Pub Date : 2024-11-16DOI: 10.1016/j.gerinurse.2024.10.070
Linan Cheng PhD, RN , Qian Chen PhD, RN
This study evaluates the validity and reliability of the Chinese Version of Spiritual Care Competency (C-SCC) for geriatric nurses. Using convenience and snowball sampling, 1,094 geriatric nurses were randomly divided into two groups of 547 each for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA confirmed a four-dimensional structure, explaining 74.399 % of the total variance. Structural validity was assessed through EFA and CFA, while correlation analysis evaluated concurrent and convergent validity. Internal consistency, measured by Cronbach's α coefficient, was 0.987, with individual factors scoring 0.983, 0.964, 0.933, and 0.976. Test-retest reliability was 0.983, and concurrent validity was 0.860 (P < 0.01). Modified CFA results (RMSEA = 0.04, GFI = 0.93, AGFI = 0.93, NFI = 0.93, RFI = 0.93, PGFI = 0.62) indicated a well-fitting model with excellent psychometric properties. The C-SCC is a reliable tool for assessing spiritual care competencies among geriatric nurses.
{"title":"A psychometric assessment for evaluating spiritual care competency for geriatric nurses","authors":"Linan Cheng PhD, RN , Qian Chen PhD, RN","doi":"10.1016/j.gerinurse.2024.10.070","DOIUrl":"10.1016/j.gerinurse.2024.10.070","url":null,"abstract":"<div><div>This study evaluates the validity and reliability of the Chinese Version of Spiritual Care Competency (C-SCC) for geriatric nurses. Using convenience and snowball sampling, 1,094 geriatric nurses were randomly divided into two groups of 547 each for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). EFA confirmed a four-dimensional structure, explaining 74.399 % of the total variance. Structural validity was assessed through EFA and CFA, while correlation analysis evaluated concurrent and convergent validity. Internal consistency, measured by Cronbach's α coefficient, was 0.987, with individual factors scoring 0.983, 0.964, 0.933, and 0.976. Test-retest reliability was 0.983, and concurrent validity was 0.860 (<em>P</em> < 0.01). Modified CFA results (RMSEA = 0.04, GFI = 0.93, AGFI = 0.93, NFI = 0.93, RFI = 0.93, PGFI = 0.62) indicated a well-fitting model with excellent psychometric properties. The C-SCC is a reliable tool for assessing spiritual care competencies among geriatric nurses.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 129-139"},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645194","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 : 2024-11-16DOI: 10.1016/j.gerinurse.2024.10.050
Ye-ke He , Teng-fei Li , Yu-ting Liang , Guo-qing Jiang , Jian-wei Li , Yuan Xu , Qi-rong Qin , Fen Huang , Ye-huan Sun , Jie Li
Aim
This study aimed to explore the trajectory and predictors of subjective well-being (SWB).
Methods
Elderly in Ma'anshan were followed up for 5 years. SWB was measured using the Memorial University of Newfoundland Scale of Happiness (MUNSH). GBTM was used to group the trajectories of SWB, and multivariate logistic regression was used to explore the influencing factors of the different trajectories.
Results
2495 adults aged ≥60 years completed the survey. Four SWB trajectories were identified: low score ascending group [130(5.2 %)], high score decline group [316(14.7 %)], high score stable group [1827(73.2 %)], moderate score fluctuation group [172(6.9 %)]. With the high score stable group as the reference, social support, depressive symptoms and self-reported health were predictors of SWB for all the groups.
Conclusions
The SWB of the elderly has different developmental trajectories. Nursing staff may be carry out intervention on SWB of the elderly from social support, reducing depression and improving physical health.
