Geriatric Nursing最新文献_第2页

Corrigendum to “Non-pharmacological interventions to reduce neuropsychiatric symptoms in hospitalised patients for behavioural crises with cognitive impairment: A systematic review” [Geriatric Nursing 64 (2025) 103333] “非药物干预减少伴有认知障碍的行为危机住院患者的神经精神症状：系统回顾”的勘误表[老年护理64 (2025)103333]

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-31 DOI: 10.1016/j.gerinurse.2025.103786

Eliane Baumberger MSC , Simone Beeri MSC , Stefan Klöppel , Sandra Zwakhalen , Sabine Hahn

引用次数: 0

Enhancing adherence: Evaluating interventions for Heart Failure management in older adults 增强依从性：评估老年人心力衰竭管理的干预措施。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-29 DOI: 10.1016/j.gerinurse.2025.103779

Mohamed Toufic El Hussein RN, PhD, NP , Simreen Dhaliwal

Background

Management of heart failure (HF) is challenging, particularly because of the high rates of medication non-adherence among older adults. This leads to increased hospital readmission and healthcare costs. To address these challenges, a combination of non-pharmacological strategies, such as lifestyle changes and targeted pharmacological interventions, is crucial for improving the outcomes and reducing the burden of HF.

Objective

This scoping review aims to map out existing literature and highlight the interventions used for HF management to enhance adherence in the older adult population.

Method

This scoping review examined peer-reviewed studies from PubMed, CINAHL, SCOPUS, and the Cochrane Library databases

Results

The search yielded 511 articles, of which 13 were included in the final review. After examining all the studies, four key aspects emerged: increasing health literacy, utilizing mHealth applications, personalized cardiac rehabilitation, and scheduled mobile reminders.

Conclusion

This study found that personalized care, technology-driven interventions and clear communication from healthcare professions are crucial for improving HF management and outcomes. Future studies should focus on broadening language inclusion and investigate the interplay between HF and comorbid conditions to enhance applicability of interventions.

背景：心力衰竭（HF）的管理是具有挑战性的，特别是因为老年人的药物不依从率很高。这导致再入院和医疗费用增加。为了应对这些挑战，结合非药物策略，如生活方式的改变和有针对性的药物干预，对于改善结果和减轻心衰负担至关重要。目的：本综述旨在梳理现有文献，并强调用于心衰管理的干预措施，以提高老年人的依从性。方法：本综述检查了PubMed、CINAHL、SCOPUS和Cochrane图书馆数据库中同行评议的研究。结果：检索出511篇文章，其中13篇被纳入最终综述。在检查了所有的研究后，出现了四个关键方面：提高健康素养，利用移动健康应用程序，个性化心脏康复和定期移动提醒。结论：本研究发现，个性化护理、技术驱动的干预措施和医疗保健专业人员的明确沟通对改善心衰管理和预后至关重要。未来的研究应侧重于扩大语言的包容性，并调查心衰与合并症之间的相互作用，以提高干预措施的适用性。

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引用次数: 0

The relationship between nutritional status measured by geriatric nutritional risk index and cognitive function in older adults: evidence from NHANES 2011-2014 老年人营养风险指数测定的营养状况与认知功能的关系：来自NHANES 2011-2014的证据

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-26 DOI: 10.1016/j.gerinurse.2025.103773

Wenhao Lai , Jiakang Hu , Defu Li , Shiwen Luo , Quqin Lu

This study examined the association between GNRI and cognitive function in older Americans. Data from NHANES 2011-2014 were used. Three tests were used to measure cognitive function. Nutritional status was calculated by GNRI scores. Subjects were 2283 older adults. Low GNRI levels were a risk factor for normal performance on the AFT and DSST tests.The results of restricted spline regression models indicated an approximately linear dose-response relationship between GNRI and the prevalence of low cognitive performance as tested by AFT and DSST.This study suggested that maintaining a high GNRI level may help sustain the functional stability of certain cognitive function components in the elderly.Ensuring good nutritional status could be beneficial in preventing low cognitive performance

