Geriatric Nursing最新文献

{"title":"Exploring patterns of social participation and its relationship with loneliness among older adults in rural China through a person-centered approach: A cross-sectional study using latent profile analysis","authors":"Yuecong Wang ,&nbsp;Xin Wang ,&nbsp;Xuejing Li ,&nbsp;Surong Wen ,&nbsp;Lijun Xu ,&nbsp;Yingyuan Ni","doi":"10.1016/j.gerinurse.2025.01.039","DOIUrl":"10.1016/j.gerinurse.2025.01.039","url":null,"abstract":"<div><h3>Objective</h3><div>Identify social participation patterns and their predictors among older adults in rural China, and explore the association between these patterns and loneliness.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted from June to October 2023 in eight townships in Huzhou, China. Convenience sampling to recruit 500 rural older adults, of whom 467 completed the survey. Confirmatory factor analysis was used to validate the factor structure of the social participation scale. Latent profile analysis was conducted to identify social participation patterns based on ten items of social participation. Bivariate and multiple logistic regression analyses were used to explore the relationship between social participation patterns and sociodemographic variables among rural older adults. ANOVA was used to explore the association between social participation patterns and loneliness across potential profiles.</div></div><div><h3>Results</h3><div>Three patterns of social participation were identified: high family personal activity-low social participation group (53.5 %, <em>n</em> = 250), moderate social participation group (31.3 %, <em>n</em> = 146), and high cultural organizational activity-high social participation group (15.2 %, <em>n</em> = 71). The results of multiple logistic regression analysis showed that age, sex, marital status, self-rated health status, and number of chronic diseases were predictors of different patterns of social participation among rural older adults. ANOVA results showed that the differences in loneliness between the different potential profiles of social participation patterns among rural older adults were all significant.</div></div><div><h3>Conclusion</h3><div>This study revealed three distinct social participation patterns among rural older adults and their strong link to loneliness. These findings can guide future research and inform nursing practice, enabling more tailored support aligned with older adults’ family and personal lives, thus better addressing their needs and preferences. By understanding these patterns, nurses can develop personalized care plans that incorporate targeted social support, helping to reduce loneliness and improve well-being in rural older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 19-29"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160145","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":"Good sleep quality shields older adults from depressive symptoms linked to isolation: Comparing online and in-person social connections","authors":"Hai-Xin Jiang MA ,&nbsp;Cody Ding PhD ,&nbsp;Ying-Chen Liu BA ,&nbsp;Jing Yu PhD","doi":"10.1016/j.gerinurse.2025.01.035","DOIUrl":"10.1016/j.gerinurse.2025.01.035","url":null,"abstract":"<div><h3>Objective</h3><div>This study investigated the role of sleep quality in the link between social connections and depressive symptoms among older adults.</div></div><div><h3>Methods</h3><div>A total of 1,230 older adults participated in this study following the lifting of the lockdown. Network analysis and random intercept cross-lagged panel model (RI-CLPM) were conducted to examine the relationship between social connections and depressive symptoms. A multi-group RI-CLPM analysis identified potential differences in this relationship between good and poor sleepers in the context of online and in-person social connections.</div></div><div><h3>Results</h3><div>The results showed a stable interrelationship between social connections and depressive symptoms in older adults. Sleep quality moderated this association across temporal responses in online but not in-person social connections.</div></div><div><h3>Conclusions</h3><div>These findings underscore the urgency of addressing the adverse influence of lockdown by facilitating in-person social connections and improving the sleep quality among individuals with limited online social interactions to protect against depression.