Geriatric NursingPub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.016
Tuzhen Xu PhD, APRN, FNP , Chunfang Chen PhD, RN , Caiyi Liu PhD, BSN, RN , Gloria M. Rose PhD, NP-C, FNP-BC
{"title":"The effects of relaxation interventions on physical and psychological distress among informal cancer caregivers: A systematic review","authors":"Tuzhen Xu PhD, APRN, FNP , Chunfang Chen PhD, RN , Caiyi Liu PhD, BSN, RN , Gloria M. Rose PhD, NP-C, FNP-BC","doi":"10.1016/j.gerinurse.2025.03.016","DOIUrl":"10.1016/j.gerinurse.2025.03.016","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effects of relaxation interventions on physical and psychological distress in informal cancer caregivers and identify effective intervention components.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. PubMed, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL Complete, Nursing & Allied Health Premium, Scopus, WHO International Clinical Trial Registry Platform, and PsycINFO were searched from January 1, 2010, to March 31, 2024. Risk of bias was conducted using the Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>We identified a diverse range of relaxation interventions including aerobic exercise, back massage, music therapy, art therapy, mindfulness meditation, and progressive muscle relaxation, demonstrating reduced caregiver burden, anxiety, and stress levels while improving sleep quality and overall quality of life. However, studies were limited by short follow-up periods and methodological diversity.</div></div><div><h3>Conclusion</h3><div>Relaxation interventions show promise in alleviating distress among cancer caregivers. Future studies should focus on optimizing intervention components and extending follow-up durations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 207-222"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807691","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}
Geriatric NursingPub Date : 2025-04-09DOI: 10.1016/j.gerinurse.2025.03.014
Zhang Yu BS , Pan Jiawen BS , Mao Jia BS , Xei Kaixuan BS , Guo Youpeng BS , Li Ting BS , Lu Dongyan MN , Zhang Lixiu MNAssociate Professor
{"title":"Gender differences in the mediating effects of social participation and number of children on psychological resilience and cognitive function in older adults","authors":"Zhang Yu BS , Pan Jiawen BS , Mao Jia BS , Xei Kaixuan BS , Guo Youpeng BS , Li Ting BS , Lu Dongyan MN , Zhang Lixiu MNAssociate Professor","doi":"10.1016/j.gerinurse.2025.03.014","DOIUrl":"10.1016/j.gerinurse.2025.03.014","url":null,"abstract":"<div><div>The aim of this study is to explore the relationship between the number of children of older adults in China and their cognitive function. A total of 15862 older adults were included in the 2017-2018 China Health and Longevity Longitudinal Survey(CLHLS), and were explored using Structural Equation Modeling(SEM) and restricted cubic splines(RCS).</div><div>Research has found that social participation and psychological resilience have a moderating effect on the impact of child numbers on cognitive function, with a greater impact observed in female participants. RCS shows a U-shaped relationship between the number of children and poorer cognitive outcomes, but low fertility rates are only associated with poorer cognitive function in women. Cognitive function decreases with decreasing social participation and psychological resilience. To combat cognitive decline in older adults with multiple children, it is imperative to take into account the societal and psychological impacts and to integrate a suite of complementary intervention strategies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 186-192"},"PeriodicalIF":2.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807640","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}
Geriatric NursingPub Date : 2025-04-08DOI: 10.1016/j.gerinurse.2025.03.027
Dingxin Xu , Bo Zhang , Jing Wang, Qianru Cheng
{"title":"Barriers and facilitators to web-based support for informal caregivers of people with dementia: A systematic review and meta-synthesis","authors":"Dingxin Xu , Bo Zhang , Jing Wang, Qianru Cheng","doi":"10.1016/j.gerinurse.2025.03.027","DOIUrl":"10.1016/j.gerinurse.2025.03.027","url":null,"abstract":"<div><h3>Objective</h3><div>To identify barriers and facilitators to web-based support for informal caregivers of people with dementia.</div></div><div><h3>Methods</h3><div>A systematic review and meta-synthesis was conducted. The Consolidated Framework for Implementation Research (CFIR) was used as a data extraction and synthesis guide.