Geriatric Nursing最新文献

{"title":"Investigation of the relationship between mobility levels of older patients undergoing spinal surgery and fear of pain and fear of falling, and the affecting factors","authors":"Hale Turhan Damar PhD, RN (Associate Professor) ,&nbsp;Altun Baksi PhD, RN (Associate Professor) ,&nbsp;Filiz Salman Saraç PhD, RN (Assistant Professor)","doi":"10.1016/j.gerinurse.2025.02.017","DOIUrl":"10.1016/j.gerinurse.2025.02.017","url":null,"abstract":"<div><div>To determine the relationship between mobility levels (turning from one side to another in bed, sitting on the edge of the bed, standing at the edge of the bed, and walking inside the patient room) of older patients undergoing spinal surgery and their fear of pain and falling, and the factors affecting them. A descriptive correlational study was conducted with 144 older individuals who underwent spinal surgery. Female gender and post-operative pain were predictors of total and all sub-dimensions of mobility level in older patients who underwent spinal surgery. It was determined that the presence of chronic disease was the predictor of the sub-dimensions of turning from one side to the another in bed and standing at the edge of the bed while using aids and fear of falling were the predictors of the sub-dimensions of standing at the edge of the bed and walking inside the patient room.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 237-243"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577214","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":"Association between cognitive impairment and medication adherence score, including psychological aspects in older patients with cardiovascular disease","authors":"Takuji Adachi PhD, PT ,&nbsp;Yuki Tsunekawa PhD, PT ,&nbsp;Daisuke Tanimura PhD, MD","doi":"10.1016/j.gerinurse.2025.02.016","DOIUrl":"10.1016/j.gerinurse.2025.02.016","url":null,"abstract":"<div><div>This study examined the association between cognitive impairment and medication adherence scores, including psychological aspects, in older patients with cardiovascular disease. This observational study included 163 older patients hospitalized for cardiovascular disease (median age: 74 years; men, 61 %). Medication adherence at discharge was evaluated using a 12-item scale across four domains: medication compliance, collaboration with healthcare providers, willingness to access and use information on medication, and acceptance of medication. Cognitive impairment was defined as a score of ≤ 9 points in the rapid dementia screening test. Patients with cognitive impairment showed lower medication adherence scores than those without (<em>p</em> &lt; 0.001) after adjusting for potential confounders. Significant differences occurred in the scores of “collaboration with healthcare providers” and “willingness to access and use information on medication”. Healthcare providers should tailor medication information sharing according to the patients’ health condition and cognitive function.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 229-235"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143547901","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":"Assessing the fidelity of the “photo-with-movement program” (PMP) for community-dwelling older adults with pain: A randomized controlled trial","authors":"Mimi M.Y. Tse ,&nbsp;Amanda W.Y. Chan ,&nbsp;Timothy C.M. Wu ,&nbsp;William W.N. Tsang ,&nbsp;Percy P.S. Tse","doi":"10.1016/j.gerinurse.2024.10.027","DOIUrl":"10.1016/j.gerinurse.2024.10.027","url":null,"abstract":"<div><h3>Purpose</h3><div>To measure intervention fidelity of the Photo-with-Movement Program (PMP) and to report the findings of the program.</div></div><div><h3>Methods</h3><div>This study was a two-arm, pilot randomized controlled trial of the PMP. An intervention fidelity checklist and semi-structured interviews were utilize to evaluate the fidelity of the PMP. Twenty-four older adults and informal caregiver dyads enrolled in the study, with 12 dyads in the experimental group and another 12 in the control group. The PMP integrated visual stimulation, physical exercise, and digital-based activity to deliver a comprehensive, non-pharmacological pain relief syllabus to the participants in the experimental group. The control group received pain management pamphlets. The data collected were analyzed using SPSS to compare the outcomes between the experimental and control groups.