Pub Date : 2025-12-19DOI: 10.1016/j.gerinurse.2025.103784
Boah Kim , Andrew Wister , Barbara Mitchell , Lun Li , Laura Kadowaki
Despite the integrative role of informal caregivers in navigating community and healthcare systems for older adults, their perspectives and experiences have not been fully examined. This study aimed to fill knowledge gaps related to the challenges of informal caregiving in the context of community and healthcare system navigation (SN). Informed by the Behavioural-Ecological Framework of Healthcare Access and Navigation (BEAN) model, twenty semi-structured interviews were conducted with informal caregivers of older adults and analyzed using NVivo 14. Interviews were conducted from February to July 2024 via Zoom or phone. Utilizing a grounded theory approach, gaps in communication with different service providers and the lack of continuity across the care settings were identified as major themes. We use these to revise the BEAN model in particular by incorporating findings elucidating communication-oriented care. We discuss future directions to tackle these issues for better navigation experiences in the community and healthcare system.
{"title":"Exploring the challenges and opportunities of navigating community and healthcare systems among informal caregivers of older adults: Towards communication-oriented care","authors":"Boah Kim , Andrew Wister , Barbara Mitchell , Lun Li , Laura Kadowaki","doi":"10.1016/j.gerinurse.2025.103784","DOIUrl":"10.1016/j.gerinurse.2025.103784","url":null,"abstract":"<div><div>Despite the integrative role of informal caregivers in navigating community and healthcare systems for older adults, their perspectives and experiences have not been fully examined. This study aimed to fill knowledge gaps related to the challenges of informal caregiving in the context of community and healthcare system navigation (SN). Informed by the Behavioural-Ecological Framework of Healthcare Access and Navigation (BEAN) model, twenty semi-structured interviews were conducted with informal caregivers of older adults and analyzed using NVivo 14. Interviews were conducted from February to July 2024 via Zoom or phone. Utilizing a grounded theory approach, gaps in communication with different service providers and the lack of continuity across the care settings were identified as major themes. We use these to revise the BEAN model in particular by incorporating findings elucidating communication-oriented care. We discuss future directions to tackle these issues for better navigation experiences in the community and healthcare system.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103784"},"PeriodicalIF":2.4,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799225","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 : 2025-12-18DOI: 10.1016/j.gerinurse.2025.103770
Wenbo Wang , Yan Zhang , Fang Fang , Qin Li , Jiayuan Tu , Lijuan Xi
Purpose
The study aims to investigate the mediating role of grip strength in the association between hemoglobin and depressive symptoms.
Method
General characteristics, hemoglobin, grip strength and depressive symptoms were extracted in the National Health and Nutrition Examination Survey (NHANES) 2011–2014 database.
Results
A total sample of 2228 older participants was included in the study. Hemoglobin, grip strength and depressive symptoms were significantly correlated with each other(P < 0.05). Grip strength fully mediated hemoglobin and depressive symptoms.
Conclusion
Grip strength fully mediates the relationship between hemoglobin levels and depressive symptoms, highlighting the importance of routine assessment of both hemoglobin and muscle strength in older adults. Early interventions, including iron supplementation and physical exercise, may improve physical and mental health. Future longitudinal and intervention studies are necessary to validate these pathways and guide effective prevention strategies.
