Pub Date : 2025-11-25DOI: 10.1016/j.gerinurse.2025.103725
Eva Schurig , Felicity Baker , Jodie Bloska , Ulrike Frischen , Monika Geretsegger , Christian Gold , Sarah Janus , Claire Young-Eun Lee , Johanna Neuser , Naomi Rasing , Phoebe A. Stretton-Smith , Vigdis Sveinsdottir , Jeanette Tamplin , Annemieke Vink , Sytse Zuidema , Gunter Kreutz
Group singing is an effective nonpharmacological approach used to support wellbeing and social connection for older adults living with cognitive decline. However, the precise designs of group singing research studies are subject to variation. Therefore, the central aim of this systematic search and review was to identify studies that applied group singing as a key element of their methodology, and compare the relevant details of its implementation. The 23 reviewed studies varied considerably in their implementation strategies and group sizes. However, some consensus emerged: most sessions, for instance, included singing familiar songs with participants well over 70 years of age who were predominantly female. Sessions typically took place once a week, lasted more than one hour, and were held over 2–3 months, leading to a mean of 14 sessions. This accumulated information could be used to guide the planning of future studies for people with cognitive decline.
{"title":"Group singing in cognitive decline – what it is and how it is done. A systematic search and review","authors":"Eva Schurig , Felicity Baker , Jodie Bloska , Ulrike Frischen , Monika Geretsegger , Christian Gold , Sarah Janus , Claire Young-Eun Lee , Johanna Neuser , Naomi Rasing , Phoebe A. Stretton-Smith , Vigdis Sveinsdottir , Jeanette Tamplin , Annemieke Vink , Sytse Zuidema , Gunter Kreutz","doi":"10.1016/j.gerinurse.2025.103725","DOIUrl":"10.1016/j.gerinurse.2025.103725","url":null,"abstract":"<div><div>Group singing is an effective nonpharmacological approach used to support wellbeing and social connection for older adults living with cognitive decline. However, the precise designs of group singing research studies are subject to variation. Therefore, the central aim of this systematic search and review was to identify studies that applied group singing as a key element of their methodology, and compare the relevant details of its implementation. The 23 reviewed studies varied considerably in their implementation strategies and group sizes. However, some consensus emerged: most sessions, for instance, included singing familiar songs with participants well over 70 years of age who were predominantly female. Sessions typically took place once a week, lasted more than one hour, and were held over 2–3 months, leading to a mean of 14 sessions. This accumulated information could be used to guide the planning of future studies for people with cognitive decline.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103725"},"PeriodicalIF":2.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624287","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 : 2025-11-24DOI: 10.1016/j.gerinurse.2025.103721
Hayley P. Gleason , Edward Alan Miller , Pamela Nadash
Objectives
This study investigates how home health aides (HHAs) experience the types and amount of support received from co-workers, supervisors, and agencies, and how those supports impact their workplace experiences.
Methods
We conducted six focus groups at four home care agencies in Massachusetts. Agencies were chosen to represent variations in HHA-reported job satisfaction.
Results
Among the factors influencing HHAs’ perceptions of support, relationships with office staff and nurse supervisors were identified as most important. Turnover among agency staff directly impacts HHA’s feelings of being supported and their ability to do their job.
Discussion
Compared to direct care workers in residential environments, HHAs work independently and have a more distant relationship with agencies, office staff, nurse supervisors, and co-workers; consequently, they have distinctive needs for instrumental and emotional workplace supports. Focusing on the aspects of support that matter most to HHAs will most effectively increase HHA job satisfaction and retention.
