Geriatric Nursing最新文献

{"title":"Machine learning-based risk prediction of mild cognitive impairment in patients with chronic heart failure: A model development and validation study","authors":"Jin Yang ,&nbsp;Yan Xie ,&nbsp;Tianyi Wang ,&nbsp;You Pu ,&nbsp;Ting Ye ,&nbsp;Yunman Huang ,&nbsp;Baomei Song ,&nbsp;Fengqin Cheng ,&nbsp;Zheng Yang ,&nbsp;Xianqin Zhang","doi":"10.1016/j.gerinurse.2025.01.022","DOIUrl":"10.1016/j.gerinurse.2025.01.022","url":null,"abstract":"<div><div>Accurate identification of individuals at high risk for mild cognitive impairment (MCI) among chronic heart failure (CHF) patients is crucial for reducing rehospitalization and mortality rates. This study aimed to develop and validate a machine learning model to predict MCI risk in CHF patients. 602 CHF patients were included in this cross-sectional analysis. We constructed four machine learning models and assessed the models using the area under the receiver operating characteristic curve (AUC), calibration curve, and clinical decision curve. Results showed that scores of psychological and social adaptation management, age, free triiodothyronine, Self-rating Depression Scale scores, hemoglobin, sleep duration per night and gender were the best predictors and these factors were used to construct dynamic nomograms. Among all models, eXtreme Gradient Boosting (XGBoost) with an AUC of 0.940 performed the best in predicting the risk of MCI in CHF patients. Dynamic nomogram helps clinicians perform early screening in large populations.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 145-156"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082044","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":"Trajectory changes and temporal priorities between depressive symptoms and social participation: A longitudinal study","authors":"Wenguang Wang ,&nbsp;Jiapo Zhang ,&nbsp;Li Yang ,&nbsp;Zihan Gao ,&nbsp;Runtian Lv ,&nbsp;Jia Li ,&nbsp;Yawen Ren","doi":"10.1016/j.gerinurse.2025.01.026","DOIUrl":"10.1016/j.gerinurse.2025.01.026","url":null,"abstract":"<div><h3>Background</h3><div>Depressive symptoms and social participation are important factors influencing the health of older persons. Further research is needed to understand the interaction between these two variables.</div></div><div><h3>Method</h3><div>The Center for Epidemiological Studies Depression Scale (CES-D) and the Social Participation Questionnaire were employed to assess depressive symptoms and social participation. A latent growth model (LGM) was used to investigate changes in the trajectories of variables. The parallel process latent growth model (PP-LGM) and autoregressive cross-lagged model (ARCL) determined whether correlations existed.</div></div><div><h3>Result</h3><div>Older persons' depressive symptoms worsened while their level of social participation decreased. The intercept of depressive symptoms was negatively correlated with the slope of social participation(<em>r</em>=-0.133, <em>p</em> = 0.011). The slope of depressive symptoms and social participation were positively correlated(<em>r</em> = 0.444, <em>p</em> &lt; 0.001). Depressive symptoms at earlier time points predicted later social participation(β1=-0.025, p1=0.032, β2=-0.040, p2=0.001).</div></div><div><h3>Conclusion</h3><div>There are dynamic changes and correlations between depressive symptoms and social participation in older persons.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 108-114"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076521","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":"Mental health literacy and its relationship with health-promoting behaviors of community-dwelling older adults: A latent profile analysis","authors":"Yi Liu ,&nbsp;Baiyun Li ,&nbsp;Lihua Liu ,&nbsp;Xiaoling Chen ,&nbsp;Wanjing Liu ,&nbsp;Man Yao ,&nbsp;Xiaohong Jian","doi":"10.1016/j.gerinurse.2025.01.015","DOIUrl":"10.1016/j.gerinurse.2025.01.015","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the latent profiles of mental health literacy among community-dwelling older adults and analyze their relationship with health-promoting behaviors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 321 community-dwelling older adults using a general information questionnaire, the Chinese version of the Mental Health Literacy Scale, and the Geriatric Health Promotion Scale. A latent profile analysis was performed to identify latent profiles of mental health literacy among community-dwelling older adults. Multiple logistic regression analysis was used to explore the predictive factors of different profiles. One-way ANOVA was applied to examine the relationship between profiles and health-promoting behaviors.