Pub Date : 2026-02-02DOI: 10.1016/j.gerinurse.2026.103891
Peng Gu BS , Bo Gu MS , Qiying He BS , Qian Chen PhD
Sialorrhea, or excessive drooling, is a common yet underrecognized condition among elderly patients, particularly those with neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s disease. It can lead to complications, including aspiration pneumonia, skin irritation, and psychosocial distress, significantly impacting quality of life. Current nursing interventions remain fragmented, necessitating a comprehensive approach. This review applies the theory of unpleasant symptoms to identify symptom characteristics, influencing factors, and nursing interventions. A structured literature search identified 33 relevant studies, revealing that sialorrhea management involves pharmacological treatments, nonpharmacological strategies, and psychological and behavioral interventions. Additionally, emerging assistive technologies show promise but require further validation. The findings highlight the need for an integrated, evidence-based nursing framework that incorporates physiological, psychological, and environmental strategies to optimize symptom management and patient well-being. Future research should focus on standardizing nursing protocols and expanding caregiver education to enhance long-term care outcomes.
{"title":"A multidimensional approach to sialorrhea management in elderly patients: Insights from the theory of unpleasant symptoms","authors":"Peng Gu BS , Bo Gu MS , Qiying He BS , Qian Chen PhD","doi":"10.1016/j.gerinurse.2026.103891","DOIUrl":"10.1016/j.gerinurse.2026.103891","url":null,"abstract":"<div><div>Sialorrhea, or excessive drooling, is a common yet underrecognized condition among elderly patients, particularly those with neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s disease. It can lead to complications, including aspiration pneumonia, skin irritation, and psychosocial distress, significantly impacting quality of life. Current nursing interventions remain fragmented, necessitating a comprehensive approach. This review applies the theory of unpleasant symptoms to identify symptom characteristics, influencing factors, and nursing interventions. A structured literature search identified 33 relevant studies, revealing that sialorrhea management involves pharmacological treatments, nonpharmacological strategies, and psychological and behavioral interventions. Additionally, emerging assistive technologies show promise but require further validation. The findings highlight the need for an integrated, evidence-based nursing framework that incorporates physiological, psychological, and environmental strategies to optimize symptom management and patient well-being. Future research should focus on standardizing nursing protocols and expanding caregiver education to enhance long-term care outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103891"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114690","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 : 2026-02-02DOI: 10.1016/j.gerinurse.2026.103915
Karen Mack, Inna Popil
The NICHE GRN model and program have enjoyed broad implementation over more than three decades and align well with various care settings, subspecialties, and geriatric excellence programs. As NICHE continues to grow and amplify its impact on clinical nursing excellence in the care of older adults, it focuses on adapting and aligning program implementation efforts to amplify the impact of complementary geriatric quality programs and expand to new care settings.
{"title":"Older adults need evidence-based and empathetic care everywhere.","authors":"Karen Mack, Inna Popil","doi":"10.1016/j.gerinurse.2026.103915","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2026.103915","url":null,"abstract":"<p><p>The NICHE GRN model and program have enjoyed broad implementation over more than three decades and align well with various care settings, subspecialties, and geriatric excellence programs. As NICHE continues to grow and amplify its impact on clinical nursing excellence in the care of older adults, it focuses on adapting and aligning program implementation efforts to amplify the impact of complementary geriatric quality programs and expand to new care settings.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":" ","pages":"103915"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114953","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}
Low back pain (LBP) is a well-recognized and major cause of disability worldwide. This study aimed to compare the effects of dynamic neuromuscular stabilization (DNS) exercises with and without the Feldenkrais method (FM) on pain, balance, and hip muscle strength in elderly women with chronic non-specific LBP (CNLBP).
Method
In this randomized controlled trial, 40 women aged 60–80 years with CNLBP were randomly allocated to either the DNS exercise (DNSE) group or the combined DNS and Feldenkrais method exercise (DNS-FME) group for an 8-week intervention. Three participants dropped out, leaving 37 completers (18 in the DNSE group and 19 in the DNS-FME group). Baseline and post-intervention assessments were conducted 1–3 days before the first session and 1–3 days after the final session, respectively. Outcome measures included pain intensity, Berg Balance Scale score, and hip muscle strength. Data were analyzed using repeated-measures ANOVA, with statistical significance set (p < 0.05).
