This qualitative, phenomenological study evaluates the benefits of medical clown home visits to older adults of sound mind, in contrast to studies focusing on older adults with cognitive disorders. Data were collected through observing twenty residents, aged 75 to 101, in private apartments at an Israeli residential home and fifteen semi-structured interviews. The social worker and medical clown were also interviewed. The clown's visits, in the presence of the social worker, provided residents with opportunities to loosen up and engage in play within their own living spaces. Each encounter, characterized by humor, respect, and compassion, was tailored individually to each resident, fostering an environment where enjoyment was expressed. This approach led to heightened self-esteem, reduced loneliness, and an overall enhancement in the quality of life for participants. The study concludes with implications for social workers to use medical clowning as an additional tool in their practice.
{"title":"Time for a smile: Medical clown one-on-one visits in a residential home.","authors":"Orly Korin, Deby Babis, Alejandro Alex Gruber, Uzi Ben-Shalom, Malka Benziman","doi":"10.1016/j.gerinurse.2026.103945","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103945","url":null,"abstract":"<p><p>This qualitative, phenomenological study evaluates the benefits of medical clown home visits to older adults of sound mind, in contrast to studies focusing on older adults with cognitive disorders. Data were collected through observing twenty residents, aged 75 to 101, in private apartments at an Israeli residential home and fifteen semi-structured interviews. The social worker and medical clown were also interviewed. The clown's visits, in the presence of the social worker, provided residents with opportunities to loosen up and engage in play within their own living spaces. Each encounter, characterized by humor, respect, and compassion, was tailored individually to each resident, fostering an environment where enjoyment was expressed. This approach led to heightened self-esteem, reduced loneliness, and an overall enhancement in the quality of life for participants. The study concludes with implications for social workers to use medical clowning as an additional tool in their practice.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"103945"},"PeriodicalIF":2.4,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215064","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 : 2026-02-16DOI: 10.1016/j.gerinurse.2026.103930
Thaynara Maria Pontes Bulhões, Andrey Ferreira da Silva, Maria Cicera Dos Santos Albuquerque, Abda Alícia Calheiros da Silva, Muller Ribeiro Andrade, Enaiane Cristina Menezes, Ana Cristina Viana Campos, Elizabeth Moura Soares de Souza, Gabriel Soares Bádue, João Araújo Barros-Neto
This study aimed to identify the association between depressive symptoms and the coexistence of frailty and vulnerability in older adults. A population-based cross-sectional survey was conducted through home visits. The sample consisted of 992 participants aged 60 years and older. Depressive symptoms were assessed using the Geriatric Depression Scale, frailty was classified according to Fried's criteria, and vulnerability was determined using the Vulnerable Elders Survey-13. The crude analysis revealed a significant association between depressive symptoms and the diagnoses of frailty (p < 0.001) and vulnerability (p = 0.035). The coexistence of frailty and vulnerability was also linked to the presence of depressive symptoms (p < 0.001). A multivariate logistic regression analysis, guided by a Directed Acyclic Graph and adjusted for confounding factors, indicated that the coexistence of frailty and vulnerability increases the likelihood of depressive symptoms in older adults by 3.08 times (OR = 3.08; p < 0.001).
{"title":"Coexistence of frailty and biological vulnerability increases the likelihood of depression in older people.","authors":"Thaynara Maria Pontes Bulhões, Andrey Ferreira da Silva, Maria Cicera Dos Santos Albuquerque, Abda Alícia Calheiros da Silva, Muller Ribeiro Andrade, Enaiane Cristina Menezes, Ana Cristina Viana Campos, Elizabeth Moura Soares de Souza, Gabriel Soares Bádue, João Araújo Barros-Neto","doi":"10.1016/j.gerinurse.2026.103930","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103930","url":null,"abstract":"<p><p>This study aimed to identify the association between depressive symptoms and the coexistence of frailty and vulnerability in older adults. A population-based cross-sectional survey was conducted through home visits. The sample consisted of 992 participants aged 60 years and older. Depressive symptoms were assessed using the Geriatric Depression Scale, frailty was classified according to Fried's criteria, and vulnerability was determined using the Vulnerable Elders Survey-13. The crude analysis revealed a significant association between depressive symptoms and the diagnoses of frailty (p < 0.001) and vulnerability (p = 0.035). The coexistence of frailty and vulnerability was also linked to the presence of depressive symptoms (p < 0.001). A multivariate logistic regression analysis, guided by a Directed Acyclic Graph and adjusted for confounding factors, indicated that the coexistence of frailty and vulnerability increases the likelihood of depressive symptoms in older adults by 3.08 times (OR = 3.08; p < 0.001).</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"103930"},"PeriodicalIF":2.4,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215094","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 : 2026-02-16DOI: 10.1016/j.gerinurse.2026.103943
Xinyi Liu, Hongyan Zhao, Suting Song, Renhui Wen, Bin Liu, Yu Luo
Objective: This study aims to examine the effects of salutogenic interventions on self-perception of aging (SPA), sense of coherence (SOC), self-efficacy, and health-related quality of life (HRQoL) among community-dwelling older adults.