</div></div><div><h3>Results</h3><div>The mental health literacy of community-dwelling older adults was classified into three latent profiles: Profile 1, low mental health literacy group (21.81 %); Profile 2, medium mental health literacy group (46.42 %); and Profile 3, high mental health literacy group (31.78 %). Sex and living status were predictors of different profiles. The total score difference of health-promoting behaviors among the three profiles was statistically significant.</div></div><div><h3>Conclusions</h3><div>There is significant heterogeneity in mental health literacy among community-dwelling older adults. Promoting mental health literacy can effectively increase health-promoting behaviors. Targeted interventions for community-dwelling older adults in different profiles are recommended to improve their health-promoting behaviors.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 123-130"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076510","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":"Plasma zonulin levels forecast sarcopenia and physical performance in patients with knee osteoarthritis","authors":"Asima Karim PhD ,&nbsp;M. Shahid Iqbal FCPS ,&nbsp;Haroon Ahmed Khan FCPS ,&nbsp;Firdos Ahmad PhD ,&nbsp;Rizwan Qaisar PhD","doi":"10.1016/j.gerinurse.2025.01.024","DOIUrl":"10.1016/j.gerinurse.2025.01.024","url":null,"abstract":"<div><h3>Purpose</h3><div>Knee Osteoarthritis (KOA) is a common disease in the elderly; however, its causative factors remain poorly elucidated. We investigated the potential contribution of intestinal mucosal disruption to the severity of KOA and physical capacity.</div></div><div><h3>Method</h3><div>We recruited women, healthy controls (age = 65.3 ± 6.6 years, <em>n</em> = 75) and patients with mild (age = 70.5 ± 3.8 years), moderate (age = 68.3 ± 5.5 years), and poor KOA (age = 73.8 ± 4.5 years, <em>n</em> = 43–50/group), characterized on oxford knee scoring (OKS) system. We also measured plasma zonulin as a marker of intestinal mucosal disruption alongwith plasma biochemistry, body composition, short physical performance battery (SPPB) score, gait speed, and hand grip strength (HGS) in control and KOA patients.</div></div><div><h3>Results</h3><div>KOA patients had elevated plasma zonulin levels, along with lower appendicular skeletal muscle mass (ASMI), and higher body fats than controls (all <em>p</em> &lt; 0.05). Furthermore, KOA patients had lower SPPB scores, gait speed, and HGS than controls (all <em>p</em> &lt; 0.05). Simple regression analysis revealed robust negative correlations of plasma zonulin with OKS, HGS, gait speed, and SPPB scores in KOA patients. These patients also exhibited higher levels of markers of inflammation and oxidative stress. Zonulin also exhibited significant areas under the curve in diagnosing low OKS scores, reduced physical capacity, and muscle weakness in KOA patients.</div></div><div><h3>Significance</h3><div>Taken together, increased intestinal permeability may contribute to the reduced functional performance in KOA, and plasma zonulin may be a useful diagnostic tool in KOA.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 115-122"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076519","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 exercise interventions on cognition, physical function and quality of life among older adults with cognitive frailty: A systematic review and meta-analysis","authors":"Yue Yuan (袁越) Bachelor's Degree. Master's student ,&nbsp;Sixue Wang (王思雪) Bachelor's Degree, Master's student ,&nbsp;Chunyi Zhou (周纯祎) Bachelor's Degree, Master's student ,&nbsp;Ailin Zhang (张艾琳) Bachelor's Degree, Master's student ,&nbsp;Shibo Zhang (张诗博) Master's degree ,&nbsp;Yuncui Wang (王云翠) Doctoral degree","doi":"10.1016/j.gerinurse.2025.01.006","DOIUrl":"10.1016/j.gerinurse.2025.01.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the effects of exercise interventions on cognition, physical function, and quality of life among older adults with cognitive frailty.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted (PROSPERO [CRD42024532608]). PubMed, Web of Science, Cochrane Library, Embase, CNKI, WanFang, VIP, and SinoMed databases were searched from inception until December 18, 2023.</div></div><div><h3>Results</h3><div>We found exercise improved overall cognition, physical frailty, walking ability, gait speed, and so on among older adults with cognitive frailty, but the effect on physical fitness and quality of life was insignificant. Subgroup analysis revealed exercise conducted ≥3 times per week, each session lasting ≤45 min and cycle≤12 weeks, had better-improved cognition. Traditional mind-body exercises like Baduanjin were more effective than resistance training for enhancing cognition.