这项研究调查了美国老年人GNRI和认知功能之间的关系。数据来自NHANES 2011-2014。三个测试用于测量认知功能。营养状况由GNRI评分计算。研究对象是2283名老年人。低GNRI水平是影响AFT和DSST测试正常表现的危险因素。限制样条回归模型的结果表明，在AFT和DSST测试中，GNRI与认知能力低下患病率之间存在近似线性的剂量-反应关系。本研究提示，维持较高的GNRI水平可能有助于维持老年人某些认知功能成分的功能稳定性。确保良好的营养状况有助于预防认知能力低下

引用次数: 0

Cross-cultural adaptation and validation of care and treatment scenarios for measuring decisional conflict regarding future care preferences among Chinese older adults: A cross-sectional study 衡量中国老年人未来护理偏好决策冲突的护理和治疗方案的跨文化适应和验证：一项横断面研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-24 DOI: 10.1016/j.gerinurse.2025.103782

Qian Zhao , Zhenxiang Cui , Huijuan Xue , Yujie Qi , Tengyun Si , Hui Chen , Shuangqi Yan , Ziwen Wang , Dongling Liu

Introduction

In ACP studies, the Decisional Conflict Scale (DCS) is often combined with hypothetical scenarios as outcome measures. The validated three hypothetical scenarios relating to life-sustaining treatments and care utilization in the DCS proved to be a reliable and valid tool. However, there is a lack of decision conflict measurement tools combining scenarios in the context of ACP in China.

Objectives

To cross-culturally adapt and evaluate the psychometric property of the three hypothetical scenarios among Chinese older adults and preliminary application.

Methods

The Chinese version of the scenarios of DCS was culturally adapted, revised, and pre-surveyed to form the mainland China version. The psychometric properties of three hypothetical scenarios were conducted among 210 community-dwelling residents, and the preliminary application was carried out on 224 community- dwelling residents in four community health service centers in Zhengzhou City, Henan Province, China.

Results

The three culturally adapted scenarios were validated to have good internal consistency, and the results of the validation factor analysis indicated a good model fit. Preliminary application results indicate that Chinese community-dwelling older adults differ in preference distributions across scenarios and exhibit clinically significant decision-making conflicts.

Conclusion

The care and treatment scenarios for measuring decisional conflict regarding future care preferences showed good reliability and validity among the older adults in China. A substantial proportion of Chinese older adults reported clinically significant levels of decision conflict across a range of treatment and care related hypothetical scenarios. For the scenario response distribution of life-sustaining treatment, "hospital" and "emergency" showed a difference.

简介：在ACP研究中，决策冲突量表（DCS）通常与假设情景相结合作为结果测量。经验证的与DCS中维持生命治疗和护理利用有关的三种假设情景证明是一种可靠和有效的工具。然而，目前国内还缺乏基于ACP情境的决策冲突测量工具。目的：探讨三种假设情境在中国老年人中的跨文化适应和心理测量特性及其初步应用。方法：对DCS场景的中国版本进行文化改编、修订和预调查，形成中国大陆版本。对河南省郑州市4个社区卫生服务中心的224名社区居民进行了初步应用，并对210名社区居民进行了三种假设情境的心理测量特性测试。结果：三个文化适应情景被验证具有良好的内部一致性，验证因子分析结果表明模型拟合良好。初步应用结果表明，中国社区老年人在不同情景下的偏好分布存在差异，并表现出临床上显著的决策冲突。结论：用于衡量未来护理偏好决策冲突的护理和治疗方案在中国老年人中具有良好的信度和效度。相当大比例的中国老年人在一系列治疗和护理相关的假设情景中报告了临床上显著水平的决策冲突。对于维持生命治疗的情景反应分布，“医院”和“急诊”表现出差异。

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引用次数: 0

Examining pharmacological and demographic factors among male and female alzheimer’s disease patients diagnosed with attention concentration disorder and cognitive communication disorder 诊断为注意力集中障碍和认知沟通障碍的男女阿尔茨海默病患者的药理学和人口学因素研究

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-24 DOI: 10.1016/j.gerinurse.2025.103769

Ashna Desai , Lidadi L. Agbomi , Adebobola I Nathaniel , Emmanuel I Nathaniel , Laurie Theriot Roley , Richard Goodwin , Thomas I. Nathaniel

Objective

This study examines the differences between male and female Alzheimer’s Disease patients diagnosed with Attention Concentration Deficit (ADACD) and Cognitive Communicative Disorder (ADCCD), focusing on pharmacological and demographic factors.