{"title":"Influencing factors of subjective well-being trajectory based on the group-based trajectory modeling (GBTM): Results from a healthy aging cohort study in Ma'anshan","authors":"Ye-ke He , Teng-fei Li , Yu-ting Liang , Guo-qing Jiang , Jian-wei Li , Yuan Xu , Qi-rong Qin , Fen Huang , Ye-huan Sun , Jie Li","doi":"10.1016/j.gerinurse.2024.10.050","DOIUrl":"10.1016/j.gerinurse.2024.10.050","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the trajectory and predictors of subjective well-being (SWB).</div></div><div><h3>Methods</h3><div>Elderly in Ma'anshan were followed up for 5 years. SWB was measured using the Memorial University of Newfoundland Scale of Happiness (MUNSH). GBTM was used to group the trajectories of SWB, and multivariate logistic regression was used to explore the influencing factors of the different trajectories.</div></div><div><h3>Results</h3><div>2495 adults aged ≥60 years completed the survey. Four SWB trajectories were identified: low score ascending group [130(5.2 %)], high score decline group [316(14.7 %)], high score stable group [1827(73.2 %)], moderate score fluctuation group [172(6.9 %)]. With the high score stable group as the reference, social support, depressive symptoms and self-reported health were predictors of SWB for all the groups.</div></div><div><h3>Conclusions</h3><div>The SWB of the elderly has different developmental trajectories. Nursing staff may be carry out intervention on SWB of the elderly from social support, reducing depression and improving physical health.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 177-184"},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649624","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 : 2024-11-15DOI: 10.1016/j.gerinurse.2024.10.043
Fatma Zehra Genç RN, PhD (Instructor) , Suzan Yıldız RN, PhD (Assistant Professor) , Naile Bilgili RN, PhD (Professor)
To determine the validity and reliability of the Health Literacy Scale in Old Age in Turkish and to examine the psychometric properties of the scale. A total of 450 older individuals aged over 65 years living in a community in a province of Türkiye constituted the sample of this research. Data were collected using a personal information form, the European Health Literacy Short Form, and the Health Literacy Scale in Old Age. The Cronbach α value of the five-factor 18-item scale of four-point Likert type was 0.83, the total variance explained by the factor regarding the scale was 55.973 %, the content validity index was 0.85, and the test-retest reliability value was 0.887. The relationship between the adapted scale and the European Health Literacy Scale Short Form was 0.512. As a result, 18 items of the Health Literacy Scale in Old Age have reasonable length and reliable and valid features.
{"title":"Turkish adaptation and psychometric test of the health literacy scale in old age","authors":"Fatma Zehra Genç RN, PhD (Instructor) , Suzan Yıldız RN, PhD (Assistant Professor) , Naile Bilgili RN, PhD (Professor)","doi":"10.1016/j.gerinurse.2024.10.043","DOIUrl":"10.1016/j.gerinurse.2024.10.043","url":null,"abstract":"<div><div>To determine the validity and reliability of the Health Literacy Scale in Old Age in Turkish and to examine the psychometric properties of the scale. A total of 450 older individuals aged over 65 years living in a community in a province of Türkiye constituted the sample of this research. Data were collected using a personal information form, the European Health Literacy Short Form, and the Health Literacy Scale in Old Age. The Cronbach α value of the five-factor 18-item scale of four-point Likert type was 0.83, the total variance explained by the factor regarding the scale was 55.973 %, the content validity index was 0.85, and the test-retest reliability value was 0.887. The relationship between the adapted scale and the European Health Literacy Scale Short Form was 0.512. As a result, 18 items of the Health Literacy Scale in Old Age have reasonable length and reliable and valid features.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 91-97"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638401","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 : 2024-11-15DOI: 10.1016/j.gerinurse.2024.10.080
Heather M Young, Donna Marie Fick, Sarah H Kagan, Deb Bakerjian
{"title":"National Caregivers Month: Celebrating the Legacies of First Lady Rosalynn Carter and Professor Claire Fagin.","authors":"Heather M Young, Donna Marie Fick, Sarah H Kagan, Deb Bakerjian","doi":"10.1016/j.gerinurse.2024.10.080","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.080","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645192","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 : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.047
Lihui PU , Madushika KODAGODA GAMAGE , Na LI , Matthew BARTON , Marlies FEENSTRA , Michael TODOROVIC , Wendy MOYLE
Aim
To understand the steps in the decision-making process regarding pain assessment and management for people living with dementia from the perspectives and experiences of people with dementia, formal and informal carers.
Methods
A systematic review was conducted. Seven English databases were searched, including PubMed, Psychological Information Database, Cochrane Library, Scopus, Cumulative Index of Nursing and Allied Health Literature, Web of Science, and ProQuest, using synonyms and derivatives for “dementia”, “cognitive impairment”, “pain”, “pain assessment”, “pain management”, “decision”, “decision support”, and “decision-making”.
Results
Twenty-eight studies fulfilled the eligibility criteria. Pain assessment and management in dementia are complex, successive, and collaborative processes carried out by different individuals over a period based on one's understanding of the person with dementia but with high uncertainty. Pain assessment involves a certain degree of guesswork, while pain management is a trial-and-error process.
Conclusion
More pragmatic approaches are needed to overcome challenges, including uncertainty and decisional conflicts.
