Pub Date : 2025-02-11DOI: 10.1016/j.gerinurse.2025.01.042
Safiyyah M. Okoye PhD, MSN, RN , Laura J. Samuel PhD, MSN, RN , Chanee D. Fabius PhD, MA , Kasim Ortiz PhD, MS , Craig E. Pollack MD, MHS , Laura N. Gitlin PhD , Sarah L. Szanton PhD, MSN, RN , Jennifer L. Wolff PhD, MHS
Housing is relevant to quality-of-life for older adults with and without disabilities, particularly those with limited financial resources. Among 4,898 low- and moderate-income community-living National Health and Aging Trends Study respondents, we describe and examine differences in housing characteristics of older adults with (n = 2774) and without disability (n = 2124). Next, among those with disability (self-care, household-activity, or mobility limitations), we examine associations of housing characteristics with adverse consequences due to unmet care needs, including soiling oneself or having to stay inside. In descriptive analyses, those with disability (vs without) more commonly rented, lived in subsidized housing, lived in apartments or mobile homes, and with home disorder, home disrepair, and street disorder. In adjusted logistic regressions among the subgroup with disability, several housing characteristics were statistically significantly associated with adverse consequences. Policy, programmatic, and clinical interventions that account for housing as an important social determinant of older adult quality-of-life should be advanced.
{"title":"Housing characteristics of low and moderate income older adults with and without disabilities","authors":"Safiyyah M. Okoye PhD, MSN, RN , Laura J. Samuel PhD, MSN, RN , Chanee D. Fabius PhD, MA , Kasim Ortiz PhD, MS , Craig E. Pollack MD, MHS , Laura N. Gitlin PhD , Sarah L. Szanton PhD, MSN, RN , Jennifer L. Wolff PhD, MHS","doi":"10.1016/j.gerinurse.2025.01.042","DOIUrl":"10.1016/j.gerinurse.2025.01.042","url":null,"abstract":"<div><div>Housing is relevant to quality-of-life for older adults with and without disabilities, particularly those with limited financial resources. Among 4,898 low- and moderate-income community-living National Health and Aging Trends Study respondents, we describe and examine differences in housing characteristics of older adults with (<em>n</em> = 2774) and without disability (<em>n</em> = 2124). Next, among those with disability (self-care, household-activity, or mobility limitations), we examine associations of housing characteristics with adverse consequences due to unmet care needs, including soiling oneself or having to stay inside. In descriptive analyses, those with disability (vs without) more commonly rented, lived in subsidized housing, lived in apartments or mobile homes, and with home disorder, home disrepair, and street disorder. In adjusted logistic regressions among the subgroup with disability, several housing characteristics were statistically significantly associated with adverse consequences. Policy, programmatic, and clinical interventions that account for housing as an important social determinant of older adult quality-of-life should be advanced.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 175-181"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to examine the mediating effect of social support between self-perceptions of aging and fear of dementia among community-dwelling older adults.
Methods
A total of 656 older adults were recruited in this cross-sectional study. The Brief Aging Perceptions Questionnaire, Social Support Rating Scale, and Fear of Dementia Scale were used to collect data. Data were analyzed using SPSS 27.0 and PROCESS macro.
Results
Fear of dementia was positively correlated with self-perceptions of aging (β=0.266) and negatively correlated with social support (β=-0.326), and self-perceptions of aging were negatively correlated with social support (β=-0.105). Mediation analysis showed that social support had a partial mediating effect between self-perceptions of aging and fear of dementia, and the mediating effect accounted for 11.33 % of the total effect.
Conclusions
These findings highlighted the significant role of improving social support in developing interventions to reduce older adults’ fear of dementia.