{"title":"The role of supervisor, agency, and co-worker support for home care workers","authors":"Hayley P. Gleason , Edward Alan Miller , Pamela Nadash","doi":"10.1016/j.gerinurse.2025.103721","DOIUrl":"10.1016/j.gerinurse.2025.103721","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates how home health aides (HHAs) experience the types and amount of support received from co-workers, supervisors, and agencies, and how those supports impact their workplace experiences.</div></div><div><h3>Methods</h3><div>We conducted six focus groups at four home care agencies in Massachusetts. Agencies were chosen to represent variations in HHA-reported job satisfaction.</div></div><div><h3>Results</h3><div>Among the factors influencing HHAs’ perceptions of support, relationships with office staff and nurse supervisors were identified as most important. Turnover among agency staff directly impacts HHA’s feelings of being supported and their ability to do their job.</div></div><div><h3>Discussion</h3><div>Compared to direct care workers in residential environments, HHAs work independently and have a more distant relationship with agencies, office staff, nurse supervisors, and co-workers; consequently, they have distinctive needs for instrumental and emotional workplace supports. Focusing on the aspects of support that matter most to HHAs will most effectively increase HHA job satisfaction and retention.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103721"},"PeriodicalIF":2.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607094","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 : 2025-11-24DOI: 10.1016/j.gerinurse.2025.103729
Mengqi Li , Lina Chen , Yu Jiang
Objective
This study aims to systematically construct a structural equation model of self-regulation fatigue in older adults with chronic heart failure based on the social cognitive theory of self-regulation.
Methods
This study utilized a convenience sampling method to enroll 338 older adults with chronic heart failure from a tertiary hospital in Wuxi during the period spanning November 2023 to May 2024. The participants completed surveys using the Social Support Rating Scale, Memorial Symptom Assessment Scale-Heart Failure, Connor-Davidson Resilience Scale, Ruminative Response Scale, and Self-Regulation Fatigue Scale.
Results
The mean score for self-regulation fatigue was 39.01 ± 8.40. Bootstrap analysis revealed that symptom burden, psychological resilience, and rumination exerted significant mediating effects in the relationship between social support and self-regulatory fatigue (95 % CI: −0.127 to −0.012). The total effect of social support on self-regulatory fatigue was significant (P < 0.001, 95 % CI: −0.605 to −0.422), with a direct effect of (P < 0.001, 95 % CI: −0.344 to −0.199) and an indirect effect of (P < 0.001, 95 % CI: −0.347 to −0.144). The mediating effects accounted for 52.2 % of the total effect.
Conclusion
Patients with chronic heart failure experience a high level of self-regulatory fatigue, which warrants further improvement. Healthcare providers should promptly assess and address patients’ symptom burden, guide them toward adopting a positive outlook, and provide psychological support and stress-coping strategies. At the same time, reducing negative coping tendencies and helping patients recognize and utilize social support can foster accurate illness perceptions, thereby alleviating self-regulatory fatigue.
{"title":"Influencing factors of self-regulation fatigue in older adults with chronic heart failure: A structural equation model","authors":"Mengqi Li , Lina Chen , Yu Jiang","doi":"10.1016/j.gerinurse.2025.103729","DOIUrl":"10.1016/j.gerinurse.2025.103729","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to systematically construct a structural equation model of self-regulation fatigue in older adults with chronic heart failure based on the social cognitive theory of self-regulation.</div></div><div><h3>Methods</h3><div>This study utilized a convenience sampling method to enroll 338 older adults with chronic heart failure from a tertiary hospital in Wuxi during the period spanning November 2023 to May 2024. The participants completed surveys using the Social Support Rating Scale, Memorial Symptom Assessment Scale-Heart Failure, Connor-Davidson Resilience Scale, Ruminative Response Scale, and Self-Regulation Fatigue Scale.</div></div><div><h3>Results</h3><div>The mean score for self-regulation fatigue was 39.01 ± 8.40. Bootstrap analysis revealed that symptom burden, psychological resilience, and rumination exerted significant mediating effects in the relationship between social support and self-regulatory fatigue (95 % CI: −0.127 to −0.012). The total effect of social support on self-regulatory fatigue was significant (<em>P</em> < 0.001, 95 % CI: −0.605 to −0.422), with a direct effect of (<em>P</em> < 0.001, 95 % CI: −0.344 to −0.199) and an indirect effect of (<em>P</em> < 0.001, 95 % CI: −0.347 to −0.144). The mediating effects accounted for 52.2 % of the total effect.</div></div><div><h3>Conclusion</h3><div>Patients with chronic heart failure experience a high level of self-regulatory fatigue, which warrants further improvement. Healthcare providers should promptly assess and address patients’ symptom burden, guide them toward adopting a positive outlook, and provide psychological support and stress-coping strategies. At the same time, reducing negative coping tendencies and helping patients recognize and utilize social support can foster accurate illness perceptions, thereby alleviating self-regulatory fatigue.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103729"},"PeriodicalIF":2.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607130","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 : 2025-11-23DOI: 10.1016/j.gerinurse.2025.103718
Jung Mi Sook , Chung Eunyoung
Dementia is a significant global public health concern. Accessible interventions are essential for supporting cognitive function and independent living, particularly in underserved rural areas. This study aimed to examine the effectiveness of paper-and-pencil cognitive training in improving cognitive function and instrumental activities of daily living (ADL) among older adults with dementia in rural communities. A cluster randomized trial was conducted with one 50-minute session and a weekly home assignment over a 12-week period. Findings demonstrated large effect sizes for changes in overall cognition and Stroop color-word interference test accuracy, with 43.5 % to 84.6 % of participants in the intervention group showing reliable improvement compared to 8.3 % to 22.2 % in the control group. A significant group-by-time interaction was observed for instrumental ADL, with moderate effect size. These results highlight the potential for accessible, low-tech, non-pharmacological cognitive interventions to support older adults living with dementia in resource-limited rural settings.