{"title":"The mediating role of grip strength in the association between hemoglobin and depressive symptoms among older adults","authors":"Wenbo Wang , Yan Zhang , Fang Fang , Qin Li , Jiayuan Tu , Lijuan Xi","doi":"10.1016/j.gerinurse.2025.103770","DOIUrl":"10.1016/j.gerinurse.2025.103770","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aims to investigate the mediating role of grip strength in the association between hemoglobin and depressive symptoms.</div></div><div><h3>Method</h3><div>General characteristics, hemoglobin, grip strength and depressive symptoms were extracted in the National Health and Nutrition Examination Survey (NHANES) 2011–2014 database.</div></div><div><h3>Results</h3><div>A total sample of 2228 older participants was included in the study. Hemoglobin, grip strength and depressive symptoms were significantly correlated with each other(<em>P</em> < 0.05). Grip strength fully mediated hemoglobin and depressive symptoms.</div></div><div><h3>Conclusion</h3><div>Grip strength fully mediates the relationship between hemoglobin levels and depressive symptoms, highlighting the importance of routine assessment of both hemoglobin and muscle strength in older adults. Early interventions, including iron supplementation and physical exercise, may improve physical and mental health. Future longitudinal and intervention studies are necessary to validate these pathways and guide effective prevention strategies.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103770"},"PeriodicalIF":2.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795373","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 : 2025-12-18DOI: 10.1016/j.gerinurse.2025.103778
Cheng-chen Yin (尹成晨) , Yong-yong Luo (罗永永) , Kai-li Shen (沈开丽) , Guang-xin Mao (毛光鑫) , Fu-shan Tang (唐富山)
Objective
This qualitative study aimed to explore the factors that influence inhaler adherence in patients with COPD and asthma from perspectives of respiratory healthcare professionals.
Methods
The researchers conducted semi-structured interviews with respiratory healthcare professionals in three tertiary hospitals in Southwest China. The transcribed text data were analyzed using Nvivo11 software and summarized using the three levels of coding of Grounded Theory to derive qualitative findings. The findings were further analyzed and categorized according to the Andersen model.
Results
The influencing factors on patients' adherence to inhaler medication can be categorized into three dimensions: contextual characteristics (accessibility of inhalers; support and supervision; disease and medication-related education), individual characteristics (patients' understanding of their diseases and inhalers; patients' comprehension of inhaler usage; affordability of inhalers; type of disease; duration of inhaler usage), and outcomes (effectiveness of inhalers; symptoms of discomfort while using inhalers).
Conclusion
Adherence to inhaler medication in patients with asthma and COPD can be influenced by contextual characteristics, individual characteristics and medication outcomes. Effective management necessitates a collaborative approach involving the entire healthcare community.
Practice implications
Robust recommendations for adherence interventions include government subsidies for inhalers, ensuring inhaler availability, active collaboration, personalized treatment plans, and effective patient self-management.
{"title":"Professionals' perspectives on factors influencing adherence to inhaler medication in patients with COPD and Asthma: A qualitative study","authors":"Cheng-chen Yin (尹成晨) , Yong-yong Luo (罗永永) , Kai-li Shen (沈开丽) , Guang-xin Mao (毛光鑫) , Fu-shan Tang (唐富山)","doi":"10.1016/j.gerinurse.2025.103778","DOIUrl":"10.1016/j.gerinurse.2025.103778","url":null,"abstract":"<div><h3>Objective</h3><div>This qualitative study aimed to explore the factors that influence inhaler adherence in patients with COPD and asthma from perspectives of respiratory healthcare professionals.</div></div><div><h3>Methods</h3><div>The researchers conducted semi-structured interviews with respiratory healthcare professionals in three tertiary hospitals in Southwest China. The transcribed text data were analyzed using Nvivo11 software and summarized using the three levels of coding of Grounded Theory to derive qualitative findings. The findings were further analyzed and categorized according to the Andersen model.</div></div><div><h3>Results</h3><div>The influencing factors on patients' adherence to inhaler medication can be categorized into three dimensions: contextual characteristics (accessibility of inhalers; support and supervision; disease and medication-related education), individual characteristics (patients' understanding of their diseases and inhalers; patients' comprehension of inhaler usage; affordability of inhalers; type of disease; duration of inhaler usage), and outcomes (effectiveness of inhalers; symptoms of discomfort while using inhalers).</div></div><div><h3>Conclusion</h3><div>Adherence to inhaler medication in patients with asthma and COPD can be influenced by contextual characteristics, individual characteristics and medication outcomes. Effective management necessitates a collaborative approach involving the entire healthcare community.</div></div><div><h3>Practice implications</h3><div>Robust recommendations for adherence interventions include government subsidies for inhalers, ensuring inhaler availability, active collaboration, personalized treatment plans, and effective patient self-management.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103778"},"PeriodicalIF":2.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795322","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 : 2025-12-18DOI: 10.1016/j.gerinurse.2025.103777
Jingya Ma, Huan Zhang, Zheng Li
Background
Understanding the experiences of relatives caring for persons with mild cognitive impairment (PwMCI) helps healthcare professionals address caregivers' challenges and implement early interventions to slow cognitive decline.