Results
After the 8-week intervention, significant group-by-time interactions were observed for all outcome variables (p < 0.05). Post-hoc analysis with Bonferroni correction revealed that the DNS-FME group exhibited significantly greater reductions in pain intensity (p < 0.001) as well as significantly greater improvements in hip adductor strength (p < 0.001) and hip abductor strength (p < 0.001) compared to the DNSE group. Although balance improvements were noted in both groups, the between-group difference did not reach statistical significance.
Conclusion
The addition of the Feldenkrais method to dynamic neuromuscular stabilization exercises provides superior benefits in pain reduction and hip muscle strengthening in elderly women with chronic non-specific low back pain. Both interventions improve balance, but combined training may offer greater clinical advantages. These findings support integrating sensorimotor awareness techniques into rehabilitation programs for older adults with low back pain.
{"title":"Comparison of dynamic neuromuscular stabilization exercises with and without the feldenkrais method on pain, balance, and hip muscle strength in elderly women with chronic non-specific low back pain","authors":"Marziyeh Ziya PhD , Farzaneh Saki PhD , Mahdi Arjipour PhD","doi":"10.1016/j.gerinurse.2026.103804","DOIUrl":"10.1016/j.gerinurse.2026.103804","url":null,"abstract":"<div><h3>Introduction</h3><div>Low back pain (LBP) is a well-recognized and major cause of disability worldwide. This study aimed to compare the effects of dynamic neuromuscular stabilization (DNS) exercises with and without the Feldenkrais method (FM) on pain, balance, and hip muscle strength in elderly women with chronic non-specific LBP (CNLBP).</div></div><div><h3>Method</h3><div>In this randomized controlled trial, 40 women aged 60–80 years with CNLBP were randomly allocated to either the DNS exercise (DNSE) group or the combined DNS and Feldenkrais method exercise (DNS-FME) group for an 8-week intervention. Three participants dropped out, leaving 37 completers (18 in the DNSE group and 19 in the DNS-FME group). Baseline and post-intervention assessments were conducted 1–3 days before the first session and 1–3 days after the final session, respectively. Outcome measures included pain intensity, Berg Balance Scale score, and hip muscle strength. Data were analyzed using repeated-measures ANOVA, with statistical significance set (<em>p</em> < 0.05).</div></div><div><h3>Results</h3><div>After the 8-week intervention, significant group-by-time interactions were observed for all outcome variables (<em>p</em> < 0.05). Post-hoc analysis with Bonferroni correction revealed that the DNS-FME group exhibited significantly greater reductions in pain intensity (<em>p</em> < 0.001) as well as significantly greater improvements in hip adductor strength (<em>p</em> < 0.001) and hip abductor strength (<em>p</em> < 0.001) compared to the DNSE group. Although balance improvements were noted in both groups, the between-group difference did not reach statistical significance.</div></div><div><h3>Conclusion</h3><div>The addition of the Feldenkrais method to dynamic neuromuscular stabilization exercises provides superior benefits in pain reduction and hip muscle strengthening in elderly women with chronic non-specific low back pain. Both interventions improve balance, but combined training may offer greater clinical advantages. These findings support integrating sensorimotor awareness techniques into rehabilitation programs for older adults with low back pain.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103804"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114746","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 : 2026-02-02DOI: 10.1016/j.gerinurse.2026.103883
Jia Liu MS , Yuxuan He MS , Xiaomei Chen MD , Li Wei MS , Xuemei Li BSc , Zuli Zhang BSc , Huan Zhang BSc , Yanni Yang MS
Aim
This study aims to cluster communication types in older adults with BPH mainly based on differences in their characteristics (cognitive function and adaptive level).
Methods
The study included 208 patients with benign prostatic hyperplasia aged 60 years or older. Cognitive function and adaptive level were used as sub-variables to cluster the communication behaviors of these patients. SPSS 24.0 was used to analyse the data, including descriptive statistics, k-means clustering analysis, analysis of variance and chi-square test.