Method

A multivariate analysis was conducted to identify pharmacological and demographic factors associated with ADACD and ADCCD in male and female patients.

Results

In the adjusted analysis for male patients, use of donepezil (OR = 1.683, 95 % CI: 1.172–2.417, p = 0.005), and risperidone (Risperdal) use (OR = 3.177, 95 % CI: 1.841–5.484, p < 0.001) were significantly associated with ADCCD. The use of memantine (OR = 0.189, 95 % CI: 0.091–0.393, p < 0.001), aripiprazole (OR = 0.065, 95 % CI: 0.015–0.278, p < 0.001), were associated with ADACD. For female patients, citalopram use (OR = 2.470, 95 % CI: 1.751–3.484, p < 0.001) was associated with ADCCD.

Conclusion

These results underscore the urgent need to establish strategies aimed at addressing sex disparities in the care of ADACD and ADCCD patients.

目的：研究诊断为注意力集中缺陷（ADACD）和认知交际障碍（ADCCD）的阿尔茨海默病男女患者的差异，重点研究药理学和人口学因素。方法：通过多因素分析，确定与男性和女性ADACD和ADCCD相关的药理学和人口学因素。结果：在男性患者的校正分析中，多奈哌齐（OR = 1.683, 95% CI: 1.172 ~ 2.417, p = 0.005）和利培酮（利培酮）的使用（OR = 3.177, 95% CI: 1.841 ~ 5.484, p < 0.001）与ADCCD显著相关。美金刚胺（OR = 0.189, 95% CI: 0.091 ~ 0.393, p < 0.001）和阿立哌唑（OR = 0.065, 95% CI: 0.015 ~ 0.278, p < 0.001）的使用与ADACD相关。对于女性患者，使用西酞普兰（OR = 2.470, 95% CI: 1.751-3.484, p < 0.001）与ADCCD相关。结论：这些结果强调了迫切需要建立旨在解决ADACD和ADCCD患者护理中的性别差异的策略。

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引用次数: 0

Application of transitional care in older adults: A bibliometric analysis 过渡性护理在老年人中的应用：文献计量学分析。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-23 DOI: 10.1016/j.gerinurse.2025.103783

Jing-ping Yang, Si Chen, Feng Xue, Qiaoxian Zhang

Background

Global aging populations face complex healthcare challenges, including chronic diseases, multimorbidity, and fragmented care transitions. Transitional care has emerged as a critical strategy to address these issues, yet research disparities persist across countries, with limited understanding of global trends and collaboration patterns.

Objective

This study conducted a bibliometric analysis to map the evolution of transitional care research for older adults over two decades (2004–2024), identify research hotspots, and highlight gaps in global contributions and collaboration.

Methods

A total of 4996 articles were retrieved from the Web of Science Core Collection. Bibliometric tools (VOSviewer, CiteSpace, SCImago Graphica, Pajek) analyzed publication trends, country/institutional contributions, journal distributions, keyword co-occurrence, and co-cited reference.

Results

Publications grew exponentially from 57 (2004) to 476 (2024). The United States dominated research output (41.7 %), with eight of the top 10 institutions and seven of the top 10 authors based there. The top countries/regions contributed papers exceeding 95.00 %, with most originating from developed nations. Keyword analysis revealed enduring focus on chronic disease management and emerging trends like telehealth and geriatric medicine. Core journals bridged foundational and applied research, with dual citation pathways in clinical medicine and public health. Seminal works by Naylor and Coleman shaped the field, while recent clusters emphasized interdisciplinary collaboration and systemic care gaps.