{"title":"The mediating effect of social support between self-perceptions of aging and fear of dementia in community-dwelling older adults","authors":"Huan Wu MA, RN (Lecturer) , Dun-Xiu Liu MD, RN (Chief Nurse) , Qiao-Xue Zhou MA, RN , Yun-Xia Dong BS, RN , Ling-Na Kong PhD, RN (Associate Professor)","doi":"10.1016/j.gerinurse.2025.02.003","DOIUrl":"10.1016/j.gerinurse.2025.02.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the mediating effect of social support between self-perceptions of aging and fear of dementia among community-dwelling older adults.</div></div><div><h3>Methods</h3><div>A total of 656 older adults were recruited in this cross-sectional study. The Brief Aging Perceptions Questionnaire, Social Support Rating Scale, and Fear of Dementia Scale were used to collect data. Data were analyzed using SPSS 27.0 and PROCESS macro.</div></div><div><h3>Results</h3><div>Fear of dementia was positively correlated with self-perceptions of aging (β=0.266) and negatively correlated with social support (β=-0.326), and self-perceptions of aging were negatively correlated with social support (β=-0.105). Mediation analysis showed that social support had a partial mediating effect between self-perceptions of aging and fear of dementia, and the mediating effect accounted for 11.33 % of the total effect.</div></div><div><h3>Conclusions</h3><div>These findings highlighted the significant role of improving social support in developing interventions to reduce older adults’ fear of dementia.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 194-199"},"PeriodicalIF":2.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379393","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 : 2025-02-08DOI: 10.1016/j.gerinurse.2025.01.032
Jiali Ying MA.Sc , Li Zhang MA.Sc , Chen Yang MPH , Yingnan Jia Ph.D , Pinpin Zheng Ph.D
This study aims to explore the role of loneliness and perceived neighborhood environment in the relationship between physical performance and physical activity among community older adults. A total of 740 older adults were recruited to complete a survey and a physical performance test. Path analysis and bootstrap analysis were performed to explore whether there were conditional indirect effects of loneliness and perceived neighborhood environment on physical activity. The results showed that physical performance had statistically significant positive effects on physical activity (total effect: β=0.378, P < 0.001;direct effect: β=0.523, P < 0.001), the association was mediated by loneliness (β=-0.098, P < 0.001)) and perceived neighborhood environment (β=-0.047, P < 0.05). Older adults would engage in more physical activities if they lived in a friendly neighborhood environment. Meanwhile, attention and social support should be provided to alleviate their loneliness and to promote their physical activity.
{"title":"Relationship between physical performance and physical activity among community older adults: The suppressing effects of loneliness and perceived neighborhood environment","authors":"Jiali Ying MA.Sc , Li Zhang MA.Sc , Chen Yang MPH , Yingnan Jia Ph.D , Pinpin Zheng Ph.D","doi":"10.1016/j.gerinurse.2025.01.032","DOIUrl":"10.1016/j.gerinurse.2025.01.032","url":null,"abstract":"<div><div>This study aims to explore the role of loneliness and perceived neighborhood environment in the relationship between physical performance and physical activity among community older adults. A total of 740 older adults were recruited to complete a survey and a physical performance test. Path analysis and bootstrap analysis were performed to explore whether there were conditional indirect effects of loneliness and perceived neighborhood environment on physical activity. The results showed that physical performance had statistically significant positive effects on physical activity (total effect: β=0.378, <em>P</em> < 0.001;direct effect: β=0.523, <em>P</em> < 0.001), the association was mediated by loneliness (β=-0.098, <em>P</em> < 0.001)) and perceived neighborhood environment (β=-0.047, <em>P</em> < 0.05). Older adults would engage in more physical activities if they lived in a friendly neighborhood environment. Meanwhile, attention and social support should be provided to alleviate their loneliness and to promote their physical activity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 149-154"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349970","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 aimed to examine whether the risk of disabilities was reduced among community-dwelling older adults who experienced either depression or loneliness compared with those who experienced both. This sample included 5,005 older adults. Participants were followed for two years from baseline for incidence of disability. They were classified into four groups based on the presence of loneliness and depressive symptoms. The Cox proportional-hazards model, adjusted for confounders, was used to examine their associations with the incidence of disability. The incidence of disability in the comorbid, depression-only, loneliness-only, and robust groups was 11.6 %, 6.9 %, 5.3 %, and 4.2 %, respectively. The depression-only (HR 0.59, 95 % CI 0.36‒0.96), loneliness-only (HR 0.44, 95 % CI 0.31‒0.62), and robust groups (HR 0.34, 95 % CI 0.25‒0.46) had a significantly lower risk of disability compared with the comorbid group. It was concluded that alleviating depression or loneliness may reduce the risk of future disability.