{"title":"Improving cognitive and functional outcomes in rural older adults living with dementia through paper-and-pencil training","authors":"Jung Mi Sook , Chung Eunyoung","doi":"10.1016/j.gerinurse.2025.103718","DOIUrl":"10.1016/j.gerinurse.2025.103718","url":null,"abstract":"<div><div>Dementia is a significant global public health concern. Accessible interventions are essential for supporting cognitive function and independent living, particularly in underserved rural areas. This study aimed to examine the effectiveness of paper-and-pencil cognitive training in improving cognitive function and instrumental activities of daily living (ADL) among older adults with dementia in rural communities. A cluster randomized trial was conducted with one 50-minute session and a weekly home assignment over a 12-week period. Findings demonstrated large effect sizes for changes in overall cognition and Stroop color-word interference test accuracy, with 43.5 % to 84.6 % of participants in the intervention group showing reliable improvement compared to 8.3 % to 22.2 % in the control group. A significant group-by-time interaction was observed for instrumental ADL, with moderate effect size. These results highlight the potential for accessible, low-tech, non-pharmacological cognitive interventions to support older adults living with dementia in resource-limited rural settings.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103718"},"PeriodicalIF":2.4,"publicationDate":"2025-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598028","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 : 2025-11-21DOI: 10.1016/j.gerinurse.2025.103727
Pilar Pérez-Ros RN, PhD , Rosa Fonfría-Vivas RN, PhD , Ana Pablos-Monzó PA, PhD , Joaquin Barrahina-Igual PA, PhD , Francisco Miguel Martínez-Arnau PT, PhD
Low serum albumin levels are related to sarcopenia, but further research on this relationship is needed given the disparity of sarcopenia assessment methods. This cross-sectional study included 94 community-dwelling women aged 70 years and over. Serum albumin; Barthel index; Charlson comorbidity index; pain and nutritional parameters were assessed. Our results showed that 24 had sarcopenia according to EWGSOP2 criteria (mean 77.8 years, standard deviation (SD, 6.37), and 70 did not (mean 75.2 (SD 5.18) years). No significant differences in albumin levels were found between women with versus without sarcopenia (mean 4.18 (SD 0.23) g/dL vs. 4.11 (SD 0.22) g/dL, p=0.235). Serum albumin levels are within the normal range in community-dwelling older women with sarcopenia, similar to levels seen in older women without sarcopenia. Albumin levels correlate positively with functional parameters and nutrition and negatively with comorbidity. Screening and assessment of sarcopenia should be performed even if albumin parameters are within normal ranges.