Objective
To assess and synthesize qualitative research on the experiences of PwMCI caregivers.
Methods
A systematic search of PubMed, Embase, CINAHL, Web of Science, and PsycINFO identified studies on caregiving for PwMCI. Qualitative data synthesis followed the Thomas and Harden method.
Results
Eleven studies revealed six caregiving roles: spectator, struggler, avoider, loner, guardian, and helpless. Relatives faced complex emotional challenges, often neglecting their own needs and lacking professional support. The shift to caregiving roles led to varied coping strategies and emotional responses.
Conclusions
The differences in caregiving roles highlight diverse needs and coping mechanisms. This understanding could help healthcare professionals provide targeted, role-specific support to address caregivers' unique emotional and practical challenges.
PROSPERO protocol number
CRD42021289445
背景：了解照顾轻度认知障碍患者（PwMCI）的亲属的经历有助于医疗保健专业人员解决照顾者的挑战，并实施早期干预措施，以减缓认知能力下降。目的：对PwMCI护理人员的护理经验进行评价和综合定性研究。方法：系统检索PubMed、Embase、CINAHL、Web of Science和PsycINFO，确定有关PwMCI护理的研究。定性数据综合采用Thomas和Harden方法。结果：11项研究揭示了6种照顾角色：旁观者、挣扎者、逃避者、孤独者、监护人和无助者。亲属们面临着复杂的情感挑战，往往忽视了自己的需求，缺乏专业支持。向照顾者角色的转变导致了不同的应对策略和情绪反应。结论：护理角色的差异体现了不同的需求和应对机制。这种理解可以帮助医疗保健专业人员提供有针对性的、特定角色的支持，以解决护理人员独特的情感和实际挑战。普洛斯彼罗协议号：CRD42021289445。
{"title":"'What role should I play? ': A systematic review of the experiences of relatives caring for people with mild cognitive impairment","authors":"Jingya Ma, Huan Zhang, Zheng Li","doi":"10.1016/j.gerinurse.2025.103777","DOIUrl":"10.1016/j.gerinurse.2025.103777","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the experiences of relatives caring for persons with mild cognitive impairment (PwMCI) helps healthcare professionals address caregivers' challenges and implement early interventions to slow cognitive decline.</div></div><div><h3>Objective</h3><div>To assess and synthesize qualitative research on the experiences of PwMCI caregivers.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed, Embase, CINAHL, Web of Science, and PsycINFO identified studies on caregiving for PwMCI. Qualitative data synthesis followed the Thomas and Harden method.</div></div><div><h3>Results</h3><div>Eleven studies revealed six caregiving roles: spectator, struggler, avoider, loner, guardian, and helpless. Relatives faced complex emotional challenges, often neglecting their own needs and lacking professional support. The shift to caregiving roles led to varied coping strategies and emotional responses.</div></div><div><h3>Conclusions</h3><div>The differences in caregiving roles highlight diverse needs and coping mechanisms. This understanding could help healthcare professionals provide targeted, role-specific support to address caregivers' unique emotional and practical challenges.</div></div><div><h3>PROSPERO protocol number</h3><div>CRD42021289445</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103777"},"PeriodicalIF":2.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795315","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 : 2025-12-17DOI: 10.1016/j.gerinurse.2025.103766
Zohar Gorny , Yaacov G. Bachner PhD , Sara Carmel PhD , Norm O’Rourke PhD
Ending one’s life through active euthanasia or physician-assisted suicide (EPAS) is a contentious topic, especially for older adults for whom the issue is not hypothetical. Existing research suggests that attitudes toward EPAS are influenced by health, sociodemographic (eg, age, religiosity), and psychological factors (eg, perceived control). Attitudes vary widely across societies. For this cross-sectional study, 466 older Israeli adults living independently in the community (mean age, 82.35 years; range, 65–101) completed a questionnaire battery assessing fear of death, fear of dying, and will to live. Participants also reported their perceived health. Path analysis showed that support for EPAS was predicted by fear of dying and inversely predicted by both religiosity and will to live. Indirect predictors of EPAS included age (via will to live and religiosity), perceived control (via fear of dying), and perceived health (via will to live and perceived control). The path model explained 32% of the variance in support for EPAS (R2 = 0.32, P < .01). Notably, age predicted support for EPAS only indirectly and bidirectionally: older age was linked to greater support for EPAS via lower will to live, and to lower support via greater religiosity. There was no direct association between age and support for EPAS, and indirect effects largely negated each other.