{"title":"Association of depression and loneliness with risk of disability among community-dwelling older adults","authors":"Yuka Misu Ph.D , Kota Tsutsumimoto Ph.D , Yuto Kiuchi Ph.D , Kazuhei Nishimoto MS , Tomoka Ohata B.S , Hiroyuki Shimada Ph.D","doi":"10.1016/j.gerinurse.2025.02.002","DOIUrl":"10.1016/j.gerinurse.2025.02.002","url":null,"abstract":"<div><div>This study aimed to examine whether the risk of disabilities was reduced among community-dwelling older adults who experienced either depression or loneliness compared with those who experienced both. This sample included 5,005 older adults. Participants were followed for two years from baseline for incidence of disability. They were classified into four groups based on the presence of loneliness and depressive symptoms. The Cox proportional-hazards model, adjusted for confounders, was used to examine their associations with the incidence of disability. The incidence of disability in the comorbid, depression-only, loneliness-only, and robust groups was 11.6 %, 6.9 %, 5.3 %, and 4.2 %, respectively. The depression-only (HR 0.59, 95 % CI 0.36‒0.96), loneliness-only (HR 0.44, 95 % CI 0.31‒0.62), and robust groups (HR 0.34, 95 % CI 0.25‒0.46) had a significantly lower risk of disability compared with the comorbid group. It was concluded that alleviating depression or loneliness may reduce the risk of future disability.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 144-148"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350405","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 : 2025-02-08DOI: 10.1016/j.gerinurse.2025.02.005
Eun Sook Lee PhD, RN, Yeong-Mi Seo PhD, RN
We aimed to identify factors associated with subjective cognitive decline (SCD) among older adults, considering residential area (urban or rural) and living arrangement (alone or with others). Using multivariate logistic regression on data from 74,472 individuals aged ≥ 65 from the 2021 Community Health Survey, we found significant differences in SCD prevalence, with urban older adults living alone showing the highest rate. Age, subjective health status, subjective stress, and depression were associated with SCD across all groups. However, the SCD-related factors differed among these groups. Among urban older adults living with others, sex, employment, education, smoking, and lack of trust were associated with SCD. In rural areas, education was a risk factor for SCD among those living alone, while employment and education were risk factors for those living with others. These findings highlight the need for tailored health strategies based on residential area and living arrangement to effectively manage SCD.
{"title":"Factors associated with subjective cognitive decline in community-dwelling elderly individuals based on living area and living arrangement: A cross-sectional study","authors":"Eun Sook Lee PhD, RN, Yeong-Mi Seo PhD, RN","doi":"10.1016/j.gerinurse.2025.02.005","DOIUrl":"10.1016/j.gerinurse.2025.02.005","url":null,"abstract":"<div><div>We aimed to identify factors associated with subjective cognitive decline (SCD) among older adults, considering residential area (urban or rural) and living arrangement (alone or with others). Using multivariate logistic regression on data from 74,472 individuals aged ≥ 65 from the 2021 Community Health Survey, we found significant differences in SCD prevalence, with urban older adults living alone showing the highest rate. Age, subjective health status, subjective stress, and depression were associated with SCD across all groups. However, the SCD-related factors differed among these groups. Among urban older adults living with others, sex, employment, education, smoking, and lack of trust were associated with SCD. In rural areas, education was a risk factor for SCD among those living alone, while employment and education were risk factors for those living with others. These findings highlight the need for tailored health strategies based on residential area and living arrangement to effectively manage SCD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 155-164"},"PeriodicalIF":2.5,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-07DOI: 10.1016/j.gerinurse.2025.01.040
Beatriz Carrasco-Díaz Ph.D. , Lorena P. Gallardo-Peralta Ph.D. , Alejandra-Ximena Araya Ph.D. , María Soledad Herrera Ph.D. , Víctor Pedrero Ph.D. , Doris Sequeira Daza Ph.D.
Aims
the objective of this study is to analyze the mediating role of loneliness, social isolation, and depressive symptoms in the relationship between multimorbidity and physical frailty among Chilean older adults living in the community, following the frailty model proposed by Gobbens.
Methods
A total of 2132 older people were studied through a cross-sectional analysis of data from a population-based survey, using hierarchical linear regression and mediations with Hayes’ method. Variables of Gobbens’ model guided the data analysis.