Results
Analysis revealed four clusters: named as ‘adaptive support type’, ‘mixed communication type’, ‘high-quality communication type’, and ‘cognitive compensation type’. Besides differences in cognitive function and adaptive level, the clusters differed on education level, residence registration, monthly income, work status, and participate Intellectual activity.
Conclusions
Healthcare providers can use the results of cluster analysis to improve their knowledge of communication types and tailor communication strategies for older BPH surgery patients.
{"title":"Tailored communication strategies according to patient characteristics for older adults with benign prostatic hyperplasia: A cross-sectional study","authors":"Jia Liu MS , Yuxuan He MS , Xiaomei Chen MD , Li Wei MS , Xuemei Li BSc , Zuli Zhang BSc , Huan Zhang BSc , Yanni Yang MS","doi":"10.1016/j.gerinurse.2026.103883","DOIUrl":"10.1016/j.gerinurse.2026.103883","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to cluster communication types in older adults with BPH mainly based on differences in their characteristics (cognitive function and adaptive level).</div></div><div><h3>Methods</h3><div>The study included 208 patients with benign prostatic hyperplasia aged 60 years or older. Cognitive function and adaptive level were used as sub-variables to cluster the communication behaviors of these patients. SPSS 24.0 was used to analyse the data, including descriptive statistics, k-means clustering analysis, analysis of variance and chi-square test.</div></div><div><h3>Results</h3><div>Analysis revealed four clusters: named as ‘adaptive support type’, ‘mixed communication type’, ‘high-quality communication type’, and ‘cognitive compensation type’. Besides differences in cognitive function and adaptive level, the clusters differed on education level, residence registration, monthly income, work status, and participate Intellectual activity.</div></div><div><h3>Conclusions</h3><div>Healthcare providers can use the results of cluster analysis to improve their knowledge of communication types and tailor communication strategies for older BPH surgery patients.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103883"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114826","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 : 2026-02-02DOI: 10.1016/j.gerinurse.2026.103912
Lauren Bangerter PhD , Valeria Londono MD , Garrett Zabala MS , Nicole E. Werner PhD , Yijung K. Kim PhD , Katharine Adams MS , Allan Fong MS , Karl Eric De Jonge MD , Raj Ratwani PhD
People living with dementia (PLWD) are vulnerable to safety events during hospitalization but the role of family caregivers in their safety is understudied. We analyzed N = 1276 dementia-related safety event reports occurring between January 2018 and July 2023. A family caregiver was mentioned in 31.2 % of dementia-related safety event reports. Caregiver presence was associated with level of harm (X2= 39.68, p < 0.0001), with no-harm events more likely to be reported when a caregiver was present. Caregiver presence was associated with the contributing factors to safety events (X2= 17.88, p = < 0.01), and provider response to dementia-related safety events (X2= 6.09, p = < 0.05). Overall, caregiver presence was associated with less harm, fewer active failures, and more comprehensive provider responses to dementia-related safety events. Findings can inform the design of interventions to reduce the risk of dementia-related safety events during hospitalization.