通过主动安乐死或医生协助自杀（EPAS）结束一个人的生命是一个有争议的话题，特别是对于老年人来说，这个问题不是假设的。现有研究表明，对EPAS的态度受到健康、社会人口统计学（如年龄、宗教信仰）和心理因素（如感知控制）的影响。不同社会的态度差异很大。在这项横断面研究中，466名在社区独立生活的以色列老年人（平均年龄82.35岁，范围65-101岁）完成了一份评估死亡恐惧、死亡恐惧和生存意愿的问卷调查。参与者还报告了他们的健康状况。通径分析显示，对EPAS的支持与对死亡的恐惧有关，与宗教信仰和生存意愿有关。EPAS的间接预测因子包括年龄（通过生存意愿和宗教信仰）、感知控制（通过死亡恐惧）和感知健康（通过生存意愿和感知控制）。路径模型解释了支持EPAS的32%的方差（R2 = 0.32, P < 0.01）。值得注意的是，年龄只能间接和双向地预测对EPAS的支持：年龄越大，通过较低的生活意愿对EPAS的支持越大，通过更大的宗教信仰对EPAS的支持越低。年龄与支持EPAS之间无直接关联，间接影响在很大程度上相互抵消。
{"title":"Psychosocial predictors of support by older adults for euthanasia and physician-assisted suicide (EPAS)","authors":"Zohar Gorny , Yaacov G. Bachner PhD , Sara Carmel PhD , Norm O’Rourke PhD","doi":"10.1016/j.gerinurse.2025.103766","DOIUrl":"10.1016/j.gerinurse.2025.103766","url":null,"abstract":"<div><div>Ending one’s life through active euthanasia or physician-assisted suicide (EPAS) is a contentious topic, especially for older adults for whom the issue is not hypothetical. Existing research suggests that attitudes toward EPAS are influenced by health, sociodemographic (eg, age, religiosity), and psychological factors (eg, perceived control). Attitudes vary widely across societies. For this cross-sectional study, 466 older Israeli adults living independently in the community (mean age, 82.35 years; range, 65–101) completed a questionnaire battery assessing fear of death, fear of dying, and will to live. Participants also reported their perceived health. Path analysis showed that support for EPAS was predicted by fear of dying and inversely predicted by both religiosity and will to live. Indirect predictors of EPAS included age (via will to live and religiosity), perceived control (via fear of dying), and perceived health (via will to live and perceived control). The path model explained 32% of the variance in support for EPAS (<em>R</em><sup>2</sup> = 0.32, <em>P</em> < .01). Notably, age predicted support for EPAS only indirectly and bidirectionally: older age was linked to greater support for EPAS via lower will to live, and to lower support via greater religiosity. There was no direct association between age and support for EPAS, and indirect effects largely negated each other.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103766"},"PeriodicalIF":2.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783812","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 : 2025-12-16DOI: 10.1016/j.gerinurse.2025.103772
Karen Versluys , André Vyt , Nele Van Den Noortgate , Stefanie De Buyser , Ruth D. Piers
This study aimed to monitor long-term improvements in the quality of interprofessional teamwork and team meetings in acute geriatric care in hospitals. A two-year participatory action research project involved seven teams implementing actions to optimize interprofessional collaboration to improve person-centered care. Team leaders set improvement goals and were coached through peer group and individual sessions. Team-based self-assessments using Interprofessional Practice & Education Quality (IPEQS) subscale items were conducted as a pretest (T0), posttest (T1) one year later, and follow-up (T2) another year later. A control group of four teams participated in the T0 and T1 assessments. Results showed significant improvement in interprofessional teamwork functioning (Interprofessional Practice & Education Quality Scales – Short Scan IPEQS-S: p = 0.013). Process evaluation showed improvement in organization of interdisciplinary meetings, interprofessional formulation of patient care goals and increased critical reflection. The study concludes that quality of team functioning can be significantly and sustainably improved through consensus-based organizational changes and coaching support.