</div></div><div><h3>Conclusions</h3><div>Exercise intervention benefits overall cognition and most physical functions, but its impact on physical fitness and quality of life remains to be confirmed by future studies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 96-107"},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076499","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":"Psychometric testing of the Arabic version of the arrhythmia-specific questionnaire in tachycardia and arrhythmia among older adult arrhythmic patients","authors":"Mohamed E.H. Elzeky ,&nbsp;Osama M.E. Ramadan ,&nbsp;Noha F.M. Shahine","doi":"10.1016/j.gerinurse.2025.01.028","DOIUrl":"10.1016/j.gerinurse.2025.01.028","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to translate and culturally adapt the Arrhythmia Specific Questionnaire in Tachycardia and Arrhythmia Health-Related Quality of Life (ASTA-HRQOL) scale into Arabic among older adult patients with any type of arrhythmia.</div></div><div><h3>Methods</h3><div>A forward-backward translation method was used in translating the scale to Arabic. 130 older adults diagnosed with arrhythmia were recruited by convenience sampling from February 2023 to January 2024. Psychometric analysis involved internal consistency, test-retest reliability, convergent validity, floor and ceiling effects, discriminant validity, factorial validity, diagnosis accuracy, and calibration.</div></div><div><h3>Results</h3><div>The scale showed excellent internal consistency and reliability. Convergent and discriminant validity were emphasized, and confirmatory factor analysis demonstrated a good fit of the model following modification. The cut-off point for discriminating between poor and good quality of life was 13.5, and the area under the curve was 0.95.</div></div><div><h3>Conclusion</h3><div>The ASTA-HRQOL Arabic questionnaire presented globally good psychometric properties among older adult patients with arrhythmia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 81-88"},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076516","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":"Feasibility and acceptability of post-hospitalization discharge calls to caregivers of Veterans with dementia: A quality improvement project","authors":"Darrick Idso ,&nbsp;Amanda Johnson ,&nbsp;Emily Hudson ,&nbsp;Hannele Nicholson ,&nbsp;Sarah Garrett ,&nbsp;Rebecca Brown ,&nbsp;Kristine Talley ,&nbsp;Edward Ratner ,&nbsp;Hilary Mosher ,&nbsp;Howard A. Fink ,&nbsp;Allison M. Gustavson","doi":"10.1016/j.gerinurse.2025.01.012","DOIUrl":"10.1016/j.gerinurse.2025.01.012","url":null,"abstract":"<div><div>Informal caregivers hold an important role in ensuring a smooth transition from hospital to home for persons with dementia. In this quality improvement project we evaluated the feasibility and acceptability of a caregiver-focused, nurse-led post discharge call to caregivers of Veterans with dementia recently discharged from a single medical center. The call focused on assessing caregiver preparedness and identifying unmet needs. Thirty caregivers met inclusion criteria and 19 caregivers participated. Results suggested most caregivers of recently hospitalized Veterans with dementia can be identified, contacted, and interviewed to assess caregiving needs. However, sustainability was challenged by the significant time and resources required to screen and identify caregivers. Future iterations may focus on deployment of an electronic health record tool to improve the efficiency at which caregiver information is located, documented, and used to inform clinical decisions and allow for conduct of caregiver-focused interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 89-95"},"PeriodicalIF":2.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076508","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 nurses’ attitudes towards the prevention of falls: A mixed-method study","authors":"Esra Özbudak Arıca PhD ,&nbsp;Zeliha Koç PhD,Professor","doi":"10.1016/j.gerinurse.2025.01.008","DOIUrl":"10.1016/j.gerinurse.2025.01.008","url":null,"abstract":"<div><div>The purpose of this study was to investigate nurses' attitudes towards prevention of falls using the Nurses Attitudes Towards Prevention of Falls Scale and to identify factors affecting these attitudes. A mixed-method design was applied and a convenience study was conducted. Six-hundred and thirty nurses participated. In the first stage of this study, the psychometric properties of the Nurses' Attitudes Towards Prevention of Falls Scale were tested. Quantitative data were collected using the Introductory Information Form and the Nurses’ Attitudes Towards Prevention of Falls Scale. While collecting this data, 24 nurses were interviewed. The Nurses' Attitudes Towards Prevention of Falls Scale was determined to be a valid and reliable measurement tool. Most of the participating nurses did not complete a fall incident report when their patients experienced a fall, and that led to nurses experiencing remorse, fear, guilt, sadness, anxiety, and panic when their patients fell.