Methods: A quasi-experimental study was conducted. A total of 72 participants were recruited, with seven lost to follow-up. Of the remaining individuals, 32 were assigned to the usual care control group, and 33 received the salutogenic intervention. The SPA, SOC, self-efficacy, and HRQoL were assessed at baseline (T0), after the intervention (T1), and one month after the intervention (T2). The implementation of the intervention was evaluated using the RE-AIM framework. Data analysis methods included t-tests, repeated measures analysis, and generalized estimating equations. Indicators of process evaluation included the reach and implementation of the intervention programs.
Results: Participants in the intervention group showed significant improvements in positive SPA, negative SPA, SOC, self-efficacy, and mental health dimensions of HRQoL at T1 and T2, compared with the control group. The implementation rate for the intervention was 100.00%, with 93.94% (65 out of 72) of participants completing at least five intervention sessions. Participant satisfaction was recorded with a mean rating of 4.39 (SD = 0.61).
Conclusion: Salutogenic interventions could be recommended as a potential strategy for enhancing the health of community-dwelling older adults.
{"title":"Effectiveness of a salutogenic intervention on self-perception of aging and sense of coherence for community-dwelling older adults: A quasi-experimental study<sup />.","authors":"Xinyi Liu, Hongyan Zhao, Suting Song, Renhui Wen, Bin Liu, Yu Luo","doi":"10.1016/j.gerinurse.2026.103943","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103943","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the effects of salutogenic interventions on self-perception of aging (SPA), sense of coherence (SOC), self-efficacy, and health-related quality of life (HRQoL) among community-dwelling older adults.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted. A total of 72 participants were recruited, with seven lost to follow-up. Of the remaining individuals, 32 were assigned to the usual care control group, and 33 received the salutogenic intervention. The SPA, SOC, self-efficacy, and HRQoL were assessed at baseline (T0), after the intervention (T1), and one month after the intervention (T2). The implementation of the intervention was evaluated using the RE-AIM framework. Data analysis methods included t-tests, repeated measures analysis, and generalized estimating equations. Indicators of process evaluation included the reach and implementation of the intervention programs.</p><p><strong>Results: </strong>Participants in the intervention group showed significant improvements in positive SPA, negative SPA, SOC, self-efficacy, and mental health dimensions of HRQoL at T1 and T2, compared with the control group. The implementation rate for the intervention was 100.00%, with 93.94% (65 out of 72) of participants completing at least five intervention sessions. Participant satisfaction was recorded with a mean rating of 4.39 (SD = 0.61).</p><p><strong>Conclusion: </strong>Salutogenic interventions could be recommended as a potential strategy for enhancing the health of community-dwelling older adults.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"103943"},"PeriodicalIF":2.4,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215043","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 : 2026-02-14DOI: 10.1016/j.gerinurse.2026.103950
Jehath Syed, Prathibha Pereira, C J Tejeswini, Shilpa Avarebeel, Kshama Ramesh, Krishna Undela, Madhan Ramesh, Sri Harsha Chalasani
Background: As the older adult population grows, there is an increasing need to understand how geriatric syndromes and comorbidities affect the health-related quality-of-life (HRQoL). This study aimed to examine the relationships among geriatric syndromes, comorbidities, polypharmacy, and HRQoL in hospitalized older adults.
