observed. The factors were coded as follows: respect for people with dementia, understanding of people with dementia, and information and help seeking. A higher dementia knowledge score correlated with enhanced dementia literacy. The developed dementia literacy scale is a validated and reliable tool for assessing the understanding of people with dementia among older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 288-292"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825734","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":"Victims of sexual abuse aged 60 and older, an observational study from the Department of Forensic Medicine of Paris, France","authors":"Clément Harmel MD ,&nbsp;Marc Liautard MD ,&nbsp;Audrey Farrugia MD, PhD ,&nbsp;Charlotte Gorgiard MD ,&nbsp;Catherine Dang MD ,&nbsp;Elizabeth Alcaraz MD ,&nbsp;Céline Deguette MD ,&nbsp;Laurène Dufayet MD, PhD","doi":"10.1016/j.gerinurse.2025.03.047","DOIUrl":"10.1016/j.gerinurse.2025.03.047","url":null,"abstract":"<div><h3>Introduction</h3><div>The global population of individuals aged 60 years and older is projected to nearly double by 2050, highlighting the growing importance of addressing sexual abuse in older patients. These abuses remain poorly understood and underreported, which may be related to factors such as cognitive impairments, social isolation, societal taboos, and ageism. This retrospective study aimed to analyze cases of sexual abuse reported by patients aged 60 years and older at the Department of Forensic Medicine (DFM) in Paris, France, over a six-year period.</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective study and collected medical and forensic data on all patients aged 60 years and older at the time of the assault, who were examined at the DFM between 01/01/2018 and 31/12/2023. The study adhered to ethical standards in accordance with the General Data Protection Regulation and received approval from the Ethics Committee of Cochin University Hospital.</div></div><div><h3>Results</h3><div>Fifty-eight patients were included, representing 1.5 % of the sexual abuse victims examined in the department during the study period. The majority of victims were female (84.5 %). The average age of the victims was 69.4 years, and many had vulnerabilities, primarily psychological/cognitive (55.2 %) and physical (19.0 %). Assaults mostly occurred in the victim's home (48.1 %) or in public places (13.5 %), with known perpetrators identified in 62.7 % of cases. Associated physical abuse was documented in 44.8 % of cases. Forensic examinations revealed extragenital injuries in 43.1 % of cases and anogenital injuries in 21.6 % of cases.</div></div><div><h3>Discussion</h3><div>The study confirms the likely underreporting of sexual abuse against older patients, particularly male patients, and highlights the heightened vulnerabilities in this specific population. This study also emphasizes the severity of these abuses and the multifaceted challenges in detecting, reporting, and addressing such crimes. Tackling these challenges is crucial for the development of effective prevention and intervention strategies tailored to protect older patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 293-299"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825765","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":"Nursing students’ knowledge, attitudes, and willingness to care for the elderly: A cross-sectional study in Vietnam","authors":"Le Thi Thuong ,&nbsp;Doan Thi Kim Cuc ,&nbsp;Tran Thi My","doi":"10.1016/j.gerinurse.2025.03.062","DOIUrl":"10.1016/j.gerinurse.2025.03.062","url":null,"abstract":"<div><h3>Introduction</h3><div>Population aging is a significant global trend, leading to high rates of multimorbidity and frailty among older adults.</div></div><div><h3>Objective</h3><div>This study explores the knowledge, attitudes, and willingness to care for the elderly and its related factors among nursing students in Vietnam.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study was undertaken among undergraduate nursing students between October 2022 and June 2023.</div></div><div><h3>Results</h3><div>The findings indicate that 18.46% of students showed good knowledge while the majority of students (95.75%) had a positive attitude toward the elderly. There were relationships between age, academic year, living with grandparents, having clinical experience in caring for the elderly, level of knowledge about the elderly, and attitude towards the elderly were associated with a significantly greater willingness to care for elderly.</div></div><div><h3>Conclusions</h3><div>These findings underscore the importance of addressing both knowledge and attitudinal components in nursing education to foster greater commitment to geriatric nursing among future healthcare professionals.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 274-279"},"PeriodicalIF":2.5,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821557","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}