Informal carers face numerous challenges in caring for home-dwelling persons with dementia. This study aimed to explore the needs and challenges of informal carers in managing behavioural and psychological symptoms of dementia (BPSDs) and their acceptance of mHealth applications for information and support seeking in dementia care. Following Braun and Clarke’s reflexive thematic analysis approach, an exploratory qualitative study design was employed. Interviews were performed with a purposive sample of informal carers of persons with dementia using a semi-structured interview guide (N = 16). The analysis yielded four main themes, including “weight of love: dealing with the complexities of providing BPSD care”; “information challenge: revealing information needs and information-seeking barriers”; “building bridges: searching for support systems”; and “information-seeking in the digital age: adopting mHealth applications”. This study provides insight into the challenges and needs of informal carers in providing care for persons with dementia, particularly managing BPSDs, and highlights the necessity of addressing these issues. Developing tailor-made mHealth applications related to BPSDs is recommended.
{"title":"Informal carers’ needs and challenges towards managing behavioural and psychological symptoms of dementia and accepting mHealth applications: A qualitative study","authors":"Thilanka Jagoda BScN (Hons), MN, PhD , Samath Dharmaratne MBBS, MSc, MD , Sarath Rathnayake BScN (Hons), MScN, PhD","doi":"10.1016/j.gerinurse.2026.103847","DOIUrl":"10.1016/j.gerinurse.2026.103847","url":null,"abstract":"<div><div>Informal carers face numerous challenges in caring for home-dwelling persons with dementia. This study aimed to explore the needs and challenges of informal carers in managing behavioural and psychological symptoms of dementia (BPSDs) and their acceptance of mHealth applications for information and support seeking in dementia care. Following Braun and Clarke’s reflexive thematic analysis approach, an exploratory qualitative study design was employed. Interviews were performed with a purposive sample of informal carers of persons with dementia using a semi-structured interview guide (<em>N</em> = 16). The analysis yielded four main themes, including “weight of love: dealing with the complexities of providing BPSD care”; “information challenge: revealing information needs and information-seeking barriers”; “building bridges: searching for support systems”; and “information-seeking in the digital age: adopting mHealth applications”. This study provides insight into the challenges and needs of informal carers in providing care for persons with dementia, particularly managing BPSDs, and highlights the necessity of addressing these issues. Developing tailor-made mHealth applications related to BPSDs is recommended.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103847"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024956","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103814
Vânia Aparecida Leandro-Merhi PhD , Adeline Mariano Silva de Resende MSc , Larissa Silveira Stopiglia BSc , Lucas Rosasco Mazzini MD (Scientific Initiation Scholarship Fapesp) , José Luis Braga de Aquino PhD
Objective
To investigate the length of hospital stay (LHS) in connection with nutritional screening instruments (NSI) in hospitalized elderly patients (HEP).
Method
This was a cross-sectional and retrospective study with 565 HEP. NSI such as the Nutritional Risk Screening (NRS), the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) as well as the LHS were investigated. Data were analyzed using the Kolmogorov-Smirnov, Mann-Whitney, Chi-square tests and the Poisson regression model.
Results
Through the multiple Poisson model adjusted for the disease, the variables that together explained the LHS were the classification of malnutrition and nutritional risk according to the SGA (estimated parameter = 0.123348, standard error = 0.033580, p = 0.0002); NRS (estimated parameter = 0.339066, standard error = 0.032706, p < 0.0001) and MNA (estimated parameter = 0.180824, standard error=0.051674, p=0.0005).
Conclusion
After adjusting for disease type, the NRS, SGA and MNA were predictors of LHS of HEP. The integrated use of these assessment tools can enhance the decision-making process in nutritional care and hospital assistance, leading to improved clinical outcomes.