Methods: This cross-sectional study was conducted over 14-months in a tertiary care hospital and included patients aged ≥60 years. HRQoL was assessed using the EQ-5D-5 L questionnaire, and geriatric syndromes were assessed using validated tools. Multivariate linear regression analysis was used to identify factors associated with HRQoL.
Results: Among 597 patients (mean age 72.80 ± 7.41 years), the mean EQ-5D-5 L index was 0.75 (SD: 0.26), showing significant decline with age (p = 0.039). High prevalence rates were observed for frailty (59.30 %), sarcopenia (51.42 %) and cognitive impairment (15.91 %). Comorbidity burden, frailty, and sarcopenia increased with age (p < 0.001, p = 0.016, and p < 0.001, respectively). HRQoL scores were negatively associated with the Charlson Comorbidity Index (CCI) (p < 0.001), frailty (p < 0.001), sarcopenia (p = 0.003), and polypharmacy (p = 0.041). Regression analysis showed that the No of comorbidities (p = 0.009), CCI (p = 0.015), length of hospital stay (p = 0.022), and sarcopenia (p = 0.009) negatively affected HRQoL, whereas cognitive impairment (p = 0.037) had a positive association.
Conclusion: Although this study identified significant associations between geriatric syndromes and HRQoL, its cross-sectional nature precludes the establishment of causal-relationships. Longitudinal studies should further examine these relationships to develop effective intervention strategies that may improve geriatric care outcomes.
{"title":"Geriatric syndromes, comorbidities, and polypharmacy: Determinants of health-related quality of life in hospitalized older adults in South India.","authors":"Jehath Syed, Prathibha Pereira, C J Tejeswini, Shilpa Avarebeel, Kshama Ramesh, Krishna Undela, Madhan Ramesh, Sri Harsha Chalasani","doi":"10.1016/j.gerinurse.2026.103950","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103950","url":null,"abstract":"<p><strong>Background: </strong>As the older adult population grows, there is an increasing need to understand how geriatric syndromes and comorbidities affect the health-related quality-of-life (HRQoL). This study aimed to examine the relationships among geriatric syndromes, comorbidities, polypharmacy, and HRQoL in hospitalized older adults.</p><p><strong>Methods: </strong>This cross-sectional study was conducted over 14-months in a tertiary care hospital and included patients aged ≥60 years. HRQoL was assessed using the EQ-5D-5 L questionnaire, and geriatric syndromes were assessed using validated tools. Multivariate linear regression analysis was used to identify factors associated with HRQoL.</p><p><strong>Results: </strong>Among 597 patients (mean age 72.80 ± 7.41 years), the mean EQ-5D-5 L index was 0.75 (SD: 0.26), showing significant decline with age (p = 0.039). High prevalence rates were observed for frailty (59.30 %), sarcopenia (51.42 %) and cognitive impairment (15.91 %). Comorbidity burden, frailty, and sarcopenia increased with age (p < 0.001, p = 0.016, and p < 0.001, respectively). HRQoL scores were negatively associated with the Charlson Comorbidity Index (CCI) (p < 0.001), frailty (p < 0.001), sarcopenia (p = 0.003), and polypharmacy (p = 0.041). Regression analysis showed that the No of comorbidities (p = 0.009), CCI (p = 0.015), length of hospital stay (p = 0.022), and sarcopenia (p = 0.009) negatively affected HRQoL, whereas cognitive impairment (p = 0.037) had a positive association.</p><p><strong>Conclusion: </strong>Although this study identified significant associations between geriatric syndromes and HRQoL, its cross-sectional nature precludes the establishment of causal-relationships. Longitudinal studies should further examine these relationships to develop effective intervention strategies that may improve geriatric care outcomes.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"103950"},"PeriodicalIF":2.4,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203924","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 : 2026-02-12DOI: 10.1016/j.gerinurse.2026.103928
Jacob W. Roden-Foreman BA , Isabel Vega Calderón MPH , Devayani Kurlekar DPT , Chiara Siazon-Reyes PT , Tiffani Kelley OTR , Philip Edmundson MD
Purpose
To investigate the ability of physical and occupational therapy assessments to predict subsequent fall admissions in older patients who were initially admitted for a fall.