Results
Regression analysis revealed significant associations between physical frailty and age, education, self-perceived economic status, physical activity, social relationships, mental health, and multimorbidity. Mediation analysis confirmed that loneliness, social isolation, and depressive symptoms are partial mediators in the relationship between multimorbidity and frailty.
Conclusions
Multimorbidity contributes significantly to physical frailty. Loneliness and social isolation show weaker associations with frailty, whereas depressive symptoms have a more substantial mediating role. These results underscore the need to integrate these factors into frailty interventions for older people.
{"title":"Physical frailty in chilean older persons: The role of social relationships, multimorbidity, and mental health","authors":"Beatriz Carrasco-Díaz Ph.D. , Lorena P. Gallardo-Peralta Ph.D. , Alejandra-Ximena Araya Ph.D. , María Soledad Herrera Ph.D. , Víctor Pedrero Ph.D. , Doris Sequeira Daza Ph.D.","doi":"10.1016/j.gerinurse.2025.01.040","DOIUrl":"10.1016/j.gerinurse.2025.01.040","url":null,"abstract":"<div><h3>Aims</h3><div>the objective of this study is to analyze the mediating role of loneliness, social isolation, and depressive symptoms in the relationship between multimorbidity and physical frailty among Chilean older adults living in the community, following the frailty model proposed by Gobbens.</div></div><div><h3>Methods</h3><div>A total of 2132 older people were studied through a cross-sectional analysis of data from a population-based survey, using hierarchical linear regression and mediations with Hayes’ method. Variables of Gobbens’ model guided the data analysis.</div></div><div><h3>Results</h3><div>Regression analysis revealed significant associations between physical frailty and age, education, self-perceived economic status, physical activity, social relationships, mental health, and multimorbidity. Mediation analysis confirmed that loneliness, social isolation, and depressive symptoms are partial mediators in the relationship between multimorbidity and frailty.</div></div><div><h3>Conclusions</h3><div>Multimorbidity contributes significantly to physical frailty. Loneliness and social isolation show weaker associations with frailty, whereas depressive symptoms have a more substantial mediating role. These results underscore the need to integrate these factors into frailty interventions for older people.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 136-143"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348928","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 : 2025-02-07DOI: 10.1016/j.gerinurse.2025.01.020
Karol J. Czuba PhD MPhil MPhty , Alain C. Vandal PhD MA BSc , Nicola M. Kayes PhD MSc BSc
Aim
The current study was part of a larger project to develop an e-mentoring intervention for aged care support workers in New Zealand. In Phase 1, we explored support workers’ perspectives of e-mentoring. In Phase 2, we investigated the intervention's usability, acceptability, and its perceived barriers, facilitators, and benefits.
Methods
Guided by the Medical Research Council framework for developing complex interventions, Phase 1 involved a focus groups with aged care support workers, exploring their views on e-mentoring. In Phase 2, multiple qualitative research methods were used to explore the proposed e-mentoring intervention, its usability, acceptability, perceived barriers, facilitators, and benefits.
Findings
Participants in Phase 1 expressed interest in being involved in e-mentoring. They reported expectations that it would be adaptive and holistic, with the mentees being able to choose their specific goals. Key training needs identified revolved around confidentiality and privacy, building rapport, and addressing technical issues. The key benefits noted by participants included job satisfaction, feeling valued, and increased motivation. Building on these findings, an intervention manual was developed and investigated in Phase 2. Participants reported the proposed format and process were clear and straightforward, and the six-month duration appropriate, while some other areas were considered to require further refinement. The findings of this study highlight the value of involving the potential users and stakeholders in enhancing future interventions’ acceptability and usability.
Conclusion
The proposed intervention was found to be acceptable to support workers. Participants emphasised the importance of mentor-mentee match quality, and a preference for like-minded people to be matched. Several areas for refinements were identified, related to the intervention training, intervention manuals’ clarity, and programme's and roles’ expectations. The proposed intervention's feasibility will be tested in a six-month trial.