{"title":"Application of nutritional screening instruments and their relationship with length of hospital stay of older adult in-patients: model adjusted for the type of disease","authors":"Vânia Aparecida Leandro-Merhi PhD , Adeline Mariano Silva de Resende MSc , Larissa Silveira Stopiglia BSc , Lucas Rosasco Mazzini MD (Scientific Initiation Scholarship Fapesp) , José Luis Braga de Aquino PhD","doi":"10.1016/j.gerinurse.2026.103814","DOIUrl":"10.1016/j.gerinurse.2026.103814","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the length of hospital stay (LHS) in connection with nutritional screening instruments (NSI) in hospitalized elderly patients (HEP).</div></div><div><h3>Method</h3><div>This was a cross-sectional and retrospective study with 565 HEP. NSI such as the Nutritional Risk Screening (NRS), the Subjective Global Assessment (SGA) and the Mini Nutritional Assessment (MNA) as well as the LHS were investigated. Data were analyzed using the Kolmogorov-Smirnov, Mann-Whitney, Chi-square tests and the Poisson regression model.</div></div><div><h3>Results</h3><div>Through the multiple Poisson model adjusted for the disease, the variables that together explained the LHS were the classification of malnutrition and nutritional risk according to the SGA (estimated parameter = 0.123348, standard error = 0.033580, <em>p</em> = 0.0002); NRS (estimated parameter = 0.339066, standard error = 0.032706, <em>p</em> < 0.0001) and MNA (estimated parameter = 0.180824, standard error<em>=0.051674, p</em> <em>=</em> <em>0.0005).</em></div></div><div><h3>Conclusion</h3><div>After adjusting for disease type, the NRS, SGA and MNA were predictors of LHS of HEP. The integrated use of these assessment tools can enhance the decision-making process in nutritional care and hospital assistance, leading to improved clinical outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103814"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024952","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103822
Yi Zhao MSc, Jianwen Lu MSc, Jiajun Sai MSc, Yaqi Wang MSc, Ruiyang Guo MSc, Xinyi Meng MSc
Aim
To investigate the prevalence and factors influencing reversible cognitive frailty among older adults in elderly care facilities in Northeast China.
Method
A cross-sectional survey was conducted on 204 older adults in one of three elderly care facilities in Dalian, China. Data were collected using the Sociodemographic Characteristics Questionnaire, FRAIL scale, Rapid Cognitive Screening Scale (RCS), Subjective Cognitive Decline (SCD) rating entries, streamlined version of the Centre for Streamlined Depression Scale (CES-D-R), shortened version of the Self-perceived Aging Scale (B-APQ), and Barthel Index (BI). SPSS 26.0 and R Studio 4.4.1 software was utilized for univariate and binary logistic regression analyses.
Result
The results showed that the prevalence of reversible cognitive frailty was 28.4 %. In binary logistic regression analysis, different ages, physical exercise, sleep quality, number of chronic diseases, self-perceived aging, and BI were the significant influencing factors of reversible cognitive frailty among older adults in elderly care facilities.
Conclusion
Institutional workers should assess older people's ability to perform daily living tasks and their mental health, strengthen chronic disease management, and formulate a personalized exercise program to delay or reverse the onset of reversible cognitive frailty.
目的了解东北地区老年人可逆性认知衰弱的患病率及影响因素。方法采用横断面调查方法，对中国大连市三家养老机构之一的204名老年人进行调查。采用社会人口学特征问卷、体弱量表、快速认知筛查量表（RCS）、主观认知衰退量表（SCD）、精简版抑郁中心量表（ses - d - r）、精简版自我感知衰老量表（B-APQ）和Barthel指数（BI）收集数据。采用SPSS 26.0和R Studio 4.4.1软件进行单因素和二元logistic回归分析。结果可逆性认知衰弱患病率为28.4%。二元logistic回归分析发现，不同年龄、体育锻炼、睡眠质量、慢性疾病数量、自我感知衰老和BI是老年护理机构老年人可逆性认知衰弱的显著影响因素。结论机构工作人员应对老年人日常生活能力和心理健康状况进行评估，加强慢性病管理，制定个性化的运动方案，延缓或逆转可逆性认知衰弱的发生。