Methods
This retrospective matched case-control study examined patients aged ≥65 years admitted for a fall 2015–2019. Cases were those with a second fall admission within one year of discharge and matched 1:1 with controls. Predictors were tested in a Bayesian conditional logistic regression.
Results
There were 208 patients. Mean age at index was 82 ± 8 years and 69 % were female. Patients with any toileting deficits at discharge (OR = 2.86), with recommended discharge to skilled nursing (OR = 3.06), needing minimal assistance during gait evaluation (OR = 4.66), or using a rolling walker or rollator before injury (OR = 2.21) were at increased risk. Patients referred to outpatient occupational therapy were at decreased risk (OR = 0.26).
Conclusion
Higher functioning patients with minimal deficits may warrant additional consideration during the discharge process.
{"title":"Identifying older adults at risk for future falls using physical and occupational therapy assessments: A case-control study of patients admitted for injurious falls","authors":"Jacob W. Roden-Foreman BA , Isabel Vega Calderón MPH , Devayani Kurlekar DPT , Chiara Siazon-Reyes PT , Tiffani Kelley OTR , Philip Edmundson MD","doi":"10.1016/j.gerinurse.2026.103928","DOIUrl":"10.1016/j.gerinurse.2026.103928","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the ability of physical and occupational therapy assessments to predict subsequent fall admissions in older patients who were initially admitted for a fall.</div></div><div><h3>Methods</h3><div>This retrospective matched case-control study examined patients aged ≥65 years admitted for a fall 2015–2019. Cases were those with a second fall admission within one year of discharge and matched 1:1 with controls. Predictors were tested in a Bayesian conditional logistic regression.</div></div><div><h3>Results</h3><div>There were 208 patients. Mean age at index was 82 ± 8 years and 69 % were female. Patients with any toileting deficits at discharge (OR = 2.86), with recommended discharge to skilled nursing (OR = 3.06), needing minimal assistance during gait evaluation (OR = 4.66), or using a rolling walker or rollator before injury (OR = 2.21) were at increased risk. Patients referred to outpatient occupational therapy were at decreased risk (OR = 0.26).</div></div><div><h3>Conclusion</h3><div>Higher functioning patients with minimal deficits may warrant additional consideration during the discharge process.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103928"},"PeriodicalIF":2.4,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173859","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 identified how long-term care stakeholders describe trauma-informed care (TIC) practices in low resource settings.
Method
This was a secondary data analysis about person-centered care (PCC) for persons living with dementia (PLWD). The parent study purposively recruited administrators, direct care staff, PLWD, and care partners in two nursing homes and two assisted living communities in urban and rural federally designated medically underserved areas. In depth semi-structured interviews were conducted about PCC; the parent study did not include TIC-specific probes. Responses were analyzed using the Substance Abuse and Mental Health Services Administration (SAMHSA)’s TIC principles: Safety; Trustworthiness and Transparency; Peer Support; Collaboration and Mutuality; Empowerment, Voice, and Choice; and Cultural, Historical, and Gender Issues.
Results
Participants identified the importance of knowing residents’ trauma histories and identified care congruent with SAMHSA’s six TIC principles.
Discussion
Federal regulations require TIC in nursing homes; not in assisted living. TIC is aligned with person-centered care. Transparency was less evident than other principles, being only reported on the individual level. Research should explore how to foster these concepts in low-resource long-term care.