本研究旨在监测医院急性老年护理中跨专业团队合作和团队会议质量的长期改善。一项为期两年的参与性行动研究项目涉及七个小组，他们采取行动，优化跨专业协作，改善以人为本的护理。团队领导设定了改进目标，并通过同伴小组和个人会议得到指导。采用跨专业实践与教育质量（IPEQS）子量表项目进行团队自我评估，并在一年后进行前测（T0）、后测（T1）和随访（T2）。一个由四个小组组成的对照组参加了T0和T1评估。结果显示跨专业团队合作功能有显著改善（跨专业实践与教育质量量表-短扫描IPEQS-S: p = 0.013）。过程评估显示在组织跨学科会议、跨专业制定患者护理目标和增加批判性反思方面有所改善。本研究的结论是，通过基于共识的组织变革和教练支持，团队运作的质量可以显著和持续地提高。
{"title":"Improving quality of interprofessional collaboration in acute geriatric care: a multicentric action-research based intervention study","authors":"Karen Versluys , André Vyt , Nele Van Den Noortgate , Stefanie De Buyser , Ruth D. Piers","doi":"10.1016/j.gerinurse.2025.103772","DOIUrl":"10.1016/j.gerinurse.2025.103772","url":null,"abstract":"<div><div>This study aimed to monitor long-term improvements in the quality of interprofessional teamwork and team meetings in acute geriatric care in hospitals. A two-year participatory action research project involved seven teams implementing actions to optimize interprofessional collaboration to improve person-centered care. Team leaders set improvement goals and were coached through peer group and individual sessions. Team-based self-assessments using Interprofessional Practice & Education Quality (IPEQS) subscale items were conducted as a pretest (T0), posttest (T1) one year later, and follow-up (T2) another year later. A control group of four teams participated in the T0 and T1 assessments. Results showed significant improvement in interprofessional teamwork functioning (Interprofessional Practice & Education Quality Scales – Short Scan IPEQS-S: <em>p</em> = 0.013). Process evaluation showed improvement in organization of interdisciplinary meetings, interprofessional formulation of patient care goals and increased critical reflection. The study concludes that quality of team functioning can be significantly and sustainably improved through consensus-based organizational changes and coaching support.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"68 ","pages":"Article 103772"},"PeriodicalIF":2.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145760793","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 : 2025-11-28DOI: 10.1016/j.gerinurse.2025.103732
Jianke Lei MM , Xingyun Chen M.M. , Yanfei Liu M.D. , Xincan Zhou M.M. , Zhiyue Li M.M. , Luxin Wang M.M. , Weihong Zhang M.D.