{"title":"Prevalence and factors influencing reversible cognitive frailty among older adults in elderly care facilities in Northeast China: A cross-sectional survey","authors":"Yi Zhao MSc, Jianwen Lu MSc, Jiajun Sai MSc, Yaqi Wang MSc, Ruiyang Guo MSc, Xinyi Meng MSc","doi":"10.1016/j.gerinurse.2026.103822","DOIUrl":"10.1016/j.gerinurse.2026.103822","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the prevalence and factors influencing reversible cognitive frailty among older adults in elderly care facilities in Northeast China.</div></div><div><h3>Method</h3><div>A cross-sectional survey was conducted on 204 older adults in one of three elderly care facilities in Dalian, China. Data were collected using the Sociodemographic Characteristics Questionnaire, FRAIL scale, Rapid Cognitive Screening Scale (RCS), Subjective Cognitive Decline (SCD) rating entries, streamlined version of the Centre for Streamlined Depression Scale (CES-D-R), shortened version of the Self-perceived Aging Scale (B-APQ), and Barthel Index (BI). SPSS 26.0 and R Studio 4.4.1 software was utilized for univariate and binary logistic regression analyses.</div></div><div><h3>Result</h3><div>The results showed that the prevalence of reversible cognitive frailty was 28.4 %. In binary logistic regression analysis, different ages, physical exercise, sleep quality, number of chronic diseases, self-perceived aging, and BI were the significant influencing factors of reversible cognitive frailty among older adults in elderly care facilities.</div></div><div><h3>Conclusion</h3><div>Institutional workers should assess older people's ability to perform daily living tasks and their mental health, strengthen chronic disease management, and formulate a personalized exercise program to delay or reverse the onset of reversible cognitive frailty.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103822"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024959","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103811
Fu-Hsiung Su MD, PhD , Yi-Chien Lai BSc , Tiffany Luke BSc , Ming-Zhen Yu MPH , Moreen Maliko PhD , Ming-Jang Su MD, PhD , Chia-Ling Wu MD , Chih-Ching Yeh PhD
Objectives
To assess the association between hepatitis C virus (HCV) infection and cognitive impairment among seniors in Taiwan, building on our previous findings from a cross-sectional study.
Design
Retrospective cohort study.
Setting
Taiwan Biobank.
Participants
326 participants with positive serum anti-HCV and a control group of 8753 with negative HCV free of cognitive impairment were assessed by the Mini-Mental State Examination at baseline.
Measurements
The association between HCV infection and cognitive impairment was evaluated using Cox proportional hazard models. The analysis was adjusted for age, sex, education, BMI, hypertension, cirrhosis, depression, estimated glomerular filtration rate, APOE genotype, and recruitment periods.
Results
Anti-HCV positive patients showed a significantly higher incidence of cognitive impairment compared to anti-HCV negative individuals (14.28 vs. 7.21 per 1000 person-years, P = 0.004). After adjusting for covariates, HCV infection was significantly associated with an increased risk of developing cognitive impairment (adjusted HR [aHR]: 1.80, 95% confidence interval [CI]: 1.12–2.90). Subgroup analyses for individuals diagnosed prior to the public direct-acting antivirals reimbursement in 2017 and with high antibody titres (sample/cutoff ratio ≥ 5), the elevated risk of cognitive impairment remained statistically significant, with aHRs of 1.69 (95% CI: 1.04–2.75) and 1.81 (95% CI: 1.11–2.96) respectively. Additionally, HCV patients carrying the APOE ɛ4 allele had a marginally higher risk (aHR: 2.60, 95% CI: 0.96–7.08, P = 0.06).
Conclusions
In Taiwan, our findings strengthen evidence that individuals above the age of 60 with HCV infections are at a greater risk of developing cognitive impairment than their counterparts, who were HCV negative.