{"title":"Principles of trauma-informed care evident in person centered care for persons living with dementia in low resource settings","authors":"Nancy Kusmaul PhD, MSW , Sarah Holmes PhD, MSW , Kirsten Corazzini PhD","doi":"10.1016/j.gerinurse.2026.103929","DOIUrl":"10.1016/j.gerinurse.2026.103929","url":null,"abstract":"<div><h3>Objectives</h3><div>This study identified how long-term care stakeholders describe trauma-informed care (TIC) practices in low resource settings.</div></div><div><h3>Method</h3><div>This was a secondary data analysis about person-centered care (PCC) for persons living with dementia (PLWD). The parent study purposively recruited administrators, direct care staff, PLWD, and care partners in two nursing homes and two assisted living communities in urban and rural federally designated medically underserved areas. In depth semi-structured interviews were conducted about PCC; the parent study did not include TIC-specific probes. Responses were analyzed using the Substance Abuse and Mental Health Services Administration (SAMHSA)’s TIC principles: Safety; Trustworthiness and Transparency; Peer Support; Collaboration and Mutuality; Empowerment, Voice, and Choice; and Cultural, Historical, and Gender Issues.</div></div><div><h3>Results</h3><div>Participants identified the importance of knowing residents’ trauma histories and identified care congruent with SAMHSA’s six TIC principles.</div></div><div><h3>Discussion</h3><div>Federal regulations require TIC in nursing homes; not in assisted living. TIC is aligned with person-centered care. Transparency was less evident than other principles, being only reported on the individual level. Research should explore how to foster these concepts in low-resource long-term care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103929"},"PeriodicalIF":2.4,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173926","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 : 2026-02-10DOI: 10.1016/j.gerinurse.2026.103925
Xianghua Yin BA , Caizhen Hu BA
This study aimed to develop an analytical theoretical model of care burden’s downstream effects on hemodialysis patients’ family caregivers using grounded theory (Strauss-Corbin paradigm). From January to June 2023, 80 caregivers from three tertiary hospitals were selected via purposive and theoretical sampling. Semi-structured interviews collected qualitative data; the Zarit Burden Interview (ZBI) aided sampling (selecting those with mild-to-severe burden) and validation, not core quantitative analysis. NVIVO 12.0 supported three-level coding, with anonymized interview vignettes and trustworthiness strategies (triangulation, etc.) boosting transparency. Results identified five dimensions (mental health as core) and a dynamic transmission pathway forming a burden cycle, first revealing this mechanism to guide clinical multi-dimensional interventions.
{"title":"Constructing a theoretical model based on grounded theory to evaluate the downstream effects of home caregiver burden in hemodialysis patients","authors":"Xianghua Yin BA , Caizhen Hu BA","doi":"10.1016/j.gerinurse.2026.103925","DOIUrl":"10.1016/j.gerinurse.2026.103925","url":null,"abstract":"<div><div>This study aimed to develop an analytical theoretical model of care burden’s downstream effects on hemodialysis patients’ family caregivers using grounded theory (Strauss-Corbin paradigm). From January to June 2023, 80 caregivers from three tertiary hospitals were selected via purposive and theoretical sampling. Semi-structured interviews collected qualitative data; the Zarit Burden Interview (ZBI) aided sampling (selecting those with mild-to-severe burden) and validation, not core quantitative analysis. NVIVO 12.0 supported three-level coding, with anonymized interview vignettes and trustworthiness strategies (triangulation, etc.) boosting transparency. Results identified five dimensions (mental health as core) and a dynamic transmission pathway forming a burden cycle, first revealing this mechanism to guide clinical multi-dimensional interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103925"},"PeriodicalIF":2.4,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168069","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 : 2026-02-10DOI: 10.1016/j.gerinurse.2026.103920
Renato Mendonça Ribeiro, Lucas Lima Galvão, Sheilla Tribess, Fernanda Mota Prates, Douglas de Assis Teles Santos, Jair Sindra Virtuoso Júnior
Objective: To analyze the isolated and combined effects of Physical Activity (PA) and Sedentary Behavior (SB) on the survival of older adults.
Methods: Prospective cohort study, with a sample of 622 individuals aged ≥ 60 years, linked to the Family Health Strategies of Uberaba-MG, randomly selected. Data collection was carried out between April and November 2010, and deaths were verified in the records by year, until December 2019. PA and SB were measured using the International Physical Activity Questionnaire. Cox proportional hazards models were used to estimate mortality risk, and the Kaplan Meier curve was used for survival analysis.
Results: Insufficient PA and high exposure to SB were associated with a higher risk of mortality. In the analysis of the combined effects, inactive older adults and those more exposed to SB were at greater risk. High exposure to SB potentiated the effects of insufficient PA on the survival of the elderly.
Conclusion: The results demonstrated that a reduction in SB combined with sufficient PA is associated with a reduced risk of mortality in the older adults. Actions aimed at increasing PA combined with reducing the time of exposure to SB are important strategies that can contribute to increasing the survival of this population.