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 62-71"},"PeriodicalIF":2.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069814","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":"Unveiling the interplay between knowledge, self-efficacy, and pro-environmental behavior about climate change in a sample of rural community-dwelling older adults: A national correlational study","authors":"Dina M. Sorour PhD ,&nbsp;Mohamed H. Atta PhD ,&nbsp;Aml A. Mohamed PhD ,&nbsp;Naglaa A. Alfayomy PhD ,&nbsp;Ahmed A. Othman PhD ,&nbsp;Rasha S. Eweida PhD","doi":"10.1016/j.gerinurse.2025.01.007","DOIUrl":"10.1016/j.gerinurse.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>Climate change is a global health concern that affects all of humanity, but it disproportionately impacts older adults, particularly those living in rural communities. Older adults lack the ability to actively engage in pro-environmental actions aimed at adapting to and mitigating the harmful effects of climate change.</div></div><div><h3>Aim</h3><div>To investigate the relationship between knowledge, self-efficacy, and pro-environmental behavior regarding climate change, as well as to identify the factors that predict pro-environmental behavior in a sample of rural community-dwelling older adults.</div></div><div><h3>Methods</h3><div>A descriptive correlational research design was used with a convenience sample of 517 older adults aged 60 and above, who were recruited from the post offices of the National Post Authority in Minya Governorate, Egypt. Data were collected using a socio-demographic questionnaire, a Climate Change Knowledge Questionnaire, the Environmental Self-Efficacy Scale (ESE), and the Pro-Environmental Behavior Scale (PEBS).</div></div><div><h3>Results</h3><div>A highly statistically significant positive relationship between climate change knowledge, environmental self-efficacy and pro-environmental behavior (<em>r</em> = 0.412, <em>P</em>=.000; <em>r</em> = 0.392^, <em>P</em>=.000 &amp; <em>r</em> = 0.720, <em>P</em>=.000 respectively) was reported. As well as, climate change knowledge and environmental self-efficacy were predictors of high pro-environmental behavior scores (<em>P</em>=.00, <em>R</em> = 0.785; R²=0.617; Adjusted R²=0.615; <em>F</em> = 413.289).</div></div><div><h3>Conclusion</h3><div>Integrating climate change education into Egypt's sustainable development goals is essential for fostering older adults' environmental self-efficacy, which in turn promotes climate change activism among older people in rural communities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 72-80"},"PeriodicalIF":2.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069817","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 staffing and skill mix in nursing homes in Italy: An observational cross-sectional study","authors":"Daniele Marchetti ,&nbsp;Simone Cosmai ,&nbsp;Pietro Xausa ,&nbsp;Giancarlo Galbiati ,&nbsp;Andrea Poliani ,&nbsp;Chiara Mainardi ,&nbsp;Stefano Mancin ,&nbsp;Gianluca Solitro","doi":"10.1016/j.gerinurse.2025.01.009","DOIUrl":"10.1016/j.gerinurse.2025.01.009","url":null,"abstract":"<div><h3>Introduction/Objective</h3><div>The relationship between staffing levels and skill mix in nursing homes is poorly documented in Italy. This study aimed to investigate nursing staffing levels and skill mix in Northern Italian nursing homes.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was conducted using a questionnaire sent to several nursing homes.</div></div><div><h3>Results</h3><div>Twenty-three nursing homes participated. Data were collected on organizational models, daily hours of support staff, and daily hours of care per resident, categorized by professional profile. The predominant models were “by sector or modular” and “Team nursing”. Daily hours of nursing care were minimal; in most nursing homes, daily hours of support staff exceed those of nurses and healthcare assistants. Total daily hours of care per resident were 2.75, below international and recommended standards.</div></div><div><h3>Discussion</h3><div>Organizational settings can be improved by adjusting staffing, particularly by rebalancing the ratio of nursing to support staff, to improve outcomes and prevent missed care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 48-53"},"PeriodicalIF":2.5,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048818","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}