目的探讨台湾老年人丙型肝炎病毒（HCV）感染与认知障碍之间的关系，基于我们之前的横断面研究结果。设计回顾性队列研究。SettingTaiwan生物。在基线时，通过迷你精神状态检查（Mini-Mental State Examination）对血清抗-HCV阳性的326名参与者和无认知障碍的HCV阴性的8753名对照组进行评估。使用Cox比例风险模型评估HCV感染与认知功能障碍之间的关系。分析调整了年龄、性别、教育程度、BMI、高血压、肝硬化、抑郁症、肾小球滤过率、APOE基因型和招募期。结果抗- hcv阳性患者的认知功能障碍发生率明显高于抗- hcv阴性患者（14.28 vs 7.21 / 1000人-年，P = 0.004）。在调整协变量后，HCV感染与发生认知障碍的风险增加显著相关（调整HR [aHR]: 1.80, 95%可信区间[CI]: 1.12-2.90）。在2017年公共直接作用抗病毒药物报销前诊断的个体和高抗体滴度（样本/截止比≥5）的亚组分析中，认知功能障碍风险升高仍然具有统计学意义，ahr分别为1.69 （95% CI: 1.04-2.75）和1.81 （95% CI: 1.11-2.96）。此外，携带APOE / 4等位基因的HCV患者的风险略高（aHR: 2.60, 95% CI: 0.96-7.08, P = 0.06）。结论在台湾，我们的研究结果强化了60岁以上HCV感染者发生认知障碍的风险高于HCV阴性人群的证据。
{"title":"Association between hepatitis C virus infection and cognitive decline in seniors: further evidence from Taiwan","authors":"Fu-Hsiung Su MD, PhD , Yi-Chien Lai BSc , Tiffany Luke BSc , Ming-Zhen Yu MPH , Moreen Maliko PhD , Ming-Jang Su MD, PhD , Chia-Ling Wu MD , Chih-Ching Yeh PhD","doi":"10.1016/j.gerinurse.2026.103811","DOIUrl":"10.1016/j.gerinurse.2026.103811","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the association between hepatitis C virus (HCV) infection and cognitive impairment among seniors in Taiwan, building on our previous findings from a cross-sectional study.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Taiwan Biobank.</div></div><div><h3>Participants</h3><div>326 participants with positive serum anti-HCV and a control group of 8753 with negative HCV free of cognitive impairment were assessed by the Mini-Mental State Examination at baseline.</div></div><div><h3>Measurements</h3><div>The association between HCV infection and cognitive impairment was evaluated using Cox proportional hazard models. The analysis was adjusted for age, sex, education, BMI, hypertension, cirrhosis, depression, estimated glomerular filtration rate, <em>APOE</em> genotype, and recruitment periods.</div></div><div><h3>Results</h3><div>Anti-HCV positive patients showed a significantly higher incidence of cognitive impairment compared to anti-HCV negative individuals (14.28 vs. 7.21 per 1000 person-years, <em>P</em> = 0.004). After adjusting for covariates, HCV infection was significantly associated with an increased risk of developing cognitive impairment (adjusted HR [aHR]: 1.80, 95% confidence interval [CI]: 1.12–2.90). Subgroup analyses for individuals diagnosed prior to the public direct-acting antivirals reimbursement in 2017 and with high antibody titres (sample/cutoff ratio ≥ 5), the elevated risk of cognitive impairment remained statistically significant, with aHRs of 1.69 (95% CI: 1.04–2.75) and 1.81 (95% CI: 1.11–2.96) respectively. Additionally, HCV patients carrying the <em>APOE</em> ɛ4 allele had a marginally higher risk (aHR: 2.60, 95% CI: 0.96–7.08, <em>P</em> = 0.06).</div></div><div><h3>Conclusions</h3><div>In Taiwan, our findings strengthen evidence that individuals above the age of 60 with HCV infections are at a greater risk of developing cognitive impairment than their counterparts, who were HCV negative.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103811"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024962","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103862
Manacy Pai PhD , T. Muhammad PhD , Adedayo Adeagbo MS
This study examined associations between subjective social status (SSS), hypertension, and cardiovascular disease (CVD) in older adults in India. We also examined whether depressive and insomnia symptoms moderated these associations and whether patterns differed between rural and urban-dwelling older Indians. Multivariable logistic regression models utilized data from the Longitudinal Ageing Study in India (2017–18), including 31,389 adults aged 60+. Higher SSS was associated with higher odds of hypertension. Depressive symptoms were linked with higher odds of hypertension and CVD, while insomnia was associated with higher odds of hypertension. Higher SSS paired with depressive symptoms increased the odds of hypertension and CVD, while its combination with insomnia symptoms increased the odds of hypertension. These associations were significant among rural but not urban dwellers. Health care professionals should screen for depressive and insomnia symptoms in older persons with high SSS, especially in rural India, to mitigate the occurrence of hypertension and CVD.