痴呆症患者在住院期间容易发生安全事件，但家庭照顾者在其安全中的作用尚未得到充分研究。我们分析了2018年1月至2023年7月期间发生的N = 1276例与痴呆症相关的安全事件报告。31.2%的痴呆症相关安全事件报告中提到了家庭照顾者。护理人员的存在与伤害程度相关（X2= 39.68, p < 0.0001），当护理人员在场时，无伤害事件更有可能被报告。护理人员在场与安全事件的影响因素相关（X2= 17.88, p = < 0.01），与提供者对痴呆相关安全事件的反应相关（X2= 6.09, p = < 0.05）。总的来说，护理人员的存在与更少的伤害、更少的主动失败和更全面的提供者对痴呆症相关安全事件的反应有关。研究结果可以为干预措施的设计提供信息，以降低住院期间痴呆相关安全事件的风险。
{"title":"Family caregivers and safety events in hospitalized people living with dementia","authors":"Lauren Bangerter PhD , Valeria Londono MD , Garrett Zabala MS , Nicole E. Werner PhD , Yijung K. Kim PhD , Katharine Adams MS , Allan Fong MS , Karl Eric De Jonge MD , Raj Ratwani PhD","doi":"10.1016/j.gerinurse.2026.103912","DOIUrl":"10.1016/j.gerinurse.2026.103912","url":null,"abstract":"<div><div>People living with dementia (PLWD) are vulnerable to safety events during hospitalization but the role of family caregivers in their safety is understudied. We analyzed <em>N</em> = 1276 dementia-related safety event reports occurring between January 2018 and July 2023. A family caregiver was mentioned in 31.2 % of dementia-related safety event reports. Caregiver presence was associated with level of harm (X<sup>2</sup>= 39.68, <em>p</em> < 0.0001), with no-harm events more likely to be reported when a caregiver was present. Caregiver presence was associated with the contributing factors to safety events (X<sup>2</sup>= 17.88, <em>p</em> = < 0.01), and provider response to dementia-related safety events (X<sup>2</sup>= 6.09, <em>p</em> = < 0.05). Overall, caregiver presence was associated with less harm, fewer active failures, and more comprehensive provider responses to dementia-related safety events. Findings can inform the design of interventions to reduce the risk of dementia-related safety events during hospitalization.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103912"},"PeriodicalIF":2.4,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114850","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 : 2026-01-31DOI: 10.1016/j.gerinurse.2026.103879
Karen E. Pineda-Lerma MD , Ana L. Alcantara-Diaz MD , Leslie Salazar-Talla MD , Diego Urrunaga-Pastor MD , Fernando M. Runzer-Colmenares MD, MHS , José F. Parodi MD, PhD
We estimated the association between the depressed frail phenotype and fall prevalence in older adults in the Totos district, Cangallo, Ayacucho, Peru during 2022. A secondary analysis was conducted using data from a cross-sectional study involving older adults aged 60 and over. Frailty was defined by three or more Fried phenotype criteria, depressive symptoms by two or more points on the Geriatric Depression Scale, and the depressed frail phenotype by the presence of both conditions. Falls were assessed with the SARC-F questionnaire. Sociodemographic characteristics, comorbidities, harmful habits, functional status, and social support were included. Among 272 participants (mean age 75±8.6 years), 14.3% had the depressed frail phenotype, and 48.2% had experienced falls in the past year. Adjusted Poisson regression showed a 41% higher fall prevalence among those with the depressed frail phenotype (aPR=1.41; 95% CI: 1.08–1.85). This phenotype was associated with a higher fall prevalence in older adults at high altitude.
{"title":"Association between depressed frail phenotype and fall prevalence in older adults residing in a high-altitude Peruvian Andean community: Results from the Aunqui-Andes study","authors":"Karen E. Pineda-Lerma MD , Ana L. Alcantara-Diaz MD , Leslie Salazar-Talla MD , Diego Urrunaga-Pastor MD , Fernando M. Runzer-Colmenares MD, MHS , José F. Parodi MD, PhD","doi":"10.1016/j.gerinurse.2026.103879","DOIUrl":"10.1016/j.gerinurse.2026.103879","url":null,"abstract":"<div><div>We estimated the association between the depressed frail phenotype and fall prevalence in older adults in the Totos district, Cangallo, Ayacucho, Peru during 2022. A secondary analysis was conducted using data from a cross-sectional study involving older adults aged 60 and over. Frailty was defined by three or more Fried phenotype criteria, depressive symptoms by two or more points on the Geriatric Depression Scale, and the depressed frail phenotype by the presence of both conditions. Falls were assessed with the SARC-F questionnaire. Sociodemographic characteristics, comorbidities, harmful habits, functional status, and social support were included. Among 272 participants (mean age 75±8.6 years), 14.3% had the depressed frail phenotype, and 48.2% had experienced falls in the past year. Adjusted Poisson regression showed a 41% higher fall prevalence among those with the depressed frail phenotype (aPR=1.41; 95% CI: 1.08–1.85). This phenotype was associated with a higher fall prevalence in older adults at high altitude.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103879"},"PeriodicalIF":2.4,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101079","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 : 2026-01-31DOI: 10.1016/j.gerinurse.2026.103910
Ana Fernandez-Araque PhD , Andrea Giaquinta-Aranda PhD , Veronica Velasco-Gonzalez PhD , María Sainz-Gil PhD , Patricia Romero Marco PhD , Zoraida Verde PhD
Aim
To examine the relationship between functional status, self-perceived quality of life and other health indicators, and their association with clinical risk and assignment to Clinical Risk Groups (CRGs) in older adults (≥65 years).