目的：从痴呆症患者、正式和非正式照护者的角度和经验出发，了解痴呆症患者疼痛评估和管理决策过程中的步骤：方法：进行了系统性回顾。使用 "痴呆症"、"认知障碍"、"疼痛"、"疼痛评估"、"疼痛管理"、"决策"、"决策支持 "和 "决策 "的同义词和派生词检索了 7 个英文数据库，包括 PubMed、心理学信息数据库、Cochrane Library、Scopus、Cumulative Index of Nursing and Allied Health Literature、Web of Science 和 ProQuest：结果：28 项研究符合资格标准。痴呆症患者的疼痛评估和管理是一个复杂、连续和协作的过程，由不同的人根据对痴呆症患者的了解在一段时间内共同完成，但具有很大的不确定性。疼痛评估涉及一定程度的猜测，而疼痛管理则是一个反复试验的过程：结论：需要更加务实的方法来克服各种挑战，包括不确定性和决策冲突。
{"title":"Reviewing the landscape of the decision-making process for pain assessment and management for people living with dementia: A systematic review","authors":"Lihui PU , Madushika KODAGODA GAMAGE , Na LI , Matthew BARTON , Marlies FEENSTRA , Michael TODOROVIC , Wendy MOYLE","doi":"10.1016/j.gerinurse.2024.10.047","DOIUrl":"10.1016/j.gerinurse.2024.10.047","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the steps in the decision-making process regarding pain assessment and management for people living with dementia from the perspectives and experiences of people with dementia, formal and informal carers.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. Seven English databases were searched, including PubMed, Psychological Information Database, Cochrane Library, Scopus, Cumulative Index of Nursing and Allied Health Literature, Web of Science, and ProQuest, using synonyms and derivatives for “dementia”, “cognitive impairment”, “pain”, “pain assessment”, “pain management”, “decision”, “decision support”, and “decision-making”.</div></div><div><h3>Results</h3><div>Twenty-eight studies fulfilled the eligibility criteria. Pain assessment and management in dementia are complex, successive, and collaborative processes carried out by different individuals over a period based on one's understanding of the person with dementia but with high uncertainty. Pain assessment involves a certain degree of guesswork, while pain management is a trial-and-error process.</div></div><div><h3>Conclusion</h3><div>More pragmatic approaches are needed to overcome challenges, including uncertainty and decisional conflicts.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 50-63"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632993","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 : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.078
Walaa Badawy , Mostafa Shaban
This phenomenological study explored the perspectives of geriatric nurses on the adoption of artificial intelligence (AI) in elderly care. Thematic analysis of semi-structured interviews with 17 nurses revealed perceived benefits, challenges, ethical considerations, and practical implications. Participants acknowledged AI's potential for improving diagnostic accuracy, personalized care, continuous monitoring, and data pattern insights. However, concerns were raised regarding workflow integration, cost barriers, resistance to change, data privacy, diminishment of human elements, and the need for ethical guidelines. A cautious optimism was expressed, emphasizing the importance of addressing practical challenges, maintaining the human touch, and fostering a collaborative approach. The findings highlight the need for comprehensive training, user-centered design, ethical frameworks, and strategies to overcome financial and implementation barriers. Future research should focus on evaluating the impact of AI implementation on patient outcomes and nursing experiences.
{"title":"Exploring geriatric nurses' perspectives on the adoption of AI in elderly care a qualitative study","authors":"Walaa Badawy , Mostafa Shaban","doi":"10.1016/j.gerinurse.2024.10.078","DOIUrl":"10.1016/j.gerinurse.2024.10.078","url":null,"abstract":"<div><div>This phenomenological study explored the perspectives of geriatric nurses on the adoption of artificial intelligence (AI) in elderly care. Thematic analysis of semi-structured interviews with 17 nurses revealed perceived benefits, challenges, ethical considerations, and practical implications. Participants acknowledged AI's potential for improving diagnostic accuracy, personalized care, continuous monitoring, and data pattern insights. However, concerns were raised regarding workflow integration, cost barriers, resistance to change, data privacy, diminishment of human elements, and the need for ethical guidelines. A cautious optimism was expressed, emphasizing the importance of addressing practical challenges, maintaining the human touch, and fostering a collaborative approach. The findings highlight the need for comprehensive training, user-centered design, ethical frameworks, and strategies to overcome financial and implementation barriers. Future research should focus on evaluating the impact of AI implementation on patient outcomes and nursing experiences.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 41-49"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632911","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 : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.072
Hong Yu MMed , Bing Xin Ma MSc , Ya Cheng Feng BSc , Zi Wen He MSc , Cong Li MSc , Zi Han Wang BSc , Ting Gao BSc , Xin Yi Xu PhD
This study aimed to examine the effect of a multi-domain cognitive-motor training program at different durations on cognitive function in older adults with amnestic mild cognitive impairment (aMCI) in China. Seventy-two older adults from a large nursing home were randomized to the multi-domain, cognitive-motor training group and usual care control group. Cognitive function included global cognition, attention, language performance, visuospatial ability, and executive function were assessed at baseline, 12 weeks, and 24 weeks. The multi-domain, cognitive-motor training program significantly improved global cognition (p < 0.05), visuospatial ability (p < 0.05), and executive function (p < 0.05) after 12- and 24- week intervention. Older adults in the training program showed significant improvements in most cognitive subdomains after 12 and 24 weeks, but not in attention and executive function after 12 weeks. The findings suggest that long-duration multi-domain cognitive-motor training positively affects cognitive function, particularly in attention and executive function in older adults with aMCI.