{"title":"Development of an e-mentoring intervention for support workers in aged care: A qualitative study","authors":"Karol J. Czuba PhD MPhil MPhty , Alain C. Vandal PhD MA BSc , Nicola M. Kayes PhD MSc BSc","doi":"10.1016/j.gerinurse.2025.01.020","DOIUrl":"10.1016/j.gerinurse.2025.01.020","url":null,"abstract":"<div><h3>Aim</h3><div>The current study was part of a larger project to develop an e-mentoring intervention for aged care support workers in New Zealand. In Phase 1, we explored support workers’ perspectives of e-mentoring. In Phase 2, we investigated the intervention's usability, acceptability, and its perceived barriers, facilitators, and benefits.</div></div><div><h3>Methods</h3><div>Guided by the Medical Research Council framework for developing complex interventions, Phase 1 involved a focus groups with aged care support workers, exploring their views on e-mentoring. In Phase 2, multiple qualitative research methods were used to explore the proposed e-mentoring intervention, its usability, acceptability, perceived barriers, facilitators, and benefits.</div></div><div><h3>Findings</h3><div>Participants in Phase 1 expressed interest in being involved in e-mentoring. They reported expectations that it would be adaptive and holistic, with the mentees being able to choose their specific goals. Key training needs identified revolved around confidentiality and privacy, building rapport, and addressing technical issues. The key benefits noted by participants included job satisfaction, feeling valued, and increased motivation. Building on these findings, an intervention manual was developed and investigated in Phase 2. Participants reported the proposed format and process were clear and straightforward, and the six-month duration appropriate, while some other areas were considered to require further refinement. The findings of this study highlight the value of involving the potential users and stakeholders in enhancing future interventions’ acceptability and usability.</div></div><div><h3>Conclusion</h3><div>The proposed intervention was found to be acceptable to support workers. Participants emphasised the importance of mentor-mentee match quality, and a preference for like-minded people to be matched. Several areas for refinements were identified, related to the intervention training, intervention manuals’ clarity, and programme's and roles’ expectations. The proposed intervention's feasibility will be tested in a six-month trial.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 104-115"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349383","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}
To examine the relationships between the risk of dysphagia, frailty, and depression in older adults living in nursing homes.
Methods
This correlational study was conducted with 205 older adults living in a nursing home in Istanbul, Turkey. Data were collected using the Turkish Eating Assessment Tool (T-EAT-10), the Edmonton Frailty Scale (EFS), and the Geriatric Depression Scale-Short Form (GDS-15).
Results
The prevalence of risk of dysphagia was 21.5 %, the prevalence of frailty was 69.3 %, and the prevalence of depression was 63 %. The risk of dysphagia alone, frailty alone, and dysphagia risk along with gender were significant predictors of depression. The risk of dysphagia alone, depression alone, and dysphagia risk along with age were significant predictors of frailty.
Conclusions
As the risk of dysphagia increases, so do frailty and depression. Depression is higher in women. Increased frailty is associated with increased depression. As age increases, frailty also increases.
{"title":"The relationships between dysphagia risk, frailty, and depression in older adults living in nursing homes","authors":"Cemile Savci PhD , Nesrin İlhan PhD , Sevinç Yıldırım PhD","doi":"10.1016/j.gerinurse.2025.02.001","DOIUrl":"10.1016/j.gerinurse.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the relationships between the risk of dysphagia, frailty, and depression in older adults living in nursing homes.</div></div><div><h3>Methods</h3><div>This correlational study was conducted with 205 older adults living in a nursing home in Istanbul, Turkey. Data were collected using the Turkish Eating Assessment Tool (T-EAT-10), the Edmonton Frailty Scale (EFS), and the Geriatric Depression Scale-Short Form (GDS-15).</div></div><div><h3>Results</h3><div>The prevalence of risk of dysphagia was 21.5 %, the prevalence of frailty was 69.3 %, and the prevalence of depression was 63 %. The risk of dysphagia alone, frailty alone, and dysphagia risk along with gender were significant predictors of depression. The risk of dysphagia alone, depression alone, and dysphagia risk along with age were significant predictors of frailty.</div></div><div><h3>Conclusions</h3><div>As the risk of dysphagia increases, so do frailty and depression. Depression is higher in women. Increased frailty is associated with increased depression. As age increases, frailty also increases.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 116-121"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349384","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 : 2025-02-07DOI: 10.1016/j.gerinurse.2025.01.043
Rui-Chen Ma RN, MSN, Ying-Ying Wang RN, MSN, Qing Yuan RN, Ai-Ying Sun BSN, CNS
Exercise rehabilitation programs have been proven to beneficially affect several health-related outcomes for cancer patients. However, adherence is important to achieve optimal effects. This study aimed to investigate the influencing factors of exercise rehabilitation behavior in older esophageal cancer patients participating in pre- and postoperative exercise rehabilitation programs in a hospital setting. A qualitative study with semistructured interviews was conducted based on the capability, opportunity, and motivation as determinants of behavior (COM-B) theoretical framework. Purposeful sampling was used (n = 16), and the interview data were analyzed following thematic analysis. The results revealed ten key themes: capability factors (physical discomfort, limited knowledge, and psychological burden), opportunity factors (grassroots medical and health services support, family support, peer support, and healthcare professionals support), and motivation factors (high exercise self-efficacy, awareness of benefits, and desire for normal life). Understanding these factors can help design more effective exercise rehabilitation programs in clinical practice.