{"title":"Subjective social status, hypertension, and cardiovascular disease among older adults in india: Roles of depression, insomnia, and urban-rural differences","authors":"Manacy Pai PhD , T. Muhammad PhD , Adedayo Adeagbo MS","doi":"10.1016/j.gerinurse.2026.103862","DOIUrl":"10.1016/j.gerinurse.2026.103862","url":null,"abstract":"<div><div>This study examined associations between subjective social status (SSS), hypertension, and cardiovascular disease (CVD) in older adults in India. We also examined whether depressive and insomnia symptoms moderated these associations and whether patterns differed between rural and urban-dwelling older Indians. Multivariable logistic regression models utilized data from the Longitudinal Ageing Study in India (2017–18), including 31,389 adults aged 60+. Higher SSS was associated with higher odds of hypertension. Depressive symptoms were linked with higher odds of hypertension and CVD, while insomnia was associated with higher odds of hypertension. Higher SSS paired with depressive symptoms increased the odds of hypertension and CVD, while its combination with insomnia symptoms increased the odds of hypertension. These associations were significant among rural but not urban dwellers. Health care professionals should screen for depressive and insomnia symptoms in older persons with high SSS, especially in rural India, to mitigate the occurrence of hypertension and CVD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103862"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031727","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}
Aims: This study investigated the effects of hiking poles exercise on lower extremity muscle strength, knee range of motion, and quality of life (QoL) in patients undergoing total knee arthroplasty (TKA).
Design: A prospective randomized controlled trial design.
Methods: Totally, 88 patients undergoing TKA were recruited and randomly assigned to the intervention group (IG; n = 44) or control group (CG; n = 44). In this single-blinded study, the data collectors were blinded to group assignment. The CG received standard rehabilitation guidance, whereas the IG participated in hiking poles exercise, with two sessions each conducted 1 day before surgery and before discharge. Data were collected at four time points: pre-surgery, 1 week, 6 weeks, and 12 weeks post-surgery. Evaluation tools included the 30-second chair stand test (30CST), knee range of motion measurements, and the Knee Injury and Osteoarthritis Outcome Score (KOOS).
Results: The IG demonstrated significantly higher performance in the 30CST than the CG at 6 and 12 weeks post-surgery. Additionally, the average KOOS score for QoL was significantly higher in the IG than in the CG at 12 weeks post-surgery.
Conclusion: Hiking poles exercise effectively enhances lower extremity muscle strength, knee range of motion, and QoL in patients following TKA.
Impact: This study demonstrates that hiking poles exercise enhances postoperative recovery, offering a cost-effective and practical rehabilitation method. It influences clinical practices by providing a viable approach to improve recovery outcomes in elderly TKA patients.
Clinical Trial: This randomized controlled trial effectively evaluates hiking poles exercise, highlighting its positive impact on postoperative outcomes.
Patient or Public Contribution: The study supports hiking poles exercise as beneficial for TKA patients, recommending its broader implementation to enhance muscle strength, mobility, and QoL in clinical settings.
目的：本研究探讨登山杖运动对全膝关节置换术（TKA）患者下肢肌肉力量、膝关节活动范围和生活质量的影响。设计：前瞻性随机对照试验设计。方法：共招募88例TKA患者，随机分为干预组（IG, n = 44）和对照组（CG, n = 44）。在这项单盲研究中，数据收集者对分组分配不知情。CG组接受标准康复指导，IG组进行攀爬杆运动，分别在术前1天和出院前进行两次训练。数据收集于术前、术后1周、6周、12周四个时间点。评估工具包括30秒椅子站立测试（30CST）、膝关节运动范围测量和膝关节损伤和骨关节炎结局评分（oos）。结果：术后6周和12周，IG在30CST中的表现明显高于CG。此外，术后12周IG组生活质量的平均KOOS评分明显高于CG组。结论：在全膝关节置换术（TKA）患者中，登山杖运动能有效提高下肢肌力、膝关节活动度和生活质量。影响：本研究表明，攀爬竿运动增强术后恢复，提供了一种经济实用的康复方法。它通过提供一种可行的方法来改善老年TKA患者的康复结果，从而影响临床实践。临床试验：这项随机对照试验有效地评估了登山杖运动，突出了其对术后预后的积极影响。患者或公众贡献：该研究支持徒步杆子运动对TKA患者有益，建议在临床环境中更广泛地实施，以增强肌肉力量、活动性和生活质量。
{"title":"Hiking poles exercise enhances strength, mobility, and quality of life in elderly patients undergoing TKA: A randomized controlled trial","authors":"Chou Yu-Hua MSN, RN , Wu Chang-Chin MD , Hwang Yi-Ting PhD , Chiang Chih-Yung MD , Chang Ching-Fen PhD, RN","doi":"10.1016/j.gerinurse.2025.103781","DOIUrl":"10.1016/j.gerinurse.2025.103781","url":null,"abstract":"<div><div>Aims: This study investigated the effects of hiking poles exercise on lower extremity muscle strength, knee range of motion, and quality of life (QoL) in patients undergoing total knee arthroplasty (TKA).</div><div>Design: A prospective randomized controlled trial design.