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 51-57"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143227611","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":"Investigating the impact of multicomponent training for improving lower limb dysfunction in people with stroke: A scoping review of randomized clinical trials","authors":"Jing Wang ,&nbsp;Xinmin Li ,&nbsp;Fangjie Yang ,&nbsp;Pengxue Guo ,&nbsp;Chunlin Ren ,&nbsp;Zhengfei Duan ,&nbsp;Mengyao Bi ,&nbsp;Yuting Kong ,&nbsp;Yasu Zhang","doi":"10.1016/j.gerinurse.2025.01.029","DOIUrl":"10.1016/j.gerinurse.2025.01.029","url":null,"abstract":"<div><div>Multicomponent training (MCT) is characterized by the combination of at least 3 types of training, and may be a promising intervention strategy for stroke. This study conducted a scoping review of randomized clinical trials (RCTs) to analyze the available evidence of MCT on improving lower limb dysfunction in stroke patients. Systematic searches were conducted in eight electronic databases. A total of 14 eligible RCTs from 8 countries were included. Among the included studies, MCT mainly combines aerobic, resistance, balance, and stretching exercises. The intensity, frequency, and duration of exercise interventions varied significantly across studies. The findings of most studies indicated that MCT significantly improved lower limb functional outcomes in stroke patients, including walking speed, 6-min Walk Test scores, and Berg Balance Scale scores. However, due to limited evidence, further research is needed to draw more definitive conclusions about the benefits of MCT strategy on lower limb dysfunction in stroke patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 41-50"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143227610","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":"Experiences of inner strength in persons newly diagnosed with mild cognitive impairment: A qualitative study","authors":"Brianna Morgan PhD, CRNP ,&nbsp;Lauren Massimo PhD, CRNP ,&nbsp;Sharon Ravitch PhD ,&nbsp;Abraham A. Brody FAAN, PhD, RN ,&nbsp;Joshua Chodosh MD, MSHS, FACP ,&nbsp;Jason Karlawish MD ,&nbsp;Nancy Hodgson PhD, RN, FAAN","doi":"10.1016/j.gerinurse.2025.01.047","DOIUrl":"10.1016/j.gerinurse.2025.01.047","url":null,"abstract":"<div><div>Inner strength, one's internal process of moving through challenging circumstances, has not been described in persons living with mild cognitive impairment (MCI). This qualitative study used the <em>Listening Guide</em> methodology to explore experiences of inner strength in persons newly diagnosed with MCI. We analyzed 36 joint and individual semi-structured interviews with nine participants with MCI and nine care partners. Analytic poems represented three themes explaining inner strength experiences. In the foundational theme, <em>Me with MCI</em>, participants reconfigured their sense of self. The theme <em>Vacillating between Seeking Relief and Dwelling in Challenge</em> illustrated adjusting to life with MCI. The theme <em>You Get through It</em> characterized inner strengths including perseverance, optimism, accepting MCI, and seeking help. Each participant's inner strength profile was unique and impacted by cognitive impairment, and therefore benefitted from support. Though limited by homogeneity, this study highlights <em>Listening Guide</em> utility and has implications for strengths-based interventions and nursing practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 30-40"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160340","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":"Mediating role of psychological resilience in the relationship between self-neglect and frailty among older adults","authors":"Yifen Tan MS ,&nbsp;Zhijun Huang BSN ,&nbsp;Yu Wang MSN ,&nbsp;Xiaomin Huang MSN ,&nbsp;Binlan Hu BSN","doi":"10.1016/j.gerinurse.2025.01.019","DOIUrl":"10.1016/j.gerinurse.2025.01.019","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the mediating effect of psychological resilience between self-neglect and frailty in older adults.</div></div><div><h3>Methods</h3><div>Based on the data of the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2018, we selected 7094 eligible valid samples. Descriptive analysis, partial correlation analysis, linear regression, and mediation effect analysis were applied to examine the mediating role of psychological resilience in self-neglect and frailty in older adults.</div></div><div><h3>Results</h3><div>Psychological resilience was negatively correlated with self-neglect (<em>r</em> = -0.142, <em>P</em>&lt;0.001). Psychological resilience was negatively correlated with frailty index (<em>r</em> = -0.187, <em>P</em>&lt;0.001). Self-neglect was positively correlated with frailty index (<em>r</em> = 0.243, <em>P</em>&lt;0.001). Self-neglect and psychological resilience significantly impacted frailty (<em>β</em> = 0.199, <em>P</em> &lt; 0.001; <em>β</em> = -0.135, <em>P</em> &lt; 0.001). Psychological resilience partially mediated the effect of self-neglect on frailty in older adults (<em>β</em> = 0.020, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Psychological resilience mediates the relationship between self-neglect and frailty in older adults, and enhancing psychological resilience can help mitigate the negative effects of self-neglect on frailty. Taking measures to improve the level of psychological resilience of the elderly is helpful to reduce the degree of frailty and promote the physical and mental health of the elderly.