{"title":"Isolated and synergistic effects of physical activity and sedentary behavior on the risk of mortality in the older adults synergy between physical activity and sedentary behavior in the risk of mortality.","authors":"Renato Mendonça Ribeiro, Lucas Lima Galvão, Sheilla Tribess, Fernanda Mota Prates, Douglas de Assis Teles Santos, Jair Sindra Virtuoso Júnior","doi":"10.1016/j.gerinurse.2026.103920","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103920","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the isolated and combined effects of Physical Activity (PA) and Sedentary Behavior (SB) on the survival of older adults.</p><p><strong>Methods: </strong>Prospective cohort study, with a sample of 622 individuals aged ≥ 60 years, linked to the Family Health Strategies of Uberaba-MG, randomly selected. Data collection was carried out between April and November 2010, and deaths were verified in the records by year, until December 2019. PA and SB were measured using the International Physical Activity Questionnaire. Cox proportional hazards models were used to estimate mortality risk, and the Kaplan Meier curve was used for survival analysis.</p><p><strong>Results: </strong>Insufficient PA and high exposure to SB were associated with a higher risk of mortality. In the analysis of the combined effects, inactive older adults and those more exposed to SB were at greater risk. High exposure to SB potentiated the effects of insufficient PA on the survival of the elderly.</p><p><strong>Conclusion: </strong>The results demonstrated that a reduction in SB combined with sufficient PA is associated with a reduced risk of mortality in the older adults. Actions aimed at increasing PA combined with reducing the time of exposure to SB are important strategies that can contribute to increasing the survival of this population.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103920"},"PeriodicalIF":2.4,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168095","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}
Ecchymosis occurs when blood leaks into subcutaneous tissue or capillaries rupture. In older patients, adequate pressure after venipuncture may prevent it, but the optimal duration is unclear. This study evaluated the effect of applying 20 N of direct pressure for 1, 3, or 5 minutes after blood collection on ecchymosis at 24, 48, and 72 hours in older patients using oral or subcutaneous anticoagulants.
Methods
The study used a parallel-group, prospective, single-blind randomized controlled design. The study sample consisted of 164 patients hospitalized at the geriatric clinic of a city hospital. Ecchymosis development was assessed by making and recording observations at 24, 48 and 72 h after routine blood sampling. Opsite Flexigrid was used to measure the size of the ecchymosis.
Results
The mean age of the patients was 76.26±8.01 years, 50 % were women, and 56.1 % used subcutaneous anticoagulants. A statistically significant difference was found between the groups in terms of the frequency and size of ecchymoses at 24, 48, and 72 h after blood collection (24th hour: χ²=30.792, p < 0.001; 48th hour: χ²=28.698, p = 0.001; 72nd hour: χ²=26.429, p = 0.002). The incidence of ecchymoses ≥1 cm² in the control group was 14 % at all time points, and this rate was significantly higher than in all other groups (p < 0.05).
Conclusion
In geriatric patients receiving oral or subcutaneous anticoagulants but without coagulopathy, applying pressure to the venipuncture site for 5 min after blood collection reduced the development of ecchymosis.
{"title":"Effect of pressure duration applied after blood sample collection on ecchymosis in older patients using anticoagulants: A randomized controlled study","authors":"Ayla Demirtas PhD , Tulay Basak PhD , Damla Erdogan MSc","doi":"10.1016/j.gerinurse.2026.103918","DOIUrl":"10.1016/j.gerinurse.2026.103918","url":null,"abstract":"<div><h3>Aim</h3><div>Ecchymosis occurs when blood leaks into subcutaneous tissue or capillaries rupture. In older patients, adequate pressure after venipuncture may prevent it, but the optimal duration is unclear. This study evaluated the effect of applying 20 N of direct pressure for 1, 3, or 5 minutes after blood collection on ecchymosis at 24, 48, and 72 hours in older patients using oral or subcutaneous anticoagulants.</div></div><div><h3>Methods</h3><div>The study used a parallel-group, prospective, single-blind randomized controlled design. The study sample consisted of 164 patients hospitalized at the geriatric clinic of a city hospital. Ecchymosis development was assessed by making and recording observations at 24, 48 and 72 h after routine blood sampling. Opsite Flexigrid was used to measure the size of the ecchymosis.</div></div><div><h3>Results</h3><div>The mean age of the patients was 76.26±8.01 years, 50 % were women, and 56.1 % used subcutaneous anticoagulants. A statistically significant difference was found between the groups in terms of the frequency and size of ecchymoses at 24, 48, and 72 h after blood collection (24th hour: χ²=30.792, <em>p</em> < 0.001; 48th hour: χ²=28.698, <em>p</em> = 0.001; 72nd hour: χ²=26.429, <em>p</em> = 0.002). The incidence of ecchymoses ≥1 cm² in the control group was 14 % at all time points, and this rate was significantly higher than in all other groups (<em>p</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>In geriatric patients receiving oral or subcutaneous anticoagulants but without coagulopathy, applying pressure to the venipuncture site for 5 min after blood collection reduced the development of ecchymosis.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103918"},"PeriodicalIF":2.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144861","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 : 2026-02-09DOI: 10.1016/j.gerinurse.2026.103917
Yulin Liang MS , Xiaotong Ding PhD , Mingyue Zhu DS , Jingya Ma PhD , Zheng Li PhD , Huan Zhang PhD
Objective
To compare the effects of VR exercise with traditional exercise on cognition and physical functions in older adults.