</div><div>Methods: Totally, 88 patients undergoing TKA were recruited and randomly assigned to the intervention group (IG; <em>n</em> = 44) or control group (CG; <em>n</em> = 44). In this single-blinded study, the data collectors were blinded to group assignment. The CG received standard rehabilitation guidance, whereas the IG participated in hiking poles exercise, with two sessions each conducted 1 day before surgery and before discharge. Data were collected at four time points: pre-surgery, 1 week, 6 weeks, and 12 weeks post-surgery. Evaluation tools included the 30-second chair stand test (30CST), knee range of motion measurements, and the Knee Injury and Osteoarthritis Outcome Score (KOOS).</div><div>Results: The IG demonstrated significantly higher performance in the 30CST than the CG at 6 and 12 weeks post-surgery. Additionally, the average KOOS score for QoL was significantly higher in the IG than in the CG at 12 weeks post-surgery.</div><div>Conclusion: Hiking poles exercise effectively enhances lower extremity muscle strength, knee range of motion, and QoL in patients following TKA.</div><div>Impact: This study demonstrates that hiking poles exercise enhances postoperative recovery, offering a cost-effective and practical rehabilitation method. It influences clinical practices by providing a viable approach to improve recovery outcomes in elderly TKA patients.</div><div>Clinical Trial: This randomized controlled trial effectively evaluates hiking poles exercise, highlighting its positive impact on postoperative outcomes.</div><div>Patient or Public Contribution: The study supports hiking poles exercise as beneficial for TKA patients, recommending its broader implementation to enhance muscle strength, mobility, and QoL in clinical settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103781"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031693","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103865
Xinyi Liu MM, Suting Song BN, Dan Wang MM, Wanhong Xiong MM, Yu Luo MD (Professor)
This systematic review aimed to evaluate the psychometric properties of existing self-perception of aging (SPA) measurement instruments, in accordance with the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Literature searches were conducted across nine databases. Methodological quality was assessed using the COSMIN Risk of Bias Checklist, and evidence synthesis utilized the modified GRADE approach. A total of twenty-eight studies, evaluating thirteen SPA measurement instruments, were included. Three instruments were classified as Category C and are not recommended for use. The remaining ten SPA instruments were classified as Category B, indicating a need for further validation. Future research should prioritize the use of standardized development and validation methodologies to enhance the psychometric properties of SPA instruments, thereby enabling their more reliable application in clinical and community settings.
{"title":"Psychometric properties of measurement tools of self-perception of aging: A COSMIN systematic review","authors":"Xinyi Liu MM, Suting Song BN, Dan Wang MM, Wanhong Xiong MM, Yu Luo MD (Professor)","doi":"10.1016/j.gerinurse.2026.103865","DOIUrl":"10.1016/j.gerinurse.2026.103865","url":null,"abstract":"<div><div>This systematic review aimed to evaluate the psychometric properties of existing self-perception of aging (SPA) measurement instruments, in accordance with the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Literature searches were conducted across nine databases. Methodological quality was assessed using the COSMIN Risk of Bias Checklist, and evidence synthesis utilized the modified GRADE approach. A total of twenty-eight studies, evaluating thirteen SPA measurement instruments, were included. Three instruments were classified as Category C and are not recommended for use. The remaining ten SPA instruments were classified as Category B, indicating a need for further validation. Future research should prioritize the use of standardized development and validation methodologies to enhance the psychometric properties of SPA instruments, thereby enabling their more reliable application in clinical and community settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103865"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031699","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103873
Jiaxin Lv MSN , Binbin Xu PhD , Haixia Yu MSN , Nian Yao MSN , Jiaji Hu MSN , Zhengkun Shi MSN , Yuhua Fan MSN , Cailan Zhang MSN , Jinghui Zhang PhD
Objectives
To investigate the willingness and demand of nurses in Chinese provincial hospitals to provide Internet+home care (IHC) services to elderly patients with disabilities or dementia, and their associated factors.
Methods
This cross-sectional study used multistage sampling to recruit 3026 nurses from 10 hospitals in 5 regions of China. A self-designed questionnaire with good reliability and validity was used to measure nurses’ willingness and demand for providing IHC services. SPSS 27.0 was used to analyze the data.