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 168-174"},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160444","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":"Assessing the effectiveness of horticultural therapy for family caregivers coping with dementia: A quasi-experimental mixed-method study","authors":"Violetta ROZANI RN, PhD ,&nbsp;Adi VITMAN-SCHORR PhD","doi":"10.1016/j.gerinurse.2025.01.014","DOIUrl":"10.1016/j.gerinurse.2025.01.014","url":null,"abstract":"<div><div>This study was designed to examine the degree to which horticultural therapy (HT) improves psychological well-being, relationship closeness, burden of care, caregiver self-efficacy and hope, among the family caregivers of people living with dementia. We utilized a quasi-experimental design employing a pre-post test methodology that integrates both quantitative and qualitative data. Forty family caregivers engaged in six weekly HT sessions, each lasting 60 min. Participants completed a self-administered structured questionnaire concerning the research variables prior to the first session and following the final session. Qualitative data were obtained from session diaries maintained by the HT therapists. The results revealed significant improvements in psychological well-being and caregiving self-efficacy. Qualitative analysis revealed three key themes: uncertainty and hope, coping with care responsibilities, and personal conflicts. The observed improvements in psychological well-being and caregiving self-efficacy indicate that HT may provide a valuable resource for caregivers.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 181-187"},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160441","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":"Hospital frailty risk score using electronic medical records and geriatric syndromes in an acute-care hospital","authors":"Jinyoung Shin M.D.Ph.D ,&nbsp;Jaekyung Choi M.D.Ph.D ,&nbsp;Hyuk Jung Kweon M.D.Ph.D ,&nbsp;Yeeun Han M.D ,&nbsp;Minji Lee B.S","doi":"10.1016/j.gerinurse.2025.01.016","DOIUrl":"10.1016/j.gerinurse.2025.01.016","url":null,"abstract":"<div><h3>Background</h3><div>This study investigated the relationship between the Hospital Frailty Risk Score (HFRS) and geriatric syndromes in acute-care hospitals.</div></div><div><h3>Methods</h3><div>A cross-sectional analysis was performed on 8,205 inpatients aged ≥ 65 years from November 1, 2016, to October 31, 2021. HFRS was determined using ICD-10 codes in the electronic medical records. Cognitive impairment, depression, polypharmacy, dysphagia, malnutrition, and pain were assessed by attending nurses within 48 h of admission.</div></div><div><h3>Results</h3><div>The cohort consisted of 3,872 men and 4,333 women, averaging 74.4 and 75.4 years old, respectively. Patients in the highest HFRS tertile (Q3) showed significantly higher risks of cognitive impairment, depression, and polypharmacy after adjusting for age, sex, and body mass index than those in the lowest tertile (Q1).</div></div><div><h3>Conclusions</h3><div>Elevated HFRS is significantly associated with increased risk of geriatric syndromes, highlighting its usefulness in identifying at-risk elderly patients in hospital settings without face-to-face assessments by medical staff.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 175-180"},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160443","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":"Deprescribing for nursing home residents with limited life expectancy: A qualitative study to identify barriers and enablers for healthcare professionals","authors":"Degefaye Zelalem Anlay MSc ,&nbsp;Lieve Peremans PhD ,&nbsp;Joachim Cohen PhD ,&nbsp;Tinne Dilles PhD ,&nbsp;Kristel Paque PhD","doi":"10.1016/j.gerinurse.2025.01.049","DOIUrl":"10.1016/j.gerinurse.2025.01.049","url":null,"abstract":"<div><div>Nursing home residents with limited life expectancy often take many medications eligible to deprescribing. Deprescribing is crucial but not yet routinely implemented. Therefore the aim of this study was to explore healthcare professionals (HCPs) barriers to and enablers for deprescribing and to identify theoretical domains for behavior change to be included into future interventions. A qualitative descriptive study using semi-structured interviews was conducted among 28 HCPs working in Belgian nursing homes. The data were analysed inductively using thematic analysis followed by mapping barriers and enablers to theoretical domain framework (TDF), and linking the domains to behavioral change techniques (BCTs). We identified multifaceted barriers and enablers across six themes: healthcare system and policy factors, resource- and organization-level factors, professional role and competency factors, interprofessional collaboration and communication factors, attitudes and perceptions towards deprescribing, and triadic dynamics in deprescribing. These barriers and enablers were mapped to 13 of the 14 TDF domains.