Conclusion

Although transitional care research has grown significantly, systemic inequities persist, with the majority of studies originating from developed countries.. Limited representation of low- and middle-income countries risks perpetuating contextually mismatched interventions. Future efforts must prioritize inclusive global partnerships, context-sensitive models for resource-limited settings, and addressing digital divides. Strengthening interdisciplinary integration and systemic optimization will enhance care quality for aging populations worldwide.

背景：全球老龄化人口面临复杂的医疗保健挑战，包括慢性病、多病和分散的护理过渡。过渡性护理已成为解决这些问题的一项关键战略，但各国之间的研究差距仍然存在，对全球趋势和合作模式的了解有限。目的：本研究通过文献计量学分析，绘制了近二十年（2004-2024）老年人过渡性护理研究的演变图，确定了研究热点，并突出了全球贡献和合作的差距。方法：从Web of Science核心馆藏中检索4996篇文献。文献计量工具（VOSviewer、CiteSpace、SCImago Graphica、Pajek）分析了出版趋势、国家/机构贡献、期刊分布、关键词共现和共被引参考文献。结果：出版物从2004年的57篇增长到2024年的476篇。美国主导了研究产出（41.7%），排名前10的机构中有8个来自美国，排名前10的作者中有7个来自美国。排名靠前的国家/地区的论文贡献率超过95.00%，其中大部分来自发达国家。关键词分析显示，长期以来人们对慢性病管理的关注以及远程医疗和老年医学等新兴趋势。核心期刊是基础研究和应用研究的桥梁，具有临床医学和公共卫生的双重引用途径。内勒和科尔曼的开创性工作塑造了这个领域，而最近的集群强调跨学科合作和系统护理差距。结论：尽管过渡性护理研究已经显著增长，但系统性不平等仍然存在，大多数研究来自发达国家。低收入和中等收入国家的代表性有限，可能会使背景不匹配的干预措施长期存在。未来的工作必须优先考虑包容性全球伙伴关系、资源有限环境下的环境敏感模式以及解决数字鸿沟。加强跨学科的整合和系统的优化，将提高全球老龄人口的护理质量。

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引用次数: 0

How long-term care literacy impacts older adults’ preferences for future care services 长期护理素养如何影响老年人对未来护理服务的偏好。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-22 DOI: 10.1016/j.gerinurse.2025.103775

Ziyan Wang Ph.D. , Bing Niu Ph.D. (Professor) , Kaori Fukayama Ph.D. (Associate Professor)

This study investigates the impact of long-term care literacy (CL) on the preferences for future long-term care services among older Japanese adults (aged 65 years and older). We used data from 5075 older adults who lived in Sakai City, Osaka, in 2019. We applied an unequal variance t-test and a multinomial logit model to analyze differences in respondents’ characteristics and their care service preferences. The estimation results reveal that inadequate CL, poor subjective health, and low economic status are associated with unclear care preferences. Conversely, adequate CL is correlated with a preference for mixed or formal care over informal care. Other covariates such as age, sex, family structure, access to primary care, and community involvement also influence care preferences. Our findings highlight the need for policymakers and practitioners to develop tailored interventions to enhance CL and support informed care choices among older adults, contributing to the literature on future long-term care planning.

本研究调查了长期护理素养（CL）对日本老年人（65岁及以上）未来长期护理服务偏好的影响。我们使用了2019年居住在大阪酒井市的5075名老年人的数据。我们采用不等方差t检验和多项logit模型来分析被调查者的特征和他们的护理服务偏好的差异。估计结果显示，不充分的CL、较差的主观健康状况和较低的经济状况与不明确的护理偏好有关。相反，适当的CL与混合护理或正式护理的偏好相关，而不是非正式护理。其他协变量如年龄、性别、家庭结构、获得初级保健和社区参与也会影响护理偏好。我们的研究结果强调了决策者和从业者需要制定量身定制的干预措施，以提高老年人的CL和支持知情的护理选择，有助于未来长期护理规划的文献。

引用次数: 0

Care of the dying evaluation (CODE) questionnaire: psychometric appraisal for application in Persian-speaking populations 临终关怀评估（CODE）问卷：波斯语人群心理测量评估的应用。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-22 DOI: 10.1016/j.gerinurse.2025.103774

Seemin Dashti PhD , Parvin Sarbakhsh , Catriona R Mayland MBChB, FRCP, MD , Abdolreza Shaghaghi

Objectives

To appraise the psychometric properties of the CODE-P¹ for its application to assess quality of end-stage care among Iranian patients.