</div></div><div><h3>Results</h3><div>Totally 26 studies were included in the study. Twenty-two barriers and 23 facilitators were identified across all 5 domains of the CFIR. The key facilitators were user-friendliness, communication with peers and professionals, social connection and solidarity, convenience and flexibility, and personalization. Primary barriers included time restriction, lack of technological literacy, accessibility of technological infrastructure, too complex designs, risk of losing the “human touch”, privacy and security concerns, and cost and price.</div></div><div><h3>Conclusion</h3><div>Future studies should focus on socioeconomic and cultural contexts, local policies, and laws in providing web-based support to informal caregivers of people with dementia. The findings highlighted the value of practical guidance and refinement of existing frameworks.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 164-177"},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791635","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}
Geriatric NursingPub Date : 2025-04-05DOI: 10.1016/j.gerinurse.2025.03.017
Jose Luis Estela-Zape , Angelica María Pereira Escobar , Wilmer Arley Criollo López , Diana Constanza González Ortiz , Mauricio Hernández Carrillo , Saul Diaz Navarro , Harold Andrés Payán-Salcedo
{"title":"Physical performance, functionality and risk of falls in older adults hospitalized in a psychiatric hospital in Southwestern Colombia","authors":"Jose Luis Estela-Zape , Angelica María Pereira Escobar , Wilmer Arley Criollo López , Diana Constanza González Ortiz , Mauricio Hernández Carrillo , Saul Diaz Navarro , Harold Andrés Payán-Salcedo","doi":"10.1016/j.gerinurse.2025.03.017","DOIUrl":"10.1016/j.gerinurse.2025.03.017","url":null,"abstract":"<div><h3>Aim</h3><div>Determine physical performance, functionality and their relationship with the risk of falls in older adult patients hospitalized in a psychiatric hospital in southwestern Colombia.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study with an analytical component involved 51 patients. Univariate analysis used frequencies and percentages for categorical variables. Comparative bivariate analysis by risk of falling included the probability value. The association between functionality, physical performance and risk of falling was examined using a logistic regression model.</div></div><div><h3>Results</h3><div>The average age was 67 years (SD: 6.0), 51 % were men, 72 % had primary school education and 96 % consumed some antipsychotic medication. According to the results of the logistic model, mild-moderate dependence (OR=5.56, 95 % CI 1.24-27.00) and low physical performance are the two factors that most influence the risk of drop.</div></div><div><h3>Conclusion</h3><div>Low physical performance and mild to moderate dependence in daily activities increase the risk of falls in hospitalized older adults with mental disorders.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 158-163"},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783909","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}
Geriatric NursingPub Date : 2025-04-04DOI: 10.1016/j.gerinurse.2025.03.025
Chiyoung Lee PhD, RN , Juyoung Park PhD, MSW , Mindy Fain MD , James E. Galvin MD, MPH , Lindsey Park BS , Hyochol Ahn PhD, APRN, ANP-BC, FAAN
{"title":"Immediate and long-term effects of transcranial direct current stimulation on pain relief in older adults with Alzheimer's disease and related dementias: A pilot study","authors":"Chiyoung Lee PhD, RN , Juyoung Park PhD, MSW , Mindy Fain MD , James E. Galvin MD, MPH , Lindsey Park BS , Hyochol Ahn PhD, APRN, ANP-BC, FAAN","doi":"10.1016/j.gerinurse.2025.03.025","DOIUrl":"10.1016/j.gerinurse.2025.03.025","url":null,"abstract":"<div><div>We simultaneously assessed the impact of transcranial direct current stimulation (tDCS) on mitigating both self-reported pain and pain behaviors to more objectively explore its effects in older adults with Alzheimer's disease and related dementias. The analysis investigated 40 participants randomly (1:1) subjected to active and sham tDCS for 20 min on 5 consecutive days<em>.</em> Multi-group latent transition analysis enabled the simultaneous evaluation of both pain domains in a single model and analysis of their changes as a function of intervention exposure by modeling the transition probabilities of latent classes and comparing these changes between groups. Two pain categories (“high pain” and “low pain”) were identified based on the numeric rating scale and mobilization–observation–behavior–intensity–dementia scale scores. Overall, tDCS demonstrated better effects in helping participants transition to a “low pain” status during and after the intervention (∼3 months) compared with sham stimulation, demonstrating its immediate and enduring effects.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 138-146"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769224","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}
Geriatric NursingPub Date : 2025-04-04DOI: 10.1016/j.gerinurse.2025.03.008