{"title":"Factors influencing exercise rehabilitation behavior in older patients with esophageal cancer: A qualitative study","authors":"Rui-Chen Ma RN, MSN, Ying-Ying Wang RN, MSN, Qing Yuan RN, Ai-Ying Sun BSN, CNS","doi":"10.1016/j.gerinurse.2025.01.043","DOIUrl":"10.1016/j.gerinurse.2025.01.043","url":null,"abstract":"<div><div>Exercise rehabilitation programs have been proven to beneficially affect several health-related outcomes for cancer patients. However, adherence is important to achieve optimal effects. This study aimed to investigate the influencing factors of exercise rehabilitation behavior in older esophageal cancer patients participating in pre- and postoperative exercise rehabilitation programs in a hospital setting. A qualitative study with semistructured interviews was conducted based on the capability, opportunity, and motivation as determinants of behavior (COM-B) theoretical framework. Purposeful sampling was used (<em>n</em> = 16), and the interview data were analyzed following thematic analysis. The results revealed ten key themes: capability factors (physical discomfort, limited knowledge, and psychological burden), opportunity factors (grassroots medical and health services support, family support, peer support, and healthcare professionals support), and motivation factors (high exercise self-efficacy, awareness of benefits, and desire for normal life). Understanding these factors can help design more effective exercise rehabilitation programs in clinical practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 97-103"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348927","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}
Empathy plays a critical role in the care provided by nursing assistants (NAs) in long-term care (LTC) settings, directly influencing resident satisfaction and well-being. This mixed methods study evaluates the effectiveness of educational theater (ET) in enhancing empathy among 86 NAs in northern Taiwan. Quantitative assessments using pre- and post-intervention questionnaires showed no statistically significant improvements in empathy scores, but the ET group reported higher satisfaction compared to those receiving traditional lectures. Educational level and prior training significantly influenced pre-test empathy scores, favoring those with higher education or empathy-related training. Qualitative analysis of reflective writings and a focus group interview identified key themes: behavior recognition, understanding residents' perspectives, empathy development, and conflict resolution skill enhancement. These findings highlight ET's potential to enhance empathy-related learning for NAs, advocating for tailored empathy education in LTC settings.
{"title":"Effectiveness of educational theater on nursing assistants’ empathy in long-term care facility: A mixed methods study","authors":"Chien-Lin Kuo PhD, RN , Yeu-Hui Chuang PhD, RN , Su-Fen Cheng PhD, RN , Hsiu-Li Huang PhD, RN","doi":"10.1016/j.gerinurse.2025.01.044","DOIUrl":"10.1016/j.gerinurse.2025.01.044","url":null,"abstract":"<div><div>Empathy plays a critical role in the care provided by nursing assistants (NAs) in long-term care (LTC) settings, directly influencing resident satisfaction and well-being. This mixed methods study evaluates the effectiveness of educational theater (ET) in enhancing empathy among 86 NAs in northern Taiwan. Quantitative assessments using pre- and post-intervention questionnaires showed no statistically significant improvements in empathy scores, but the ET group reported higher satisfaction compared to those receiving traditional lectures. Educational level and prior training significantly influenced pre-test empathy scores, favoring those with higher education or empathy-related training. Qualitative analysis of reflective writings and a focus group interview identified key themes: behavior recognition, understanding residents' perspectives, empathy development, and conflict resolution skill enhancement. These findings highlight ET's potential to enhance empathy-related learning for NAs, advocating for tailored empathy education in LTC settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"62 ","pages":"Pages 90-96"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349386","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号