Method

A forward/backward translation procedure was performed to prepare a preliminary draft of CODE-P and its face and content validity were tested by an experts’ panel. The CODE-P was completed in this cross-sectional study by 280 bereaved family members in several hospitals in Ardabil, Iran. Construct validity, internal consistency and reliability were checked.

Results

CODE-P had good face and content validity (mean impact score = 4.01 and CVI = 0.92). EFA identified five factors which worked well in terms of construct validity (factor loadings range from 0.31 to 0.84) and internal consistency (Cronbach’s Alpha = 0.91).

Conclusion

The findings supported psychometric properties of the CODE-P for assessing end-stage care quality in Persian-speaking patients. Its application for end-of-life care quality assessment could provide a base for planning evidence-informed interventions.

目的：评估CODE-P1的心理测量特性，以评估其在伊朗患者终末期护理质量中的应用。方法：采用前向/后向翻译程序编制《CODE-P》初稿，并由专家小组对其表面效度和内容效度进行检验。CODE-P是在伊朗阿达比勒几家医院的280名丧亲家属的横断面研究中完成的。结构效度、内部一致性和信度进行了检验。结果：CODE-P具有良好的面效度和内容效度（平均影响评分为4.01,CVI = 0.92）。EFA确定了五个在结构效度（因子负荷范围为0.31至0.84）和内部一致性（Cronbach's Alpha = 0.91）方面表现良好的因素。结论：研究结果支持CODE-P的心理测量特性，用于评估波斯语患者的终末期护理质量。将其应用于临终关怀质量评估，可为循证干预措施的规划提供依据。

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引用次数: 0

United states nursing home COVID-19 mortality 2020–2022 2020-2022年美国养老院COVID-19死亡率

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-20 DOI: 10.1016/j.gerinurse.2025.103780

Ling Na PhD , Minxuan Lan PhD , Rong Liu PhD , Victoria Steiner PhD

COVID-19 mortality has been concentrated in the nursing home (NH) population, due to the synergy of multilevel risk factors attributable to facilities, neighborhoods, and individuals. In this cohort study, we estimated COVID-19 mortality in this population, explore geographic pockets of high mortality, and assess factors associated with increased mortality during 2020–2022. The NH population average COVID-19 mortality rate was 113.4, 36.4, and 15.3 per 1000 person-years in 2020, 2021, and 2022, respectively. Mortality was lower among homes with better care quality, hospital access, higher staffing hours per resident, greater staff vaccine coverage, and in higher-income neighborhoods. However, the association of mortality with facility-level racial composition, neighborhood income, hospital quality of care varied between pre- and post-vaccine periods. Mitigation strategies may incorporate care improvement, adequate staffing, adherence to infection prevention and control procedures, provision of onsite medicalization and telemedicine, promotion of vaccination among staff and residents, and sustained substantial funding for nursing homes in general and investments in lower income neighborhoods, while monitoring temporal variations in rates of infection and mortality in different geographic, racial, and socioeconomic domains.