Design
Cross-sectional study conducted among older patients attending primary care in a city in Spain.
Methods
Data from 384 community-dwelling older adults were analysed in groups <80 and ≥80 years. Functional status (Barthel Index), hand grip strength (HGS), quality of life (EuroQol-5D-5 L and EQ-VAS), medications and polypharmacy were recorded, together with CRG (G0–G3) from clinical records. Correlation and comparison analyses explored associations between health indicators and CRG assignment.
Results
In both age groups, a higher number of medications was associated with lower Barthel Index, EQ-5D and EQ-VAS scores, and older age with lower HGS. Among patients aged <80 years, Barthel Index, number of medications, polypharmacy and EQ-VAS were significantly associated with CRG assignment. In those aged ≥80 years, CRG classification was mainly related to functional status and medication burden, with no clear association with quality of life. In both age groups, HGS was positively correlated with quality of life but showed no association with CRG category.
Conclusion
Functional dependency, medication burden and, in those under 80 years, self-perceived health-related quality of life were key correlates of clinical risk classification. Incorporating simple indicators such as the Barthel Index, HGS and EQ-5D into CRG-based approaches could improve identification of high-risk older adults in primary care.
{"title":"Quality of life, grip strength, health indicators, and clinical risk in older adults: A cross-sectional study","authors":"Ana Fernandez-Araque PhD , Andrea Giaquinta-Aranda PhD , Veronica Velasco-Gonzalez PhD , María Sainz-Gil PhD , Patricia Romero Marco PhD , Zoraida Verde PhD","doi":"10.1016/j.gerinurse.2026.103910","DOIUrl":"10.1016/j.gerinurse.2026.103910","url":null,"abstract":"<div><h3>Aim</h3><div>To examine the relationship between functional status, self-perceived quality of life and other health indicators, and their association with clinical risk and assignment to Clinical Risk Groups (CRGs) in older adults (≥65 years).</div></div><div><h3>Design</h3><div>Cross-sectional study conducted among older patients attending primary care in a city in Spain.</div></div><div><h3>Methods</h3><div>Data from 384 community-dwelling older adults were analysed in groups <80 and ≥80 years. Functional status (Barthel Index), hand grip strength (HGS), quality of life (EuroQol-5D-5 L and EQ-VAS), medications and polypharmacy were recorded, together with CRG (G0–G3) from clinical records. Correlation and comparison analyses explored associations between health indicators and CRG assignment.</div></div><div><h3>Results</h3><div>In both age groups, a higher number of medications was associated with lower Barthel Index, EQ-5D and EQ-VAS scores, and older age with lower HGS. Among patients aged <80 years, Barthel Index, number of medications, polypharmacy and EQ-VAS were significantly associated with CRG assignment. In those aged ≥80 years, CRG classification was mainly related to functional status and medication burden, with no clear association with quality of life. In both age groups, HGS was positively correlated with quality of life but showed no association with CRG category.</div></div><div><h3>Conclusion</h3><div>Functional dependency, medication burden and, in those under 80 years, self-perceived health-related quality of life were key correlates of clinical risk classification. Incorporating simple indicators such as the Barthel Index, HGS and EQ-5D into CRG-based approaches could improve identification of high-risk older adults in primary care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103910"},"PeriodicalIF":2.4,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079930","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 : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103870
Meng Jin BSN , Dijuan Meng PhD , Qinan Shen BSN, Xueyi Sun BSN, Yu Ding BSN, Chang Sun MS
Objective
To analyze and synthesize qualitative evidence on how people with dementia (PWD) and their caregivers experience Namaste Care.