{"title":"Sarcopenia not associated with altered serum albumin levels in highly functional, community-dwelling older women","authors":"Pilar Pérez-Ros RN, PhD , Rosa Fonfría-Vivas RN, PhD , Ana Pablos-Monzó PA, PhD , Joaquin Barrahina-Igual PA, PhD , Francisco Miguel Martínez-Arnau PT, PhD","doi":"10.1016/j.gerinurse.2025.103727","DOIUrl":"10.1016/j.gerinurse.2025.103727","url":null,"abstract":"<div><div>Low serum albumin levels are related to sarcopenia, but further research on this relationship is needed given the disparity of sarcopenia assessment methods. This cross-sectional study included 94 community-dwelling women aged 70 years and over. Serum albumin; Barthel index; Charlson comorbidity index; pain and nutritional parameters were assessed. Our results showed that 24 had sarcopenia according to EWGSOP2 criteria (mean 77.8 years, standard deviation (SD, 6.37), and 70 did not (mean 75.2 (SD 5.18) years). No significant differences in albumin levels were found between women with versus without sarcopenia (mean 4.18 (SD 0.23) g/dL vs. 4.11 (SD 0.22) g/dL, p=0.235). Serum albumin levels are within the normal range in community-dwelling older women with sarcopenia, similar to levels seen in older women without sarcopenia. Albumin levels correlate positively with functional parameters and nutrition and negatively with comorbidity. Screening and assessment of sarcopenia should be performed even if albumin parameters are within normal ranges.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103727"},"PeriodicalIF":2.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580194","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 : 2025-11-21DOI: 10.1016/j.gerinurse.2025.103726
Katherine C. Britt PhD, MSN, RN , Xaviera Xiao MA , Kevin Sun , Shaoqing Ge PhD, MPH, RN , Harleah Buck PhD, RN, FPCN, FAHA, FGSA, FAAN , Bin Huang
Cognitive care planning (CCP) is an effective service that supports aging adults with cognitive impairment and dementia and is reimbursable by Medicare; however, CCP remains underutilized by providers. We explored the experiences and perceptions of U.S. primary care providers regarding the implementation of CCP with older adults. Using a qualitative descriptive design, we conducted semi-structured teleconferencing interviews with nine primary care providers (work experience ranged from 8 to 38 years) actively providing care to older adults, including those with cognitive impairment and dementia. Conventional content analysis was used to analyze the data. Three categories of CCP barriers and facilitators emerged: (a) person-level factors, (b) condition factors, and (c) system-level factors. In addition to supporting previous dementia care in primary care studies, our study adds perceived facilitators and additional barriers to CCP implementation, expanding our understanding of ways to improve CCP in the older adult population.
{"title":"A qualitative study with primary care providers: Barriers and facilitators in cognitive care planning","authors":"Katherine C. Britt PhD, MSN, RN , Xaviera Xiao MA , Kevin Sun , Shaoqing Ge PhD, MPH, RN , Harleah Buck PhD, RN, FPCN, FAHA, FGSA, FAAN , Bin Huang","doi":"10.1016/j.gerinurse.2025.103726","DOIUrl":"10.1016/j.gerinurse.2025.103726","url":null,"abstract":"<div><div>Cognitive care planning (CCP) is an effective service that supports aging adults with cognitive impairment and dementia and is reimbursable by Medicare; however, CCP remains underutilized by providers. We explored the experiences and perceptions of U.S. primary care providers regarding the implementation of CCP with older adults. Using a qualitative descriptive design, we conducted semi-structured teleconferencing interviews with nine primary care providers (work experience ranged from 8 to 38 years) actively providing care to older adults, including those with cognitive impairment and dementia. Conventional content analysis was used to analyze the data. Three categories of CCP barriers and facilitators emerged: (a) person-level factors, (b) condition factors, and (c) system-level factors. In addition to supporting previous dementia care in primary care studies, our study adds perceived facilitators and additional barriers to CCP implementation, expanding our understanding of ways to improve CCP in the older adult population.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103726"},"PeriodicalIF":2.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574775","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 investigate the proportion of home-visit nursing (HVN) used, the timing of initiating these services, and the medical conditions of older adults in the last two years of life based on their place of death. The study used insurance claims data of people aged 75 or older from 32 Japanese municipalities who passed away between March 2017 and September 2018. Of the 15,124 older adults analyzed, the results revealed that 14 % died at home, and among them, 68 % had used HVN services. In the home or non-home groups, the most common timing for initiating the services was in the last six months of life. Among these individuals, the prevalence of cancer increased as death approached, with the highest prevalence in the last six months of life. Findings confirm that HVN plays a crucial role in supporting end-of-life care at home.