{"title":"Retraction notice to “Cross-cultural adaptation and validation of the Chinese version of the Malnutrition Awareness Scale among community-dwelling older adults” [Geriatric Nursing 63 (2025) 550-558]","authors":"Jianke Lei MM , Xingyun Chen M.M. , Yanfei Liu M.D. , Xincan Zhou M.M. , Zhiyue Li M.M. , Luxin Wang M.M. , Weihong Zhang M.D.","doi":"10.1016/j.gerinurse.2025.103732","DOIUrl":"10.1016/j.gerinurse.2025.103732","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103732"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624289","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 : 2025-11-28DOI: 10.1016/j.gerinurse.2025.103731
Samah A. Moawd PhD , Elsayeda Hamdy Nasr Abdelhalim PhD , Ateya Megahed Ibrahim PhD
{"title":"Retraction notice to “A comparison between the effects of vibration exercise and needle therapy on fibromyalgia symptoms and well-being in community-dwelling older adults: A randomized control study” [Geriatric Nursing 59 (2024) 485-490]","authors":"Samah A. Moawd PhD , Elsayeda Hamdy Nasr Abdelhalim PhD , Ateya Megahed Ibrahim PhD","doi":"10.1016/j.gerinurse.2025.103731","DOIUrl":"10.1016/j.gerinurse.2025.103731","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103731"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624288","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 : 2025-11-27DOI: 10.1016/j.gerinurse.2025.103755
Meichang Wang , Zilin Yang , Huan Zhang , Xiaoli Zeng , Xiaoqin Zhang , Jingzhi Li
Aim
To systematically evaluate the effects of e-health interventions on the caregiving burden, negative emotions, and quality of life of informal caregivers of patients with chronic diseases.
Background
Family caregivers of patients with chronic diseases suffer significant psychological distress, affecting their physical and mental health, as well as their quality of life. E-health interventions have shown significant positive effects on the mental health of informal caregivers, though the efficacy of these interventions has been inconsistent.
Design
Systematic review and meta-analysis.
Methods
This review was conducted following the PRISMA guideline. The Cochrane Library, CNKI, VIP, Wanfang, PubMed, Embase, Web of Science, CINAHL and PsycINFO databases were systematically searched from inception to 1 September 2025 to identify randomised controlled trials (RCTs).
Results
A total of 23 randomised control trials were included in this study. The total sample size was 1962 patients, among which 964 participated in the e-health group, while 998 participated in the control group. Compared with the control group, the e-health group could reduce the burden of informal caregivers (SMD= -0.90, 95%CI: -1.41 to -0.39, p= .0006), improve anxiety (SMD= -0.54, 95%CI: -0.71 to -0.38, p< .00001), decrease stress (SMD = .52, 95% CI: 0.69 to 0.35, p< .001), and enhance quality of life (SMD= 0.50, 95%CI: 0.35 to 0.65, p< .00001).
Conclusions
E-health interventions can reduce the burden of informal caregivers, improve their anxiety and stress levels, and enhance their quality of life. However, more well-designed randomised controlled trials are still needed to verify the effects in the future.
Relevance to Clinical Practice
This study demonstrates the potential of e-health interventions to enhance support for family caregivers of patients with chronic diseases.
Patient or Public Contribution
All authors contributed to the conception and design of this study. All authors of the included studies supplied original data for this paper.
{"title":"Effects of E-health interventions on informal caregivers of patients with chronic diseases: A systematic review and meta-analysis","authors":"Meichang Wang , Zilin Yang , Huan Zhang , Xiaoli Zeng , Xiaoqin Zhang , Jingzhi Li","doi":"10.1016/j.gerinurse.2025.103755","DOIUrl":"10.1016/j.gerinurse.2025.103755","url":null,"abstract":"<div><h3>Aim</h3><div>To systematically evaluate the effects of e-health interventions on the caregiving burden, negative emotions, and quality of life of informal caregivers of patients with chronic diseases.</div></div><div><h3>Background</h3><div>Family caregivers of patients with chronic diseases suffer significant psychological distress, affecting their physical and mental health, as well as their quality of life. E-health interventions have shown significant positive effects on the mental health of informal caregivers, though the efficacy of these interventions has been inconsistent.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This review was conducted following the PRISMA guideline. The Cochrane Library, CNKI, VIP, Wanfang, PubMed, Embase, Web of Science, CINAHL and PsycINFO databases were systematically searched from inception to 1 September 2025 to identify randomised controlled trials (RCTs).