Method
Using the Joanna Briggs Institute (JBI) approach to qualitative systematic reviews, we searched PubMed, MEDLINE, CINAHL, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data through September 2025. Qualitative findings were synthesized via meta-aggregation into review findings, and confidence was assessed using GRADE-CERQual.
Results
Fourteen studies were included. In total, 156 study-level findings were aggregated into 22 categories, organized under 6 composite findings: caregiver-related barriers; PWD participation barriers; impacts on caregiver; benefits for PWD; overall program insights; and implementation facilitators. Based on GRADE-CERQual, confidence in the 22 categories was mostly moderate to high (9/22 high; 8/22 moderate), with fewer categories rated low (3/22) or very low (2/22), primarily due to methodological limitations and data adequacy concerns.
Conclusion
This qualitative synthesis suggests that Namaste Care can improve quality of life for PWD and enhance caregiver satisfaction and resilience. Implementation is frequently constrained by training and resource gaps and by the need for cultural adaptation. Programs should prioritize structured, skills-based caregiver training with supervision, adequate materials and protected time, proactive family partnership, and with fidelity monitoring to support effective and sustainable delivery across settings. Future research should evaluate Namaste Care in non-Western contexts and assess long-term outcomes, cost-effectiveness, and equity.
目的分析和综合痴呆症患者及其照护者如何体验合十礼的定性证据。方法采用Joanna Briggs Institute （JBI）方法进行定性系统评价，检索PubMed、MEDLINE、CINAHL、Embase、中国知网（CNKI）、万方数据等截至2025年9月的文献。通过meta-aggregation将定性结果合成为综述结果，并使用GRADE-CERQual评估置信度。结果共纳入14项研究。总共156项研究水平的发现被汇总为22类，按6项综合发现组织：与护理人员相关的障碍；残疾人士参与障碍；对照顾者的影响；残疾人士的福利；全面的项目洞察；以及实施促进者。基于GRADE-CERQual， 22个类别的置信度大多为中至高（9/22高；8/22中等），较少类别的置信度为低（3/22）或极低（2/22），主要是由于方法限制和数据充分性问题。结论合十礼护理可以改善PWD患者的生活质量，提高照护者的满意度和心理弹性。执行工作经常受到培训和资源差距以及文化适应需要的限制。项目应优先考虑结构化的、以技能为基础的护理人员培训，并提供监督、充足的材料和受保护的时间、积极的家庭伙伴关系和保真度监测，以支持在各种情况下有效和可持续地提供服务。未来的研究应该在非西方环境下评估合十礼护理，并评估长期结果、成本效益和公平性。
{"title":"Experiences of namaste care among people living with dementia and their caregivers: A qualitative meta-synthesis","authors":"Meng Jin BSN , Dijuan Meng PhD , Qinan Shen BSN, Xueyi Sun BSN, Yu Ding BSN, Chang Sun MS","doi":"10.1016/j.gerinurse.2026.103870","DOIUrl":"10.1016/j.gerinurse.2026.103870","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze and synthesize qualitative evidence on how people with dementia (PWD) and their caregivers experience Namaste Care.</div></div><div><h3>Method</h3><div>Using the Joanna Briggs Institute (JBI) approach to qualitative systematic reviews, we searched PubMed, MEDLINE, CINAHL, Embase, China National Knowledge Infrastructure (CNKI), Wanfang Data through September 2025. Qualitative findings were synthesized via meta-aggregation into review findings, and confidence was assessed using GRADE-CERQual.</div></div><div><h3>Results</h3><div>Fourteen studies were included. In total, 156 study-level findings were aggregated into 22 categories, organized under 6 composite findings: caregiver-related barriers; PWD participation barriers; impacts on caregiver; benefits for PWD; overall program insights; and implementation facilitators. Based on GRADE-CERQual, confidence in the 22 categories was mostly moderate to high (9/22 high; 8/22 moderate), with fewer categories rated low (3/22) or very low (2/22), primarily due to methodological limitations and data adequacy concerns.</div></div><div><h3>Conclusion</h3><div>This qualitative synthesis suggests that Namaste Care can improve quality of life for PWD and enhance caregiver satisfaction and resilience. Implementation is frequently constrained by training and resource gaps and by the need for cultural adaptation. Programs should prioritize structured, skills-based caregiver training with supervision, adequate materials and protected time, proactive family partnership, and with fidelity monitoring to support effective and sustainable delivery across settings. Future research should evaluate Namaste Care in non-Western contexts and assess long-term outcomes, cost-effectiveness, and equity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103870"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079933","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 : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103880
Yunong Zhang PhD , Ye Tao PhD , Haitao Wang PhD , Mengyu Hao PhD