</div></div><div><h3>Results</h3><div>The PMP led to significant findings on reducing pain intensity and high scores on intervention fidelity. Participants showed great acceptance of this delivery format.</div></div><div><h3>Conclusions</h3><div>This study revealed the fidelity and effectiveness of a multimodal non-pharmacological intervention, suggesting that it could be used for pain management and caregiving.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 262-271"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142633633","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 ,&nbsp;Clare Guss-West","doi":"10.1016/j.gerinurse.2024.10.026","DOIUrl":"10.1016/j.gerinurse.2024.10.026","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Aims</h3><div>This study provides a comprehensive description and evaluation of a Creative Dance Programme for older adults.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>Creative dance increased participants walking speed in both the single (t(13) = 6.65, <em>p</em> &lt; 0.001) and dual-task conditions (t(13) = 5.51, <em>p</em> &lt; 0.001) and reduced participants’ dual-task costs of walking (t(13) = -2.24, <em>p</em> = 0.043). Moreover, participants reported that they felt energised after the sessions and more confident in daily activities.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 254-261"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating preoperative and intraoperative data to predict postoperative pneumonia in elderly patients undergoing non-cardiothoracic surgery: The online two-stage prediction tool","authors":"Siyu Zhang MSc ,&nbsp;Kunduzi Tuerganbayi MSc ,&nbsp;Jiawen Wang MSc ,&nbsp;Hao Liu MD ,&nbsp;Po Shen MMed ,&nbsp;Yaoyi Guo MMed ,&nbsp;Yi Zhong MMed ,&nbsp;Yue Feng MMed ,&nbsp;Mingtao Ma MMed ,&nbsp;Weifeng Yao PhD ,&nbsp;Huaming Xia PhD ,&nbsp;Kaizong Huang PhD ,&nbsp;Yanna Si MD ,&nbsp;Anran Dai MSc ,&nbsp;Jianjun Zou PhD","doi":"10.1016/j.gerinurse.2025.02.012","DOIUrl":"10.1016/j.gerinurse.2025.02.012","url":null,"abstract":"<div><h3>Background</h3><div>Prior research on postoperative pneumonia (POP) risk models focused on preoperative factors but overlooked intraoperative variables vital for precision. These models also neglected the higher-risk elderly population. This study seeks to develop and evaluate preoperative and combined models to predict POP risk in elderly patients undergoing non-cardiothoracic surgery.</div></div><div><h3>Methods</h3><div>A retrospective cohort of 444 patients who underwent non-cardiothoracic surgery at Nanjing First Hospital from March 2021 to April 2022 was included. Univariate analysis and Least Absolute Shrinkage and Selection Operator (LASSO) regression were employed to develop preoperative and combined logistic regression models.</div></div><div><h3>Results</h3><div>The area under the receiver operating characteristic curve for both models exceeded 0.80, indicating excellent discriminatory ability. Furthermore, the combined model demonstrated superior predictive accuracy compared to the preoperative model.</div></div><div><h3>Conclusion</h3><div>This study developed preoperative and combined nomograms that offer practical and innovative tools for clinicians to predict POP risk and improve patient care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 244-253"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577215","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":"Association and interaction between resilience and psychological distress in disabled elderly–caregiver dyads: An actor-partner interdependence model","authors":"Zhiyao Xiong MSN ,&nbsp;Xuyi Wu MBA ,&nbsp;Jie Yang MSN ,&nbsp;Jie Zou MSN ,&nbsp;Qixia Zhong BSN ,&nbsp;Ying Dai BSN ,&nbsp;Qingqing Zhang BSN ,&nbsp;Anni Wang PhD","doi":"10.1016/j.gerinurse.2025.02.014","DOIUrl":"10.1016/j.gerinurse.2025.02.014","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examined the association and interaction between resilience and psychological distress in disabled elderly-caregiver dyads.