Exploring geriatric syndromes among physically disabled older adults: A network analysis

IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-03-01 Epub Date: 2025-01-25 DOI:10.1016/j.gerinurse.2025.01.013
Qingyang Hu BS , Yixuan Zeng BS , Lingying Cai BS , Hong Liang PhD , Juan Lv MSN, RN , Jingjing Luo PhD , Yan Liang PhD.
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Abstract

Objective

To explore the network structure of common geriatric syndromes and conditions in physically disabled older adults.

Methods

We chose fourteen common geriatric syndromes and conditions from the dataset and estimated networks with the partial correlation network method. We tested the stability and accuracy of the network using the package “bootnet” in R software.

Results

The common geriatric syndromes and conditions were positively connected within the network, and strong connections emerged between chronic pain and dyspnea, and urinary incontinence and vision impairment. Polypharmacy, chronic pain, cognitive impairment and urinary incontinence were strongly and directly connected with the network.

Conclusion

Healthcare professionals, caregivers, and older adults should pay more attention to the occurrence and development of these four syndromes as well as the interactions between the different syndromes during intervention planning. Interventions targeting multiple geriatric syndromes or a factor common to various syndromes may be more feasible and more effective.
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探索残疾老年人的老年综合征:网络分析。
目的:探讨肢体残疾老年人常见老年综合征和症状的网络结构。方法:我们从数据集中选择了14种常见的老年综合征和病症,并使用部分相关网络方法估计网络。我们使用R软件中的“bootnet”包来测试网络的稳定性和准确性。结果:常见的老年症状和病情在网络内呈正相关,慢性疼痛和呼吸困难、尿失禁和视力障碍之间存在强关联。多药、慢性疼痛、认知障碍和尿失禁与神经网络直接密切相关。结论:医护人员、护理人员和老年人在制定干预计划时应重视这四种证候的发生发展以及不同证候之间的相互作用。针对多种老年综合征或多种综合征共同因素的干预措施可能更可行、更有效。
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来源期刊
Geriatric Nursing
Geriatric Nursing 医学-护理
CiteScore
3.80
自引率
7.40%
发文量
257
审稿时长
>12 weeks
期刊介绍: Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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