<div><h3>Background</h3><div>Altered muscle activation patterns are observed in patients undergoing total knee arthroplasty (TKA), resulting in reduced knee joint function, impaired balance, and an increased risk of falls during postoperative recovery. The Otago Exercise Program (OEP) is a rehabilitative intervention designed to enhance muscle strength and improve balance. However, its efficacy in restoring knee joint function and balance in TKA patients remains unclear, with limited clinical evidence. This systematic review and meta-analysis aim to evaluate the effectiveness of OEP on knee joint function, balance, and other recovery outcomes in TKA patients while identifying its essential exercise components.</div></div><div><h3>Objective</h3><div>To investigate the effects of the Otago Exercise Program on knee joint function, knee flexion angle, balance, fall efficacy, functional capacity, pain, and joint swelling in patients following total knee arthroplasty.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) examining the effects of the Otago Exercise Program on knee joint recovery in TKA patients were systematically retrieved from Web of Science, PubMed, Cochrane Library, Google Scholar, Embase, CKNI, and KISS databases. The search included studies published from database inception to November 30, 2024. Relevant references from the included studies were manually screened to supplement the literature. Two researchers independently conducted the search, screening, and data extraction. The risk of bias was independently assessed using the Cochrane Handbook, and publication bias was evaluated using Egger's test. Meta-analysis, including subgroup analyses, was performed using Review Manager 5.3. The continuous outcomes were analyzed by calculating the mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI) according to whether combining outcomes were measured on different scales or not. The quality of evidence in this study was assessed according to the GRADE methodology.</div></div><div><h3>Results</h3><div>A total of 12 RCTs involving 1088 participants were included. Compared to conventional rehabilitation, the Otago Exercise Program significantly improved knee joint function. Subgroup analysis revealed that interventions with a frequency of ≤3 sessions per week (SMD = 1.80, 95% CI: [0.80, 2.79]) and a duration of >1 month (SMD = 2.57, 95% CI: [0.51, 4.64]) yielded larger effect sizes and better outcomes. Additionally, improvements were observed in knee flexion angle (MD = 11.24, 95% CI: [9.16, 13.32]), balance (MD = 3.45, 95% CI: [2.50, 4.40]), fall efficacy (SMD = 0.61, 95% CI: [0.43, 0.79]), and functional capacity (SMD = 0.99, 95% CI: [0.80, 1.18]). Descriptive analysis also indicated reductions in pain and joint swelling.</div></div><div><h3>Conclusion</h3><div>This meta-analysis demonstrates that the Otago Exercise Program significantly enhances knee joint function, knee flexi
{"title":"The impact of the Otago exercise program on knee joint function recovery, balance, fall efficacy and functional capacity in patients undergoing Total knee arthroplasty: a systematic review and meta-analysis","authors":"Yunong Zhang PhD , Ye Tao PhD , Haitao Wang PhD , Mengyu Hao PhD","doi":"10.1016/j.gerinurse.2026.103880","DOIUrl":"10.1016/j.gerinurse.2026.103880","url":null,"abstract":"<div><h3>Background</h3><div>Altered muscle activation patterns are observed in patients undergoing total knee arthroplasty (TKA), resulting in reduced knee joint function, impaired balance, and an increased risk of falls during postoperative recovery. The Otago Exercise Program (OEP) is a rehabilitative intervention designed to enhance muscle strength and improve balance. However, its efficacy in restoring knee joint function and balance in TKA patients remains unclear, with limited clinical evidence. This systematic review and meta-analysis aim to evaluate the effectiveness of OEP on knee joint function, balance, and other recovery outcomes in TKA patients while identifying its essential exercise components.</div></div><div><h3>Objective</h3><div>To investigate the effects of the Otago Exercise Program on knee joint function, knee flexion angle, balance, fall efficacy, functional capacity, pain, and joint swelling in patients following total knee arthroplasty.