Binghong Bao MD , Afei Qin MD , Meiqi Wang MD , Wenzhe Qin PhD , Fangfang Hu PhD , Tianjiao Xin MD , Lingzhong Xu PhD
{"title":"Association between hygiene environment, care needs, and depression among Chinese older adults: A cohort analysis from the CHARLS","authors":"Binghong Bao MD , Afei Qin MD , Meiqi Wang MD , Wenzhe Qin PhD , Fangfang Hu PhD , Tianjiao Xin MD , Lingzhong Xu PhD","doi":"10.1016/j.gerinurse.2025.03.008","DOIUrl":"10.1016/j.gerinurse.2025.03.008","url":null,"abstract":"<div><div>Limited research has explored the link between functional dependency, care needs, and depression among older adults. This study aims to explore the association between dependency levels and depression among Chinese older adults, as well as examine the relationship between hygiene environment and these two factors. Data were obtained from the CHARLS 2011-2018. A total of 4871 individuals aged 60 years and older were included. Generalized estimating equations were employed for the analysis. A conceptual framework was established to longitudinally illustrate the pathway from hygiene environment to dependency levels to depression. Findings indicated higher dependency levels and poorer hygiene environments were associated with an increased risk of depression, with dependency serving as a mediator between hygiene environment and depression. Policymakers should prioritize improvements in rural sanitation and long-term care policies, healthcare providers should enhance depression screening and caregiver training, and clinicians should provide personalized interventions to better address mental health challenges.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 147-157"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769221","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}
Geriatric NursingPub Date : 2025-04-03DOI: 10.1016/j.gerinurse.2025.03.015
Jian Liu PhD , Simeng Zhang MSN , Zongke Long MSN , Zhiwei Wang PhD , Jiurui Wang MSN , Xiaorong Luan Ph.D., RN
{"title":"The multiple mediating effects of social support and depressive symptoms on the relationship between frailty and cognitive function in older patients with heart failure: A cross-sectional study","authors":"Jian Liu PhD , Simeng Zhang MSN , Zongke Long MSN , Zhiwei Wang PhD , Jiurui Wang MSN , Xiaorong Luan Ph.D., RN","doi":"10.1016/j.gerinurse.2025.03.015","DOIUrl":"10.1016/j.gerinurse.2025.03.015","url":null,"abstract":"<div><h3>Aims</h3><div>The aim of this study was to test the multiple mediating effects of social support and depression symptoms on the relationship between frailty and cognitive function in older patients with heart failure.</div></div><div><h3>Methods and results</h3><div>We used a convenience sampling method to recruit 444 older patients with heart failure who met the inclusion criteria from a university-affiliated general hospital.</div><div>Multiple mediation analyses revealed that the relationship between frailty and cognitive function was influenced by social support (effect: -0.383, 95% CI [-0.774, -0.072]) and depressive symptoms (effect: -0.349, 95% CI [-0.710, -0.134]) both individually and in tandem (effect: -0.276, 95% CI [-0.591, - 0.106]).</div></div><div><h3>Conclusion</h3><div>Social support and depressive symptoms are multiple mediators of the relationship between frailty and cognitive function. Healthcare providers should implement interventions that focus on maximizing social return and minimizing depressive symptoms to mitigate the decline in cognitive function.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 131-137"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759632","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}
Geriatric NursingPub Date : 2025-04-03DOI: 10.1016/j.gerinurse.2025.03.010
Yiming Qiu , Lisheng Wang , Guichen Li , Xinxin Wang , Wei Liu , Xin Li , Yali Yang , Li Chen
{"title":"Screening and assessment of frailty in geriatric inpatients: A pilot project on evidence-based practice","authors":"Yiming Qiu , Lisheng Wang , Guichen Li , Xinxin Wang , Wei Liu , Xin Li , Yali Yang , Li Chen","doi":"10.1016/j.gerinurse.2025.03.010","DOIUrl":"10.1016/j.gerinurse.2025.03.010","url":null,"abstract":"<div><div><strong>Objective:</strong> The aim of this project was to establish an evidence-based practice program, and examine the effect on nurses’ knowledge levels, nurses’ compliance and patient satisfaction.</div><div><strong>Methods:</strong> We systematically searched six databases and five websites to summarize the best evidence. Next, we held stakeholder, EBP group and expert meetings to build the program. Finally, a noncontemporaneous controlled trial was applied.</div><div><strong>Results:</strong> After the implementation of the program, the knowledge scores of nurses improved significantly. The compliance with the nine audit criteria was over 80%, and the difference was statistically significant. The satisfaction of patients in the implementation group was significantly higher than that in the comparison group.</div><div><strong>Conclusions:</strong> This was the first project of frailty screening and assessment in a clinical setting in China. The results showed that the implementation of the program could improve the knowledge level of nurses, regulate nursing behavior, and improve the satisfaction of patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 113-122"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758952","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}