</div></div><div><h3>Methods</h3><div>A total of 246 disabled elderly individuals and their family caregivers were studied using the Resilience Scale and the Distress Thermometer and Problem List. The data analysis employed the actor-partner interdependence model (APIM) method based on structural equation modelling.</div></div><div><h3>Results</h3><div>APIM revealed a mixed model. Resilience of disabled elderly individuals and caregivers is negatively associated with their psychological distress (association-actor effect), and the psychological distress of other member in the dyad (interaction-partner effect). Furthermore, the actor effect is twice as large as the partner effect.</div></div><div><h3>Conclusion</h3><div>This mixed model suggests that increased resilience and decreased psychological distress in caregivers may be associated with decreased psychological distress in disabled elderly individuals. Health professionals should design dyadic interventions focusing on resilience and interactions between disabled elderly individuals and caregivers to improve their mental health.</div></div><div><h3>Patient or public contribution</h3><div>Heighten public awareness of the interaction between resilience and psychological distress among disabled elderly-caregiver dyads. Based on these insights, advocate for enhanced mental health resources and improved policies to strengthen resilience and more effectively address psychological distress within this vulnerable community.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 245-252"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578381","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":"Is your hospital ready for the CMS 2025 Age Friendly Hospital Measure? How AGS CoCare®: HELP can help!","authors":"Rebecca L. Trotta PhD, RN ,&nbsp;Mark A. Supiano MD, AGSF","doi":"10.1016/j.gerinurse.2025.02.010","DOIUrl":"10.1016/j.gerinurse.2025.02.010","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 300-301"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558919","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":"Scoping review of outpatient dementia care programs in the U.S. from 2011-2023","authors":"Mariya A. Kovaleva RN, PhD, AGPCNP-BC ,&nbsp;Fayron Epps PhD, RN, FGSA, FAAN ,&nbsp;Bonnie Mowinski Jennings PhD, RN, FAAN ,&nbsp;Mi-Kyung Song PhD, RN, FAAN ,&nbsp;Carolyn Clevenger RN, DNP, AGPCNP-BC, GNP-BC, FAANP, FGSA, FAAN ,&nbsp;Patricia C. Griffiths PhD, MS, FGSA ,&nbsp;Michele Balas PhD, RN, CCRN-K, FCCM, FAAN ,&nbsp;Sloan Oliver MPH, BS ,&nbsp;Krystyna Simon DNP, APRN, FNP-C ,&nbsp;Amber Golden DNP, APRN, AGPCNP-BC ,&nbsp;Kenneth Hepburn PhD, FGSA","doi":"10.1016/j.gerinurse.2025.02.007","DOIUrl":"10.1016/j.gerinurse.2025.02.007","url":null,"abstract":"<div><h3>Objective</h3><div>Mainstream primary care settings are suboptimal for providing high quality, accessible outpatient care for persons living with dementia (PLWD). To enhance dementia care quality and access, interprofessional dementia care programs have been implemented. We sought to review the characteristics of these programs.</div></div><div><h3>Methods</h3><div>Guideline-directed (Arksey &amp; O'Malley, 2005) scoping review of the U.S. dementia care programs (2011–2023).</div></div><div><h3>Results</h3><div>Twenty-three dementia care programs, described in 72 articles, were identified. All programs were focused on improving dementia care. The programs featured interprofessional approach, PLWD and caregiver involvement, and care access and continuity. Programs varied in scope, specifics of the populations served, duration and types of services, affiliation, linkage with primary care, staff’ credentials, delivery mode, assessments, outcomes, and challenges. Financial and implementation barriers were commonly reported.