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) examining the effects of the Otago Exercise Program on knee joint recovery in TKA patients were systematically retrieved from Web of Science, PubMed, Cochrane Library, Google Scholar, Embase, CKNI, and KISS databases. The search included studies published from database inception to November 30, 2024. Relevant references from the included studies were manually screened to supplement the literature. Two researchers independently conducted the search, screening, and data extraction. The risk of bias was independently assessed using the Cochrane Handbook, and publication bias was evaluated using Egger's test. Meta-analysis, including subgroup analyses, was performed using Review Manager 5.3. The continuous outcomes were analyzed by calculating the mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI) according to whether combining outcomes were measured on different scales or not. The quality of evidence in this study was assessed according to the GRADE methodology.</div></div><div><h3>Results</h3><div>A total of 12 RCTs involving 1088 participants were included. Compared to conventional rehabilitation, the Otago Exercise Program significantly improved knee joint function. Subgroup analysis revealed that interventions with a frequency of ≤3 sessions per week (SMD = 1.80, 95% CI: [0.80, 2.79]) and a duration of >1 month (SMD = 2.57, 95% CI: [0.51, 4.64]) yielded larger effect sizes and better outcomes. Additionally, improvements were observed in knee flexion angle (MD = 11.24, 95% CI: [9.16, 13.32]), balance (MD = 3.45, 95% CI: [2.50, 4.40]), fall efficacy (SMD = 0.61, 95% CI: [0.43, 0.79]), and functional capacity (SMD = 0.99, 95% CI: [0.80, 1.18]). Descriptive analysis also indicated reductions in pain and joint swelling.</div></div><div><h3>Conclusion</h3><div>This meta-analysis demonstrates that the Otago Exercise Program significantly enhances knee joint function, knee flexi","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103880"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079874","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 : 2026-01-30DOI: 10.1016/j.gerinurse.2026.103898
Silvia Wojczewski PhD , Flora Nagy MA , Simona Durisova MA
In home-care for older adults, several vulnerable groups come together: the older adult with care needs, family relatives who look after the older adults and, increasingly, migrant live-in careworkers who live with the older adult. Community engagement is recommended in order to reach and protect people in vulnerable situations, especially for crisis preparedness and prevention activities. This article aims at showing how a participatory approach and community involvement can lead to defining challenges and finding solutions for improving home-care for older adults in Austria. A network meeting was organized that brought family caregivers as well as live-in carers and Community Nurses together. The network meeting showed that it was possible to bring almost all affected and vulnerable groups in home-care together. The presence of Community Nurses and researchers also made it clear to the affected groups that their matters were of wider public importance.
{"title":"Shaping home care in community: Social networking between migrant live-in careworkers and family caregivers. A case study in Austria","authors":"Silvia Wojczewski PhD , Flora Nagy MA , Simona Durisova MA","doi":"10.1016/j.gerinurse.2026.103898","DOIUrl":"10.1016/j.gerinurse.2026.103898","url":null,"abstract":"<div><div>In home-care for older adults, several vulnerable groups come together: the older adult with care needs, family relatives who look after the older adults and, increasingly, migrant live-in careworkers who live with the older adult. Community engagement is recommended in order to reach and protect people in vulnerable situations, especially for crisis preparedness and prevention activities. This article aims at showing how a participatory approach and community involvement can lead to defining challenges and finding solutions for improving home-care for older adults in Austria. A network meeting was organized that brought family caregivers as well as live-in carers and Community Nurses together. The network meeting showed that it was possible to bring almost all affected and vulnerable groups in home-care together. The presence of Community Nurses and researchers also made it clear to the affected groups that their matters were of wider public importance.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103898"},"PeriodicalIF":2.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号