{"title":"Home-visit nursing service use by older adults in Japan using insurance claims data","authors":"Tomomi Sakano PhD , Kayo Hirooka PhD , Yusuke Kanno PhD , Sakiko Itoh PhD , Mieko Sagawa MSN , Shiori Nitta PhD , Junko Fujita PhD , Chikako Umezu PhD , Sakiko Fukui PhD","doi":"10.1016/j.gerinurse.2025.103711","DOIUrl":"10.1016/j.gerinurse.2025.103711","url":null,"abstract":"<div><div>This study aimed to investigate the proportion of home-visit nursing (HVN) used, the timing of initiating these services, and the medical conditions of older adults in the last two years of life based on their place of death. The study used insurance claims data of people aged 75 or older from 32 Japanese municipalities who passed away between March 2017 and September 2018. Of the 15,124 older adults analyzed, the results revealed that 14 % died at home, and among them, 68 % had used HVN services. In the home or non-home groups, the most common timing for initiating the services was in the last six months of life. Among these individuals, the prevalence of cancer increased as death approached, with the highest prevalence in the last six months of life. Findings confirm that HVN plays a crucial role in supporting end-of-life care at home.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103711"},"PeriodicalIF":2.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566442","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 : 2025-11-20DOI: 10.1016/j.gerinurse.2025.103703
Danisha Pattani M Pharm, Dilip Chandrasekhar M Pharm Ph D
Objective
Prescription appropriateness and quality of prescribing is a serious concern in geriatric care. This study aims on the development and validation of a clinical tool to assess the quality and appropriateness of geriatric prescriptions.
Material and Methods
Study population comprised of hospitalized older adults. The tool development followed item selection, defining the need for each item, drafting, Delphi analysis, pre-testing and validation. The tool was tested for Feasibility, Validity and Reliability during validation.
Results
The tool comprised of assessing Prescribing information, Quality indicators, Drug use indicators, Cost indictors, Morbidity indicators. The Prescription Quality Assessment Tool (PQATG) was found to be feasible after pre-testing. Content validity ratio=0.6, with sum of CVI was 16.082. Construct validity test produced significant correlation and intra-class correlation coefficient indicated moderate reliability.
Conclusion
The prescription quality assessment tool for geriatrics is feasible, reliable, valid and novel tool for evaluating the quality of geriatric prescriptions.
{"title":"Development and validation of prescription quality assessment tool in geriatrics","authors":"Danisha Pattani M Pharm, Dilip Chandrasekhar M Pharm Ph D","doi":"10.1016/j.gerinurse.2025.103703","DOIUrl":"10.1016/j.gerinurse.2025.103703","url":null,"abstract":"<div><h3>Objective</h3><div>Prescription appropriateness and quality of prescribing is a serious concern in geriatric care. This study aims on the development and validation of a clinical tool to assess the quality and appropriateness of geriatric prescriptions.</div></div><div><h3>Material and Methods</h3><div>Study population comprised of hospitalized older adults. The tool development followed item selection, defining the need for each item, drafting, Delphi analysis, pre-testing and validation. The tool was tested for Feasibility, Validity and Reliability during validation.</div></div><div><h3>Results</h3><div>The tool comprised of assessing Prescribing information, Quality indicators, Drug use indicators, Cost indictors, Morbidity indicators. The Prescription Quality Assessment Tool (PQATG) was found to be feasible after pre-testing. Content validity ratio=0.6, with sum of CVI was 16.082. Construct validity test produced significant correlation and intra-class correlation coefficient indicated moderate reliability.</div></div><div><h3>Conclusion</h3><div>The prescription quality assessment tool for geriatrics is feasible, reliable, valid and novel tool for evaluating the quality of geriatric prescriptions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103703"},"PeriodicalIF":2.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574773","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}
Persons with dementia have increased risk of malnutrition due to several challenges. There is a wide range of interventions to improve nutritional status in persons with dementia. However, the evidence for such interventions is uncertain.
Aim
To investigate the effect of therapeutic interventions to improve nutritional status in persons with dementia living in nursing homes.
Method
Searches were systematically conducted in PubMed, Medline, Embase, CINAHL, SveMed+ and the Cochrane Central Register of Controlled Trials and the Cochrane.