Results
Nurses were highly willing to provide IHC services. Binary logistic regression showed that monthly income, mortgage or car loan, and specialized nursing certificate or training influence nurses’ willingness for IHC services (p < 0.05). The total demand score of nurses for IHC services was (4.43±0.88). Multiple linear regression showed that job title, educational level, monthly income, and specialized nursing certificate or training influence nurses’ demand for IHC services (p < 0.05).
Conclusions
Provincial hospital nurses' willingness and demand to provide IHC services for disabled or demented elderly patients are high. There are differences in the willingness and demand of nurses with different demographics. It is recommended to emphasize the willingness and demand of nurses and their influencing factors to ensure the steady and orderly development of IHC services.
{"title":"Nurses’ willingness and demand for providing Internet+home care services in the elderly with disabilities or dementia and the associated factors in provincial hospitals in China: A cross-sectional study","authors":"Jiaxin Lv MSN , Binbin Xu PhD , Haixia Yu MSN , Nian Yao MSN , Jiaji Hu MSN , Zhengkun Shi MSN , Yuhua Fan MSN , Cailan Zhang MSN , Jinghui Zhang PhD","doi":"10.1016/j.gerinurse.2026.103873","DOIUrl":"10.1016/j.gerinurse.2026.103873","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the willingness and demand of nurses in Chinese provincial hospitals to provide Internet+home care (IHC) services to elderly patients with disabilities or dementia, and their associated factors.</div></div><div><h3>Methods</h3><div>This cross-sectional study used multistage sampling to recruit 3026 nurses from 10 hospitals in 5 regions of China. A self-designed questionnaire with good reliability and validity was used to measure nurses’ willingness and demand for providing IHC services. SPSS 27.0 was used to analyze the data.</div></div><div><h3>Results</h3><div>Nurses were highly willing to provide IHC services. Binary logistic regression showed that monthly income, mortgage or car loan, and specialized nursing certificate or training influence nurses’ willingness for IHC services (<em>p</em> < 0.05). The total demand score of nurses for IHC services was (4.43±0.88). Multiple linear regression showed that job title, educational level, monthly income, and specialized nursing certificate or training influence nurses’ demand for IHC services (<em>p</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>Provincial hospital nurses' willingness and demand to provide IHC services for disabled or demented elderly patients are high. There are differences in the willingness and demand of nurses with different demographics. It is recommended to emphasize the willingness and demand of nurses and their influencing factors to ensure the steady and orderly development of IHC services.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103873"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031782","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}
Pub Date : 2026-01-21DOI: 10.1016/j.gerinurse.2026.103816
Ann-Kathrin Otto PhD , Andreas Argubi-Wollesen PhD , Julia Gräf MA , Bettina Wollesen PhD
Repositioning of residents often require forward bending awkward postures, which can lead to low back pain. As a result, interventions that provide training in ergonomic principles are crucial to minimize work-related strain on the lower back. This RCT investigated the effects of tailored ergonomics training on nurses' movement behavior, upper body flexion, lateral flexion and rotation during repositioning. n = 35 nurses participated (intervention group: n = 15, control group: n = 20). Data were collected at baseline and at ten weeks (movement observation sheet, 3D motion capturing (Xsens)). The analysis included one-way and repeated measures ANOVA, and statistical parametric mapping with Hotellings T2 test. The intervention group showed improved feet position during turning and lowering the person, and reduced upper body angles in flexion, and rotation. No significant differences in upper body posture were observed over time during the repositioning task. These findings are crucial for developing recommendations that help ensure ergonomics training remains within safe limits.