Methods
The Cochrane Library, PubMed, Embase, Web of Science, CNKI, and CBM were searched for relevant RCT from inception until 20 June 2024.
Results
Thirty-four studies were included. None of the studies reported VR intolerance in older adults. Significant differences in global cognition (SMD: 0.32, P = 0.01), attention (SMD: –0.57, P = 0.05), and walking capacity (MD: −0.62 s, P < 0.001) were observed between the VR training and traditional training groups. No significant differences were found in other subdomains of cognitive function (e.g. executive function, working memory), and the rest of physical functions (e.g. lower limb strength, gait speed, exercise tolerance and muscle strength) between the two groups.
Conclusions
VR exercise is effective and applicable in older adults, with more significant improvement in global cognition, attention and walking capacity compared with traditional exercise.
目的：比较虚拟现实运动与传统运动对老年人认知和身体功能的影响。方法：检索Cochrane Library、PubMed、Embase、Web of Science、中国知网（CNKI）和CBM数据库中自成立至2024年6月20日的相关RCT。结果：纳入34项研究。没有研究报告老年人有VR不耐受。在整体认知（SMD: 0.32, P = 0.01）、注意力（SMD: -0.57, P = 0.05）和步行能力（MD: -0.62 s, P < 0.001）方面，VR训练组与传统训练组存在显著差异。在认知功能的其他子域（如执行功能、工作记忆）和其他身体功能（如下肢力量、步态速度、运动耐受性和肌肉力量）方面，两组之间没有显著差异。结论：VR运动在老年人中是有效和适用的，在整体认知、注意力和行走能力方面比传统运动有更显著的改善。
{"title":"Effects of VR exercise interventions on cognitive function and physical function in older adults: A systematic review and meta-analysis","authors":"Yulin Liang MS , Xiaotong Ding PhD , Mingyue Zhu DS , Jingya Ma PhD , Zheng Li PhD , Huan Zhang PhD","doi":"10.1016/j.gerinurse.2026.103917","DOIUrl":"10.1016/j.gerinurse.2026.103917","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of VR exercise with traditional exercise on cognition and physical functions in older adults.</div></div><div><h3>Methods</h3><div>The Cochrane Library, PubMed, Embase, Web of Science, CNKI, and CBM were searched for relevant RCT from inception until 20 June 2024.</div></div><div><h3>Results</h3><div>Thirty-four studies were included. None of the studies reported VR intolerance in older adults. Significant differences in global cognition (<em>SMD</em>: 0.32, <em>P</em> = 0.01), attention (<em>SMD</em>: –0.57, <em>P</em> = 0.05), and walking capacity (<em>MD</em>: −0.62 s, <em>P</em> < 0.001) were observed between the VR training and traditional training groups. No significant differences were found in other subdomains of cognitive function (e.g. executive function, working memory), and the rest of physical functions (e.g. lower limb strength, gait speed, exercise tolerance and muscle strength) between the two groups.</div></div><div><h3>Conclusions</h3><div>VR exercise is effective and applicable in older adults, with more significant improvement in global cognition, attention and walking capacity compared with traditional exercise.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103917"},"PeriodicalIF":2.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151567","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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