</div></div><div><h3>Conclusion</h3><div>Dementia care programs remain few and highly variable. Addressing financial and implementation barriers is essential for the viability and wider adoption of these programs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 203-214"},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488640","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":"Effects of comprehensive intervention models on cognitive frailty in community-dwelling older adults: A 12-month follow-up study","authors":"Jin Hua Huang PhD ,&nbsp;Qing Song Wang PhD ,&nbsp;Rui Min Zhuo Bachelor ,&nbsp;Xin Yu Su Bachelor ,&nbsp;Qing Yuan Xu Bachelor ,&nbsp;Yu Hao Jiang Bachelor ,&nbsp;Yu Han Li Bachelor ,&nbsp;Song Bai Li Bachelor ,&nbsp;Lan Lan Yang Bachelor ,&nbsp;Rui Wen Zang Bachelor ,&nbsp;Chen Yang Meng Bachelor","doi":"10.1016/j.gerinurse.2025.01.011","DOIUrl":"10.1016/j.gerinurse.2025.01.011","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive frailty (CF) is of concern because of its high prevalence in older population and its close association with adverse health outcomes. However, interventions against CF in China are relatively simple. Therefore, the purpose of this study was to analyse the effects of comprehensive interventions on CF in community-dwelling older adults.</div></div><div><h3>Methods</h3><div>225 participants, including 108 individuals with reversible CF (RCF) and 117 individuals with potentially RCF (PRCF) were recruited and divided into intervention and control groups. Participants in RCF Intervention Group underwent primary intervention, and participants in PRCF Intervention Group underwent secondary intervention. CF reversal rate and MoCA score were recorded.</div></div><div><h3>Results</h3><div>Primary intervention and secondary intervention could well reversed CF. Additionally, MoCA scores changed significantly.</div></div><div><h3>Conclusions</h3><div>Adhering to regular comprehensive interventions can effectively reverse CF for community-dwelling older adults. Additionally, RCF maybe is an effective target for reversing CF via early intervention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 194-202"},"PeriodicalIF":2.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445046","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":"Physical activity, frailty, and kinesiophobia among older adult patients with coronary heart disease in China","authors":"Min Hou MSc, RN ,&nbsp;Feng Jiao Yan MSc, RN (Head Nurse) ,&nbsp;Qun Hong Liu MSc, RN ,&nbsp;Yun Ruan MSc, RN ,&nbsp;Li Hong Wan PhD, RN (Professor)","doi":"10.1016/j.gerinurse.2025.02.004","DOIUrl":"10.1016/j.gerinurse.2025.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity (PA) offers advantages in the secondary prevention of coronary heart disease (CHD). However, in older adults, frailty and kinesiophobia may exert negative influences on PA engagement.</div></div><div><h3>Objective</h3><div>To investigate PA, frailty, and kinesiophobia among older adult patients with CHD in China.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled older adult patients with CHD in the cardiac outpatient care unit of the *** University. The International Physical Activity Questionnaire, the Frailty Phenotype Scale, and the Tampa Scale of Kinesiophobia were used to evaluate PA, frailty, and kinesiophobia, respectively.</div></div><div><h3>Results</h3><div>A total of 239 participants (mean age: 72.0 ± 7.5 years, 148 males) were enrolled. The rates of frailty and pre-frailty were 20.5 % and 46.4 %, respectively. The mean kinesiophobia score was 43.13±5.48. The median metabolic equivalent of task of PA was 2784 MET-min/week, and 25.1 % of the patients did not reach the minimum recommended by AHA (150 mins/week). Spearman rank correlation analysis showed that PA was negatively correlated with frailty (<em>r</em> = -0.559, <em>P</em> &lt; 0.001) and kinesiophobia (<em>r</em> = -0.463, <em>P</em> &lt; 0.001). Multivariable logistic regression analysis showed that frailty [<em>OR</em> = 0.412, 95 % confidence interval (<em>CI</em>): 0.304–0.559, <em>P</em> &lt; 0.001] and kinesiophobia (<em>OR</em>=0.936, 95 % <em>CI</em>: 0.879–0.997, <em>P</em> = 0.040) were independently associated with PA after adjustment for age, cardiovascular adverse events, comorbidities, Barthel index, and history of dizziness.</div></div><div><h3>Conclusions</h3><div>Older adult patients with CHD had low levels of PA. Frailty and kinesiophobia were independently associated with PA in older adult patients with CHD. Reversing frailty and reducing kinesiophobia in older adult patients with CHD may increase PA levels.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 230-236"},"PeriodicalIF":2.5,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419106","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}