{"title":"Ergonomics training to enhance nurses’ movement behavior in resident handling activities in long-term care: A randomized controlled trial","authors":"Ann-Kathrin Otto PhD , Andreas Argubi-Wollesen PhD , Julia Gräf MA , Bettina Wollesen PhD","doi":"10.1016/j.gerinurse.2026.103816","DOIUrl":"10.1016/j.gerinurse.2026.103816","url":null,"abstract":"<div><div>Repositioning of residents often require forward bending awkward postures, which can lead to low back pain. As a result, interventions that provide training in ergonomic principles are crucial to minimize work-related strain on the lower back. This RCT investigated the effects of tailored ergonomics training on nurses' movement behavior, upper body flexion, lateral flexion and rotation during repositioning. n = 35 nurses participated (intervention group: n = 15, control group: n = 20). Data were collected at baseline and at ten weeks (movement observation sheet, 3D motion capturing (Xsens)). The analysis included one-way and repeated measures ANOVA, and statistical parametric mapping with Hotellings T<sup>2</sup> test. The intervention group showed improved feet position during turning and lowering the person, and reduced upper body angles in flexion, and rotation. No significant differences in upper body posture were observed over time during the repositioning task. These findings are crucial for developing recommendations that help ensure ergonomics training remains within safe limits.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103816"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024958","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}
This study compared the effects of remote versus face-to-face fall prevention training, assessed the impact of sequence in a combined-modality program (remote-first versus face-to-face first), and evaluated improvements 6 months post-intervention.
Methods
In this randomized controlled trial, community-dwelling adults (65+) were randomized into face-to-face or remote Otago-based training for 3 months, then switched modalities for another 3 months. Outcomes included adherence, satisfaction, adverse events, physical tests, self-reported measures and falls, assessed at baseline, 3, 6, and 12 months.
Results
Face-to-face training led to greater short-term improvements in BBS and Sit-to-Stand scores (p = 0.04, 0.01); however, these differences diminished post-modality transition, indicating no sequence effect. Physical gains were partly maintained at follow-up. No significant group difference in fall outcomes was observed (RR = 1.11, p = 0.66). Attendance and satisfaction were similarly high. Two non-severe falls per modality occurred during training.
Conclusions
Remote training is acceptable and safe for community-dwelling adults. Combined-modality programs incorporate the advantages of remote and face-to-face.
Trial registration
ClinicalTrials.gov registration number NCT05018455.
本研究比较了远程与面对面预防跌倒训练的效果，评估了组合模式项目（远程优先与面对面优先）中顺序的影响，并评估了干预后6个月的改善情况。方法在这项随机对照试验中，居住在社区的成年人（65岁以上）被随机分为面对面或远程奥塔哥培训3个月，然后再转换3个月。结果包括依从性、满意度、不良事件、身体测试、自我报告的测量和跌倒，在基线、3、6和12个月进行评估。结果面对面训练在短期内对BBS和Sit-to-Stand评分有较大的改善（p = 0.04, 0.01）；然而，这些差异减弱了后模态转换，表明没有序列效应。在随访中，身体上的增加部分保持不变。两组患者跌倒结局无显著差异（RR = 1.11, p = 0.66）。出席率和满意度也同样高。在训练期间，每个模态发生了两次非严重的跌倒。结论远程培训对居住在社区的成年人是安全的、可接受的。组合模式课程结合了远程和面对面的优点。临床试验。gov注册号NCT05018455。
{"title":"Remote fall prevention training for community-dwelling older adults: comparison with face-to-face and effect of delivery sequence-A randomized controlled trial","authors":"Adi Toledano-Shubi PT, PhD , Daphna Livne PT, MSc , Hagit Hel-Or PhD , Hilla Sarig Bahat PT, MPhty, PhD","doi":"10.1016/j.gerinurse.2026.103817","DOIUrl":"10.1016/j.gerinurse.2026.103817","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compared the effects of remote versus face-to-face fall prevention training, assessed the impact of sequence in a combined-modality program (remote-first versus face-to-face first), and evaluated improvements 6 months post-intervention.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, community-dwelling adults (65+) were randomized into face-to-face or remote Otago-based training for 3 months, then switched modalities for another 3 months. Outcomes included adherence, satisfaction, adverse events, physical tests, self-reported measures and falls, assessed at baseline, 3, 6, and 12 months.</div></div><div><h3>Results</h3><div>Face-to-face training led to greater short-term improvements in BBS and Sit-to-Stand scores (p = 0.04, 0.01); however, these differences diminished post-modality transition, indicating no sequence effect. Physical gains were partly maintained at follow-up. No significant group difference in fall outcomes was observed (RR = 1.11, p = 0.66). Attendance and satisfaction were similarly high. Two non-severe falls per modality occurred during training.</div></div><div><h3>Conclusions</h3><div>Remote training is acceptable and safe for community-dwelling adults. Combined-modality programs incorporate the advantages of remote and face-to-face.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov registration number NCT05018455.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103817"},"PeriodicalIF":2.4,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025024","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}
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