Result
Fifteen papers were included in the review. Four articles described multicomponent interventions. The rest of the articles presented single interventions like hand-feeding, different dishware, and listening to music.
Conclusion
The review reveals that improving the eating environment, implementing physical and cognitive stimulation, and providing personalized nutritional care can significantly enhance food intake and overall nutritional health.
{"title":"Interventions to improve food intake for persons with dementia in nursing homes. A systematic review","authors":"Frøydis K Bruvik , Randi J Tangvik , Irene Hunskar , Kristin Kyte , Jorunn Drageset","doi":"10.1016/j.gerinurse.2025.103717","DOIUrl":"10.1016/j.gerinurse.2025.103717","url":null,"abstract":"<div><h3>Background</h3><div>Persons with dementia have increased risk of malnutrition due to several challenges. There is a wide range of interventions to improve nutritional status in persons with dementia. However, the evidence for such interventions is uncertain.</div></div><div><h3>Aim</h3><div>To investigate the effect of therapeutic interventions to improve nutritional status in persons with dementia living in nursing homes.</div></div><div><h3>Method</h3><div>Searches were systematically conducted in PubMed, Medline, Embase, CINAHL, SveMed+ and the Cochrane Central Register of Controlled Trials and the Cochrane.</div></div><div><h3>Result</h3><div>Fifteen papers were included in the review. Four articles described multicomponent interventions. The rest of the articles presented single interventions like hand-feeding, different dishware, and listening to music.</div></div><div><h3>Conclusion</h3><div>The review reveals that improving the eating environment, implementing physical and cognitive stimulation, and providing personalized nutritional care can significantly enhance food intake and overall nutritional health.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103717"},"PeriodicalIF":2.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558580","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}
It was to evaluate the care burden, psychological well-being, and life satisfaction levels of informal caregivers caring for older adults.
Methods
The study was conducted as a cross-sectional analytical study with informal caregivers (n = 191) between August - October 2024. The “Caregiver Personal Information Form,” “Zarit Care Burden Scale,” “Psychological Well-Being Scale,” and “Life Satisfaction Scale” were used.
Results
The mean age of caregivers was 48.21 ± 8.67 years, 84.8 % were female and 49.7 % had chronic diseases. The mean total score of the Zarit Care Burden Scale was 45.78 ± 14.99, the Psychological Well-Being Scale was 28.19 ± 7.38, and the Life Satisfaction Scale was 17.81 ± 5. It was found that the care burden of female caregivers with chronic disease was higher (p < 0.05).
Conclusions
It was found that informal caregivers experienced a moderate level of care burden, while their psychological well-being and life satisfaction levels were low.
{"title":"Evaluation of care burden, psychological well-being and life satisfaction of informal caregivers caring of older people","authors":"Eda Atay PhD, RN , Sümeyye Akçoban PhD, RN , Betül Tosun PhD, RN","doi":"10.1016/j.gerinurse.2025.103715","DOIUrl":"10.1016/j.gerinurse.2025.103715","url":null,"abstract":"<div><h3>Aim</h3><div>It was to evaluate the care burden, psychological well-being, and life satisfaction levels of informal caregivers caring for older adults.</div></div><div><h3>Methods</h3><div>The study was conducted as a cross-sectional analytical study with informal caregivers (<em>n</em> = 191) between August - October 2024. The “Caregiver Personal Information Form,” “Zarit Care Burden Scale,” “Psychological Well-Being Scale,” and “Life Satisfaction Scale” were used.</div></div><div><h3>Results</h3><div>The mean age of caregivers was 48.21 ± 8.67 years, 84.8 % were female and 49.7 % had chronic diseases. The mean total score of the Zarit Care Burden Scale was 45.78 ± 14.99, the Psychological Well-Being Scale was 28.19 ± 7.38, and the Life Satisfaction Scale was 17.81 ± 5. It was found that the care burden of female caregivers with chronic disease was higher (<em>p</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>It was found that informal caregivers experienced a moderate level of care burden, while their psychological well-being and life satisfaction levels were low.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"67 ","pages":"Article 103715"},"PeriodicalIF":2.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566432","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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