由于设施、社区和个人等多重风险因素的协同作用，COVID-19死亡率集中在养老院（NH）人群中。在这项队列研究中，我们估计了这一人群的COVID-19死亡率，探索了高死亡率的地理区域，并评估了2020-2022年期间死亡率上升的相关因素。2020年、2021年和2022年，新冠肺炎人口平均死亡率分别为113.4、36.4和15.3 / 1000人年。在护理质量较好、医院可及性较高、每位居民工作时间较长、工作人员疫苗覆盖率较高以及收入较高的社区，死亡率较低。然而，死亡率与医院种族构成、社区收入、医院护理质量的关系在接种疫苗前后有所不同。缓解战略可包括改善护理、充足的人员配备、遵守感染预防和控制程序、提供现场医疗和远程医疗、促进工作人员和居民接种疫苗、为一般养老院提供持续的大量资金和对低收入社区的投资，同时监测不同地理、种族和社会经济领域感染率和死亡率的时间变化。

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引用次数: 0

Latent profile analysis and influencing factors for cluster of psychosomatic symptoms among chinese middle-aged and older ischemic stroke survivors 中国中老年缺血性脑卒中幸存者心身症状聚类分析及其影响因素

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing

Pub Date : 2025-12-19 DOI: 10.1016/j.gerinurse.2025.103776

Jiayin Chen , Jiaxian Wang , Jiangnan Wei , Kezhou Yang , Bo Deng , Ning Liu

Background

A deeper understanding of individual differences in symptom experiences among middle-aged and older ischemic stroke survivors could enable healthcare professionals to identify previously unknown associations among complex symptoms. This study employs latent class analysis to characterize psychosocial symptom clusters in this population. By identifying distinct subgroups based on these clusters, we compare differences in their quality of life and identify key factors associated with this classification. The findings aim to establish a foundation for developing targeted symptom management models and tailored intervention strategies for stroke survivors.

Methods

A total of 350 middle-aged and older adult ischemic stroke survivors were recruited between September 2022 and September 2023. Psychosomatic symptom clusters, depressive symptoms, fatigue, pain, sleep quality, risk factors, and functional impairment were assessed using validated scales, including the Numerical Rating Scale, the Hospital Anxiety and Depression Scale, the Fatigue Severity Scale, the Self-Rating Scale of Sleep, the Self-Efficacy for Managing Chronic Disease Scale, the Perceived Social Support Scale, and the Stroke Impact Scale.

Results

The sample was classified into three subgroups: a "low symptom group" (71.4%, n=250), a "high anxiety-fatigue group" (12.6%, n=44), and a "high symptom group" (16.0%, n=56). Gender, age, post-stroke self-care ability, and NIHSS scores were significant predictors differentiating the latent classes of psychosomatic symptom clusters in this population of middle-aged and older ischemic stroke survivors.

Conclusion

This study identified three distinct clusters of psychosomatic symptoms among middle-aged and older ischemic stroke survivors in China, the group with the highest symptoms had the poorest quality of life. The findings may assist clinical nurses in classifying high-risk patients for targeted psychosocial interventions, thereby offering a foundation for developing tailored clinical strategies.

背景：对中老年缺血性卒中幸存者症状经历的个体差异有更深入的了解，可以使医疗保健专业人员识别复杂症状之间以前未知的关联。本研究采用潜在类别分析来表征该人群的社会心理症状群。通过识别基于这些集群的不同亚组，我们比较了他们生活质量的差异，并确定了与这种分类相关的关键因素。研究结果旨在为中风幸存者制定针对性症状管理模型和量身定制的干预策略奠定基础。方法于2022年9月至2023年9月招募350名中老年缺血性脑卒中幸存者。心身症状群、抑郁症状、疲劳、疼痛、睡眠质量、危险因素和功能障碍采用有效的量表进行评估，包括数值评定量表、医院焦虑和抑郁量表、疲劳严重程度量表、睡眠自评量表、慢性疾病管理自我效能量表、感知社会支持量表和中风影响量表。结果将样本分为“低症状组”（71.4%,n=250）、“高焦虑疲劳组”（12.6%,n=44）和“高症状组”（16.0%,n=56） 3个亚组。性别、年龄、卒中后自我护理能力和NIHSS评分是区分中老年缺血性卒中幸存者心身症状群潜在类别的显著预测因子。结论本研究发现中国中老年缺血性脑卒中幸存者存在三种不同的心身症状，症状最严重的人群生活质量最差。研究结果可以帮助临床护士对高危患者进行有针对性的社会心理干预，从而为制定量身定制的临床策略提供基础。

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引用次数: 0