</div></div><div><h3>Results</h3><div>A total of 23 randomised control trials were included in this study. The total sample size was 1962 patients, among which 964 participated in the e-health group, while 998 participated in the control group. Compared with the control group, the e-health group could reduce the burden of informal caregivers (SMD= -0.90, 95%CI: -1.41 to -0.39, <em>p</em>= .0006), improve anxiety (SMD= -0.54, 95%CI: -0.71 to -0.38, <em>p</em>< .00001), decrease stress (SMD = .52, 95% CI: 0.69 to 0.35, <em>p</em>< .001), and enhance quality of life (SMD= 0.50, 95%CI: 0.35 to 0.65, <em>p</em>< .00001).</div></div><div><h3>Conclusions</h3><div>E-health interventions can reduce the burden of informal caregivers, improve their anxiety and stress levels, and enhance their quality of life. However, more well-designed randomised controlled trials are still needed to verify the effects in the future.</div></div><div><h3>Relevance to Clinical Practice</h3><div>This study demonstrates the potential of e-health interventions to enhance support for family caregivers of patients with chronic diseases.</div></div><div><h3>Patient or Public Contribution</h3><div>All authors contributed to the conception and design of this study. All authors of the included studies supplied original data for this paper.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103755"},"PeriodicalIF":2.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624286","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 : 2025-11-26DOI: 10.1016/j.gerinurse.2025.103728
Sumi Lee PhD, RN , JuHee Lee PhD, GNP-BC, RN, FAAN , Taewha Lee PhD, RN, FAAN , Chang Oh Kim PhD, MD , Young Joo Lee PhD, RN , Chang Gi Park PhD
This study aimed to identify pre-frailty trajectories among older adults, specifically examining the life course determinants of these trajectories and their associations with adverse health-related outcomes. Longitudinal analyses were conducted with a representative sample of 1955 older adults aged ≥65 years. Pre-frailty was measured by the 37-item Frailty Index. Participants were divided into three groups of pre-frailty trajectories: persistent pre-frailty (62.9 %), slowly increasing frailty (28.4 %), and rapidly worsening frailty (8.7 %). Participants with rapidly worsening frailty were more likely to be older and did not have health check-ups. Compared with the slowly increasing frailty group, the risk of hospitalization and mortality in the rapidly worsening frailty group was 1.41 and 1.68 times higher, respectively. Frailty care can be improved by providing comprehensive knowledge about pre-frailty trajectories. Healthcare providers can reduce adverse health-related outcomes via routine frailty assessments focused on the target populations, timing, and components of nursing interventions.
{"title":"Life course determinants and adverse health-related outcomes of pre-frailty trajectories among older adults: Using the Korean Longitudinal Study of Aging","authors":"Sumi Lee PhD, RN , JuHee Lee PhD, GNP-BC, RN, FAAN , Taewha Lee PhD, RN, FAAN , Chang Oh Kim PhD, MD , Young Joo Lee PhD, RN , Chang Gi Park PhD","doi":"10.1016/j.gerinurse.2025.103728","DOIUrl":"10.1016/j.gerinurse.2025.103728","url":null,"abstract":"<div><div>This study aimed to identify pre-frailty trajectories among older adults, specifically examining the life course determinants of these trajectories and their associations with adverse health-related outcomes. Longitudinal analyses were conducted with a representative sample of 1955 older adults aged ≥65 years. Pre-frailty was measured by the 37-item Frailty Index. Participants were divided into three groups of pre-frailty trajectories: persistent pre-frailty (62.9 %), slowly increasing frailty (28.4 %), and rapidly worsening frailty (8.7 %). Participants with rapidly worsening frailty were more likely to be older and did not have health check-ups. Compared with the slowly increasing frailty group, the risk of hospitalization and mortality in the rapidly worsening frailty group was 1.41 and 1.68 times higher, respectively. Frailty care can be improved by providing comprehensive knowledge about pre-frailty trajectories. Healthcare providers can reduce adverse health-related outcomes via routine frailty assessments focused on the target populations, timing, and components of nursing interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103728"},"PeriodicalIF":2.4,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624404","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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