{"title":"Effects of multi-domain cognitive-motor training in older adults with amnestic mild cognitive impairment: A randomized controlled trial","authors":"Hong Yu MMed , Bing Xin Ma MSc , Ya Cheng Feng BSc , Zi Wen He MSc , Cong Li MSc , Zi Han Wang BSc , Ting Gao BSc , Xin Yi Xu PhD","doi":"10.1016/j.gerinurse.2024.10.072","DOIUrl":"10.1016/j.gerinurse.2024.10.072","url":null,"abstract":"<div><div>This study aimed to examine the effect of a multi-domain cognitive-motor training program at different durations on cognitive function in older adults with amnestic mild cognitive impairment (aMCI) in China. Seventy-two older adults from a large nursing home were randomized to the multi-domain, cognitive-motor training group and usual care control group. Cognitive function included global cognition, attention, language performance, visuospatial ability, and executive function were assessed at baseline, 12 weeks, and 24 weeks. The multi-domain, cognitive-motor training program significantly improved global cognition (<em>p</em> < 0.05), visuospatial ability (<em>p</em> < 0.05), and executive function (<em>p</em> < 0.05) after 12- and 24- week intervention. Older adults in the training program showed significant improvements in most cognitive subdomains after 12 and 24 weeks, but not in attention and executive function after 12 weeks. The findings suggest that long-duration multi-domain cognitive-motor training positively affects cognitive function, particularly in attention and executive function in older adults with aMCI.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 64-72"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632903","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 : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.046
Xuehua Liu MSN, Yingru Dou BN, Lingxiang Guo BN, Zaiping Zhang BN, Biqin Liu BN, Peipei Yuan BN
A developed intelligent machine vision system combined with deep-learning algorithms was attempted to determine pressure injury (PI) stages rapidly. A total of 500 images were selected according to the color and texture characteristics of probable PI sites closely related to fie PI stages based on the guidance of PI experts. Each target box of the PI site was labeled by the same researcher for label consistency. Characteristic values of pressure injuries were extracted from segmented images for further model construction. In developing the rapid determination models, five you just look once (YOLO) pattern recognition models (i.e., YOLO8n, YOLO8s, YOLO8m, YOLO8l, and YOLO8x) were constructed, and they were optimized among 100 epochs. Compared with other models, the YOLO8l model showed the best result, with the precision values among pressure injury stage I to V (i.e., PI_I, PI_II, PI_III, PI_IV, and PI_V) of 0.98, 0.97, 0.95, 0.95, and 0.94, respectively. The overall results suggest that this intelligent machine vision system is useful for PI stage determination and perhaps other disease diagnoses closely related to color and texture characteristics.