Geriatric NursingPub Date : 2025-04-03DOI: 10.1016/j.gerinurse.2025.03.022
Min Liu BS , Wei Cao BS , Guangqi Xu MS , Yanxia He BS , Zhongjun Du MS , Tingting Yuan MS
{"title":"Knowledge, attitudes, and practices survey on postoperative pain management in gastrointestinal surgery patients: A cross-sectional study","authors":"Min Liu BS , Wei Cao BS , Guangqi Xu MS , Yanxia He BS , Zhongjun Du MS , Tingting Yuan MS","doi":"10.1016/j.gerinurse.2025.03.022","DOIUrl":"10.1016/j.gerinurse.2025.03.022","url":null,"abstract":"<div><div>In a cross-sectional study conducted between August 15, 2023, and January 26, 2024, the research focused on exploring the knowledge, attitudes, and practices (KAP) related to postoperative pain management among gastrointestinal surgery patients. Spearman's correlation analysis, logistic regression, explorative factor analysis, and structural equation modeling (SEM) were used to elucidate KAP interrelationships and influential factors. A total of 528 valid questionnaires were collected from five medical institutions. While positive correlations were noted between KAP scores, gastrointestinal surgery patients exhibited poor knowledge, positive attitudes, and moderate practices regarding postoperative pain management. Educational interventions are recommended, particularly targeting individuals with lower educational levels and unmarried statuses, to improve postoperative pain management practices in this patient population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 105-112"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758982","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}
Geriatric NursingPub Date : 2025-04-03DOI: 10.1016/j.gerinurse.2025.03.028
Fan Xu PhD , Kim Geok Soh PhD , Yoke Mun Chan PhD , Kim Lam Soh PhD , Xiao Rong Bai PhD , Nuan Nuan Deng PhD , Huan Ge Liu PhD
{"title":"Effects of physical exercise on physical and mental health in older adults with gait disorders: A systematic review","authors":"Fan Xu PhD , Kim Geok Soh PhD , Yoke Mun Chan PhD , Kim Lam Soh PhD , Xiao Rong Bai PhD , Nuan Nuan Deng PhD , Huan Ge Liu PhD","doi":"10.1016/j.gerinurse.2025.03.028","DOIUrl":"10.1016/j.gerinurse.2025.03.028","url":null,"abstract":"<div><div>The benefits of physical exercise are well-known, but there is limited research on its effects on the physical and mental health of elderly individuals with gait disorders. This review aims to evaluate the impact of physical exercise on these outcomes. A literature search was conducted, retrieving studies published from inception to November 2024 in databases such as PubMed, Scopus, Web of Science, ProQuest, and SPORTDiscus. Fifteen randomized controlled trials (RCTs) were included in the review. The results indicate that physical exercise improves both physical health (gait, balance, mobility, reduce fall rate) and mental health (Qality of life [QoL] cognitive function, anxiety levels, and Activities-Specific Balance Confidence [ABC]) in older adults with gait disorders. Of the 15 studies, 10 reported positive effects on both physical and mental outcomes, while the remaining five studies showed either no effect or a lack of positive results. The interventions evaluated included Tai Chi (TC), Tango, aerobic training (AT), resistance training (RT), combined training (CT), virtual reality (VR), resistance training plus standard pharmacological treatment (RTG + pharmacological treatment), high-speed treadmill training, brisk walking, and multimodal exercise program (MEP). Notably, there are six items of TC intervention. Most interventions lasted for 12 weeks with sessions conducted twice a week, each lasting between 30 and 60 minutes. Additionally, limited studies (one per indicator) assessed strength, functional gait assessment (FGA), and center of pressure (COP), indicating a need for more research in these areas. This review concludes that physical exercise is effective in improving physical and mental health outcomes in older adults with gait disorders, with TC emerging as the most commonly used and beneficial intervention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 123-130"},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759631","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}