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 1-11"},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143160147","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 impact of a student-led intergenerational support program on life satisfaction, loneliness, and psychological well-being of institutionalized older adults","authors":"Naglaa Alsaied Mostafa ,&nbsp;Mohamed Saied Harfoush ,&nbsp;Mohamed Hussein Ramadan Atta ,&nbsp;Rasha Ahmed Fouad ,&nbsp;Safaa Mabrouk El garhy","doi":"10.1016/j.gerinurse.2025.01.018","DOIUrl":"10.1016/j.gerinurse.2025.01.018","url":null,"abstract":"<div><h3>Background</h3><div>Institutionalized older adults often face significant challenges that affect their psychological status and experience a sense of loss and social isolation. One promising approach is the implementation of intergenerational support programs, which foster interactions between older adults and younger generations.</div></div><div><h3>Aim</h3><div>To evaluate the effect of the Intergenerational Support Program on life satisfaction, sense of loneliness, and psychological status among institutionalized older adults.</div></div><div><h3>Method</h3><div>A quasi-experimental research design was conducted on a convenience sample of volunteer students and older adults. A total of 74 older adults were recruited and divided equally into two matched groups: study and control groups, with each group consisting of 37 institutionalized older adults. Tools: The Mini-Mental State Examination (MMSE), Socio-Demographic Data and presence of chronic diseases of older adults Structured Interview Schedule, Satisfaction with Life Scale (SWLS), De Jong Gierveld Loneliness Scale and Hospital Anxiety and Depression Scale (HADS). The study group received the proposed intergenerational support program, which included intergenerational sessions for each older adult occurring once a week for approximately one and a half to two hours over three months, totaling 12 sessions. The Chi test was used to test the association between two qualitative variables or to detect differences between two or more proportions.</div></div><div><h3>Results</h3><div>The mean age of participants was 72.64 ± 7.52 years for the study group and 71.30 ± 8.41 years for the control group. Statistically significant differences were found between pre and post-intervention measurements in the study group regarding life satisfaction, sense of loneliness, depression, and anxiety (p = 0.000). In contrast, no statistically significant differences were found between pre and post-intervention measurements in the control group regarding life satisfaction (p = 0.212), sense of loneliness (p = 0.765), depression (p = 0.849) , and anxiety (p = 0.1068).</div></div><div><h3>Conclusion</h3><div>The proposed intergenerational support program significantly affects life satisfaction, feelings of loneliness, and psychological status.</div></div><div><h3>Implications</h3><div>Our findings foster strong relationships between students and older adults, emphasizing the importance of close and compatible interactions, which can build meaningful intergenerational bonds and offer emotional support and companionship to older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 157-167"},"PeriodicalIF":2.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159379","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":"Racial/ethnic differences in social support for dementia caregiving: Midlife women family caregivers of people with Alzheimer's disease","authors":"Hyunwoo Jeong PhD, RN ,&nbsp;Heejung Kim PhD, RN, GNP ,&nbsp;Euno Kim BSN ,&nbsp;Wonshik Chee PhD ,&nbsp;Eun-Ok Im PhD, MPH, RN, CNS, FAAN","doi":"10.1016/j.gerinurse.2025.01.025","DOIUrl":"10.1016/j.gerinurse.2025.01.025","url":null,"abstract":"<div><div>This study explored racial/ethnic differences in social support among racial/ethnic minority midlife women who are family caregivers of people with Alzheimer's disease (MWPLAD) in the US. This secondary analysis used data from a cross-sectional online survey conducted among 136 MWPLAD. Structured questionnaires were used to assess the demographic and caregiving-related characteristics, perceived social support, and sociocultural factors. Moreover, the relative contributions of demographic and sociocultural factors to social support were evaluated by hierarchical linear regression analysis while controlling for race/ethnicity. Cultural justification for duty (<em>β</em> = .338, <em>p</em> &lt; .001) and discrimination during caregiving (<em>β</em> = −.215, <em>p</em> = .014) were significant sociocultural influencing factors, and advanced age (<em>β</em> = −.188, <em>p</em> = .015) was significantly associated with low social support. Therefore, interventions based on social determinants of health are necessary to enhance social support among racial/ethnic MWPLAD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 131-137"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082048","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}