我们尝试将开发的智能机器视觉系统与深度学习算法相结合，以快速确定压力损伤（PI）阶段。在压力损伤专家的指导下，根据与压力损伤阶段密切相关的可能压力损伤部位的颜色和纹理特征，共选择了 500 幅图像。为了保持标签的一致性，每个 PI 点的目标框都由同一研究人员进行了标注。从分割的图像中提取压伤特征值，以进一步构建模型。在开发快速判定模型时，构建了五个 YOLO 模式识别模型（即 YOLO8n、YOLO8s、YOLO8m、YOLO8l 和 YOLO8x），并对它们进行了 100 次历时优化。与其他模型相比，YOLO8l 模型的结果最好，压力损伤阶段 I 至 V（即 PI_I、PI_II、PI_III、PI_IV 和 PI_V）的精度值分别为 0.98、0.97、0.95、0.95 和 0.94。总体结果表明，该智能机器视觉系统可用于 PI 阶段的判断，或许还可用于与颜色和纹理特征密切相关的其他疾病诊断。
{"title":"A novel technique for rapid determination of pressure injury stages using intelligent machine vision","authors":"Xuehua Liu MSN, Yingru Dou BN, Lingxiang Guo BN, Zaiping Zhang BN, Biqin Liu BN, Peipei Yuan BN","doi":"10.1016/j.gerinurse.2024.10.046","DOIUrl":"10.1016/j.gerinurse.2024.10.046","url":null,"abstract":"<div><div>A developed intelligent machine vision system combined with deep-learning algorithms was attempted to determine pressure injury (PI) stages rapidly. A total of 500 images were selected according to the color and texture characteristics of probable PI sites closely related to fie PI stages based on the guidance of PI experts. Each target box of the PI site was labeled by the same researcher for label consistency. Characteristic values of pressure injuries were extracted from segmented images for further model construction. In developing the rapid determination models, five you just look once (YOLO) pattern recognition models (i.e., YOLO8n, YOLO8s, YOLO8m, YOLO8l, and YOLO8x) were constructed, and they were optimized among 100 epochs. Compared with other models, the YOLO8l model showed the best result, with the precision values among pressure injury stage I to V (i.e., PI_I, PI_II, PI_III, PI_IV, and PI_V) of 0.98, 0.97, 0.95, 0.95, and 0.94, respectively. The overall results suggest that this intelligent machine vision system is useful for PI stage determination and perhaps other disease diagnoses closely related to color and texture characteristics.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 98-105"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640421","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 : 2024-11-14DOI: 10.1016/j.gerinurse.2024.10.067
Razak M. Gyasi PhD, PD , Emmanuel Konadu BA , Priscilla Appiah BA , Desmond Agyei BA , Emmanuel Nyaaba BA , Michael Kwadwo Ntiamoah MPhil , Hubert Bimpeh Asiedu PhD , Elizabeth Nana Mbrah Koomson-Yalley PhD , Margaret Makafui Tayviah PhD , Jones Opoku-Ware PhD , André Hajek PhD
We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (β = 0.320, p < 0.001) and poor SRH (β = 0.039, p < 0.001). Pain interference mediated 61.6% of the sleep problems–SRH association in the overall sample (β =0.063, Bootstrap 95%CI=0.014–0.034) and 36.7% among women (β =0.023, Bootstrap 95%CI=0.023–0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.
{"title":"Sleep problems, pain interference, and global subjective health outcome: Findings from a representative aging study in Ghana","authors":"Razak M. Gyasi PhD, PD , Emmanuel Konadu BA , Priscilla Appiah BA , Desmond Agyei BA , Emmanuel Nyaaba BA , Michael Kwadwo Ntiamoah MPhil , Hubert Bimpeh Asiedu PhD , Elizabeth Nana Mbrah Koomson-Yalley PhD , Margaret Makafui Tayviah PhD , Jones Opoku-Ware PhD , André Hajek PhD","doi":"10.1016/j.gerinurse.2024.10.067","DOIUrl":"10.1016/j.gerinurse.2024.10.067","url":null,"abstract":"<div><div>We investigated the association between sleep problems and global self-rated health (SRH) in individuals aged ≥50 years in Ghana and explored the sex-wise mediating role of pain interference in this association. Data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study were analyzed (N=1201). Global SRH and pain interference were assessed with the Medical Outcomes Study (Short Form-36) Scale. Sleep-related problems were assessed on a 5-point scale from none=1 to extreme=5. Adjusted OLS regressions and bootstrapped mediation models evaluated the hypothesized associations. The mean (SD) age was 66.1 (11.9) years and 63.3 % were females. Sleep problems were associated with increases in pain interference (<em>β</em> = 0.320, <em>p</em> < 0.001) and poor SRH (<em>β</em> = 0.039, <em>p</em> < 0.001). Pain interference mediated 61.6% of the sleep problems–SRH association in the overall sample (<em>β =</em>0.063, Bootstrap 95%CI=0.014–0.034) and 36.7% among women (<em>β =</em>0.023, Bootstrap 95%CI=0.023–0.053). Effective sleep and pain management strategies may improve subjective health outcomes, particularly among older women.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 73-79"},"PeriodicalIF":2.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638427","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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